NCS000334_MONITORING INFO_20190122

/OTW
STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
DOC TYPE
❑FINAL PERMIT
� MONITORING REPORTS
❑ APPLICATION
0 COMPLIANCE
❑ OTHER
DOC DATE
au I i U I d-a
❑
YYYYMMDD

jo n Chemicals hx.
January 14, 2019
Division of Water Quality
Surface Water Protection Section
Attention: Central Idles
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE Stol rn Y a,'-r D;scharae Outfall Monitoring Report
JCI Jones Chemicals, Inc., Charlotte, NC
Permit Number: NCS-000334
Dear Sir or Madam,
JAN 2 2 2019
CENTRAL FILES
DVVR SECTIOV I
Enclosed please find a Stornmater Discharge Outfall (SDO) Monitoring Report (original
and one copy) for the semi-annual period oi'July 1, 2018 — December 31, 2018 for our
Charlotte, North Carolina facility.
Please contact me at [phone] if you have any questions or require additional
information.
Very truly yours,
JJACI Jones Chemicals, Inc.
1�
"I'irnothy J. Gaffney
Executive Vice President
"I'JG:tg
Enclosure
Cc Mike Croke, ,ICI --- Charlotte, NC
Caledonia Branch • 100 Sunny Sul Blvd. • Caledonia, NY 14423 • relephone: 585.538.2314 • facsimile: 585.538.2316 • 300.255.3789
137amch Locations • War -ick, NY • Barberton, OH • RiverviM, III • Merrimack, NH • Charlene, NC • Jacksonville, FL
Both Grow, IN • Milford, VA • Ttcoma, WA • Tornmec. CA • Cmj> rrate Office Sam,oct, FL
www.icichemicals.com

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 00033
FACILITY NAME �t�� �esC�evnicsz�S�S�G -
PERSONCOLLECTINGSAMPLE(S) }ioi.,)gr,QWLCCIEa.Ve—
CERTIFIED LABORATORY(S)Cne,,�,-Bcrc-Labo `, rnG. Lab #
C'k eja�%1JC�2Q,��Q Lab#
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: Q I S
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY
PHONE NO. (qQc) 1 ."2 -
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.1
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if a
Total.
Rainfall
sus s r s
has, Lq I
Qkos ott.tS
!
mo/dd/yr
MG
inches
1.20qlia
D. S
o.ol
1 r.19
6. 82,
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Byes Ono
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
apel.
Total
Suspended
Solids
PH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m !l
mg/1
unit
gaUmo
Form SWU-247, last revised 611212015
Page f of 2

STORM EVENT CHARACTERISTICS:
Date rZf l` hs
Total Event Precipitation (inches): Q a S
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 Pe
! ( Z0l g
(Date)
Form SWU-247, last revised 611212015
Page 2 of 2