NCS000236_MONITORING INFO_20170801

—STORIVIUVATER-DIVISION-CODING"SHEET --
PERMIT NO.
DOC TYPE-
❑FINAL PERMIT
MONITORING INFO
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
'�,Zo �'7 D f3 D I
� YYYYMMDD

R E C & ' 9TER DISCHARGE OUTFALL (SDO) j
MONITORING REPORT -
000236 AUG 01 2017 0�
Permit Number NCS SAMPLES COLLECTED DURING CALENDAR YEAR:
C:IYNTRAL FILES (This monitoring report shall be received by the Division no later than 30 days from
i S�CT�rNN the date the facility receives the sampling results from the laboratory.)
��
FACILITY NAME Industriaf &1 Agricultural Chemicals, Inc.
PERSON COLLECTING SAMPLE(S) - -
CERTIFIED LABORATORY(S) _ T L, Lab #� I ?J�
Part A: Specific Monitoring Requirements
COUNTY Robeson
PHONE NO.
SIGNATURE OF PERMTf'TEE OR DESIGNEE
RE4_-_iIIRWD ON PAGE 2.
Outfa l: _ �
llate.
50050.:
-
©400..
Oi.OZZ•-:�
_� '`-
4L�! 2
� •I
�105,�x,.._
Q�.�92s�_
OOS3D_...
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oc#re' ca
$�..,
�eiiiical -
lWe _ 4
Sam le -
'
Tofai
,. ;.
fa`l=<:O't&�=:f
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r:..
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fal ry
bal -o n;'
. .B
_
Tots -
a
_-
_
`€al Leak'.
Ti#ial: do
_� s ,_
Ox
�CollectedL
Flow ' if;app.niall
y
Grse
Sus Hided};,,,
_
Co ei"i-:
: _
, r-
:>•.. -
}'
Demand t ,
demand
sax�as
��
i.
mo/dd/yr
MG
inches
Units
m /1
m /l
m JI
m /I
m /1
mall
m /l
m
37804
1-7-
C S
a 1v•
8
3 . O
FRN
AUG 0 Ji.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes 1 no
(if yes, complete Part B)
__i-- IF_I-_ - LT_] -a__..__- A. :.- , Alt....:{..':.... 10_. -#M
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
a 1.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m I
ma
unit
gallmo
. ;Y- Lam'
kX-N, G
CACCK
&a—or')L �
Form SWU-247, last reWsed 21212012
Page I of 2

STORM EVENT CHARACTERISTICS: `� Date ---7 i -7 r� +
Total Event Precipitation (inches): LJ
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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,
includix the possibility of fines d imprisonment for knowing violations."
6�y� 6� �
A
(Signature of Permittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

001
0
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: }Ott:!!h_'o.eisr.st.ate.nc.Gis/salForms 17ocumc ntti.ht» #miscforins
Permit No.: NIC/ S/ Q / 0 /4 / 2 / 3 / 6 / or Certificate of Coverage No.: NlC/GI_I_l�l l I_I
Facility Name: Industrial & Agricultural hemical
County: Robeson Phone No. 954-843-21 1 _
Inspector: Randall Andrews
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
(7 • Sg
Was this a Representative Storm Event? (See information below)
Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and thatI
is preceded by at feast 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
OutfallNo, 37804 Structure (pipe, ditch, etc.) dite
Receiving Stream: UT to Burnt Creek
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge usingbasi�c colors (red, browbn, blue, etc.) and tint
(light, medium, dark) as descriptors: _ C OL/ZL OC SS— L % 6 4�r
3, Odor: Describe any
chlorine odor, etc.): I
tinet odors that the discharge may have (i.e., smells strongly of oil, weak
Page i of 2
S WU-2a2- t t 2608

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
I 2 01 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
6, Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 ,s extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8, Is there an oil sheen in the stormwater discharge? Yes No '
9. Is there evidence of erosion or deposition at the outfall? Yes C :No�)
0 .
10, Other Obvious Indicators of Storm►vater Pollution:
List and describe _ l V t=— V
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
9 Page ? of 2
SWU•242.112609

•
•
1

T CH GE OUTFALEQ
STORMWA ER DIS AR
MONITORING REPORT 1 1
t~ � �• ')Of ICJ
Permit Number NCS 000236 SAMPLES COLLECTED DURING CALENDAR YEAR: "
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Industrial & Agricultural Chemicals, Inc.
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) L Lab #_ 7 �/
Lab # ?>T -T R -
Part A: Specific Monitoring Requirements
COUNTY
SIGNATURE OF PERMITTEE OIL DESIGNEE
REOUIRED ON PAGE 2.
Qiitfall.
Date -
S0050'';::
k
',
Ofi4(Ifl
_
011fl22 f. =
01:042 _
01051 =
fl10 2 }�.
D!}53D
fld556 : ,
Biachemtcal
Cl<emiral_
No.Y,...
Sample_{=
O gen
x? x
Ox , en
Yg
Tula[ ,
t
Total-
-;..,;.T
H = o
p �r
:•<
F:�,
()rl -
3�
�'.
:Total ,
r
-=_-�,•
E •otal-Boron
ram.
Total.
-;
ofal Lead .
Total Ztnc a
-
}
o tt
s- ri„`3.R
m [ F
'I2a fal
'^r• vY a-:• y.
g
S+�'
Gre�se
Sus' ended g,
_�
T1.-
r.•-
Derirand
Deiriand : .
z
..,
�•
Solids> -S
mo/dd/ r
MG
inches
Units
m2A
m /l
in /l
m
m /l
m /i
m
MRA
.•37804-4ZD-7
O-
E
-O -
•"
fl•o210
O-o4'2--
L2•-7c:>
--,--:2- 0
C3o-o
E-0
t*
('FN
RAL FILES
OW
SECTION
Does this,facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes Vno
(if yes, complete Part B)
• l Y
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
Total
Suspended
pH
New Motor
Oil Usage
(Method 1664
Solids
SGT-HEM), if
mo/dd/ r
MG
inches
m /l
a [,
mo
unit
gavino
Form SWU-247, last remised 21212012
Page 1 of 2

STORM EVENT C !HA CTERISTICS:
Date ! 1 I � O � g
Total Event P ecipitation (inches).
Event Duration (hours): (only if applicable - see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit_)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

•
RECEIVED
Stormwater Discharge Outfall (SDO) auu .1 a LA
Ht t' Mon'torin Re ort
Qua l a iRve >t g P CENTRAL FILES
D1Nn roECTION
For guidance on f lling out this farm, please visit:' htt za/h 2o.enr.state.ne.us/su/ForF s DOCUments.htn4miscforms
Permit No.: N/C/ S / 0 / 0 / 0 / 2 / 3 / 6 / or Certificate of Coverage No.: NIC/GI I —I I l�l I
Facility Name: Industrial & Agricultural Chernicals,
County: Robeson Phone No. 910--841-2121
Inspector:
Date of Ins
Time of In!
Total Event Precipitation (inches): , D ` L' -1i' RF GEjVED
Was this a Representative Storm Event? (See information below) [/Yes ❑ No AUG 15 2016
r+ lai Ai. FI1,.ES
Please check your permit to verify if Qualitative Monitoring must be performed durin 'F r 1-r A F 1,F-
storm event (requirements vary). VV
A "Representative Storm Event" is a storm event that measures_greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0,1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this ignature, I certify that this report is accurate and complete to the best of my knowledge:
>i , A . s A
—KU& =MrW364 v
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 37804 Structure (pipe, ditch, etc.) ditch
Receiving Stream: UT to Burnt Creek
Describe the industrial activities that occur within the outfall drainage area:
2. Color; Describe the color of the discharge using basic colors
(light, medium, dark) as descriptors: Lit
d, brown, blue, etc.)
0 COL O,
nt
CL
3. Odor: Describe any distinct odors at the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): N . N
CE
Page I of 2
S WU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
. and 5 is very cloudy: 0
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes oNo
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
. Page '_ of 2
5 WU-242.112608

SfgTF y
•v- ,
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit:' htt rl/h? .enr.state.nc,usltiu/Form. Docun nts.htmtimiscForms
Permit No.; N/C/ S/ 0 / 0 / 0 12 /3 / b l or Certificate of Coverage No.: NIC/Ghl^l _I_l�l �l
Facility Name: Industrial & Agricultural e a
County; Robeson Phone No.910-843-2121
Inspector:
Date of Ins
Time of In;
Total Event Precipitation (inches): Q. � 6
Was this a Representative Storm Event? (See information below) �Xyes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
..A_..........._.........mEvent"isa,�stormeventthat...measures greater
................._..... ---,.._-all..-.._.-_.-.............-........
"Representative Storm g ater than inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this si nature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)'
1, Outfall Description:
Outfall No, 37804 Structure (pipe, ditch, etc.) ditch --
Receiving Stream: UT to Burnt Creek
Describe the industrial activities that occur within the outfall drainage area:
2. Color; Describe the color of the disc arse using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: — t � R ( t .o L—o A, -Le CS
3, Odor: Describe any diswci�ct odors that the discharge may have (i,e., smells strongly of oil, weak
chlorine odor, etc.): — ! V
Page I of 2
8 WU-242• l 12608

4, Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
' 1 N 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids
li
solids and 5 is the surface covered with floating solids:
2 z 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
I 2 ? 4 5
7, Is there any foam in the stormwater discharge? Yes CNo)
8. Is there an oil sheen in the stormwater discharge? Yes oNo
9, Is there evidence of erosion or deposition at the outfall? Yes oNo
10, Other Obvious Indicators of Stormwater Pollution:
List and describe - { V 'UP
Note: Low clarity, high solids, and/or the presence of foam, oil sheen,or erosion/deposition maybe
indicative of pollutant exposure, These conditions warrant further investigation.
Page 2 of 2
SWU•242-112608

1
J
STO_ RMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000236
FACILITY NAME Industrial & Agricultural Chemicals, Inc.
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) L Lab # —7-7 8�
Lab #77,g
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR.
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
R CRobesonc 910 )-
F
SIGNATURE OF PERMITTEE OR DESIGNEE
CE D ON PAGE 2.
DW
Kmti
Oufali
io
.sc ,ti=c
1<l af'
a
am leo(a}tat
.. � -
o to+'Io�w
-
Sb 0
US
'cifi.3T _ '
ifa'
�,-•.r-.
1infxll``
_r
0�4Q04�
il. *•
,� .y.F`�
-
r
'©02.� :.
I�?ofal
-
Gr�Se;
x
_w =
U142
=
�-a -
d•
Su`s' ende'
Solis 'SS.
Ol_0x-
otalxB©roll
i� -.G _'s..,
-r.�•.-n
f a :
0�(T92SSG
Tots) 4 �.
-: -.j+ �..�
_
otal Lead;
•r:,.r•� =.
;,
ddtal T�rae :
�c� r� _
! '
- ac"e °Cal—
mt t
g eta ;
,'y�
Demand `
©
Citaemr r al
�z " �-.
Y
i��i "if;::Y.
CfD ,
mo/dd/ r
MG
inches
Units
m
m /1
m /I
mg/1
m /l
mall
m /I
m /l
37804
3 1S
i�•�S
;V�
o_ o
r�• Sa Z.
O. t�35
3-g�-
c ��
9 . 2
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? `yes -Vno
(if yes, complete Part B)
Outfall
No_
Date
Sample
Collected
50050
00556
00S30
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mold LV r
MG
inches
m l
mo
unit
at/mo
Form SWU-247, last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable —see permit)
(if more than one storm event was sampled)
Date
Total Event Precipitation i
Event Duration (hou (only if applicable — see permit_)
Mail Original and one copy to:
Division of Water Quality
Attu_ Central Piles
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Perm -,-Number NCS 000236
STORMWATER DISCHARGE OUTFALL (SDO) zo".
MONITORING REPORT aff—Wo
RECEIVE® SAMPLES COLLECTED DURING CALENDAR YEAR:
JUN 2 2 2015 (This monitoring report shall be received by the Division no later than 30 days fraomm"
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Industrial & Agricultural Chemicals, In CENTRAL FILES
9 qDWR ce=r�rini.i
PERSON COLLECTING SAMPLES Randall i'v () Anrirawc
CERTIFIED LABORATORY(S) Lab # 1-1 I
i 1 Lab # 1 $
Part A: Specific Monitoring Requirements
r
COUNTY Robeson
PHONE NO, MMO
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
No a
,-�..`''�"_
., ..
Sample
-.
Go[ cted
., .... '-..'
S0tl50,
..
Total'
w
kilo, (>If app)
r., i`; ,- ..,: -:i'. ti
rota
AW'i`Y'�K-
�nf'
Ra a!1
f ,
00400,
-yam' -
H-
p�L\'�'.
_,�,
:-�z
x „
tit
.007"s'~
.,._=,. yJ.,c�-:,
C3iI�'& . =
'fV :•F
RG.�rease -
Ss :. +�-,,.�:.
ffta
- ��4 z� ,.- -'-`
.Total _ . ,
'_.✓s- i.;**jjII
_ - G
Spspended-
ids�7-�. .R,
L1,C1 ,.•:
.m
- �'-_�aey+.
<otal:Boroa
i _-
.e'`;-.. 'z.as,,, .. '. r?:
01092 �„
_
-z-a r e?""3
Total
-'Rk'--�.'.
Copier,.._
OOS30
-
Ta`aL Lead
q_..F=.i c,�Sr-
Ski
k
�,..
OQ556 Y.
..:% �`.,
Tatar Zinc
x
•'s
;Siochem�cal
v,.zr-„_
C?�/Qen
�J•b.'l' I t.Y-
sue, -
De and'
m
Oi/)
Cheinscal,A_
OIz"�["QJen t;
TC. YJb�r"i'ii
De an
id
O)F e5 .Fj
mo/dd/ r
MG
inches
Units
m9A
m /l
MO
MgA
mo
m l
m2fi
MRA
37804
Lj-1U 1
s3 • SS
ie
N
U
9
O
<
C . Ci
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
10 � Ya. 17 16:..1.. %4 . #soo..nn Anti - A4a"it—ino Up uirements
Outfall
No.
Date y
Sample
Collected
50050 V
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/I'PH
(Method 1664
SGT-HEM), if
appl.
Total -
Suspended
Solids
pH
New Motor
Oil Usage
mo/ddl r
MG
inches
m 1
m gA
unit
aumo
Form SWU-247, last revised 21212012
Page I of 2

