NCG080196 DMR SW (3)

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No.NCG0S0000
Date submitted 07/25/2016
CERTIFICATE OF COVERAGE NO+ONGG08trgill SAMPLE COLLECTION YEAR 2016
FACILITY NAME United Parcel Service-Winston-Salem SAMPLE PERIOD X Jan-June U July-Dec
COUNTY Forsyth or 'Monthly1 (month)
PERSON COLLECTING SAMPLES Ryan R.Osborne(INENCO,INC.) DISCHARGING TO CLASS ORW EHQW Trout - PNA
LABORATORY Pace Analytical Services,Inc. Lab Cert.ft 40,37712,&44,k e E1V Zero-flow []Water Supply SA
LABORATORY INENCO,Inc. Lab Cert.# 5540
Comments on sample collection or analysis: SEP 12 lid'" []Other Class C
CENTRAL
5EI RAL FILES
DPLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -�
V11 �SECTION
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes no
Part A:Vehicle Maintenance Areas Monitoring Requirements(If applicable) I 1 No discharge this period?2
Outfall • Date ` ' :00530;:, , + , . 00400;' , 00556
No. °Sample Collected,; ,•Total Suspended pH,`• Non-P,olarOil'and Gr`ease/1'PH EPA`::, ;New Motor,Oil Usage,
_
�•m dd `r� • .Sta`ridardunits�
Solids``m" l .. 'iiRet6od'1664' SGT HE -'mC��`�'� '•Annuala6era`a al mo
Benchmark = . . , ,., `50 or 100 see,-permit
SDO-001 05/17/2016 4.2 8.58 2.88 152
SDO-002 05/17/2016 3.9 7.36 0.678 152
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals(if applicable)
Outfall' • „ ;Date„', 00556 , „ , , 00530;';, ,. '004,00,
No.' Sample Collected', flop Polar Oil and.Grease/TPH EPA Method• - Total Suspended Solids - _'pH;
Standard`u its
--
Permit _;
Limit; , • 15 • , „`50or100see'permit: , 6.0:4:9.0;
For sampling periods with no discharge at any single outfall,you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11,2013
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United Parcel Service-Winston-Salem
STORM EVENT CHARACTERISTICS:
Date 05/17/2016 (first event sampled)
Total Event Precipitation(inches): 0.55
Date (list each additional event sampled this reporting period,and rainfall amount)
Total Event Precipitation(inches):
Note: if you report a sample value in excess of the benchmark,you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO n
IF YES,HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES n NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR,including all"No Discharge"reports,within 30 days of receipt of the lab results(or at end of monitoring period in
the case of"No Discharge"reports)to:
Division of Water Quality
Attn:DWQ Central Files
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 — g/)///i6
(Signature of Per tee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4
SWU-250 last revised April 11,2013
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