NCS000183 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS NCS000183
FACILITY NAME Radiator Specialty Company
PERSON COLLECTING SAMPLE(S) Stuart Kerkhoff
CERTIFIED LABORATORY(S) _Prism Laboratories, Inc.—Lab #_402
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(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 Union
PHONVE NO. L7 4V 4-1815
SIGNATURE OF PERMITTEE OR DESIGNEE
REOUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if a
Total
Rainfall
Total
Suspended
Solids
Oil and
Grease
TPH DRO
TPH GRO
H
Total Flow
(if applicable)
mo/dd/ r
MG
inches
m /L
m
m L
m L
Units
MG
inches
m I
m /I
unit
al/mo
003
7/28/15
NA
0.16
34
<5.0
<1.0
<0.20
6.25
001
No Flow
NA
No Flow
No Flow
No Flow
No Flow
No Flow
No Flow
002
No Flow
NA
No Flow
No Flow
No Flow
No Flow
No Flow
No Flow
004
No Flow
NA
No Flow
No Flow
No Flow
No Flow
No Flow
No Flow
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 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
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m I
m /I
unit
al/mo
Form SWU-247, last revised 2/2/20/2
Pagel of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division-of Water Quality
Date _7/28/15 Attn: Central Files
Total Event Precipitation (inches): _0.16 1617 Mail Service Center
Event Duration (hours): (only if applicable — see permit.) . Raleigh, North Carolina 27699-1617-
(if more than one storm event was sampled)
Date - -
' Total Event Precipitation (inches):.
Event Duration (hours): (only if applicable —see permit.)-
' Date
Total Event Precipitation (inches):
Event Duration (hours): -(only -if applicable — see permit.)_' ;
"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 significant penalties for submitting false information,
including the possibility of lines and imprisonment for knowing violations:
(Signature of Permittee) f - (Date) -
Form SWU-247, last revised 2/2/2012
-Page 2 of 2