HomeMy WebLinkAboutNCG140269_MONITORING INFO_20020627STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV U& l y 9
DOC TYPE.
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ ��j�l� �j/� -2
YYYYMMDD
DISCHARGE OUTFALL NIONITORING REPORT
NCDENR GENERAL PERIMIT NCG140000
(All sample data shall be reported no late: than 30 days after receipt of lab results)
Certificate of Coveraze I
-
NCG14 ®� 0
Certified Laboratory
_Dot
Facility Name .
//jLAIS ��S%%GLf�C'r�
Person Collecting Sanipie(s)
Ccunty
Collec:crs Spat[_'-e
Phone Numbr.
i
Samnle Information
Pe=ni Term
Year
Year Start/End Dates
Place check mark to indicate
applicable sampling pe-.icd
Discharge Type
(check as approwia_) I
Stormwate-.
.
I Wastewate-.
1
I August 1.
1999 to July 31. 2000
❑
❑
i -
I August 1.
2000 to July 31. 2001
❑_
FJ
El
I Au2•st 1.2C01
to Rtly 31.2CO2
I
❑ I
I August 1.
2CO2 to Julv 31. 200-
.=.u_st !
2CO3 to July 31.2C04
I ❑
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Part A: Stormwater Discharge Monitoring Data (For s:c=water not c_ :7cined with process wastewater)
Storm Event Characteristics
Stormwater Discharge Monitorinz
011ttail
No.
Dale Sample Total Flow
CoDec ed -
(mo/ddlvr) (y1 )
Total Even[ Event Duru ion
P e=t-cen
(inches) (hours)
ptt
(Std. Units)
Total -
cuslyded
(mzfl)
I l I t_,-�' o2I /V/.c
I /1'75 1O
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Does this facility perform Vehicle Maintenance Activities using on average more than» gallons of new motor
oil per month? ❑ Yes ❑ No If yes, complete information below.
Stormwater Discharge bfonitorine from Vehicle Maintenance Areas
Outfall
No:.`'
Date Sample
Collected _=
(mc/dd/vr)
Total Flow :.
- c
(?VIG
Total Event I
Precipitation
_.
(iachesl
-Event _
I Duration .
(hours)
.-New pH
Motor Oil
. Usage
( mo) (Std. Units)
Total .
Suspended
Solids
(melt)
Oil and
Gsa_se
(m0)
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SWU-241-080199
Page lof 2
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)Xqun Tech Elivirunnlenull Labs, Inc. Analysis Request
01(,i I lumu M'O•"Inlo".iM till _
I'hunc `)19-i7h-$907 -SOU -S2'-3R 17 FAN 't19-771-706ti c Chain Of Custody
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Instructions On
Back
Page Of
rJaina:
Company /-^
Address:
Tj
City.Stale IP-_c-� I n . I (/'; G_
E/JCL 'v �� "� `� D�
Phone: FAX:
ATEt_ Sample Information
RBl a,. )
�U/�OciiS !�'1/S.-Sy�'�(C�
PIopilPov:
Quota z :
Sampler rJanie: '//n C
•'�Al�!��`J�" `�!V yQ
Sampler Si9nntura'
Bottle Information
Laboratory Use Only
Datc(T
Proccssef� i e' Y oL
B C F!! 30
Method of r_
Shipment: / Q
YJ �{
Rec'd On lee: p Rush:
Yes IJ no Tempe L IJ Yas I�no Dale Due:
Rush Costs:
Analysis Information
Analyses Requested Comments
sef1ce1, So es
Number
Sample ID
t,r:�L4- I c
Type
1
Date
Time
C
--
G
Type
P�
Size
IL
Pres.
tiP
#
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