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Part B: Vehicle Maintenance Area Krionitoring Results: only for facilities averaging > 55 gat of new motor oil/month.
Outfall No.
Date Sample Collected
(mo/dd/yr)
24-hour rainfall amount,
Inches-2
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/Total
Petroleum Flydrbcarbons
Total Suspended Solids
Benchmarks
-
-
-
i5 mg/i
100 mg/L or 50 mg/O
Parameter Code
-
4652.
NCOIL
00552
C0530
i
Footnotes from Part A also apply to Fart B
*FOR PART A AND PART B MONITORING RESULTS:
a A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. I
a 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIRE/ NTS. SEE PERMIT PART II SECTION B.
C TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER At ANYONE OUTFALL? YES P NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES [P NO
REGIONAL OFFICE CONTACT NAME: 12k11 f 61(&2f f
mail an original copy of this DIVIR, including all "lVo Discharge" reports, within 30 days of receipt of the lab results (or at end of monitorina Period in the case
of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATIOM FOR AIVY INFORMIATION REPORTED:
`
1 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 directly resPlonsible 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 significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations." �
c
Signature bfi Permittee
(X
Date
Permit Date ./1/2018-05/31/2021
SWU-249, Last Rev, 11/5/2018