NCGNE0800_COMPLETE FILE - HISTORICAL_20170419

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE 0
ouU
DOC TYPE
0 HISTORICAL FILE
DOC DATE
❑ a019 09-Ll
YYYYMMDD

Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
Mr. Thomas Estock
QG Printing II, LLC
N61 W23044 Harry's Way
Sussex, WI 53089-2827
Dear Mr. Estock:
April 19, 2017
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
Subject: Name/Ownership Change Request
No Exposure Certification NCGNE0800
QG Printing II, LLC
Formerly Quad/Graphics, Inc.
Mecklenburg County
The Division has reviewed your submittal of the permit name/ownership change form for the
subject No -Exposure Certification. Division personnel have reviewed and approved your
request to transfer the exclusion from NPDES stormwater permitting requirements.
0
Please note that by our original acceptance of the No -Exposure Certification and by our
approval of your request to transfer it, you are obligated to maintain no -exposure conditions
at your facility. If conditions change such that your facility can no longer qualify for the no -
exposure exclusion, you are obligated to immediately obtain NPDES permit coverage for
your stormwater discharge. Otherwise, the discharge becomes subject to enforcement as an
un-permitted discharge.
Annual re -certification is required, and we have enclosed one blank Annual No Exposure
Exclusion Self Re -Certification form for your use. Your certification of no exposure does
not affect your facility's legal requirements to obtain environmental permits that may be
required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact the Stormwater
Permitting Program at [phone].
Sincerely,
Original Signed by
Richard L. Riddle, Jr.
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land
cc: Mooresville Regional Office
Stormwater-P&r niftdg.Program
Nothing Compares--,_,
State of North Carolina I Environmental Quality I Energy. Mineral and Land Resources
512 N. Salisbury Street 1 1612 Mail Service Center I Raleigh, North Carolina 27699-1612
919 707 9200

a . 0
%a QuadGraphics
December 12, 2016
Division of water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, NC 27699-1617
MOU" ll
VVVKV
N61 W23044 Harry's Way
Sussex, WI
53089-2827
Telephone: [phone]
www.QG.com
RE: Notification of an Intra-Company Facility Ownership Reorganization for QG Printing II Corp.
10911 Granite Street, Charlotte, NC 28273
No Exposure Certification NCGNE0800
Dear Sir or Madam,
This letter is to notify you that Quad/Graphics, Inc. (Quad) is simplifying its organizational structure.
Accordingly, before the end of 2016, permits currently held by QG Printing 11 Corp. located at 10911
Granite Street in Charlotte, NC will thereafter be held in the name of the parent company, QG Printing1
II LLC.
Both the old owner and the new owner are wholly -owned subsidiaries of Quad. Please note this
ownership change for your files. If it is necessary to amend the above referenced permit to reflect
this change, please consider this a request to amend such permit.
Other than this naming clarification, no changes in the operations being conducted at the facility, the
address of the facility or the primary contact person are anticipated to occur.
If you have an questions, please do not hesitate to contact me at the below E-mail address or
telephone7mber. Thank you. i
Si
ThoYnas E s t o c k a4.1W1nF 0,—
Director of Environmental Management
Quad/Graphics, Inc.
E-mail: [e-mail]
Telephone: [phone]
5 -rwG,
MAR 13 2017