.STORRM EVENT CHARACTERISTICS:
Date "1 '1 U -1 S
Total Event Precipitation (inches): c)
Event Duration (hours): (only if applicable— see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation . ches):
Event Duration (hou (only if applicable —see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 and imprisonment for knowing violations."
(Signature of Pcrmittee)
+15-[S
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

•
'
4
j.
•

•
40
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: litt❑:t/h20.eiirstate.nc.us/su/Forins_I)ocuments.htni#ntiticforms
Permit No.: NICI Sl0 10/0 / 2 /3 / b / or Certificate of Coverage No.: NIC/GI_I_I__l_I hl
Facility Name: Industrial & Agricultural Chemicals, Inc.
County: Robeson Phone No. _-910-843-2121
Inspector:
Date of Ins
Time of In,
Total Event Precipitation (inches): 0 J
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this sign re, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 37804 Structure (pipe, ditch, etc.) ditch
Receiving Stream: UT to Burnt Creek
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): _ n of\-2
Page 1 of 2
S WU-2a2-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
.. and 5 is very cloudy:
1 Q
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
sn
� 1 � 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators
Indiicators of Stormwater Pollution:
ry List and describe lo�
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
M
Page 2 of 2
SwU-242-112608

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT U
Permit Number: NCS� V or SAMPLES COLLECTED DURING CALENDAR YEAR:301 1
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITYNAME COUNTY -tWn
PERSON COLLECTING SAMPLE(S) c t, PH �=26W
iI I
CERTIFIED LABORATORY(S) T Lab # 7
CLab lti 09 (SIGNATURE OF PERMITTEE OR DESIGNEE)
Pat A: Specific Monitoring Requirements
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Outfall
NG:;-<
Date
Sample
Collected
504154
00400. `::-;_ __.:
01022 .
0.1042
01051-
01092
00530.
00556
Total
Flow (if app:)
Tatar
Rainfall
pH
Ot(&;Giease
Total = ..
Suspended
Solids SS
Total Boron
Total'Copper
Total Lead
Total Zinc
mo/dd/ r
MG
inches
Units
m /V
m 11
m /l
mg/1
m /l
m /l
�y
-lcl -t ,
I�Er
1 . 1
CA
L
t
t
G, 1
d-oU
a,
C:r
-
�c
n
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes ._no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected,
150050
00556
00530
00400
Total Flow
,(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids .
pH
New Motor Oil
Usage
mo/dd/vr
A1G
inches
m
MPA
Units
al/mo
Form SW U- 2 36-1 l 2608
Page I of 2

r
1
•
��
_
�
,''
�
_ _
n
- L w

STORM EVENT CHARACTERISTICS:
Date l I � -k 14
Total Event Precipitation inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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,
in uding the possibility of fines and imprisonment for knowing violations."
&v�
(Signature of Permittee) (Date)
Form SWIJ-246-1 12608
Page 2 of 2

i �
�` �. � '

INDUSTRIAL AND AGRICULTURAL CHEMICALS, INC.
2042 BUIE PHILADELPHUS RD.
FLED SPRINGS, NC 28377
PHONE: [phone] FAX [phone]
.. EMAIL: [e-mail]
FAX TRANSMITTAL
Date and Time;
-t c6 '- C) q
To:
Company:
N C ,) C-. 6
Fax No.;
H'6L~ 010'�
From:
i
Angela Scott
Company;
INDUSTRIAL AND AGRICULTURAL CHEMICALS, INC.
Phone No.:
910-843-2121 ext 24
Fax No:
910-843-5789
No. Of Rages:
,including cover
Message:

Facility Name:11 _ NPDES #: NC604 `%
BIOCIDE/CHEMICAL TREATMENT
WORKSHEET-FORM 101
The following calculations are to be performed on any biocidal products ultimately discharged to the surface waters of
North Carolina. This worksheet must be completed separately for each biocidal product in use. This worksheet is to be
returned with all appropriate data entered into the designated areas with calculations performed as indicated.
Facility Name �,r� CL% s T,�,_,
NPDES # NC DI)n S'75L4 _
County _ Scn-�.�N
Receiving Stream Gum Su„jin n C'_ ne ak _ 7010 3 S (cfs)
(Ali above information supplied by the Division of Environmental Management)
What is the Average Daily Discharge (A.D.D.) volume of the water handling systems to the receiving water body?
A.D.D. (in M.G.D.)
Please calculate the Instream Waste Concentration (IWC in percent) of this discharge using the data entered
above.
(A.D.D.) X 100 (AO/r} X 100 `r
IWC = (7Q10)(0.646) _ (33 )(0.646) + (A.D.D.) •O`5 fi/c
This value (IWC) represents the waste concentration to the receiving stream during low flow conditions.
What is the name of the whole product chemical treatment proposed for use in the discharge identified in Fgrt ! �
-2 n t
Please list the active ingredients and percent composition:"+
% v �"
y
%
What feed or dosage rate (D.R.) is used in this application? The units must be converted to grams of whole
product used per day.
D.R.= grams, -day
.�A
D.E.M. Form 101 (7/92)

STORMWATER DISCHARGE OUITALL (SDO)
MONITORING REPORT
Permit Number. NCS RC50fl0236 or
Certificate of CoverageNomber: NCG ^�
FACILITY NAME Industrial & Agricultural. Chemicals, Inc.
PERSON COLLECTING SAMPLE(S) Randall Andrews
CERMFIEDLABORATORY(S) TEL —Lab # 17251
ESC Lab # ENV375
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2009
(This monitoring report steag be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory-)
COU;1'I'Y, Robeson - - --
IPNE N . 1 843-2121
(SIGNATURE OF PERMiTTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Ci;tfall= -
Na --
:.te:
Ssm _1a
CdJletted
0.•
004�0 �: .. —JAW
1
2_
0 {143
tT>�03l� . -:
0104Z
00530:
00556
`at2il
rF,b (itapp.)
,"
Rainfall
j
`-
t &dies§e
lbtal .
Suspended.
SSmofddl
Ime
TdtAF196-61-
TQtsl Copper
Total Lead
Total Zinc
r
inches
Units
m
MRA
rngll
mell
rn 11
45
3.6
*BDL -5.6
14.5
43.3
0.20-7
0.021
500
Does this facility perform Vehicle 14aintenance Activities using otore than 55 gallons of new motor oil per month?_ yes x-no
(if yes, Mmpletc part H)
Part B: Vehicle M2intenancn Artivitu hInnitnrinv Umnirensente
putfall
No.
-Date
Sample
Collected
50050
00556
00530
00A00
Total Flow
(if applicable)
Total Raidall
Oil & Grease
Total
Suspended
Solids
pH
New Motor ON
Usage
mold
MG
inches
Me
TPA
Units
gaymb
*BDL- Below detection limit of 5.6 nig/L
_ Form SWU-246-112608
IL
Page I of 2
r

r
Facility Name: 1 z - NPDES #_ NC,
sD ftiNl�j'�d
Estimate total volume of the water handling system between entry of biocidal product and NPDES discharge
point. On an attached sheet please provide justification for this estimate (system volume, average cycles per
blowdown, holding lagoon size, etc.)
Volume= D million gallons
What is the pH of the dandling system prior to biocide addition? If unknown, enter NIA. g- 3
What is the decay rate (D.K.) of the product? if unknown, assume no decay (D.K.=0) and proceed to asterisk.
The degradation must be stated at pH level within 1/2 pH standard unit within handling system. Enter She hall
life (Half Life is the time required for the initial product to degrade to half of its original concentration). Please
provide copies of the sources of this data.
H.L. _ Days
The decay rate is equal to H.L. X 0.69 = =Decay Rate (D.K.)
Calculate degradation factor (D.F.). This is the first order loss coefficient.
D.F. = (�?.S o'D'rD� + (D.K.) _ ( ( D+old +
Calculate Steady State Discharge Concentration:
Dischg Conc. = - (D.R.) - mg/1
(D.F.)(Volume)(3785) - (01 331 ) { v'7 ) (3 7 8 5 )
Calculate concentration of biocide instream during low flow conditions.
,Receiving Stream Concentration)
_(Discha. Conc.) x (IWC%) ( D ) x s05� ) _ Dp3`�'7 mg/1
100 - 100 -
Receiving Stream Concentration
III. Calculate regulated limitation.
List all LC50 data available for the whole product according to the following columns. (Note that units should be
in mg/l). Please provide copies of the sources of this data.
W,
Organism
.a
D.E.PA. Fom 101 �7/9'
♦ 4
Test Duration LC50 (mg
f-�n. -' 4iCr S3
40 121ti

a : STURNIN'VAnR MCHARGKOUYFALL (SDU}
w _ MDNMRMG REPORT • ;, ~
Fej'mtt MM Mber' NcSFr NCS000235 ` or r SAMPLES COLLECTED 6UPJ14G CAL_ MDAR YEAR:- E 2009 `
} Ca ti�cat di Coverage N be�. NCG - (77sas rAonitoi f g rtipott sbali he received by the ili�ssioa no later !}rwu 3i1 days lritm .
~;.: ilio daft the faci�itp recteves the sampliiog insults"horn t]ic iai�aratoty ); a '..
�. FACILi[ItNAiIIE.•T�3iilrs J = s _. * `z -COINTY eson
dal & = firer) cultuxalTChr�mical , .: % Rob
COLLECTING SAMPi::WS � -, liaudaT1' 'Andretos' :, ' �•' . PH NE f'i 8 3-2121 ` l
.- C�DL,4B1)RATORY(S) TBLi" ;�. •'' 'I.a_b'�-•'i 7751 � - t'.'• � f�. - • ~ .
b =BNV375 . t (SIGNATURE OF mou OR DESIGNEE)
By; tftis signtiae,'I Erbtthis irepeit is ai�tr' r
rompiete to tLe bit oI mp Irwledge
Part SpettFc MoieLoxiug Regireuzeitis
Ak-
Owl.'f
t ~
`CS
C
i31i
f}tS�C
4tft�'ZfiB�Offi�-+�C
eiu! r
MG
irwJsis,
Units
ai s
0dt
:�
171 l,'"'
lti
in fi•
BI]L' -5 b4:5'°3.3
'.[=24:7'-_
'.R_
c
s
_
�. t,
ems• _" - �
ti •y
-
_
_
_
r
l
-
.c
r
_
- SC.ry
4
F
_ tr
Does this 6ii A' aM V 'c e . !, i
(; /�� �I[+ 7 �. p F�'!1 IiiEffiQP�C-1�C17V1i1LS tlSiilg fi10IC t�1flF1 �� g 0]?S O�Iiel➢V IIlOtOI C2� Pe nlDai}l.._ GCS '�1a0 f' ; ' •s - �
Al. F 6�111r�VW tall D!.' .Y J' •Z _ _ '4 ° _ ! •� f 1 _ -
. * � '�, w`:. _ `'�, r' r`. - 9 _ _ � .ate `.• �� j' ; t_ _ - F _ • • _
PAI [ ^ Vehttle MAltlie3tSnCe �CfJY1ty, MnnrtO 41IE1eIIL4 • ° .
Rio.:
=' :.. =
'Ytital Flog
Taiai RaSrifail: -
Oil & [grease' _TrialpH
� Motes Ofd
maf
IIrLG �
incurs-
m , ,
•U>3ics' -
lbnn -
` *BOL ,Below detection, limit
of•'5,.6• m -jL`-,
�.
•
--

