NCS000233 DMR SW (5)

STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
Permit Number NCS ii,obis100233111aRFCEIVED SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
„iL 22 2016 the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Trinity Manufacturing.Inc. :ENTRA�AL FILES COUNTY Richmond
PERSON COLLECTING SAMPLE(S) Todd Banie§VR SECTION PHONE NO. [phone]
CERTIFIED LABORATORY(S) TestAmerica Laboratories,Inc. Nashville,TN NC Lab #3g7
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall Date 50050 SM 52106 EPA 410.4 SW-846 9020B EPA 300.0 SW846 9040C
No. Sample Total Total BOD COD Chloropicrin Chloride pH Testing Lab
Collected Flow(if app.) Rainfall benchmark benchmark (TOH) benchmark benchmark
mo/dd/yr MG inches 30 mg/L 120 mg/L µg/L 860 mg/L 6 -9
OF-1 06-28-16 0.4 2.25 16.8 23.1 10.3 7.37 Test America
Does this facility perform Vehicle Maintenance Activities usmg more than 55 gallons of new motor oil per month?_yes X no
(if yes,complete Part B)
Part B:Vehicle Maintenance Activity Monitoring Requirements
Outfall Date 50050 00556 00530 00400
No. Sample Total Flow Total Oil&Grease Non-polar Total pH New Motor
Collected (if applicable) Rainfall (if appl.) O&G/TPH Suspended Oil Usage
(Method 1664 Solids
SGT-HEM),if
appl.
mo/dd/yr MG • • inches mg/1 mg/I unit gal/mo
Form SWU-247,last revised 2/2/2012
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STORM EVENT CHARACTERISTICS: Mail two copies to:
Division of Water Quality
Date Attn:Central Files
Total Event Precipitation(inches): 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 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."
/1ci
/
07-19-16(Lab report received 07-15-2016)
(Signature of Permittee) (Date)
Form SWU-247,last revised 2/2/2012
Page 2 of 2