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NCS000330_MONITORING INFO_20170321
STORMWATER DIVISION CODING SHEET NCS PERMITS PERMIT NO. 6bo ��7b DOC TYPE ❑FINAL PERMIT —'�-MONITORING-REPORTS------------- ❑ APPLICATION ❑ COMPLIANCE ❑ OTHER DOC DATE ❑ 20�'1 • ��. YYYYMMDD March 16, 2017 Attn: Central Files DECEIVED N.C. Division of Water Quality MAR 2 1 2017 1617 Mail Service Center CENTRAL FILES Raleigh, NC 27699-1617 DWR SECTION Central Files: 4*ATI P.O. Box 5030 2020 Ashccalt Aveme Monme, NC 281 1 1-5030 Phone: (704) 2994 511 Fax: (704)290-5194 Email: Joe. Hinkle@ atimelals.com Attached, please find stonnwater monitoring data for Permit No NCS000330. The originals and one copy are included. The monitoring data is for the following monitoring schedule: Monitoring Period Sample Number t StaK== End Year 8 — Period 1 15 1 September 1, 2016 1 February 28, 2017 Stormwater sampling for Outfall # 02(M) has been determined to be the representative outfall through prior correspondence. If you have any questions or need additional infonnation, please contact me at 704-289-451 1. Thank you. Sincerely, 9d UA , Hinkle EHS Manager RECEIVED MAR 2 12017 CENTRAL PILES DWR SECTION, aceAnalytrcal www.pacelBftmn February 15, 2017 Mr. Joe Hinkle Allvac RE: Project: Monroe Stormwater Pace Project No.: 92329092 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Hunlersville, NC 28078 (704)875-9092 Dear Mr. Hinkle: Enclosed are the analytical results for sample(s) received by the laboratory on February 08, 2017. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNi/NELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Matthew Brainard matthew.brainard@pacelabs.com Project Manager Enclosures cc: Mr. Preston Baucom, Allvac Mr. Tommy Long, Allvac David Pope, Allvac ;pg pc��i t9e0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 18 (�IacieAnalyfica( www.pecalabs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huniersville, NC 28078 (704)875-9092 CERTIFICATIONS Project: Monroe Stormwater Pace Project No.: 92329092 Charlotte Certification IDS 9800 Kincey Ave. Ste 100, H u ntersville, NC 28078 South Carolina Certification #: 99006001 North Carolina Drinking Water Certification #: 37706 Florida/NELAP Certification #: E87627 North Carolina Field Services Certification #: 5342 Kentucky UST Certification #: 84 North Carolina Wastewater Certification #: 12 Virginia/VELAP Certification #: 460221 Asheville Certification IDS 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certification #: M-NC030 VirginiafVELAP Certification #: 460222 North Carolina Drinking Water Certification #: 37712 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 18 Pace Analytical Services, LLC ® acmnalytrcal 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 www.paoelabs.cam (704)875-9092 SAMPLE ANALYTE COUNT Project: Monroe Stormwater Pace Project No.: 92329092 Analytes Lab 1D Sample ID Method Analysts Reported Laboratory 92329092001 Monroe SW02 EPA200.7 SER 5 PASI-A 92329092002 Monroe SW02 EPA 1664B JMS 1 PASI-C 92329092003 Monroe SW02 SM 2540D ALC 1 PASI-A 92329092004 Monroe SW02 SM 5220D MDW 1 PASI-A 92329092005 Monroe SW02 SM 5210B CJH1 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 18 Pace Analytical Services, LLC m 9800 Kincey Ave. Suite 100 aceAnalytical Huntersville, NC 28078 l www.pacelahs.com (704)875-9092 1 ANALYTICAL RESULTS Project: Monroe Stormwater Pace Project No.: 92329092 Sample: Monroe SW02 Lab ID: 92329092001 Collected: 02/08/17 01:15 Received: 02/08/17 11:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Clual 200.7 MET ICP Analytical Method: EPA200.7 Preparation Method: EPA200.7 Cadmium ND ug/L 1.0 1 02/09/17 21:00 02/13/17 18:41 7440-43-9 Chromium 24.4 ug/L 5.0 1 02/09/17 21:00 02/13/17 18:41 7440-47-3 Lead ND ug/L 5.0 1 02/09/17 21:00 02/13/17 18:41 7439-92-1 Nickel 115 ug/L 5.0 1 02/09117 21:00 02/13/17 18:41 7440-02-0 Zinc 259 ug1L 10.0 1 02/09/17 21:00 =13/17 18:41 7440-66-6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/15/2017 02:35 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 18 le Analytical www.pacoa6s ow ANALYTICAL RESULTS Project: Monroe Stormwater Pace Project No.: 92329092 