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HomeMy WebLinkAboutNCG080033_MONITORING INFO_20190225STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. V DOC TYPE ❑HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ o l q Dao) 5 YYYYMMDD Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 _ Date submitted �) C' — U Y6 —3 CERTIFICATE OF C OVERAGE No. N GO$-- _ ED FACILITY NAME Qi�Qy1 p�ilt 1Yl -- 1� COUNTY 2019 PERSON COLLE TlN SA LE n LABORATORY �j . Lab Cert. # (,C-N RAL FILES Comments on sample collection or analysis: L3`1rFt `'h L" i��"•, Part A: Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTIO YEAR 2D I SAMPLE PERIOD Jan -June ❑ July -Dec or Monthly' month DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow Water Supply ❑SA (Other PLEASE REMEMBER TO SIGN ON THE REVERSE -> ❑ No discharge this period' Qutfa 11 Na, N�l;rr .' YDate14 .��I.'```.=,nx�. , 5ampl ollected, mo/dd,'/_,ter ;, J Y • _ '=:t^-'s•�asems .�..-•: Total,Suspended Svli� d ;mom/ E , u - -g .., _ ... _ _ a pH, F_ y_ ,. Stan d units. ... _ , _ r7an-_-cz. ; NonP_olar Oil�and_Grease/tTPHSEPA `;New cam.--xmw M thod�1'664 SGT=AHEM „m'�� _. _ .__ . _.i ___. a__.. } ._.g/_ ,.._"`„�•,r Motor OilaUsage Annuala�erage€gal/.mo. _ Benchmark; , . .... § � r -. a rm 50;or 100 s ape E't -.h'i ,, UVit nt6.0; 9'0 q � 15 a Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X-no (if yes, report your analytical results in the table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfali �V'�'•-R+ Date '.�..+'., � SampleCollected, /.__ /,Y1664�(SGTHEIVI} � a.,--. ..�'� am•...zas .:.Non Pol,ar£Oil=andaGrease/}TFPFI EPAMethod ,F.. mg/L � •-c.:..9R! v-a-s:.a�t`r,�ys r �, T :.TotalSuspended Solids,i '�° mg/_L�A f . �. � Ya.•.. pH; 4. Stan �unitG: darcJ Perrriit,L�mif ♦ jam. .,,. s, €' � � _y 7'"• A . � _r1.5�a ��_ M. *� .may jt4�':i'C _•- W50tor,�100 ee_pe_rmit : �a '}- - _ f4 -i�1 6.00 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 October 25, 2012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 11, 19 (first event sampled) Total Event Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount). Total Evenf 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. .s 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 ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ 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 monitorina period in the case of "No Discharge" reports) -to: Division of Water Quality Attn: DWQCentral Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 r 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." (Signature ofPerrrihtee)' V, ' {,,.• • _s';,_ zy (Date) Additional copies of,this form may.be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 i SW k -250 last revised October 25, 2012 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted CERTIFICATE OF CQVERAGE No. NCGO8 FACILITY NAME NOW 0 C0M1?6_tAq_ COUNTY JjdrnLjT PERSON COLLEqTIN SAM LE OW Nun LABORATORYIVIII'f i OPS Lab Cert. # k I� collection oll 7 Comments on samp e eCt ion�oranalysis: Part A: Vehicle Maintenance Areas Monitoring Requirements q SAMPLE COLLECTZJan-June YEAR 4,4o / SAMPLE PERIOD []July -Dec or 0 Monthly" month] DISCHARGING TO CLASS E]ORW [:]HQW OTrout [:]PNA []Zero -flow F�Watersupply ESA xOther _Td� PLEASE REMEMBER TO SIGN ON THE REVERSE 4 [:] No discharge this period' '-T — , Sample-Call A olect mo W 1�1 WUAK tolvSrT Aaed a MpW.y 460 p4 ,;" Standard 6nits *Odt6 M No6PdlaQiia'hdGreae7TPHPA, ,�('.t�ORE etpaHtM),%V EIYM-'11ou MIWNWM Motor I wS, huqj�KerAgq94I/M% a F0 �W6 Q-'a'r, ki 0 RJA KI 07 '1 74 �' 540 6 IN �NN7 4? 