NCG060104_DMR_20210714

STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
GENERAL PERMIT NO.: NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2021
CERTIFICATE OF COVERAGE NO. NCGO6 0104 (This monitoring report is due at the Division no later than 30 days from
FACILITY NAME : Alberdingk Boley, Inc the date the facility receives the sampling results from the laboratory.)
PERSON COLLECTING SAMPLES: Susan Feir COUNTY Guilfortj
CERTIFIED LABORATORY: Meritech, Lab# 165 PHONE NO. ( 336)_454-5000 ,. NC Depar
viron�nen ent o,
PLEASE SIGN ON THE REVERSE Rece'/i/Qua;;ty
Winston• _c
Part A: Specific Monitoring Requirements Reg/ona/ m
O".ce
Outfall 1 Date 00530 00400 00340 00556 31616
Total Suspended pH Chemical Oxygen Oil and Grease Fecal Coliform,
Solids Standard units Demand,mg/I mg/1 Colonies per ml
mg/1
Benchmark 100 Within 6.0—9.0 120 30 1000
ALB#1 June 3,2021 30 7.1 <15 <5 N/A
ALB#2 June 3,2021 9 7.0 <I5 <5 N/A
Note: If you report a sampled value in excess of the benchmark value,or outside the benchmark range for pH,you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_yes X no
(if yes,complete Part B)
Part B:Vehicle Maintenance Activity Monitoring Requirements
i
Outfall Date 00556 i 00530 00400
Oil and Grease Total Suspended Solids pH New Motor Oil usage,average gallons/month
mg/I mg/1 Standard units
Benchmark 30 1 100 Within 6.0—9.0
N/A
N/A

it
Note: If you report a sampled value in excess of the benchmark value,or outside the benchmark range for pH,you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Mail Original and one copy to:
NC Division of Environmental Quality
STORM EVENT CHARACTERISTICS: Raleigh Regional Office
Date 6/3/2021 (first event sampled) 3804 Barrett Drive
Total Event Precipitation(inches): 0.11" Raleigh,NC 27609
"I certify, 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 the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
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