NCG030511 DMR SW (2)

Stormwater Pollution Prevention 1-.un
SCOTT SAFETY
SEMI-ANNUAL STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
GENERAL PERMIT NO.NCG030000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2,0(‘
CERTIFICATE OF COVERAGE NO•N, O �E ` (This monitoring report is due at the Division no later than 30 days
FACILITY NAME Ccs J from the date the facili5tyy receives the sampling results fro the laboratory.)
�J A-4 t / 5�.n4 T AIUO OctlCsj Djc EEE VEDCOUNTY °dvlci Cow".
PERSON COLLECTING SAMP ES ' M 4 I' i i fi 10 s Pry PHONE NO. (7©L ) icr 1, 'v ®
CERTIFIED LABORATORY -R c . Avajtt$a cisei.( Lab# 377 JUL 17 2015
Lab# PLEASE SIGN ON THE REVERSE-*
Part A: Specific Monitoring Requirements CENTRAL FILES
DWR SECTION
Outfall Date 00530 00400 01051 00556 78141
No. Sample Collected, Total Suspended Solids, p11, Lead,mg/L Oil and Grease, Total Toxic Organics',
moidd/yr mg/L Standard units mg/L mg/L
Benchmark 100 Within 6.0—9.0 0.033 30 1
6512.0714-D1. Grp-25- Is 11.S 4.(0, k 1-b m a N A.
1512o7iit -oz a- 2s-i5 g,'1 6; Z A I b Mb /UM
5(2e 7cii-63 ®G,-Zs- - l t' q , 1 4,V tO!J Mb N
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
(if yes,complete Part B)
Part B:Vehicle Maintenance Activity Monitoring Requirements
Outfall Date 00556 00530
00400 -
No. Sample Collected, Oil and Grease, Total Suspended Solids, p New Motor Oil Usage,
mo/dd/yr mg/L mg/L Standard units Annual.average,gal/mo
:.enchmark - - - 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.
L:Iwork11045221 WPIFinal
May 2008

.y
Stornawater Pollution Prevention 1-,un
SCOTT SAFETY
SEMI-ANNUAL STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
GENERAL PERMIT NO.NCG030000 SAMPLES COLLECTED DURING CALENDAR YEAR: 20/5
CERTIFICATE OF COVERAGE NO.NCG03 6371 (This monitoring report is due at the Division no later than 30 days
FACILITY NAME ��cri Si� / 5004-r Lid & TAX from the date the facility receives the s piifngr results from he laboratory.)
PERSON COLLECTING SAMP S M.Ar IC Joh,u,S a---- PHONE
d�i i ( c�A) D
CERTIFIED LABORATORY /�•� 164 •tCA-d Lab# gr? 66
PHONE N®.(�� ) 2 I. $�®
Lab# PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
Outfall Date 00530 00400 01051 .00556 78141
No: Sample Collected, Total Suspended Solids, pH, Lead,mg/L Oil and,Grease;, Total;Toxic Organics',
mo/dd/yr mg/L Standard units mg/L : : mg/L
Benchmark 100 Within 6.0.–9.0 0.0330 1
S5 I2o1ltf-ref 6 6 - l5.. (5- F,li fix.0 Nim /6„, N/
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
(if yes,complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall Date 00556 00530 00400
No. ' Sample Collected, Oil and Grease, Total Suspended Solids, pH', ' New-Motor''Oil Usage,
mo/dd/yr mg/L_ mg/L Standard units ' Annual average gal%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.
•
L:Iwor1d1045221 WPIFinal
May 2008