HomeMy WebLinkAboutNCG030580_MONITORING INFO_20130924- STURMWATER-0IVISION CODING SHEET -
RESCISSIONS .
PERMIT NO.
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ 3015 o9ag
YYYYMMDD
N.C,Dept. of E±NR
sEPz42013
Winston-Salem
To whom it may concern:
EM
Parker Hannifin Corporation
Hose Products Division
125 E. Meadowview Road
Greensboro, NC 27406-4518
336-373-1761 ph
336-378-0913fax
Our records indicate that an outdated SDO report format may have been used for submission. In addition, the
original report from the lab did not report out two SDO measurements. However, the measurements were recorded
and an updated report from the lab was received with these SDO values. I have copied all the original data recorded
with the new values to the new SDO Qualitative Monitoring Report and Semi-annual Stormwater Discharge
Monitoring Report formats.
After reviewing the revised report, we acknowledged that we exceeded the benchmark limit for Copper at Outfail
92. The benchmark is 0.007mg/L and our report indicates that we were at 0.010 mg/L. This is the first known
occurrence of exceeding this benchmark. At this time, a source of release from our facility is not known.
Observations from the outfall show that this is a shared community stream that runs through residential and private
business properties.
Attached are copies of the original submission with original lab reports and the updated submission with updated lab
reports. For further inquires, please contact myself at the phone number in the letter head or my direct dial below.
Thank you,
Brian Focht
Quality Engineer
Parker Hannifin Corporation
Hose Products Division
125 East Meadowview Road
Greensboro, N.C. 27406
Direct Phone Number: (336) 291-5120
USA
The global leader in motion and control technologies
AIZA.
EReional
NCDENR Stormwater Discharge Dutfall (SD®)Qualitative Monitoring Report
Forguidance on filling out thisform, please visit h or-tal-iicdenr.or web w w u n dessw#tab-4
Permit No.: N/C/C
Facility Name: J
County: G",:
Inspector: 061J
Date of Inspection:
Time of Inspection:
A
or Certificate of Coverage No.:
Total Event Precipitation (inches): (p3`—
Phone No. 336 r 37 --l7d- /
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
[Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event"or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
i
f
I
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office. 1
By this signature, 1 certify thatffiis
(Signature of Permittee or Designee)
rate and complete to the best of my knowledge:
SWU-242, Last modified 10/25/2012
Page 1 of 2
1. Outfall Description: �
Outfall No. �Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: A'f,0W-',i 6
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _A4440
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy: �}
1 /Z J 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
n 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
7
8.
9
1 a 3
Is there any foam in the stormwater discharge?
4 5
Yes
Is there an oil sheen in the stormwater discharge? Yes
Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
oNo
No
No
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SM-242, Last modified 10/25/2012
Semi-annual Stormwater Discharge Monitorin, Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted y%ul ? ; 3
CERTIFICATE OF COV AGE NO. NCG03_0 01 -0-
FACILITY NAME
COUNTY L�,I ff
PERSON COLLECTING SAMPLES
LABORATORY /14,2r; 6- A Lab Cert. # its 4—
Comments on sample collection or analysis: ,
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION EAR 2() /:3
SAMPLE PERIOD Jan -June [] July -Dec
or [] Monthly' . (month)
DISCHARGING TO CLASS ❑ORW ❑HQW Trout []PNA
❑Zero -flow []Water Supply []SA
20ther_�-,,
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
No discharge this period?2
Date Sample 24-hour rainfall pH, Non -Polar O&G/To#al
Outfail No. Collected' amount, Total Suspended Solids Standard units Copper lead Zinc Total Petroleum
(mo/dd/yr) Inches3 Hydrocarbons
Toxic
Organicss
Benchmarks = => _ - 100 mg/L or 50 mg/ l4 6.0 - 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L
1 mg/L
.o (aT_ I < ,o 07 1 7 0.05"q
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CPR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit pate: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for
Permit. For those facilities electing to employ the TTo monitoring waiver, the discharger shall sign the following certification statement:TT� monitoring
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to r
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan." rainfall or
Name {print name)
!, '
Title (Print title)
9�
�ignature)
(Date)
Note: Results must be reported in numerical format. Do not resort Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, theymust be re orted in the format "X �X m I_" where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L. n
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. 5ee General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Outfall No. Date Sample
Collected'
Benchmarks ===>
24-hour rainfall
amount, Non -polar O&G/TPH by
Inches- EPA 1664 (SGT-HEM)
- 15 mg/L
No discharge this oeriod?z
Total Suspended Solids pH
100 mg/L or 50 mg/L* 6.0 — 9.0 Su
Footnotes from Part A also apply to this Part 8
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date:11/1/2012-10/31/2017
5WU-245, last revised 10/25/2012
Page 2 of 3
Nate: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART 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 11 SECTION B.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO Y
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on final 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" report) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 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 s)�bmitting false information, including the possibility of fines and imprisonment for knowing violations."
gnature of Permittee}
Permit Date: 11/1/2012-10/31/2017
v4a
SWU-245, last revised 20/25/2012
Page 3 of 3
Meritech, Inc.
Environmental .Laboratory
OA Laboratory Certification No.165
Contact: Brian Focht
Revised Date 912012013
Client: Parker Hannifin
Report Date:
6/22/2013
125 E. Meadowview
Greensboro, NC 27406
Date Sample Rcvd:
6/10/2013
Meritech Work Order # 06101305' Sample: Outfall #1
6/10/13
Parameters
Result
Analysis Date
]Reporting Limit
M_e_tho Qualifler
Total Suspended Solids
< 2.5 mg/L
6/10/13
IS mg/L
EPA 160.2
Copper, total
0.007 mg/L
6117113
0.002 rng/L
EPA 200.7
Lead, total
< 0.010 mg/L
6/17/13
0.010 mg/L
EPA 200.7
Zinc, total
0,059 mg/L
6117113
0,010 mg/L
EPA 200.7
Oil & Grease (HEM)
< 5 mg/L
6/14/13
5 mg/L
EPA 1664A
PH
5.2 S.U.
6/10/13
1.044.0 S.U.
SN14500 HB Q1
Meritech Work Order # 06101306 Sample: Outfall #2 6/10/13
Parameters Result Analysis Date Reporting Limit Method Qualffiier
Total Suspended Solids
46 mg/L
6/10/13
2.5 rng/L
EPA 160.2
Copper, total
0.010 mg/L
6117113
0.002 rng/L
EPA 2 00. 7
Lead, total
< 0,010 rag/L
6/17/13
0.010 mg/L
EPA 200.7
Zinc, total
0.021 mg/L
6117113
0,010 rag/L
EPA 200.7
Oil & Grease (HEM)
< 5 mg/L
6/14/13
5 mg/L
EPA 1664A
pH
6.3 S.U.
6/10113
1.0-14.0 S.U.
SM 4500 HB Q1
Q1 Holding time exceeded prior to receipt by the lab.
1 hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1522
STORMWXTER DISCHARGE OUTFALL (SDO)
K.�azz ' MONITORING REPORT
Q
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVEti RAGE NO. NCG03
FACILITY NAME 'r,r1",
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: - -�'
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sam lin results from the laboratory.)
COUNTY 6, .1 . :
.PHONE NO. '. =q i
PLEASE SIGN ON THE REVERSE 4
Outfau
No. f
Date.,
Sample Collected,
tno/dd . jr-_ "'
Total Suspended Solids,
m
''. pH,
_Staiiderd unitsr;t
Lead, mg/L
k °
Oil and Grease, `
rn
.;Total'Toxic Urgaiucs ;
m IL
Benchmark
L..WtEhtn'S:0
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes • _no
(if yes, complete Part 13)
Part B: Vehicle Maintenance Activity
onitoring Requirements
'Outfau
No.
Date
Sample Coliecfed
inaldd/ "r s .;
00556, ; :. '
_',, . 0053011:':
00404
Od;and Grease . '
Total Suspended, Solids, ;
p13;
and uniAnnual',
New Motor Oti Usage,
vera e. allino -
Benchmark
30GO'9
0
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses,
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date 6.fG $ (first event sampled)
Total Eve t Precipitation (inches):
Date —T (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
S WU-245-102107
Page 1 of 2
1 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture.,electronic crystals, or
manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject
to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for
electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31.).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:.
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management
plan included in the Stormwater Pollution Preve(Jfn/tii�ion Plan." }JF--
Name (Print name)
_ I �K 1. ! f /�/ !� i'a.;) ✓/ � r�i''
Title (Print title)"I el
_!'(Signature) °n - - - (Date
"I certify, under penalty of taw, 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."
,(Signature of
SWU-245-d02107
Page 2 of 2
' y
r
Stormwater Discharge OUWall (SDO)
Qualitative Monitoring Report
Permit No.: NLQ I U2, -1 I L;l r'Jk l i I or Certificate of Coverage No.: NICIGI I I I,�l_I_I
Facility Name: t_, I r'.-�_::�; l-`s) - —
County: G_ 1,4'-' Phone No. q -. G y '-7 /..
