HomeMy WebLinkAboutNCG030082_MONITORING INFO_20190523STORMWAT£R DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV C& (D 3 Q 00 Q U
DOC TYPE
CTORICAL FILE
U.,M6NITORING REPORTS
Y1f"IVIMDD
"Semi-airinufal_Stormwatgr Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted
ro
CERTIFICATE OF COVERAGE No. NCG03 O o a Q
FACILITY NAME
COUNTY
PERSON COLLECTING SAMPLES W t-
LABORATORY M, CrJ04X, L9 Cert. ti 11
Comments on sample collection or analysis:
1 N: (it -it 0:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR'
u, C, SAMPLE PERIOD Jan -June F July -Dec
or Monthlyl (month)
E @ �CgtRrnTo CLASS ❑ORW ❑HQW []Trout ❑PNA
�JJ []Zero -flow []Water Supply [:]SA
MAY 2 $ 2019 ❑Other
CENTRAL FILEBLEASE REMEM13ERTO SIGN ON PAGES 2 AND/OR 3 4
MVF? SECTION
n No d&charge this period
noc?,
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'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any sing;16!outfall; you must still submit this discharge monitoring'report with a checkmark here. ,
sThe total precipitation must be recdiled using data from an on -site rain gauge. Unattended sites may eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable anlj for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirementto-sample(for metal finishing.use the definition as found in 40 CFR 433.11; iorsemlconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit bate. 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3
Facilities that incorporate a solvent management plan into the 5tormwater Pol[utlon Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TM monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics Into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since fling the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included In the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Pot title) ,
re)
�OSE Eli wit
16.2iq
(Date)
!Vote: Results must be'reported in numerical format. Do not report Below Detection Limit, BDL, <PQL,.Non-detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format "<2Mmg' IR", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Ver 3 responses. See General Permit text`'
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this perioar
;:
:,Dat&Sarn'pfe'
olietedxr '•.
{it�'riclti/jjrr�.
24bogrtAllnfall
•:amount;
alnclaesa
•;Non-pola}';d¢G%Pt{;)i�t,
l:PA 1645rT=F31 hlll,"
• � ,; •
r . Ypta4'Susp'eiii�hclSo)tc7
�: � .:�-;' liar..:
~
v;pH."
'iBeiiehmaP=ks-•==>
_
�s"n;�Ir. "� �
..�aa';n�/l��s�a�o��h.',�`/k`*� '
. -�:o��:�ra�su>•=.�.
Footnotes from Part A also applyto this Part B
*See General Permit text, Table S, identifyingthe especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: I1/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
Nate: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tler 2, or Tier 3 responses. See General Permit text.
FOR PART AAND PARTB MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART Il SECTION B.
+ '2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTEDTHE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME; .
Ma' o ' and one co this R Including all Va Aischar e" re o within 30 d cei t o the fah s Its or•at e d o o "torin eriad
in the rase of 'No Discharge" reAortsl to
Division of Water Quality
Attn: DWQCentral Files
1617 Mail Service Center
Raleigh, North, Carolina 27699-1617
Y_Oil MUST SIGN THIS CERWICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my Inquiry of the person,or persons who manage the system, or
those persons directly responsible for gathering the information, the' information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment foreknowing violations."
S-J,,JS--In
(Da#e)
Permit Date:11/1/2'012-10/31/2017
SWU-245, last revised 10/25/2012 .
Page 3 of 3
(!5>MICROBAC(q)
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9D0087
Project Description
Stormwater Samples - Semiannual
For.
Ms. Amy Mateo
Purolator
3200 Natal Road
i=ayetteWle, NC 28306
Client Relationship Specialist, Environmental
Jeanne Overstreet
Friday, April 19, 2019
Please find enclosed the analytical results for the samples you submitted to Microbac Laboratories. Review and compilation of
your report was completed by Microbac Laboratories, Inc. -Fayetteville. if you have any questions, comments, or require
further assistance regarding this report, please contact your service representative listed above.
certify that all test results meet all of the requirements of the accrediting authority listed within this report_ All results for soil
samples are reported on a 'dry -weight' basis unless specified otherwise. Analytical results for water and wastes are reported on
a 'as received' basis unless specified otherwise. A statement of uncertainty for each analysis is available upon request. This
laboratory report shall not be reproduced, except in full, without the written approval of Microbac Laboratories. The reported
results are related only to the samples analyzed as received.
