NCG030305_DMR_20200929

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Facilities ti,wc incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list: of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), l certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is Implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
Signature
Date
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX me/L". where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: !f 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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Aln rlicr%irrira 44"ir- .,ev7r..J72
Outfall No.
Date Sample Collected'
(rno/dd/yr)
244hour rainfall amount,
Inchee
New Motor Oil or
Hydraulic Oil Usage
IJ •.v ii.~W#d W4 VJ
Non -Polar O&G/ Total
Petroleum Hydrocarbons
�r {iJ IfJ 1./IrIjVl.i
Total Suspended
• SolIds
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/0
Parameter Code
-
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or rer 3 responses. See General Permit text.
Permit Date:1111/2018-05/31/2021 SWU-245, last revised 11/1/2018
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