NCG100145 DMR SW

4
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO.,NCG100 1 4 S SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(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.)
FACILITY NAME McLamb's Auto Shop & Salvaae
PERSON -COLLECTING SAMPLES)
CERTIFIED LABORATORY(S) TestAmerica Pensacola 7 Lab # 314
lab X
PartA:-Stormwater Benchmarks and Monitoring Results,
COUNTY Wake
PHONE NO. 919 427-3794
PLEASE -REMEMBER TO=SIGN ON THE REVERSE,'
,Forsampling periods, with no, discharge, you must-submit`fhis discharge �moniforing farm noting "!Vo Flow" or "No Discharge" within
kc(ays of the end of that period to comp'lywith.perinit reporting requirements.
.Outfall
No. -
r
Date
Sample Collected, .
ino/dd/yeas" "
Total'- :
Rainfall,
` inches'
00400'="
1 00530 J
- - -
77023
01051"
78141.
'pH,,
?eta - aid`
Units''mg/!
,Total Suspended
,,,Solids (T55), , _
"� sNon-polar
- `O&G/TPH
-"(IMethod 1664
SGT -HEM); mg/L
Ethylene Glycolja
_ mg/L
Lead, Total
Recoverable,
Total Toxic
, pranics3,
mS/L
Ben_'chmark
_
-
6.0''-9:0-
100/50��
15
8,000
Tiers 2 and 3 =
0:03
_ `._
001.10/02/2015,
3.5,
8:2
'150
<1:6-
<20
0.047
Exempt
a
Note:•.If you reports sampledy6lue in, excess bf the'benchmaek value, or outside'the' benchmark range for pH, you must implement Ter 1 -or Tier,2 "responses in the General
Permit.
1Seelf pH values outside this range are,recorded'in,sampled,stormwater discharge's, but,ambient,precipitation pH levels are'lower, then the 16% e`r threshoKof-this benchmark
range, is.the,pH, of`the precipitation (within instrument`accuracy),in9ead;of,6 S:U. Readin_ gs from anon-site-or,local rain gauge_(or`IocaI precipitat on.data) must be documented
to demonstrate baARrrourid concentrations;Were-below the benchmark pH range of`6-9. '
2see;General'Permit text.to identify whether the,more protective benchmark applies for especially,sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics' is that list as stated in,Appendix"D, Table II of Chapter40.Code of Federal"Regulations (dk) Part, 122.
Form SWU-251, lastrevised 66tober25, 2012
Page 1 -of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. 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 allowed such a waiver, the
discharger shall sign the following certification' statement:
Solvent Management Plan 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 all the provisions of the solvent management plan
included in the Stormwater Pollution Prevention Plan
4
k
"
s �.
6
Name (Print name)
Signature
Mail'Original and one topyto:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date
"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 thejnformation 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.
am aware tat there are significant peiialtl�s for submitting false information, including the possibility of fines and imprisonment for knowing violations."
r,
of Permittee or
(bate)
Form SWU-251, last revised October 25, 2012
Page 2 of 2