9A M. WX RIOWARNE; Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X-no (if yes, report your analytical results in the table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals all 1 e � k eo I Collected, ,Sample%,6 e c V �%, Ar 10 -IF- ri 6050PIMMA WNW � 6,m W K, &M M 9 5larldiflOWd rea, M �406�4,,(;�qTjR�M ;jrngZ,� IiN I OLd lsuspencl,6100';Sji�v , t 0 lvos mi V-20V =111111NMRI J5-6 rpK41W N �ej Wr �r� i ira -]X_ -0 &W- r-,746T S,, &! 1- 14 -1 q -4.6-00 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 October 25, 2012 pnap I r'y STORM EVENT CHARACTERISTICS: Date 1 / % 9 (first event sampled) r f Total Event Precipitation (inches): 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 AAND 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: Mail an oriainal and one copy of this DMR, including all "No Discharae" reports, within 30 days of receipt of the lab results (or:at end of monitorina period in the case of "No Discharae" 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." (Signature of Perrnittee) ' r., (Date) a t f Additional copies of;this form may be,down loaded at: htt ortal.ncdenr.org/web/wq/ws/su n dessw#tab-4 z SWU-250 last revised October 25, 2012 Page 2 of,2 i *MICROBAC Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K9AO2O6 Warren Oil Company Project Name: Stormwater - Semi Annual Ms. Wanda Pender Project/ PO Number: NIA 2340 US 301 North Received: 01/14/2019 Dunn, NC 28334 Reported: 01/28/2019 Analytical Testing Parameters Client Sample ID: Out flow sample, grab Sample Matrix: Aqueous Collected By: Nvnn Lab Sample ID: KgA0206-01 Collection Date: 01/14/2019 10:30 Wet Chemistry Result Method: EPA 1664 Rev. B Oil & Grease (SGT-HEM) <5.00 Method: SM 2540 D-2011 Total Suspended Solids <4.17 Method: SM 4500 H+8-2011 pH at 25 °C 5.9 RL Units Note Prepared Analyzed Analyst 5.00 mgiL 01123/19 1031 TAB 4.17 mglL 1.0 pH Units H Definitions H: Analyte was prepared and/or analyzed outside of the analytical method holding time RL: Reporting Limit Project Requested Certifications) Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPDES Report Comments Samples were received in proper condition and the reported results conform to applicable accreditation standard unless otherwise noted. The data and information on this, and other accompanying documents, represents only the sample(s) analyzed. This report is incomplete unless all pages indicated in the footnote are present and an authorized signature Is included. 01/15119 0954 MT 01/15/19 1018 CLB Reviewed and Approved By: Jeanne Overstreet Client Relationship Specialist, Environmental Reposed: 01128/2019 12:04 Microbic Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 283061 9%864.1920 p I www.microbac.com Page 1 of 2 .CERTIFICATE OF C IVE)RAGE No.. N FACILITY NAM COUNTY PERSON. C0LLECTI,NG'S'A_MPLES L A 66WT 6 R Yn4je: Fh hn r,S Lab Cert. #- C6mm'ents bn'sample 't.6116cticin or analysis: Part A: VehicIe,Ma.in­t'e_r*nce Areas Monitoring Requirements Semi-annual-Stormwater Disch6rgeWdnitoring Report for North Cariolina:Divisibivbf Water'Quality General Poirmit No. NCG080000 Date'submitted SAMPLE.COLLECTION YEAR SAMPLE PERibD Ej Jan -June N'July-Dec or E] Monthly' (monthl DISCHARGING TO CLASS [:]ORW -' [:]HQW F]Trout LjPNA REIC",1EIVED E:]Zero-flow F�Wzitersupply [:]SA t 'Z'O mother— 7re�,Q:31 SAP 17 18 CEN-FRAL FILES 0VVR SECTION PLEASE.REMEMBER TO SIGN ON THE REVERSE 4 [:] No discharge this period' W I Zi IqUffi'Fe 'Sampleg Collected, 0 0 5 3 -5- DI 6aall� U�Pqhabv U ­0 MMURCI i-PA"R M NY66 V 0 461 d. QJE a s;e/jTf, H_� Q7AQ y 16th AQ�16k b. New Motor. s'$j A V, Benchmark -1 hV' lcb !0M AM EW3"I M,0i9TWER bid-thl's facility performVehicle, Maintenance Activities using more than-55,gallons of new motor oil per month? n yes ono (if yes, report your analytical results in-the-table-inimediately below) �P t -Seco n�d'ar`y2­oiit6in r� 6 �'t lt'e-'tr6iet;'r�;Buik,StEiti-o-n's,ia.nd TerminalsPart B: Oil/W�te*CS� a ra' o r�si n"d -Areas a Z4 - IR, "2"M a -�ry ARAM, 5M.7,27 U-NIUMF