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Home My WebLink AboutNCG080923_DMR Upload Review_20230607 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 1/4/2023 6:23:02 PM(DMR Submittal) Submit by Brittany.Cook 6/7/2023 2:06:47 PM(DMR Submittal Review) • The task was assigned to DEMLR SW Admin for DMRs 1/4/2023 6:23:05 PM • bethany.georgoulias reassigned the task to Brittany.Cook 6/5/2023 3:12:22 PM [rftDQ - DMR Submittal from 1/4/2023 Permit and Facility Information: .............................................................................................................................................. Permit Number* Enter COC or Individual Permit Number NCG080923 Must begin with NCS or NCG Facility Name:* Safety-Kleen Systems, Inc. County:* Mecklenburg Note: Facility name and county are used to help the reviewer verify the permit number entered,and to display the Regional Office address on the submitter's form(not here). These metadata details will be pulled from current BIMS information after the DMR(s)are filed. If the submittal is accepted,simply note any errors in the reviewer's comments. Monitoring Period Information: Monitoring Period What is the YEAR of the sample date(s)? Year:* 2022 DMR Upload* Click the upload button or drag and drop files here to attach document. NC080923_DMR_Q4 Nov 2022.pdf 276.64KB NC080923_DMR_Q4 Dec 2022.pdf 282.61 KB Only PDFs are accepted. Comments: * By checking the box and signing box below, I certify that: • I have given true,accurate,and complete information on this form; • I agree that submission of this Discharge Monitoring Report(DMR)Upload form is a"transaction"subject to Chapter 66, Article 40 of the NC General Statutes(the"Uniform Electronic Transactions Act"); • I agree to conduct this transaction by electronic means pursuant to Chapter 66,Article 40 of the NC General Statutes (the"Uniform Electronic Transactions Act"); • I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the same way as a written signature;AND • I intend to electronically sign and submit this DMR Upload form. Full Name:* Todd M. Blake Name of person submitting this form Email Address:* todd.blake@safety-kleen.com Phone Number:* 336-644-0332 Signature: 0�d�W 01� Date:* 01/04/2023 Review Review Date: 06/07/2023 Confirm Permit No.* Correct the permit ID number if needed. NCG080923 Confirm DMR Year* 2022 Multiple DMRs will be automatically filed in a subfolder denoting the sampling year entered above. Can submittal be Yes accepted?* No(Explain why below) Do Central Office No staff need to be Yes alerted?* Do Regional Office No staff need to be Yes alerted? Type of Permit* General Ensures DMR(s)filed correctly.