HomeMy WebLinkAboutNCS000321_MONITORING INFO_201807261 1,
—STORMWATER-DIVISION-CODING-SHEET__
PERMIT NO.
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DOC TYPE
❑ FINAL PERMIT
[!I'MONITORING INFO
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
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Permit Number NCS 000321
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Lubrizol RECEIVED
PERSON COLLECTING SAMPLE(S) Bobby Smith
CERTIFIED LABORATORV(S) Prism Labs, Inc. Lab #402 nFC 0 5 Zola
Lab #
CENTRAL FILES
DWR SECTION
Part A: Specific Monitoring Requirements
Nk VT
COUNTY Liaston
PHON O., 04 .915-4165
n
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes @. no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/fPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m /I
mgA
unit
al/mo
Form SWU-247, last revised 611212015
Page] oft
STORM EVENT CHARACTERISTICS:
Date 11/08/18
Total Event Precipitation (inches): 1.37
Event Duration (hours): 24 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."'
Amilk — 11/28/2018
(Signature of Permittee) (Date)
Form SWU-247, last revised 611212015
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000321
FACILITY NAME Lubrizol
PERSON COLLECTING SAMPLE(S) Bobby Smith
CERTIFIED LABORATORY(S) Prism Labs, Inc. Lab # 402
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Gaston
PHONE NO. 704 45-4165
r
SIGNATURE OF PERMITTEE OR DESIGNEE
REOUIRED ON PAGE 2.
----------
----------
----------
----------
----------
----------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes (.)no
(if yes, complete Part B)
Part B: Vehicle Maintenanre Artivih Mnnitnrinv Requirements
Part
... .......... ..._...--.._..--
Outfall
No.
----
Date
Sample
Collected
50050
00556
00530
100400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GfrPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m
unit
gaumo
Form SWU-247, last revised 611212015
Page I of 2
STORM EVENT CHARACTERISTICS:
Date 11/08/18
Total Event Precipitation (inches): 1.37
Event Duration (hours): 24 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. 1 ant aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
ae 11/28/2018
(Signature of Permittee) (Date)
Form SWU-247, last revised 611212015
Page 2 of 2
tw
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000321 RE SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
DEC O f j the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Lubrizol rr•.. 5 Ole COUNTY Gaston
PERSON COLLECTING SAMPLE(S) Bobby Smith Ri: w KR1 r,. PHONE NO. 7(_.04 ) 15-4 5,
CERTIFIED LABORATORY(S) Prism Labs, Inc. ' 9a6#,402`_'=,•
Lab#'"''
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
EM39r. M.
----------
----------
----------
----------
----------
----------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes (F)no
(if yes, complete Part B)
P—t R• Vnhirin Mantenanee ArtMty Mnnitarino Reouirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/fPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
••
New Motor
Oil Usage
mo/dd/ r
MG
inches
mg/1
m
unit
al/mo
Form SWU-247, last revised 611212015
Page 1 of 2
STORM EVENT CHARACTERISTICS:
Date 10/16/20
Total Event Precipitation (inches): 3.37
Event Duration (hours): 24 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 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."
�c�Yt 11 /29/2018
(Signature of Permittee) (Date)
v
Form SWU-247, lust revised 611212015
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000321
FACILITY NAME Lubrizol
PERSON COLLECTING SAMPLE(S) Bobby Smith
CERTIFIED LABORATORY(S) Prism Labs, Inc. Lab # 402
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Gaston
PHONE NO. 7( ^04 ) 9-i ,,(,,/-
ISIGNATURE OF PERMIT -FEE OR DESIGNEE I
REQUIRED ON PAGE 2.
Date
----------
----------
----------
----------
----------
----------
----------
----------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes Ono
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Totai Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m A
m A
unit
al/mo
Form S W U-247, last revised 611212015
Page 1 of 2
STORM EVENT CHARACTERISTICS:
Date 10/16/20
Total Event Precipitation (inches): 3.37
Event Duration (hours): 24 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable— see permit.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
l.k�5 11 /29/2018
(Signature of Permittee) (Date)
Form SWU-247, lets! revised 611212015
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000321 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
f� the date the facility receives the sampling results from the laboratory.)
FACILITYNAME Lubrizol Rs�n +f_�ly/ zj •,
PERSON COLLECTING SAMPLE(S) Bobby Smith r,_ _
CERTIFIED LABORATORY(S) Prism Labs, Inc. Lab td402 2012
Lab:#,,-_
Off/ SEC1I1ONj
Part A: Specific Monitoring Requirements
COUNTY Gaston
PHONE NO. 7( 04 ) 91165
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
m /I
m /I
m /I
m /I
m /I
mg/1
Total
Flow if a
Total
Rainfall
BOD
COD
TSS
Zinc
pH
mo/dd/yr
MG
inches
mq/1
mq/1
mq/1
mq/1
mq/I
mq/I
02
9/25/2018
17 K
�r'F2W /1'1
210
0.81
8.7
__--. r.�
Fr. ,4
i KAL F11 PC
vrt oLCTION
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes (F)no
(if yes, complete Part B)
Part R- Vehicle Maintenance Activitv Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m /I
unit
gaumo
Form SWU-247, last revised 611212015
Page I of 2
STORM EVENT CHARACTERISTICS:
Date 9/22/201
Total Event Precipitation (inches): 2.66
Event Duration (hours): 48 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 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."
;z — 11/28/2018
(Signature of Permittee) (Date)
Form SWU-247, last revised 611212015
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000321 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Lubrizol
PERSON COLLECTING SAMPLE(S) Bobby Smith
CERTIFIED LABORATORY(S) Prism Labs, Inc. Lab #402
Lab #
Part A: Specific Monitoring Requirements
COUNTY Gaston
PHONE NO. 70 915.4165
SIGNATURE OF PERMITTEE OR DESIGNEE
REOUIRED ON PAGE 2.
----------
----------
----------
----------
----------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes Ono
(if yes, complete Part B)
Part Re Vehicle Maintenance Activitv Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m /I
m /I
unit
al/mo
Form SWU-247, last revised 611212015
Page] of 2
STORM EVENT CHARACTERISTICS:
Date 9/22/201
Total Event Precipitation (inches): 2.66
Event Duration (hours): 48 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 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."
