NCS000045 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 000045 or SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
Certificate of Coverage Number: NCG (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.)
FACILITY NAME AIRGAS COUNTY MECKLENBURG
PERSON COLLECTING SAMPLE(S) RANDALL MILLER ==E. 704 644-3249
CERTIFIED LABORATORY(S) PACE ANALYTICAL SERVICES Lab # 40
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Total
Suspended
Solids (TSS)
pH
00530
mo/dd/ r
MG
inches
m
S.U.
001
3/27/15
N/A
0.24
6.2
NS
002
3/27/15
N/A
0.24
8.6
NS
003
3/27/15
N/A
0.24
5.9
NS
004
3/27/15
N/A
0.24
7.8
NS
SGT -HEM), if
appl.
mo/dd/ r
1 MG
inches
MgA
m
Units
galVmo
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes x no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitorine Reauirements
Outfall
Date
50050
00556
00530
00400
No.
Sample
Total Flow
Total Rainfall
Oil & Grease
Non -polar
Total
pH
New Motor Oil
Collected
(if applicable)
(if appl.)
O&G/TPH
Suspended
Usage
(Method 1664
Solids
SGT -HEM), if
appl.
mo/dd/ r
1 MG
inches
MgA
m
Units
galVmo
Form SWU-246, last revised 2IM012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 03/27/2015
Total Event Precipitation (inches): 0.24
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): o (only if applicable - see permit.)
Mail Original and one copy to:
Division of Water Quality
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 mykno ledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including possibility of fines and imprisonment for knowing violations."
ignature of Permittee) (Date)
Form SWU-246, last revised 2/212012
Page 2 of 2