Inspector:
Date of Inspection. l ip
By this signature, I certify 4�lhis report is accurate and complete to the best of my knowledge:
i�_--
r(Signature of Perrnittee or Designee)
1• Outfall Description
Outfall No. J �l Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the discharge using basic colors
dark) as descriptors: =i / , .
I, brown, blue, etc.) and tint (light, medium,
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.)
4• Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2 3) 4
5 6 7 8 9 10
Page I
5 Wi 1-242-o2a7o5
e
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
1 /12� 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where I is no solids and 10 is extremely muddy:
1 jZ 0 4 5 6 7 8. 9 10
7. Foam
.f
Is there any foam in the stormwater discharge? Yes o
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes No
,
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or imt iediately below the outfall?
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes -No
11. Other Obvious Indicators ofStormwater Pollution
List and describe
Yes No i
L- '
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
Page 2
S W U-242-020705
Meritech, Inc.
Environmental Laboratory
._ .
�iwLaboratory Certification No.165
Contact: Brian Focht
Client: Parker Hannifin
125 E. Meadowview
Report Date: 6/22/2013
Greensboro, NC 27406
Date Sample Rcvd:
6/10/2013
Meritech Work Order # 06101305 Sample: Outfall #1
6/10/13
Parainetex Result Analysis Date
Reporting Liniit
Method Qualfflei
Total Suspended Solids < 2.5 mg/L 6/10/13
2.5 mg/L
EPA 160.2
Lead, total < 0.010 mg/L 6/17/13
0.010 mg/L
EPA 200.7
Oil & Grease (HEM) < 5 mg/L 6/14/13
S mg/L
EPA 1664A
pH 5.2 S.U. 6/10/13
1.0-14.0 S.U.
SM 4500 HB Q1
Meritech Work Order # 06101306 Sample: Outfall #2
6/10/13
P ra�ameters Bgsult Anal sis Date
$eRortlne Limb
Method Qualifier
Total Suspended Solids
46 mg/L
6/10/13
2.5 mg/L EPA 160.2
Lead, total
< 0.010 mg/L
6/17/13
0.010 mg/L EPA 200.7
Oil & Grease (HEM)
< 5 mg/L
6/14/13
5 mg/L EPA 1664A
PH
6.3 S.U.
6/10/13
1.0-14.0 S.U. SM 4500 11I3 QI
Q1 Holding Unie exceeded prior to receipt by the lab,
[hereby certify that I have reviewed and approve these data. ,e__-
Laboratory Representative
642 Tantco Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1522
I
N.C.De tiIV cL)
4 7-A1
SEP 2 4 zo13
NCPENRWinston-5alern
Stormwater Discharge ®utfall (SD®)
rye ionaro �
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: h,tip:.//12artal•ncdenr.are/web/wq/ws/su/npdessw#tab-4
Permit No.: N/C/_c
Facility Name: J
County: &,JJL'�'
Inspector: �'66
Date of Inspection:
Time of Inspection:
or Certificate of Coverage No.:
Total Event Precipitation (inches): 65--
Phone No. 3:36 — 37 5 - / 7( /
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
((yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "rneasureable storm event"(requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
i
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that
(Signature of Permittee or Designee)
and complete to the best of my knowledge:
5WU-242, Last modified 10/25/2012
Page 1 of 2
I
.d
1. Outfall Description:
Outfall No. _�_ Structure (pipe, ditch, etc.) kc�
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: ✓n Ne,-J
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): / ,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 4 5
S. Bloating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where
I is no solids and 5 is the surface covered with floating solids:
l 1 j 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
S. Is there an'oil sheen in the stormwater discharge? Yes N
9. Is there evidence of erosion or deposition at the outfall? Yes ZNo
10. Other Obvious Indicators of Stormwater Pollution:
List and describe /r 1) A
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 91 2o o?oi 3
CERTIFICATE OF COV RAGE NO. NCG 3,0 f j�)
FACILITY NAME ,
COUNTY f
PERSON COLLECTING A PLES
LABORATORY` 6A Lab Cert. #�4�
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION AR _ Q_-3 _
SAMPLE PERIOD Jan -June July -Dec
or [ Monthly' !month}
DISCHARGING TO CLASS [ORW []HQW []Trout ❑PNA
[Zero -flow []WaterSupply []SA
ZOther_
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -9•
No discharge this period:
Date Sample 24-hour rainfall pH,
Outfall No. Collected' amount, Total Suspended Solids Standard units
3
(mo/dd/yr) Inches
Non -Polar O&G/Total Toxic
Copper Lead Zinc Total Petroleum s
Hydrocarbons Organics
Benchmarks _ - 100 mg/L or 50 mg/0 6.0 — 9.0
0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L
7
aoro <',or0 0,oai
I Monthly sampling (Instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may, be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found,in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/2512012
Page 1 of 3
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used'and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
. J61 1 Gam/ _ ) `fl
Name (Print name)
4u N
Title (Print tit e)
51gnature) ( te)
Note: Results must be reported i.n numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX me{L', where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
0 No discharge this period?z
Outfall No.
Date Sample 24-hour rainfall
Collected' amount, Non -polar O&G/TPH by
(mo/dd/yr) Inches' EPA 1664 (SGT-HEM) Total Suspended Solids pH
Benchmarks 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9:0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART 8 MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B
• TIER3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES Q NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES []NO[]
REGIONAL OFFICE CONTACT NAME:
_Mail an original and one copy 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, North Carolina 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 penor submitting false information, including the possibility of fines and imprisonment for knowing violations."
ture of Permitteej
Permit Date:11/1/2012-10/31/2017
r!
/1� j /s, L
(D e)
SWU-245, last revised 10/25/2012
Page 3 of 3
Meritech; Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Brian Focht
Revised Date 912012013
Client: Parker Hannifin
Report Date:
6/22/2013
1.25 E. Meadowview
Greensboro, IBC 27406
Date Sample Rcvd:
6/10/2013
Meritech Work Order # 06101305' Sample: Outfall #1
6/10/13
Parameters
Result
Analysis Date
Reporting Limit
Method Qualifier
Total Suspended Solids
< 2.5 mg/L
6/10/13
2.5 mg/L
EPA 160.2
Copper, total
0.007 mg/L
6117113
0.002 mg/L
EPA 200.7
Lead, total
< 0.010 mg/L
6/17/13
0.010 mg/L
EPA 200.7
Zinc, total
0.059 mg/L
6117113
0.010 mg/L
EPA 200.7
Oil & Grease (HEM)
< 5 mg/L
6/14/13
5 mg/L
EPA 1664A
pH
5.2 S.U.
6/10/13
1.0-14.0 S.U.
SM 4500 HB Q1
Meritech Work Order # 06101306 Sample: Outfa[[ #2 6/10/13
Parameters Resu t Analysis Date Reporting Limit Method Queer
Total Suspended Solids
46 mg/L
6/10/13
2.5 mg/L
EPA 160.2
Copper, total
a010 mg/L
6117113
0.002 rng/L
EPA 200.7
Lead, total
< 0.010 mg/L
6/17/13
0.010 mg/L
EPA 200.7
Zinc, total
0.021 mg/L
6117113
0.010 mg/L
EPA 200.7
Oil & Grease (HEM)
< 5 mg/L
6/14/13
5 mg/L
EPA 1664A
pH
6.3 S.U.
6/10/13
1.0-14.0 S.U.
SM 4500 HB Q1
Q1 Holding time exceeded prior to receipt by the lab.
I hereby certify that I have reviewed and approve these data.
Laboratory Representutrve
642 Tamco Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1522 -
STORMWkTER DISCHARGE OUTItALL (SDO)
MONITORING REPORT
GENERA[., PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE NO. NCG03
r
FACILITY NAME
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY _ /1?i'„_l��j. r: Lab #_
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: ?C-131
monitoring report is due at the Division no later than 30 days from
the date the facility receives the sam g results from the laboratory.)
COUNTY r j
PHONE NO. ? 3(j E(I
PLEASE SIGN ON THE REVERSE 4
Outfall
No. �_
-Date,.
Sample Collected,
00400 : ;
.
-':'`OI051.
' :00556'
$
_,fi ...` ,.'fi71'4i.:
Total Suspended Solids
;'.. pH,
Stsudard units :a
-;Lead^nig/L `
r
K,:`,
Offand Grease,
rri
;Total.,Toauc:Organics ;
m' /L
Benchmark
- .
:100°:`
:' Wiftiin"b:Q 9€Q;
0:033
30 ,:
I
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did 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 Activity Monitoring Requirements
Outfall
No.
-Date
Sample Collected,
ato7de
:'00530 , a
00400 .
,
Oil aitd Grease;
Total Suspended:Sohds�.
/L...'. 4
pH,
Sta'ndard.units< , filAnnual';avera'
New Motor oil Usage,
e' aE/mo
Benchmark
Note-, If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS-.
Date (^ /O (first event sampled)
Total v nt Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
S WU-245-102107
Page 1 of 2
Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductars , manufacture electronic crystals, or
manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject
to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for
electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:.