SI-0I(M1YATE11 DISCIfARGEOUTFALL(SDO)
MONITORING REPORT
PERMIT NO. NCS 000236 _ SAMPLES COLLECTED DURING CALENDAR YEAR: 1998
(ail samples collected during a calendar year shall be reported no later than
January 31 of the Following year)
FACILITYNAME, Tndua_rial aldAg_rhemiraln. Tne_ COUNTY Rahpann 40
PERSON COLLECTING SAMPLES) Margaret MAynor PH 171
-
CERTIFIED LABORATORY(S) HydroLogic Lab #
Lab # (SIGNATURE dF PERMITTEE OR DESIGNEE)
By this signature,) certify that this report is accurate
complete to the best of my knowledge
Part A: Specific Monitoring Requirements
Outfall #, ; :
VateM
$ample;''
Collected ., ...
. SVVSU f k `:
Total
Flowr,<: ,. .'
R
it _&
Grease
Tat..Susp: ,
Total
Boron
Total -
o
Total Rec
otal
Zinc
moldd/ r
MG:
,Astu-:;. -
m L:
m L:
MRIL
m
me
mg/L
12 15/98
6.9
2.0
6.1
3.290
0.320
0.
RECEivED
`.'_'' V 1 4 1999
REG. C1~1`I
Page I of 2
Form M ItNC'S

Does Ihis facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes ,gno
(if yes, complete Part B)
Part B: Vehicle Malntenance Activity Monitorine Reauirements
OutfaU �
No. a ` `
POW.
Ss#nipe
50Q50 r s' l)0556 u
Total Floe Oil and Grease
01051
Lead, Total
38260
Detergents
00400
pH ° ,
New Motor Oil
;}
Recoverablei: `
h18AS 2
Usage
moldd! r' %
MG -2:`. m
u
m
unit .<
allmo
Footnotes:
I Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
%STORM EVENT CHARACTERISTICS:
Date 12/15/98
Total Event Precipitation (inches): 2.5"
Event Duration (hours): 2 1/2 firs.
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Attu: Central Files
DEHNR
Div;sion of Environmental Mgt.
P.O. Box 29535
Raleigh, NC 27626-0533
"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 or the person
or persons who manage the system, or those persons directly responsible ror gathering the Information, the information submitted is, to the best
ofmy knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties tar submitting false information,
includinTthe possibility of fines and imprisonment for knowing violations."
C:
(Signature o ermittee) (Date)
ra
e�
Page 2 of 2
Form MRNCS

TestAmerica
FINAL REPORT OF ANALYSES
IAC PROJECT NAME:
2042 BUIE PHIL ROAD REPORT DATE: 01/06/99
RED SPRINGS, NC 28377-
Attn: MARGARET MAYNOR
SAMPLE NUMBER- 39173 SAMPLE ID- STORMWATER 4
DATE SAMPLED- 12/15/98
DATE RECEIVED- 12/16/98 SAMPLER- M. MAYNOR
TIME RECEIVED- 1155 DELIVERED BY- CLIENT
Page 1 of 1
SAMPLE MATRIX- WW
TIME SAMPLED- 1730
RECEIVED BY- KSW
ANALYSIS
ANALYSIS METHOD DATE BY RESULT UNITS
PH
EPA 150.1
12/15/98
KSW
6.9
STD UNITS
TOTAL SUSPENDED SOLIDS
EPA 160.2
12/16/98
KSW
6.1
MG/L
OIL & GREASE (GRAVIMETRIC)
EPA 413.1
12/17/98
KSW
2.0
MG/L
BORON,TOTAL
200.7
12/30/98
LJP
3.290
MG/L
COPPER, TOTAL (CU)
200.7
12/23/98
LJP
0.320
MG/L
LEAD, TOTAL (PB)
6010
12/29/98
LJP
< 0.010
MG/L
ZINC, TOTAL (ZN)
200.7
12/29/98
LJP
1.370
MG/L
pH NON -REPORTABLE FOR NPDES COMPLIANCE MONITORING.
LABORATORY DIRECTOR
A
NCDENR DWW # 37, NCD£NR DW #37716, SC DEHC # 99037'-
DUAL DET.
CODE LIMIT
0.1
1.0
1.0
0.050
0.005
0.010
0.010
2003 N. PINE STREET / LUMBERTON, NC 28358 / 910-738-6190 / FAX: [phone]

TesU�merica
FINAL REPORT OF ANALYSES
TESTAMERICA, INC-LUMBERTON PROJECT NAME: IAC-98L 10210
2003 N. PINE STREET REPORT DATE: 12/31/98
SUITE 2
LUMBERTON, NC 28358-
Attn: PAM HESTER
SAMPLE NUMBER- 131817 SAMPLE ID- IAC Q4 39173 SAMPLE MATRIX- WW
DATE SAMPLED- 12/15/98 TIME SAMPLED- 1730
DATE RECEIVED- 12/17/98 SAMPLER- M MAYNOR RECEIVED BY- DHT
TIME RECEIVED- 0906 DELIVERED BY- COURIER
Page 1 of 1
SAMPLE PREP
ANALYSIS
DET.
ANALYSIS
METHOD
DATE BY
DATE
BY
RESULT
UNITS
LIMIT
BORON, TOTAL
200.7
12/19/98 LJP
12/30/98
LJP
3.290
mg/l
0.100
COPPER, TOTAL
200.7
12/19/98 LJP
12/23/98
LJP
0.320
mg/l
0.005
LEAD, TOTAL
200.7
12/19/98 LJP
12/29/98
LJP
< 0.010
mg/l
0.010
ZINC, TOTAL
200.7
12/19/98 LJP
12/29/98
LJP
1.370
mg/1
0.010
l
LABORATORY DIRECTOR
NC DEHNR DEM #47
NC DEHNR DW #37717
SC DEHC #99015
122 LYMAN STRMJ / ASHEVII,LI:, NC 28801 / 828-254-5160 I FAX: [phone]

Chain of Oody Record
HYDRObIGIC, INC.
wO
L of �,
i] Asheville, NC
❑ Norcross, GA
❑ Charlotte, NC ❑ Frankfort KY
❑ Morrisville, NC '
[phone]
[phone]
[phone] [phone]
[phone]
Lberton, NC
XN738-6190
❑ Lexington, SC ❑ Brighton, CO
❑ Macon, GA
i❑ Orlando, FL
[phone] [phone]
(912) 757-08 11
(407)851-256C
Client:
hG
Projeet No.:
CI 8L
6A 1 O REQUESTED PARAMETERS
Report Address:
Invoice Address:
LAB CODE I.D.
A = Asheville, NC
20
, c ri
'} 7
C = Charlotte, NC
►"
D = Denver, CO
Attn:
Attn:
j
U
E = Lexington, SC
Phone No.:3 Z
rZI
Sampled By:
G = Macon,GA
K = Frankfort, KY
Fax No.: q
!
P.O. No:
L = Lumberton, NC
TURNAROUNDTIME
State Samples Collected
' i �,
M = Morrisville, NC
N = Norcross, GA
❑ 24 Hours l] 48 Hours
n
XJ
O = Orlando, R-
S = Subcontracted
❑ 5 Days ❑ 10 Days
Date Needed:
Sample ID
Date
Time
Crap!
Matrix
Containe
N
F- Preserv.
REMARKS
1A MOA
}�t�
S
3
3D73
V51I:ab Use Orily: URA
:.f'+#ITS.,
r' r
;='s
3 Ctistndy
.. 4--:Ki s#F
5ea1 L J'Yes LlNo i�N1A
-,
- •,
f
; t`
s ,
COMMENTS:
Relinquished By
Date
! ��ie
Recei e By:
Date
r,Je
Relinquished By:
Date
Time
Received By:T,
�L
e
Relinquished By:
Date
Time
Received By:
a[
Time
Relinquished By:
Date
Time
Received By:
Dale
Time
Y

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
PERMIT NO. NCS_ 000236, „ SAMPLES COLLECTED DURING CALENDAR YEAR: 1998
(all samples collected during a calendar year shall be reported no later than
January 31 of the following year)
FACILITY NAME COUNTY
PERSON COLLECTING SAMPLE(S) M _ Maynn-r PHONE NO. (91 it lR/.3-9191
CERTIFIED LABORATORY(S) Test America Lab # 37
._Lab #
Part A: Specine Monitoring Requirements
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best or my knowledge
OutWI #Yy �
.� ;;<xa x .
No ;x ,r�
x ;
.. t; ,<�.,:v.r
Date�� � � ��
: . k._
Samplef�a =
:Coilectca«.._..„
:5005()
Total �.
:Flow.:. :....
4:
Ywl'. z? '"
1 &
: Grease
4 u
Tat
Total rr=
r:Boron,.
Total
o.
Total Rec
Z
MG :°=,r ....: :
.s
�m L` "
m L.
m L
in"µ
m` «-
2.0
11.2
4.830
0.082
0.015
0.130
REC�IV�D
nrr 2 7 rose
Page 1 of 2
Form MRNCS

Does thir facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes ono
(if y—es, complete Part B)
Part U: Vehicle Maintenance Activity Monitoring Requirements
Ouf.'all
Noy f
Date % a
Collected
500$0 9 $ x O
005565 N .
01051 � f }
38260
00400
'�'otal.FlovvM
_
Oi3 and Crease
Lead, gTotal
=Recoverable I
Detergents
(NIBAS Z
pill+ `� n
New Motor Oil
Usage t:
molddl ir,
-MG. �
ro
o ;,f,°
m 4
unit:_.
Raumo
Footnotes:
I Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
\STORM EVENT CHARACTERISTICS:
Date q / a / 8
Total Event Precipitation (inches): 0.50
Event Duration (hours):._1- 9 hours
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Attn: Central Files
DEFINR
Division of Environmental Mgt. o P2
P.O. Box 29535 _
Raleigh, NC 27626-0535 cn
w
to
"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 and Imprisonment for knowing violations."
OMA I A CNG
-
`.. `" y (Signs ure or Per ittee) (Date)
Page 2 of 2
Form MRNCS

IAC
2042 BUIE PHIL ROAD
RED SPRINGS, NC 28377-
Attn: MARGARET MAYNOR
TestAmerica
I N C 6 R P D R A T E D
formerly Hydr&ogic, Inc.
FINAL REPORT OF ANALYSES
PROJECT.NAME: STORMWATER
REPORT DATE: 09/28/98
SAMPLE NUMBER- 37105
SAMPLE ID- SAMPLE
1
SAMPLE MATRIX- WW
DATE SAMPLED- 09/08/98
TIME SAMPLED- 1440
DATE RECEIVED- 09/08/98
SAMPLER- M. MAYNOR
RECEIVED
BY- PSH
TIME RECEIVED- 1635
DELIVERED BY- CLIENT
Page 1 of 1
ANALYSIS
DET.
ANALYSIS
METHOD
DATE
BY
RESULT
UNITS
LIMIT
PH
EPA 150.1
09/09/98
KSW
6.9
STD UNITS
0.1
TOTAL SUSPENDED SOLIDS
EPA 160.2
09/09/98
KSW
11.2
MG/L
1.0
OIL & GREASE (GRAVIMETRIC) EPA 413.1
09/14/98
KSW
2.0
MG/L
1.0
BORON, TOTAL
200.7
09/22/98
LJP
4.830
MG/L
0.050
COPPER, TOTAL (CU)
200.7
09/22/98
LJP
0.082
MG/L
0.005
LEAD, TOTAL (PB)
6010
09/21/98
LJP
0.015
MG/L
0.010
ZINC, TOTAL (ZN)
200.7
09/21/98
LJP
0.130
MG/L
0.010
48 HR ACUTE STATIC
09/09/98
JCB
50%
LC5@
pH NON -REPORTABLE FOR NPDES COMPLIANCE MONITORING.
LABORATORY DIRECTOR
nec-EFIVED
OCf p 7 1998
FgY�7'EVI
RED, pF
NCDENR DWQ #37
NCDENR DW #37716
SC DEHC #99037
2003 N. PINE STREET / LUMBERTON, NC 28358 / 910-738-6190 / FAX: [phone]
v��

WHILN30 AS G038

Aquatic Bioassay Testing - Aquatic Toxicity Reduction Evaluations
Chemical Product Environmental Assessments • NPDES Testing
E11- Reporting & Data Handling Services
BU RLI NGTON 1302 Belmont Street • Burlington, NC 27215-6935 • Phone [phone] • Fax [phone]
RESEARCH
CUSTOMER: HydroLogic, Inc.
REPORT TO: Ms. Pamela Hester
SAMPLE DESC: IAC, INC.
SAMPLE TYPE: WASTEWATER, GRAB
COLLECTED: 09/08/98 14:30
ANALYTICAL REPORT
WORK ORDER #:
S1280-001
RECEIVED:
09/09/98
REPORTED:
09/23/98
PO NUMBER:
PARAMETER DATE/TIME/ANALYST MOIL RESULT
Ceriodaphnia 48-Hour Acute Static .Bioassay Started 09/09/98 17:10 N/A 50 LC50%
EPA600491027F Analyzed 09/13/98 by JCB at BRI - Burlington
MQL = Minimum Quantitation Limit
Certifications:
BR1 - Iiurlin tton
NC iemistry: #85, Bion,onituring: #002, Drinking Water: #37743, Radiation License: #001-0904-OG
VA SWCB ID: #000001, Drinking Water: #000t8
5C Environmental: #OOOt8
EPA Chemistry Lab ID: NC00137, Bioassay Lab ID: NC2721500
Water Environmental Services - Eden Water Environmental Services - Kinston
Division of Burlington Research, Inc. Page 1 Division of Burlington Research, Inc.
370 W. Meadow Road Eden, NC 27288 100 E. Gordon Street • Kinston, NC 28501
Phone [phone] Fax [phone] Phone [phone] Fax [phone]
BR-2 3M

