NCS000527_DMR_20181011

Permit Number NCS NCS000527
FACILITY NAME IPS Structural Adhesives, Inc.
PERSON COLLECTING SAMPLE(S) Tim Monroe
CERTIFIED LABORATORY(S) ENCO
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
Lab # 591
COUNTY Durham
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
Date
50050
00340
00530
00600
00400
00665
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
COD
Total
Suspended
Solids
SS
Total
Nitrogen
pH
Total
Phosphorus
MEK
Methyl
Methacrylate
Methylene
Chloride
mo/dd/ r
MG
inches
m
m
m L
Units
mgAL,
m /L
m /L
m /L
001
10/11/18
3.05
28
56
1.2
7.2
0.42
<0.0013
<0.00051
<0.00023
Jim
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motom9 month? _ yes X no
(if yes, complete Part B)'
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m I
mg/1
unit
al/mo
Form SWU-247, last revised 21212012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 10/11/18
Total Event Precipitation (inches): 3.05
Event Duration (hours): 9_0 (only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable— see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I 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 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 knowing violations."
3//J
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2