l*�"""-„r'-,""'-eEF- rle' Collected Non Polar0illindGrg EPA Method R FW�igt,gn- Taff�uspencecsoiids .NwX§k4 hf �gZ2 E� N0 ,r I M.. t:1,"I'MA. M-MR1131NE VNIAV 0 SX1901 R 7F61 i 72 �, -M-7 _2 9" RIM q 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 06tober 25, 2012 + i STORM EVENT CHARACTERISTICS: i Date ZZ 1 (first event sampled) + Total lZverA Precipitation (inches): r j Date (list each additional event sampled`this�reporting:perlod, and raalnfall'amount) _To , tal -Evenf.Precipitaton,(in'ches): Note: ou•rtass.am,p,je•fval�e i,n excess.ofithe:'"b=.e�i n.ehmari'k;, G- }e1' n�e-4r_ a- PX'er-im3'rti+�text?�- If • - _ � FL 1 'p}. FOR'P-ART-AANDP.ARTZB:MONITORING-RESULTS: • A BENCHMARK- EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE -PERMIT }PART II SECTION B.,, •+mod.EED-� -st7i:F:•w'* +:- :�ixC� a t'L,L.�'iid:• :sY.tt--.s{ -�.t{4"is'�i.y�.i��Hatrt�-,� =it ,.�. :�:..t 11 t • 2 EXCANCES'ftkROW FOR THE'SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART #li SECTION B. • TIER 3: HAS YOUR.F_ACILITY HAD 4 OR MORE BENCHMARIGEXCEEDENCES FOR THE SAME PARAMETER'ATjANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE?-' _wYES .❑• NO ❑ . I;. , w. 'REGIONAL OFFICE CONTACT NAME: ' i. • .1-..��I \- .may � �..._ � R � �:.. - � +r+. aM .-f•. r. -, .,y.. R.d �.y. _.:.. .. .. k+-" ' " .1�. l� Mai?-dn,orr ihal.and�bne co 'o 'tHis,DMR" iitcluilin "�alh"No Dischar" e'''re ort-s Withii 30 da- s-o recei t o th--15 results' or at.end o >monlfo'rin eriod`in i`he case of •'-'No Discharge''.-reports)ito: ,; _ "' •' "" ^- =` � "r-' `' "� � •" •-` y'�Y` 'y Division 10 of.Water Quality -Attn:`DWQCentral Files { N ;'�. '}*f� t 1617 Mail'Service Center Raleigh; North Carolinay27699-1617 YOU; MUST�'SiGN ,THIS'CERTIFICATION' FOR ANY'INFORMA ITION�4£PORTED: "I certify, under penalty of iaw, that this document and all attachments were prepared under my direction or supervision in accordance vMhla system designed to assure that qualified person ne1,properly gatherrand evaluate,the:informatibn�submitted. Based on my inquiry of the person or persons who manage the systeni,.or tkios,e persons ^S W f 92 directly.responsible for gathering the information, the infarmation'submitted is,'to the best of'my-knowledge and belief, true, accurate, and complete. I am aware that i there are significant'penalties for submitting false information, including the possibility of fines.a6d.imprisonment;iforknowing,vi6lations.'; ' ? •1 �(Slgnature o Perin_it4tee� V i - (Date) Additional copie's ofahis fojrm maytbe downloaded ahttp://potal:ncdenr.org`/web/wq/ws/su/npdes5w##tab=4 r{ I } I1 SWU-250 last revised'October,25, 201,2 } Page 2 of�2 ' 'a - Semi -annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted CERTIFICATE OFqDVERAGEN NC6086 FACILITY NAME VVarI'WU11 (10Y?XMI COUNTY :t3tLMf,= I PERSON COLLE-UJNG SAMPLE "10M LABORATORY jVjerjDhW,1Z9 Lab Cert. #.-.— Comments on sample collection or analysis: Part A: Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECT!9,KYEAR SAMPLE PERIOD ,Jan -June DJuly-Dec or [] monthly'- (monW DISCHARGING TO CLASS [:]ORW E]HQW [:]Trout E]PNA RECEIVED 13zero-flow Elwater supply [:)SA . MOther 71�3t5 JUL 31 2018 /IN CEINIT[RAL FILLES DiAAR SECTION, PLEASE REMEMBER TO SIGN ON THE REVERSE 4 [] No discharge this period N j Date �- j*— F[e.Collected,�7riS o "W ---0 4 --�EZ 70 FM9c spnd zSdidm/ .Lir=s. pH ­- r-�—.