NCG090021_MONITORING INFO_20110722

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C& c) '1
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ c) 0 I I 0 ^�'7 a
YYYYMMDD

AkzoNobel 1431 Progress Ave T [phone]
Wood Finishes and Adhesives High Point. NC 27261 F [phone]
USA www.akzonobel_comCndustrial
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JUL 2212011 AkzoNobel
y,,; I sinn-Salem Tomorrow's Answers Today
."!4mnal office
July 19, 2011
Mr. Corey Basinger
North Carolina Division of Water Quality
Winston-Salem regional Office
585 Waughtown Street
Winston-Salem, , NC 27107
Via CERTIFIED MAIL, RETURN RECEIPT
Re: Stormwater Discharge Outfall Monitoring Report
General Permit No. NCG09000, COC NCG090021
Akzo Nobel Coatings Inc.
High Point, Guilford County, NC 27261
Dear Mr. Basinger,
Please find enclosed a copy of our Stormwater Discharge Outfall Monitoring
Report for the two outfalls identified in the above captioned permit. The report
covers the annual permitted period of January 1, 2011 — June 30, 2011. Copies
of this report have also been submitted to the Central Files as required in the
permit.
This report is being sent in response to your request that was made during your
inspection of December 16, 2010. Please contact me in at [phone] if you
have any questions or require any additional information.
Sincerely,
N Salth,
lagher
Hafetya d Environmental Manager
Enclosure

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG090000
CERTIFICATE OF COVERAGE NO. NCG09 02.
FACILITY NAME s
PERSON COLLECTING SAMPLE(S) 11ur
CERTIFIED LABORATORY(S) Lab # WC3�4
Lab-#
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: a0lt
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility rectiyp the sampling results from the laboratory.)
COUNTY
P NO. 'U- 1
(SIG"41ATIN OF P#RMITTEE OR DESIGNEE)
By this signature, I Vertify that this report. is accurate
complete to the best of my knowledge
Ortfall
No.
Dale
Sample ,
Colieced..z-ad'�,�
5{1115U::: .: , ...
Q1027
lllil34..?ita
:. ;
Tola1
�<
Total
Chromium
I ntal
-Lead
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Wit
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4
11
n
0.004
1 42
L45
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Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — yes %-no
(if yes, complete Part B)
Part B: Vehicle Maintenance Actsvtty Monitoring Requirements
Na
S
Spie'Fa>�ai'Flow�
.i�". �
441 %
Xl..W .41
i
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Oil?andt
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Total
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Oil usage
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STORM EVENT CHARACTERISTICS:
(if more than one storm event was sampled)
Date 0 /it Date
Total Event Precipitation (ches)• Q. I __ Total Event Precipitation (inches): _
Event Duration (hours): Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attu: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

I
STORMWATER DISCIL....aE OUTFALL (SDO)
MONITORING REPORT
"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,. ;
inch he possibility of fines and-imprisopment for knowing violations."
(Signature of ttee) (Date)
Form SWU-255-072502
Page 2 of 2

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Life -Savinig Rklles- High Point, NC: Manufacturing Facility
Work with a valid work
permit when required Visitor safety
Use fall protection when
working at height
Obtain a permit for entry guidelines
into a confined space
Make sure moving
machinery is guarded
Obtain authorization
before disabling
safety equipment
Wear a seatbelt
in motor vehicles
when provided
Do not use alcohol
or drugs at work
AkzoNobel
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AkzoNobel
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Safety rules and policies
Welcome to Akio Nobel Coatings, Inc. High Point facility. The health and safety of our visitors, employees
and neighbors Is an integral part of our business policy. As a visitor to our location, please tamd€ar€ze
yourself with the following rules and procedure$.
All visitors must Sign in before entering the facility and out upon departure Lug books are located in the
lobbies of each building for this purpose_ Visitor badges are located in proxi€Wily to the log books anCf must
be displayed at alE times win le on site. Vehicle tags are also required to be displayed if your vehicle will tie
brought inside the perimeter fencing. Vehicle tags are riot required for the unfenced parking lot areas
Visitors must be accompanied by an AkzoNobel employes during their visit. Your contact person can
answer any Specrf€c questions that you may have auring your stay.
In the unlikely event that an emergency situation occurs during your visit, please review and foiiow these rules
1. For fires, there is an automated alarrn system A steady, loud audio alarm mji Sound In addition, a
flashing strobe light system will also be activated. Alarms will be in all buildings across the site.
2. Upon activation of the tire alarm system, please accompany your contact person to you, designated
mr.ister areas. For Buildings 1, 2. 3, d and 9, the main parking lot on Progress Avenue is the mister point
3. For Building g, the main parking lot on Prospect Avenue. For Building 6, the main parking lot on Bethel
Road. For Building 5, the main parking lot in front of the tank farm is the muster point.
4 if you become ill or suffer an injury while on site. please inform your AkzoNobel contact €mmed€ately-
You may also contact the operator by pressing "C' on any plant phone
5 For any other emergency, instructions will be giver' over the plant w€de PA system.
The High Pont facility is a manufacturuig site. Materials are present throughot€t the faC11€ty that have
hazards associated with them. Speedo information rinciud€ng MSDS'sj is available from your AkzoNobel
contact with respect to any materials you may have questions about during your stay If you come into
direct contact with any material during your visit, please notify your contact person unmediately and wash
the material off.
Due to the flammability of marry of the materials used on site, open flame and non -explosion proof
equipment is strictly controlled. Smoking is pennitted in designated areas only. Smoking materials may bra
ht only when you are completely underneath the smoking shelter and a[I rnaiefIals must be eXlIncguished
and disposed of in the provided receptacles prior to exiting the shelter. Coil I cameras, and other
non -explosion proof equipment are prohibited in praduction areas. These items must be left in an office
area or In your vehicle.
Safety glasses with side shields, steel toe shoes, long sleeve shirt and pants. ear plugs, bu€rip caps and
a high visibility vest must be worn in all produCt€cn areas. If you do not have steel toe, shoes you mast
wear shoes which enclose the entire foot and a pair of steel toe overshoes will be provided. All tab areas
require safety glasses with side shields. steel toe shoes. long sleeve shirl and pants. These items or any
additional safety equipment can be provided upon request from your contact person.
The plant Speed limit is 20 mph The use of cell phones or texting while driv€rig is prohibited anywhere on
company property, ux;ludutg parking lots Please be alert and aware of your surroundings and watch for
vehicles {fork trucks, golf earls, cars, trucks. cl i
All stairways are equipped with handrails. Use of handrails is required for all personnel, Moth ascending
and descending the stairs,
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Thank you for reviewing and following our safety rules Enjoy your visit.