NCG060405_Monitoring Report_20220404

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NCDEQ Division of Energy, Mineral and Land Resources
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Stormwater Discharge Monitoring Report (DIVIR) Form for NCGO6000O�;,
Food and Kindred,?,�°cti'''�S
Click here for instructions
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 Reeional 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 Cert. 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 ID No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR FYes M No
Date Uploaded: t: 1 e L- 0 • Z2.
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall 01
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
WS-IV
N/A
Date Sample Collected MM/DD/YYYY
03/16/2022
46529
24-Hour Rainfall in inches
0.2
CO530
TSS in mg/L (100 or 50*)
10.9
00400
pH in standard units (6.0 — 9.0 FW,
6.8 — 8.5 SW)
7.0
00556
Oil & Grease in mg/L (30)
ND
31616
Fecal Coliform per 100 ml of
freshwater (if required) (1000)
NA
61211
Enterococci per 100 ml of saltwater
(if required) (500)
NA
00340
Chemical Oxygen Demand in mg/L
(120)
ND
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic
oil on average
NCOIL
Estimated New Motor/Hydraulic Oil
Usage in gal/month
<55 GAL
00552
* A4i�11� a.. /l..s..
Non -Polar Oil & Grease in mg/L (15)
:.-
NA
--�••�••� ULS d
Notes (optional): NA = Not Applicable ND = Not Detected
"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 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 ' cluding the possibility of fines and imprisonment for knowing violations."
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Signature of Permittee or Delegated Authorized Individual
[e-mail]
Email Address
Z
Date
704-263-6600
Phone Number