2tt k FrL 11/28/2018
(Signature of Per � ttee) (Date)
Form SWO-247, last revised 611212015
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000321
FACILITY NAME Lubrizol
PERSON COLLECTING SAMPLE(S) Bobby Smith
CERTIFIED LABORATORY(S) Prism Labs, Inc. Lab # 402
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Gaston
PHONE NO. 7( 04 ) 915-4165
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
----------
----------
----------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes (F)no
(if yes, complete Part B)
port R• VnhiA. Mainten anre ArHvity Mnnitnrino Requirements
SEP 0 4 N6
CENTRAL FILES
DWR SECTION
Outfall
No.
Date
Sample
Collected
50050
00556
00530
100400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
mgA
m
unit
al/mo
Form SWU-247, last revised 611212015
Page 1 of 2
STORM EVENT CHARACTERISTICS:
Date 7/23/201
Total Event Precipitation (inches): 3.0
Event Duration (hours): 72 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 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."
9/30/201
(Signature of Permittee) (Date)
Form SWU-247, last revised 611212015
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lab #
Part A: Specific Monitoring Requirements
Ourfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/I
MR11
mg/1
mg/I
02
5/23/2018
7.3
55
89
0.23
6.8
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. ,704 915-4165
15 h
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
RECEIVED
JUL 18 2o18
CENT FILES
OWR SECTION
Ourfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grcasc
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mm/dd/vr
MC
mg/I
ug/I
mg/I
unit
al/mo
STORM EVENT CHARACTERISTICS
Date 5/21/2018
Total Event Precipitation (inches):
Event Duration (hours): 48
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Em
Yes X No
Attn: Central flies
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
t{
e
Footnotes:
Applies only for facilities at which fueling occurs.
' Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of tines and imprisonment for knowing violations."
(Signature of Permittee)
7 / i"0 g
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SANIPI
CERTIFIED LABORATORV(S)
Lubrizol -Gastonia Facilit
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/I
mg/I
mg/I
mg/I
02
6/21/2018
25
68
130
0.2
8.7
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE �704 915-4165
M
(SIGNATURE URE OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outfall
Date
50050
00556
01051
38260
00404)
No.
Sample
Total Flow
Oil and Greasc
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(M RAS)`
Usage
mm/dd/yr
MG
mg/I
ugn
mg/1
unit
gaUmo
STORM EVENT CHARACTERISTICS
Date 6/18/2018
Total Event Precipitation (inches): 0.1
Event Duration (hours): 72
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
RECEIVED
JUL 18 2018
CENTRAL FILES
DWR SECTION
Yes X No
Attn: Central tulles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME Lubrizol -Gastonia Facilit
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lab #
Part A: Specific Monitoring Requirements
4VL
Outran
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/I
mg/1
mgfl
mgfl
02
4/18/2018
<2.0
20
<50
0.16
8.7
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO65
(SIGNATURE OF PERM ITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pit
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mm/dd/vr
MG
mg/I
ug/1
mg/1
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 4/17/2018
Total Event Precipitation (inches):
Event Duration (hours): 24
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
RETE'VeD
'WAY 2 4 2016
1VR SEA T/ FS
Yes X No
Attn: Central tales
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Fonn MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
E Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
of Permittee)
(Date)
Fonn MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lubrizol -Gastonia
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/1
mg/I
mg/l
mg/I
02
3/15/2018
9.9
13
50
0.22
7.8
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mm/dd/yr
MG
mg/1
u I
mg/I
unit
gaVmo
STORM EVENT CHARACTERISTICS
Date 3/13/2018
Total Event Precipitation (inches): 0.97
Event Duration (hours): 48
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
COUNTY Gaston
PHONE Np. ^ /704 915-4165
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
RECEIVE 9?
APR 3 0 2018
CENTRAL FILES
DIP/R SECT;ON
Yes X No
Attn: Central Niles
DEHN R
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR1 a
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
' Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"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."
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME Lubrizol -Gastonia Facility
PERSON COLLECTING SAMPLE(S) David Griffith
CERTIFIED LABORATORV(S) Prism Labs Lab # 402
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/ r
MG
mg/I
mg/I
mg/I
mg/1
02
3/1/2018
2.1
12
<50
0.2
8.3
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Pan B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. 7M, 915-4165
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mm/dd/yr
MG
mgA
ugfl
mg/1
unit
gaumo
STORM EVENT CHARACTERISTICS
Date 2/25/2018
Total Event Precipitation (inches):
Event Duration (hours): 72
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
0.21
RECE�v��
APR 3 p 2018
GEN-VRAL FILES
GWR SEG-[ION
Yes X No
Attn: Central Piles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 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."
(Signature of Permittee)
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lab #
Part A: Specific Monitoring Requirements
FEB 2 6 Z013
CENTRAL FILES
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/1
raw[
mg/1
mg/I
02
12/19/2017
24
6.6
140
0.25
7. 66
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO.
(SIGNATUR OF P , RMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outfall
Date
50050
00556
01051
35260
00400
No.
Sample
Total Flow
Oil and Crease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable
(MBAs)`
Usage
mm/dd/yr
MG
mg/1
t
mp,/1
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 12/15/2017
Total Event Precipitation (inches): 0.8
Event Duration (hours): 72
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
_Yes X No
Attn: Central Piles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
' Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
p�2
(Date)
Form MR18
Page 2 of 2
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
R��Gi\IFI�
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
Lab
JAN U 2 '6ig
l)'p" SEGiION
Outran
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/I
mg/1
mg/1
mg/I
02
11/16/2017
45
53
120
0.27
7.2
Does 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
(all samples collected during a calendar year, shall he reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO 70 y5 4165
aft
(SIGNATURE OF PERM ITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outran
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable
(MBAs)`
Usage
mm/dd/yr
MG
mg/I
t
mgn
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 11/13/2017
Total Event Precipitation (inches): 0.25
Event Duration (hours): 72
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Yes X No
Attn: Central Hiles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
r Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Form MR18
Page 2 of 2
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMPI
CERTIFIED LABORATORV(S)
Lubrizol -Gastonia Facilit
Prism
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFAL'L (SDO)
ANALYTICAL MONITORING REPORT
Lao x
Lab #
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/I
mg/I
mg/I
mg/l
02
9/6/2017
40
29
130
0.14
8.4
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE N(Y.JJ // 77704 915-4165
(SIGNAXURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
RECEIVED
JUI2 b ZUil-
CENTRAL FILES
OWR SECTION
_Yes X No
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mm/dd/yr
MG
mg/l
ug/I
mgA
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 9/5/2017
Total Event Precipitation (inches):
Event Duration (hours): 24
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
1.25
Attn: Central Hiles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
1
Footnotes:
Applies only for facilities at which fueling occurs.
I Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of
1 o1aol i-7
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME Lubrizol -Gastonia Facility
PERSON COLLECTING SAMPLE(S) David Griffith
CERTIFIED LABORATORY(S) Prism Labs Lab #
Lab #
Part A: Specific Monitoring Requirements
402
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE /7�}ft%15-4165
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/I
mg/I
mg/I
mg/I
02
10/16/2017
6.8
22
60
0.17
7.7
e-�TAI
R r .
F11C
2 ?0)8
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per atp'n:.' SECTION
gript�MAT10i�! PROCESSING UN!1 Yes
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mm/dd/yr
MG
mg/I
u9/1
mg/I
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 10/14/2017
Total Event Precipitation (inches):
Event Duration (hours): 48
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
1.45
X No
Attn: Central riles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
r Applies only for facilities at which fueling occurs.
' Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 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."
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lubrizol -Gastonia
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
'total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zino
pH
mm/dd/yr
MG
mgA
mgfl
mgfl
m
02
7/5/2017
25
30
<50
0.1
9
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE 704 9I5-4165
(SIGNATURE OF PERMIT -TEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable
(MBAS)`
Usage
mm/dd/vr
MG
mg/1
u 1
m
unit
gal/me
STORM EVENT CHARACTERISTICS
Date 7/3/2017
Total Event Precipitation (inches):
Event Duration (hours): 72
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
0.89
RECEIVE®
SEP 0 5 Z017
CENTRAL FILES
DWR SECTION
Yes X No
Attn: Central titles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Forth MR18
Page 1 of 2
Footnotes:
' Applies only for facilities at which fueling occurs.
' Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP.
CERTIFIED LABORATORY(S)
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/l
mg/1
mg/l
mg/I
02
8/16/2017
6.2
16
<50
0.15
8.82
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Par B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable
(MBAS)
Usage
mm/dd/yr
MG
m
ug/1
mg/I
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 8/15/2017
Total Event Precipitation (inches): 3.67
Event Duration (hours): 24
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
COUNTY Gaston
PHONE%� / 7fM 9154165
.. n
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
RECEIVED
SEP 0 5 2017
CENTRAL FILES
DWR SECTION
Yes X No
Attn: Central Yeses
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
r Applies only for facilities at which fueling occurs.
S Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
3o%
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/1
mg/1
mg/I
mg/I
02
5/8/2017
5.7
13
<50
0.18
8.2
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Pan B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. 70 ,915-4165
t.f 2
(SIGNATJJRE OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mm/drUvr
MG
mg/1
ug/I
1119/1
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 5/6/2017
Total Event Precipitation (inches):
Event Duration (hours): 48
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
0.45
R-EC-E) V 'E®
JUL 14 2017
CENTRAL FILES
DWR SECTION
Yes X No
Attn: Uentral Hiles
L)EHNK
Division of Water Quality
1617 Mail Service Center
Kaleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
z Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
r711111 "1
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME Lubrizol -Gastonia Facility
PERSON COLLECTING SAMPLE(S) Bobby Smith
CERTIFIED LABORATORY(S) Prism Labs
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
RECEIVED
� I V (all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
MAR 9 1 2017 PHON r NO. _ 704 9154165
Lab # 402
Lab # CENTRAL FILFg (SIGNATURE OF PERMITTEE OR DESIGNEE)
DWR SECTION By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/vr
MG
mg/I
mg/I
mg/I
mg/I
02
3/9/2017
56
58
160
0.27
8.9
Does 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
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable
(MBAS)
Usage
mm/dd/ r
MG
mg/I
ug/I
mgn
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 3/8/2017
Total Event Precipitation (inches):
Event Duration (hours): 24
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
0.3
Yes X No
Attn: Central tiles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
3 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 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."
(Signature of Permittee)
3/,2667
(Date)
Form MR18
Page 2 of 2
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
VED
Lab# �. 1 ZQI%
CENTRAL FILES
DWR ECTION
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/ yr
MG
mg/1
mg/1
mg/l
mg/I
02
2/16/2017
19
39
100
0.64
7.4
Does 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
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mm/dd/ r
MG
m
ug/I
mg/!
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 2/16/2017
Total Event Precipitation (inches): 0.21
Event Duration (hours): 24
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
COUNTY Gaston
PHONE NO. �1 ,., 7Q4 915-4165
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
Yes X No
Attn: Central riles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
I Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 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."
(Signature of Permittee)
(Date)
.�'g
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP.
CERTIFIED LABORATORY(S)
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/I
mg/I
mg/I
mg/I
02
11/30/2016
21
160
110
1.2
S7
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(M BAS)`
Usage
mm/dd/yr
MG
mg/I
ugh
mg/l
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 11/29/2016
Total Event Precipitation (inches): 0.33
Event Duration (hours): 12
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
COUNTY Gaston
PHONE NO. 704 915-4165
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
RECEIVED
Yes x No DEC 2 2 2016
Attn: Central Piles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
CENTRAL FILES
DWR SECTION
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
%W/15//6
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lubrizol -Gastonia Facilit
Lab #
Part A: Specific Monitoring Requirements
quz
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/I
mg/1
mg/I
mg/1
02
11/5/2015
<4.2
7.6
<50
0.087
7.9
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE M ,70 -915-4165
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable
(MBAS)
Usage
mm/dd/yr
MG
mg/I
ug/I
mg/l
unit
gaVmo
STORM EVENT CHARACTERISTICS
Date 11/4/2015
Total Event Precipitation (inches):
Event Duration (hours): 72
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
2.75
RECEIVED
JAN 12 2016 -r1
CENTL FILES
DWR SECT ON P
n
Yes X No �10
Mac
Attn: Central Piles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
' Applies only for facilities at which fueling occurs.
' Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of
(Date)
1 / '714
Form MR18
Page 2 of 2
IV
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMPI
CERTIFIED LABORATORY(S)
Lubrizol -Gastonia Facilit
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
Lan x
Lab 4
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/I
mg/1
mgfl
mg/I
02
12/16/2015
5.6
15
<50
0.17
8.9
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. /) „704 915-4165
�__.ui 1,
(SIGNAT,.HRE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
JAN 12 2016
�11
CENTRAL FILES
DWR SECTION C7
-v
_Yes X No
Outfall
Date
50050
00556
111051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable
(MBAS)
Usage
mm/dd/vr
MG
mg/1
ug/I
mgfI
unit
gaVmo
STORM EVENT CHARACTERISTICS
Date 12/15/2015
Total Event Precipitation (inches):
Event Duration (hours): 24
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Attn: Central Plies
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
f
Footnotes:
Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 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."