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p I www.microbac.com
Page 1 of 14
�VMICROBACr-
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9D0087
Purolator Project Name: Stormwater Samples - Semiannual
Ms_ Amy Mateo Project / PO Number: NIA
3200 Natal Road Received: 0410512019
Fayetteville, NC 28306 Reported: 04/19/2019
Sample Summary Report
Sample Name Laboratory ID Client Matrix Sample Type Sample Begin Sample Taken Lab Received
Storm Water, grab K9D0087-01 Stormwater Grab 04/05/19 15:09 04/05/19 15:28
Trip Blank K9D0087-02 Aqueous Trip Blank 04/05/19 15:09 04/05/19 15:28
Page 2 of 14
OMICROBAC'
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9D0087
Analytical Testing Parameters
Client Sample ID: Storm Water, grab
Sample Matrix: Slormwater Collected By: Wright
Lab Sample ID: K9130087-01 Collection Date: 04/05/2019 15:09
Wet Chemistry _ Result MDL RL Units Note Prepared Analyzed Analyst
Method: EPA 1664 Rev. B�
Oil & Grease (SGT-HEM) 1.65 1.40 5.00 mglL 04/16/19 1113 TAB
Method: SM 2540 D-2011
Total Suspended Solids 13.8 1.00 2.50 mg1L 04/09/19 1412 TAB
Field Samplingfresting
Result
MDL RL Units
Note Prepared
Analyzed
Analyst
Method: Field
Rainfall
0_65
inches
04/05/19 1645
04/12/19 1442
JMO
Method: Field Observation
Color
Light
04/05119 1645
04/05/19 1646
JMO
Brown
Odor
None
04105/19 1645
04/05/19 1646
JMO
Clarity
Murky
04105/19 1645
04/05/19 1646
JM0
Floating Solids
None
04/05/19 1645
04/05/19 1646
JMO
Suspended Solids (Residue,
None
04105/19 1645
04/05/19 1646
JMO
Non -Filterable)
Foam
None
04/05/19 1645
04/05/19 1646
JMO
Oil Sheen
None
04105/19 1645
04/05/19 1646
JMO
Erosion Evidence
None
04105119 1645
04/05/19 1646
JMO
Other Pollution Indicators
None
04/05/19 1645
04/05119 1646
JMO
Method: SM 2550 B-2010
Temperature, Field
16
0.1 0.1 °C
04/05119 1509
MJW
Method: SM 4500 H+B-2011
pH, Field Test
6.6
1.0 1.0 pH Units
04/05/19 1509
MJW
Analyses Subcontracted to: Microbac Laboratories, Inc_ - Ohio Valley
Result
MDL
RL
Units
Note Prepared
Analyzed
Analyst
Method: EPA200.7
Copper, Total
<0.0100
0.0100
0.0200
mg1L
04/11/19 0720
04/16119 1332
KKB
Lead, Total
<0.0500
0.0500
0.100
mg1L
04/11/19 0720
04/16119 1332
KKB
Zinc, Total
0.0504
0.0100
0.0200
mg/L
04/11/19 0720
04/16119 1332
KKB
608
Result
MDL
RL
Units
Note Prepared
Analyzed
Analyst
Method: 608.3
4,4'-DDD
<0,0100
0.0100
0.0500
ug/L
04/12/19 1140
04116/19 0048
ECL
4,4'-DDE
<0.0100
0.0100
0.0500
uglL
04/12/19 1140 '
04/16/19 0048
ECL
4,4'-DDT
<0.0100
0.0100
0.0500
ug1L
04112/19 1140
04/16119 0048
ECL
Microbac Laboratories,
Inc.
2592 Hope Mills Rd I Fayetteville, NC
28306 1 910.864.1920
p
I www.microbac.com
I Page 3 of 14
VMICROBACQD
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9D0087
Client Sample ID: Storm Water, grab
Sample Matrix: Stormwater Collected By: Wright
Lab Sample ID: K9D0087-01 Collection Date: 04/0512019 15:09
608
Result
MDL
RL
Units
Note Prepared
Analyzed
Analyst
Aldrin
<0.0100
0,0100
0.0500
uglL
04/12/19 1140
04/16/19 0048
ECL
alpha-BHC
<0.0100
0-0100
0.0500
ug1L
04112119 1140
04/16119 0048
ECL
alpha -Chlordane
<0.0100
0.0100
0.0500
ug1L
04/12/19 1140
04/16119 0048
ECL
Arocior-1016
<0.250
0,250
0,500
uglL
04/12/19 1140
04/16/19 0048
ECL
Arodor-1221
<0.250
0.250
0.500
ug1L
04112/19 1140
04/16119 0048
ECL
Arodor-1232
<0.250
0.250
0.500
ug1L
04112/19 1140
04/16/19 0048
ECL
Arodor-1242
<0.250
0.250
0.500
ug1L
04/12/19 1140
04/16/19 0048
ECL
Arodor-1248
<0.250
0.250
0.500
ug1L
04/12119 1140
04116/19 0048
ECL
Arocior-1254
<0.250
0.250
0.500
uglL
04/12119 1140
04116/19 0048
ECL
ArodOr-1260
<0.250
0.250
0.500
uglL
04/12119 1140
04116/19 0048
ECL
beta-BHC
<0.0100
0,0100
0.0500
uglL
04/12/19 1140
04116/19 0048
ECL
Chlordane
<0.250