- i IdaFd units! nMae/fPHEP% Mda�5sQ V4�1M�L 366Moto 'AWFVa jeplj.Poll f-N -ZT-.'D L50 ®rldbIeWj--ORMT VK �--Aikfn7Ci()��90C-.v j' t Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes X-no (if yes, report your analytical results in the table immediately below) Part 8: Oil/water Separators and Secondary Contalnment Areas at Petroleum Bulk Stations and Terminals "W" CI SiffipleectidLn j F,M ff5/l:r _P05561:1- �­— IW.K. �.E Polar Oil Grease/ TPH 5[� 4 T91UsjEnqedsl "1" .4P Standard 10-ifiAifuiniflvll EYT -<S. 00 I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 5WU-250 last revised October 25, 2012 Page 1 of 2 J STORM EVENWvet CTERISTICS: Date (first event sampled)�]'Totaecipitation (inches): t f 5 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 ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME. Mail an original and one copy of this DMR, including all "No Discharae" reports, within 30 dovs of receipt of the lab results (or of end of monitorina period in the case of "No Dischorae" reports) to: Division of Water Quality Attn: DWQCentrail Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGIS IMIS ERTIFICATION 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. 1 am aware that there are significant penalties for submitting false formation, including the possibility of fines and imprisonment for knowing violations." 7 (Signature of Permittee) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wa/ws/su/npdessw#tab-4 SWU-250 last reviscd October 25, 2012 Page 2 of 2 r- t OMICROBAC"'. Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8CO722 Warren Oil Company Project Name: Stormwater - Semi Annual Ms, Wanda Pender Project 1 PO Number: NIA 2340 US 301 North Received: 03/22/2018 Dunn, NC 28334 Reported: 04/02/2018 Analytical Testing Parameters Client Sample ID: Stormwater, grab Sample :Matrix: Aqueous Collected By: Nunn Lab Sample ID: K8C0722-01 d Collection Date: 03/22/2018 9:25 Wet Chemistry f Result RL Method: EPA 1664 Rev. B Oil & Grease (SGT-HEM) <5.00 5.00 Method: SM 2540 D-2011 Total Suspended Solids 4.83 2.50 Units mglL mglL Note Prepared Analyzed Analyst 03129/18 1025 TAB Definitions RL: Reporting Limit Project Requested Certification(s) Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPDES 03/26/18 0922 MT Report Comments Reviewed and Approved By: Samples were received in proper condition and the reported results conform to , applicable accreditation standard unless otherwise noted. The data and information on this, and other accompanying documents, represents Jeanne Overstreet only the sample(s) analyzed. This report is incomplete unless all pages indicated Project Manager in the footnote are present and an authorized signature is included. jeanne.overstreel@microbac.com 04/02/2018 11:32 Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 1 of 2 Semi-annual Stormwater Dischar e-Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000. Date submitted 07.06.17 CERTIFICATE OF COV GE NO. 1O 0 b 33 FACILITY NAME arren llCzrrTpan7, Inc. COUNTY Harnett PERSON COLLECTING SAMPLES John Nunn LABORATORY _ Microbac Labs Lab Cert. # Comments on sample collection or analysis; Part A. Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD 0 Jan -June ❑ July -Dec or ❑ Monthly' lmonrh2 DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA R E C E t VE D ®Other lowElwater Supply [:]SA Tss JUL 1 0 1017 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 CENTRAL FILES DWR SECTION ❑ No discharge this periods > W.- u-f r . `°MDate } ; ;i,. F*L.:•mSy "00530r " ' a +�:.s,.� sey 'f•S. „ ` ' ' i eG.. "' �". R +�+�j v� r.,tv can r .» W.. q I #. %" �: ,~a+ rY' wrr,R- •.-r - y' am' Collected U11 el Total;Suspended .� ' H, 2: -,k Nan.Polar Offhand Grease/TPH EPA , w"+ °i- ,'rYrr,xF" !a. lNew Motor�Otl:USage; -" `L4 r �5 dd/,yr _Soiid"mg/L ,, Standard units` ,+y Methodfifi64; SG7_H M}; m Lt AnnualaVe_rage al/,mo, �,... m-- n I5Qori100's'ee e�rriit �'T �.:' r "Y'-r Within,G.Q .9.0 ! � c-.- 's�'+F .�.t. ...� r � WPi5T : ay '.q' a.e7 3A.-1,,�-., :" �. - � . Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes X-no (if yes, report your analytical results In the table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals ` No:. ,� - -} - Sam !e Collected r . arms- '0£i556"�.