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: Monroe SW02 Lab ID: 92329092002 Collected: 02/08/17 01;18 Received: 02/08/17 11:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Oual HEM, Oil and Grease Analytical Method: EPA 16648 Oil and Grease ND mg/L 5.0 1 02/15/17 07:39 Date: 0211512017 02:35 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 5 of 18 a aceAnalytical *WWpacelatrs.c= ANALYTICAL RESULTS Project: Monroe Stormwater Pace Project No.: 92329092 Paco Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: Monroe SW02 Lab ID: 92329092003 Collected: 02/08/17 01:18 Received: 02/08/17 11:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 25400 Total Suspended Solids 22.8 mg1L 2.5 1 02/10/17 14:37 Date: 02/15/2017 02:35 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 6 of 18 aceAnalytrcal WM..pacelabs.cam ANALYTICAL RESULTS Project: Monroe Stormwater Pace Project No.: 92329092 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 Sample: Monroe SW02 Lab ID: 92329092004 Collected: 02 O8117 01:20 Received: 02/08/17 11:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 5220D COD Analytical Method: SM 5220D Chemical Oxygen Demand 38.0 mg1L 25.0 1 02I09117 22:59 Date: 02/15/2017 02:35 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent at Pace Analytical Services, LLC. Page 7 of 18 aceAnalyticalo www.pacalabs.cnm ANALYTICAL RESULTS Project: Monroe Stormwater Pace Project No.: 92329092 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville. NC 28078 (704)875-9092 Sample: Monroe SW02 Parameters Lab ID: 92329092005 Collected: 02/08/17 01:21 Results Units Report Limit DF Received: 02/08/17 11:15 Matrix: Water Prepared Analyzed CAS No. Qual Field Data Analytical Method: Collected By DPJ 1 02/09/17 11:15 Collected Date 02/08/17 1 02/09/17 11:15 Collected Time 01:32 1 02/09/17 11:15 Field pH 7.1 Std. Units 0.10 1 02/09/17 11:15 Field Temperature 15.8 deg C 0.50 1 02/09/17 11:15 5210B BOD, 5 day Analytical Method: SM 5210B BQD, 5 day 7.7 mg/L 2.0 1 02/09/17 03:25 02/13/17 23:40 Date: 02/15/2017 02:35 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 8 of 18 aceAnalytical www.paCWabs cam QUALITY CONTROL DATA Project: Monroe Stormwater Pace Project No.: 92329092 QC Batch: 348256 Analysis Method: EPA 1664B QC Batch Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92329092002 METHOD BLANK: 1932211 Associated Lab Samples: 92329092002 Parameter Units Oil and Grease mg1L LABORATORY CONTROL SAMPLE: 1932212 Parameter Units Oil and Grease mglL Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 02/15/17 07:32 Spike LCS LCS % Rec Cone. Result % Rec Limits Qualifiers 40 36.9 92 78-114 MATRIX SPIKE SAMPLE: 1932213 35293826002 Spike MS MS % Rec Parameter Units Result Cone. Result % Rec Limits Qualifiers Oil and Grease mglL II J U 40 36.0 90 78-114 Results presented on this page are in the units indicated by the'Unita' Column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/15/2017 02:35 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 18 aceAnalXical wwwpscelab&=n QUALITY CONTROL DATA Project: Monroe Stormwater Pace Project No.: 92329092 QC Batch: 347561 Analysis Method: EPA 200.7 QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET Associated Lab Samples: 92329092001 METHOD BLANK: 1928155 Associated Lab Samples: 92329092001 Parameter Units Cadmium uglL Chromium uglL Lead ug1L Nickel uglL Zinc ug1L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 1.0 02/13/1717:01 ND 5.0 02/13/1717:01 ND 5.0 02113/1717:01 ND 5.0 02/13/1717:01 ND 10.0 02/13/1717:01 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1928156 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Cadmium ug1L 500 556 111 85-115 Chromium ug1L 500 554 111 85-115 Lead ug1L 500 549 110 85-115 Nickel ug1L 500 547 109 85-115 Zinc ug1L 500 558 112 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1928157 1928158 MS MSD 92329043019 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Cadmium uglL ND 500 500 537 540 107 108 70-130 1 Chromium uglL ND 500 500 521 538 104 108 70-130 3 Lead uglL NO 500 500 526 531 105 106 70-130 1 Nickel uglL ND 500 500 518 528 104 106 70-130 2 Zinc uglL ND 500 500 528 539 105 108 70-130 2 