REM BY CENiIRAL FILM
OCT 15 98

TRIMMED SPEAURMANNKARBEREMETHOD FORCCALCULATION OF
EC50 AND LC50 VALUES IN BIOASSAYS
DATE: 9//9//98 THROUGH 9/11/98
WORK ORDER #: 8I9 0-001
CHEMICAL: IAC
SPECIES• Ceriodaphnia dubia
DURATION: 48 HOURS
CONCENTRATION)%)_ 12.5 25W DATA 75 100
In CONCENTRAT 0 2.53 3.22 3.91 4.32 4.61
NUMBER EXPOSED 20 20 20 20 20
MORTALITIES 0 0 9 17 20
SPEARMAN-KARBER TRIM: 0.00
SPEARMAN-KARBER ESTIMATES LC50: 50.4
95% LOWER CONFIDENCE: 441
95% UPPER CONFIDENCE: 57..6 %
REFERENCE: M.A. HAMILTON R.C. RUSSO AND R.V. THURSTON. 1977. TRIMMED SPEARMA
KARBER METHOD FOR ESTIIuiATING MEDIAL LETHAL CONCENTRATIONS IN TOXICITY BIOASSA
ENVIRON. SCI. TECHNOL. 11:714-719; CORRECTION 12:417 (1978).
C 4.605
N 0
A N
T C 3.684
U E
R N
A T 2.763
L R
A
L T 1.842
0 I
G 0
N .9210
0
10 25 50 75 100
% ORGANISMS AFFECTED
RECE11',
ED
OC T 2 7 1998
RED OFFICEr�,��
.3)

Aquatic Bioassay Testing • Aquatic Toxicity Reduction Evaluations
Chemical Product Environmental Assessments • NPDES Testing
Ell Reporting & Data Handling Services
BURLINGTON
RESEARCH 615 Huffman Mill Road • Burlington, NC 27215-5122 • [phone] • Fax [phone]
BIOASSAY SAMPLE COLLECTION DATA SHEET 9/93
CLIENT INFORMATION
Facility Name: C1 CSC.
NPDES Permit # : County: �� L? � Pipe # :
1�(C5.fry 0 o a � �
I SAMPLE INFORMATION AND COLLECTION
Does treatment process include chlorination? YES
(Circle one)
Was sample taken after all treatment processes? YES NO (Circle one)
(in other words, after chlorination &, ifaap�plica le, dechlorination7)
Signature of person llecting sample:
Sample type: Gr Composite (circle one)
If,composite,-how many samples/hour were taken during collection?
If composite,
how was sample
chilled during collection?
Date and Time
sampling began:
Date:
Time:
Date and Time
sampling ended:
Date: ��9
Time: a P�
SAMPLE SHIPMENT
'How was sample chilled during shipment?
Method, of shipment:fv�cr
Signature of person preparing shipping cooler for shipment:
Signature of person receiving cooler for delivery to BRI:
I SAMPLE RECEIPT (To be completed upon delivery to BRI Laboratory)
Signature of person delivering sample:
Signature of BRI staffperson receiving sample:
Date and Time of sample receipt: Date: Time:
Signature of person breaking cooler seal: ivy_
Signature of Bioassay Lab employee receiving sample: ji
Date and time of receipt in Bioassay Lab: Date: q,�fCj1( Time: 1f20
Temperature of sample upon receipt in Bioassay Lab: f(� degrees C

41
BURLINGTON RESEARCH, INC. • 1302 BELMONT STREET • PHONE [phone] • FAX [phone],698
CHAIN OF CUSTODY RECORD
CLIENT. I JqC
Facility/Site
Sampler: (Print) M rJ Q (Signature} r
SEND REPORT TO:
Phone #. Fax #:
Purchase Order #:
SAMPLE
ID
SAMPLE
COLLECTION
SAMPLE TYPE
NO. OF
CON-
TAINERS
SENT
ANALYSES
REQUIRED R
81ZSQ
(FOR
LAB USE ONLY)
COMPOSITE
HAND AUTO
GRAB
w I--
_j
a ac —
M C5
< z
ci. .-.
v
uj
Preservation Cosies
A =;Ice E = NaOH
B=HNO3 F=None
C=H2SO4 G=CUPRIC
D=HCI H=HCHO
DATE
TIME
STARTED
DATE
TIME
ENDED
asc'4s
Is the sample chlorinated? Yes No Will the results be used for regulatory monitoring purposes? Yes A No
W'ZXR CLIENT USE:) n
had by: i
[�at :
�r-a�'`
Tire: r
• 3s
R by: ( i .)
Date:
9 -g --I p
Time:
j e�' 3 _s
Sh by: (Sk
Date: r� —�
Time ,^
Method of Shipment
(FOR LAB USE ONLY:)
Received in Lair FROM: (Sig.)
Date:
Time:
Re ed f r Lab BY: (Sig.) Date:
Time:
Method otShipment:
Sample Integ ty Comment:
BR-17 1-88
White -ORIGINAL - Forward to BRI - BRI will return to client with Final Report Pink-BRI - Laboratory Canary-BRI - Laboratory Goldenrod -CLIENT - Copy

86 S i 130
Ou lv30 0038

HYDROLOGIC, INC.-LUMBERTON
2003 N. PINE STREET
SUITE 2
LUMBERTON, NC 28358-
Attn: PAM HESTER
TesU�merica
I N C 0 R R 0 Fl A T E D
FINAL REPORT OF ANALYSES
PROJECT NAME: IAC
REPORT DATE: 09/23/98
SAMPLE NUMBER-
127187
SAMPLE ID- SAMPLE
#1 37105
SAMPLE MATRIX- WW
DATE SAMPLED-
09/08/98
TIME SAMPLED- 1440
DATE RECEIVED-
09/10/98
SAMPLER- M MAYNOR
RECEIVED BY- DHT
TIME RECEIVED-
0940
DELIVERED BY- COURIER
Page 1 of 1
SAMPLE PREP
ANALYSIS
ANALYSIS
METHOD
DATE
BY
DATE
BY RESULT UNITS
BORON, TOTAL
200.7
09/11/98
LJP
09/22/98
LJP 4.830 mg/l
COPPER, TOTAL
200.7
09/11/98
LJP
09/22/98
LJP 0.082 mg/l
LEAD, TOTAL
200.7
09/11/98
LJP
09/21/98
LJP 0.015 mg/l
ZINC, TOTAL
200.7
09/11/98
LJP
09/21/98
LJP 0.130 mg/l
r
LABORATORY DIRECTOR
NC W1TNR DEAD 047
IVY: UT1-1NR DW 437717
cc DEHC #99015
DET.
LIMIT
0.025
0.005
0.010
0.010
122 LYMAN STREET / ASHEVIIA,E, NC 28801 / 828-254-5169 / FAX: [phone]

Chain of Cody Record HYDROMIGIC, INC. �`jl .�,,
t:.
0 Asheville, NC D Norcross, GA ❑ Charlotte, NC L-1 Frunkforl KY ❑ Morrisville, NC
•+
[phone] (770)368-(Ki36 (7U-t) 392-115-1 (5()?) 723-0?Sl (yi9) 380-9649Lumberton,
NC l] Lexington, SC L7 Brighton, CO ❑ Macon, GA Q Orlando, FL
N'(9,13)
738-6190 [phone] [phone] (912) 757-081 1 [phone]
Client:
C
Project No.: aft, 3
REQUESTED PARAMETERS
LAB CODE I.1).
Report Address: '76, i
L —i
Invoice Address:
A = Asheville, NC
C = Charlotte, NC--
3 -7
C
1
D = Denver, CO
Attn:
Ann:
E = Lexington, SC
y G = Macon,GA
Phone No.:
ra(
Sampled By:
K = Frankfort, KY
L = Lumberton, NC
FaxNo.: �]
P.O. No:
r
Q s M= Morrisville, NC
Q
St.aeSctmplcSCollected
TURNAROUND TIME
N = Norcross, GA
O - Orlando, FL
O 24 Hogs O :t8 hours
�"J S = Subcontracted
Cl 5 Days I] 10 Days Date Needed:
Sample I
Date
Time
( ran'
Matrix
Contain .
�1Nof
Preserv. REMARKS
C-.
C-
t:..•
ONo Iab i3se Only - Custody Seal: Yes ON/A
Init Lab Temp.
Rec. Lab Temp
%D
iC-
COMMENTS: 41 Zr'., P b t
Relinq
D to Ti a
Received By:
T e
Lab Use Only:
a `;
Relinquished By:
Date Time
Received By:
Ti e
Q ®
Relinquished By:
Dale Time
Received By:
Da a Time
Relinquished By:
Date Time
Received By:
Dale Time

RECEWA�F RMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
PERMIT NO. NCS 000236 L:i±s 199g SAMPLES COLLECTEi) DURING CALENDAR YEAR:98
F,K,(G ` EV+L(all samples collected during a calendar year shall be reported no later than
Jf—%W §r� January 31 of the following year)
FACILITY NAME industrial and s, Inc: COUNTY Rol�e$Qn_
PERSON COLLECTING SAMPLE(S) Margaret Maynor PIIONS NO. (9l n 843_21 71
CERTIFIED.LABORATORY(S) HydroLogic Lab #
Lab # (SIGNATURE OF PERi1(ITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
Part A: Specific Monitoring Requirements
Outta�l
°>
4 ,�q
.•
DaEe
„Lr,a, ,c-.-
SamAle
,Collccled.
'5005Q'oir
00400 haw:
".L11022
h
O1{T�2r'
, �_
O'I051�..
..
O'1092 ":
,00530 "x.:; `'
00556. s<
Total
Flow
.4:"
Tatalu
i
i,: s.,'4
.£4.
Tnt'a1. 3
Lead-�
",k^
Totals #
-Zinc•k:<-
Total Siisp
��.
4 ;
�30idc1J r ° 'CMG
-H ,.
"
Stu
f
_t
T(r
. . ' .:.
..; ..w..
rR'Yih .:.....
001
06/10/98
6.9
3.370
0.670
0.012
1,870
2
a
Page 1 of 2
Fenn MRNCS

r
jtAi cs this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Yno
4if yes, complete Part 13)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfalla �
;'N , „'
w; ':
Date °
Samiple w
Gall'ecled
50050 r
„Tntal.Flowf xx
04556 ss
:Oil and Grease
4I051 �
Lead, Total
Recoveriable�#.
38260 `" �z �
.1)elergents
([�4BAS�,.�,
004M �� ' �
pH s F r
"
�ngll -"
New Motor OBI
FU"sage
' <>
;mr►Jdd/ r'- yt: ~'
MG,' " _
m
u'
:m ',
unit'
al/mo:
Footnotes:
I Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
\STORM EVENT CHARACTERISTICS:
Date 06110 98
Total Event Precipitation (inches): 2-5
Event Duration (hours): 3.5
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Attn: Central Files
DFJINR
Div;sion of Environmental Mgt.
P.O. Box 29535
Raleigh, NC 27626-0535
"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 and imprisonment for knowing viol lions."
JA lladAe— 7 q�
(Signature crmittee) k1mb
C_.
r
Ln
t0
too
f
,F
Page 2 of 2
Form MRNCS

HYDROLOGIONC.
FINAL REPORT OF ANALYSES
IAC PROJECT NAME:
2042 BUIE PHIL ROAD REPORT DATE: 07/06/98
RED SPRINGS, NC 28377-
Attn: MARGARET MAYNOR
SAMPLE NUMBER- 35352
SAMPLE ID- STORMWATER
SAMPLE MATRIX- WW
DATE SAMPLED- 06/10/98
TIME SAMPLED- 1030
DATE RECEIVED- 06/10/98
SAMPLER- NOT SPECIFIED
RECEIVED
BY- PSH
TIME RECEIVED- 1617
DELIVERED BY- CLIENT
Page 1 of 1
ANALYSIS
DET.
ANALYSIS
METHOD
DATE
BY
RESULT
UNITS
LIMIT
PH
EPA 150.1
06/10/98
KSW
6.9
STD UNITS
0.1
TOTAL SUSPENDED SOLIDS
EPA 160.2
06/11/98
KSW
20.0
MG/L
1.0
OIL & GREASE (GRAVIMETRIC) EPA 413.1
06/15/98
KSW
3.5
MG/L
1.0
BOROH,TOTAL
200.7
07/01/98
LJP
3.370
MG/L
0.050
COPPER, TOTAL (CU)
200.7
06/23/98
LJP
0.670
MG/L
0.005
LEAD, TOTAL (PB)
6010
06/22/98
LJP
0.012
MG/L
0.010
ZINC, TOTAL (ZN)
200.7
06/22/98
LJP
1.870
MG/L
0.010
pH NON -REPORTABLE FOR NPDES COMPLIANCE MONITORING.
LABORATORY DIRECTOR
NCDENR DVQ #�37
NCDENR DW #37716
SC DEHC #99037
2003 NORTH PINE STREET, LUMBERTON, NC 28358
910-738-6190 / FAX [phone]