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management
plan included in the S tormwater Pollution Prevention Plan."
Name (Print name)
l 1} w i
0
Tiflie�((Prr�intt iftlee))
r—(Signature) (Date)
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
YZ
of
(D te)
SWU-245-102107
Page 2 of 2
9 ,
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: N1Clf: j_C,, /3-/e)lel /mil or Certificate of Coverage No.: NICIGI—I 1 1-1 1—1
FacilityName::
County: G:.`I �` - - - - -- Phone No. _ __ -3.3( _,- 3.73-
Inspector: _/ - ., . , _ _1-, l;
Date of Inspection:
'By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Pernuttee or Designee)
1, Outfall Description
Dutfall No. r Structure (pipe, ditch, etc) -
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
}
2. Color
Describe the color of the d*arge using bas'c colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: A j W ., d
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) 4
4. Clarity
Choose the number which best describes the clarity of the discharge where I• is clear and 10 is very
cloudy:
ti
1 2 3 4 S) 6, 7 8 9 10
Page I
Swu-242-020705
a Y' g
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
I is. no solids and 10 is the surface covered with floating solids:
1 /'2 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
I 2 3 /4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? Yes /No��
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes /No
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes % No
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes No
11. Other Obvious Indicators of Stormwater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe
indicative of conditions that warrant further investigation and corrective action.
Page 2
S W U-242-o2V7o5
06o�o
�-a
Meritech, e xtech, Inc.
�y Environmental Laboratory
Laboratory Certification No.165
Contact: Brian Foclit Report slate: 6/22/2013
Client: Parker Hannifin
125 E. Meadowview
Greensboro, NC 27406 Date Sample Rcvd: 6/10/2013
Meritech Work Order # 06101305 Sample: Outfall #1 6/10113
Parameters
Result
Analysis Date
Roating Liniit
Method Qualifier
Total Suspended Solids
< 2.5 mg/L
6/10/13
2.5 mg/L
EPA 160.2
Lead, total
< 0.010 mg/L
6/17/13
0.010 mg/L
EPA 200.7
Oil & Grease (HEM)
< 5 nag/L
6/14/13
5 mg/L
EPA 1664A
pH
5.2 S.U.
6/10/13
1.0-14.0 S.U.
SM 4500 HB Ql
Meritech Work Order # 06101306 Sample: Outfall #2
6/10/13
Parameters
Result
Analysis Date
Reporting Limit
Method Qualifier
Total Suspended Solids
46 mg/L
6/10/13
2.5 mg/L EPA 160.2
Lead, total
< 0.010 mg/L
6/17/13
0.010 mg/L EPA 200.7
Oil & Grease (HEM)
< 5 mg/L
6/14/13
5 mg/L EPA 1664A
PH
6.3 S.U.
6/10/13
1.0-14.0 S.U. SM 4500 HB Q1
Q1 Holding time exceeded prior to receipt by the lab.
I hereby certify that I have reviewed and approve these data, J�" � 'a
Laboratory Representative
642 Tanico Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1522
ARECEIVED
N.C.Dent. of ENR
iNcDENR SiC 2 4 2or3
Stormwater Discharge ®utfalI (SD®) Winston-salem
Qualitative Monitoring Report Re Tonal office
Forguidance on filling out this form, please visit: hM-././portal.ncdenr.org/web/wq/ws/��su/iipdessw#tab-4
Permit No.: N/C/C
Facility Name: J
County: 6-,, j :
Inspector: 6L
Date of Inspection:
Time of Inspection;
or Certificate of Coverage No.:
Total Event Precipitation (inches):
Phone No. 336, r 37 3. 176' /
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permit -tee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this s�gnature, I certify that fhisort
(Signature of Permittee or Designee)
and complete to the best of my knowledge:
SWiJ-242, Last modified 10/25/2012
Pagel of 2
1. Outfall Description:
Outfall No. �_ Structure (pipe, ditch, etc.) C
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: _A4vW 'n H
J�
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: hp
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): ,A&a n
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is,
clear and 5 is very cloudy:
1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 D 3 4 5
7. Is there any foam in the stormwater discharge? Yes oNq�
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe idL a (
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU-242, Last modified 10/25/2012
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Ruality General Permit No. NCG030000
Date submitted
CERTIFICATE OF COV AGE NO. NCG03_0
FACILITY NAME n
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY Mgr n&ti _ Lab Cert. #
Comments on sample collection or analysis: i
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTIO EARO I3
SAMPLE PERIOD Jan -June July -Dec
or [] Monthly' month
DISCHARGING TO CLASS []ORW ❑HQW []Trout ❑PNA
❑Zero -flow []Water Supply ❑SA
20ther.
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
[] No discharge this 'period?z
Date Sample 24-hour rainfall
OutfalE Na. t Collected' amount,
(mo/dd/yr) Inches3
PH,
Total Suspended Solids Standard units Copper
Non -Polar O&G/
Lead Zinc fatal Petroleum
Hydrocarbons
dotal Toxic
Organics
Benchmarks =-_> _
100 mg/L or 50 mg/L4 6.0 --9.0 0.007 mg/L
0.033 mg/L 0A67mg/L 15 mg/L
1 mg/L
/-
a !✓IJ,007
0, 03-
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sltes may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date. 11/1/2012-10/31/Z017 SWU-245, last revised 10/25/2012
Page 1 of 3
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the storrnwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
l
�i�! ���.LL G -
Name (Print name)
Title (Print fide)
91,4 Jao 1-3
ignature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BOL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX me/U, where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. �-
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/L*
6.0 -- 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
Note. If you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text
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 [/
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES M NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports, (within 30 days of recei t of the lab results or at end of monitoring period
in the case o "No Dischar e" reports) to.
Division of Water Quality
Attn: DWQ Central Files
1627 Mail Service Center
Raleigh, North Carolina 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 sybmitting false information, including the possibility of fines and imprisonment for knowing violations."
ture of Permittee)
Permit Date: 11/1/2012-10/31/2017
VA50,12my-pa -.J
5WU-245, last revised 10/25/2022
Page 3 of 3
Contact: Brian Focht
Client: Parker Hannifin
125 E. Meadowview
Greensboro, NC 27406
Meritech, Inc.
Environmental. Laboratory
Laboratory Certification No.165
Revised Date 91ZO12013
Report Date: 6/22/2013
Date Sample Rcvd: 6/10/2013
Meritech Work Order # 06101305•
Sample: Outfall #1
6/10/13
Parameters Result
Analysis Date
ftpol:ting Limit
Method Qualifier
Total Suspended Solids
< 2.5 mg/L
6/10/13
2.5 mg/L
EPA 160.2
Copper, total
0.007 mg/L
6117113
0.002 mg/L
EPA 200.7
Lead, total
< 0.010 mg/L
6/17/13
0.010 mg/L
EPA 200.7
Zinc, total
0,059 mg/L
6117113
0.010 mg/L
EPA 200.7
Oil & Grease (HEM)
< 5 mg/L
6/14/13
5 mg/L
EPA 1664A
pH
5.2 S.U.
6/10/13
1.0-14.0 S.U.
SM 4500 HB Q1
Meritech Work Order # 06101306 Sample: Outtall #2 6/10113
Parameters Result Analysis Date Reporting Limit Metho Qualifier_
Total Suspended Solids
46 mg/L
6/10/13
2.5 mg/L
EPA 160.2
Copper, total
0,010 MgIL
6117113
0.002 mg/L
EPA 200.7
Lead, total
< 0.010 mg/L
6/17/13
0.010 rng/L
EPA 200.7
Zinc, total
0.021 mg/L
6117113
0,010 mg/L
EPA 200.7
Oil & Grease (HEM)
< 5 mg/L
6/14/13
5 mg/L
EPA 1664A
PH
6.3 S.U.
6/10/13
1.0-14.0 S.U.
SM 4500 HB Q1
Q1 Holding time exceeded prior to receipt by the lab.
I hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1522
Of�A STORMWXTER DISCHARGE OUTFALL (SDO)
K� MONITORING REPORT
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE NO. NCG03
FACILITY NAME �',' �L..
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY Lab # /6 ;—
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: -' o' .5
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY G... J !
.PHONE NO.
PLEASE SIGN ON THE REVERSE �
' :Outfafl
No. P
Date,..`..:,00530:;:'„
Sani le Collected
F
mo/dlll r
,: 00400 " ' ..
..,', ';'_'''4I051
0055.6
Total Suspended Solids
m
pl~I[,
:-Standard unitsl.e. 15
Lead, rrtglL
y
�"
Oal and Grease,
h m
';Total Toxrc.trganics ;
rn
Benchmark
-
t00,
:,, Wifhin`.6.0 = 9:0; ., "
t0! 633
`,
Note. If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did 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 Activity Monitoring Requirements
Oatfall
No.
Date
Sample Coliecfed;..
mo/dd! Jr
:00556•:
`'00530� ',:
'OO+t00
`
Od and Grease;
irn /L':
Total Suspended Solids;
a
m /L :;
pH,
,.:.
i.Staadard units;
=New Motor piI Usage, '
: Annual;aver`a "e `ai/ino
Benchmark
30 ;''
:.. YI00 tll
64:= 9
5
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS-.