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1928159 1928160 MS MSD 92328962003 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Cadmium uglL ND 500 500 561 559 112 112 70-130 0 Chromium uglL 0.013 500 500 552 544 108 106 70-130 2 mg1L Lead uglL ND 500 500 534 527 107 105 70-130 1 Nickel uglL 0.012 500 500 548 544 107 106 70-130 1 mg1L Zinc uglL 0.085 500 500 634 621 110 107 70-130 2 mglL Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 02115/2017 02:35 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 18 (�55'cie Analytical wwwpacefabs.cam QUALITY CONTROL DATA Project: Monroe Stormwater Pace Project No.: 92329092 Pace Analytical Services, LLC 9800 Kincey Ave, Suite 100 Huntersville, NC 28078 . (704)875-9092 QC Batch: 347724 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 25401) Total Suspended Solids Associated Lab Samples: 92329092003 METHOD BLANK: 1929058 Matrix: Water Associated Lab Samples: 92329092003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 02/10/17 14:18 LABORATORY CONTROL SAMPLE: 1929059 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mglL 250 240 96 90-110 SAMPLE DUPLICATE: 1929060 92328982003 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 14.5 13.8 5 SAMPLE DUPLICATE: 1929061 92329112001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL ND ND Results presented on this page are In the units Indicated 4y the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/15/2017 02:35 PM without the written consent of Pace Analytical Services, LLC. Page 11 of 18 (�IacleAnalXical www.pacefabs.com Project: Monroe Stormwater Pace Project No.: 92329092 QC Batch: 347491 QC Batch Method: SM 5210B Associated Lab Samples: 92329092005 METHOD BLANK: 1927949 Associated Lab Samples: 92329092005 Parameter BOD, 5 day QUALITY CONTROL DATA Analysis Method: SM 5210B Analysis Description: 5210B BOD, 5 day Matrix: Water Blank Reporting Units Result Limit Analyzed Qualifiers mg/L ND 2.0 02113/17 23:40 LABORATORY CONTROL SAMPLE: 1927950 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits BOD, 5 day mg/t_ 198 170 86 84.6-115.4 SAMPLE DUPLICATE: 1927951 92329036001 Dup Parameter Units Result Result RPD Qualifiers BOD, 5 day mg/L ND ND Pace Analytical Services, LLC 9800 Kincey Ave, Suite 100 Huntersville, NC 28078 (704)875-9092 Qualifiers Results presented on this page are in the units indicated by the "Units" column except where an alternate unit in presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02115/2017 02:35 PM without the written consent of Pace Analytical Services, LLC. Page 12 of 18 (�IacleAnalyfical www.pacebbs.com QUALITY CONTROL DATA Project: Monroe Stormwater Pace Project No.: 92329092 QC Batch: 347683 Analysis Method: SM 5220D QC Batch Method: SM 5220D Analysis Description: 5220D COD Assocated Lab Samples: 92329092004 METHOD BLANK: 1928918 Associated Lab Samples: 92329092004 Parameter Units Chemical Oxygen Demand mg/L LABORATORY CONTROL SAMPLE: 1928919 Parameter Units Chemical Oxygen Demand mg/L Pace Analytical services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 25.0 02/09/17 22:59 Spike LCS LCS % Rec Cone. Result % Rec Limits Qualifiers 750 754 101 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1928920 1928921 MS MSD 92329195001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc, Conc, Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L 2110 750 750 2600 2600 66 66 90-110 0 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1928922 1928923 MS MSD 92329088001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L 38.0 750 750 798 795 101 101 90-110 0 Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 021i 5I2017 02:35 PM without the written consent of Pace Analytical Services, LLC, Page 13 of 18 leAnalytical www.pacelabs cam QUALIFIERS Project: Monroe Stormwater Pace Project No.: 92329092 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. NO - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. ME) L-Adjusted Method Detection Limit. POL - Practical Quantitation Limit. RL - Reporting Limit. Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270, The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270, The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analyles. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/15/2017 02:35 PM without the written consent of Pace Analytical Services, LLC. Page 14 of 18 aceAnalytical www.paaslabs.wrn QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Monroe Stonnwater Pace Project No.: 92329092 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Lab ID Sample ID QC Batch Method QC Batch Analytical Method Analytical Batch 92329092005 Monroe SW02 92329092002 Monroe SW02 EPA1664B 348256 92329092001 Monroe SW02 EPA 200.7 347561 EPA 200.7 347718 92329092003 Monroe SW02 SM 2540D 347724 92329092005 Monroe SW02 SM 5210B 347491 SM 521013 347499 92329092004 Monroe SW02 SM 5220D 347683 Date: 0211512017 02:35 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 15 of 18 aceAnalXical Laboratory receiving samples: . Asheville ❑ Eden[] uucumeni Warne: Iocument Revised: Sept. 21, 2016 Sample Condition Upon Recefpt(SCUR) Page 1 of 2 Document No.: Issuing Authority: F-CAR-CS-033-Rev.01 Pace Quality Office Greenwood ❑ Huntersville Ell", Raleigh❑ Mechanicsville❑ r Client Narne � Project t WO# : 92329092 Courier: ❑Fed Ex ❑UPS ❑USPS Ilent ❑ Commercial ❑Pace ❑Other: �// 92329092 III I I Custody Seal Present? ❑Yes lgQ Seals Intact? Oyes EN ` Date/Initials Person Examining Contents,,.-- J� Packing Material: ❑Bubble Wrap Bubble Bags []None []Other: , Thermometer: 4` n� f IR Gun ID: — 1 W\ l Type of Ice: I" "et Owe ❑None Samples on ice, cooling process has begun Correction Factor: Cooler Temp Corrected ('C): y Biological Tissue Frozen? []Yes ❑NO ❑N/A Temp should be above fre >�gto 6-C USDA[3 Regulated Soil ( h/A, water sample) Did samples, oo inaee In a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (inter tionaily, ❑Yes 1,�1No Including Hawaii and Puerto RIco)? ❑Yes . ENo Chain of Custody Present? es ❑No ❑N/A 1. Samples Arrived within Hold Time? D es No ❑N/A 2. Short Hold Time Analysis (02 hr.)? es allo _ONIA_ 3. Rush Turn Around Time Requested? QYes o N A 4. 30fident Volume?' • es ❑No ❑N/A S. =orrect Containers Used? es []No ❑N/A 6. ontainers Intact? Wfes LjNo N/A 7. ;am les Field Filtered? : Yes, No A 8. Note if sediment is visible in the dissolved container,-.,.'. . ample Labels Match COC? T es ON. ❑N/A 4. -Includes Date/Time/ID/Analysis Matrix: V ieadspace In VOAVfals (>S•6mm)? ❑Yes []No QN 10. rip Blank Present? []Yes ❑Na N/ 11. rip Blank Custody Seals Present? ❑Yes ONo /A {DENT NOTIFICATION/RESOLUTION Field Data Required? ❑Yes ❑No Person Contacted: _ Date/Time: Comments/Sample Discrepancy: Project Manager SCURF Review: y Date:., Project Manager SRF Review: _ Date: C, 1� ate: Wheneverthere Is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification OfTic...',?.e. ut of hold, Incorrect preservative, out of temp, Incorrect containers) ' Page 16 of 18 m CD rn 0 O N m m m a c m x c 0 a n � �n o a tA rt m CP m o r Iroa a 0 c � N C M N M =! C rD d dD a a _a C N w 3 CL d' o M S N b 3 0 m o a CL A CD o. 2 W t iD P x r N f+ M M o LC Ou -4 C1 to a lu N �+ Items zzzzzzzzzzzz BP4U-125 mL Plastic Unpreserved (N/A) (Cl-) BP3U-250 mL Plastic Unpreserved (N/A) BP2U-SOOmL Plastic Unpreserved (N/A) *� BP1U-1 liter Plastic Unpreserved (N/A) BP3S-2SO mL Plastic H2SO4 (pH < 2) (CI-) BP3N-250 mL plastic HNO3 (pH < 2) BP3Z-250 mL Plastic ZN Acetate & NaOH (>9) zzzzzzzz BP3C-250 mL Plastic NaOH (pH > 12) (Cl-) WGFU-Wide-mouthed Glass jar Unpreserved AG1U-1 titer Amber Unpreserved (N/A) (CI-) AG1H-1 liter Amber HCI (pH < 2) AM-250 ML'Amber Unpreserved (N/A) (CI-) AG1S-1 liter Amber H2SO4 (pH < 2) AG35-250 mt. Amber H2SO4 (pH < 2) AG3A(DG3A)-250 mL Amber NH4CI (N/A)(CI-) DG9H40 mLVOA HCI (N/A) VG9T-40 mL VOA Na25203 (N/A) VG9U-40 mL VOA Unp (N/A) DG9P-40 mL VOA H3PO4 (N/A) VOAK (6 vials per kit)-5035 kit (N/A) V/GK 13 vials per kit)-VPH/Gas kit (N/A) SP5T-125 mL Sterile Plastic (N/A— lab) SP2T-2SO mL Sterile Plastic (NIA —lab) BP3A-250 mL Plastic (NH2)2504 (9.3-9.7) Cubitatner VSGU-20 mi-Scintillation vials (N/A) GN f 13 1P � W N O rp � O D 0 - Xy�j O 7 C 3 Cr M 0 Cr 0 m N N v M 0 1D I� V � W Y V CD N co PaceAnalytical' wlwLoacetaCs.I:om CHAIN -OF -CUSTODY 1 Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section A Section B Section C Pago: of Required Client