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HomeMy WebLinkAboutNCG060114_MONITORING INFO_20181115STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V DOC TYPE ❑HISTORICAL FILE �f MONITORING REPORTS DOC DATE ❑ aO)g I115 YYYYMMDD SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEzIvED for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted //- /s oie DEC 2Q1$ LES CERTIFICATE OF COVERAGE NO. NCG 6 0 i ) � SAMPLE COLLECTION YEAR 2018 tp�fll, SrC-RAL too FACILITY NAME 06112Vey- 1`�CL71� hJJI s�� ri h 6 uS) 11 j C FACILITY ACTIVITIES INCLUDE (check all that apply): )Vl� Lrt��� COUNTY fl V KC_ c ❑ use/process meats ❑ use animal fats/byproducts - N O PERSON COLLECTING SAMPLES 3p l kF- t)PCk UI _CO RT46g) M DISCHARGING TO SALTWATERS? ❑YES [ZNO LABORATORY l'V1)Ci 0 f3AL_ r ���Tab Cert. # II L-4rvC N L 14 3 -1171 PLEASE REMEMBER TO SIGN ON THE REVERSE Zl* -4�- 3'7g 7 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z" Y 't or ❑ No discharge this period3 Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococcl , Colonies per 1D0 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 500 11 15 Zol 51$3 3 32.5 <;5"Ca At JV ` Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes [,�tno Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units il U New Motor Oe, Annual aver a gal/mo Benchmark - 30 1 r 50 6.0 — 9.o - 1 Only ap6lies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (ifyes, complete Part B) QNVI T 1110 1 :,a 1Ze'ViCPr1 0c ether 19. 201 ? - *FOR PART A AND PART B MONITORING RESULTS. • A BENCHMARK EXCEEDANCE TRIGGERS TIER I REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART li SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ RE IONAL OFFICE? YES ❑ NO ❑ r1 jA REGIONAL OFFICE CONTACT NAME: > / 4 Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case- of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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." of Per itte) �c2 lqtlG (Date) Additional copies of this form may be downloaded at: http:L/portal.ncdenr.org/web/wg/ws(su/npdessw#tab-4 SWU-249 I.ast Revised: October 18. 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina division of Water Quality General Permit No. NCG060000 Date submitted Cr,, i a1 I IPAk E C F CERTIFICATE OF COVERAGE NO. NCGOfi0 � ,L,'-� SAMPLE COLLECTION YEAR _ �o � k JUN 2 7 FACILITY NAME I CveV--.LLQznj�' CJi -_,-g (�s1 Ir.c FACILITY ACTIVITIES INCLUDE (check all that apply)- COUNTY V-�C _ J ❑ use/process meats ❑ use animal fats/byproductt; _LZC, PERSON COLLECTING SAMPLES So,\t yoc)v. � 124w 1 Pc", nti.� � DISCHARGING TO SALTWATERS? []YES �IyQ uvL � `SECTIO1``, LABORATQRYiKkC,r bac. Lab Cert. # NL iAk ' tj C t� PLEASE RFMEM4FR TO SIGN ON THE REVERSE 3 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfa°l 21 or ❑ No discharge this periods Outfall No. Sample Collected, mo/dd/yr TSS, rng/L pH, Standard units COD, mg/L flit and Grease, mg/L FScal Conform , Colonies per 100 ml Enterococci , colonies per 100 rill Benchmark - 100 at 50 Within 6.0 -- SX 120 30 1000 Sao 2 Ce S 'z _5 CA Le .(.V G r ' Only applies to facilities that r;se/process meats. The total precipitation must be recorded using data frorn an on -site rain gauge. ' For sampi=.ng periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. `See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [ yes no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, ma/dd/yr Oil and Grease, mg/L TS51 mg/L pH, Standard units New Motor Oil Usage, Annual average gal/ma Benchmark - 30 100 or 50 6.0-- 9.0 - r 1 Only applies to facilities that use/process meats. ZThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. `See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if ves, complete Part B) SWU-249 Last Revised; October 19, 2012 *FOR PART A AND PART S [MONITORING RESULTS: o A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT {CART It SECTION B. e 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. a TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE?�-Jef] REGIONAL OFFICE CONTACT NAME: Mail an oricri_nal and one copy of this DMR, including „all "No Discharge" reports, within 30 days of receipt of the lab results for at end o monitoring period in the case of "Na Discharge" wortsl to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27635-1617 YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 klowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false inforration, inc ng the pgssfE"Jty o�.fiy�es and imprisonment for knowing violations." Z/ M6 of Additional copies of this form may be downloaded at: h;tr):/,'portal.ncdenr.arg/;A,eblwo/wsLulnoLie sz w#tab-1 SWU-349 I.ast Revised: 0010ber ? 8, 201 3 Page ? of 0MICROBAC' Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8F0230 Unilever Project Name: Stormwater samples - Semiannual Ms. Amy Dorney Project / PO Number: D012425697 (April 18 2018 - ) 100 Faberge Blvd. Received: 06/14/2018 Raeford, NC 28376 Reported: 06/20/2018 Analytical Testing Parameters Client Sample ID: Storm water, grab Sample Matrix: Aqueous Collected By: Unilever Lab Sample ID: K8F0230-01 Collection Date: 06/13/2018 16:10 Wet Chemistry Result RL Units Note Prepared Analyzed Analyst Method: EPA 1664 Rev. B Oil & Grease (HEM) <5.0 5.0 mg1L 06/15/18 0921 TAB Method: SM 2540 D-2011 Total Suspended Solids <2.50 2.50 mg1L 06114/18 1037 MT Method: SM 4500 H+B-2011 pH at 25 °C 5.3 1.0 pH Units H 06/15/18 1128 JR Method: SM 5210 B-2011 BOD <2.00 2.00 mg/L G3 06/14/18 1139 DC Method: SM 5220 D-2011 COD, Total 16.6 10.0 mg1L 0611908 0817 DC Analyses Subcontracted to: Pace Analytical Atlanta Wet Chemistry Result RL Units Note Prepared Analyzed Analyst Method: SM 5540 C-2011 Surfactants, MBAS ND mg/L 0.2 mg/L 06/15/18 0000 MP Definitions G3: No sample dilution met the requirement of a DO depletion of at least 2.0 mg/L and/or 1.0 mg/L H: Analyte was prepared and/or analyzed outside of the analytical method holding time RL: Reporting Limit Project Requested Certifications) Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPDES Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p I www.microbac_com _ Page 1 of 3 _ (5)MICROBAC" Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8F0230 Report Comments Samples were received in proper condition and the reported results conform to applicable accreditation standard unless otherwise noted. The data and information on this, and other accompanying documents, represents only the sample(s) analyzed. This report is incomplete unless all pages indicated in the footnote are present and an authorized signature is included. Reviewed and Approved By, Brittany Smith Administration britta ny.smith@micmbac.com 0612012018 10:51 Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864,1920 p I www.microbac.com Page 2 of 3 FAYETTEVILLE DIVISION • 2592 Hop* Mills Rood • Fayetteville, NC 28306 • (910) 864- ' 'K8F0230' CHAIN OF CUS70DY RECORD I 'CLIENT NAME 4'A6VRESS : DO'/li'd�a.s'.-:. i ' :PQOJEL7LOLATION': 9`+�" [ ,� � O m TYPE OF ANALYSIS PRESERVATION (COI) -.._. UNILEVER MPC 100 Faberge Blvd. Raeford, NC 28376 Raeford p AD V r '^ +- 11 z N i U � .a O ^e � � g V o 0 ~ CODE: A = <4'C ONLY B e HNO3 (ph<2) + ca'C C H2SO4 (ph<2) + c4'C D - NoOH+<4'C E 71J Acei*ls + c4'C F $�ium Thin. 9CDHTACT:PERSON:ay.�s:.4C��:.`�4'its":: »�,:-"rcr5.� --� '''-^'� Amy Do 'SAMPUR:2. :t:'�14I i'�f?+►T 910 875-1240 f 1 / V (� \{ v rPAMOA OF SUMMENT: ter' .."""'r MEL Pick-up LAB ID # Sample Type Sterl DO% Start Time End Date End Time COMPIGRAB PH D.O TEMP'C W. oaaaan c C -,-71 n ll 11 Comments or Specie! Hazards: Tem p � P= oo 1-11 - N 176ew -1L.. N R.cehedin.�c�+ �^7�x�d: _s- a»"'"r:;Y_- �.� :� .rhn.:. . i..�,�t 3 4 pH: gyp. i�l{erirkiydMi'+.:'•u.�,.ti:......,,'r�;,�r. Dete!.L`L:...M .nme���::G� �itid:ai�i"Ssrs��vl'.sisf+fsrrax•s�if pvN.�sm.rdr2� rim�idc""ssT�� I� Flow- �.'6-3L� -! G i VA Rttir _a.�� .��a:,::��rYs-5:. oeo.x..s-.:- r- .nrrwl� ,o-�i E c.1%4dei::: r ^�:�.�:armr:=Ion',uu.�:,6:.o�.�Yer,.,:�.,c�.. n,,,e.r..,.Wr,�r.- Additional Sample Comments: _ Dj t --If - C-L REVIEWED Page 3 Of 3 i i *FOR PART A AND PART B MONITORING RESULTS: a A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. O 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. e TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFAI_L7 YES [] NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE7 YE5 .NO`© REGIONAL OFFICE CONTACT NAME: Mall an orfainal and one copy of this DMR including a!! NNo DIs_c_harae- reports. within 30 days of res�i the lab results for at end of monitoring period In the case of HNe Dlscharae1 reeortsl to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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, accur te, and complete. I am aware that there are significant penalties for submitting false information. -in luding the possibi ity of fin s and mprisonment for knowing violations." (Signatu of iPermittee (D e) Additional copies of this form may be downloaded at: httn_//portal.ncdetir.ors/web/wa/ws/su/ripde5sw#tab-4 SW LJ-249 Last Revised. October 18. 