Date 6/6 (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attu: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
SWU-245-102107
Page l of 2
.;
1 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture serniconductors, manufacture electronic crystals, or
manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject
to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.1 I; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for
electronic crystal manufacture use the definition as found in 40 CFR 469.22-1 and for cathode ray tube manufacture use the definition found in 40 CFR 469.31,).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management
plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title_ J�� •'
61 A
ignature) r Y (Date
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of city 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."
,(Signature of Perrmittee) (Date)
SWU-245-102107
Page 2 of 2
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: /r 11 or Certificate of Coverage No.: NICIGI_I / l'. 1,1
Facility Name: h..,
County:
Inspector:
Date of Inspection:
By this signature, I certify,LhgA
No. 7-3 5 r3 —17%/
is accurate and complete to the best of my knowledge:
'(Signature of Permittee or Designee)
1. Outfall Description
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream: ^
Describe the industrial activities that occur within the outfall drainage area:
z. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: 6f: ,; ) -;,' k A �
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) ;,
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2 3 } 4
5 6 7 8 9 10
Page I
swv-242-020705
i
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids-
1 0 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy-
1 3 4 5 6 7 8: 9 10
7. Foam
Is there any foam in the stormwater discharge? Yes o�
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes /No
9. - Deposition at Outfall
Is there deposition of material (seditnent, etc.) at or immediately below the outfatl? Yes No i
10. Erosion at Outfall
l
Is there erosion at or immediately below the outfall? Yes No
11.- Other Obvious Indicators of Storinwater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
Page 2
S wU-242-020705
00co
Meritech, Inc,
Environmental Laboratory
R
Laboratory Certification No. 165
Contact: Brian Focht Report Date: 6/22/2013
CIient: Parker Hannifin
125 E. Meadowview
Greensboro, NC 27406 Date Sample Rcvd: 6/10/2013
Meritech Work Order # 06101305 Sample: Outfall ##1 6/10/13
Parameters Result Analysis Date Reporting Limit ethod Qualifier
Total Suspended Solids ,
< 2.5 mg/L
6/10/13
2.5 mg/L EPA 160.2
Lead, total
< 0.010 mg/L
6/17/13
0.010 mg/L EPA 200.7
Oil & Grease (HEM)
< 5 mg/L
6/14/13
5 ing/L EPA. 1664A
pH
5.2 S.U.
6/10/13
1.0-14.0 S.U. SM 4500 HB Q1
Meritech Work Order # 06101306
Parameters 12_ esult
Sample: Outfall #2
Analysis Date Reporting Limb
6/10/13
Method Qualifier
Total Suspended Solids
46 mg/L
6/10/13
2.5 mg/L EPA 160.2
Lead, total
< 0.010 mg/L
6/17/13
0,010 rng/L EPA 200.7
Oil & Grease (HEM)
< 5 mg/L
6/14/13
5 mg/L EPA 1664A
pH
6.3 S.U.
6/10/13
1.0-14.0 S.U. SM 4500 HB Q1
Q1 Holding time exceeded }prior to receipt by the lab.
I hereby certify that 1 have reviewed and approve these data. � 6,., k, e-t-i/ _
Laboratory Repr•esen tative
642 Tanico Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1522
RECEIVED
E
N.C.Dept. of ENR
mr���r;rerrirw.r%
NCDENR SEP 7 4 2013
Stormwater Discharge ®utfall (SD®) Winston-Salem
Re lonalOffice
Qualitative Monitoring Report
Forguidance on filling out thisforrn, please visit: http://portal.ncdenr.org/web/wq/ws/su/npdessw#ltah-4
Permit No.: N/C/E
Facility Name:
County:
Inspector: 1614
Date of Inspection:
Time of Inspection:
or Certificate of Coverage No.:
Total Event Precipitation (inches): 615_
Phone No. 336 - 37 3 --/ 7wl /
Was this a "Representative Storm -Event" or "Measureable Storm Event" as defined by the permit?
(See information below.]
[)Yes ❑ No
Please verify whether Qualitative Monitoring must be performed daring a "representative storm
event" or "rneasureable storm event"(requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
' A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event musthave been at least 72 hours
prior. The 72-hour storm interval does not apply if the permit -tee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this sknature, I certify that
(Signature of Permittee or Designee)
curate and complete to the best of my knowledge:
SWU-242, Last modified 10/25/2012
Pagel of 2
1. Outfall Description:
Outfall No. �._:Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: erns
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy-
1 2 /3) 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
l Z) 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 0 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. is there evidence of erosion or deposition at the outfall?
3No
N
ZNo
Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe . A,1-(
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. 'These conditions warrant further investigation.
Page 2 of 2
sW U-242, Last modi&ed 10/25/2012
Semi-annual Stormwater Discharge Monitoring Re ort
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted al ,)d / 3
CERTIFICATE OF COV RAGE NO. NCG 3_0 6 _
FACILITY NAME o .
COUNTY X...' I ,1,
PERSON COLLECTING jA PLES r,`
LABORATORY Mj(,'f (,A Lab Cert. # Il
Comments on sample collgction or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION AR
SAMPLE PERIOD Jan -June []July -Dec
or ❑ Monthly' f_m_onth]
DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
❑Zero -flow [:]Watersupply ❑SA
[ZOther_.
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?2
Date Sample 24-hour rainfall pH,
Outfall No, Collected' amount, Total Suspended Solids Standard units Copper
(mo/dd/yr) inches
Non -Polar O&G/
Total Toxic
Lead Zinc Total Petroleum Organics
Hydrocarbons
Benchmarks -_-� _ - 100 mg/L or 50 m9/L4 6.0 — 9.0 0.007 mg/L
0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L
a -7 ao)0
{ ,010 0,oal <
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may, be eligible for a waiver of the rain gauge requirement.
`See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found.in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012
Page 1 of 3
Facilities that incorporate a solvent management plan into the 5tormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the 5tormwater Pollution Prevention Plan."
Name (Print name)
u a >7C
Title (Print tit e)
Signature} I (te)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must -be reported -in the format, "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No dischorae this
Outfall No. date Sample 24-hour rainfall
Collected' amount, Non -polar O&G/TPH by.
(mo/dd/yr) Inches3 EPA 1664 (SGT-HEM) Total Suspended Solids pH
Benchmarks ===} i - - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier. 2, or Tier 3 responses. See General Permit text.
FOR PART 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 ATANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO []
REGIONAL OFFICE CONTACT NAME:
Moil an original and one copy of this DMR including all "No Discharge" reports, within 30_day_s of receipt of the lob results for at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQCentral Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"l 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 penajLies-for submitting false information, includingthe possibility of fines and imprisonment for knowing violations."
gnature of Permitteej
Permit Date:11/1/2012-10/31/2017
~t
(D e)
SWU-245, last revised 10/25/2012
Page 3 of 3
Meritech; Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Brian Focht Revised Date 912012013
Client: Parker Hannifin Report Date: 6/22/7013
125 E. Meadowview
Greensboro, NC 27406 Date Sample Rcvd: 6/10/2013
Meritech Work Order # 06101305 Sample. Outfall #1 6/10/13
Parameters Result Analysis Date Reporting Limit Method Qualffier
Total Suspended Solids
< 2.5 mg/L
6/10/13
IS mg/L
EPA 160.2
Copper, total
0,007 mg/L
6117113
0.002 mg/L
EPA 200.7
Lead, total
< 0.010 mg/L
6/17/13
0.010 mg/L
EPA 200.7
Zinc, total
0,059 mg/L
6117113
0,010 mg/L
EPA 200.7
Oil & Grease (HEM)
< S mg/L
6/14/13
5 mg/L
EPA 1664A
PH
5.2 S.U.
6/10/13
1.D-14.0 S.U.
SM 4500 HB Q1
Meritech Work Order # 06101306 Sample: Outfall #2
6/10/13
Parameters
Re ult
Analysis Date
Reporting Limit
Method Quj
Total Suspended Solids
46 mg/L
6/10/13
2.S mg/L
EPA 160.2
Copper, total
0.010 mg/L
6117113
0.002 mg/L
EPA 200.7
Lead, total
< 0.010 mg/L
6/17/13
0.010 mg/L
EPA 200.7
Zinc, total
0.021 mg/L
6117113
0,010 mg/L
EPA 200.7
Oil & Grease (HEM)
< 5 mg/L
6/14/13
S mg/L
EPA 1664A
PH
6.3 S.U.
6/10/13
1.0-14.0 S.U.
SM 4500 HB Q1
Q1 Holding time exceeded prior to receipt by the lab.
I hereby certify that I have reviewed and approve these data.
( 1--, - -
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1522
STORMWXTER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE NO. NCG03
/1 r jj f
FACILITY NAME
PERSON COLLECTING SAMPLES LiAl
CERTIFIED LABORATORY 1 Lab # i
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 1
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sam g results from the laboratory.)