(Signature of Permittee)
I I'1�11�
(Date)
Form MR18
Page 2 of 2
r
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME Lubrizol -Gastonia
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Prism Labs
Lab #
Part A: SDeclttc Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. 704 9I54I65
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outfall
Date
No.
Sample
Collected
Total
Flow
Temp
Temp
Upstream
Temp
Downstream
Oil &Grease
pH
Chlorine
COD
m yr
C
m
m
mg/
02
12/11/2015
107.7
31.9
16.5
17
6.88
0.041
Does 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 Monitorine Requirements
Outfall
Date
50050
00556
01,15,
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergeols
pH
New Motor Oil
Collected
Recoverable'
(MBAS)
Usage
mm/dd/yr
MG
Mgt[
ug/I
mg/I
unit
al/mo
STORM EVENT CHARACTERISTICS
Date
Total Event Precipitation (inches):
Event Duration (hours):
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
a
Flow of 1 inch = 107.7 gpm ■ -
FtEeffIVED COD
JAN 12 2016
CENTRAL PILES
Yes x No DWR SECTION
Mail Original and one copy to:
Arm Central Files
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh. NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
I1714
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMPLE(S) Bobby Smith
CERTIFIED LABORATORY(S) Prism Labs
Lab k
Part A: Specific Monitoring Reauirements
Outfall
No.
-Date
Sample
Collected,
"
.-
Total
,Flow,
Biochemical
Oxygen
'Demand"
,. Total)":
Suspended;
_ - Solids,
Chemical.
Oxygen
Demand.
Zinc'
pH"
_ -
mm7dd/ r -
;MG'. - ,
:m
_ ,; -mg/1
mgfI
m I
02
10/27/2015
22
31
130
0.13
8.9
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Par B)
Part B: Vehicle Maintenance Activity Monitoring Reauirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. 7049154165
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
RECEIVED
NOV 1, 8 2015
CENTRAL FILES
DWR SECTION
_Yes X No
Outfall"-
Date""
50050`
1 00556
38260
00400
No.
Sample.
Total FI_ow
Oilwnd ,Greaser
l'0105P
Lead, Total^Detergents
-. .. PHA -
:New Motor Oil
"
Collected
mm/dd/yr
"MG
_
m
Recoversble'
. u
(MBAS)`
in
_
- _
.- unit -'
Usage
alfmo
STORM EVENT CHARACTERISTICS
Date 10/26/2015
Total Event Precipitation (inches):
Event Duration (hours):
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
69
Attn: Central Piles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:'
r Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 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 Permittee)
I t h3bS
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMPI
CERTIFIED LABORATORY(S)
Lab #
Part A: Specific Monitoring Requirements
"-'Outfall
No.
-
•--Date-
.Sample
Collected
-
- -_
-
_
- -
_ Total
Flow
Biochemical-
"Oxygen,:
Demand
i Total
-Suspended
' Solids
Chemical.
Oxygen,
Demand'
Zinc
- pH
mm/dd/* r
- .MG
mg/1'
m
• mgfI
..m 911
-
02
9/10/2015
5.9
54
<50
0.14
7.9
Does 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
IRECEIVED
NOV 18 Z015
CENTRAL FILES
DWR SECTION
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. 704 915-4165
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
L v C
_Yes X No Lbo
Outfall.
". "'Date
30050"
" . -00556
- in 5" '
'_38260
00400
NO.-
Sample
Total Flow
Oil,and Grease
Lead, Total.
Detergents
'pit '�
. New Motor Oif
-
Collected
mm/dd/ r
" .. MG
-, m -
Recoverable'
u
(MBAs)`.
m
unit -
Usage
gaunto .
STORM EVENT CHARACTERISTICS
Date 9/9/2015
Total Event Precipitation (inches):
Event Duration (hours):
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
0.41
Attn: Central hlles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
of Permittee)
�1113/15
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMPI
CERTIFIED LABORATORY(S)
Lab #
Part A: Specific Monitoring Reauirements
'. Outfall
No.
_
- Date
Sample
frCollected
Total.
Flow :,i
Biochemical"
'Oxygen.'
- Demand
Total -.
.Suspended,;'
Solids
"Chemical`'
.Osygew
Demand
ZInG ��
'. -
-,pH
- '
`
mm/dd/-r
MG -
m - °
-'. m
m
m
"
02
1 8/1/2015
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO 704 915-0165
(SIGNATURE OF PERMIT -TEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
RECEI V —
NOV 18 2015 Did not monitor due to lack of rain
CENTRAL FILES
DWR SECTION
_Yes X No
Outfall
Date
50050
a 00556
01051' - ;'
. 38260 : -
00400
No.
Sample1.
. Total Flow+
OiPand'Grease'
Lead, Total
I Detergents
pH - -
New Motor Oil
-
Collected
is
-
Recoverable'
z(MBAS)`.
-
"Usage
`mm/ddt r
MG...
- m
u
' m I
unit'
1al/mo
STORM EVENT CHARACTERISTICS
Date
Total Event Precipitation (inches):
Event Duration (hours):
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Attn: Central Plies
DI HNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
C1,`D
0
ems.:
L.Sea
Form MR18
Page 1 of 2
._I
Footnotes:
Applies only for facilities at which fueling occurs.
Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 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."
\i, 113/15
(Date)
Form MR18
Page 2 of 2
PERMI'i COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Part A: Specific Monitoriog Requirements
LL
STOANALYTIC MT�N =PORT DO)
Lan 4
Lab #
NUV 18 2015
CENTRAL FILES
DWR SECTION
No.,
Sample
Collected. -
Total
Flow
'-Biochemical
Oxygen -
Demand.
.Total,
Suspended
",Solids
-Chemical
Oxygen -
Demand
Zinc
-
`pH
. ,
mm/dd/ r
MG'
-m - I
. ,m
m -
m
02
7/22/2015
14
90
140
0.31
9
Does 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 Monitorine Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. 7 915-4165
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
Outfall!
Date .
500501-
00556 '
- -0105L -_
.:38260,00400,
No. -
' Sample
Total Flow
Oil and Grease
Lead, Total,
Detergents
pH
New Motor Oil
..
Collected -
Recoverable'
-. (MBAS)`
Usage.
mm/dd/vr
-MG
mg/I/I
uin
unit
gallmo
STORM EVENT CHARACTERISTICS
Date 7/20/2015
Total Event Precipitation (inches): 0.51
Event Duration (hours): 4
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches): _
Event Duration (hours):
Yes X No
Attn: Central Piles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
' Appli.s onlFr facilities at which fueling occurs.
3 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 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."
