Loading...
HomeMy WebLinkAboutNCG060356_2020 DMR_20210301IYCDEQ Division of Energy, Mineral and Land Re5ourres Stormwater Discharge Monitoring Report (DMR) Form for NCGO60Oi1O Food and Kindred Click here for instructions Complete, signr scan and submit the DMR via the Stormwater NPIDES Permit Data hionitorine Report 2DMRl uoloadfarm 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- NCG06 Person Collecti ng samples: Am Frev FacilityName: HoMerietK Laboratory Name: 3acehn3rfxjf G Facility Counity: Durtvn _ Laboratory Cert. No.: I aa, 633. saga Discharge during this period: 0 Yes ❑ N.a ffno, skip rosrgnwvreanddote) Has your facility implemented mandatary Tier response actions for any benchmark exceedances? E Yes ❑ hD f sor which Tier �I, 11, or IIV I Part A= Ana lytical Monito-ring Requi rements. %F outfalls with Industrial Activities— Benchmarks in I R =_ Parameter Parameter outfal1(5 outrall outfall otrfi311 o.rf311 Cade WA Receiving stream class WSW. HSIN.CA N A Date Sample Cdkxted MM/DD&M 12P14M20 46529 24-Horn Rainfall in inches 1-34 C0536 oil & Grease in mgA f3A) < 5.0 CO330 TSS in nTgiL (10O ar 5O111 48-0 CC4W pH in standard units (&4-9A) 7-16 3M 16 Fecal Colifonn per IDD m! or n freshwater I IGM ffa 61211 Enterococci per mo rN of saltwater n{ca 500 Chemical oxygen Demand in OWL 34-6 120 Part 6: Vehicle & Equipmerrt Maintenance Areas —Benchmarks in fRedj Parameter Parameter outfafl outfall Otit'al o.rfall o.rf311 Code WA Receiving Stream class IAA Date sample Collected MWDDP(m OD552 Non -Polar oil & Grease in mg{L115) New Matorf"raulic oil usage in NCDIL gaVmonth * 4utFalls to- Outstanding Rtmurce Waters IOILW), tidh Quality Waters (HQWr Trwt Waters frr) and Primary Nu rxry Areas (PNA) ham a benchmark T55limit of50 mSA. All other water daziliotions have a benchmark of 188ntigeL Notes (opticinal: "I certify by my signature below, under penalty of law, that this documentand all anachments were prepared under my direction or supervision in accordance with a system deserted to assure that qualified personnel properly gather and evaluate the information submitted- eased on my in qui ry 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 beliefr truer accurate, a nd rorn plete. I am aware that there are sign ifica nt penalties for subm itting false i nformation, includ ing the possibility of fines a nd i m prison m ent for knowing violations." 28 FEB 21 Signature of PermitteeOF Delegated Autliarixed Individual Date