NCG100080_MONITORING INFO_20140728

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v
DOC TYPE
El HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ d � / V o 7 �
YYYYMMDD

z REED
STORMWATER DISCHARGE OUTFALL (SDO) JUL 2 8 2014
MONITORING REPORT CENTRAL FILES
CERTIFICATE OF COVERAGE NO. NCG100 —0_ _8_ _0_ SAMPLES COLLECTED DURING CALENDAR YEARDW201�44G
(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 LKQ Salisbury COUNTY Rowan
PERSON COLLECTING SAMPLE(S) Stephanie Tumbleston PHONE NO. (_704_) 857-9308
CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab #-314^
Lab # PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfall
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
Inches
00400
00530
---
77023
01051
78141
pH,
Standard
Units
Total Suspended
Solids (TSS),
mg/L
Non -polar
O&G/TPH
(Method 1664
SGT-HEM); mg/L
Ethylene Glycol,
mg/L
Lead, Total
Recoverable,
mg/L
Total Toxic
Organics3,
mg/L
Benchmark
-
-
1
6.0-9.0
2
100j50
-
1S
� 8,000
(Tiers 2 and 3)
0.03
1.0
001
06/26/14
0.89
6.9
16
<2.6
<1.2
0.0059
Exempt
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tler 1 or Tier 2 responses in the General
Permit.
1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark
range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented
to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Form SWU-251, last revised October25, 2012
Page 1 of 2

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a
James Environmental STORM WATER PROGRAM
CHAIN -OF -CUSTODY RECORD
4OC-928Bg COC
>':a • SADErEI� Q$ST. I!9
INTACT:
=704-857-9308
)Ur p P(RATION DATE_
IMPORTANT: Ship Samples Standard QVerrliSytit an ice
Stephanie Tumbleston
2128/2015
within 24 hours of sample coftection to:
Test America Pensacola (lab)
LKQ Salisbury, Inc. -140
DATE Iar oROERED
F1,40w im.
1212 Webb Road
1/20/2014
3355 McLemore Drive
T�"`�`;`�`��' cam,
Salisbury, NC 28146
Pensacola, FL 32514
s m Salem be rejectedreceived aeao if eid t Mlb at a
Hr '
trgit�y,
}r`(
tempbratura above 40C orbeyond die acceptable hold time"
SAMPLE INFORMATION
PARAMETERSIPRESERVATNE!CONTAINERS
SAMPLE
>K
C=COII1IP
FIELD
IDENTIFICATION
z ~
A
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5
DATE
TIME
FILTERED
(This Is found on the Site M,
ap
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Sam le
Sampled
G=GRAB
Y or N
E.. "Outfalt 90011'
m
m
`Y
G
N
Otd i'#' !
I ,=,_..` ,�,�
L
Ethylene Glycol,
Total Rec.
f
(Pb)
RAINFALL
EVENT INFORMATION
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RECWW AT LAB BY: (50f+T2
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SHIPPED VW XWrWAINnO
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Sad #
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sad Derv'
LABORATORY INSTRUCTIONS`
Please immediately notify dames Environmental Management, Inc. of
REPORT R INVOICE CONTACT: (DO NOT SHIP SAKPLES TO TM AODAESSI
James Environmental Management, Inc.
any problems regarding samples upon receipt, including violation of
600 Round Rock West, Ste. 0201
hold times or temperature prior to beginning the analytical process.
Round Rock TX 78687
Please also notify us of any problems experienced as they occur during
TEL [phone] FAX [phone]
the anatytical process.

5TORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:
Solvent Management Plan Certification Statement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO}, l
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the Stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan
included in the Stormwater Pollution Prevention Plan."
an ��e---7—
Name (Prin name)
Mail Original and one copy to:
Division of Water Quality
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 nere
esponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware thata signifieVntpenalties for subytitting false information, including the possibility of fines and imprisonment for knowing violations."
�� �_�.►.FAM
Form 5WU-251, last revised October25, 2012
Page 2 of 2