0.250
0.500
uglL
W12/19 1140
04116/19 0048
ECL
delta-BHC
<0.0100
0.0100
0.0500
ug1L
04/12/19 1140
04116/19 0048
ECL
Dieldrin
<0.0100
0.0100
0.0500
ug1L
04/12/19 1140
04116P19 0048
ECL
Endosulfan I
<0.0100
0.0100
0.0500
ug/L
04/12119 1140
04/16/19 0048
ECL
Endosulfan II
<0.0100
0.0100
0.0500
ug1L
04/12119 1140
04/16/19 0048
ECL
Endosulfan sulfate
<0.0100
0.0100
0.0500
ug1L
04/12119 1140
04/16/19 0048
ECL
Endrin
<0.0100
0.0100
0.0500
uglL
04/12119 1140
04116/19 0048
ECL
Endrin Aldehyde
<0.0100
0.0100
0.0500
uglL
04/12119 1140
04116/19 0048
ECL
Endrin Ketone
<0.0100
0.0100
0.0500
uglL
04/12/19 1140
W16/19 0048
ECL
gamma-BHC (Lindane)
<0.0100
0.0100
0.0500
ug1L
0411211g 1140
04116/19 0048
ECL
gamma -Chlordane
<0.0100
0.0100
0.0500
ug1L
04/12/19 1140
04116/19 0048
ECL
Heptachlor
<0.0100
0.0100
0,0500
uglL
04112/19 1140
04/16/19 0048
ECL
Heptachlor epoxide
<0.0100
0.0100
0.0500
ug1L
04/12/19 1140
04/16/19 0048
ECL
Methoxychlor
<0.0100
0.0100
0.0500
uglL
04i12119 1140
04/16/19 0048
ECL
Toxaphene
<0.300
0.300
1.00
ug1L
04/12119 1140
04/16/19 0048
ECL
Surrogate: 2,4,5,6-Tetrachloro-m-xylene
40.5
Limit: 20-180
% Rec
04/12119 1140
04/16/19 0048
ECL
Surrogate: Decachlorobiphenyl
9.25
Limit: 20-140
% Rec
04/12/19 1140
04118/19 0048
ECL
BNA Compounds
Result
MDL
RL
Units
Nate Prepared
Analyzed
Analyst
Method: 626.1
1,2,4-Trichlorobenzene
<5.68
5.68
11.4
ug1L
04111/19 1400
04/12/19 1932
SCB
1,2-Dichlorobenzene
<5.68
5.68
11.4
ug1L
04111/19 1400
04/12119 1932
SCB
1,3-Dichlorobenzene
<5.68
5.68
11.4
ug1L
041111t9 1400
04112I9 1932
SCB
1,4-Dichlorobenzene
<5.68
5.68
11.4
ug&
04111119 1400
64/12119 1932
SCB
2,4,6-Tdchlorophenol
<5.68
5.68
11.4
uglL
04111/19 1400
04112I9 1932
SCB
2,4-Dichlorophenol
<5.68
5.68
11.4
ug1L
041111191400
04/12119 1932
SCB
2,4-Dimethylphenol
<5.68
5.68
11 A
uglL
04/11119 1400
04/12/19 1932
SCB
2,4-Dinitrophenol
<28.4
28.4
56.8
ug1L
041111191400
041121191932
SCB
2,4-Dinitrotoluene
<5.68
5.68
11 A
ug1L
04/11119 1400
04/12/19 1932
SCB
2,6-Dinilrotoluene
<5.68
5.68
11.4
ug1L
041111191400
04/121191932
SCB
2-Chloronaphlhalene
<5.68
5.68
11.4
ug/L
04/111191400
04/12/19 1932
SCB
2-Chlorophenol
<5.68
5.68
11.4
ug1L
041111191400
04/12119 1932
SCB
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 4 of 14
(�>)MICROBACS
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9D0087
Client Sample ID: Storm Water, grab
Sample Matrix: Stormwater Collected By: Wright
Lab Sample ID: K9D0087-01 Collection Date: 04/05/2019 15:09
BNA Compounds
Result
MDL
RL
Units
Note Prepared
Analyzed
Analyst
2-Methyl-4,6-Iinitrophenol
<28.4
28.4
56.8
ugR
04111/19 1400
04/12119 1932
SCB
2-Nitrophenol
<5.68
5.68
11.4
ug/L
04/11/19 1400
04/12119 1932'
SCB
3,3'-Dichlorobenzidine
<5.68
5.68
22.7
ug/L
04111/19 1400
04/12119 1932
SCB
4-Bromophenyl phenyl ether
<5.68
5.68
11.4
ug/L
04/11/19 1400
04/12/19 1932
SCB
4-Chloro-3-methylphenol
<5.68
5.68
11.4
ug1L
04/11/191400
04/12/19 1932
SCB
4-Chlorophenyl phenyl ether
<5.68
5.68
11.4
ug/L
04/11/19 1400
04/12/19 1932
SCB
4-Nitrophenol
<28.4
28.4
56.8
ug/L.
04/11/19 1400
04/12/19 1932
SCB
Acenaphthene
<5.68
5.68
11.4
ugtL
04/11/19 1400
04/12/19 1932
SCB
Acenaphthylene
<5.68
5.68
11.4
ug/L
04/11/19 1400
04/121191932
SGB
Anthracene
<5.68
5.68
11.4
uglL
04/11/19 1400
04/12119 1932
SCB
Benzidine
<28.4
28.4
56.8
ug/L
04/11119 1400
04/12/19 1932
SCB
Benzo(a)anlhracene
<5.68
5.68
11.4
ug1L
04/11119 1400
04/12/19 1932
SCB
Benzo(a)pyrene
<5.68
5.68
11,4
ug/L
04111119 1400
04/12119 1932
SC5
Benzo(b)fluoranthene
<5.68
5.68
11.4
ug/L
04/11/19 1400
04/12119 1932
SCB
Benzo(g,h,i)Perylene
<5.68
5.68
11.4
ug1L
04/11/19 1400
04112/19 1932
SCB
Benzo(k)fluoranthene
<5.68
5.68
11.4
ug1L
04/11/19 1400
04112/19 1932
SCB