AJILA.
HCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
Mr. David Dwiggins
Vertis Communications
10911 Granite Street
Charlotte, North Carolina 28273
Dear Mr. Dwiggins:
FiLE
Natural Resources
September 26, 2011
Subject: No -Exposure Certification NCGNE0800
Vertis Communications
10911 Granite Street, Charlotte, NC
Mecklenburg County
Dee Freeman
Secretary
The Division has reviewed your submittal of the No -Exposure Certification form for Exclusion from NPDES Stormwater
Permitting. Based on your submittal and signed certification of no exposure at the above referenced facility and the site
visit on September 2, 2011, the Division is granting your conditional exclusion from permitting as provided for under 40
CFR 122.26(g), which is incorporated by reference in North Carolina regulations.
Please note that by our acceptance of your no -exposure certification, you are obligated to maintain no -exposure
conditions at your facility. If conditions change such that your facility can no longer qualify for a No -Exposure
exclusion, you are obligated to immediately obtain NPDES permit coverage for your stormwater discharge.
Otherwise, the discharge becomes subject to enforcement as an un-permitted discharge.
You must self re -certify your No -Exposure status annually using the enclosed form or obtain NPDES permit
coverage for any stormwater discharges from your facility. The annual self re -certification does not need to be
submitted to DWQ unless requested.
Your conditional exclusion from permitting does not affect your facility's legal requirements to obtain environmental
permits that may be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact Ms. Marcia Allocco at [phone], or at
[e-mail].
Sincerely,
L(2-f
for Coleen H. Sullins
Enclosure: No -Exposure. Self Re -certification Information sheet
Annual No -Exposure Exclusion Self Recertification form
Site inspection report
cc: Stormwater Permitting Unit No- Exposure Files (Brian Lowther)
Mooresville Regional Office One
Location:610East Center Ave.,Su4e301Mooresville, NC 26115 NorthCarolina
P#lone: (704) 663-16991 Fax: [phone] Customer service: 1-877-623-6748
Internet: wmv.ncwaterquality.org Aaturall
An Equal Opporuniiy % Affirmative Action Employer - 30% RecynIed116% Posl Consumer paper U

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No -Exposure Self Re -Certification Information:
You are obligated to maintain no -exposure* conditions at your facility. If conditions change such that
your facility can no longer qualify for a no -exposure exclusion, you are obligated to immediately obtain
NPDES permit coverage for your stormwater discharge._. Otherwise, the discharge becomes subject to
enforcement as an un-permitted discharge. State statute provides for fines of up to $25,000 per day for
un-permitted discharges.
Your conditional no -exposure exclusion must be self re -certified at least annually as follows:
- Complete the re -certification at a minimum of once per year using the included Self Re -
Certification Form.
(additional copies can tie downloaded from http://portal.ncdenr.org/web/wq/ws/su/npdossw#NO_Exposure—NPDES )
- Maintain a record of re -certifications on file at the facility. Do not submit the re -certification to
DWQ unless requested. If requested, submit a copy of the re -certification to the Division and/or
the municipality in which the facility is located.
-During an inspection by DWQ or local government, provide the re -certifications immediately
upon request.
- Notify the Division of any changes in ownership, significant facility and/or activity changes, or if
the facility can no longer maintain no -exposure.
-Allow the NPDES permitting authority or, if discharging into a municipal separate storm sewer
system, the operator of the system, to: (1) irispect the facility; and (2) make such inspection reports
publicly available upon request.
* "No exposure" means that all industrial materials and activities are protected by a storm resistant shelter to
prevent exposure to rain, snow, snowmelt, and/or runoff. Industrial materials or activities include, but are not
limited to, material handling equipment or activities, industrial machinery, raw materials, intermediate
products, by-products, final products, or waste products. Material handling activities include the storage,
loading and unloading, transportation, or conveyance of any raw material, intermediate product, final product
or waste product. (40 CFR 122.26(g))
Information and forms related No -Exposure Certifications can be accessed on the website at:
http://portal.ncdenr.org/web/wq/ws/su/npdessw#No_Exposure_NP DES
Rev. 28J ul20 t 0

Compliance Inspection Report
Permit: NCGNE0800 Effective: Expiration: Owner: Vertis Communications
SOC: Effective: Expiration: Facility: Vertis Communications
County: Mecklenburg 10911 Granite St
Region: Mooresville
Charlotte NC 28273
Contact Person: David Dwiggins Title: Phone: [phone]
Ext.273
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 0910212011 Entry Time: 09:15 AM Exit Time: 09:38 AM
Primary Inspector: Marcia Allocco Phone: [phone]
Secondary Inspector(s): Ext.2204
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facif4 Status: ® Compliant ❑ Not Compliant
Question Areas:
EN Miscellaneous Questions EM Misc
(See attachment summary)
Page: 1

