NCG080196_2020 DMR_20201012

NCDEQ Division of Energy, Mineral and Land Resources`;
Stormwater Discharge Monitoring Report (DIVIR) Form for NCGO80000
Transit and Transportation
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Complete, sign, scan and submit the DMR via the 5tormwater NPDES Permit Data Monitoring Report (DMR).Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR;to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG08 0 1 9 6
Facility.Ndme: United Parcel Service -Winston-Salem
Person Collecting Samples: Ryan R. Osborne (WENCO, INC.)
Laboratory Name: Pace Analytical Services, LLC
Facility County: Forsyth Laboratory Cert. No.. 12, 40, 37706, & 37712
Discharge during this period: Q Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances?❑ Yes 0 No
If so, which Tier (1, II, or 111)?
Part A: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
code
Parameter
butfall 1
Outfall 2
Outfall i
:
Outfall
Outfall
N/A
Receiving Stream Class
Class C
Class C
N/A
Date Sample Collected MM/DD/YYYY
09/17/2020
09/1712020
46529
24-Hour Rainfall in inches
2.18
2,18
00552
Non -Polar Oil & Grease in mg/L (15)
< 5.0
< 5.0
C0530
TSS in mg/L (10O or, '501
15.2
10.9
00400
pH in standard units (6.0-9.0)
8.54
8,15
NCOII
New Motor/Hydraulic Oil Usage in
gal/month
72
172
Part B: Oil/Water Separators & Secondary Containment Areas at Bulk Stations & Terminals -- Benchmarks in (Red)
Parameter
Code
Parameter
outlialf
. _
Outfall
_
Otitfall
�
Clutfall
outfall
N/A
Receiving Stream Class
N/A
Date Sample.Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15)
C0530
TSS In mg/L (100 or 50*)
00400
pH in standard units (6.0-9.0)
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (7r) and Primary Nursery Areas (PNA)
have.a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L.
Notes (optional): pH sample collected and analyzed by R.R.O. of INEN.CO, INC., North Carolina Field Services Certification #:5540
"I certify by my signature below, 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 t t there r significant penalties for submitting false: information, including the possibility of fines and imprisonment for
knowir)g iolatio f
re oY PerrAttee or elegated Authorized Individual