NCS000136 DMR SW (2)

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North Carolina Department of Environmental Quality
Division of Energy, Minerals, and Land Resources
Stormwater Permitting Unit
512 N. Salisbury Street
Raleigh,NC 27604
Re: Semi-annual Stormwater Monitoring Report for—Year 5 Period 1
Mallinckrodt LLC
NPDES Individual Stormwater Permit No.NCS000136
Attention: Central Files
Attached are two (2) signed copies of the Stormwater Discharge Outfall (SDO) Monitoring
Report for Year 5 —Period 1 (December 1, 2015 through May 31, 2016) as required by Part III,
Section E of the above-referenced permit.
The next semi-annual storm water sample will be collected between June 1, 2016 and November
30, 2016 as required by the permit. If anyone in your offices has any questions concerning this
report, please do not hesitate to call me at 919-878-2895.
Sincerely,
Mallinckrodt LLC
5 4,12
Tim Roberts
Environmental Manager
Attachments (2)
Submitted via Federal Express Tracking# 776087594334
cc: Julie Summers- Mallinckrodt, w/Attachments
Daphne Jones—Solutions-IES w/Attachments
8801 Capital Boulevard•Raleigh,NC 27616•919 878 2800 T•919 878 2823 F•www.mallinckrodt corn

STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
PERMIT NO. NCS000136 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
CERTIFICATE OF COVERAGE NO. Not Applicable (NA) (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Mallinckrodt LLC COUNTY Wake County
PERSON COLLECTING SAMPLES Sean Jarvah—Solutions-IES PHONE NO. [phone]
CERTIFIED LABORATORY ESC Lab Sciences Lab#ENV375
PLEASE SIGN ON THE REVERSE 3
Part B: Specific Monitoring Requirements
Outfall Date Total pH, Conductivity, Chemical Total Nitrate- Ammonia Sulfate, Ammonium
No. Sample Suspended Standard uS/cm Oxygen Nitrogen, Nitrite, Nitrogen, mg/L Sulfate,
Collected, Solids, mg/L units Demand, mg/L mg/L mg/L mg/L
mo/dd/yr mg/L (calculated
result)
Benchmark - 100 6.0—9.0 NA 120 30 10 7.2 500 19 _
Outfall 001 3/4/2016 35.8 4.0 107 19.1 1.36 0.826 0.141 J 5.57 0.67
Outfall 002 3/4/2016 12.0 4.0 54 17.0 1.12 0.657 0.120 J 5.86 0.57
Outfall 003B . 3/4/2016 3.20 6.4 317 30.1 2.82 1.90 0.097 J 115 0.46
i
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
J—Laboratory qualifier indicating an estimated concentration for test result that was above method detection but below the reported detection limit.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_yes X no
(if yes, complete Part B)
Part D: Vehicle Maintenance Activity Monitoring Requirements
Outfall Date 00556 00530 00400
No. Sample Collected, Oil and Grease, Total Suspended pH, New Motor Oil Usage,
mo/dd/yr mg/L Solids, Standard units Annual average gal/mo
mg/L
Benchmark - 15 100 6.0—9.0 -
NA NA NA NA NA NA
Note. If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
•
Date 3/4/2016 (first event sampled) Attn. DWQ Central Files
Total Event Precipitation (inches): 0.11 (6 hr period) 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
SWU-245-031308
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Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
1 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).
Facilities that incorporate a solvent management plan into the Stormwater Pollution 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 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 "
NA
Name (Print name)
NA
Title (Print title)
NA NA
(Signature) (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 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."
if, 0411 2 (2446(Signat re, f Permittee) (Date)
SWU-245-031308
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