Permit: NCGNE0800 Owner - Facility: Vertis Communications
Inspection Date: 09102/201 t Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
The facility was visited through a new No -Exposure Certification request.
The roof drains to a sump near the air stripper (permitted to remove VOCs) where stormwater is pumped to the northeast
corner of the building and onto a grassed swale and concrete outlet structure at front of building (north side) with eventual
discharge to an unnamed tributary to Sugar Creek (verified on-USGS Fort Mill Quadrangle).- Paper is received in the rear
of the building via rail and shipment of finished product occurs on the front of the building_
No sources of stormwater exposure were noted during the inspection.
Misc
Is the facility compliant?
Comment:
Yes No NA NE
a 0 0 0
Page: 2

4
RCDEHR
F,N,�p4MFRT AMr) riR1/1N. r0:�0-Mil
Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
NO EXPOSURE CERTIFICATION for Exclusion
NCGNE0000
FOR AGENCY USE ONLY
Dare Received
Y. Mo,nn Da
Certificate of Coverag,e,�
ta, ter : s r� UUAL ITY
AUG 19 2011
NO EXPOSURE CERTIFICATION ::-,„:- s t;'NON
M ORESVILLE REGIONAL OFFICE
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit based
on NO EXPOSURE:
Submission of this No Exposure Certification constitutes notification that your facility does not require a
permit for stormwater discharges associated with industrial activity in the State of North Carolina because
it qualifies for a no exposure exclusion. A condition of no exposure at an industrial facility means all
industrial materials and activities are protected by a storm resistant shelter (with some exceptions) to
prevent exposure to rain, snow, snowmelt, and/or runoff.
For permitted facilities in North Carolina, DWO must approve your application for No
Exposure Certification before this exclusion is effective. Until you are issued a No
Exposure Certification and your NPDES permit is rescinded, your facility must continue
to abide by the terms and conditions of the current permit.
Industrial materials or activities include, but are not limited to: material handling equipment or activities,
industrial machinery, raw materials, intermediate products, by-products, final products, or waste products.
Material handling activities include the storage, loading and unloading, transportation, or conveyance of
any raw material, intermediate product, final product or waste product. A storm resistant shelter is not
required for the following industrial materials and activities: drums, barrels, tanks, and similar containers
that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed" means
banded or otherwise secured and with locked or non -operational taps or valves; adequately maintained
vehicles used in material handling; and final products, other than products that would be mobilized in
stormwater discharges (e.g., rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In
addition, the exclusion from NPDES permitting is available on a facility -wide basis only --not for individual
outfells. If any industrial activities or materials are, or will be, exposed to precipitation, the facility Is not
eligible for the no exposure exclusion. By signing and submitting this No Exposure Certification form, you
certify that a condition of no exposure exists at this facility or site and are obligated to comply with the
terms and conditions of 40 CFR 122.26(g).
Ex
For questions, please contact the DWQ Regional Office for your area. (See page 6)
(Please print or type)
1) Mailing address of ownerloperator (address to which all certification correspondence will be mailed]:
Name
Contact
Street Address
City
Telephone No.
Email
SWU-NE-12AUg2010
David Dwiggins
10911 Granite Street
Charlotte State NC ZIP Code 28273
704 588-9998 x273 Fax: [phone]
Page 1 of 7
RIN&NOWL90
AUG 1 1 2011
UENR - WATER QUALITY
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NCGNE0000 No Exposure Certification
2) Location of facility producing discharge:
Facility Name VertiFj_C¢m=niQations
Facility Contact David Dwiggins ^
Facility Street Address 1.0911 Granite street
City Charlotte State We ZIP Code 28273
County Meckienberg µ
Telephone No. 704 588-9998 x273 Fax: [phone]
Email ddwi ggi nnoyprct i s i nc _ cram
3) Physical location information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). _I-77 to Westinghouse Road exit.Go west on
Westinghouse Road Grantee $t. Turn Right. Vertis_is 1/4 mil-e-on the right.
(A copy of a map with the facility clearly located on it should be included with the certification application.)
4) Is the facility located on Native American Lands? ❑ Yes 12 No
5) Is this a Federal facility? ❑ Yes IR No
6) Latitude 3sa n7m ins N Longitude -sod ssm -12s w (deg., min., seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following:
❑ New or Proposed Facility
® Existing
Date operation is to begin
Date operation began 1993
❑ Renewal of existing No Exposure Certification Certification No.: NCGNE
8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes 12 No
If yes, what is the NPDES Permit Num
9) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 2 7 s 2
10) Provide a brief description of the types of industrial activities and products produced at this facility:
Commercial printing using the heatset lithographic process
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
® No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits fo
Page 2of7
SWU-NE-12Aug2o1 o

