NCG060384_2022 DMR_20220926 (2)

NCDEQ Division of Energy, Mineral and Land Resources
5tormwater Discharge Monitoring Report (DMR) Form for NCG060000
Food and Kindred
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report [DMRj Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DE MLR Regional Office.
Certificate of Coverage No. NCG06 03 4 Person Collecting Samples: John Haffner
Facility Name: Mondelez Global, LLC - Greensboro Laboratory Name: Pace Analytical
Facility County: Guliford Laboratory Cert. No.: 37706
Discharge during this period: © Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes ® No
If so, which Tier (I, 11, or lll)? N/A
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
outfall 001
Outfall
Outfall
Outfall
OutfallCode
N/A
Receiving Stream Class
Ws -Iv
N/A
Date Sample Collected MM/DD/YYYY
06/27/2022
46529
24-Hour Rainfall in inches
0.2
00556
Oil & Grease in mg/L {30)
No Detect
C0530
TSS in mg/L (100 or 50*)
55.3
00400
pH in standard units (6.0 — 9.0)
Fecal Coliform per 100 ml of
31616
freshwater(1000)
N/A
Enterococci per 100 ml of saltwater
61211
(500)
N/A
Chemical Oxygen Demand in mg/L
00340
(1201
28.9
Part B: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date 5ample Collected MM/DD/YYYY
00552
Non -Polar Oil & Grease in mg/L (15)
New Motor/Hydraulic Oil Usage in
NCOIL
gal/month
' Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L.
Notes (optional):
"I certify by my signature below, 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
k owing Flations.
Na
Signatur o Pe mittee or D gated Authorized Individual Date

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'JIGreen%eld Ave Telephone +143A28995G5
Ej� l,MFax [phone]
est AIIISWiscorsm www erm cam ERM
August 3, 2022
Division of Water Quality
Attn. DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
RE- Mondelez Global LLC (Permit No. NCG060384) Discharge Monitoring Report
On behalf of the Mondelez Global LLC facility located in Greensboro, NO, please
find enclosed the Discharge Monitoring Report for the monitoring period of April 1,
2022 to June 30, 2022. Samples were collected on June 27, 2022. Should you
have any questions, I can be reached at [e-mail] or by phone at
[phone].
Sincerely,
i
-i�
Darcy Sobczak
Project Engineer
Enclosed: Discharge Monitoring Report for Permit No. NCG060384
C: John Welch, Logistics Supervisor
C: Maria Villanova, Manager of Customer Logistics