2012 Page ? of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 RECEIVED Date submitted _ I I LO A FEB 0 2 2013 CERTIFICATE OF COVERAGE NO. NCGO6 0 1 1 Ll SAMPLE COLLECTION YEAR Zol'� CENTRAL FILES FACILITY NAME V f_ ) Z C FACILITY ACTIVITIES INCLUDE (check ail that apply): �' R SEC�'ION COUNTY _ ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTI G SAMPLES $Aci¢j kfgS tf✓_I.y3jV k VV L. jya 14mil DwwEgISCHARGING TO SALTWATERS? ❑YES 54NO LABORATORY Lab Cert. # i4e- # 377iq VIM Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall Z�' _ or ❑ No discharge this period Outfall No. Sample Collected, mo/dd/ r TSS, mg/L pH, Standard units COD, m /L Oil and Grease, mg/L Feca_I Coliform , Colonies er 200 ml Enterococcl , Colonies per 100 ml Benchmark - 100 or SO Within 6.0 — 9.0 120 30 1000 S00 2 2 4$ I 3 S 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes P no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, Mg/L pH, Standard units New Motor Oil Usage, Annual average al/mo Benchmark - 30 100 or 50 6.0 — 9.0 - i Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (Lf_y es complete Part 8) &)MICROBAC Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K7LQ365 Unilever Project Name: Stormwater samples - Semiannual Ms. Amy Dorney Project / PO Number: D011464022 (July - Dec 2017) 100 Faberge Blvd. Received: 12/08/2017 Raeford, NC 28376 Reported: 01/02/2018 Analytical Testing Parameters Cllent Sample 1D: Starm water, grab Sample Matrix: Aqueous Collected By: Unilever Lab Sample ID, K71-0365-01 Collection Date: 12108/2017 12:30 Wet Chemistry Result Method: EPA 1664 Rev. B Oil & Grease (HEM) <5.0 Method: SM 2540 D-2011 Total Suspended Solids 45.0 Method: SM 4500 H+B-2011 pH at 25 °C 5.2 Method: SM 5210 B-2011 BOD 3.00 Method: SM 5220 D-2011 COD, Total 46.3 Metals Result Method: EPA 200.7 Rev 4.4 1994 Zinc 0.106 Laboratory FAY: Microbac Laboratories, Inc. - Fayetteville RL Units Note Prepared Analyzed Lab 5.0 mg1L 12/12/17 0910 FAY 1.00 mg/L 12111/17 1053 FAY 0.1 pH Units H 12111/17 0911 FAY 0.200 mg/L B 12/08/17 1615 FAY 10.0 mg/L 12/14/17 0900 FAY RL Units Note Prepared Analyzed Lab 0,010 mg1L 011011181930 FAY Definitions B: Detected in the associated Method Blank H: Analyte was prepared and/or analyzed outside of the analytical method holding time RL: Reporting Limit Project Requested Certifications) Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPDES Microbac Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p I www.microbac.com FAYETTk"MLLE DIVISION • 2592 Hope Mills Road • Fayetteville, NC 28306 • (910) 864-1920 • Fax (910) 864-8774 CHAIN OF CUSTODY RE§M Y PAGE OF ,CLIENT NAAilE,8,'ADDRE55e'`- - •. ;Dp'.#i :_" I IkOJECT /LOCATION' N LUa O m O TYPE OF ANALYSIS PRESERVATION (CODE) UNiLEVSR HPC 100 Faberge Blvd. Raeford, NC 28376 Raeford pO m O � Z a o O — O � zs E. A a 0 v� < CODE: A = <4°C ONLY B = HNO3 (ph<2) <4°C C = H2SO4 (ph<2) f <4`C D = NoOH + <4°C E = ZN Acetate + <4°C F = Sodium Thio. C0K*ACT PEiM6N - '_ , ; . ' = 3. Amy Dorney PFI_DNE: : «. ' !SAM;n��i h, ' . � ' . 910 875-1240 MI_THOO £3F SIiIPMENT:' • MEL Pick-up LAB ID # Sample Type Start Date Start Time End Date End Time COMP (GRAB pH D.O rEMp °C s atcoci�sE .a✓ - I .rJ i l 1 I � � 7 t 1 1 1 � 1 I 1 a' ' uis}ieii ' Dale Time Received by, Dole Thu* Comments or Special Hazards: ` Temp: —s pH. Flow: 2 `• apt �" . (, Q21Lzisuished br: Date Timo Re[elved 5Y: : Cale Time 3 4 Re7 Eshed 6 : Data Time Received tr. Dale T7ilsa 5 6 ReG uWwd bp Date 17me Received h ., Data ,Time 7 8 Additional Son1ple Comments: SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Qua ity General Permit No. NCG060000 Date submitted I J o ��RECENED CERTIFICATE OF COVERAGE NO. NCG06 0 1 1 y SAMPLE COLLECTION YEAR 0 JUN 19 2017 FACILITY NAME VNILEva MAN AJW &S=N C FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY _ _ K£ . NC ❑ use/process meats ❑ use animal fats/byprodlR�CFILES PERSON COLLECTI G SAMPLES �gISCHARGING TO SALTWATERS? ❑YES NNO LABORATORY _ffil( OgAe- L,blklokiES Lab Cert. # rie it NC t� 377►q PLEASE REMEMBER TO SIGN ON THE REVERSE 4 VIM I 3m Part A: Stormwater Benchmarks and Monitoring Results Total event rainfa!! 