0
NCGNE0000 No Exposure Certification
Exposure Checklists (12. - 14.)
12) Are any of the following materials or activities exposed to precipitation, now or in the foreseeable
future? (Please check either "Yes" or "No.") If you answer "Yes" to any of these items, you are not
eligible for the no exposure exclusion.
a. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes ® No
residuals from using, storing or cleaning industrial machinery or equipment remain
and are exposed to stormwater
b. Materials or residuals on the ground or in stormwater inlets from spills/leaks ❑ Yes ® No
c. Materials or products from past industrial activity ❑ Yes El No
d. Material handling equipment (except adequately maintained vehicles) ❑ Yes to No
e. Materials or products during loading/unloading or transporting activities ❑ Yes ® No
f. Materials or products stored outdoors (except final products intended for outside ❑ Yes ® No
use [e.g., new cars] where exposure to stormwater does not result in the discharge
of pollutants)
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes ® No
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes 12 No
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) ❑ Yes 12 No
j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes ® No
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes ® No
otherwise regulated (i.e., under an air quality control permit) and evident in the
stormwater outflow
I. Empty containers that previously contained materials that are not properly stored ❑ Yes I@ No
(i.e., not closed and stored upside down to prevent precipitation accumulation)
m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes ® No
stored outside, has the facility had any releases in the past three (3) years?
13) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not
eligible for the no exposure exclusion.
a. Are exterior ASTs and piping free of rust, damaged or weathered coating, pits, or ❑ Yes C] No ® NIA
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No ® NIA
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
SWU-NE-12Aug201 O
Page 3 of 7

NCGNE0000 No Exposure Certification
14) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the
no exposure exclusion.
a. Is secondary containment provided for all single above ground storage
containers (including drums, barrels, etc.) with a capacity of more than 660-
gallons?
b. Is secondary containment provided for above ground storage containers stored
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Is secondary containment provided for Title III Section 313 Superfund
Amendments and Reauthorization Act (SARA) water priority chemicals"?
d. Is secondary containment provided for hazardous substances' designated in 40
CFR §116?
e. Are release valves on all secondary containment structures locked?
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste
generated per month) of hazardous waste? Facility is a cssQG.
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
Footnotes to Questions 14) c. & d.
❑ Yes o No 10 NIA
21 Yes ❑ No ❑ NIA
© Yes ❑ No ® NIA
® Yes ❑ No ❑ NIA
❑ Yes 13 No ® NIA
❑ Yes E No
❑ Yes ®No
❑ Yes 2 No
'Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for de minimis amounts of certain substances,
and/or other qualifiers, as described in the exemptions from reporting requirements of Title III SARA 313 in 40 CFR
§372.38.
"'Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for amounts less than the Reportable Quantities
of the hazardous substances listed in 40 CFR §117.3.
Page 4 of 7
5W U-NE-12Aug2010