W.CD -BY CEtMAL MM
lre
+w ,r
w r. ,

1'az
EFFLUENT
PMNCS000236.
-
10 95NPDES
DISCHARGE NO' MONTH" 'YEAR
FAC
­%-3
ural Chemicals CLASS COUNTY
OPERATOR I[ RESPONSIBLE CHARGE (ORC) liars all Andrews GRADE_ PHONEA910) 843-2121
CERTMIED LABORATORIES (1)-jUxin d -Jabar
irnrjjgs (2)
CHECK .IF ORC HAS CHANGED
PERSON(S)COLLECTING SAMPLES Randall Andrews
:BOX
Mail ORIGINAL and ONE COPY to:
ATTN; CENTRAL FILES
x
Inv. OF ENVIRONMENTAL MANAGEMENT
(SIGNATURE OROPERATOR IN RESPONSIBLE CHARGE). DATE)
;Li; p .
E
;14_111 - �. - - , -.. - �- -­­
BY THM SIGNATURE, I CERTIFY. THAT THIS REPORT'L9
P.O. BOX 29535
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
RALEIGIL NC 7.7626.0535 1
E
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0-
:-;-ow
C
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450050-,��
0*010
00400
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M E-4 u A 0
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EFF
INF
p
F,
1 HRS
HRS
YIN
MGD
oc
UNITS
uG/L-
MG/L
MG/L
MG/L
#/100ML
MG/L
MGM.
MG/L
M&ILIrti
I
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1*10
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Monthly LiwAt
DEM Form MR-1 02/93) .. - I - I

'� Facility Status: (Please check one of the following) "r
All monitoring data and sampling frequencies meet permit requirements �,... .,
Compliant , r.
,,.....-.,•'•.r3 A.��i ..,....�-- =•i."_..JiHC**-Z1-.,d.n i1d
- - -- All monitoring data -and sampling frequencies do NOT meet permit requirements
,$+�i.,l"'1•i'i.i ,I;.l +�.i:. �.°s.:i�:i�. ::t•� : '_.�3•4;.�."t��.. frt.•1`:-
..........."..._�,.......__.._........w,....:,.� t� ..,, Noncompliant
-.�____-_-....._........y 2..�x �--r77`•Ih-;'=••�A; 7f",: ... _....-». .._ f .r t.,-..�.t•a i.:a, d'' 1c«.;, ; r.. �. �.: .r,
If the facility is noncompliant; please comment' on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a timetable for improvements• -to lii�tnade`­ `
50:135 {v"..;M."ft/:�.H'-ITt:. la.: 't"'.
T' r
..-
"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 and imprisonment for knowing violations."
Permittee (Please print or type)
---
Signature of Permittee" Date
llentiei_2_Box 521-C, Red Springs 28377 (910] 843-2121 1-31-99
Permittee Address Phone Number Penn it Exp. Date
PARAMETER CODES
00010 Temperature
00556
Oil & Grease
00951
Total Fluoride
01067 Nickel
50060
Total
00076
Turbidity
00600
Total Nitrogen
01002
Total Arsenic
01077 Silver
Residual
00080
Color (Pt -Co)
00610
Ammonia Nitrogen
01092 Zinc
Chlorine
00082
Color (ADMI)
00625
Total Kjeldhal
01027
Cadmium
01105 Aluminum
Nitrogen'
00095
Conductivity
00630
Nitrates/Nitrites
01032
Hexavalent Chromium
01147 Total Selenium
71880
Formaldehyde
00300
Dissolved Oxygen
01034
Chromium
31616 Fecal Coliform
71900
Mercury
00310
BODs
00665
Total Phosphorous
32730 Total Phenolics
81551
Xylene
00340
COD
00720
Cyanide
01037
Total Cobalt
34235 Benzene
00400
' pH
00745
Total Sulfide
01042
Copper
34481 Toluene
00530 Total Suspended
00927
Total Magnesium
38260 MBAS
.
-Residue - -
00929
Total Sodium
01045
Iron
39516 PCBs
00545
Settleable Matter
00940
Total Chloride
01051
Lead
50050 Flow
Parameter Code assistance may obtained by calling the Water Quality Compliance Group at [phone], extension 581 or 534.
The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting
facility's permit for reporting data.
* ORC must visit facility and document visitation of facility as required per 15A NCAC 8A .0202 (b) (5) (B).
** if signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b)
(2) (D)•

EFFLUENT
NPDES PERMIT NO. NCS000236 DISCHARGE NO. MONTH 10 YEAR 95
FACILITY NAME Industrial & Agricultural Chemicals CLASS COUNTY Robeson
OPERATOR IN RESPONSIBLE CHARGE (ORC) Randall Andrews GRADE PHONE [phone]
CERTIFIED LABORATORIES (1) Oxford Laboratories (2)
CHECK BOX IF ORC HAS CHANGED ❑ PERSON(S) COLLECTING SAMPLES Randal j Andreraa,
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIV. OF ENVIRONMENTAL MANAGEMENT
DEHNR BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
P.O. BOX 29535 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
RALEIGH, NC 27626-0535
x
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O
IL
Q
a
10
12
13
14
IS
16
i7
18
'19
20
21
22
�23
24
26
AVERAGE
MINIMUM
50050
00010
004001
50060
100310
00610
00530
31616
100300
00600
1 00665
00}5(Q pi
FLOW
ENTER PARAMETER CODE
x
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00
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99
OF
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40
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F
Limit
DEM Form MR-1 02&3) `

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time table for improvements to be made.
"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 filse information, including the possibility of fines and imprisonment for knowing violations."
RA,444H -Avdrew-� -7ilC
Perry�ttee (Please print or type)
Signature of Permittee** Date
Permittee Address Phone Number Permit Exp. Date
PARAMETER CODES
00010
Temperature
00556
Oil & Grease
00951
Total Fluoride
01067
Nickel
50060
Total
00076
Turbidity
00600
Total Nitrogen
01002
Total Arsenic
01077
Silver
Residual
00080
Color (Pt -Co)
00610
Ammonia Nitrogen
01092
Zinc
Chlorine
00082
Color (ADMI)
00625
Total Kjeldhal,
01027
Cadmium
01105
Aluminum
Nitrogen
00095
Conductivity
00630
Nitrates/Nitrites .
01032
Hexavalent Chromium
01147
Total'Selenium
71880
Formaldehyde
00300
Dissolved Oxygen
01034
Chromium
31616
Fecal Coliform
71900
Mercury
00310
BOD5
00665
Total Phosphorous
32730
Total Phenolics
81551
Xylene
00340
COD
00720
Cyanide
01037
Total Cobalt
34235
Benzene
00400
pH
00745
Total Sulfide
01042
Copper
34481
Toluene
00530 Total Suspended
00927
Total Magnesium
38260
MBAS
Residue
00929
Total Sodium
01045
Iron
39516
PCBs
00545
Settleable Matter
00940
Total Chloride
01051
Lead
50050
Flow
Parameter Code assistance may obtained by calling the Water Quality Compliance Group at [phone], extension 581 or 534.
The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting
facility's permit for reporting data.
* ORC must visit facility and document visitation of facility as required per 15A NCAC 8A .0202 (b) (5) (B).
** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b)
(2) (D).

EFFLUENT
NPDES PERMITNO..- . NCS000236 DISCHARGE NO. MONTH 10 YEAR_. 95
FACILITY NAME Industrial.. & Agricultural Chemicals CLASS COUNTY Robeson
OPERATOR IN RESPONSIBLE CHARGE (ORC) Randall Andrews GRADE PHONE [phone]
CERTIFIED LABORATORIES(I)Oxford Laboratories Inc. (2)
CHECK BOX IF ORC HAS CHANGED PERSON(S) COLLECTING SAMPLES Randall Andrews
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES X
DIV. OF ENVIRONMENTAL MANAGEMENT (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE
DEHNR BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
P.O. BOX 29535 ( ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
RALEIGH, NC 27626-0535
DIM Form MR-1 (12/93) 1 - . . , ,

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time table for improvements to be made.
"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 and imprisonment for knowing violations."
P1qjUd&j / 41 drew s _ �i¢ G
Per3r4tee (Please print or type)
Signature of Permittee** Date
Route 2 Box 521—C, Red Springs, NC 28377 (910)-843-2121 1-31-99;
Permittee Address Phone Number Permit Exp. Date
PARAMETER CODES
00010
Temperature
00556 Oil & Grease
00951
Total Fluoride
01067
Nickel
50060
Total
00076
Turbidity
00600 Total Nitrogen
01002
Total Arsenic
01077
Silver
Residual
00080
Color (Pt -Co)
00610 Ammonia Nitrogen
01092
Zinc
Chlorine
00082
Color (ADM[)
00625 Total Kjeldhal
01027
Cadmium
01105
Aluminum
Nitrogen
00095
Conductivity
00630 Nitrates/Nitrites .
01032
Hexavalent Chromium
01147
Total Selenium
71880
Formaldehyde
00300
Dissolved Oxygen
'
01034
Chromium
31616
Fecal Coliform
71900
Mercury
00310
BOD$
00665 Total Phosphorous
32730
Total Phenolics
81551
Xylene
00340
COD
00720 Cyanide
01037
Total Cobalt
34235
Benzene
00400
. pH
00745 Total Sulfide
01042
Copper
34481
Toluene
00530 Total Suspended
00927 Total Magnesium
38260
MBAS
Residue
00929 Total Sodium
01045
Iron
39516
PCBs
00545
Settleable Matter
00940 Total Chloride
01051
Lead
50050
Flow
Parameter Code assistance may obtained by calling the Water Quality Compliance Group at [phone], extension 581 or 534.
The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting
facility's permit for reporting data.
* ORC must visit facility and document visitation of facility as required per 15A NCAC 8A ,0202 (b) (5) (B).
** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b)
(2) (D)•

r
EFFLUENT
NPDES PERMIT NO. NCS000236 DISCHARGE NO. MONTH 4 YEAR 95
FACILITY NAME Tndust_r; ai & Agricultural Chemicals CLASS COUNTY_ Robeson
OPERATOR IN RESPONSIBLE CHARGE (ORC) Randall Andrews - GRADE PHONE [phone]
CERTIFIED LABORATORIES (1) (2)
CHECK BOX IF ORC HAS CHANGED PER SO {S}COLLECTING SAMPLES Randall Andrewr,
Mail ORIGINAL and ONE COPY to: f
ATTN: CENTRAL FILES x
DIV. OF ENVIRONMENTAL MANAGEMENT (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE
DEHNR BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
PA. BOX 29535 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
RALEIGH, NC 27626-0535
DEM Form MR -I (12/93) ,•_ .., , ... , - , .