`wyt�+-�-',�Q0530 ��.... '+ems` .�... F_ „� .�:r1ikSM ; :. �.• ``. �" i �r�s;� %1+ 1 :µ . �,_,-. 00my 51 ;. yr -.•Maw yr.rt." •<Li�'i �r-�--a- .er Non Polar Oi! andrG'rease/FPH EPAyMetK dR w6645_ 7 H>rM� L-dt :Y -qx ��as- Total us ended Solids '�= {� ` m L� NP�� -.�+�.� .'S :SY+I�.�n� g/ ,"R t7.�E .: 7...i:ri ,psir_2ddV "sue dad� � 'P,eriAlfL hit 11 a. X S; r {' = r `Sp,or lDp;see emit 7;.; 6'0 9 04,03.17 <5.00 1,80 I 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 October 25, 2012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 04.03.17(first event sampled) Total Event Precipitation (inches): '5 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, rier 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 11 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: Mail an oriainal and one copy of this DMR. includina all "No Discharae" reports. within 30 days of receipt of the lab results for 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 FORANY 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 personne roperly gather and evalu the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly res nsilble r gat ering the lnfo ati , t Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there arep g if penalties for subMl g 1se 1 ormation, including the possibility of fines and imprisonment for knowing violations." (Signature of (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.orgLweb/wcl/ws/su/npdessw#tab-4 SWU-250 last reviscd October 25, 2012 Pagc 2 of 2 Fayetteville Dh ision Certificate of Analysis Warren Oil Company Date Reported: 04/14/17 Ms. Wanda Pender Projecl: Storm"-wer - Semi Annual Date Received: 04/03/17 2340 US 301 North Date Sampled: 04/03/17 Gunn NC, 28334 Sampled By: Nunn Stormwater, grab K 7D0021-01 Analvte Result Units Analvzed Analyzed By Method Qualifier Analyzed by: MicrobaC Laboratories, Inc. - Fayetteville Od & Grease (SGT-HENI) <5.00 mg/L 0=4/14/17 12:25 JR EPA 1664 Total Suspended Solids 1.80 mg/L 04/05/17 09:52 TAB SM 2540 D-1997 Microbac Laboratories, Inc. Page 1 of 2 2592 Hope Mills Road I Fayetteville, PVC 28306 1910.864.1920 p 1 910.864,8774 f I www.microbac.com Fayetteville Division 2592 Hope Mills Road — Fayetteville, NC 28306 (910) 864-1920 / 86-1 CHAIN OF CUSTODY RECORD `K7D0021- i9�1N��@P9'� CLIENTNAMESADDRE55: Warren Oil 2340 US 3011V Dunn, NC 28334 PO PROJECT lLOCATION: StormWater #OF a O T T L E s TYPE OF ANALYSIS PRESERVATION CODE :E F co Cr CODE- A = <4°C 6 = HNO3 (pH<2) + <4°C C = H2SO4 (pH<2) + <4'C D = NaOH + <4°C E = ZN Acetate + <4"C F = HCI CONTACT PERSON: Ms. Wanda Pender PHONE: 910-694-1163 sA t I J�� �f / / / f7j� fj} / PATE! METF10p OP SHIPMENT: LAB ID # SAMPLE TYPE SAMPLE DATE TIME coMP GRAB pH t3.0. TENP'C CHLORIN@ D X 3 A C Relinquished by: n Date Time Re yved'byl, (Signetur :1 - l �, ' I f _ /L/2 "ate/ 7 Time,jel Rel(nquished by: J �' �I�' I rV '3 Date ':j l I Time s' Raved by: (Signaturer f )e Lba /r 4 Date F Time, if i ,/ % R li i "ate <<� Time 3� R ' ed ignature) �.-- 6 "ate �-, 4.3---318 Time a. A Comments or Special Hazards: o� ICE Page 2 of 2 MOM.r. CERTIFICATE OF C FACILITY NAME COUNTY PERSON CO LEC��T��I LABORATORY IU, Comments on sa G Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted GE NO. N,Ppo8 r� J _1 / SAMPLE COLLECTIO YEAR 9!� ..� LG SAMPLE PERIOD JJan-June ❑ July -Dec 471- or ❑ PAonthly' _ _ (month) VIPLES DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA f jujynl Lab Cert. # ple collection or analysis: Part A: Vehicle Maintenance Areas Monitoring Requirements �����® ❑Zero -flow Water Supply ❑SA Other JAN 18 2017 PLEASE REMEMBER TO SIGN ON THE REVERSE 3 C-.N-fRAL. FILES DLNIR SECTION ❑ No discharge this period' O tfall h�_iHF.4 �? w '. -11 &'mple Collected . �- � - mo/dd/.yr Y rex_artz-�;. Total us ended n -Solidsmg L H ;=4 : _,Standard€units r _.:.. -w s c ua 'arasx- ON on!Polar1OiI!andtGre" a e/tTPH'EPA `4New,MotarTOi1rGI0 Metfto654 (SGTHEg/�` raa r-e�x�. e ge, , 'Anrivala ge gal/mom/u Benchmark'_ � - � .