Bis(2-Chloroethoxy)Methane
<5.68
5.68
11.4
ug/L
04111/191400
04112/19 1932
SCB
Bis(2-Chloroelhyl)ether
<5.68
5.68
11.4
ug1L
04/11/19 1400'
04112/19 1932
SCB
bis(2-Chloroisopropyl)ether
<5.68
5.68
11.4
ug/L
04/11/19 1400
04112/19 1932
SCB
bis(2-Ethythexyl)phthalate
<5.68
5.68
11.4
ug/L
04/11/19 1400
04/12/19 1932
SCB
Butyl benzyl phthalate
<5.68
5.68
11.4
ug/L
04/11/19 1400
04112/19 1932
SCB
Chrysene
<5.68
5.68
11.4
ug/L
04/11119 1400
04/12/19 1932
SGB
Di-N-Butylphthalate
<5.68
5.68
11.4
ug/L
04/11119 1400
04112/19 1932
SCB
Di-n-octyl phthalate
<5.68
5.68
11.4
ug/L
04/11/19 1400
04112/19 1932
SCB
Dibenzo(a,h)Anthracene
<5.68
5.68
11.4
ug/L
04/11/19 1400
04112/19 1932
SCB
Diethyl phthalate
<5.68
5.68
11.4
ug/L
04/11/19 1400
04112/19 1932
SCB
Dimethyl phthalate
<5.68
5.68
11.4
ug/L
04/1V19 1400
04112/19 1932
SCB
Fluoranthene
<5.68
5.68
11.4
ug/L
04/11119 1400
04/12/19 1932
SCB
Fluorene
<5.68
5.68
11.4
ug/L
04/11/19 1400
04/12/19 1932
SC$
Hexachlorobenzene
<5.68
5,68
11.4
ug/L
04/11/19 1400
04/12/19 1932
SCB
Hexachlorobutadiene
<5.68
5.68
11 A
ug/L
04/11/19 1400
04112/19 1932
SCB
Hexachlorocyclopentadiene
<5.68
5.68
11.4
ug/L
04/11/19 1400
04112/19 1932
SCB
Hexachloroethane
<5.68
5.68
11,4
ug/L
04/11/19 1400
04/12/19 1932
SCB
Indeno(1,2,3-cd)pyrene
<5.68
5.68
11.4
ug/L
04111/19 1400
04/12/19 1932
SCB
Isophorone
<5.68
5.68
11.4
ug/L
04/11/19 1400
04/12/19 1932
SCB
N-Nitrosodi-n-propylamine
<5.68
5.68
11.4
ug/L
04/11/19 1400
04112/19 1932
SCB
N-Nitrosodimethylamine
<5.68
5.68
11.4
ug1L
04/11119 1400
04/12/19 1932
SCB
Diphenylamine/n-Nitrosodiphenytamine
<5.68
5.68
11.4
ug1L
04/11/19 1400
04/12/19 1932
SCH
Naphthalene
<5.68
5.68
11.4
ug/L
04/14/19 1400
04/12/19 1932
SCH
Nitrobenzene
<5.68
5.68
11.4
ug/L
04111/19 1400
04/12/19 1932
SC6
Pentachlorophenol
<28.4
28.4
56.8
ug/L
04/11/19 140o
04112/19 1932
SCB
Phenanthrene
<5.68
5.68
11.4
ug/L
04111/19 1400
04/12/19 1932
SCB
Phenol
<5.68
5.68
11.4
ug/L
04/11/19 1400
04/12/19 1932
SCB
Pyrene
<5.68
5.68
11.4
ug/L
04/11/19 1400
04/12/19 1932
SCB
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p I www.microbac.com Page 5 of 14
(�DM CROBAC:`
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9D0087
Client Sample ID: Stone Water, grab
Sample Matrix: Stormwater Collected By: Wright
Lab Sample ID: K9130087-01 Collection Date: 04/05/2019 15:09
BNA Compounds
Result
MDL RL
Units
Note Prepared
Analyzed
Analyst
Surrogate: 2,4,6-Tribrornophenol
104
Limit: 22-142
% Rec
04/11/19 1400
04/12/19 1932
SCB
Surrogate: 2-Fluorobiphenyl
91.2
Limit: 43-116
% Rec
04111119 1400
04/12/19 1932
SCB
Surrogate: 2-Fluorophenof
47.9
Limit: 19-119
% Rec
04/11/19 1400
04/12/19 1932
SCB
Surrogate: Nitrobenzene-d5
86.1
Limit: 35-114
% Rec
04/11/19 1400
(14112/19 1932
SCB
Surrogate: p-Terphenyl-d14
120
Limit: 10-130
% Rec
04/11/19 1400
04/12/19 1932
SCB
Surrogate: Phenol-D5
34.7
Limit: 10-94
% Rec
04/11/19 1400
04/12119 1932
SCB
Library Search
Result
MDL
RL
Units
Note Prepared Analyzed
Analyst
Method: 625.1
No Searchable Peaks
ND
ug/L
04/11/19 1400 04/12/19 1932
SCB
Volatile Organics
Result
MDL
RL
Units
Note Prepared Analyzed
Analyst
Method: EPA624.1
1,1,1-Trichloroethane
<0.250
0.250
5.00
uglL
04/11/19 2300
JDS
1j,2,2-Tetrachloroethane
<0.250
0.250
5.00
ug/L
04/11/19 2300
JDS
1,1,2-Trichloroethane
<0.250
0,250
5.00
uglL
04111119 2300
JDS
1,1-Dichloroethane
<0.250
0.250
5.00
uglL
04h1119 2300
JDS
1,1-Dichloroethene
<0.500
0.500
5.00
uglL
04/11119 2300
JDS
1,2-Dichlorobenzene
<0.250
0.250
5.00
uglL
04/11/19 2300
JDS
1,2-Dichloroethane
<0.250
0.250
5.00
ug1L
04/11119 2300
JDS
1,2-Dichloropropane
<0.250
0.250
5.00
ug1L
04/11119 2300
JDS
1,3-Dichlorobenzene
<0.250
0.250
5.00
ug1L
04/11/19 2300
JDS
1,4-Dichlorobenzene .
