NCS000259 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
S
Permit Number NCS 000259 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30 days fron
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Akzo Nobel Surface Chemistry LLC COUNTY Rowan
PERSON COLLECTING SAMPLE(S) Lyvn White and Traci Sloop PHONE NO. [phone]
CERTIFIED LABORATORY(S) Pace Analytical Services. Inc.Lab # 37706
Lab # 12
SIGNATURE OF PERMITTEE OR DESIGNEE
Part A: Specific Monitoring Requirements REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if a
Total
Rainfall
1,2-
Dichloroethane
Toluene
Nitrogen
NO2 plus NO3
pH
Total Flow
(if applicable)
mo/dd/ r
MG
inches
m /L
m
m L
SIU
MG
inches
m
m /l
unit
al/mo
SW -1
06/02/15
.13
.0268
.00026
.00042
6.20
x
SW -2
06/02/15
.13
.0034
.00026
.0012
6.33
SW -3
06/02/15
.13
.00069.1
.00068J
.00083
8.04 i
F1
SW -4
06/02/15
No Flow
No Flow
No Flow
No Flow
No Flow 1�
Does 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 Monitnrinu Rennirementc
Outfall Date
No. Sample
Collected
- -- - - - --
50050
--- --- ---------
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT -HEM), if
a 1.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m /l
unit
al/mo
Form SWU-247, last revised 2/2/201
Page 1 of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date 06/02/15 Attn: Central Files
Total Event Precipitation (inches): .13 1617 Mail Service Center
Event Duration (hours): (only if applicable— see permit.) Raleigh, North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
"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 knowledg nd belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility o es and imprisonment for knowing violations."
(Signature of
3 a is
(DA)
Form SWU-247, last revised 2/2/201
Page 2 of 2