COUNTY _�� -, : � �f _
-PHONE NO. ^;(j leiJ
PLEASE SIGN ON THE REVERSE 4
.'Outfall
No. ),
Date.
Sample Collected,
t.f •:OOS3Q:'
-: , 00400 - '
: �'.:01051. ;'
' `:0055b
' Total Suspended Solids,
pH,
Standard unifsr''.,
Lead; mglL '
Oil -and Grease,
m
`Total`;Touc.Organics ;
:'Tug/L
Benchmark
- •
I0W:'
.0.
0:033 '
f 34.;
1.
//
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Part B).
Part B: Vehicle Maintenance Activity Monitoring Requirements
yes _no
Outfail
No.
-Date :-
Satinple Collected,
aslaa ' r
:;00556..
00530
OiI•and Grease;
, ;:: n� i
Total Suspended:Sohds;;,
i , nG "' •.
pH,
standard, units'
New 1Vlotor Otl Usage,
Annual aver'a` e'sl/mo
Benchmark
-..
30
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date /G - (first event sampled)
Total v t Precipitation (inches): P
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
SWU-2.45-102107
Page 1 of 2
Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or
manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject
to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for
clectronc crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management
plan included in the Stormwater Pollution Prevention Plan."
/-)
Name (Print name)
!-I r
Tittie ((Print title)
w—(Signature) �� (Daee)
"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."
ignature of
(D te) f
S WU-245-102107
Page 2 of 2
�,Y f
w AT ' v
co r
> y
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: N1_Gi, /C;/3-/ nI IL! or Certificate of Coverage No.: N/GG1
Facility Name::
County: G:.1 - - - - - - - -Phone No----3.3�-
Inspector: ` 7
Date of Inspection:
'By this signature, I certify that this re art is accurate and complete to the best of my knowledge:
�(�ignature of Permittee or Designee)
1. OutfaU Description l
Dutfall No. Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color
arge using bas'c colors (red, brown, blue, etc.) and tint (light, medium, Describe the color of the disrc
dark) as descriptors: L; d P/n /
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) 14017 /
4. Clarity
Choose the number which best describes the clarity of the discharge where l' is clear and 10 is very
cloudy:
1 2 3 4 56 7 8 9 10
Page 1
S WU-242-020705
4 e €' •
1t p i
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is. no solids and 10 is the surface covered with floating solids:
1 .2 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
1 2 .3 %4 5 6 7 8= 9 10
7. Foam
n
Is there any foam in the stormwater discharge? Yes'No��
S. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes POI
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes')'
es1No
10. Erosion at Outfall 1 �1
Is there erosion at or immediately below the outfall? Yes No
11. Other Obvious Indicators of Stormwater Pollution
List and describe
Note: Low clarity, high solids, and/or the }presence of foam, oil sheen, deposition or erosion maybe
indicative of conditions that warrant further investigation and corrective action.
Page 2
SWU-242-020705
060a
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Contact: Brian Focht
Client: Parker Hannifin
125 E. Meadowview
Report Date: 6/22/2013
Greensboro, IBC 27406
Date Sample Rcvd:
6/10/2013
Meritech Work Order # 06101305 Sample: Outfall #1
6/10/13
Parameters Result
Analysis Date
Reporting LJ131it
Method Qualifigi
Total Suspended Solids < 2.5 mg/L
6/10/13
2.5 mg/L
EPA 160.2
Lead, total < 0.010 mg/L
6/17/13
0.010 mg/L
EPA 200.7
Oil & Grease (HEM) < 5 n)g/L
6/14/13
5 mg/L
EPA 1664A
pH 5.2 S.U.
6/10/13
1.0-14.0 S.U.
SM 4500 HB Q1
Meritech Work Order # 06101306 Sample: Outfall #2
6/10/13
ParMe_ters Result
Analysis Date
Reporting Limit
Method Qualifier
Total Suspended Solids
46 mg/L
6/10/13
2.5 mg/L EPA 160.2
Lead, total
< 0.010 mg/L
6/17/13
0.010 .mg/L EPA 200.7
Oil & Grease (HEM)
< 5 mg/L
6/14/13
5 mg/L EPA 1664A
pH
6.3 S.U.
6/10/13
1.0.14.0 S.U. SM 4500 HB Q1
Ql Holding tine exceeded prior to receipt by the tab.
I hereby certify that I have reviewed and approve these data.
Laboratot y Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1.522
Taylor -Smith, Aana NUAoz us
From: n.focht@parker.com
Sent: M nday, September 23, 2013 9:01 AM
To: T r-Smith, Aana
Subject: w: en data from MFP-07001970 09/23I2013 08:40
Attachments: STORMWATER MONITORING REPORT.pdf
Thank you for your help regarding our inquiry. Attached are electronic scans of the hard copies that we will be re-
submitting to the state.
Have a great day!
Brian Focht
Quality Engineer
Parker Hannifin Corporation
Hose Product Division
125 East Meadowview Rd.
Greensboro N.C. 27406
Direct Dial (336) 291-5120
---- Forwarded by Brian Focht1HPD/FCG/PARKER on 09/23/2013 08:59 AM ----
From: "HPD Greensboro" <bsaunders ol�oarker.com>
To: "BRIAN FOCHT" <brian.focht Parker.com>
Date: 09/23/2013 08:44 AM
Subject: Send data from MFP-07001970 09/23/2013 08:40
Scanned from MFP-07001970.
Date: 09/23/2013 08:40
Pages:30
Resolution:200x2OC DPI
----------------------------------------
"PLEASE NOTE: The preceding information may be confidential or privileged. It only should be used or
disseminated for the purpose of conducting business with Parker. If you are not an intended recipient, please
notify the sender by replying to this message and then delete the information from your system. Thank you for
your cooperation."
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To whom it may concern:
Parker Hannifin Corporation
Hoso Products Division
125 E. Meadowview Road
Greensboro, NC 27406.4518 USA
336.373.1761 ph
336-378-0913 fax
Our records indicate that an outdated SDO report format may have been used for submission. In addition, the
original report from the lab did not report out two SDO measurements. However, the measurements were recorded
and an updated report from the lab was received with these SDO values. I have copied all the original data recorded
with the new values to the new SDO Qualitative Monitoring Report and Semi-annual Stormwater Discharge
Monitoring Report formats.
Afler reviewing the revised report, Nye acknowledged that we exceeded the benchmark limif for Copper at Outfall
92. The benchmark is 0.007mg/L and our report indicates that we were at 0.010 mg/L. This is the first known
occurrence of exceeding this benchmark. At this time, a source of release from our facility is not known.
Observations from the outfall show that this is a shared community stream that runs through residential and private
business properties.
Attached are copies of the original submission with original lab reports and the updated submission with updated lab
reports. For further inquires, please contact myself at the phone number in the letter head or my direct dial below.
Thank you,
Brian Focht
Quality Engineer
Parker Hannifin Corporation
Hose Products Division
125 East Meadowview Road
Greensboro, N.C. 27406
Direct Phone ]Number: (336) 291-5120
The global leader in motion and control technologies
��A
RNEWR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit: r e w t
Permit No.. 9/-C/.0
Facility Name: J
County: _ _ Gam,14
Inspector: _ 6L
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
or Certificate of Coverage No.:
Phone No. �331r r 37�- 17/ Z
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
V Yes ❑ No
Please verify whether qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary, Most permits require 'qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
i
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this s gnaure, I certify that ffiiA_Eeport iyaccurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012
1. Outfall Description:
Outfail No. 1 Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: APW,'16
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _,IL,,}?
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 D 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
n 2 3 4 S
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 0 3 4 5
7. Is there any foam in the stormwater discharge? Yes + N
8. Is there an oil sheen in the stormwater discharge? Yes Na
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe 6 f
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SwU-242, Last modified 10/25/2012
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Ruality General Permit No. NCG030000
Date submitted
CERTIFICATE OF COV AGE NO. NCG03Q Q Q
FACILITY NAME Fg,
COUNTY
PERSON COLLECTING SAMPLES r ' G�I
LABORATORY A+t&,' k A Lab Cert. # ILrS
Comments on sample collection or analysis: ;
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLECOLLECTIO EAR ao/3
SAMPLE PERIOD Jan -June ❑ July -Dec
or Monthly' _ (monthl
DISCHARGING TO CLASS ]ORW ❑HCJW []Trout ]PNA
[]Zero -flow owatersupply ❑SA
[]`Other.
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
--0 No discharge 1this
rperiod?�
Date Sample 24-hour rainfall
Outfali No. j 1
Collected amount,
(mo/dd/yr) inches3
pH;
Total Suspended Solids Standard units
1= "'
Copper" Lead
w, . _ .. _ ti _ : ;
�' w . - Non Palar O&G/.
Zinc Total:Petroleum
:x .', :; �" yHydfocarbons
Total,Toxic
' Organics.
Benchmarks =__> _ -
100 mg/L or 50 mg/0 6.0 - 9.0
0.007 mg/L 0.033 mg/L .
0 B67. nig/L
15.'mj/L,
1 nig/L'
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same oiitfall.
