NCG080302_2021 DMR_20210525

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report JDMR) Form for NCG080000
Transit and Transportation
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater 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. NCGO8 0302
Person Collecting Samples: Sing Bai
Facility Name: United Parcel Service - NCGS13
Laboratory Name: Eurofins TestAmerica
Facility County: Guilford
Laboratory Cert. No.: 434
Discharge during this period: r❑ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ❑ Yes 0 No
If so, which Tier (1, 11, or Ili)?
A copy of this DMR has been uploaded electronically via https; f/educs.deci.nc,gov/Forms/SW-DMR❑✓ Yes ff No
Date Uploaded:
Part A: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall001
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
WS-IV
N/A
Date Sample Collected MM/DD/YYYY
04/24/2021
46529
24-Hour Rainfall in inches
1.1
C0530
T55 in mg/L (100 or 50*)
24
00552
Non -Polar Oil & Grease in mg/L (15)
< 4.6
00400
pH in standard units (6.0 — 9.0)
7.68
NCOIL
Estimated New Motor/Hydraulic Oil
Usage in gat/month
122
Part B: Oil/Water Separators and Secondary Containments Areas at Bulk Stations & Terminals — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or SO*)
00552
Non -Polar Oil & Grease in mg/L (15)
00400
pH in standard units (6.0 — 9.0)
* Outfalls to Outstanding Resource Waters (ORW), High QualityWaters (HQW), Trout Waters (Tr) and Primary NurseryAreas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
Notes (optional):
1 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 that there are signlflcant penalties for submitting
false information, including the possibility of fines and imprisonment for knowing violations."
/6i
signature of Permittee or Delegated Authorized Individual
s as ;2J,-�/
Date
Email Address [e-mail] Phone Number 203-503-4300