lnformahon: Required Project Information: invoice Information: Company; Report TO:_� Attention: w (J] 188864 //j / ,y' �j�, % �] 1T Adtlress: Copy ��1alJ �ra`i(J,T¢t✓� To: Jv� ,'nXl Cam nn Name: I P y If7�'cra% r�f��:<<fS REGULATORY AGENCY Address: CI JJL P . NPDES GROUND WATER r- DRINKING WATER r (— UST r RCRA i- OTHER Email To, Purchase Order No, Pace Ouole Rclemnce: Phanc: f-u�: Project Namr // LL I'acc Pmiect SlteLocation /yrC✓r/OU'-S'TU/'/rTW2ie!' Manycr. - srnrr=: 'Al C Requested Duo DatarrAT: Project Number. Pace P N' p: Requested Analysis Filtered (YIN) Section D Matrix Codes .. Requirrd Cl-1 lnlornuuon MATRIX r QDDE o -- COLLECTED Preservatives 5- Drinking Water DW '^ 0 U z Water WT waste Water ww coCOuPOGITE COMPOSITE S Product P A q S1ART ENDX-d F] 1 N Z SoiVSdid SL g; U C rn �► _ L. } SAMPLE ID ail OL J wipe YVP IA-Z. C-9I ,) Air AR w ly a w m y c Sample iDs MUST BE UNIOUE Tissue TS O a. a Other OT U xJ �: z O Z ra LL O YO O A ;UL N 2 Gf ~J t DATE TIME DATE TIME V) = y z z Z O Pace Project No./ Lab I.O. n -LI I oo 2 14pi rcl e 5'iV,9� jai $'J'� I • /�ca. i:i5 ) ba 3 ;1--:; rt 10 ? SC llr� ,Z )11r ( -p l % 1 •'/ &•�. s:�JX I I X I I3 '? " -8'7to,a o 6 7 8 9 10 11 12 ADDITIONAL COMMENTS REUNOUISHED BY I AFFILIATION DATE TIME ACCEPTED BY IAFFILIATION DATE TIME SAMPLE CONDITIONS I 01 Tz.j 7.f rn ORIGINALSAMPLER NAME AND SIGNATURE U o r m Qe PRINT Name of SAMPLER: ao O SIGNATURE of SAMPLER: — DATE Signed ' E u V — r� — E T 'Imm,rmw NaV!: ay Signiaq IhiS Iprn, you are aecl'pling Paces NET 30 day payrn ill lens: and ngavinq to late charges of 1.5% per month Iw any mvaiees not paid vmhir, 30 daYs- F-ALL-0-020rev.07. 15-May-2007 a , Me" - ATIA11vac Allvac - Monroe Plant Stormwger Monitoring Report Form Sample Date: Sample Location: Person Collecting Samples: Laboratory Performing Analysis: Analytical Techniques and Methods: Results of Sample Analysis: Sample Time: I/-lmt ... Storm_water Discha_rae Outfall #2 Drainage Area = 272,590M. ft. = 6.25 acres % Impervious = 36% ,W P e. JR. 40 CFR Pgq 136 Parameter Results (mg/1) Benchmark Values (mg1Q BOD rf rj 30 COD 38.0 120 TSS 100 Cadmium 0.001 Chromium, total recoverable Q Dd 1 Lead, total recoverable 0.03 Nickel, total recoverable ,r 0.26 Zinc, total recoverable Q A 5'Y 0.067 Oil and Grease D 30 pH 7.1(std units) 6-9 (std units) Storm Date: a- 8 / 7 Storm Duration: JAE Mrs.) Inches of Rainfall: Z . SD Duration of time preceding rain event exceeding 4.1": &0 (Hrs.) Estimated Flow Calculation: Q—CIA Q(Total) = Q(Pervious Area) + Q(Impervious Area) Q(tot., cfs) = (A x inches rain/12 inches/ft. x 6.25 acres x .64) + .9 x inches raW12inches/ft. x 6.25 x .36) Q(Tota1, cfs) = .1333 x 0 - SD (Inches of rain) + .1688 x 0 . rD (inches of rain) /SD cfs STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NC .5480-;50 or Certificate of Coverage Number: NCG FACILITY NAME PERSON COLLECTING SAMPLE CERTIFIED LABORATORY(S) e 1 'ca Lab; -- Lab SAMPLES COLLECTED DURING CALENDAR YEAR: 2LO/2 (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.) COUNTY 64111O11 PHON N a - S (SIGNATURk & PERMICTEE OR DESIGNEE) By this signature, I certify that. this report is accurate complete to the best of my knowledge. Part A: Specific Monitoring Requirements Outfall Date 50050 No. Sample Total Collected now moiddlyr MG llnswoa _ 4-08-17 1 &AVO - - - Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — yes ✓ o (if yes, complete Part 13) Part B: Vehicle Maintenance Ac vity Monitorinit Requirements Outfall I No. Date Sample Collected b0050 M56 00530 00400 Total Flow Oil and Grease Total Suspended Solids pH New Motor Oil Usage ino/d4/yr MG I MRA me unit &iffnw Form SWU-246-051100 Page 1 of 2 1 4 STORM EVENT CHARACTERISTICS: Date Q?-8-17 Total Event Precipitation (inches): Sd Event Duration (hours): J..7 S (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-16I7 "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 tines and imprisonment for knowing violations." ia2&1- ".. A��/7 (S€guature of Permittee) (Date) Form SNW-246-051100 Page 2 of 2 fi ?WA �A WNW Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out thisform, please visit: tt tal.n enr or web w w u n w##ta -4 Permit No.: Nlflj /Q/Q/o/3/3 /Q/ or Certificate of Coverage No.: Facility Name: 4A/LViLC County: Phone No. 70y=d89-YV/ Inspector: . I oDe J-P. Date of Inspection: _ a2 - 8 -/7 Time of Inspection: Total Event Precipitation (inches): a • SO Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Ef yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. 