Z For sampling periods with no discharge at any single outfali, you must still submit this discharge monitoring report -with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2417 SWU=245, last revised 10/25/2012
Page 1 of 3
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
—E`L i4 /t _ LAG A
Name (Print name)-�
Title (Print title)
91-;4 )44!_i3
ignature} (Da e)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L!' . where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L -
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfal I
amount,
Inches;
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =_=>
-
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
Note. If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PARTAAND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART If 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 L�
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an_orictinal and one copyof this gl& including all "No Discharge r6ports within 30 days of recur of the lab results, (or at end of monitoring period
in the case o "No Disc ar e" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
N 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 fqr sXbmitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3
• I
i
9
Contact: Brian Focht
Client: Parker Hannifin
125 E. Meadowview
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Revised Date 912012013
Report Date: 6/22/2013
Greensboro, NC 27406 Date Sample Rcvd: 6/10/2013
5
Meritech Work Order # 06101305' Sample:.Outfall #1 6/10/13
Parameters
Result
analysis Dat
Reporljng Limit
Metbod Quallfie
Total Suspended Solids
< 2.5 mg/L
6/10/13
2.5 mg/L
EPA 160.2
Copper, total
0:007 mg/L
6117113
0,002 mg/L
EPA 200.7
Lead, total
< 0.010 mg/L
6/17/13
0.010 mg/L
F.PA 200.7
Zinc, total
0.059 Mg/L
6117113
0.010 mg/L
EPA 200.7
Oil & Grease (HEM)
< 5 mg/l,
6/14/13
5 mg/L
EPA 1664A
PH
5.2 S.U.
6/10/13
1.0-14.0 S.U.
SM 4500 HB Q1
Meritech Work Order # 06101306 Sample: Outfall #2 6/10/13
Parameters
Result
Anal sis Date
Reporting Liml
Metho Qualifier
Total Suspended Solids
46 mg/L
6110/13
2.5 mg/L
EPA 160.2
Capper, total
0.010 mg/L
6117113
0.002 mg/L
EPA 200.7
Lead, total
< 0.010 mg/L
6/17/13
0.010 mg/L
EPA 200.7
Zinc, total
0.021 mg/L
6117113
0.010 mg/L
EPA 200.7
! Oil & Grease (HEM)
< 5 mg/L
6/14/13
S mg/L
EPA 1664A
E
PH
6.3 S.U.
6/10/13
1.0.14.0 S.U.
SM 45001113 Q1
Q1 Holding time exceeded prior to receipt by the lab.
I hereby certify that I have reviewed and approve these data.CD :777
Laboratory Representat e
642 Tamco Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1522
A
A
r�raj"
WO[W
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this farm, please visit: 1Up: f al_ncdenr. re/web/w /su/nndessw#tab-4
Permit No.: N/-C/�
Facility Name: J
County: 1&
Inspector: /I
Date of Inspection:
Time of Inspection:
_1/.0/Q/p/-0/ or Certificate of Coverage No.:
Total Event Precipitation (inches):
Phone No. _ 336 — 37 j / 7(� /
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
[Z(Yes ❑ -No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall ;
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation_
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office_
By this signature, I certify thatffij� reort iyacc` to and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 1012512012
I. Outfall Description:
Outfall No. ._.2_w Structure (pipe, ditch, etc.) a, �-C/j
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Q �V. "? '; - j4ed
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.)..^ !yo
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy: �
1 2 /3) 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
/ 1 j 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 D 3 4 5
7. Is there any foam in the stormwater discharge? Yes
a. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall?
10. Other Obvious Indicators of Stormwater Pollution:
List and describe . ZV /1 P
5�N
�No�
Yes
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may he indicative of pollutant exposure, These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted ,k l.Zo / 3
CERTIFICATE OF COv RAGE NO. NCG 3D _Q.�2
FACILITY NAME
COUNTY !
PERSON COLLECTING A PLfS �.
LABORATORY 41,;4i. Lab Cert. # (.
Comments on sample colliction or anal�iisis:
i / / l . i . n,. - .. fe i . _ ! n L 1 Lj .
SAMPLE COLLECTION AR
SAMPLE PERIOD Jan -June ❑ July -Dec
or ] Monthly' month
DISCHARGING TO CLASS ❑ORW C]HQW []Trout ❑PNA
[]Zero -flow ]Water Supply OSA
`Other
- ' .. /
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
Part A: Stormwater Benchmarks and Monitoring Results
[] No discharge this period?'
Date Sample 24-hqur rainfall
Outfall No. Total Suspended Solids
pH, -
i
" - Non -Polar Total Tox9c
Copper Lead Zinc Total Petroleum
Collected amount,
Standard units
Organics s
A .',:_ .. <Flyilrocarbons
(mo/dd/yr) inches
^ ;.. _ {
Benchmarks =_=> - 100 mg/L or 50 mg/L4
6:0 - 9.0
6.007 mg/L 0.033 mg/L 0.067 mg/L'I' 15 ing/t 1 mg/L
r
,%
,00 '09,010 D.021.1.:,.
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance'for the,sarrie parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring.report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal .manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-1o/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3
Facilities that incorporate a solvent management
may be waived. 7'he solvent management plan shall include a fist
Plan into the stormwater Pollution Prevention plan
Permit. Far those facilities electing to employ the 7TD may so of the total toxic organic compounds sed and
monitoring waiver, the discharger shaft sign the followi certify, and the requirement nt far
nd the other elements fisted in the oenen l°ring
"Based upon my inquiry of the person or persons directly responsible for mans
(nQ), I certify that to the best of my knowledge and belief, no dumping ng certification statement:
stormwater runoff has occurred since filin i gang compliance with the permit monitoring requirement for total toxic or
solvent management plan included in the Stohm titer discharge
011uton monitoring
Prevention
g a concentrated toxic organics into the stormwater or areas w
g monitoring report. I further certi ganics
Plan.- certify that this facility is implementing hick are exposed to rainfall or
p nting the all the provisions of the
`� G
Name {print name)
Title (Print tit e)
Signature) !/0A
l ✓a LCJ
Note: Results must be reported in numerical format. Do noe�ort Below peter
format. When results are below the applicable limits, the
limit, reporting limit, etc. fn mg/L must be re arted in the formaion t BDxX mQL, Non -detect, NE), or other similar non -numerical
L" where XX is the numerical value of the detection
Note: if you report a sample value in excess of the benchmark, you must im l
Part B_ Vehicle maintenance Area Monitoring Results: nnfy for facilities
menr Tier 1, Tier Z, or Tier responses. See General Permit text.
es averaging > 55 gat of new oil per month.
Outfall No. Date Sample 24_ No discharge this Period?z
Collected; hour rainfall
amount, Non -polar O&G/TPH b Benchmarks —,> (mo/dd/yr) [nches3 Y
- _ EPA 1664 (SGT-HEM) Total Suspended Solids
15 mg/L PH
100 mg/L or So mg/L=
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part a
' See General Permit text, Table 5, identifying the especially sensitive receiving water classifications wh
ere the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017
5WU-245, last revised 10/25/2012
Page 2 of 3
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
e 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART I I SECTION B
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO j
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Dischar e" reports, within 30 days of recei t of the lab results or at end of monitoring period
in the case of "No Discharge" reaortsi to:
Division of Water Quality
Attn: DWQCentral Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and ail 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 pena r submitting false information, including the possibility of fines and imprisonment for knowing violations,"
of Permitteej
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 20/25/2012
Page 3 of 3
6'r
Contact. Brian Focht
Client: Parker Hannifin
125 E. Meadowview
Meritech; Inc.
Environmental Laboratory
Laboratory Certification No.165
Revised Date 912012013
Report Date: 6/22/2013
Greensboro, NC 27406
Date Sample Rcvd:
6/10/2013
Meritech Work Order # 06101305' Sample: Outfall #1
6/10/13
Parameters
Result
Analysis Da
Reporting Liml
Method Qualifle
Total Suspended Solids
< 2.5 mg/L
6/10/13
2.5 mg/L
EPA 160.2
Copper, total
0.007 mg/L
6117113
0.002 mg/L
EPA 200.7
Lead, total
< 0.010 mg/L
6/17/13
0.010 mg/L
EPA 200.7
Zinc, total
0.059 mg/L
6117113
OAID mg/L
EPA 200.7
Oil & Grease (HEM)
< 5 mg/L
6/14/13
5 mg/L
EPA 1664A
PH
5.2 S.U.
6/10/13
1.0-14.0 S.U.
SM4500HB. Q1
Meritech Work Order # 06101306 Sample. Outfall #2 6/10/13
Parameters
Result
Analysis Date
RDporting Limit
Metbo QualifivC
Total Suspended Solids
46 mg/L
6/10/13
2.5 mg/L
EPA 160.2
Copper, total
0.010 mg/L
6117113
01.002 mg/L
EPA 200.7
Lead, total
< 0.010 mg/L
6/17/13
0.010 mg/L
EPA 200.7
Zinc, total
0.021 mg/L
6117113
0,010 mg/L
EPA 200.7
Oil & Grease (HEM)
< 5 mg/L
6/14/13
5 mg/L
EPA 1664A
PH
6.3 S.U.
6/10/13
1.0-14.0 S.U.