- •�, '9C .G.T' 50aorr100P�ee permits1N�th�n6:09:0 - ;TY �dTr'��a 15 _ _ � �15,'���..,.,' � ..f x4 " � cl � �R1,1. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes X-no (if yes, report your analytical results in the table immediately below) Part B: oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals OW Outfall ' Date 10d556; �i -00530t j'; k 0 --fid. Noy SampleCollected, NonNol irQilard"Grease%PH EPA?Metiiod S Tot al�Suspend'ed1Solids, pH# , p; __o/dd/;yr _' T664r(SGT=HEM}, mg/L - Mm�g L ;5tandard,units `Perm txLin itz _ WI - ' � � � 15 _p 50 10p see,permit 0 9 0,. _ I 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 October 25, 2012 Pagel of 2 STORM EVENT CHARACTERISTICS - Date l� / (first event sampled) Total Ev nt Precipitation (inches): i 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 ATTHE 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: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results tor 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." (Signature of Permittee) 1-13 -11-1 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#ltab-4 SWU-250 — - •.-.r last revised October 25, 2012 Page 2 of 2 &)M'ICROBAC� Fayetteville Division Certificate of Analysis Warren Oil Company Ms. Wanda Pender Project: Stormwater - Semi Annual 2340 US 301 North Dunn NC, 28334 Date Reported: 01/13/17 Date Received: 01/05/17 Date Sampled: 01/05/17 Sampled By: Client Out floc: sample, grab K7A0139-01 Analyle Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Microbac Laboratories, Inc. - Fayetteville Oil $ Grease (SGT-FIEM) <5.00 mb/€. 01/11/17 12:53 JAW EPA 1664 pH 8.4 pH Units 01/05/17 10:10 SW SM 4500 H+B-2000 1-1 (Aqueous) - Total Suspended Solids 3.40 mg/L 01/06/17 11:15 ELM SM 2540 D-1997 Notes and Definitions 1 I Analytc was prepared and/or analyzed outside of the analytical method holding time Microbac Laboratories, Inc. Page 1 of 2 2592 Hope Mills Road J Fayetteville, NC 28306 1 910.864.1920 p 1910.864.8774 f I www.microbac.com CERTIFICATE OF FACILITY NAME COUNTY PERSON COLLEC" LABORATORY# Comments on sa Semi-annual Sto_rmwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted _ !_-/lo -,1 RAGE NO NG SAMP 800�3 ebdl(J"' Lab Cert. # collection or analysis: Part A: Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR �D/� SAMPLE PERIOD ❑ Jan -June N July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW _❑Trout ❑PNA []Zero-flow�❑Water Supply [:]SA p_ _ s� + �q ®Other__ _'7S5 SEP 19 2016 PLEASE REMEMBER TO SIGN ON THE REVERSE CENTRAL FILES ❑ No discharge this period' DWR SECTION SOutfall- ,,fig , . , .y i]ate x Sample Collected "mo/Ld yr 00530 ..:_` ii Oa4QQ ` _ ' .i .., _. aTi i�' �0556 -' fir . .,..... . _ _ *+x,-i�� ` [}j 1-MM1-� &fi: w rag. 1M[ r?t�.3 rrr3aaxa;�_-�•� al Suspended Solids L�' ffi7l ' pH, ! Standard�un tsk1 ��.�� Non -Polar Oil�and�Grease%IPHREPA �_ Method�16645(� S THEfVI} rrtg/Li 7..YekqNo. New MotorOil�iJsage, _„. n�i�al average gal% Benchmark' = ; 50 or 1QQ[see permit 1MR601fi:0 9 0 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X_no (if yes, report your analytical results in the table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Qutfall St 'r Date`s00556 f Sample Collected, ��'�,�00530 a`, i^fi.wqi(-.r.,rq:.�.