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. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: r I 1. Outfall Description: Outfall No. s Structure (pipe, ditch, etc.) _ e Receiving Stream: Qjr_Am. J ^ Cre —K 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: ,�� �ro�✓�c _ „_ 3, Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): --A�Dri e _ 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 a 3 4 5 S. 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: ® 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: ® 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes ©° B. Is there an oil sheen in the stormwater discharge? Yes P��o 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe %UO� 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. SM-242, Last modified 10/25/2012 Page 2 of 2 1.4. I NC®ENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: t rtal.n enr.or w w w u n de w#ita -4 Permit No.: or Certificate of Coverage No.: Facility Name: �Arr ii/1 ✓u-C County: _ Inspector: ZZ,11on Phone No. 'y01Y-A89-515// Date of Inspection: Time of Inspection. _ /•-00,. Total Event Precipitation (inches): D . S0 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) dYes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. 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. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: 1. Outfall Description: Outfall No. 5W0R Structure (pipe, ditch, etc.) Pe Receiving Stream: /Qi'Aow- an Gree4 Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the disch; (light, medium, dark) as descriptors: using basic colors (red, brown, blue, etc.) and tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): IV! AC 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 © 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 and 5 is the surface covered with floating solids: d> 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 7. B. 9. 10. 1 0 3 Is there any foam in the stormwater discharge? 4 5 Yes Is there an oil sheen in the stormwater discharge? Yes Is there evidence of erosion or deposition at the outfall? Other Obvious Indicators of Stormwater Pollution: List and describe /VOCI C Yes 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 2 of 2 SWU-242, Last modified 10/25/2012 .F AL ' ' NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidonce on filling out thisform, please visit: http,//oortal.ncdenr.org/web/wq/ws/sia,ludessw#Etab-4 Permit No.: �I/�/�/Q/ o/ v/,�/„�/�/ or Certificate of Coverage No.: Facility Name: AT-X e County: Phone No. 749o?89ys//_ Inspector: ?iaysl �aoG SR. Date of Inspection: Time of Inspection: 8 Total Event Precipitation (inches): O • SO Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) [5 Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event"or "measureable storm event"(requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. 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. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: �4 'r k 1. Outfall Description; Outfall No. 03 Stru Receiving Stream: Describe the industrial activities r*e, I ctur/e� (pipe, ditch, etc.) _P�Pepl�t�c _ occur within the o9tfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: _ �ial7f AWAIL 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): . Ardiroz 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 tI) 3 4 5 S. 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: 1 0) 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: © 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes 0 8. Is there an oil sheen in the stormwater discharge? Yes 6P 9. Is there evidence of erosion or deposition at the outfall? Yes OP 10. Other Obvious Indicators of Stormwater Pollution: List and describe , 4, �)/l g- _ 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. SWU-242, Last modified 10/25/2012 Page 2 of 2 �y r NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: t rtal.n •d enr. r we w w u n dessw#i b Permit No.: Qj or Certificate of Coverage No.: N/C/.G/_/_/�/�/_/_/ Facility Name: i%Z 411r4G....,.