1 or ❑ No discharge this period3 Outfall No. Sample Collected, mo/dd/ r TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 10 Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 500 5 a( i+ q 3 -25. d 5.00 l v 1 Only applies to facilities that use/process meats. zThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. "See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes 5§ no (if yes, complete Part B) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 - ' Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. I For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. NW eurr i %An i — oe..;­A- n.,+. k— 1 Q 10 I l Ei 'FOR PART A AND PART B MONITORING RESULTS: A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. e TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES 0 NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES .NO-0 REGIONAL OFFICE CONTACT NAME: Mail an original and one copy -of this DMR, including all "No Discharge" reports within 30 days of receipt of the lad results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 kn"Ledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including th possibility of fipes arr/irnprisonment for knowing violations." - - - - - _ - - - (Date) - Additional copies of this form may be downloaded at: http:/Ir)ortal.ncdenr.orglweblwci/ws/su/riDdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 &)MICROBAC ®R Fayetteville Division Certificate of Analysis Unilever MFG Date Reported: 06/08/17 Ms. Amy Domey Project: Stormwater samples - Semiannual Date Received: 05/26/17 100 Faberge Blvd. Date Sampled: 05/26/17 Raeford NC, 28376 Sampled By: Unilever Storm water, grab K7E0994-01 I Analyte Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Microbac Laboratories, Inc. - Fayetteville BOD 21.1 mg/L 05/26/17 17:00 ELM SM 5210 B-2011 G3 COD, Total 25.7 mg/L 06/06/17 15:10 ELM SM 5220 D-1997 Oil & Grease (HEM) <5.00 mg/L 06/02/17 09:16 JR EPA 1664 Rev. B pH 5.6 pH Units 05/30/17 14:34 ELM SM 4500 H+13-2000 H (Aqueous) Total Suspended Solids 9.43 mg/L 06/01/17 08:55 TAB SM 2540 D-1997 Zinc 0.565 mg/L 06/01/t7 10:49 AC EPA 200.7 Rev 4.4 1994 QC ]Batch Run - (Microbac Laboratories, Inc. - Fayetteville) Analyte Result - Units Source RPD Limit Zinc ND mg/L K7E0973 10 BOD 663 mg/L K7E0918 0.6 20 Total Suspended Solids 53.0 mg/L K7E1049 2 5 Total Suspended Solids 1020 mg/L i �' K7E 1082 19 5 pH 5.6 pH Units K7E0994 0 200 Total Suspended Solids 8.86 mg/L K7E0994 6 5 Zinc 0.782"'—.- mg/L K7E0970 10 Zinc 0.304 mg/L K7E0970 0.8 10 Zinc 1.0 mg/L K7 E0973 2 10 COD, Total 1150 mg/L E1082 5 20 COD, Total 1490 mg/L K7F0049 5 20 Zinc 0.249 mg/L 0057273 0.2 200 Notes and Definitions H Analyte was prepared and/or analyzed outside of the analytical method holding time G3 No sample dilution met the requirement of a DO depletion of at least 2.0 mg/L and/or 1.0 mg/L Microbac Laboratories, Inc. Page 1 of 3 iJ;Q? Nnna Mill. 0-41 1 C.—ff—Alln Mr 2wana I ain AAA iawk n I ain AAA R77A f I — mie•rnhop rnm OMICROBAC@ Fayetteville Division Certificate of Analysis Unilever MFG Date Reported: 06/08/17 Ms. Amy Domey Project: Stormwater samples - Semiannual Date Received: 05/26/17 100 Faberge Blvd. Date Sampled: 05/26/17 Raeford NC, 28376 Sampled By: Unilever State Certifications: NCDNR #I11 NCDOH #37714 Respectfully Submitted Bonnie K. Sanders, Senior Project Manager Thank you for your business. We invite yourfeedback on our level ofservice to you. Please conlacl the Division Manager, Rob Dermer at 910-864-1920 wish any questions. You may also eontaCt J. Trevor Boyce, President alpresidenl@microbac.com Microbac Laboratories, Inc. Page 2 Of 3 74,07 I.Innn W11e 0-. A I 1N(' 7R4AR 104A RRA in?n n 101A RRA P77A f I �anuw mir rnh�r rnm FAYETTEVILLE DNISION - 2592 Hope Mills Road - Fayetteville, NC 28306 - (910) 81 *K7E0994' 4 !9HAIN ®REgOR® J :CULrNT.NAJYIt & ADDRESS:`-7 DO'#:+:�`.. 