(Signature of Permittee)
(Date)
t 1 //3//S
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME .
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/r
MC
mg/1
mgfl
mg/I
mg/1
02
6/24/2015
II
33
78
0.14
8.5
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mm/dd/ r
MG
mg/I
ug/I
mg/I
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 6/23/2015
Total Event Precipitation (inches):
Event Duration (hours): 72
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
1.18
COUNTY Gaston
PHONE NO. 04 915-4165
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
RECEIVED
AUG 0 j
CENTRAL FILES
DWR SEC?IOC'
Yes X No RECEIVED
AUG 05CENTRAL
DWR SECTI ES
Attn: Central Piles
DEHNK
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes: .
r Applies only for facilities at which fueling occurs.
' Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
7/�zV/1s
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lubrizol -Gastonia Facilit
Part A: Specific Monitoring Requirements
Lao F
Lab #
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/vr
MG
mg/I
m
mg/1
mgfl
02
5/27/2015
24
<100
140
0.24
8.5
Does 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
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. ,, ,704915-4165
(SIGNATURE OF PE MITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
ae
RECEIVED
AUG 0 5 2013
CMD
CENTRAL FILES
�10
DWR SECTION
„C
_Yes X No
Outfall
Date
50050
00556
01051
382611
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor. Oil
Collected
Recoverable
(MBAS)`
Usage
mm/dd/vr
MG
mgfI
ug/I
Mgt]
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 5/19/2015
Total Event Precipitation (inches): 0.15
Event Duration (hours): 3
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Attn: (ventral tiles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Fonn MR18
Page 1 of 2
--%Nkotnotes"
Applies only for facilities at which fueling occurs.
Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance a ith a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of tines and imprisonment for knowing violations."
(Signature of
(Date)
Forth MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME Lubrizol -Gastonia Facility
PERSON COLLECTING SAMPLE(S) David Griffith
CERTIFIED LABORATORY(S) Prism Labs Lab # 402
Lab #
Part A: Specific Monitoring Requirements
Outfall:-
No.
Date
Sample.
Collected
_ --
- -
'Total
Flow'
Biochemical'
Oxygen
Total- .
. SuspendedDemand Solids
Zinc
pH
mm/dd/ r
_�MG
., m
- "m
jDemand
- m02
3/18/2015
5.2
11
0.16
8.3
Does 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 Activitv Monitorine Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. 7 4 915-4165
40
(SIGNAT OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
RF('PV=lam
JUN 09 M5
DINP KTION
INFOR°vPONI PROGESSING UNIT
_Yes X No
Outfall
. ;. Date
50050,00-
01051-
38260
00400- '-
-
No.
Sample.
Total Flow '
Oit556 and Grease
. Lead, Total
Detergents
pH -
New Motor Oil
Collected
"
^Recoverable_'
(h1BAS)`
? -
' , `Usage
mm/dd/ yr
MG
m
u
.m
. unit
al/mo
STORM EVENT CHARACTERISTICS
Date 3/16/2015
Total Event Precipitation (inches): 1.83
Event Duration (hours): 36
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Attn: Central Piles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
M"
P*7
C3
O
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME Lubrizol -Gastonia Facility
PERSON COLLECTING SAMPLE(S) David Griffith
CERTIFIED LABORATORY(S) Prism Labs Lab # 402
Lab #
Part A: Specific Monitoring Requirements
Outfall-"'LDateNo..
ple
cted
Total
-Flow
Biochemical-
Ozvgen
Total". -,JD
.SospendedDemandSolids
Zinc
- PH
d/`r
;MG.
m
mg/I -m02
3/18/2015
5.2
II
0.16
8.3
Does 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 Monitorine Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. 704 -4165
(SIGNATURE O ERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outfall
`DateJ!,"50050
00556 -
•.in 5l
- 38260.-
00400
No:
Sample
Total'FIoiv
Oil and Greme
- Lead, Total
-Detergents
pH -
New Motor Oil
.
Collected'
'Recoverable''
. (MBAS)`
U3age.
nim/dd/vr
.MG'
- man
m
mg/1
unit
gaurno
STORM EVENT CHARACTERISTICS
Date 3/16/2015
Total Event Precipitation (inches):
Event Duration (hours): 36
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
1.83
Yes X No
Attn: Central Yeses
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
r Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
Permittee)
(Date)
(- / I /IS
Form MR18
%�� Page 2of2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME Lubrizol -Gastonia Facility
PERSON COLLECTING SAMPLE(S) David Griffith
CERTIFIED LABORATORY(S) Prism Labs Lab # 402
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
-Total
Flow
Biochemical
Oxygen. '
Demand
Total -
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
-
pH
-'
mm/ddlyr
- MG ..-
- mg/1'. -
mg/I _,
m
mgfl-
02
2/11/2015
4.6
14
<50
0.18
8.2
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. 7,049154165
�/1 .�
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
Outfall
Date -
-50050-
00556
01051-
38260
00400
No.
Sample
Collected
Total Flow,
Oil and Grease
Lead, Total.
Recoverable
Detergents
(MBAS)`-.
i pH, _ -
-
:New Motor Oil
:'Usage
'
mm/dd/yr
MG,
m
ugli.
mg/l
unit,
gaumo,
STORM EVENT CHARACTERISTICS
Date 2/10/2015
Total Event Precipitation (inches):
Event Duration (hours): 24
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches): _
Event Duration (hours):
111M
RECEIVE®
Yes X No
Attn: Central Files
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
MAR 0..9 2815
CENTRAL FILES
DWR SECTION
Form MR18
Page 1 of 2
fmy`ctes: 1'
Appiies"only for facilities at which fueling occurs.
3 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 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 Permittee)
*,2h,S
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLE(
CERTIFIED LABORATORY(S) Prism Labs
Lab H
Part A: Specific Monitoring Requirements
.- Outfall
_ No.
- Date
., ,Sample-
Collected
-
- - -
-
-Total
Flow. -
-
Biochemical
'Oxygen
Demand.
Total
Suspended.
Solids
Chemical
Oxygen'
Demand
Zinc. - "
-. pH-
-
mm/dd/yr'
MG
mg/I
• '=m
:. mg/I,
mg/1
.
02
1/7/2015
3.5
12
<50
0.12
8.8
Does 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 Activitv Monitorine Reouirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. n 2704 915-4165
, i
Outfall•
Date
50050
'00556
01051
38.260 - -
, 00400
--
No.
Sample
Total Flow
Oil and,Grease'
.Lead, Total-
' Detergeo_ts
pH
,New -Motor Oil
Collected
Recoverable':
-.(MBAS)`
usage
mm/dd/vr
MG.