<0.250
0.250
5.00
uglL
04/11/19 2300
JDS
2-Chloroethyl vinyl ether
<5.00
5.00
10.0
uglL
04i11119 2300
JDS
Acrolein
<2.50
2.50
10.0
ug1L
G4111119 2300
JDS
Acrylonitrile
<2.50
2.50
10.0
ug1L
0411111s 2300
JDS
Benzene
<0.250
0.250
5,00
ug1L
04111119 2300
JDS
Bromodichloromethane
<0.250
0.250
5.00
ug1L
04/11119 2300
JDS
Bromoform
<0.500
0.500
5.00
uglL
04/11/19 2300
JDS
Bromomethane
<0.500
0.500
10.0
uglL
64/11119 2300
JDS
Carbon tetrachloride
<0.250
0.250
5.00
uglL
B4111/19 2300
ADS
Chlorobenzene
<0.250
0.250
5.00
ug/L
G4111/19 2300
JDS
Chloroethane
<0.500
0.500
10.0
ug1L
04/11119 2300
JDS
Chloroform
<0.250
0.250
5.00
uglL
04/11/19 2300
JDS
Chloromethane
<0.500
0.500
10.0
uglL
04111/19 2300
JDS
cis-1,3-Dichloropropene
<0.250
0.250
5.00
uglL
04/11/19 2300
JDS
Dibromochloromethane
<0.250
0.250
5.00
ug1L
04111A9 2300
JDS
Ethyl benzene
<0.250
0.250
5.00
uglL
o4111A9 2300
JDS
Methylene chloride
<0.250
0.250
5.00
uglL
04/11119 2300
JDS
Tetrachforoethene
<0.250
0.250
5.00
ug1L
04/11/19 2300
JDS
Toluene
<0.250
0.250
5.00
uglL
04/11/19 2300
JDS
tr2ns-1,2-Dichloroethene
<0.250
0,250
5.00
uglL
04/11/19 2300
JDS
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p I www.microbac.com - Page 6 of 14
()MICROBAC"
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9 D0087
Client Sample [D: Storm Water, grab
Sample Matrix: Stormwater Collected By: Wright
Lab Sample ID: K9DO087-01 Collection Date: 04/05/2019 15:09
Volatile Organics
Res utt
MDL
RL
Units Note
Prepared Analyzed
Analyst
trans-1,3-Dichloropropene
<0.500
0.500
5.00
ug1L
04i11/19 2300
JDS
Trichloroethene
<0.250
0.250
5.00
ug1L
G4111/19 2300
JDS
Trichlorofluoromethane
<0.250
0.250
10.0
ug1L
04/11/19 2300
JDS
Vinyl Chloride
<0.500
0.500
10.0
ug1L
04/11/19 2300
JDS
Surrogate: 1,2-Dichloroethane-d4
97.4
Limit: 63-140
% Rec
04/11/19 2300
JDS
Surrogate: p-Bromofluorobenzene
92.8
Limit: 60-140
% Rec
04/11/19 2300
JDS
Surrogate: TblueneA8
97.7
Limit: 60-140
% Rec
04/11/19 2300
JDS
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p I www.microbac.com Page 7 of 14
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9D0087
Batch Quality Control Summary: Microbac Laboratories, Inc. - Fayetteville
Spike Source %REC RPD
Wet Chemistry Result MDL RL Units Level Result %REC Limits RPD Limit Notes
Batch KD90079 - Wet Chem Aqueous - SM 2640 D-2011
Blank (KD90079-BLKI)
Prepared & Analyzed: 04/09/2019
Total Suspended Solids
<1.00 1.00 2.50 mg1L
Blank (KD90079-BLK2)
Prepared & Analyzed: 041091P019
Total Suspended Solids
<1.00 1.00 2.50 mg1L
LCS (KD90079-BSI)
Prepared & Analyzed: 04/09/2019 _
Total Suspended Solids
37.2 1.00 2,50 mg1L 38.3 97 94.5-105.4
Batch KD90146 - Wet Chem Aqueous - EPA 1664 Rev. B
Blank (KD90146-BLKI)
Prepared &Analyzed: 0411612019
Oil & Grease (SGT-HEM)
<1.40 1.40 5.00
mglL
LCS (KD90146-BSI)
Prepared &Analyzed: 04/16/2019
Oil & Grease (SGT-HEM)
21.2 - 1.40 5.00
mglL 20.4 104 64-114
Matrix Spike (KD90146-MS1)
Source: K9130087-01
Prepared & Analyzed: 04/16/2019
Oil & Grease (SGT-HEM)
25.0 1.40 5.00
mg1L 21.2 1.65 110 78-114
Batch Quality Control Summary: Microbac Laboratories, Inc. - Ohio Valley
Spike Source %REC RPD
Result MDL RL Units Level Result %REC Limits RPD Limit Notes
Batch WG703663 - METHOD - EPA200.7
BLK (WG703033-03)
Prepared: 04/11/2019 Analyzed: 0411612019
Copper, Total
<0.0100
0.0100
0.0200
mglL _ U
Lead, Total
<0.0500
0.0500
0,100
mg/L _ U
Zinc, Total
<0.0100
0.0100
0.0200
mglL _ U
BS (WG703033-04)
Prepared: 04/11/2019 Analyzed: 04/16/2019
Copper, Total
0.265
0.0100
0.0200
mglL 106 85-115 20
Lead, Total
0.263
0.0500
0.100
mg1L 105 85-115 20
Zinc, Total
0.524
0.0100
0.0200
mg1L 105 85-115 20
Volatile Organics Result
Batch WG703176 - SW5030C - EPA624.1
MDL
RL
Units
Spike Source
Level Result %REC
%REC
Limits
RPD
RPD
Limit Notes
BS(WG103176-01)
Prepared: Analyzed:04/1112019
1,1,1-Trichloroethane
20.2
0.250
5.00
ug/L
101
70-130
2.45
20
1,1,2,2-Tetrachloroethane
17.3
0.250
5.00
ug/L
86.7
60-140
4.15
20
1,1,2-Trichloroethane
21.0
0.250
5.00.
ug1L
105
70-130
2.33
20
1,1-Dichloroethane
20.9
0.250
5.00
uglL
104
70-130
2.53
20
1,1-Dichloroethene
20.2
0.500
5.00
uglL
101
50-150
0.641
20
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1 910-864.1920 p I www.microbac.com Page 8 o 114
VMICROBAC"
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9DOO87
Spike Source °%REC RPD
Volatile Organics Result MDL RL Units Level Result %REC Limits RPD Limit Notes
Batch WG703176 - SW5030C - EPA624.1
BS (WG703176-01)
Prepared: Analyzed: 04/11/2019
1,2-Dichlorobertzene
22.4
0250
5.00
ug/L
112
60-140
3.94
20
1,2-Dichloroethane
20.2
0.250 .
