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Home My WebLink AboutNCG140072_MONITORING INFO_20061106STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. DOC TYPE. ❑ HISTORICAL FILE V MONITORING REPORTS DOC DATE ❑ a U() L4 YYYYMMDD DISCHARGE OUTFALL MONITORING REP [ NCDENR GENERAL PERMIT NCG140000 1 I Nrn► 6 2006 (All sample data shall be reported no later than 30 days after receipt of tab results)- - DENR RALEIGH REGIONAL OFFICE Certificate of Coverage NCG14 pD D�fl ij Facility Name County / F. t ahL I'd .•-a Phone Number - ' S { 7 $!r 1 Certified Laboratory # 3 Person Collecting Sample(s) f Collectors Signature Sample Information Permit Term Year Year Start/End Dates - Place check mark to indicate applicable sampling plod Discharge Type (check as appropriate) Stormwater. ❑ ❑ " ❑ ❑ Wastewater ❑ ❑ ❑ ❑ ❑ I August 1, 2004 to Jul 31, 2005 [� ❑ ( ❑ ❑ 2 August 1, 2005 to July 31, 2006 3 August 1, 2006 to July 31, 2007 4 August 1, 2007 to July 31, 2008 5 August 1, 2008 to Jul 31, 2009 Part A: Stormwater Discharge Monitoring Data (For stormwater not combined with process wastewater) Storm Event Characteristics Date Total Event Preci itation (inches) Event Duration (hours) — lei — 6S' S' Stormwater Discharge Monitoring Outfall No. . Date Sample Collected (mo/dd/vr) Total Flow Total Event Precipitation (inches) Event Duration hours pH (Std. Units) Total Suspended Solids (mJl) Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new motor oil per month? ❑ YeS XNo If yes. complete information below. Stormwater Discharge Monitoring from Vehicle Maintenance Areas Outfall No. Date Sample Collected (mo/dd/ r) Total Flow (MG) Total Event Precipitation (inches) ,�. Event Duration (hours)' New Motor Oil Usage (gaUmo)' pH (Std. Units) Total Suspended Solids mg O Oil and Grease (mg 1) SwU-241-080104 Page lof2 Part B;: Process wastewater discharge monitoring data .... ...... ......... . Ca. Sample # Effluent Source(s) for'this sample Vehicle / Equipment Cleaning Raw Material Stock -pile Wettin ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑ Parameter '• Unit , .1 Dgta ) ,I — Collection Date mo/dd/yr Total Flow'- MG Event Duration hours f _ i pH Sid. units Z TSS mgft Settleable Solids MIA Sample # Effluent Source(s) for this sample Vehicle / E ui ment Cleaning ❑ Raw Material Stock -pile Wetting ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑ Parameter Unit Data Collection Date mo/dd/yr ' Total Flow MG Event Duration hours pH Std. units TSS mgn Settleable Solids mul Mail original and one copy to: Attn: Central Files Division of Water Quality DENR 1617 Mail Service Center Raleigh, NC 27699-1617 SW IJ-24 t -080I o4 Sample # 7- Effluent Source(s) for this sample 4 � Vehicle / Equipment CleaningImo' Raw Material Stock -pile Wetting ❑ Mixing Drum Clean -out ❑ Recycle- System Overflow ❑ Parameter'• •' - • Unit -., Data Collection Date : �,mo/dd/yr Total Flow, <,MG l Event Duration hours pH Std. units , TSS mg/l ,Settleable Solids MIA Sample # _ Effluent Sources forthis•sam le / Vehicle / Equipment Cleaning ❑ Raw Material Stock -pile Wettin ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑ Parameter Unit Data Collection Date mo/dd/yr Total Flow MG Event Duration hours pH Std. units TSS mg/1 Settleable Solids myl "1 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 f,--- Ind imprisonment for knowing violations." (Print N*(Sirl- ,— r n 1:re. ,.__') of Yermtttee or t)esignee tDate)/ Paec 2 of 2 a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report . ,i__ r, Permit No.: N/C/_/ /_/ / / /_/ or Certificate of Coverage N Facility Name: e % .4-- or County: fig' a ej Phone No. Inspector: kol 6 y 60` Date of Inspection: i By this signature, I certify that this report is accurate and complete to the best of my knowledge: %(cr� .4%e� (Signature of Permittee or Designee) 1. Outfall Description Outfall No. _I Structure (pipe,. ' ch, etc.) Receiving Stream: Describe the industrial activities that occur within the outfall drainage 2. Color Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: e- i r g% r 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) _ 7 .D I -e- 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 2 3 4 5 6 7 8 9 10 Page 1 SWU-242-101599 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 1 (2) 3 4 5 6 7 8 9 10 6. Suspended Solids Choose, the number which best describes the amount of suspended solids in the stormwater discharge where Lis no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 "Vjv: d 0' 7. Foam Is there any foam in the stormwater discharge? Yts' No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No N_ - 9. