NCG030224 DMR SW (2)

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGO30000
CERTIFICATE OF COVERAGE NO. NCG03 0224
FACILITY NAME Johnson Controls Battery Division
PERSON COLLECTING SAMPLE(S) Glenn Price
CERTIFIED LABORATORY(S) R & A Laboratories, Inc. Lab # 34
Lab #
Part A: Specific Monitoring Requirements
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MG unit
7.02
SAMPLES COLLECPED DURING CALENDAR YEAR: 2015
(all samples collected during a calendar year, shall be reported no later
than January 31 of the following year)
COUNTY Forsyth
PHONE NO. [phone]
(SIGNATURE OF PERM ME OR DESIGNEE)
By this signature, I certify that this report is accurate and
complete to the best of my knowledge.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? des __X no
(if yes, complete Part B)
Part B: Vehicle Maintenance A
Monitoring
nirements
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STORM EVENT CHARACTERIS PICS:
Date 7/298015
Total Event Precipitation (inches): 0.99
Event Duration (hours): 0.5
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches): N/A
Event Duration (hours): N/A
Mail Original and one copy to:
Division of Water Quality
Attu: Central Files
1617 Mail Service Center
Raleigh, NC 27626-1617
Copy of Fozm SWU-245-120399
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Footnotes:
Applies only to facilities at which fueling occurs.
z Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
I
"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 inquirey 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."
(Date)
Form MR -18
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