— County: 44,11On- - Phone No. _7P-41—, -3T Inspector: .V1widT.—.... _ _....---- Date of Inspection: ,a? -B -17 Time of Inspection: a Od2a.%. Total Event Precipitation (inches): D . $a Was this a "Representative Storm Event" or "Measureahle Storm Event" as defined by the permit? (See information below.) E6 Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event"or "measureahle storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureahle storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. 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. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: 1. Outfall Description: Outfall No. -5'kVQY Structure (pipe, ditch, etc.) Aa B Z _ Receiving Stream: 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: NDAC _ 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 1VogB 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: m 2 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 and 5 is the surface covered with floating solids: d 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: ® 2 3 4 5 AAN 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes tip 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious indicators of Stormwater Pollution: List and describe y&-lz e, 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 2 of 2 SM-242, Last modified 10/25/2012 NCDENK Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out thisform, please visit: h tt ta 1. ncd enr. orp-1 web 1wq jws./su./nodes •w#tab-4 Permit No.: or Certificate of Coverage No.: Facility Name: T/ 1 eo -c County: aVr 7,1: Phone No. 7dy amg -lygw Inspector: Date of Inspection: Time of Inspection: Total Event Precipitation (inches): Q • SO Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) [Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. 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. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: 1. Outfall Description: Outfall No. S! Q S ucture (pipe, ditch, etc.) Receiving Stream: _ 11cAarc&an 0-,I-ce,k Describe the industrial activitifs 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: hi f 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): Ivan e 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 i) 3 4 5 S. 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: & 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: ® 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes B. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 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 2 of 2 SM-242, Last modified 10/25/2012 A� NC®EN� Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out thisform, please visit: httpm//portal.ncdenr.or2/web/wg/ws/su/npdessw#tab:4 Permit No.: or Certificate of Coverage No.: Facility Name: A�kac _ _ — County: _ _ ez,1, n Phone No. 7411 o?*9 -WI-1 Inspector: L6w,40 Ae-9 _ Date of Inspection: - Time of Inspection: _ /•� � Total Event Precipitation (inches): ©- SQ Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) [Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. 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. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: 1. Outfall Description: Outfall No. S_66 S1 Receiving Stream: _ -j Describe the industrial activiti re (pipe, ditch, etc.) that occur within the outfall drainage area: asA rD//'D NJ jow ikin117 /D f" 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Jz-6,4f " 4 -rd 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): A/o/ie- 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 ® 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 and 5 is the surface covered with floating solids: 1 Q 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: ® 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes �o 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yeso 10. Other Obvious Indicators of Stormwater Pollution: List and describe /ion e 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 2 of 2 SWU-242, Last modified 10/25/2012