'iY Li-'� .ya _°sf': ems' 'PROJECT -I WCATIOI�1: Ei m LL-m 0 TYPE OF ANALYSIS PRESERVATION (CODE) UNILEVER HPC 100 Faberge Blvd."'.C6NTACi.-OE Raeford, NC 28376 Raeford 0 O- V FN Z N a m o ,� — 0 a a O s V o 0 CODE: A <4°C ONLY 9 - »NO3 (phc2) + <4°C C = H2SO4 (pha2) + t4°C D = NaOH + ¢4°C ° E - ZN Acetate + C 4 C F - Sodium Thio. SON. ='a� " ;' ?v w �� cf w-PHONEi_ h 910 875-124D WLEIMOD'OF SHIPMEldT0 " MEL Pick-up LAB ID # Sam le TY0e Start Date Start Time End Date End Time COMP JGPLAB pH D.O TEMP °C ar3. CHLOMMf I x GIc Ic I I I01 on i� Rein ed Dc,e rrise Race' - Date rasa. Comments or Special Hazards: Temp: T �y Lam/ pH. /� ` r Flow: 3 y:. Date Tune' Mid Date Tisn� Relingai by:. Date Time _ Ired by - �..- Hate _ rsr,e 5 6 rums uritsed aat= r,i1: Receive W- - - nate.`,--: r i_ 7 8 Additional Sample Comments: (Cx (A) Jk) l ' I &4f 0 -i ► a rsi 7Q-- C C, c of r w2i +ice 1-1l � he �� ra Ari-sak v� . { ram, in 4-1n rr St o A-j,e _ - 5-ace rI-4 J RFAE VE© ', I Page 3 of 3 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted l'L- i!A - Zo i l4 F?EFCEF/VL=D CERTIFICATE OF COVERAGE NO. NCG06 D L L y SAMPLE COLLECTION YEAR o? D ! (o DEC�2 2 Zoiis FACILITY NAME VNJLfuF� ,M8dgE CrUQAR �)=nMC FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY ❑ use/process meats ❑ use animal fats/byprodur N-rpAL FIEFS PERSON COLLECTI G SAMPLES NEN 1(Us W DISCHARGING TO SALTWATERS? ❑YES 54NO WR SECTION LABORATORY Ih Lab Cert. # Air- NC It PLEASE REMEMBER TO SIGN ON THE REVERSE -� VID11 tl 37SI Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall' 0, 1 *� or ❑ No discharge this period3 Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 - 9.0 120 30 1000 500 a �l�0?9-16 30 6.05 5 (D- 131 4 5. Q o Only applies to facilities that use/process meats. zThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no (ifyes, complete Part B) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. - -- Sample Collected, mo/dd/yr - Oil and Grease, -----mg/L TSS, ---mg/L--- - pH, -Standard-units New Motor Oil Usage, —Annual average gal/mo Benchmark - 30 100 or 50 6.0 -- 9.0 - r 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at aU outfalls, you must still submit this discharge monitoring report with a checkmark here. 45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. CWTT-?a4 i qct Rauicarl• (')vtnhPr iR Nil? *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES REGIONAL OFFICE CONTACT NAME: Mail an oriar'nal and one copy of this DMR, including all "No Discharge" reports r within 30 days of receipt of the lob results (or at end of monitoring period in the case _of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: °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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of ¢ermittee)l - (Date) Additional copies of this form may be downloaded at: httj2://portal.ncdenr.org/web/WgLws/su/tipdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted LAZO CERTIFICATE OF COVERAGE NO. NCG06 0 1 L y FACILITY NAME VNIL&ja MAt4gEACTQ4A1.,=MC COUNTY PERSON COLLECTI G SAMPLES 1Rdwrw WiFQtlmeJ /M401'a l—Oiu,ddmJ LABORATORY Lab Cert. # NC it I I ' ' Ne- *k 3771q VIDA t1= 37$7 Part A: Stormwater Benchmarks and Monitoring Results RECEIVED MAY 1 0 ZO F6 SAMPLE COLLECTION YEAR �2tlp CAIr FACILITY ACTIVITIES INCLUDE (check all that apply): ENENTRALDVVR S FIILE ❑ use/process meats ❑ use animal fats/byproducts {aISCHARGING TO SALTWATERS? ❑YES XNO // PLEASE REMEMBER TO SIGN ON THE REVERSE Total event rainfall 2- , W' or ❑ No discharg is period Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, , Standard units COD, mg/L 011.and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterocacci , Colonies er_100,mI Benchmark - 100 or 504 Within 6.0-9.0 120 80 1000 506" .. o- z- lu <5.0 r. ff 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Ono Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Ciutfall No. - Sample Collected, mo/dd/yr- - oil and Grease, - --mg/L TSS, -,mg/L--- PH, -Standar& units New Motor Oil Usage, Annual average-gal/mo- - Benchmark - 30 100 or 50 6.0 — 9.0 - Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at aM outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part B) CWIi-7dt3 I act RPVI¢PII- rVinhrr IR ?01? *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART It SECTION B, • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFAI_L? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES REGIONAL OFFICE CONTACT NAME: Mail an oric linal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 kl-towledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the pos ' ility t es and imprisonment for knowing violations." (Signaty re of Per#iittee) 1 - (Date) Additional copies of this form may be downloaded at: http://portal,ncdenr.org/web/wq/ws/su/npdessw#ltab-4 SWU-249 Last Revised: October 18, 2412 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted It I q ! 2015 CERTIFICATE OF COVERAGE NO. NCG06 0I L I FACILITYNAME V\t� COUNTY 1-!bU , NC, PERSON COLLECTING SAMPLES9,01 'zeyhco Kkacxilf�tiJS �n+M anc:S LABORATORY Lab Cert. # NC11 UsD A -A�: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR L 15 FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts Tp..At TILES DISCHARGING TO SALTWATERS? ❑YES ®NO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 �, Total event rainfall z or ❑ No discharge this period3 Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0-9.0 120 30 1000 500 oe '2 10 L2.9 11019 'M TIA9 25.E L 5.00 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes 0 no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any. outfalls, you must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. SWU-249 CL. L+J r� LA. (if yes, complete Part B) Last Revised: October 18, 2012 Page I of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO N IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? 1 YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: NIA Mail an original and one copy of this DMA including all "No Discharge" reports, within 30 days of receipt of the lob results for at end o monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 perso .. s wKo rr anage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best f my knowl dge and true, accu te, and complete. I am aware that there are significant penalties for submitting false °' informs on, includin he p ibility often ,� an mprisonment for knowing violations." (Signatur of Permitt ) (Dat Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18, 2012 Page 2 of 2 L SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted to ` 1 - Z ells CERTIFICATE OF COVERAGE NO. NCG06 0 1.I y SAMPLE COLLECTION YEAR 20�5 FACILITY NAME Uhl1�&a ,r gNU , U lti/r �-21) =M C FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY 1Cf- . NC ❑ use/process meats ❑ use animal fats/byproducts PERSON C0LLEcTir4G SAMPLES gANjU VEZ W rnWk� ajuls h4mV rb&EgISCHARGING TO SALTWATERS? ❑YES �4NO LABORATORY Lab Cert. i# KC- # 37-71q US" it 37$7 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE -) Total event rainfall 1 0-35 "or ❑ No discharge this period' Outfali No. Sample Collected,, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per,100 ml Benchmark - 200 or 50 Within 6.0 — 9.0 120 e ` 30 - ' 1000 Soo 2 Os-oq-is i-S (P.S9 32. ��� q.Sol A f� 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at aU outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Kno Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average'gal/mo Benchmark - 30 100 or SO 6.0 — 9.0 - ' Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any. outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 7 v� (ifyes, complete Part B) CAVYt tan t ...-r o_.,:,o.a. r)-t-L,— I 7nII *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES REGIONAL OFFICE CONTACT NAME: Mail an original and one copy 9f this DMR, including all "No Discharge" reports, within 30 des of receipt of the lab results or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 gathef'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 informati nnclu ing ;the pos ibility f fines nd imprisonment for knowing violations." (Sig tur of Permitte) - (Date; Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT REC'�/vEFD for North Carolina Division of Water Quality General Permit No. NCG060000 C DEC & LU14 Date submitted G- �o/� D� R �CPL&S ,I �D /� lUN CERTIFICATE OF COVERAGE NO. NCG06 D 1. L SAMPLE COLLECTION YEAR FACILITY NAME VNILfy,94 MANv =M C FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Yf£ . N C ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTI G SAMPLES &pj[ l KEZIMW 41?MkV L-CAUJ.s 19MV_1_19WE9ISCHARGING