NCG060069_2021 DMR_20220118

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000
Food and Kindred
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitorin Re ort 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. NCG06 0 0 6 9 Person Collecting Samples: April Haley
Facility Name: Procter & Gamble Laboratory Name: Pace Analytical
Facility County: Guilford 0 Laboratory Cert, No.: 40
Discharge during this period: ❑■ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes K■ No
If so, which Tier (I, II, or Ill)?
Part A. Analytical Monitoring Requirements for Outfalls with Industrial Activities- Benchmarks in (Red)
Parameter
Code
Parameter
outfall N
Outfall S
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
WS-V
WS-V
N/A
Date Sample Collected MM/DD/YYYY
12/21/2021
12/21/2021
46529
24-Hour Rainfall in inches
.70
.70
00556
Oil & Grease in mg/L (10)
ND
ND
C0530
TSS in mg/L 1100 or 50«1
4.7
5.5
00400
pH in standard units (6.0 - 9.
7.6
7.7
31616
Fecal Coliform per 100 ml of
NIA
NIA
freshwater (1000)
61211
Enterococci per 100 ml of saltwater
NIA
NIA
(500�
a0340
Chemical Oxygen Demand in mg/L
N D
ND
(120j
Part B: Vehicle & Equipment Maintenance Areas - Benchmarks in (
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
NIA
NIA
N/A
Date Sample Collected MM/DD/YYYY
00552
Non -Polar Oil & Grease in mg/L I iri]
NIA
NIA
NCOIL
New Motor/Hydraulic Oil Usage in
NIA
NIA
gal/month
• Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Pr mary Nursery Areas (PNA)
have a benchmark TSS limit of K. rw;'I . 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for
k6o—w-ft violations." i
re of Peknittee 4r Delegated jkuthoriz4d)ndividual
// jz,2,
Date