NCS000077 DMR SW (2)

DOW CORNING
4,. . ,
ENED ,
RISC
AU
I\'‘ 2016
Cei.?�t i�AL QN
June 2, 2016
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
Transmittal
2016 Semi-Annual
Stormwater Discharge Outfall Monitoring Report
Permit No.NrCQ� 4
Enclosed please find an original and one copy of the Semi-Annual Stormwater Discharge
Monitoring Report(DMR) for Permit No.NCS000077.
The stormwater event in which the samples were collected occurred on May 17, 2016. In the
enclosed analytical report from Pace Analytical,the reported results were all within the
permit limits.
The pH values for each of the stormwater outfalls were tested on site on the dayof collection
and within the 15 minute time frame. The results met the desired benchmark value range and
can be found in the attached stormwater discharge outfall (SDO) monitoring report.
•
If you have questions or comments regarding this submittal, pleasecontact Ronica Edgerton
at 336-547-7120.
Sincerely, -
1//
ake Fitzgerald
Site Manager

Pace Analytical Services,Inc.
9800 KmceyAve Suite 100
•-41aceAnalytical Huntersvdle,NC 28078
wwwpacelabs coal [phone]
May 31, 2016
Rachel Pool
DOW CORNING
2914 Patterson St
Greensboro, NC 27407
RE: Project: Stormwater
Pace Project No.: 92298172
Dear Rachel Pool:
Enclosed are the analytical results for sample(s) received by the laboratory on May 18, 2016. The
results relate only to the samples included in this report. Results reported herein conform to the
most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless
otherwise noted in the body of the report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
//JoZL
Nicole Gasiorowski
[e-mail]
Project Manager
Enclosures
cc Accounts Payable,DOW Corning
t pCCRFO
i=; a REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
( without the written consent of Pace Analytical Services,Inc Page 1 of 18
40RAt=

tit
STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
Permit Number:NC`*5 or SAMPLES COLLECTED DURING CALENDAR YEAR: r-)O 1(e
Certificate of Coverage Number:NEG (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives theesamplingrresults^ from the laboratory.)
FACILITY NAME DOW CO in i ' Shocd COUNTY ,, 1 , A )1�(� 1
PERSON COLLECTING SAMPLE(S) L/ OQ�t etCXSOY) PHONE 1. g�i(13) -71eo
dCERTIFIED LABORATORY(S) ,JJ Lab#
Lab# (SIGNA7 RE OF 1�"�i ?' EE OR DESIGNEE)
By this ignature,I cert'y that this report is accurate
complete to the best of my knowledge.
Part A:Specific Monitoring Requirements
Outfall Date 50050
No. Sample Total Total TO tG J Tata( TOM
Collected Flow(if app.) Rainfall 5USp,i pi NI-Men Ppj���ls
mo/dd/yr MG inches m0/11— Mg/t- MOP-
1 5-17-Ito 6,1 N4f, 7 —7 0,7-7 0.057
01 5-17- 110 0, 5 11. 7 7 AID N0
3 5-11-lip 0• 5 No -7 Al I) NO p Ey°, f ..rl
5- 17- Ib 0. .5 j(1.�i 7 NI) Ni)
i ,k_..--,,,....... �_��
5 5-17-1(c 0.6 11-1.1 7 MD AW JUN 0 7 2616
0 5-I1- 10 0, 5 iii3O '7 ND 0,Oc04
CFN!TPA1 X11 FS
DWR SECTION
Does 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 B:Vehicle Maintenance Activity Monitoring Requirements
Outfall Date 50050 00556 00530 00400
No. Sample Total Flow Total Rainfall Oil&Grease Non-polar Total pH New Motor Oil
Collected (if applicable) (if appl.) O&G/TPH Suspended Usage
(Method 1664 Solids
SGT-HEM),if
appl.
mo/dd/yr MG inches mg_/l mg/l Units gal/mo
Form SWU-246-062310
Page 1 of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date 5-11-/Igo Attn:Central Files
Total Event Precipitation(inches): 0.5 1617 Mail Service Center
Event Duration(hours): (only if applicable—see permit.) Raleigh,North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation(inches):
Event Duration(hours): (only if applicable—see permit.)
"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 possib'ity of fines and imprisonment for knowing violations."
6/6//6
(Sign t e of Permittee) (Date)
Form SWU-246-062310
Page 2 of 2