SM 4500 HB Ql
Q1 Holding time exceeded prior to receipt by the lab.
1 hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1522
otj r1fom
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE NO. NCG03
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
ff,
FACILITY NAME tir /: f7G ,,,, ; 4
PERSON COLLECTLNG:SAMPLES 45,..,E
CERTIFIED LABORATORY Lab # '16,
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: .A+f 1 5
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory,)
COUNTY
PHONE NO. C ,I l
PLEASE SIGN ON THE REVERSE -->
Otitfall = '
•No, j
Date-:
Sample Co_ Ilected,
d.
U0530':`;
004U0
? :.`.:.:Oi051
OOSSb ':,78I4i,
Total+Suspended Solids,
pH;
$ttin6id usuts�4�
E ead, mglL .
O>I anil,Grease,
Total Touc_Oiganics ;
Benchmark
100.
, : '. with a'6:0 ,' 9:0:.
"0i033 -
30 :'
1
Now If you report'a sainpled:value in excess.of the. benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did 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 Activity Monitoring Requirements
Outfall"
No.
Dine
Sample Collected;
malddl
; .00SStS:?
-0053Q,:r r00400'
y s .Oil and Grease,
m "'
Total Suspended Solids, ,
:uu ', ;.
pH;
Standardiunitts
New Mota.r Od Usage,
Arinual'avers`e allmo
Benchmark
-
30
G0!:
Note: if you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORINI EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date /6 /" (first event sampled) Attn: DWQ Central Files
Total Event Precipitation (inches): • 65- 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date _ (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches).
SWU-245-102107
Page 1 of 2
Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, mauticrystals, or„
manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject
to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.1 I ; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for
electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31,).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions ofthe solvent management
pian included in the Stormwater Pollution Prevention Plan." i
Name (Print name)
ft 1.
Title (Print tine)
Sign�ur� — - — (Date
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
trite, 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."
'(Signature of Per`mittee) (Date)
S WU-245-102107
Page '2 of 2.
rwaf
o��,�Al
Stormwater Discharge Oijtfall.(SDO)
Qualitative Monitoring Report
Permit No,: NIGG 1-01.11 '1'c l or Certificate of Coverage No.: NIGG/ I I I l ! !
FacilityDame:
County: 6'.7' t'- -
Piione No. q�G •- 1 T _� 1
Inspector: ; '< • LE
Date of Inspection: _ � l ,711 _
By this signature, I certify,_ %-this report is accurate and complete to`the best of my knowledge:
(Signature of Permiam or Designee)
1. Outfall Description
Outfall No. _ 1 Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: pl f
2. Color
Describe the color of the discharge using basic colors
dark) as descriptors: /?�.'_t; i✓p ; o" / &
brown, blue, etc.) and tint (light, medium,
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.)
4. Clarity
Choose the number which best describes the clarity of the discharge where I is clear and I0 is very
cloudy:
I 2 (}
4 5 6 7 8 9 10
Page I
SWU-242-020705
F. Y
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solid`s:'
1 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
1 3 4 5 6 7 8: 9 10
7. Foam
Is there any foam in the stormwater discharge? Yes /No�
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes /No
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or intniediately below the outfall? Yes • No!
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes "-14o�
11. Other Obvious Indicators of Stormwater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
Page 2
swu-242-020705
Meritech,- Inc.
Environmental Laboratory
Laboratory. Certification No.165
i-
Contact: Brian Focht Report Date: 6/22/2013
Client: Parker Hannifin
1.25 E. Meadowview
Greensboro, NC 27406 Date Sample Rcvd: 6/10/2013
Meritech Work Order # 06101305 Sample: Outfall #1 6/10/13
Parameters BXa-U-1 Analysis Date Rc ootling Limit
Total Suspended Solids
< 2.5 mg/L
6/10/13
2.5 mg/L IPA 160.2
Lead, total
< 0.010 ing/L
6/17/13
0.010 ing/L EPA 200.7
Oil & Grease (HEM)
< 5 mg/L
6/14/13
S mg/L EPA 1664A
pN
5.2 S.U.
6/10/13
1.0-14.0 S.U. SM 4500 I1B Q1
Meritech Work Order # 06101306 Sample: Outfall #2 6/10/13
Par titer Result Analysis Dill Reporting Llnilt Method Qualiflei
Total Suspended Solids
46 mg/L
6/10/13
2.5 mg/L EPA 160.2
Lead, total
< 0,010 mg/L
6/17/13
0.010 ing/L EPA 200.7
Oil & Grease (HF.M)
< 5 mg/L
6/14/13
5 mg/L EPA 1664A
pH
6.3 S.U,
6/10/13
1.0.14.0 S.U. SM 4500 HB Q1
Q1 Holding time exceeded prior to receipt by the lab.
I hereby certify that I have reviewed and approve these data. � _ _ a.,
1 aharatot y Repiwentotive
642 Tanico Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1522
� � x'
� [ $ j � � 7
�5 , .. .. Lt,.s i
� ,�F ��
STORMWkTER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE NO. NCG03
FACILITY NAME A., I
PERSON:COLLECTINGSAMPLES.
CERTIFIED LABORATORY 10,E mm Lab #
Lab #
Part A:' Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 3ct1 3
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sam�iin results from the laboratory.)
COUNTY _f..., lrm,• � -
PHONE NO./ 3 if' )� I q I ^ S %�2r , -
PLEASE SIGN ON THE REVERSE 4
No.
Sample Collected,
tnald r'
..'0X051
:'00556
'Total Suspended Soliiis,�
xr' m
'pH,
Standard
':Lead;'rtiglG
OiI and.Grease,
Total To'uc.Orgaitics ;
Benchmark
-
_' :140:%`
:'z*°Wiliia'6:0=9:0;-.."
0:033
34
1
U141.13
O 1 5
a+t
i o ., LEkef
r
Note: If you; report a sampled Valuein excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or 'Tier 2 responses.
See General'Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part S).
Part 8: Vehicle Maintenance Activity Monitoring Requirements
Outfail
'No.
Date - '
Sample Collected, A
tiiofdd! r
00556: ;
'A4530,;_e..
:00440
A Otl and Grease,
:m
Total Suspended Sohds, .
Sin
pH`
Standsrd=;unit '
New iVlotisr Oil Usage,
Xp I al.avera "e gaVmo
Benchmark
-
30
9.0
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Date !� Division of Water Quality
]�� (first event sampled) -r Attn: DWQ Central Piles
Total v t recipitation (inches): , f 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
SWU-245-102107
Page 1 of 2
• .ham
_ ^t;
Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or
manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject
to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.1 I; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for
electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.3 f).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:
"Based upon my inquiry of'the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff bas occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management
plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
r{ tguanwe) LZ: J (Datie)
"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
(Dane)
.SWU-245-IO2I07 ,
Pa&4of2. f_
Stormwfiter Discharge 00611(SDO)
Qualitative Monitoring Report
Permit No.: NIG 1 1 (QIQIQI ! or Certificate of Coverage No.: NIGGI l 1 1 1 1 1
Facility Name: _
County: G . jn.,-- Phone No. 33(—_373
Inspector:
Date of Inspection:
By this signature, I certify that this re ortis ccurat e and complete to. the best of my knowledge:
`.�($ignature of Permittee or Designee)
1. Outfall Description
4utfal! No. Structure (pipe, ditch, etc.)
►'�-�
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the disc arge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: u P/n 11%4
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.)
4. Clarity
Choose the number which best describes the clarity of the discharge where l' is clear and 10 is very
cloudy:
1 2 3 4 �) 6 7 8 9 10
Page 1
S WU-242-020705
f
Ott
5. Itiloating Solids
Choose the number which best describes the amount oftiaating solids in the stormwater discharge where
I is no solids and 10. is the surface covered with floating solids:
1 ('2 3 4 5 6;,: 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
_ 5
1 2 -3 s 5 6 7 8: 9 10
7. Foam
Is there any foam in the stormwater discharge? Yes V
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes �o J
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No
41
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes No
11. Other Obvious indicators of Storrnwater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
Page 2
SWU-242-020705
Meritech, Inc.
Environmental- Laboratory
Laboratory Certification No. 165
Contact: Brian Foclit Report Date: 6/22/2013
Client: Parker Hannifin
125 E. Meadowview
Greensboro, NC 27406 Date Sample Rcvd: 6/10/2013
Meritech Work Order # 06101305 Sample: Outfall #1 6/10/13
ParaineWr
Rcsul
AziaLysis Date.
a
Method ftLiaY r
Total Suspended Solids
< 2.5 mg/L
6/10/13
2.5 tng/i.
EPA 160.2
Lead, total
< 0.010 mg/L
6/17/13
0,01.0 ing/L
EPA 200.7
Oil & Grease (HEM)
< 5 mg/L
6/14/13
5 mg/L
EPA 1664A
PH
5.2 S.U.
6/10/13
1.0-14.0 S.U.