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time table for improvements to be made.
"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 subm4ting false information, including the possibility of fines and imprisonment for knowing violations."
Randall Andrews
Pe tee (Please print or type)
WtW" NJA��
Signature of Pernuttee** Date
Route 2, Box 521—C, Red Springs, NC 28377 [phone] 1/31/99
Permittee Address Phone Number Permit Exp. Date
00010
Temperature
00076
Turbidity
00080
Color (Pt -Co)
00082
Color (ADM[)
00095 Conductivity
00300 Dissolved Oxygen
00310 BODS
00340 COD
00400 pH
00530 Total Suspended
Residue
00545 Settleable Matter
PARAMETER CODES
00556 Oil & Grease
00951 Total Fluoride
00600 Total Nitrogen
01002 Total Arsenic
00610 Ammonia Nitrogen
00625 Total Kjeldhal
01027 Cadmium
Nitrogen
00630 Nitrates/Nitrites
01032 Hexavalent Chromium
01034 Chromium
00665 Total Phosphorous
00720 Cyanide 01037 Total Cobalt
00745 Total Sulfide 01042 Copper
00927 Total Magnesium
00929 Total Sodium 01045 Iron
00940 Total Chloride 01051 Lead
01067
Nickel
01077
Silver
01092
Zinc
01105
Aluminum
50060 Total
Residual
Chlorine
01147 Total Selenium 71880 Formaldehyde
31616 Fecal Coliform 71900 Mercury
32730 Total Phenolics 81551 Xylene
34235 Benzene
34481 Toluene
38260 MBAS
39516 PCBs
50050 Flow
Parameter Code assistance may obtained by calling the Water Quality Compliance Group at [phone], extension 581 or 534.
The monthly average for fecal colifonn is to be reported as a GEOMETRIC mean. Use only units designated in the reporting
facility's permit for reporting data.
* ORC must visit facility and document visitation of facility as required per 15A NCAC 8A .0202 (b) (5) (B).
** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (h)
(2) (D)•

a
NPDES PERMIT NO. NC S Q0 0 2 3 6 DISCHARGE NO. MONTH . 4 YEAR 95
FACILITY NAME Tr,r��cl_rai & pario�ltalxal Q�a►�caj;+��c_ CLASS COUNTY Robeson
OPERATOR IN RESPONSIBLE CHARGE (ORC) Randall Andrews _ GRADE PHONE [phone]
CERTIFIED LABORATORIES (1) Burlington Research (2)
CHECK BOX IF ORC HAS CHANGED PERSON(S) COLLECTING SAMPLES Randall Andrews
Mail ORIGINAL and ONE COPY to: S I
ATTN: CENTRAL FILES x
DIV. OF ENVIRONMENTAL MANAGEMENT (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE
DEHNR BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
P.O. BOX 29535 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
RALEIGH, NC 27626.0535
8
'* 4
10
1
12
1,"13
14
15
16
7
18
:19
20
22
2
24
55'
26
FLOW ENTER PARAMETER CODE
• v: ABOVE NAME AND UNITS
C EFF ~ BELOW
pW O
iNF
OF ° �" �FV °4�z ErA
ri �Og A� E a G OE O O
� q� U E E(7
HRS HRS YIN MCD °C UNITS UG/L MG/L MG/L MG/L INI00ML MG/L I MG/L I MG/L I MG MG MG MG
AVERAGE
MINIMUM
Limit
DEM Form MR-1 (12/93) ' 1

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time table for improvements to be made. .
"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 and imprisonment for knowing violations."
Randall Andrews
Permittee (Please print or type)
-gj4u ate, s-1 - 9 s
Signature of Permittee** Date
Route 2, Box 521—C, Red Springs, NC 28377 [phone] 1/31Z99.___
Permittee Address Phone Number Permit Exp. Date
00010
Temperature
00076
Turbidity
00080
Color (Pt -Co)
00082
Color (ADM[)
00095 Conductivity
00300 Dissolved Oxygen
00310 BODS
00340 COD
00400 pH
00530 Total Suspended
Residue
00545 Settleable Matter
PARAMETER CODES
00556
Oil & Grease
00951 Total Fluoride
00600
Total Nitrogen
01002 Total Arsenic
00610
Ammonia Nitrogen
00625
Total Kjeldhal
01027 Cadmium
Nitrogen
00630
Nitrates/Nitrites
01032 Hexavalent Chromium
01034 Chromium
00665 Total Phosphorous
00720 Cyanide 01037 Total Cobalt
00745 Total Sulfide 01042 Copper
00927 Total Magnesium
00929 Total Sodium 01045 Iron
00940 Total Chloride 01051 Lead
01067 Nickel
01077 Silver
01092 Zinc
01105 Aluminum
50060 Total
Residual
Chlorine
67
01147 Total Selenium
71880 Formaldehyde
31616 Fecal Coliform
71900 Mercury
32730 Total Phenolics
81551 Xylene
34235 Benzene
34481 Toluene
38260 MBAS
39516 PCBs
50050 Flow
Parameter Code assistance may obtained by calling the Water Quality Compliance Group at [phone], extension 581 or 534.
The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting
facility's permit for reporting data.
* ORC must visit facility and document visitation of facility as required per 15A NCAC 8A .0202 (b) (5) (B).
* * If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B '.0506 (b)
(2) (D).

STORM EVENT CHARACTERISTICS:
Total Event Precipitation (inches): n _ 91
Event Duration (hours): I Y
(if snore. than one storm event was sampled)
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Attn: Central Files
Division of Environmental Mgt.
DEHNR
P.O. Box 29535
Raleigh, NC 27626-0535
Applies only for facilities at which fueling occurs.
9 �
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations. .
{• I©ertif y, under penalty of law, that this document and all attachments were prepared under my direction or supervision
` inaccordance 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
lines and imprisonment for knowing violations." �^
Rio
?Signature of Permittee)ate
l�
Form MR12
tom'

- --- ------------------
AFR ES ' 95 A-4; 45P[l 3URLI1•;GTCPI RESEPRCH - - - - - - - - - -
P.4/4
%kjumiC MoinSiv TPstkv, I Aquaa;c Toxi6ty ReduC'ion L•v11U3ribns
Chtiamical produC[ F.nvironmenrnl ASSp.ssrnenu • "" DF.5 'fcscinF
[Eli Reporting & Data H jndlin Services
BURLINGTON
R E S E A R C H 615 Huffman NIT road • Burlington, vC 27215-5122 • [phone] • Fxk (910) 5�4-5564 Ext. 202
ANALYTICAL REPORT
CUSTOMER:
IND AND AGRICULTURAL CHEMICAL
WORK ORDER #:
95-04-082-03
FACILITY-
Route 2, Box 521-C
REPORT TO:
Mr. Randall Andrews
COLLECTED:
04/06/95
RECEIVED:
04/07/95
SAMPLE:
April. Monitoring
REPORTED:
04/28/95
5-4 Comp. 4/6/95
PARAMETER METHOD STARTED ANALYZED RESULT
Boron, Total-ICP
EPA 200.7
04/I3/95
04/28/95
4.0
mg/L
Copper, Total
EPA 220.1
04/13/95
04/23/95
1.5
mg/L
Lead, Total-ICP
EPA 200.7
04/13/95
04/21/95
0.09
mg/L
Zinc, Total
EPA 289.1
04/13/95
04/22/95
2.4
mg/L
t;

-----------------------------------------------------------------------------------------------------------
01 APF.33,'95 04:45PN BURLINGTON RESEARCH P.3i4
AgUILIC. Bioas53y Testmr; Aqua,ir, Toxicil!' Reduction Evaluations
C:�e_nv;CAl Prue is Emlrwmen,i}I A se..isment4 • hf DES r�aunr, RE]IIReporG1'1 u Ltla Handlinv, ,1e.rvices
BURLINGTON
RESEARCH 615 Huffman Mill Road • Burlington, NC 27215.5122 • [phone] + Fax [phone] Ext, 202
ANALYTICAL REPORT
CUSTOMER:
IND AND AGRICULTURAL CMENICAL
WORK ORDER #:
95-04-082-02
FACILITY:
Route 2, Box 521-C
REPORT TO:
Mr. Randall Andrews
COLLECTED:
04/06/95
RECEIVED:
04/07/95
SAMPLE:
April Monitoring
REPORTED:
04/28/95
B-3 Comp. 4/6/95
PARAMETER METHOD STARTED ANALYZED RESULT _
Solids, Total Suspended EPA 160.2 04/10/95 04/11/95 120 mg/L

---------------------
APR 28 '95 04:45PH BIJRLIhIGTW RESEARCH P.2/4
Ac,,!!atic Testio' ,, + Aqutitic 7,))6 itv Rujuchon Cvoljat�ony
Ch.:•rnical ProEnvironmental Asse;smenl_• • IPOES TeWny RJ11Reporting a (Data Hari6iinv krvice5
BURLINGTON
RESEARCH 615 Huffman Mill Ro,)ci @ Burlington, NC 2721 a-5-121 • [phone] + Fax [phone] Ext. 202
ANALYTICAL REPORT
CUSTOMER:
I11D AND AGRICULTURAL CHEMICAL
WORK ORDER t:
95-04-082-01
FACILITY:
Route 2, BOX 521-•-C
REPORT TO:
Mr. Randall Andrews
COLLECTED:
04/06/95
RECEIVED:
04/07/95
S201PLE'
April Monitoring
REPORTED:
04/28/95
B-2 Grab 4/6/95
FARAMETER METHOD STARTED ANALYZED RESULT
Oil and Grease EPA 413.1 04/11/95 04/11/95 C1,0 mg/L

Ell
Aquatic Bioassay Testing • Aquatic Toxicity Reduction Evaluations
Chemical Product Environmental Assessments • NPDES Testing
Reporting & Data Handling Services
BURLINGTON
RESEARCH 615 Huffman Mil I Road • Burlington, NC 27215-5122 0 [phone] • Fax [phone] Ext. 202
PAI Z#A W40IPtI43M114*093
CUSTOMER:
IND AND AGRICULTURAL CHEMICAL
WORK ORDER #:
95-04-141-01
FACILITY:
Route 2, Box 521-C
REPORT TO:
Mr. Randall Andrews
COLLECTED:
04/06/95
RECEIVED:
04/07/95
SAMPLE:
April Tox. Monitoring
REPORTED:
04/21/95
B-1 Grab 4/6/95
PARAMETER METHOD STARTED ANALYZED RESULT
48-h Ceriodaphnia Acute EPA600490027 04/07/95 04/20/95 24,4 LC50 %
LC50, Ceriodaphnia 48-h EPA600485013 04/07/95 04/20/95 24,4 %

i
BURLINGTON RESEARCH, INC.
" TRIMMED SPEARMAN-KARBER METHOD FOR CALCULATION OF
EC50 AND LC50 VALUES IN SIOASSAYS
DATE: '4/7/95 THROUGH 4/9/95
WORK ORDER #: 5d128
CHEMICAL: industrial Ag Chem
SPECIES: Ceriodaphnia dubia
DURATION: 48 HOURS
RAW DATA
CONCENTRATION(percent) 12.5 25 50 75 90
In CONCENTRATION 2.53 3.22 3.91 4.32 4.50
NUMBER EXPOSED 20 20 20 20 20
MORTALITIES 5 9 20 20 20
SPEARMAN-KARBER TRIM: 25.00
SPEARMAN-KARBER ESTIMATES LC50: 24.4 percent
95% LOWER CONFIDENCE: 17.9 percent
95% UPPER CONFIDENCE: 33.2 percent
REFERENCE: M.A. HAMILTON, R.C. RUSSO, AND R.V. THURSTON. 1977. TRIMMED SPEARMAN-
KARBER METHOD FOR ESTIMATING MEDIAN LETHAL CONCENTRATIONS IN TOXICITY BIOASSAYS.
ENVIRON. SCI. TECHNOL. 11:714-719; CORRECTION 12:417 (1978).
C 4.499
N 0
AN
T C 3.599
U E
RN
A T 2.699
L R
A
L T 1.799
0 I
G 0
N .8999
0
10 25 50 75 100
% ORGANISMS AFFECTED

Aquatic Bioassay Testing • Aquatic Toxicity Reduction Evaluations
Chemical Product Environmental Assessments • NPQES Testing
Reporting & Data Handling Services
BURLINGTON C RESEARCH H 615 Huffman Mill Road • Burlington, NC 27215-5122 • [phone] • Fax [phone] Ext. 202
RESEARCH
BIOASSAY SAMPLE COLLECTION DATA SHEET
CLIENT INFORMATION
Facility Name: Wxl Avolf )It U-41PI
NPDES Permit # : N(_S Q 00 �3 6 County: Pipe # :
SAMPLE INFORMATION AND COLLECTION
9/93
Does treatment process include chlorination? YES NO (Circle one)
Was sample taken after all treatment processes? Y S NO (Circle one)
(in other words, after chlorination &, if applicable, echlorination?)
Signature of person collecting sample: P4441
Sample type: 'Grab Composite (circle one)
xf composite, how many samples/hour were taken during collection?
If composite:, how was sample chilled during collection?
Date and Time sampling began: Date: 4-�°`� Time:
Date and Time sampling ended: Date: Time: /(p: m
SAMPLE SHIPMENT
How was sample chilled during shipment? C
Method of shipment: �L�s
Signature of person preparing shipping cooler for shipment:
Signature of person receiving cooler foi delivery to BRI:
SAMPLE -RECEIPT (To be completed upon delivery to BRI Laboratory)
Signature of person delivering sample:
Signature of BRI staffperson receiving sample: Ate...,,,.
Date and Time of sample receipt: Date: yI7/9r Time: / /1-5—
Signature of person breaking cooler seas.:
Signature of Bioassay Lab employee receiving sample: - �,,,�,,,,,��,
Date and time of receipt in Bioassay Lab: Date: ,��]I yr Time:
Temperature of sample upon receipt in Bioassay Lab: degrees C

