NCG100080 DMR SW (5)

STORM WATER DISCHARGE OUTFALL(S DO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO NG33[fl O&01 11 A. PLES COLLECTED DURING CALENDAR YEAR: 2016
d�Pmonitoring report shall be received by the Division no later than 30 days
JUL 2 8 diem m the date the facility receives the sampling results from the laboratory.)
FACILITY NAME LKQ Salisbury CENTRAL FILES COUNTY Rowan
PERSON COLLECTING SAMPLE(S) Luke Belverd DWR SECTION PHONE NO. [phone]
CERTIFIED LABORATORY(S)Test America Lab Nashville Lab#490
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A:Stormwater Benchmarks and Monitoring Results
For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow"or"No Discharge"within
30 days of the end of that period to comply with permit reporting requirements
Outfall Date 00400 00530 ---- 77023 01051 78141
No. Sample Collected, Total pH, Total Suspended Non-polar Ethylene Glycol, Lead,Total Total Toxic
mo/dd/year Rainfall, Standard Solids(TSS), O&G/TPH mg/L Recoverable, Organics3,
inches Units mg/L (Method 1664 mg/L mg/L
SGT-HEM),mg/L
8,000
Benchmark 6.0—9.01 100/502 15 (Tiers 2 and 3) 0.03 1.0
Outfall 001 6/28/2016 0.10 6.83 9.8 <4.0(Below <10(Below Recordable
Recordable Limit) Limit) 0.0052 Exemp t
Note If you report a sampled value in excess of the benchmark value,or outside the benchmark range for pH,you must implement Tier 1 or Tier 2 responses in the General
Permit
1See If pH values outside this range are recorded in sampled stormwater discharges,but ambient precipitation pH levels are lower,then the lower threshold of this benchmark
range is the pH of the precipitation (within instrument accuracy) instead of 6 S U Readings from an on-site or local rain gauge (or local precipitation data) must be documented
to demonstrate background concentrations were below the benchmark pH range of 6-9
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D,Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122
Form SWU-251,lost revised October25,2012
Page 1 of 2