NCG060014_2022 DMR_20220928

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 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. NCG060014
Person Collecting Samples: Marion Wearing
Facility Name: Ajinomoto Health & Nutrition NA, Inc.
Laboratory Name: Pace Analytical
Facility County: Wake
Laboratory Cert. No.: #12/#40/#633
Discharge during this period:
ID
Yes
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? E]Yes O 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 IDYes ONO
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red,';
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
001
N/A
Date Sample Collected MM/DD/YYYY
09/12/2022
46529
24-Hour Rainfall in inches
2.5 inches
COS30
TSS in mg/L ;.00 or 50*)
4.2
00400
pH in standard units (6.0 — 9.0 FW,
7.2
3.8 — 8.5 SW)
00556
Oil & Grease in mg/L (30)
ND
31616
Fecal Coliform per 100 ml of
N/A
freshwater. (if required) "
61211
Enterococci per 100 ml of saltwater
N/A
(if required) '
Chemical Oxygen Demand in mg/L
00340
42.5
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 gal/month
N/A
00552
Non -Polar Oil & Grease in mg/L
N/A
Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of All other water classifications have a benchmark of
(Freshwater) " (Saltwater)
Notes (optional):
"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, including �efsibiIity of fines and imprisonment for knowing violations."
re of Permittee or Delegated AutWrized Individual
[e-mail]
Email Address
09/28/2022
Date
919-609-7716
Phone Number