5.00
ug/L
101
70-130
2.69
20
1,2-Dichloropropane
20.9
0.250
5.00
ug/L
104
35-165
1.16
20
1,3-Dichlorobenzene
21.7
0.250
5.00
ug/L
108
70-130
3.95
20
1,4-Dichlorobenzene
22-2
0.250
5.00
ug/L
111
65-135
3.90
20
2-Chloroethyl vinyl ether
19.6
5.00
10.0
ug/L
97.8
0-225
2.06
30
Acrolein
99.9
2.50
10.0
ug/L
99.9
60-140
0.512
20
Acrylonitrile
21.0
2.50
10.0
ug/L
105
M140
0.860
20
Benzene
21.1
0.250
5.00
ug1L
105
65-135
1.47
20
Bromodichloromethane
%2
0.250
5A0
ug/L
95.9
65-135
1.81
20
Bromoform
20.5
0.500
5.00
ug/L
102
70-130
2.78
20
Bromomethane
20.2
0.500
10.0
ug/L
101
15-185
6.20
20
Carbon tetrachloride
20.3
0.250
5.00
ug/L
102
70-130
1.72
20
Chlorobenzene
21.8
0.250
5.00
ug/L
109
65-135
2.57
20
Chloroethane
20.2
0.500
10.0
ug/L
101
40-160
0.0758
20
Chloroform
19.3
0.250
5.00
ug/L
96.6
70-135
1.89
20
Chloromethane
23.4
0.500
10.0
ug1L
1W
0-205
1.41
20
cis-1,3-Dichloropropene
20.7
0.250
5.00
ug/L
104
25-175
2.49
20
Dibromochloromethane
20.5
0.250
5.00
ug/L
102
70-135
3.03
20
Ethyl benzene
20.9
0.250
5.00
ug/L
105
60-140
2.57
20
Methylene chloride
20.7
0.250
5.00
ug1L
104
60-140
2,02
20
Tetrachloroethene
21.9
0.250
5.00
uglL
110
70-130
1,72
20
Toluene
20.7
0.250
5.00
ug1L
103
70-130
2.24
20
trans-1,2-Dichloroethene
20.7
0.250
5.00
ug1L
104
70-130
1.82
20
trans-1,3-Dichloropropene
19.2
0.500
5.00
ug/L
96.1
50-150
2.18
20
Trichloroelhene
23.5
0250
5.00
ug/L
118
65-135
3.00
20
Trichloro8uoromethane
19.1
0.250
10.0
ug/L
95.5
50-150
0.0901
20
Vinyl chloride
24-9
0.500
10.0
ug1L
124
5-195
0.539
20
Surrogate: 1, 2-Dichloroethane-d4
23.8
ug/L
95.1
63-140
Surrogate: p-8romofluorobenzene
22.7
ug/L
90.7
60-140
Surrogate: Toluene-0
24.2
ug/L
96.7.
60-140
13SD (WG703176-02)
Prepared: Analyzed: 04/11/2019
1,1,1-Trichloroethane
20.7
0.250
5.00
uglL
103
70-130
2.45
20
1,1,2,2-Tetrachloroethane
18.1
0.250
5.00
ug1L
90.4
60-140
4.15
20
1,1,2-Trichloroethane
21.5
0.250
5.00
ug/L
107
7G-130
2.33
20
1,1-Dichloroethane
21.4
0.250
5.00
ug/L
107
70-130
2.53
20
1,1-Dichloroethene
20.3
0.500
5.00
ug1L
102
50-150
0,641
20
1,2-Dichlorobenzene
23.3
0,250
5.00
ug/L
116
60-140
3.94
20
1,2-Dichloroethane
20.7
0.250
5.00
ug/L
104
70-130
2.69
20
1,2-Dichloropropane
21.1
0.250
5.00
ug/L
106
35-165
1.16
20
1,3-Dichlorobenzene
22.5
0.250
5.00
ug/L
113
70-130
3.95
20
1,4-Dichlorobenzene
23.1
0.250
5.00
ug/L
115
65-135
3.90
20
2-Chloroethyl vinyl ether
20.0
5.00
10.0
ugA-
99.8
0-225
2.06
30
Acrolein
99.4
2.50
10.0
ug/L
99.4
60-140
0.512
20
Microbac Laboratories,
Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com I Page 9 of 14
�VMICROBACN
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9D0087
Spike Source %REC RPD
Volatile Organics Result MDL RL Units Level Result %REC Limits RPD Limit Notes
Batch WG703176 - SW5030C - EPA624.1
BSD (WG703176-02)
Prepared: Analyzed: 04/11/2019
Acrylonitrile
21.1
2.50
10.0
ug/L
106
60-140
0.860
20
Benzene
21.4
0.250
5.00
ug/L
107
65-135
1.47
20
Bromodichloromethane
19.5
0.250
5.00
ug/L
97.7
65-135
1.81
20
Bromoform
21.1
0.500
5.00
ug1L
105
70-130
2.78
20
Bromomethane
21.5
0.500
10.0
ug/L
107
15-185
6.20
20
Carbon tetrachloride
20.7
0.250
5.00
ug/L
103
70-130
1.72
20
Chlorobenzene
22.3
0.250
5.00
ug/L
112
65-135
2.57
20
Chloroethane
20.2
0.500
10.0
ug/L
101
40-160
0.0758
20
Chloroform
19.7
0.250
5.00
ug/L
98.4
70-135
1.89
20
Chloromethane
23.1
0.500
10.0
ug/L
115
0-205
1,41
20
cis-1,3-Dichloropropene
21.3
0.250
5,00
ug/L
106
25-175
2.49
20
Dibromochloromethane
21.1
0.250
