NCS000233 DMR SW (4)

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000233 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
RECEIVED
(This monitoring report shall be received by the Division no later than 30 days from
NN the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Trinity Manufacturine, Inc MAR 2 8 2016 COUNTY Richmond
PERSON COLLECTING SAMPLE(S) Todd Ba PHONE NO. ( 9101 419-6566
CERTIFIED LABORATORY(S) TestAmerica Labori'nj4i fz ville, TN NC Lab #3g7
ALS/Columbia Analytical Services, elso, WA NC Lab #605
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
Date
50050
SM 52108
EPA 410.4
SW -846 90206
EPA 300.0
SW846 9040C
Total Flow
(if applicable)
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
BOD
benchmark
COD
benchmark
Chloropicrin
(TOH)
Chloride
benchmark
pH
benchmark
Testing Lab
m /l
mo/dd/yr
MG
inches
30 mg/L
120 mg/L
µg/L
860 mg/L
6 - 9
OF -1
02-04-16
0.5
4.67
24.1
111
7.19
Test America
OF -1
02-04-16
0.5
1
42
8.46
ALS
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 MonitorinIZ Requirements
Outfall
No.
Date
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
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m /l
m /l
unit
gal/mo
Form SWU-247, last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail two copies to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 possibilitv of fines and imprisonment for knowing violations."
_ 03-11-2016 Lab report received 03-11-2016)
(Signature of Permittee) (Date)
Form SWU-247, last revised 2/2/2012
Page 2 of 2