NCG060405_Monitoring Report_20220224

RECEIVED
NCDEQ Division of Energy, Mineral and Land Resources FEB 2 4 2022
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000
Food and Kindred a "K-OEMLR
Click here for instructions
_an Quality Section
;nresville Regional Office
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. NCG06 0405
Person Collecting Samples: Brigette Tinsley
Facility Name: SC Johnson Professional
Laboratory Name: Pace Analytical & SC Johnson (pH)
Facility County: Gaston
Laboratory Cent. No.: #40 & #12
Discharge during this period: ✓
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 ✓ No
If so, which Tier (I, 11, or III)?
A copy of this DMR has been u loaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR QYes No
Date Uploaded: r 2-2--
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
Outfall01
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
WS-Iv
N/A
Date Sample Collected MM/DD/YYYY
11/22/2021
46529
24-Hour Rainfall in inches
0.2
C0530
TSS in mg/L(100 or 50*)
25
00400
pH in standard units (6.0-9.0 FW,
7.2
6.8-8.5 SW)
00556
Oil & Grease in mg/L (30)
NO
Fecal Coliform per 100 ml of
31616
freshwater (if required) (1000)
NA
61211
Enterococci per 100 pill of saltwater
NA
(if required) (500)
Chemical Oxygen Demand in mg/L
00340
(120)
26 8
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in al/month
<55 GAL
00552
Non -Polar Oil & Grease in mg/L (15)
INA
* Outfalls to Outstanding Resource Waters (ORW), High qualityWaters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
FW (Freshwater) 5W (saltwater)
Notes (optional): NA = Not Applicable ND = Not Detected Samples were collected & relinquished to lab on 11122121; however, lab did not issue final r,Poll until 01/25/ 22.
"I 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 personswho 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."
1
,01)—
02 /S 2oZZ
Signature of Permittee or Delegated Authckded Individual
Date
[e-mail]
704-263-6600
Email Address
Phone Number