5.00
ug/L
106
70-135
3.03
20
Ethyl benzene
21.5
0.250
5.00
ug/L
107
60-140
2.57
20
Methylene chloride
21.2
0,250
5.00
ug/L
106
60-140
2.02
20
Tetrachloroethene
22.3
0.250
5.00
uglL
112
70-130
1.72
20
Toluene
21.1
0,250
5.00
ug/L
106
70-130
2.24
20
trans-1,2-Dichloroethene
21.1
0.250
5.00
ug/L
106
70-130
1.82
20
trans-1,3-Dichloropropene
19.6
0.500
5.00
ug/L
98.2
50-150
2.18
20
Trichloroethene
24.2
0.250
5.00
ug/L
121
65-135
3.00
20
Trichlorofluoromethane
19.1
0.250
10.0
ug/L
95.4
50-150
0.0901
20
Vinyl chloride
25.0
0.500
10.0
ug/L
125
5-195
0.539
20
Surrogate:1,2-Dxhlnroethane-d4
23.9
ug1L
95.6
63-140
Surrogate: p-Bromotluorobenzene
23.4
ug/L
93.7
60-140
Surrogate: Toluene -dB
24.7
uglL
98.6
60-140
BLK (WG703176-03)
Prepared: Analyzed: 04/11/2019
i,1,1-Trichloroethane
<0.250
0.250
5.00
ug/L
-
U
1,1,2,2-Tetrachloroethane
<0.250
0.250
5.00
ug/L
_
U
1,1,2-Trichlaroethane
<0.250
0.250
5.00
ug/L
-
U
1,1-1)ichloroethane
<0.250
0.250
5.00
ug1L
-
U
1,1-Dichloroethene
<0.500
0.500
5.00
uglL
-
U
1,2-Dichlorobenzene
<0.250
0.250
5.00
uglL
-
U
1,2-Dichloroethane
<0.250
0.250
5.00
ug1L
-
U
1,2-Dichloropropane
<0.250
0.250
5.00
ug/L
-
U
1,3-Dichlorobenzene
<0.250
0.250
5.00
ug/L
-
U
1,4-Dichlorobenzene
<0.250
0.250
5.00
ug/L
-
U
2-Chloroethyl vinyl ether
<5.00
5.00
10.0
ug/L
-
U
Acrolein
<2.50
2.50
10.0
ug/L
-
U
Acrylonitrile
<2.50
2.50
10.0
ug/L
-
U
Benzene
<0.250
0.250
5.00
ug1L
-
U
Bromodichloromethane
<0.250
0.250
5.00
ug/L
-
U
Bromoform
<0.500
0.500
5,00
ug1L
U
Bromomethane
<0.500
0.500
10.0
ug/L
-
U
Carbon tetrachloride
<0.250
0.250
5.00
ug/L
-
U
Chlorobenzene
<0.250
0,250
5.00
ug1L
_
U
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 283061910.864.1920 p I www.microbac.com page 10 of 14
VM CROBACO
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9D0087
Spike Source
%REC
RPD
Volatile Organics
Result
MDL
RL
knits
Level Result %REC
Limits RPD
Limit Notes
Batch WG703176 - SW5030C - EPA624.1
BLK (WG703176-03)
Prepared:
Analyzed: 0411112019
Chloroethane
<0.500
0.500
10.0
uglL
-
U
Chloroform
<0.250
0.250
5,00
ug1L
-
U
Chloromethane
<0.500
0.500
10.0
ug1L
-
U
cis-1,3-Dichloropropene
<0.250
0.250
5.00
ug1L
-
U
Dibromochloromethane
<0.250
0.250
5.00
ug1L
-
U
Ethyl benzene
<0.250
0.250
5.00
ug1L
-
U
Methylene chloride
<0.250
0.250
5.00
ug1L
-
U
Tetrachloroethene
<0.250
0.250
5.00
uglL
-
U
Toluene
<0.250
0.250
5.00
ugll-
-
U
trams-1,2-Dichloroethene
<0.250
0250
5.00
uglL
-
U
trans-1,3-Dichloropropene
<0.500
0.500
5.00
ug1L
-
U
Trichloroethene
<0.250
0.250
5.00
uglL
-
U
Trichlorofluoromethane
<0.250
0,250
10.0
uglL
-
U
Vinyl chloride
<0.500
0.500
10.0
ug1L
-
U
Surrogate:l,2-bichloroethan"4
24.1
ug1L
96.4
63-140
Surrogate: p-8romoiluorobenzene
23.5
uglL
93.9
60-140
Surrogate: Toluene-d8
24.1
ug1L
96.4
60-140
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, INC 28306 1 910.864.1920 p I www.microbac.com Page 1 i of 14
0MICROBACu
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9D0087
Definitions
Surrogate or spike compound out of range
MDL: Minimum Detection Limit
RL: Reporting Limit
RPD: Relative Percent Difference
TIC: Library Search Compound
U: Not detected at or above adjusted sample detection limit
Cooler Receipt Log
Cooler ID: Default Cooler Temp:
°C
Cooler Inspection Checklist
Ice Present or not required?
Yes
Shipping containers sealed or not required?
Yes
Custody seals intact or not required?
Yes
Chain of Custody (COC) Present?
Yes
COG includes customer information?