TO SALTWATERS? ❑YES tgNO LABORATORY ffilWele iL� Lab Cert. # NC it I I " r NC- tl: 3-771q PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 or ❑ No discharge this Period Outfall No. Sample Collected, mo/dd%yr TSS, mdL pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococ_ci , Colonies per 100 ml Benchmark - 100 ar 50 Within 6.0 — 9.0 120 S0 1000 s60 11_17_a0111 112. y. 7 , oa ' Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ®.no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 - Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. if es complete Part B) *FOR PART A AND PART 8 MONITORING RESULTS: A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION 13. 0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART it SECTION B. O TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES REGIONAL OFFICE CONTACT NAME: Marl an original and one copy of this DMR, including all "No Discharge" reports within 30 days of receipt afthe lab results for at end of monitoring period in the case of "'No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system desig assure that qualified personnel properly gather -and evaluate the information submitted. Based on my inquiry of the person o ersons ho manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the est of my nowlecl e-an belief, t e, accurate, and complete. I am aware that there are significant penalties for submitting false infor ation, i uding tf)4pgse!Wthof f �es and imprisonment for knowing violations." Z r� (Dat4) Additional copies of this form may be downloaded at: http://portaI.ncdenr.org/web/wa/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18, 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted $ - l `i- 7_01-) REDEI \`c D SEP 0 5 m4 CENTRAL FILES CERTIFICATE OF COVERAGE NO. NCG06 1) SAMPLE COLLECTION YEAR a7o�y DWR SECTION FACILITY NAME UAILOVC M APJyrAC-ry iLJ US C. FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY oicE ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES l2ANaxl &_-Q FAoJ IN60-ct! "Ag l V DISCHARGING TO SALTWATERS? ❑YES NNO LABORATORY MICRof - `460li _o�tffS _ Lab Cert..# NC, ik I I Do,�lEy IUD 31 377,q PLEASE REMEMBER TO SIGN ON THE REVERSE USDA t$ 3761 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z b•'S or ❑ No discharge this period Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 500 �•12 13 • U ' Only applies to facilities that use/process meats. ZThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per moirth? ❑ yes ® no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 —9.0 - 1 Only applies to facilities that use/process meats. ZThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part B) SWU-249 Last Revised: October 18. 2012 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ 141A REGIONAL OFFICE CONTACT NAME: � _ Mail an oriyinal and one copy of this DMR, including a1! "No Discharge" reports, within 30 days of receipt o the Jab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 persorineI properly gather and evaluate the information submitted. Based on my inquiry of the person or pZy ns who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the bes who and belief, true, accurate, and complete. I am aware that the a are significant penalties for submitting false informa 'on, inclu ng t e ssibility of fines and imprisonment for knowing violations.' 1/(- (Signat'ure of P rmittee) (Date) r Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdes5w#tabb4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 We ask that while you are in our plant you follow these GMP and Safety Policies. Medical Emergency Reference: In the unlikely event a medical emergency arises during your stay in Raeford, please use the information below. In plant Emergency:'Diai 444 from any plant phone. It is, a(dedi aced line to se quriy,for any emergency, Fire, r `Emergency Medical, Services and Police. r *,SafetyContact is Donnie. Smith 910- i?80-975 (c) or 9.1.0-875 1280 (o). Report-al1,first aids and near misses. When performing maintenance on trucks, chock the wheels. Evacuate to designated area per alarm. Long continuous tone — outside by fence (Red Zone). Three short intermediate tones Inside in the CafeteriaBreak Room (Orange Zone). 