MPA
u
mfill
unit
al/mo -
STORM EVENT CHARACTERISTICS
Date 1/6/2015
Total Event Precipitation (inches): 1.4
Event Duration (hours): 24
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches): _
Event Duration (hours):
(SIGNATURE OF PERMMTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
�j
RFCEI V E1)
r®
rr7
MAR 4.9 2015
C�3
CENTRAL FILES
C=
DWR SECTION
�a
Yes X No
Attn: Central Files
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
FOOLlotes:
r Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
of Permittee)
3/3/'/ 5-
(Date)
Form MR18
Page 2 of 2
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME Lubrizol -Gastonia
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Prism Labs
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
Lou N
Lab 0
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zino
pH
mm/dd/yr
MG
mg/1
mg/I
mg/I
mg/1
02
10/5/2016
4.3
29
59
0.18
8.9
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHO N 704 915-4165
,Coif
(SbGNATURE OFVERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
_Yes X No
Outfall
Date
50050
00556
01051
382611
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable
(MBAs)`
Usage
mm/dd/ r
MG
mg/I
ug/1
mg/I
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 10/4/2016
Total Event Precipitation (inches):
Event Duration (hours): 24
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
0.65
REcENE®
DEC 2 2 2A
CFgTL FILES
DWRRSECTION
Attn: Central tiles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
i 54
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/1
mg/l
mg/l
mg,/I
02
9/19/2016
150
150
0.39
7.8
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes. complete Pan B)
Part B: Vehicle Maintenance Activiry Monitoring Renuirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NQ. 1 704 915-4165
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
I
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAs)`
Usage
mm/dd/yr
MG
Mgt]
g/1
mg/I
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 9/15/2016
Total Event Precipitation (inches):
Event Duration (hours): 96
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
0.37
RECEIVED
DEC 2 2 2016
CENTL FILES
DWR SECTION
Yes X No
Attn: Central Piles
DEHN R
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Date)
Form MR18
Page 2 of 2
W'x
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORV(S)
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/ yr
MG
mg/1
mg/I
MPA
mg/I
02
3/22/2016
7.8
47
130
0.47
8.9
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Pan B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. n _ 704 915-4165
By this signature, I certify that this report is accurate
cog e;e•to.thF�bcsj of my knowledge
JUN 0 6 2616
CENTRAL FILES
DWR SECTION
_Yes X No
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(I.,BAS)`
Usage
mm/dd/yr
MG
mg/1
ug4
mg/I
unit
gaunno
STORM EVENT CHARACTERISTICS
Date 3/20/2016
Total Event Precipitation (inches): 0.29
Event Duration (hours): 72
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Attn: Central tales
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
3 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"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."
(Signature
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OLITF,.ALLArsk�1
ANALYTICAL MONITORING`REPORTd
PERMIT COVERAGE NO. NCS0000321 SAMPLES COLLECTEU�b�ALENDAR YEAR: 2016
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
FACILITY NAME Lubrizol -Gastonia Facility COUNTY Gaston
PERSON COLLECTING SAMPLE(S) Bobby Smith V PHONE NO.n 04 9j 5-4165
CERTIFIED LABORATORY(S) Prism Labs Lab # 402
Lab # (SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/ yr
MG
mg/I
mg/I
mg/I
mg/I
02
4/27/2016
9
31
120
0.36
8.6
Does 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
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable
(MBAs)
Usage
mm/dd/yr
MG
mgn
u I
mgn
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 4/26/2016
Total Event Precipitation (inches): _
Event Duration (hours): 24
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
0.75
RECEIVIED
JUN 0 o Zino
CENTRAL FILES
DVVR SECTION
Yes X No
Attn: Central Piles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
A
Footnotes:
Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
6
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
FACILITY NAME
PERSON COLLECTING SAMPI
CERTIFIED LABORATORY(S)
Lubrizol -Gastonia Facilit
Prism
Part A: Specific Monitoring Requirements
Lab #
Lab #
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/ •r
MG
mg/1
mg/I
mg/I
mg/I
02
5/18/2016
8.2
24
58
0.26
7.3
Does 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
Outfall
Date
50050
00556
(II051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
( IBAS)`
Usage
mm/dd/yr
MG
mg/1
ug/!
mgfl
unit
al/mo
STORM EVENT CHARACTERISTICS
Date 5/16/2016
Total Event Precipitation (inches):
Event Duration (hours): 48
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
0.42
COUNTY Gaston
PHONE NO. 704 15,41b5
(SIGNATURE O ERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the bestuf my, knowledge
REU* VtL)
JUN 0 -1016
RAL FILES
SCICTIC^'
Yes X No
E
®�aA
I�
Attn: Central Yeses
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"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."
(Signature of
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERM T COVERAGE NO. NCS0000321 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/ yr
MG
m I
m
m I
mg/I
02
8/4/2016
3.1
5.7
50
0.16
8.5
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Pan B)
Part R- Vehicle Maintenance Activiry Monitoring Requirements
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO 104 915-4165
_(S_IGNXFUREW PERMTrTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
CENTRAL FILES
_Yes X No DWR SECTION
Outfall
Date
50050
00556
010151
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mm/dd/yr
MG
m I
ug/I
mg/I
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 8/3/2016
Total Event Precipitation (inches): 1.76
Event Duration (hours): 12
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Attn: Central Piles
DEHNR
Division of W ater Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
Z Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Date)
Form MR18
Page 2 of 2
f
110
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORV(S)
Lubrizol -Gastonia Facilit
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
Lan F
Lab #
Outrall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/ r
MG
mg/I
mg/I
mg/1
mg/I
02
7/7/2016
6.7
14
<50
0.11
8.1
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE Q4 915-4165
Li
(SIGOATURE OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mm/dd/ yr
MG
mg/I
u
mgfl
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 7/6/2016
Total Event Precipitation (inches):
Event Duration (hours): 4
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
0.38
RECEIVED
AUG 2 9 2016
CENTRAL FILES
DWR SECTION
_Yes X No
Attn: Central Piles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
r
Fbotnotes:
Applies only for facilities at which fueling occurs.
' Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of
,?/,)L/
(Date)
Fom MR18
Page 2 of 2
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lubrizol -Gastonia Facilit
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
Lan n
Lab #
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/ •r
MG
mg/I
mg/I
m I
mg/1
02
6/9/2016
12
45
79
0.2
7.6
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE. y 7049154165
(SIC,NATURE OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
RECEIVED
AUG 2 9 2016
V// CENTRAL FILES
CWR SECTION
_Yes X No
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable
(MBAS)`
Usage
mm/dd/vr
MG
Mgt
mg/I
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 6/8/2016
Total Event Precipitation (inches):
Event Duration (hours): 48
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
0.48
Attn: Central Piles
DEHNR
Division of Water (Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
3 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lubrizol -Gastonia
Lab #
Part A: Snecific Monitorine Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/ r
MG
mg/1
mg/I
mg/I
mg/I
02
2/9/2016
4.8
13
<50
0.15
6.8
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. 7 915-41,(i5
i
i
TSIGNATURPOF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
RECEIVED
MAR 0 8 2016
CENTRAL FILES
�WR SECTIOn
_Yes X No
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable`
(MBAS)`
Usage
mm/dd/yr
MG
mgfI
ug/I
mg/1
unit
al/mo
STORM EVENT CHARACTERISTICS
Date 2/7/2016
Total Event Precipitation (inches):
Event Duration (hours): 36
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches): _
Event Duration (hours):
010IN
a
Attn: Central Viles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
3 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMPI
CERTIFIED LABORATORY(S)
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/I
mg/1
mg/1
mg/I
02
1/19/2016
5.1
8.9
<50
0.19
7.54
Does 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 MonitorinE Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(all samples collected during a calendar year, shall he reported no later
than 30 days from the date the facility receives the sampling results)
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mm/dd/yr
MG
mg/I
ug/1
mg/1
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 1/1812016
Total Event Precipitation (inches):
Event Duration (hours): 72
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
0.78
COUNTY Gaston
PHONE NO. -i .,704.9154165
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature. 1 certify that this report is accurate
complete to the best of my knowledge
REDE►QED
MAR 0 8 2016
CEN7-RAL FI
0�/R SECTIONS
Yes X No Aft
401
Attn: Central riles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Forth MR18
Page 1 of 2
Footnotes:
' Applies only for facilities at which fueling occurs.
' Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of tines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
3
Form MR18
Page 2 of 2
14'j.
'e -
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lab #
Part A: SDeciric Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/I
mg/I
mg/1
mg/I
02
1/4/2017
3.3
19
<50
0.34
8.1
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Part B)
Part R: Vehicle Maintenance Activity Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHOM NOn. 704 915-4165
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
_Yes X No
Outfall
Date
50050
00556
01051
35260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mm/dd/yr
MG
mgA
ug/l
mg/I
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 1/2/2017
Total Event Precipitation (inches):
Event Duration (hours): 36
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
RECEIVE®
JAN 2 h 2017
CENTRAL FILES
DWR SECTION
Attn: (ventral Piles
D HNK
Division of Water Quality
1617 Mall Service Center
Kalelgh, NC 27699-1617
Font MR18
Page 1 of 2
Footnotes:
r Applies only for facilities at which fueling occurs.
I Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"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."
(Signature of
(Date)
Form MR18
Page 2 of 2
ON
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMPI
CERTIFIED LABORATORY(S)
Lab #
Part A: Snecific Monitorine Reauirements
Outran
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/1
mg/1
mg/I
mg/l
02
12/7/2016
5.2
16
<50
0.25
7.4
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Pan B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO.
7 704915-4165
RE (SIGNAT OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergeats
pH
New Motor Oil
Collected
Recoverable'
(NIBAS)`
Usage
mm/dd/yr
MG
m 1
u
mg/I
unit
al/mo
STORM EVENT CHARACTERISTICS
Date 12/5/2016
Total Event Precipitation (inches): 0.94
Event Duration (hours): 72
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
RECEIVED
MAR 0 6 Z�11/
CENTRAL FILES
DWR SECTION
Yes X No
Attn: Central Piles
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME Lubrizol -Gastonia Facility
PERSON COLLECTING SAMPLE(S) David Griffith
CERTIFIED LABORATORY(S) Prism Labs Lab # 402
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/1
mg/1
mg/I
mg/1
02
12/30/2014
<3.0
13
<50
0.14
7
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Part B)
Part R: Vehicle Maintenance Activiry Monitoring Reuuirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(all samples collected during a calendar year, shall he reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO 4,915-4165
(SICNAT RE OF PERMITT
EE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mm/dd/yr
MG
mg/I
ug/I
mg/I
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 12/28/2014
Total Event Precipitation (inches):
Event Duration (hours): 36
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
1.85
RECE/VED
'AN 14 2015
CENTRAL FIL
�N1ft SECTION
Yes X No a�7
�1
Ann: Central Files
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes
I Applies only for facilities at which fueling occurs.
' Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 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."
(Signature of
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERM IT COVERAGE NO. NCS0000321
FACILITY NAME Lubrizol -Gastonia Facility
PERSON COLLECTING SAMPLE(S) David Griffith
CERTIFIED LABORATORY(S) Prism Labs Lab # 402
Lab #
Part A: SDeciric Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/I
mg/I
mg/1
mg/I
02
11/19/2014
27
23
66
0.15
8.1
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. 915:A 165
(SIGNATUR$OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
RECEIVED
JAN 14 Z015
CENTRAL FILES
DWR SECTION
_Yes X No
Outfall
Date
50050
00556
01051
3826)
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverabld
(MBAS)`
Usage
mm/dd/yr
MG
mg/I
ug/I
mg0
unit
gaumo
STORM EVENT CHARACTERISTICS
Date 11/18/2014
Total Event Precipitation (inches):
Event Duration (hours): 12
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
0.7
Ann: Central Files
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
COD
.090
[..
Form MR18
Page 1 of 2
}
Footnotes:
Applies only for facilities at which fueling occurs.
' Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"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."
(Signature of Permittee)
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMPI
CERTIFIED LABORATORY(S)
Lab p
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/ yr
MG
m
mg/1
mg/I
raw]
02
4/2/2014
7.6
38
66
0.2
8
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE MN 6/4/ ,15-4165
c o xJ0
(SIGN>TURE"OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outfall
Date
SU05U
00556
U1051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
(MBAS)`
Usage
mm/dd/yr
MG
in;
ug/I
mgA
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 4/1/2014
Total Event Precipitation (inches): L I
Event Duration (hours): 24
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches): _
Event Duration (hours):
MAY 12 2014
CENTRAL FILES
DWQ/BOG
_Yes X No
Attn: Central Files
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 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."
(Signature of Permittee)
(Date)
5-/-7.
