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Home My WebLink AboutNCG080960 DMRCERTIFICATE OF FACILITY NAME COUNTY Tel I "19 r i )r Rorth(r��l �i i, _ �;- �ii ( �- D - - '- �, -' - � r�. � 1 8Ali l fl, ,i7 Date • •I - - - PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Comments on sample collection or .analysis: A/c& lam% �%.g.��c �' %Aj'ilrir/d cs,,, SAMPLE COLLECTION YEAR SAMPLE PERIOD_,Jan-June ❑ July -Dec or Monthly's month DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout PWA ❑Zero -flow ❑Water Supply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE 3 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes �no (if yes, report your analytical results in the table immediately below) Part A: -Vehicle Maintenance Areas Monitoring Requirements (If applicable) No discharge this period1 Outfall Date No. Sample Collected, mo/dd/yr Benchmark - 00530 00400 00556 Total Suspended Solids, mg/L 50 or 100 see permit pH, Standard units Within 6.0 — 9.0 Non -Polar Oil and Grease/TPH EPA New Motor Oil Usage, Method 1664 (SGT -HEM), mg/L Annual average gal/mo 15 - pH, Standard units Permit Limit - 15 50 or 100 see permit 6.0 — 9.0 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfall No. Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT -HEM), mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit - 15 50 or 100 see permit 6.0 — 9.0 1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checl<marl< here. SWU-250 last revised April 11, 2013 Page 1 of 2 Z3o Z aged £IOZ `IT i?•IdV pas>AQJ Isei 0 SZ-IlA1s -ge49nnssap u ns wvl nn gann Au auapou 1e4o : 444 :;e papeolunnop aq Aeua uaao1 slid,f saldoo 1euo6+Wvv (area) tea'® (aa}#luaaad;o aan;eu;�!S) „•suol�e�oln �ulnnou>� ao� �uauauosladual pue saul� �o /�}Illglssod aye �ulpnpul 'uol}euaao�ul asle} 2ul}�luagns ao� sal�leuad �ueol�lu�ls aae aaay� jeyj aaeme we I •a}aldwoa pue 'aleinooe '@nil'japq pue aSpalnnoul Awjo }saq ayj ol'sl pa;lluagns uolleuaao;ul ayj'uoljewio}ul aqj SulaayleO ao} alglsuodsaa Al;oaalp suosiad asoy}jo'walsAs ayj ageuew oqm suos.iad ao uosiad aqj;o Aalnbul Aw uo paseg •pa11luagns uolleuaaojul ayj ajenlena pue aay;eS Apado.id lauumad paljllenb leyl ainsse of pauSlsap walsAs a y}IM aouep.iome ul uolslnaadns ao uol}oaalp Aw aapun paaedaid_waM s;uauayonn e4;e lle pue jumnoop sly} leyl'el }o Alleuad aapun `App iao 1„ e031HOd3H NOIIVLAJH0dN1 ANV 2104 NOI1d313112133 SIHl N91S isnw f10A LT9T-669LZ eul�oae� y�aoN `y�la�e21 aa;ua:) aolnaaS 11eW LT9T sal!d IeJ4u0ObMa :u11V AlpWO aa4eM 3o uolslnla (s;aoaaa „apapy3sip oN„ jo asm ay; u► po►aa u�ao;iuour o pua;a ao s;lnsaa qac ay; o; �a�aa o s ap p£ uiy;inn s;ao as „a ,Ipl/�SIQ ON„ ��n u�pn��ui dWp s►y; o oa7 auo pua Jau� I,10 Up 1 �3WVN l�V1N0� 3�Idd0.lVNOIJ321 ON ❑ S3A i.3�IddO 1VN0193M bMa 3Hl a31�V1N0J fIOA 3AVH 33A31 Lj ON ❑ S3A 4llV31(10 ]NO ANV 1V 21313MM 3WVS 3Hl HOA S3DN3033DX3 >I2IVINHDN30 ROW 110 V UVH AlIl1JVd ?JHUA SVH at 21311 • 8 NO1133S II 121Vd 11W213d 33S 'S1N3W321int)3N Z 21311 H3JJINlIIVdlf o 3WVS 3H11V 21313WV21Vd 3WVS 3H1210d MOU V NI S3:)NV(I33DX3 Z • 9 NOIlO3S II 121Vd 1IW213d 33S 'S1N3W3211f11b321 T21311 S2139912113AVQMX3 >I2JVWHM 38 V • �S11f1S3il JN121011NOW 9 121Vd aNV V liJVd 2103 •;xa;;ivaaad �oaaua� aas •sasuodsaa £ aail ao 'Z aa►1 't aa�l ;uauaa�du,�►;snu.� not '�aau�y�uaq a y; �o ssa�xa u► an�an a�du�ps a;aodaa not �j :a;oN :(saH�ul) uol;e;Idlaaad;uan3 le;o1 (;unouae Ile}idea pue'polaad cul;aodaa sIW; palduaes }uana leuol;lppe yea;sll) al eQ — :(sayoul) uol;e;Idlaaad ;uan3 le�ol (palduaes;uana;salt) a;ea m SOI1SI2131Ot/21b'HO 1N3A3 W2101S 1pJ/U �3WVN l�V1N0� 3�Idd0.lVNOIJ321 ON ❑ S3A i.3�IddO 1VN0193M bMa 3Hl a31�V1N0J fIOA 3AVH 33A31 Lj ON ❑ S3A 4llV31(10 ]NO ANV 1V 21313MM 3WVS 3Hl HOA S3DN3033DX3 >I2IVINHDN30 ROW 110 V UVH AlIl1JVd ?JHUA SVH at 21311 • 8 NO1133S II 121Vd 11W213d 33S 'S1N3W321int)3N Z 21311 H3JJINlIIVdlf o 3WVS 3H11V 21313WV21Vd 3WVS 3H1210d MOU V NI S3:)NV(I33DX3 Z • 9 NOIlO3S II 121Vd 1IW213d 33S 'S1N3W3211f11b321 T21311 S2139912113AVQMX3 >I2JVWHM 38 V • �S11f1S3il JN121011NOW 9 121Vd aNV V liJVd 2103 •;xa;;ivaaad �oaaua� aas •sasuodsaa £ aail ao 'Z aa►1 't aa�l ;uauaa�du,�►;snu.� not '�aau�y�uaq a y; �o ssa�xa u► an�an a�du�ps a;aodaa not �j :a;oN :(saH�ul) uol;e;Idlaaad;uan3 le;o1 (;unouae Ile}idea pue'polaad cul;aodaa sIW; palduaes }uana leuol;lppe yea;sll) al eQ — :(sayoul) uol;e;Idlaaad ;uan3 le�ol (palduaes;uana;salt) a;ea m SOI1SI2131Ot/21b'HO 1N3A3 W2101S