0 Raeford's GMP Hygiene and Safety Evacuation Zones Red Zone (outside by fence) Vlslton Entrance rU i M3 M4 PCL i R3 ? OEO .�ta1 Orange R5 y Zone (Cafereriaf fF a6 Break Room) — Ri Mairrcemdce` M2 '. Mk �e Fmhs .d G—dtl Warehouse/oC R] RF 0 staneard Care manufacturing area General Care manutanurine area © N..--.ura—MSarea Effective 115115 Prior to entering the Standard Care Manufacturing area, you must wash your hands. • Everyone entering any Standard Care manufacturing area must put on a hair and a beard/mustache cover that completely encompasses the hair. Clean shaven heads and faces will no be required to cover up. This policy applies whether area is operational or not. They may not be used to'cover up jewelry. They may ►removed in offices, break rooms -conference rooms. No eating, drinking or chewing gum/candy is allowed in manufacturing or warehouse areas. Food may be transported through the plant on the blue walkway in a closed container. e Steel toed shoes are required everywhere in the plant. Steel toed shoes must be changed in the locker facilities daily. Visitors will be issued steel toed shoes. e Hearing protection and safety glasses are not required on the blue walkway. Hearing protection is required when off the blue walkway and in manufacturing or warehouse areas. . Personal belongings are not allowed in any manufacturing area. e A medical alert necklace tucked inside your shirt is the only jewelry allowed anywhere in the plant. • Uniforms are required and must be laundered by the uniform company. No exterior garments are allowed over uniforms. o Sleeves may be rolled/pushed up in the General Care Areas only. o Long pa sI9 f,� required. • High visibility gists a d hats should be changed o W. e t ey become soiled. . False fingernails polish are not allowed any Nails should be no longer than I/4 incTftha long. False eyelashes are prohibited. Anyone with a contagious infection (flu, pink eye, strep throat, etc) or uncovered open wound should not enter any manufacturing without contacting the SHE department for authorization. Unilever approved dressings will be issued and are the only allowable coverings allowed in any manufacturing area. • Only company approved/issued electronic devices are allowed for work related tasks. Voice calls are not to be conducted in the manufacturing or warehouse areas. They must be turned off prior to entering AP/Deo Compounding and within 12ft of any AP/Deo filler. Visitors must follow all of the same procedures, but will be given a lab coat to wear in the plant. Visitors may also be given gloves to cover any false nails or finger nail polish. Welcome to the Raeford Plant. If you are a visitor to our production facility, we ask that you obey the Safety Policies, Warning Signs and Good Manufacturing Practices detailed inside this brochure so that your visit will be a safe and .enjoyable one. ALL ACCIDENTS ARE PREVENTABLE Good Manufacturing Practice (GMP's) rules have been developed for the purpose of: • Establis s eciftc guidelines for L�:A�compan er tion governing personal appearance, by 'ene and cleaning & Wn. e ployees working in the s d the importance of arliness and hygienic • Making certain that employees readily understand rules concerning personal appearance, hygiene, sanitization and product protection. • Guaranteeing that product produced at Raeford is of the highest quality and free from contamination. When to Wash Hands The following list outlines when hands must be properly washed: • Before entering the Standard Care areas in the manufacturing plant. • After using the restroom • After anv actions that can contaminate the hands such as: • Sneezing, coughing into our hands or after using a handkerchief or tissue • Eating, drinking or using tobacco • Handling soiled equipment or tools • Switching between tasks where cross contamination could occur • Before handling any ingredients, finished product or packaging material (even if you are using gloves) • Using gloves is not a substitute for proper hand washing o When in doubt, wash hands Hand Washing Procedure: The following are the steps for proper hand washing: _ How to wash your hands properly 1YMMxhaa, 2 =9 3"Ov.0=ruh-20w ON'T FOMFr m ► ISH: bfft a your ftrb9M r E t V - un"I your math - the tope of your hmft 4�-,0� 5c mvh�f 6T Cffh� b UQJ1/`