NCG090023 DMR SW (3)

STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
GENERAL PERMIT NO.NCG090000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
CERTIFICATE OF COVERAGE NO.Ne dl9 ltwr 23_.. (This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Engneered Polymer Solns. DBA Valspar COUNTY Iredell
PERSON COLLECTING SAMPLE(S) Barry Sparks PHONE .(704 ) 61-2321
CERTIFIED LABORATORY(S) Statesville Analytical Lab# 440 _
Lab# (SIGNATURE PER ITTEE OR DESIGNEE)
By this signature,I certify that this report is accurate
complete to the best of my knowledge
Part A:Specific Monitoring Requirements
Outfall Date 50050 01027 01034 01051
No. Sample Total Total Total Total
Collected Flow Cadmium Chromium Lead
mo/dd/yr MG ug/1 ug/1 ug/1
1 115/17/1R .60" <.001 mg <.002 mg .0025 mg RECEIVED
2 05/17/16 _60" <.001 mg .062 mg .0108 mg
JUN 1 6 2016
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month' yes _Xno CENTRAL FILES
(if yes,complete Part B) DWR SECTION
Part B:Vehicle Maintenance Activity Monitoring Requirements
Outfall Date 50050 00556 00530 00400 _
No. Sample Total Flow Oil and Total pH New Motor
Collected Grease Suspended Oil Usage
Solids
mo/dd/yr MG �gm /1 mg/I unit gal/mo _
N/A
STORM EVENT CHARACTERISTICS:
(if more than one storm event was sampled) Mail Original and one copy to:
Date 05/17/16 Date Division of Water Quality
Total Event Precipitation(inches): .60" Total Event Precipitation(inches): Attn• Central Files
Event Duration(hours): 2 Event Duration(hours): 1617 Mail Service Center
Raleigh,North Carolina 27699-1617
Form SWU-255-072502
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