^^'TF✓-'Cf�?'t„'�c.li�sslt;+ R w9-�'. Nan-Polar OBI andrGrease%TPH EPA Metho �3r• 'R4`} ]x a -^cam—�t•'tinNetYFw�,�`sy ar"�� -" Total Suspended Solids;`: '2 w•a ^T ax OQ40_0'�� �+ri+ �,d'•� #�`fN0. pH" x6mg�= standarts �` —1N P m t l! mil :'' a MUM �•. -" � SUTor`�100 see permit _ 6.0 9� , I 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 October 25, 2012 Page I of 2 STORM EVENT CHARACTERISTICS: Date ��� �� (first event sampled) Total Event Precipitation (inches): 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 Pier 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 11 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 ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ 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 for 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. "1 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 sygficant penalties for subr tting false information, including the possibility of fines and imprisonment for knowing violations." ture of Perm A (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/webLwg/ws/su/npdessw#tab-4 SWU-250 last revised October 25, 2012 � - Page 2 of 2 Warren Oil Company Ms. Wanda Pender 2340 US 301 North Dunn NC, 28334 &)MICROBAC Fayetteville Division Certificate of Analysis Project: Stormwater - Semi Annual Out flow Sample Date Reported: 07/25/16 Date Received: 07/12/16 Date Sampled: 07/12/16 Sampled By: Nunn K6G0269-01 Analyte Result Units Analyzed Analyzed By Mcthod Qualifier Analyzed by: Microbac Laboratories, Inc. - Fayetteville Oil & Grease (SGT-HEM) <5.00 Total Suspended Solids 5.40 mg/L 07/22/16 09:28 SW EPA 1664 mg/L 07/ l 3/16 13:18 CCR SM 2540 D-1997 Microbac Laboratories, Inc. Page 9 of 2 2592 Hope Mills Road I Fayetteville, NC 28306 1910.364.1920 p 1910.864.8774 f I www.microbac.com CERTIFICATE OF FACILITY NAME COUNTY PERSON C LLEC" LABORATORY A Comments on sa Semi-annual Stormwater Discharge Monitoring Report P71 for North Carolina Division of Water Quality General Permit No. NCG0800004 Date submitted E NO.NC,G, 08,,�� VG SAMPLES 142474 /YGL Lab Cert. It ple collection or analysis: Part A: Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTIO EAR l� SAMPLE PERIOD Jan -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIvn yeo ro-flow [:]Water Supply ❑SA V her MAY 13 20i5 � CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE DWR SECTION ❑ No discharge this period' Out`falkx i i• 'j-1Y': � =No 9 ._j. • imo/,iid/4yrSol�ds;,mg/.L �EDate,., i=:. _-. Sample Go11 cted, EQQ 30 00400 -`x � � OOS55 �.%. rw :� �': _• `i;` `r_C.'�S@'- Total Suspended $:. _ _ pH; �,_StandardLunits _ _,, •y '•- 4 - srir' L'3l'HSCR' Nan Polar Qilwanti Greas /TPH'EPA �. _ Method-T6fia;(SGT=HEN1j,�mg/LL�'Annaverageigal/mom #"_' �:•xn ,'S--"-q-rrx�w New IVlator°Oil Usage;) _Bencftimark °' 50 o ioosee ermi T 11U,i �f f09:0 '� 15 " Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ._yes X-no (if yes, report your analytical results in the table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals `Outfall i ��f�ij�yJ� � t�-y _ Sample Collected, NVORt . Q0556 :' '.,, ,��00530,,� �o��r�K. NadTGrease/TPHEPA�Method M91 S_GTAHm Lr�m _gl gmm 'a+.wu+r�.alliE`iliIe'-7f�Noi% "TotalrtSusperided .5o{ids g/L pH'��� u ff-d- P._ermitLirriitf�' y _ 15'� 50 ar 100 s pE emit'.,. - '� "90 DD 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 October 25, 2012 Pagc 1 of 2 STORM EVENT CHAR TERISTICS: Daterst event sampled) Total*venPcipitation (inches): • 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 z, 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 ANYONE OUTFALL? YES ❑ No ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one cony of this DMR, includina al! "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitoring Period in the case of "No Discharae" 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 subrrgL4ting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permitt 5- ( te) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SNVU-?56 last revised October 25, 2012 Page 2 of 2 �MICROBAC* Fayetteville Division Certificate of Analysis Warren Oil Company Date Re4xirted: 05/04/15 Ms, Wanda