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam or oil sheen may be indicative of pollutant exposure. These conditions may warrant further investigation. Z Page 2 SWU-242-101599 .. F.vi y e y t j Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N/C/_/_/_1 /—/—/_/ or Certificate of Coverage No.: N/OG�I Y Facility Name: A4— County: o .4 G I;+ Phone No. Inspector: Aob D,'// c Date of Inspec 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 Outfall No. 2 Structure (pipe, ditch, etc.) Receiving Stream: Describe the industrial activities that occur within the outfall drainage 2. Color Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: e_ / .a a1 /� 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) la 1_40 L' — 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 �' 3 4 5 6 7 8 9 10 Page 1 SWU-242-101599 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where I is no solids and 10 is the surface covered with floating solids: I (�2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best. describes the amount of suspended solids in the stormwater discharge where 1 is'no*solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 10 7. Foam A. i Is there any foam in the stormwater discharge? Yvs' No .n 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No _a 9. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam or oil sheen may be indicative of pollutant exposure. These conditions may warrant further investigation. Page 2 SVM-242-I01599 0 0 Telephone: (919)834-4984 Fax: (919)834.6497 7 0 TE ST 6701 Conference Drive Raleigh, NC 27607 Laboratory Report --- Prepared for --- LYMAN AUSTIN READY MIXED CONCRETE CO. P.O. BOX 27326 RALEIGH, NC 27611 Project No.: Project ID: PLANT 8 No. Sample ID 001 OUTFALL 1 Page 1 of 1 NCM/W Cert. #: 067 NCIDW Cent. #: 37731 Report Date: 10112/2006 Date Received: 10/6/2006 Work Order #: Cust. Code: Cust. P.O.#: 0610-00492 RE1520 Date Sampled Time Sampled Matrix Sample Type Condition 10I6/2006 9:15 SW Grab 4 +/- 2 deg C Analyzed Test Performed Method Results Date Time Qualifier Total Suspended Solids EPA 160.2 24.8 mg/L 10I9I06 16:00 No. Sample ID 002 OUTFALL 2 Date Sampled Time Sampled Matrix Sample Type Condition 10/6/2006 9:15 SW Grab 4 +/- 2 deg C Analyzed Test Performed Method Results Date Time Qualifier Total Suspended Solids EPA 160.2 23.6 mg/L 10I9/06 16:00 Reviewed by: n for Tritest, Inc. O O VRoTE ST SAMPLE PRESERVATION CHECK -IN SHEET WO#: 6 G Io -oo i Checked in by: Date: (Q 6 Time: I�Q Temp: L < Route: CD TTS I TTPU I USM FEDX GC UPS Sample Analysis Requested 7S.mpleC.,n.�p/No. Container Chlorine Preservative None HCL H2SO4 HNO3 NaOH Thio OTHER C l G Pos / gTe HCL H2SO4 IIN03 NaOH Thin OTHER C / G Pos / 1 g HCL H2SO4 HNO3 NaOH Th o OTHER C/G P/G Pos/neg HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos /neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio C / G P / G Pos/neg None HCL H2SO4 I IN03 NaOH Thio C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio JOTHER C / G P / G Pos / neg None HCL H2SO4 I-IN03 NaOH Thio CIG P / G Pos / neg None HCL H2SO4 hfNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 I-IN03 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos /neg None HCL Hi HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg NOne HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER CIG P / G Pos /neg None HCL H2SO4 HNO3 NaOH Thio OTHER CVMMEN 1 J: `I1 G? uT�ST 6701 Conference Drive, Raleigh, NC 27607 ph: (919) 834-4984 fax: (919)834-6497 NCWW Cart #67, NCDW Cert # 37731 Report Results To: READY MIXED CONCRETE CO. P.O. BOX 27326 RALEIGH, NC 27611 Attn: LYMAN AUSTIN Phone: 919-790-1520 Fax: 919-981-0910 Chain of .Custody Bill Results To: READY MIXED CONCRETE CO. P.O. BOX 27326 RALEIGH, NC 27611 Attn: LYMAN AUSTIN (�'Vv ta(6 Q6ro-66ggZ Tritest W.O. G6484462'#' Page 1 of 1 ❑ Standard Report Delivery ❑ Rush Report Delivery (w/ surcharge) Note: Rush projects are subject to prior approval by Lab Reauested Due Date: Project Reference: PLANT #8 Project Number: PLANT 8 Purchase Order #: Sampled By: Sample Description Composite or Grab Startate top Date; : WW.oW, Stop Time : sW cw etc Analysis. Requested _ Smp # Start Time OUTFALL 1 G �- O ' =1 SW Total Suspended Solids 001 OUTFALL 2 G c ` IL V SV�' Total Suspended Solids 002 OUTFACE 3 G _S.W Total Suspended-SelidS� S 003 Pell ui ed by (sig to Rec ed by (signatur Dat /jam _ � Time 1% 0 A& For Lab Use Only: Temperatue at receipt: R*,,Jsheefi= Re by (signatur DateTime ❑ 4+2 C Temp: S'J C R by (signature IRec iv d by (signature) Date Time ARA DISCHARGE OUTFALL MONITORING REPORT NCDENR GENERAL PERMIT NCG140000 (All sample data shall be reported no later than 30 days after receipt of lab results)' Certificate of Coverage NCG14 p�D�4dL Facility Name A6 County FP �� Phone Number - ' S 3 $'S l Certified Laboratory # Person Collecting Sample(s) r -507 Collectors Signature Sample Information Permit Term Year Year Start/End Dates Place check mark to indicate applicable sampling pe7 od Discharge Type (check as appropriate) Stormwater. Wastewater I August 1, 2004 to July 31, 2005 Ej ❑' ❑ ❑ ❑ ❑ ❑ ❑ E3 El ❑ ❑ 2 August 1, 2005 to July 31, 2006 3 August 1, 2006 to July 31, 2007 4 August 1, 2007 to July 31, 2008 5 August 1, 2008 to July 31, 2009 Part A: Stormwater Discharge Monitoring Data (For stormwater not combined with process wastewater) Storm Event Characteristics Date Total Event Precipitation (inches) Event Dilmdon (hours) Stormwater Discharge Monitoring Outfall No. Date Sample Total Flow Collected (mo/dd/vr) — Total Event Precipitation (inches) Event Duration (hours pH (Std. Units) Total Suspended Solids (mJtl 1 Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new motor of I per month? ❑ Ye5 XNo If yes. complete information below. . Stormwater Discharge Monitoring from Vehicle Maintenance Areas Outfall No. Date Sample Total Flow Collected (moldd/ ) (MG) Total Event Precipitation (inches) Event Duration (hours) New Motor Oil Usage (,-aVmo) pH (Std. Units) Total Suspended Solids (mo l) Oil and Grease (me/q SWU-241-080104 Page loft Part B: Process wastewater discharge monitoring data r L.. Sample # 1 Effluent Source(s) for this sample Vehicle / Equipment CleaningL'J Raw Material Stock -pile Wettin ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑ Parameter Unit i?ata ' Collection Date mo/dd/yr Total Flow MG 1 -z— Event Duration hours f _ 1 pH Std. units 7, TSS mg/l Settleable Solids myl Sample # Effluent Source(s) for this sample Vehicle / Equipment Cleanin ❑ Raw Material Stock -pile Wettin ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑ Parameter Unit Data Collection Date mo/dd/yr Total Flow MG Event Duration hours pH Std. units TSS mg/l Settleable Solids ml/1 Mail original and one copy to: Attn: Central Files Division of Water Quality DENR 1617 Mail Service Center Raleigh, NC 27699-1617 6Y^l�ltF:itlD� Sample # Z- Effluent Source(s) for this sample 4 � Vehicle / Equipment Cleaning 1 Raw Material Stock -pile Wetting ❑ Mixing Drum Clean -out ❑ Recycle- System Overflow ❑ Parameter-,,;' .Unit.-.,., Data Collection Date me/dd/yr Total Flow .-MG 1 Event Duration hours , PH Std_ units , TSS mg/I 5ettleabie Solids mill Sample # Effluent Source(s) forthis sam le 4 Vehicle / Equipment Cleaning ❑ Raw Material Stock -pile Wetting ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑ Parameter unit Data Collection Date mo/dd/yr Total Flow MG Event Duration hours PH Std. units TSS mg/l Settleable Solids myl "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 r--- Ind imprisonment for knowing violations." Lulti �u.s�i,Rl (Sir jr6 of eermtttee or Designee) tDate)/ Pa4e 2 of 2 a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N/C/_'/_/_/�/_/_/_/ or Certificate of Coverage No.: N/C/G/.Z/YQ�/ �C Facility Name: �c �g 0 County: E ¢ 4 f�{� el Phone No. Inspector: B 0 6 y r7` d '/l. Date of Inspection: -/ q .. (- - 4 4_ -_ 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 Outfall No. _� Structure (pipe, ch, etc.) Receiving Stream: Describe the industrial activities that occur within the outfall drainage 2. Color Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: F'. i r 4,, j" 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) fly 4 .y 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 R/ 3 4 5 6 7 Page I 8 9 10 SWU-242-101599 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 1 0 3 4 5 6 7 8 9 10 . 