NCGNE0000 No Exposure Certification
16) Other information: It you answer "Yes" to any of the following items, you might not be eligible for the
no exposure exclusion. A more in-depth evaluation of the site circumstances may be required.
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ❑ Yes ® No
b. Does your facility have coal piles on site?
❑ Yes ® No
c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes ® No
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g., ® Yes ❑ No
degreasing operations, plating, painting and metal finishing)? If so, describe the
industrial activity: heatsel lithograRhicnt
e. If you answered yes to d., are those emissions permitted by an Air Quality Permit? IR Yes ❑ No ❑ N/A
Please specify: Permit No. 10-223-778
f. Please list any other environmental program permits (federal, state, etc.) not
specified earlier in this application (such as Hazardous Waste Permits, etc.):
Permit: N/A Program:
Permit: Program:
Permit: Program:
Permit:
Program:
Permit:
Program:
Permit:
Program:
Permit:
Program:
Page 5 of 7
SWU-NE-12Aug2010

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NCGNE0000 No Exposure Certification
17) Certification:
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no
exposure" and obtaining an exclusion from NPDES stormwater permitting.
I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities
or materials from the industrial facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)).
I understand that I am obligated to annually self re -certify No Exposure and, if requested, submit the re -certification to
DWp or the operator of the local municipal separate storm sewer system (MS4) into which the facility discharges (where
applicable). I understand that I must allow the North Carolina Division of Water Quality, or MS4 operator where the
discharge is into the local MS4, to perform inspections to confirm the condition of no exposure and to make such
inspection reports publicly available upon request_
In the event that the site no longer qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under
an NPDES permit prior to gnv point source discharge of stormwater from the facility. Additionally, 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 gathered and evaluated 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 fine and imprisonment for
knowing violations.
I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief
such information is true, complete, and accurate.
Printed Name of Person Signing: Richard Morrison
Title: GeneralManager
(Signature of Applicant) (Date Signed)
Please note: This application for the No Exposure Exclusion is subject to approval by the
NCDENR Regional Office prior to issuance. The Regional Office may inspect your facility for
compliance with no exposure conditions prior to that approval. The Regional Office may also
Inspect your facility at any time in the future for compliance with the No Exposure Exclusion.
North Carolina General Statute 143-215.6 B(l) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars ($10,000).
There is currently no fee for a No Exposure Exclusion.
Page 6 of 7
5WU-NE-12Aug2010

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NCGNE0000 No Exposure Certification
Final Checklist
This application should include the following items:
® This completed application and all supporting documentation.
® A map with the location of the facility clearly marked.
If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8.
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of a No Exposure Exclusion.
For questions, please contact the DWO Regional Office for your area.
DW9 Re tonal Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........[phone]
Page 7 of 7
SWU-NE-12Aug2010

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Vertis Communications
10911 Granite Street
Charlotte, NC 28273

No Exposure Certification Questions
Permit No.:
NCG
NCSO
Facility Name:
NCGNE
Permit Effective:
NA
Discharges.to:
Inspection Date:
Inspection Type
CEI CSI Complaint Other
Inspector(s):
Agency:
MRO MCWQP
Entry Time:
Contact
Exit Time
cility (s)�Ni
Work Days
Facility Status
Compliant Non -Compliant Neither
�P 5
Page 1 of 3. Rev. 1, 6109