Pender Project: Storrnwater - Send Annual Date Recoived: 04/21/15 2340 US 301 North Date Sampled: 04/21/15 Dunn INC 28334 Sampled By: Noun Out flow Sample K5D0728-01 1_ Analyle Result Units Analyzed Analyzed By Method Qualilier Analyzed by: Microbac Laboratories, Inc, - Fayetteyille Oil & Grease (SLIT -ITEM) <5.00 Ing/L 04/30/15 t 1:00 MLW EI'A 1664 PH 6.8 PH Units 04/24/15 14:00 DSK SM 4500 I1+13-2000 hI (Aqueous) Total Suspended Solids 4.80 ntg/L 04/27/15 13:16 SW SM 2540 D-1997 Rainfall: 0.5" Notes and Definitions I I Analyze was prepared andior analvzcd outside ol'thc anANtical method holding time Microbac Laboratories, Inc. Page 1 0 2 2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1 910.864.8774 f I www.microbac.com Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG08000O Date submitted CERTIFICATE OF COVE AGE NO. NCP�08 V a FACILITY NAME WlTrf� MY 7Tla COUNTY PERSON C LEC-T NG SAMPLES LABORATORY M t'/1 me -'I Lab Cert. # Comments on saMple collection or analysis: Part A: Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR —0-4IZ" SAMPLE PERIOD [] Jan -June July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow Water supply [-]SA RECEIVED [:]Other OCT 0 2 2014 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 CENTRAL FILES ❑ No discharge this period' DWR SECTION Outfall NoSampleCoiiected, Date _", 00530 . _. 0040D; _ 56° OD .. _Total Suspended pH, Non Polar Oil and Grease/TPHEPA New; MotorOtl _ mo/ifd/yr _ _: ";": Solids,_mg/L Standa d_umts Method a664e(SGT HEM), mg/L '- Annual -average gal/mo _ ..: or-1 050 :=:9.0- 5Benhmark, 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 B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfa!! No *Date - Sam k.61lected p u ;-:: .; ` 00556 00530 004.00 ` - Non Polar Qjliand'Grease TPH1EPA-Method Td#al_Sus ended.5 olids,p p ; . _ -, w ._ 6 64<(SGT=HEM); /LT mg" ,-.. mg/L -- S tandard units _._ a- = - : . Permit Ljmit- -so or_100 see: permit 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 October 25, 2012 Pagel of 2 STORM EVENT CHARACTERISTICS: Date " / first event sampled) ll Total Even Precipitation (inches): 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 ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ 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" re orts 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-silxnificant penaltigs for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-250 last revised October 25, 2012 Page 2 of 2 0MICRO'BAC" Fayetteville DfNislon Certificate ol'Analysis Warren Oil Company Date Reported- 08125/14 Ms Wanda Peindes Project: Slarroi - Send Annual Date Received: OS INN 2340 US 301 North Date Sampled: 08113/14 Dunn NC, 28334 Sampled By: Nunn Out flow Sample K4110333-01 I Aralyte Result Units Analyzed Analyzed By Method Qualifier I "zed by: Fkratrac laboratories, Inc - Faye-xWke Oil $ Grease (SGT-HEM) 5A8 mg/L 08/25/14 03:17 JAW EPA t664 pH 62 pH Units 08118J14 11:25 DSK SAS 4500 11+13 2000 H (Aqueous) Total Suspended Solids 5 25 mg1L 08/14/14 07.50 JAO SM 2540 D-1997 QC Balch Run - (.N;�.ea. r.sa.arar:<., I— - Analyte Rnull units Source RPD Limit Total Suspended Solids 650 mg/L K4110396 21 5 Total Suspended Solids 547 mg11 K4H0321 0 5 Total Suspended Solids 2 75 raga- K4H0269 t0 5 Notes and Definitions H Ar Jyie wa.s prepared and/or analyzed outside at the analytical method bolding nmc State Certi fialians: YCDNR Oil YCDOH V37714 Respectfully Submitted kanne owmtreet P jecx 3A...E. Than. you for your business We,mue-,,)vdhak w— fewl grmv,cc to tos Plaar. rarra.r Is. V,-,—.Nanuex, Rob Der -w 91"41910 r Aa.p qur16-1 Yoie..o) R41a—'� ' 1 T say.. IN—d.nt at a�rndenNayne.,obrx .an Microbac Laboratories, Inc. I Page 1 of 2 2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910,864.8774 f I www.microbac com