6. Suspended Solids Choose. the number which best describes the amount of suspended solids in the stormwater discharge where Lis no solids and 10 is extremely muddy: 1 2 3 4 56 7 8 9 10' 7. Foam B 5 Is there any foam in the stormwater discharge? YVs' No 17 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam or oil sheen may be indicative of pollutant exposure. These conditions may warrant further investigation. Page 2 SWU-242-101599 7 Permit No.: N Facility Name: County: 'C Inspector: -A Date of Inspec Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report / / or Certificate of Coverage No.: N/CQG�I � J A�ll 7 zl 'Vo.� R Phone No. By this signature, I certify that this report is accurate and complete to the best of my knowledge: J (Signature of Permittee or Designee) 1. Outfall Description Outfall No. 2 Structure (pipe, ditch, etc.) 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: L'_ / .naa- /' 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) %y if t- 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: O' 3 4 5 6 7 Page 1 8 9 10 SWU-242-101599 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where l,is no solids and ]0 is the surface covered with floating solids: 1 �2 3 4 56 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is'no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yvs' No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam or oil sheen may be indicative of pollutant exposure. These conditions may warrant further investigation. Page 2 SWU-242-101599 o Telephone: (919) 834-4984 Fax: (919) 834-6497 U TE ST 6701 Conference Drive Raleigh, NC 27607 Laboratory Report --- Prepared for --- LYMAN AUSTIN READY MIXED CONCRETE CO. P.O. BOX 27326 RALEIGH, NC 27611 Project No.: Project ID: PLANT 8 No. Sample ID 001 OUTFALL 1 Page 1 of 1 NC/WW Cert. #: 067 NCIDW Cert. M 37731 Report Date: 10/12/2006 Date Received: 10/612006 Work Order #: 0610-00492 Cust. Code: RE1520 Cust. P.O.#: Date Sampled Time Sampled Matrix Sample Type Condition 10/6/2006 9:15 SW Grab 4 +/- 2 deg C Analyzed Test Performed Method Results Date Time Qualifier Total Suspended Solids EPA 160.2 24.8 mg1L 10/9/06 16:00 No. Sample ID Date Sampled Time Sampled Matrix Sample Type Condition 002 OUTFALL 2 10/6/2006 9:15 SW Grab 4 +/- 2 deg C Analyzed Test Performed Method Results Date Time Qualifier Total Suspended Solids EPA 160.2 23.6 mg/L 10/9/06 16:00 Reviewed by: for Tritest, Inc UG�TEST SAMPLE PRESERVATION CHECK -IN SHEET won: 6�Io -OoYC2 Checked in by: Date: i0 6 Time: i70 Temp: Route: C TTS TTPU I USM FEDX GC I UPS Sample No. - Analysis Requested Sample Type Comp/ Grab Container Chlorine Preservative None HCL 112SO4 HNO3 NOOH Thin OTHER C / 4G Pos / g Oe HCL H2SO4 HNO3 NaOH Thio OTHER C / / G Pos / 19 N ne HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 IIN03 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thin OTHER C / G P / G Pos / neg None HCL H2SO4 HN 03 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 14NO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None' HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 IiNO3 NaOH Thio OTHER COMMENTS: 6701 Conference Drive, Raleigh, NC 27607 ph: (919) 834-4984 fax: (919) 834-6497 NCWW Cert #67, NCDW Cert # 37731 Report Results To: READY MIXED CONCRETE CO. P.O. BOX 27326 RALEIGH, NC 27611 Attn: LYMAN AUSTIN Phone: 919-790-1520 Fax: 919-981-0910 Chain of Custody Bill Results To: READY MIXED CONCRETE CO. P.O. BOX 27326 RALEIGH, INC 27611 Attn: LYMAN AUSTIN lk0� to�6 Gbto—co`t`1Z Tritest W.O. t3668$1if24� Page 1 of 1 Standard Report Delivery Rush Report Delivery (w/ surcharge) Note: Rush projects are subject to prior approval by Lab Requested Due Date: Project Reference Project Number: Purchase Order #: Sampled By: PLANT #8 PLANT 8 r Sample Description + OUTFALL1 ComposM1e£ orG�ab T G art a e tops ate3 �,atnx a x ww ow swcweio p SW r * na ysls: eques e f 4 y d Y + �, x aFp, � r ' '` h ^, Total Suspended Solids Smp,# 001 Start�Tlme q Sto Times p OUTFALL 2 G 1 c IL V SSA' Total Suspended Solids 002 OUTFACE 3 G ------ _SW Total -Suspended SQ� 003 Reli uis ed by (Siggatu (ll Rece ed by (signal ur Dat /(� _ (/ro Time Z . oe For Lab Use Only: Temperatue at receipt: Reli uished by (si QM ure) 4e!ci by (signatur Date O I I C �' O Time `` t ❑ 4±2 C Temp: 3'L5 C Date Time R n fished by (signature by (signature)