' i F3 Acivat'ic Bloassay Testing; ! Aquatic Toxicity Reduction.Fvaluations
:Cheinica[ Product Fnvironmental Assessments •`NPDES Testing
Reporting IS Data Hariating Services
E3URLENG70N? .,;
R E S E A F� C H "' 615 Huffrr an Mill Road � Burlington, NC 272' 5-5122 [phone] -Fax [phone] Ext. 202
CLIENT INFORMATION
Facility Name:
BIOASSAY SAMPLE COLLECTION DATA SHEET
,0�ef )4t
NPDES Permit # : A1(_S Q Q4 23 6
County: k&0,01,7
Pipe #:
9/93
f SAMPLE.'INF'ORMATIOY AND COLLECTION t
Does treatment :process include chlorination? YES NO (Circle one)
Was sample taken after all treatment processes? Y NO (Circle one)
(in other wards, after chlorination &, if applicable,S echlorination?)
Signature of person collecting sample:
Sample type: Grab Composite (circle one)
If composite, how many samples/hour were taken during collection?
If composite, how was sample chilled during collection?
Date and Time sampling began: Date: �-6 -�S Time: 'Ty
Date and Time sampling ended: Date: y/�Time:
SAMPLE SHIPMENT
How was sample chilled during shipment? C
1,7
Method of shipment:
Signature of person preparing shipping cooler for shipment:
Signature of person receiving cooler for delivery to BRI:
SAMPLE --RECEIPT (To be completed upon delivery to BRI Laboratory)
Signature of person delivering sample:
Signature of BRI staffperson receiving sample:/ ,.
Date and Time of sample receipt: Date: 511?/Alr Time:
Signature of person breaking cooler seal.:
Signature of Bioassay Lab employee receiving sample:
Date and time of receipt in Bioassay Lab: Date: 4//7/ Time: �� U
Temperature of sample upon receipt in Bioassay Lab: D degrees C

BURLINGTON
RESEARCH
• $15 Huffman Mlu Road
• Burikvb^ NC 27215
• (910) 58*5564
• Fax [phone]. Ext 202
CHAIN OF CUSTODY RECORD '
CLIENT: Qobff
u r�� SEND REPORT TO:
Facility/Site Phone Number: A10) :23 F 707 �!
d �re�s -
Sampler: (Print] (Signature) Purchase Order #: .
SAMPLE
ID
SAMPLE
COLLECTION
SAMPLE TYPE
NO. OF
CON-
T SENT S
�. L tit1N�� `� �,� 5—
r r� /
ANALYSES
REGUIRED
St�rZ�
FOR LAB
USE ONLY
COMPOSITE
HAND AUTO
GRAS
a ¢
g w
'� z
W
x
a ^
m a
91
w ~
PRESERVATION
DATE
TIME
STARTED
DATE
TIME
ENDED
�-
WEToo P s
:o m
To `c '&
Is the sample chlorinated? Yes No_,-4N— Will the results be used for regulatory monitoring purposes? Yes_ __L' No
FOR CLIENT USE:
R qui a ('gnature)
Received by: (Signature)
Date:
Time:
S ed by 5i natur
Received by: (Signature)
Date:
Time:
Method o$h' ent:
FOR LAB USE ONLY
Received in Lab FROM: (Signature) Received for Lab BY: (Signature) Date: Time.
Method of Shipment:
Sample Integrity Comment:
BR-17 5-94
White —ORIGINAL- CLIENT REPORT Pink—BRI • ACCOUNTING Canary— BRI -LABORATORY Goldenrod —CLIENT - ACKNOWLEDGEMENT
•. D. •wr• • co_
11

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CORRECTED COPY_(AMENDED_DMR).� PARAMETER—00DE__TAA3B-}
IV C SO-0 z 3 G EFFLUENT
NPDES PERMIT NO. Ni9$9 23& DISCHARGE NO. 001 ' MONTH 9 YEAR 94
FACILITY NAME Industrial & Agricultural Chemicals CLASS COUNTY Robeson
OPERATOR IN RESPONSIBLE CHARGE (ORC) Randall Andrews GRADE PHONE [phone]
CERTIFIED LABORATORIES (I) Burlington Research (2)
CHECK BOX IF ORC HAS CHANGED ❑ PERSON(S) COLLECTING SAMPLES Randall Andrews
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES x&mdo-U-
DIV. OF ENVIRONMENTAL MANAGEMENT (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DAT]
DEHNR BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
P.O. BOX 29535 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
RALEIGH, NC 27626.0535
DEM Form MR-1 (12/93) '" '

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time table for improvements to be made.
Testing to be redone during next storm event.
"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 and imprisonment for knowing violations."
Industrial & _Agricultural Chemicals, Inc.
Permittee (Please print or type)
3/10/95
Signature of Permittee** Date
Rt. 2,:.B6x:521=C Red Springs, NC 28.377 910--843-2121 _
Permittee Address j �, f , . - Phone Number Permit Exp. Date
00010 Temperature 00556
00076 Turbidity 00600
00080 Color (Pt -Co)-- 00610
00682 Color (ADMI) - - 00625
00095 Conductivity 00630
00300 Dissolved Oxygen
00310 BOD5 00665
00340 COD 00720
00400 pH 00745
00530 Total Suspended 00927
Residue 00929
00545 Settleable Matter 00940
PARAMETER CODES
Oil & Grease 00951 Total Fluoride
Total Nitrogen 01002 Total Arsenic
Ammonia Nitrogen
Total Kjeldhal 01027 Cadmium
Nitrogen
Nitrates/Nitrites 01032 Hexavalent Chromium
0103.4 Chromium
Total Phosphorous
Cyanide
Total Sulfide
Total Magnesium
Total Sodium
Total Chloride
01037 Total Cobalt
01042 Copper
01045 Iron
01051 Lead
01067
Nickel
01077
Silver
01092
Zinc
01105
Aluminum
01147
Total Selenium
31616
Fecal Coliform
32730
Total Phenolics
34235
Benzene
34481
Toluene
38260
MBAS
39516
PCBs
50050
Flow
50060 Total
Residual
Chlorine
71880 Formaldehyde
71900 Mercury
81551 Xylene
Parameter Code assistance may obtained by calling the Water Quality Compliance Group at [phone], extension 581 or 534.
The monthly average for fecal colifortn is to be reported as a GEOMETRIC mean. Use only units designated in the reporting
facility's permit for reporting data.
* ORC must visit facility and document visitation of facility as required per 15A NCAC 8A .0202 (b) (5) (B).
** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b)
(2) (D)•

n
'� r°
� = s
o fi
� �c
`�
.F- 9

IMPORTANT
To
_
Date Time
WHILE YOU WERE OUT
M
of
Phone
AREA CODE
NUMBER EXTENSION
Message
Signed
TELEPHONED
PLEASE CALL
CALLED TO SEE YOU
WILL CALL AGAIN
WANTS TO SEE YOU
URGENT
RETURNED YOUR CALL
N.C. Dept. of Environment, Health, and Natural Resources
�� itrintnrl nn Rw vcled Paobr

sac
Industrial and Agricultural Chemicals, Inc.
ROUTE 2 • BOX 521-C • RED SPRINGS, NC 28377
[phone] FAX [phone]
w
•• • JUN 13 100A
a ENV* MANAGEMENT
s WETTEVILLE REG. OFFICE
June 3, 1994
Mr. Ken Averitte
NC Department of Environment,
Health and Natural Resources
Suite 714, Wachovia Building
Fayetteville, NC 28301
Dear Ken:
I am sending to you a copy of my stormwater monitoring
results. Please let me know if this work is satisfac—
tory.
Best regards,
INDUSTRIAL AND AGRICULTURAL CHEMICALS, INC.
91-rW aj'�04�
Randall F. Andrews,
President
sj
Enclosures

IRC
Industrial and Agricultural Chemicals, Inc.
ROUTE 2 • BOX 521-C • RED SPRINGS, INC 28377
[phone] FAX [phone]
STORMWATER DISCHARGE
Total Flow 0.0487 M G
pH 6.90
Oil and Grease d- 1 mg/l
Total. Suspended Solids 21 mg/l
Boron,'Total 12.2 mg/l
Copper, Total 0.32 mg/l.
Lead, Total Recoverable 0.009 mg/1
Zinc, Total 1.45 mg/1
STORM EVENT CHARACTERISTIC
Total Event Precipitation 0.78 inches
Event Duration 2.5 hours

Oxford Laboratories, Inc. Analytical and Consulting Chemists
1316 South Fifth Street
DATE RECEIVED 05-06-94 Wilmington, N.C. 28401
DATE REPORTED 0 5-19-94 [phone]
9 4 W 7 2 4 8 Fax [phone]
PAGE 1 OF 1
INDUSTRIAL AGRI CHEMICALS P.O. #
ROUTE 2 BOX 521-C
RED SPRINGS, NC 28377
ATTENTION: RANDALL ANDREWS
SAMPLE DESCRIPTION: 2 SAMPLES
1. INITIAL SAMPLING
2. COMPOSITE
RESULTS
1
Oil & Grease, PPM <1 X l
Total Suspended Solids. PPM 21 X
uH fLah1 6.90 X
Boron, as B, PPM X 12.2
Cooper, as Cu. PPB x 320
Lead, as Pb. PPM X .009
Zinc, as Zn. PPB X 1450
l ,/
ROGER C. OXFORD, CHEMIST

.�T C —
14 Pa (�-, � /t"/- C
Oxford Laboratories, Inc. Analytical and Consulting Chemists
1316 South Fifth Street
Wilmington, N.C. 28401
NORTH CAROLINA DEM SAMPLE SUBMISSION FORM [phone]
LABORATORY N . P . D . E . S . ID # 75 Fax [phone]
CLIENT: �- d - - COUNTY:
COLLECTED PURCHASE ORDER #
SOURCE OF SAMPLE CONTAINER(S): OXFORD LAB OTHER
TYPE OF SAMPLE(S-): PLEASE INDICATE DEM --I:FCRA GE
SOIL WASTEWATER MONITORING WELL
OTHER
BOTTLE SAMPLE LOCATION TIME DATE ANALYSIS
# LOCATION COD^ COLLECTED COLLECTED REQUESTED
-,NOTE MAXIMUM HOLDING TIME AND LAB SCHEDULE FOR THE FOLLOWING:
48 HRS BOD5 (TUE AND THURS 8:00 - 4:30) (WED AND FRI 8:00 - 12:00)
48 HRS FOR MBAS, O.PO4-P (THURS 8:00 - 4:30) (FRI 8:00 - 12:00)
30 HRS FOR T. COLIFORM (MON - THURS 8:00 - 2:00)
6 HRS FOR F. COLIFORM (MON - THURS 8:00 - 2:00)
UNLESS OTHERWISE SPECIFIED REGULAR TIME FOR SAMPLES MON - FRI 8:00 - 4:30
-----------------------------------------------------------------------
LABORATORY USE ONLY
OLI LAB ID# 19gbi 7I-RL
CONDITION UPON ARRIVAL:
PROPER PRESERVATION (ACID, BASE, CHEMICAL): YES '" NO
IF NO, PLEASE EXPLAIN!
RECEIVED WITHIN REQUIRED HOLDING TIME: YES '� NO
IF NO, PLEASE EXPLAIN:
RECEIVED IN
IF NO.
WATER WITH ICE OR
PLEASE EXPLAIN:
DATE RECEIVED: ;17 rj
ACCEPTED: REJECTED:
REASON REJECTED:
RE -SAMPLE REQUESTED: YES
CHILLED TO 4c: YES `� NO
TIME RECEIVED:
B Y .
I�
SPECIAL COMMENTS:
REV. 03-31�94

SAMPLg DATA FOR IAC SITS - DRAimAGE DITCH AT SR 1318
Copper
Nickel
Lead
Zinc
Aluminum
Iron
Magnesium
Manganese
Boron
Cadmium
Date
m /1
m /1
m /1
m /1
(MR/1)
(m /1(MR/1
mjd(MR/11
m /1
m /1
05/21/91
0.76
0.015
0.064
1.1
2.8
1.9
0.95
0.19
NS
N/D
08/19/91
0.037
N/D
N/D
0.29
0.15
0.16
0.87
0.14
NS
N/D
11/25/91
0.022
N/D
N/D
0.14
0.071
N/D
0.52
0.014
5.8
N/D
11/27/91
0.082
N/D
N/D
0.23
0.11
0.074
0.49
0.024
6.5
N/D
O1/22/92
0.04
N/D
N/D
0.15
0.13
0.075
0.53
0.025
8.2
N/D
04/21/92
0.48
N/D
0.022
1.2
1.6
0.8
2.2
0.95
18.0
N/D
03/24/93
0.25
0.22
0.011
2.4
3.4
1.3
4.3
2.1
10.0
.0027
S j 31SL1 ?A C d •3�
c7 . o oq
ttz
-
-
--
-
12
Note: N/D
indicates that the concentration
was below
detection limits.
N/S
- No sample
*It
should be noted that
the samples
included
analysis for
cadmium,
chromium, and
silver; however,
results
were
below detection
limits
in samples.

