NCG080793_MONITORING INFO_20171027

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. I /v
DOC TYPE ❑HISTORICAL FILE
Z MONITORING REPORTS
DOC DATE ❑ AU) '7 / 0 �D ?
YYYYMMDD

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STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original and One Copy To Mailing Address On Back Of This Form
GENERAL PERMIT NO. NCG080000
Part A: Facility Information
Samples Collected in Calendar Year: 2017 all samples shall be reported following receipt from lab, but no later than Januan, 31 of the following near)
Certificate of Coverage No. NCG08 0793 County of Facility WAKE
Facility Name USF Holland Inc Name of Laboratories
Facility Contact Billy East _ _ Lab Certification Ws N tU NEE)
Facility Contact Phone No. [phone] OCT 2 7 p17
CENTRAL F1LE8
©WR SECTIO�j
Part B: Vehicle Maintenance Activitv Monitorinv Requirements
Outfall
No.
bate :"
Sample
Collected
50050
" 00400 `"
00545
-.00556
Total
Flow
PH
Total Suspended.
Solids;
Oil and Grease,
New Motor Oil
Usage -
mmlddlyr_
MG
units
in I :
m r 1
gallmonth .
001
Jan — Jul 2017
No samples this period— new motor oil usage is less than 55 gals/ mo
+/- 40
002/ 003
Represented by SDO-001
Part C: Oil Water Separators and Secondary Containment Areas at Petroleum Bulk Station and Terminals
Outfall
No.
Date
Sample
Collected
50050
00400 -
60545
00556
Total,
Flow
pH
Total Suspended
Solids -
Offa_nd Grease
MG
units
:rrt 1
nt
Form SWU-250-071400
Page I oft

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STORMWATER DISCHARGE MONITORING REPORT (DMR)
Part D: Storm Event Characteristics
Total Event Precipitation (inches):
Event Duration (hours):
(if more than one storm event was sampled)
Total Event Precipitation (inches):
Event Duration (hours):
"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 ittee (Date)
MAILING ADDRESS:
NCDEQ / DWR
Attn: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Form SWU-250-071400
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