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rQi.jnnes tnat incorporate a solvent management plan into the Stormwater Pollution Prevention
--may`be waived. The solvent management plan shall include a list of the total t plan may so certify, and the requirement for
Permit. For those facilities electing to employ the TTO monitorin waiver°xic organic compounds used and the other elements listed ' TTO monitoring
g er, the discharger shall sign the following certification statement: m the General
"Based upon my inquiry of the person or persons directly responsible forma
naging (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated fiance with the permit monitoring requirement for total toxic o
stormwater runoff has occurred since filing the last discharge monitoring report. I fort toxic organics into the stormwater or areas which are exposed organics
solvent management plan included in the Stormwater Pollution Prevention Plan." her certify that this facility is implementing the all the rovisi ed to rainfall or
P ons of the
D . &&¢F
Name (Print name)
SR mG2- min!
Title (Print title) --
.CQ
(Signature) G 1oy1
(Date)
Note: Results must be reported In numerical format. Do not reon Below Detecti
format. When results are below the applicable limits, th us be re orted °n limit, BDL, <pqL, Non -detect, ND, or other similar non -nu limit, reporting limit, etc. in mg/L. n t e for "<XX L" where XX is the numerical value of the detection
ection
Note: If you report a sample value In excess of the benchmark, you must implement Ti
er 1, Tier A. or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities aver
aging > 55 gal of new oil per month.
OuRfall No; !)"Oaniple • 24 .hour rainfall
Coltect�edi atooiunt, :lar &..
-PQ �/TPN by
4 EPA . i�4:�s -H ...
8. encitrrforks .
LN No dischCi a this period?2
Till: al S Pen bd'Sol%ds
PH
t� !n8l�:ofa8.ml* 6.0.- 9.o su
Footnotes from Part A also apply to this part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water cla
ssifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 2 of 3

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