NCS000321 DMR SW (19)

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STORMWATER DISCHARGE OUTFALL(SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE PPOCS 000 q33 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(all samples collected during a calendar year,shall be reported no later
than 30 days from the date the facility receives the sampling results)
FACILITY NAME Lubrizol-Gastonia Facility COUNTY Gaston
PERSON COLLECTING SAMPLE(S) Bobby Smith PHONE NO. 704�155
CERTIFIED LABORATORY(S) Prism Labs Lab# 402 ✓,�J_
Lab# (SIGNATURE O ERMITTEE OR DESIGNEE)
By this signature,I certify that this report is accurate
complete,tg t .gsrf1 y� edge
Part A:Specific Monitoring Requirements �` y 9
Outfall Date JUN 0 6 2016
No. Sample Total Biochemical Total Chemical Zinc pH
Collected Flow Oxygen Suspended Oxygen
Demand Solids Demand CENTRAL FILES
mm/dd/yr MG mg/1 mg/1 mg/1 mg/1 DWR SECTIOm
02 5/18/2016 8.2 24 58 0.26 7.3
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 Monitoring Requirements
Outfall Date 50050 00556 01051 38260 00400
No. Sample Total Flow Oil and Grease Lead,Total Detergents pH New Motor Oil
Collected Recoverable (MBAS)` Usage
mm/dd/yy MG mg/I ug/l mg/1 unit gal/mo
STORM EVENT CHARACTERISTICS
Date 5/16/2016
Total Event Precipitation(inches): 0.42
Event Duration(hours): 48
Attn: Central riles
(if more than one storm event was sampled) DEHNR
Date Division of Water Quality
Total Event Precipitation(inches): 1617 Mail Service Center
Event Duration(hours): Raleigh, NC 27699-1617
Form MR18
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Footnotes:
' Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"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."
/ 1/(%'
(Signature of Permittegy
Wim- (Date)
Form MR18
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