SM 4500 HB Q1
Meritech Work Order # 06101306 Sample: Outfall #2
6/10/13
kuameters
Rusut
Ana ysls Dam
Reportlug �.ind
Ngthod Qualifier
Total Suspended Solids
46 mg/L
6/10/13
2.5 mg/I. EPA 160.2
Lead, total
< 0.010 mg/L
6/17/13
0.010 mg/L EPA 200.7
Oil & Grease (HEM)
< 5 mg/L
6/14/13
5 mg/L EPA 1664A
PH
6.3 S.U.
6/10/13
1.0.14.0 S.U. SM 4500 HB Q1
Q1 Holding time exceeded prior to receipt by the lab,
1 hereby certify that 1 have reviewed and approve these data,
Laboratory Representative
642 Tanuo Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax,(336)342-1522
»::x'...
Parker Hannifin Carp/HPD Greensboro, NC
Environmental Management System
EMS Handout
Q. What is an Environmental Management System?
An Environmental Management System (EMS) is a
collection of programs, manuals, procedures, work
instructions, forms, records and practices that
address how we control our work to minimize
adverse environmental impacts. Adverse impacts
could include, for example, contamination of on -site
surface water discharged to local streams and
creeks, or emissions of fine particulates into the air.
Q. What is ISO 14001?
ISO 14001 is an internationally applicable standard
that specifies what should be included in an
Environmental Management System (EMS).
Our plant has voluntarily chosen to implement the
requirements of ISO 14001. Adoption of the standard
is not required by any government body or agency.
Shortly, we will be audited by a third party registrar.
This registrar's auditors will independently
determine whether we have adequately
implemented ISO 14001. If we pass this audit,
registrar will issue a formal "Certificate of
Registration" to the plant.
Q. Why are we ISO 14001 registered?
Our customers have asked their suppliers to obtain
ISO 14001 registration. In addition, we believe that
an ISO 14001-based EMS is important for the
following reasons:
This type of system is "bottom -up", not "top -
down". in other words, we determine for
ourselves what environmental issues are
important to address, not an outside agency.
Everyone is responsible in helping control our
emissions, discharges and waste management.
I M PACTS
Spills and waste
OBJECTIVES
1. Reduce the risk of fire, lower outside noise
pollution, Rower energy consumption, filter
and recycle expended air pertaining to the
dust collector.
2. Eliminate the need for Storm Water Sampling.
TARGETS
1. Reduce electrical consumption and lower
outside noise from 89 to 78dBa.
2. Eliminate the need for Storm Water Sampling.
Q. Who created our EMS?
Our EMS was created by a Cross Functional Team
(CFT). The CFT will continue to function to maintain
the system and is comprised of:
Bryan Dugan; Brenda Saunders; Brian Focht;
Derrick O'Dell; Tom OToole; Kay Dunman;
Darrell Moseley
The EMS Coordinator is ultimately responsible for
ensuring the EMS is properly maintained and
reporting problems to management. With corporate
and divisional support, the EMS coordinator is
responsible for ensuring we meet all applicable
environmental laws and regulations.
Q. What are my responsibilities?
• Know where applicable environmental procedures
and work instructions are located.
• Understand our environmental policy and goals.
• Understand how your work effects the
environment,
• Know who to contact when you or others have an
environmental concern or issue.
• Report potential environmental emergencies
Significant Aspects • Understand and follow applicable environmental
General Trash, Plastic Bottles, Solvent Chemicals, procedures and work instructions.
Hose Scrap, Recyclable Packaging Material, Waste Q. Where are EMS documents located?
Packaging Material
Public:\QMS Documents\Work Instructions\EMS\ HPD Greensboro EMS Handout
Our environmental policy is posted in the front
lobby and in various areas on the production floor.
Environmental procedures, work instructions and
forms are located and accessible on the internal
electronic document center.
Q, What do I need to know about our policy?
What it means to you. In other words, our policy
commits all of us to protecting the environment by
preventing pollution (i.e., recycling wastes) and
complying with environmental laws.
Q. How does any work affect the environment?
For every area and activity in the plant, the CFT has
identified environmental aspects (i.e., emissions,
discharges and waste that interact with the
environment). All aspects impact the environment in
some way (either positively or negatively). Some of
these aspects are important enough to do something
about (i.e., are significant). Some significant aspects
generated by your work may include:
• Spent batteries • Electricity usage
• Spent petroleum fluids • Housekeeping (i.e.,
and coolants floor scrubbers,
• Scrap metals cleaning chemicals,
• Waste water etc.)
discharges • Aerosol cans &
• Obsolete equipment residual chemicals
• Natural gas usage
Q. How do we control our significant aspects?
Significant aspects are controlled by following our
environmental procedures and work instructions and
achieving our environmental goals.
Q. What are our environmental goals?
Our environmental goals have been established by
CFT and are indicated in our environmental policy.
Q. How do we communicate environmental issues?
Questions you have or questions external parties
have regarding an environmental issue or concern
should be discussed with your immediate supervisor.
Your immediate supervisor is responsible for keeping
you informed of changes to the EMS.
Q. How do I report potential environmental
emergencies?
These emergencies should be reported immediately
to your supervisor or our EMS Coordinator. DO NOT
respond to an emergency without first
communicating the problem.
Q. What environmental benefits might result from
improvements in my work?
• Less waste may be created
• More waste might be recycled
• Water & air quality might be less impacted
Q. What are the environmental consequences of
deviating from environmental procedures & work
instructions?
• Waste could be inappropriately disposed, resulting
in contamination of surface and ground water
• Waste targeted for recycle would not be properly
recycled, so additional resources would be
depleted in refining or creating new material
• Refrigerants could be released into the
atmosphere and contribute to further ozone layer
depletion
• Excess pollutants could be from one of our
manufacturing processes
Q. Which environmental procedure & work
instructions are relevant to my work?
All of the following procedures and many of the work
instructions may be applicable to your work. Please
ask your immediate supervisor if you are unsure of
those that are applicable.
• EMS Communication Program (HPD18.1101)
• Hazardous Material Spill Response Procedure
(part of the Emergency Response Plan) (HPD
18.150)
• Non -conforming Product and Material Disposition
(QWI-017)
• Scrap Equipment Management (HPD 18.407)
• Universal Waste Disposal (HPD18.403)
• Waste Oil Handling and Disposal (HPD18.403)
• Recycling (HPD18.408)
• Packaging Waste Disposal (HPD18.501)
• EMS Regulations and Compliance Audits
(HPD18.601)
• General Waste Disposal (HPD18.409)
Other Procedures/Work Instructions will be added or
modified as necessary to address environmental risks
as they are identified by the CFT.
Q. What happens next?
• Begin using your procedures & work instructions
and creating appropriate records
• An internal audit will be completed to determine
whether these documents are being followed
If YOU ARE AUDITED, DO NOT RELY ENTIRELY ON
YOUR MEMORYM
YOU CAN USE THIS BROCHURE AS A REFERENCE.
YOU CAN ALSO REVIEW A COPY OF THE PROCEDURE
OR WORK.INSTRUCTION YOU ARE BEING ASKED
ABOUT — SEE YOUR IMMEDIATE~ SUPERVISOR FOR A
COPY OF THESE DOCUMENTS WHEN YOU ARE
AUDITED.
JUST ANSWER THE QUESTION BEING ASKED. YOU
DO NOT NEED TO VOLUNTEER ADDITIONAL.
INFORMATION.
BE POLITE AND ANSWER TRUTHFULLY.
THE AUDIT IS TO CHECK FOR SYSTEM
CONFORMANCE ONLY AND DOES NOT REFLECT ON
HOW WELL YOU DO YOUR JOBMH!
H PD18.401H
Issued: 12/9/08
Revised: 12/16/2013
Revised By: Thomas OToole
Approved By: Brian Focht
Public:\QMS Documents\Work Instructions\EMS\ HPD Greensboro EMS Handout
Parker Hannifin Corp./HPD Greensboro NC
Environmental Policy
HPD — Greensboro, NC Facility is committed to
respecting the environment in the conduct of its
business and recognizes the need to preserve and
protect our vital natural resources. We are
committed to the concept of continual improvemer
as well as reducing pollution.
In order to fulfill these commitments, it is the poli,
of the HPD — Greensboro, NC Facility to:
• Conduct business activities in a responsib
manner to protect the environment;
• Comply with all applicable environmental lave
and regulations and other applicable
environmental requirements.
• Educate, train, and delegate responsibility to
relevant employees to make environmental
performance a high value in present and futur
activities;
• Provide effective management at all levels to
ensure that employees implement and uphold
this policy within their respective sphere of
activity or responsibility;
• Co-operate with the public authorities to
establish and update contingency procedures
to minimize the impact of any accidental
release to the environment.
• Utilize an Environmental Management Syste
(EMS) to identify and manage how the Facilit),
activities interact with and change t
environmental. The EMS will also establish
framework for the facility to set and achie
environmental objectives and targets.
This policy will be communicated to all parties
interested in the performance of our Environments
Management System.