B
MEMORANDUM
TO: BILL MILLS/STEVE ULMER
PERMITS AND ENGINEERINGG
THRU: TOMMY STEVENS, REG � '- PERVISOR
FRO
FROM: - KEN AVERITTE, ET
FRO
SUBJECT: SELF MONITORING DATA FROM IAC, INC.
NCS000236
ATTACHED YOU WILL FIND A COPY OF THE SELF MONITORING INFORMATION PROVIDED
BY MR. RANDALL ANDREWS, PRESIDENT OF INDUSTRIAL AND AGRICULTURAL CHEMICAL,
INC. IN ROBESON COUNTY.
ALTHOUGH HE HAS ADDRESSED THE PARTICULAR PARAMETERS REQUIRED IN THE
SUBJECT PERMIT, IS THERE A PARTICULAR REPORTING FORMAT OR PRE-PRINTED FORM
THAT APPLIES TO INDIVIDUAL PERMIT HOLDERS? IF SO, PLEASE SEND ME (AND HIM) AT
LEAST ONE FOR MY FILES AND PHOTOCOPYING. PLEASE LET ME KNOW IF THIS IS
ADEQUATE, OR IF NOT, WHAT ADDITIONAL INFORMATION, ETC. THAT HE NEEDS TO
SUPPLY.

Industrial and Agricultural Chemicals, -Inc.
ROUTE 2 • BOX 521-C • RED SPRINGS, NC 28377
[phone] FAX [phone]
STORKWATER DISCHARGE
Total Flow
0.0487 M G
PH
6.90
Oil and Grease
1 mg/1
Total Suspended Solids
21 mg/l
Boron, Total
12.2 mg/1
Copper, Total
0.32 mg/l.
Lead, Total Recoverable
0.009 mg/1
Zinc, Total
1.45 mg/1
STORM EVENT CHARACTERISTIC
Total Event Precipitation 0.78 inches
Event Duration 2.5 hours

s�
f Analytical and Consulting Chemists
Oxford Laboratories, Inc. 1316 South Fifth Street
DATE RECEIVED 05-06-94 Wilmington, N.C. 28401
DATE REPORTED 05-19-94 [phone]
9 4 W 7 2 4 8 Fax [phone]
INDUSTRIAL AGRI CHEMICALS
ROUTE 2 BOX 521-C
RED SPRINGS, NC 28377
ATTENTION: RANDALL ANDREWS
SAMPLE DESCRIPTION: 2 SAMPLES
1. INITIAL SAMPLING
2. COMPOSITE
Oil & Grease. PPM
Total Suspended Solids. PPM
off (Lab)
Boron, as B. PPM
Cooper. as Cu. PPP
Lead. as Pb. PPM
Zinc. as Zn. PPP
PAGE 1 OF 1
P.O. #
RESULTS
1 2
21 X r
6.90 X
X 12._
X 3 2 ID
X .009
X 1450
ROGEF C . OXFORD. _HEM=ST

r,
Oxford Laboratories, Inc.
NORTH CAROLINA DEM SAMPLE SUBMISSION
LABORATORY N.P.D.E.S. ID # 75
� r
CLIENT; 4 • yi;v
COLLECT£
/V- C
Analytical and Consulting Chemists
1316 South Fifth Street
-Wilmington, N.C. 28401
FORM [phone]
Fax [phone]
COUNTY:
,PURCHASE ORDER #
SOURCE OF SAMPLE CONTAINER(S): OXFORD LAB OTHER
TYPE OF SAMPLE(S): PLEASE INDICATE DEM ____WCRA SLUDGE
SOIL WASTEWATER MONITORING WELL
OTHER
BOTTLE SAMPLE LOCATION TIME DATE ANALYSIS
# LOCATION CODE COLLECTED COLLECTED REQUESTED
0. ';
I � '.v� ?w S - - -9
a
NOTE MAXIMUM HOLDING TIME AND LAB SCHEDULE FOR THE FOLLOWING:
48 HRS BODS (TUE AND THURS 8:00 - 4:30) (WED AND FRI 8:00 - 12:00)
48 HRS FOR MBAS. O.PO4-P (THURS 8:00 - 4:30) (FRI 8:00 - 12:00)
,Q HRS FOR T. COLIFORM (MON - THURS 8:00 - 2:00)
A HRS FOR F. COLIFORM (MON - THURS 8:00 - 2:00)
UNLESS OTHERWISE SPECIFIED REGULAR TIME FOR SAMPLES MON - FRI 8:00 - 4:30
-----------------------------------------------------------------------
LABORATORY USE ONLY
OLI LAB ID # 9 qty 7'Aq
CONDITION UPO-A-RRRRI"VAL:
PROPER PRESERVATION (ACID. BASE. CHEMICAL):
YES '� NO
IF N0, PLEASE EXPLAIN:
RECEIVED WITHIN REQUIRED HOLDING TIME:
YES '� NO
IF NO. PLEASE EXPLAIN:
RECEIVED IN WATER WITH ICE OR CHILLED TO 4c:
YES NO
IF NO. PLEASE EXPLAIN:
u DATE RECEIVED: TIME RECEIVED:
lG .0 Cam—+
P.
ACCEPTED: ✓ REJECTED: BY:
f
REASON REJECTED:
RE -SAMPLE REQUESTED: YES NO
SPECIAL COMMENTS:
REV. 03-31-94

ti
SAIP'I.B DATA FOR IAC SITB - DRAIRAGB DrrCR AT 5R 1318
Copper
Nickel
Lead
Zinc
Aluminum
Iron
Magnesium
Manganese
Boron
Cadmium
Date
(MR/1)
m /1
/1
m /1
m /1
m /1
m /I
(mid1
LM/1)
m /1
05/21/91
0.76
0.015
0.064
1.1
2.8
1.9
0.95
0.19
NS
N/D
09/19/91
0.037
N/D
N/D
0.29
0.15
0.16
0.87
0.14
NS
N/D
11/25/91
0.022
N/D
N/D
0.14
0.071
N/D
0.52
0.014
5.8
N/D
11/27/91
0.082
N/D
N/D
0.23
0.11
0.074
0.49
0.024
6.5
N/D
01/22/92
0.04
N/D
N/D
0.15
0.13
0.075
0.53
0.025
8.2
N/D
04/21/92
0.48
N/D
0.022
1.2
1.6
0.8
2.2
0.95
18.0
N/D
03/24/93
0.25
0.22
0.011
2.4
3.4
1.3
4.3
2.1
10.0
.0027
S 13 19 4 )%Y?ACb.32,
0.001
4,45
-
--
-
-
12.z
Note: N/D
indicates that the concentration
was below detection limits.
N/S
- No sample
*It
should be noted that
the samples
included
analysis for
cadmium, chromium,
and
silver; however,
results
were
below detection
limits
in samples.

DIVISION OF ENVIRONMENTAL MANAGEMENT
01 July 1991
MEMORANDUM I .1
jl
TO: Ken Eagleson 1j
THROUGH: Trish MacPhers
JUL ' 1991 „
Jimmie Overton ENV. MANAGEMENT
FAYETTEVILLE REG. OFFICF
FROM: David Lenat
SUBJECT: Biomonitoring of Burnt Swamp, Robeson County, 04 June 91,
Subbasin 030752.
BACKGROUND
Industrial and Agricultural Chemicals Incorporated is located in the Burnt Swamp
catchment. It has no direct discharge to the stream, but there has been some concern that
runoff from this facility might be affecting Burnt Swamp. After rainfall events, runoff
goes into a nearby ditch which, in turn, goes into Burnt Swamp. At the request of the
Fayetteville Regional Office (Tommy Stevens), we 'collected benthic macroinvertebrates
above and below this ditch.
SAMPLING SITES (Table 1)
Stafion 1. Burnt Swamp above the railroad tracks, Robeson County
Station 2. Burnt Swamp at SR 1515, Robeson County
METHODS
Because of the small size of Burnt Swamp, it is impossible to assign bioclassifications
to these sites. This stream has little or no flow during much of the year, and the upper site
may completely dry up. This natural stress severely limits the diversity of the aquatic
fauna.
Five samples were collected at each site: 3 sweep -nets samples, I log wash, and visua]
collections from larger logs. All organisms were identified and tabulated as Rare (1-2),
Common (3-9), or Abundant (>9). Comparison of these sites includes EPT taxa richness
and abundance, total taxa richness, and a biotic index.
RESULTS AND DISCUSSION
All summary parameters (Table 2) were similar at stations 1 and 2, including EPT taxa
richness, EPT abundance, total taxa richness and a biotic index. This information suggests
that runoff from. Industrial and Agricultural Chemicals is having no impact on Burnt
Swamp. Because of differences in habitat between sites, there was considerable
differences in the dominant taxa at each site (Appendix 1), but these differences do not
seem to be related to any between -site difference in water quality.
SUNUAARY
There was no indication of differences in the water quality of Burnt Swamp above and
below runoff from Industrial and Agricultural Chemical, Incorporated.
cc: ., Tommy Stevens, Fayetteville Regional Office
Subbasin 030752

Table 1. Station descriptions, Burnt Swamp, Robeson County, 04 June 91.
STATIONS
2
LOCATION
above railroad tracks
SR 1515
WIDTH (M)
3.0
4.5
DEPTH (M)
AVERAGE
0.4
0.8
MAXIMUM
0.8
1.2
CANOPY (%)
100
100
AUFWUCHS
Moderate
Moderate
BANK EROSION
None
None
SUBSTRATE (%a)
BOULDER
-
-
RUBBLE
-
-
GRAVEL
Trace
SAND
40
05
SILT
35
65
DEBRIS
25
30
COMIv ENTS
Good flow, but may be
Little flow
dry Eater in summer
Table 2. Taxa richness, by group, Burnt Swamp, Robeson County, 04 June 91.
Station:
2
Group
EPHEMEROPTERA
2
3
PLECOPTERA
0
0
TRICHOPTERA
2
2
COLEOPTERA
4
6
ODONATA
4
4
MEGALOPTERA
1
0
DIPTERA:MISC.
2
1
DIPTEERA: CHIRON.
13
12
OLIGOCHAETA
1
3
CRUSTACEA
3
2
MOLLUSCA
5
6
OTHER
4
5
EPT Taxa Richness
4
5
EPT Abundance
15
13
Total Taxa Richness
41
44
Biotic Index
3.52
3.61

APPENDIX 1. BENTHIC MACROINVERTEBRATE TAXA RICHNESS AND
RELATIVE ABUNDANCE. .BURNT SWAMP, ROBESON CO.
JUNE 1991, A=ABUNDANT, C=COMMON, AND R=RARE
01
02
EPHEMEROPTERA '
BAETIS FRONDALIS
R
EURYLOPHELLA SPP
C
STENACRON INTERPUNCTATUM
R
R
STENONEMA INTEGRUM
A
TRICHOPTERA
CERACLEA SPP
R
CHEUMATOPSYCHE SPP
A
MOLANNA BLENDA
R
TRIAENODES SPP
R
COLEOPTERA
COPTOTOMUS SPP
R
DINEUTES SPP
A
C
GYRINUS SPP
R
R
HYDROCANTHUS SPP
R
HYDROCHUS SPP
R
HYDROPORUS SPP
A
A
STENELMIS SPP
C
ODONATA
BASIAESCHNA JANATA
C
CORDULEGASTER SPP
C
ENALLAGMA SPP
A
A
PACHYDIPLAX LONGIPENNIS
A
SOMATOCHLORA SPP
A
C
SYMPETRUM SPP
R
MEGALOPTERA
SIALIS SPP
C
DIPTERA:CHIRON
ABLABESMYIA MALLOCHI
R
A
APSECTROTANYPUS JOHNSONI
R
CONCHAPELOPIA GROUP
C
R
CRYPTOCHIRONOMUS FULVUS
R
DICROTENDIPES SIMPSONI
C
C
LABRUNDINIA PILOSELLA
R
MICROTENDIPES SPP
A
C
PHAENOPSECTRA FLAVIPES
R
C
POLYPEDILUM FALLAX
C
POLYPEDILUM ILLINOENSE
R
C
RHEOTANYTAR'SUS SPP
A
A
STENOCHIRONOMUS SPP
C
R
STICTOCHIRONOMUS SPP
R
TANYTARSUS SP2
C
C
TRIBELOS SPP
A
A
DIPTERA:MISC.
CHRYSOPS SPP
R
EMPIDIDAE
R
PALPOMYIA (COMPLEX)
R

APPENDIX 1. BENTHIC MACROINVERTEBRATE.TAXA RICHNESS AND
RELATIVE ABUNDANCE. BURNT SWAMP, ROBESON CO.
JUNE 1991, A=ABUNDANT, C=COMMON, AND R=RARE
01 02
OLIGOCHAETA
LIMNODRILUS HOFFMEISTERI R
LUMBRICULIDAE C C
SLAVINA APPENDICULATA R
CRUSTACEA
ASELLUS SPP
ASTACIDAE
CRANGONYX SPP
PROCAMBARUS SPP
MOLLUSCA
FERRISSIA SPP
MENETUS DILATUS
PHYSELLA SPP
PISIDIUM SPP
PSEUDOSUCCINEA COLUMELLA
SPHAERIUM SPP
OTHER
BELOSTOMA SPP
CLIMACIA AREOLARIS
HYDRACARINA
NOTONECTA SPP
PLACOBDELLA PARASITICA
RANATRA SPP
SIGARA SPP
C
R
A C
R
A A
R C
R A
C C
R
R A
R R
C
A
R R
R
R
C