No Exposure Certification Questions
If you answer"Yes" to any of these questions the facility, is not eligible for No Exposure (or for question #10
might not be eligible)
Yes
No
NA
1. Does the facility/site use, store, or clean industrial machinery or equipment and are those areas,
where, residuals from using, storing, or cleaning industrial machinery or equipment remain exposed to
El
❑
'i
stormwater?
2. -is there any evidence of materials or residuals on the ground or in stormwater inlets from spills or
El
❑
leaks?
3. Is there any evidence of materials, residuals, or products from past industrial activity (past sources of
❑
❑
contamination that have remained on site which could cause a condition of exposure)?
4. Are any materials or final products (including improperly maintained material handling equipment,
transformers, cooling towers, and air compressors) exposed to precipitation during material handling,
loading/unloading, or transporting activities, now or in the foreseeable future? [The containers, racks,
❑
❑
and other transport platforms (e.g., wooden pallets) used for the storage or conveyance of these
final products can also be stored outside, providing the containers, racks, and platforms are
pollutant -free].
5. Are any materials or products contained in open, deteriorated or leaking storage drums, barrels,
❑
❑
tanks, and similar containers exposed to precipitation, now or in the foreseeable future?
6. Are any materials or products exposed to precipitation handled or stored on roads or railways owned
❑
❑
or maintained by the discharger?
7. Is any waste material (except waste in covered, non -leaking containers, e.g., dumpsters)
El❑
exposed to precipitation, now or in the foreseeable future?
8. Is there application or disposal of process wastewater (unless otherwise permitted) exposed to
❑
❑
precipitation, now or in the foreseeable future?
9. Is there particulate matter or visible deposits of residuals from roof stacks/vents not otherwise
ET
V
❑
regulated, i.e., under an air quality control permit, exposed to precipitation?
10. Does the facility have an Emissions permit with the Division of Air Quality? What pollutants does it
❑
❑
cover? Does the facility file a TRi report? What chemica are released?
Comments:.��j�_��-y�.tS
Page 2 of 3 Rev. 1, 6/09

No Exposure Certification Questions
If you answer "No" to any of these questions the facility is not eligible for No Ex osure
Yes
No
NA
11. Are drums, barrels, tanks, and similar containers exposed to precipitation labeled, tightly sealed, in
good condition, free of leaks and any deterioration, and properly stored?
❑
❑
12. Are materials stored in original containers with original labels?
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13. Are incompatible materials stored separately?
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14. Do drums, barrels, tanks, and similar containers exposed to precipitation meet DOT specifications,
including compatibility?
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El -
15. If empty containers that previously contained materials are exposed to precipitation are they
properly stored (i.e., closed and stored upside down to prevent precipitation from accumulating on top of
the drums around the bung)?
❑
❑
N(
16. For facilities or sites with exterior ASTs and drums, barrels, tanks, and similar containers stored
outside, has the facility been free of any releases in the past 3 years?
❑
❑
17. Is the storage area secured to prevent unauthorized entrances?
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❑
18. Are exterior ASTs physically separated from and not associated with vehicle maintenance?
❑
❑
15(
19. Are piping, flanges, valves, pumps or other equipment exposed to precipitation free of any evidence
of leaks and spills?
❑
❑
20. Are exterior ASTs and piping exposed to precipitation protected from traffic lanes to minimize
exposure?
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❑
21. Are exterior AST coatings free of signs of bubbled, cracked, damaged, or weathered coating?
❑-
❑
22. Are exterior ASTs or piping/supports free of rust, pits or deterioration or evidence of leaks?
❑
❑
23. Are exterior AST leak detection systems operating properly?
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❑
24. Are exterior AST capacity indicating equipment operating properly?
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25. Is secondary containment provided for all exterior ASTs? Is secondary containment free of any
cracks, holes, or evidence of leaks?
❑
❑
S(
26. Is exterior AST secondary containment enclosure free of accumulated water?
❑
❑
N
27. Are exterior AST secondary containment drain valves maintained locked shut?
❑
❑
28. Are drain logs being maintained for all exterior AST secondary containment?
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❑
29. Are spill kits available and adequate?
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❑
30. For facilities or sites with exterior ASTs and drums, barrels, tanks, and similar containers stored
outside, has the facility developed and implemented an SPCC plan, an inspection and maintenance
program, material handling procedures, and site specific loading and unloading procedures?
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❑
31. For facilities or sites with ASTs and drums, barrels, tanks, and similar containers stored outside, has
the facility developed and implemented an employee training program addressing spill prevention control
and countermeasures, inspection and maintenance, material handling procedures, and site specific
loading and unloading procedures?
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❑
1hf
LJ
Comments:
Page 3 of 3
Rev. 1, 6109 �/A