NCG060205 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG060205
FACILITY NAME: Custom Finishers, Inc.
PERSON COLLECTING SAMPLES: DEN N' S -DZI t to k 1
CERTIFIED LABORATORY: Research & Analytical Lab #: NC34
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: ;�—y 1 �'
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Guilford
rRECENRYONE NO.: [phone]
NOV 17 2015 PLEASE SIGN ON THE REVERSE -+
CENTRAL FILES
DWR SECTION
Outfall
No.
Date
Sample
Collected,
mo/dd/ r
00530
00400
00340
00556
31616
Total Suspended
Solids,
m /L
pH,
Standard Units
Chemical Oxygen
Demand,
m /L
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Benchmark
-
100
Within 6.0 - 9.0
120
30
1000
SD02
/0 17 /i
I
<
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 1 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 Monitorinq Requirements
Outfall
No.
Date
Sample Collected,
mo/ddl r
00556 00530 00400
Oil and Grease, Total Suspended Solids, pH, New Motor Oil Usage,
m /L m /L Standard Units Annual averagegal/mo
Benchmark
-
30 100 6.0-9.0 -
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.
STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date (first event sampled) / Attn: DWQ Central Files
Total E ent Precipitation (inches): 5 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
SWU-249-102107
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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."
(Signatu&4f Permittee
I / //Ch g5 --
(Date)
SWU-249-102107
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