NCG060354 DMR SW (5)

hospiir
A P er Company
December 14, 2016
NC Department of Environment and Natural Resources
Division of Water Quality
1617 Mail Service Center /O) ( /7
Raleigh,NC 27699-1617 )71g
Attention: Central Files DEC 3 n
2016
Subject: Discharge Monitoring Reports DEQ-WAp
NPDES General Permit No.NCG060000 401&BUF T PE ouRTI G
COC#NCG060354 (R1/R2)
Hospira—Nash County
To Whom It May Concern:
Per the requirements of our general stormwater permit, the following documentation is
attached for your review:
✓ Storm water Discharge Monitoring Reports for Outfalls 004B, 005, 017A
✓ Certified laboratory report
All required discharge characteristics (total suspended solids, pH, oil and grease, and
chemical oxygen demand) were within permitted ranges. Total rainfall was measured
with an on-site rain gauge for the duration of the event. We will continue to conduct
future sampling events based on the conditions indicated in our permit.
Please contact me at(252) 977-8292 if you have any questions or I can provide any additional
information.
Sincerely,
Samuel Toke
Environmental Specialist
Hospira, a Pfizer company
4285 N. Wesleyan Blvd.
Rocky Mount,NC 27804

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted December 14,2016
CERTIFICATE OF COVERAGE NO. NCG06 0 3 5 4 SAMPLE COLLECTION YEAR 2016
FACILITY NAME Hospira, Inc. (Rocky Mount,NC) FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Nash ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES Mike Lewis DISCHARGING TO SALTWATERS? OYES NO
LABORATORY Pace Analytical Lab Cert.#PASI-C #12, PASI-A #40
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall 2 .8 or ❑ No discharge this period3
Outfall No. Sample Collected, TSS, pH, COD, Oil and Grease, Fecal Coliform'',, Enterococci'',
t m o/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml _ Colonies per 100 ml
Benchmark - 100 or 504 Within 6.0—9.0 120 30 1000 500 ,
004B 12/04/16 3.7 7.17 <25 <5.0 N/A N/A
005 12/04/16 4.5 7.79 <25 <5.0 N/A N/A
017A 12/04/16 4.2 7.98 <25 <5.0 N/A N/A
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at any outfalls.You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text,Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑yes ®no (if yes, complete Part B)
Part B:Vehicle Maintenance Area Monitoring Results: only for facilities averaging>55 gal of new motor oil/month.
Outfall No. Sample Collected, Oil and,Grease, TSS, pH, - New Motor;Oil Usage,
mo/,dd/yr mg/L mg/L, Standard units - Annual average gal/mo
Benchmark - 30 100 or 504 6.0—9.0 -
N/A N/A N/A N/A N/A N/A
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at any outfalls,you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text,Table 3,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised:October 18,2012
Page 1 of 2

*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
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME: N/A
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, NC 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."
'/I/a---
-1GLA2' 4,0_,0c4--,pti4.--e-...264,
(Signature of ermittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18,2012
Page 2 of 2