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
19 A RdIYrK/]9 al%X91Ihf/�`fK.YIBBI0d41
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lubrizol -Gastonia Facilit
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/ yr
MG
mg/1
mg/I
mg/I
mg/I
02
10/20/2014
12
43
620
0.11
8.7
Does 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 Mooitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONEO. 704 915-4165
(SIGNATUREOF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
Outfall
Date
50050 1
00556
01051
38260
00400
No.
Sample
Total Flow I
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mm/dd/yr
MG
mg/I
ug/I
mg/I
unit
gaVmo
STORM EVENT CHARACTERISTICS
Date 10/19/2014
Total Event Precipitation (inches):
Event Duration (hours): 12
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
DIER
RECEIVED
NOV 2 5 2014
CENTRAL FILES
DWR SECTION
Yes X No
Attn: Central Files
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
3 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"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."
(02;L
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORV(S)
Lab #
Part A- Snerifir Mnnitnrinv Rrnuirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mgn
mg/I
mg/I
mg/I
02
1 9/10/2014
24
25
130
0.12
8.6
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Part B)
P.. r! n: Ve6rele Maintenonrr ArNvity Mnnitnrina Rrmrirrments
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. 7 41915-4165
a- it GG
(SIGNATIfRE OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAs)`
Usage
mm/dd/'r
MG
mg/I
ug/I
mg/I
unit
gaVmo
STORM EVENT CHARACTERISTICS
Date 9/9/2014
Total Event Precipitation (inches):
Event Duration (hours): 12
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
RECEIVED
NOV 2 5 2014
CENTRAL FILES
DWR SECTION
Yes X No
Attn: Central Files
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
1
Footnotes:
Applies only for facilities at which fueling occurs.
Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
u lolly
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SOO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORV(S)
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date.
_ Simple.
Collected
-
-
- --
-Total
-
' Biochemicals
Oxygen
Demand.
Total"
Suspended
.` Solids
,-Chemic71—
Oxygen-,
Demand'
Zinc .
_
pH,
mm/dd/vr
MC
ut
m
- tom
02
8/14/2014
12
24
97
0.15
8.8
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(all samples collected during a calendar year, shall he reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE 0. /) n %Q4 915-4165
(SI ATURE OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outfall
D He-, _
-50050
00556
01051.
38260 .-
- 00400 ;
. -
No.
Sample
Collected
'mttddd/
Tot.] Flow
-
Oiland Grease'
_
Lead, Total
Recoverable'.
Detergents
-(MBAS)`
,
pH.
' -
'unit
New Moms Oil
Usage -•
galitno
STORM EVENT CHARACTERISTICS
Date 8/14/2014
Total Event Precipitation (inches): 0.52
Event Duration (hours): 48
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches): _
Event Duration (hours):
RECEIVED
SEP 0 9 2014
CENTRAL FILES
DWR SECTION
Yes X No
Attn: Central Files
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
' Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
Permittee)
(Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lubrizol -Gastonia
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/ r
MG
m
m
mg/1
m l
02
7/17/2014
I I
12
BRL
0.12
7.3
Does this facilityperform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Pan B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. 7049
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
_Yes X No
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mm/dd/yr
MG
mg/1
uVA
mg/I
unit
at/mo
STORM EVENT CHARACTERISTICS
Date 7/16/2014
Total Event Precipitation (inches):
Event Duration (hours): 12
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches): _
Event Duration (hours):
0.95
RECEIVED
SEP 0 9 2014
CENTRAL FILES
DWR SECTION
Ann: Central Files
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
r Applies only for facilities at which fueling occurs.
' Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"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 tines and imprisonment for knowing violations."
(Signature
(Date) dt
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMPI
CERTIFIED LABORATORY(S)
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/'r
MG
m l
mg/I
m l
m I
02
6/11/2014
14
28
100
0.18
8.9
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
Outfall
Date
50050
00556
01051 1
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable`
(MBAS)`
Usage
mm/dd/yr
MG
m I
ug/l
mg/l
unit
gallmo
STORM EVENT CHARACTERISTICS
Date 6/10/2014
Total Event Precipitation (inches): 0.34
Event Duration (hours): 4
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
COUNTY Gaston
PHONE 7 1 165
(SIGN(SICN RE OF PERMITTEE OR DESIGNEE)
OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
RECEIVED
JUL 18 2014
CENTRAL FILEc
Yes X No
Attn: Central Files
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
r Applies only for facilities at which fueling occurs.
' Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lubrizol -Gastonia Facilii
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
m
mg/1
mg/I
mg/1
02
5/13/2014
12
27
70
0.13
7.9
Does 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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONENO
0 /5)15-41165
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mm/dd/yr
MG
mg6
ugfl
mg1l
unit
STORM EVENT EVENT CHARACTERISTICS
Date 5/12/2014
Total Event Precipitation (inches):
Event Duration (hours): 12
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches): _
Event Duration (hours):
RECEIVE®
JUL 18 2014
CEWRAL FILES
DWQ/BOG
Yes X No
Attn: Central Files
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
' Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"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."
(Signature of Permittee)
Form MR18
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP:
CERTIFIED LABORATORY(S)
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/I
mg/1
mg/1
raw]
02
3/11/2014
9.4
10
BRL
0.15
8.4
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Pan B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. _ 704-915-446
(SIGNATURE O✓PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mm/dd/yr
MG
mgfi
ug/1
mg/1
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 3/9/2014
Total Event Precipitation (inches):
Event Duration (hours): 48
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches): _
Event Duration (hours):
2.04
RECEIVED
APR 0 2 2014
CENTRAL FILES
DWQ/BOG
Yes X No
Mail Original and one copy to:
Attn: Central Files
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
Applies only for facilities at which fueling occurs.
1 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of
(Date)
Forth MR18
Page 2 of 2
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lubrizol -Gastonia Facilil
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
Lan ii
Lab #
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/dd/yr
MG
mg/I
mg/1
mg/I
mg/I
02
2/17/2014
BRL
BRL
BRL
0.17
8.9
Does 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 Re uirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. 704291$4165
f chi./
(SICNA E OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the hest of my knowledge
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Total Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
1
Recoverable'
(MBAS)`
Usage
mm/dd/ yr
MG
mg/1
ug/1
mg/I
unit
gal/mo
STORM EVENT CHARACTERISTICS
Date 2/14/2014
Total Event Precipitation (inches):
Event Duration (hours): 72
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
RI:cENEO
APR 0 2 IL014
CEpW IO BOG
Yes X No
Mail Original and one copy to:
Ann: Central Files
DEHNR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Form MR18
Page 1 of 2
Footnotes:
t Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 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."
3/J'1/14
(Date)
Form MR18
Page 2 of 2