No
Relinquished and received signature on COG?
No
Sample collector identified on COC?
No
Sample type identified on COC?
No
Correct type of Containers Received
No
Correct number of containers listed on COC?
No
Containers Intact?
No
COG includes requested analyses?
No
Enough sample volume for indicated tests received?
No
Sample labels match COG (Name, Date 8 Time?)
No
Samples arrived within hold time?
No
Correct preservatives on COG or not required?
No
Chemical preservations checked or not required?
No
Preservation checks meet method requirements?
No
VOA vials have zero headspace, or not recd_?
No
Project Requested Certifications)
Microbac Laboratories, Inc. - Fayetteville
11 North Carolina DENR NPDES
Report Comments
Reviewed and Approved By:
Samples were received in proper condition and the reported results conform to
applicable accreditation standard unless otherwise noted.etL/Lr�
The data and information on this, and other accompanying documents, represents
only the sample(s) analyzed. This report is incomplete unless all pages indicated Jeanne Overstreet
in the footnote are present and an authorized signature is included. Client Relationship Specialist, Environmental
Reported: 0411912oig 10:41
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 ] 910.864.1920 p I www.microbac.com Page 12 of 14
Fayetteville Division 2592 Hope Mills Road -- Fayetteville, NC 28306 (910) 864-1920 I f
CHAIN OF CUSTODY RECORD
�B8i60Wd
.............
PACE I OF
CLIENT NAME&ADDRESS:
Poo
PROJECT] LOCATION;
NOF
TYPE OF ANALYSIS
PRESERVATION CODE
X
CODE: A = None
Purolator
Semi annual SW
B
3200 Natal Road
0
V
B = HNO3 (pH<2) + <4°C
CONTACTPERSON:
Fayetteville, NC 28306
Bob Oneill
T
N
C = H2SO4 (pH<2) + <4°C
T
L
CL
r1
C.i
y
a
a-_
O
:2_
M
D = NaOH + <4•C
E = ZN Acetate + <400
PHONE:
910 426-4280
SAMPLER:
Wright
e
�y
[
5E
j
w
a
.2
F = HC[
DATE 1 Mt_i}{OD OF SHIPMENT: J
Microbac
S
CD
Cl)
1
LAB ID #
SAMPLE TYPE
DATE
TIME
Comp
ORAS
0
O
0
�
pH FLD
DA
TEMP •C
OHLORINE
Storm Water sam €es
/ �-�
i v 9
X
1
B
�=Z.
X
1
A
X
2
C
X
3+1
F
X
4
A
X
i
Relinqu
Date
Time
Re eiv by: { lure)
Date
Time
2
Relinquished by:
Date
1111111101
Time
Received by: (Signature)
Data
Time
3
4
Relinquished by:
Date
Time
Racalvad by: (Signature)
Date
Time
Comments or Specia[ Hazards:
Page 13 of 14
*K9D0087*
STORM WATER - QUALITATIVE MONITORING - PUROLATOR
STORM
SITE #
DATE
SAMPLED
COLOR
ODOR
CLARITY
FLOATING
SOLIDS
SUSPENDED
SOLIDS
FOAM
OIL SHEEN
EROSION OR
DEPOSITION AT
THE OUTFALL
OTHER OBVIOUS
INDICATORS OF
STORMWATER
POLLUTION
1 r p
low n
AUK r
/lort y
IV lun p
1 v-i a
fJuA
NG' (1
tJ
P
TOTAL RAINFALL (Inches):
Page 14 of 14
CERTIFICATE OF COVERAI
FACILITY NAME
COUNTY M P,X[eyl b
PERSON COLLE Ti� NG S r
LABORATORY
Comments on sample col
Semi-annual Stormwater Discharge Monitorin 'Re ort
for North Carolina DlVision of Water Quality General Permit No. NCG030000
Date submitted
rJ �
G
I:a_ Lab Cert. # / Z
or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
MPLE COLLECTION YEAR �b
IOD IB,anune ❑ July -Dec
AU�r o ❑ Monthly' (month)l
�1SCH ,JGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
C�✓dr ❑Zero -flow ❑Water Supply ❑SA
DWQ BOG ES ]Other (14 /I4M P el Ca ��ihuO' � �.
CU,•c e1L.0 t- it ell
4a e, e r3a�i�
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period ?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inchee
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks =__> ! -
? _ 7 W Zo 19' O . e 7
100 mg/L or 5o mg/L
6.0 -- 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
2 . 6 n2 A-
Z
&OOR Mq t
, Oa S `
a,0 /So.,1
S; p
Z
o 7 110aly'
& 87
7. B ,P+
7.;Z
0. J 4OCT
� '
O,014
5,a
---
3
W po,?
05 '
o . o r
---
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
zFor sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics Is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469,12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
x ! D<4eo,+ on 6";+
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO mooing
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is Implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
9 Q ! n �r
CrpV� iZp�nyr¢ll�t°�l 1�I�a-�C g J C C f►1 I r L av) OY4
tle (Printtitle) v
r zoo
(SI ature) V (Date)
Note: Results must be reported in numerical format. Do not Lenart Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, fty must be reported in the foMgl. "<XX ms/L". where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample venue in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this eriod?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar 0&G/TPH by
EPA 1664 (SGT-HEM)
total Suspended Solids
pH
Benchmarks ===>
-
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
N
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
Note: if you report a sample value in excess of the benchmark, you must implement Irler 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AAND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mall an original and one copy of this DMR, including all "No Discharge" reports. within 30 days of receipt of the lab results for at end ofmonitoring peria
in the -case of"_No-Discharae" renortsl ta:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
0
ature of Permitteej
zo/
(D te)
Permit Date. 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3