NCG060354_2022 DMR_20221230

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. NCGO6 0354 Person Collecting Samples:Jason Price
Facility Name:Hospira Inc. Laboratory Name:Pace Analytical
Facility County:Nash Laboratory Cert. No.:#12,#40,#633
Discharge during this period: Yes 0 No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?Q Yes l No
If so,which Tier(I, II,or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR ✓©Yes fl No
Date Uploaded: 12/30/22
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall 04B Outfall 005 Outfall 017A Outfall Outfall
Code
N/A Receiving Stream Class FW FW FW
N/A Date Sample Collected MM/DD/YYYY 12/7/22 12/7/22 12/7/22
46529 24-Hour Rainfall in inches 0.2 0.2 0.2
C0530 TSS in mg/L(100 or 501 6.0 <2.6 3.1
pH in standard units(6.0—9.0 FW,
00400 6.8—8.5 5W) 7.11 6.69 6.48
00556 Oil&Grease in mg/L(30) <4.9 <5.0 <5.0
31616 Fecal Coliform per 100 ml of •
- - -
freshwater(if required)(1000)
61211 Enterococci per 100 ml of saltwater - - -
(if required)(500)
00340 Chemical Oxygen Demand in mg/L <25.0 <25.0 <25.0
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
00552 Non-Polar Oil&Grease in mg/L(]s) - - -
Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of so mg/l.All other water classifications have a benchmark of loo mg/l
FW(Freshwater)SW(Saltwater)
Notes(optional): Q4 Oct-Dec 2022
"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 theperson orpersons who manage the system,or thosepersons directlyresponsible for gatheringthe information,the information
q ry Y P
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."
/2 -3a • 2 z
Signature of Permittee or Delegated Authorized Individual Date
7if.h.i G( . /e- e it . 2 s 2- 177- y'2¶' Z_
Email Address Phone Number