NCS000334_MONITORING INFO_20180622

STORMWATER DIVISION CODING SHEET
PERMIT NO.
�,\�,�'�� 7j�F
DOC TYPE
El FINAL PERMIT
"�. MONITORING INFO
�0 APPLICATION
0 COMPLIANCE
❑ OTHER
DOC DATE
❑ ZDI U 0 (o 2-Z
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS Q OL 3 3 4 _ or SAMPLES COLLECTED DURING CALENDAR YEAR: ALI) t 9
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�C-r 0 Ci•�1M1CAV1G• COUNTY l
PERSON COLLECTING SAMPLE(S) A � ! �NENQ
i0
CERTIFIED LABORATORY(S) y (A Lab # i V1ED
�1rl�P PG-l62 14 _Lab # ,f f� 7 (SIGNATU P E DESIGNEE)
2018 By this signature, I certify that this report is accurate
CrrV j . complete to the best of my knowledge.
Part A: Specific Monitoring Requirements DWR St(.�Tron�ICW
�
1
Date
Ik I
Collected
Totalm
Flow (if app-)
m
i
'Suspended
Solids (TSS)
--
w
•
I
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — yes V no
(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
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
M94
m
Units
gallmo
Form S)VU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date d10
Total Event Precipitation (inches):
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 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 my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of Ames and imprisonment for knowing violations."
13
Signature of Pe ee (Date)
Form SWU-246-112608
Page 2 of 2

4-jlci
nesChemicals Inc.
January 2, 2018
Division of Water Quality
Surface Water Protection Section
Attention: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
f
RE: Stormwater Discharge Outfa l Monitoring Report
JCI Jones Chemicals, Inc., Charlotte, NC
Permit Number: NCS-000334
Dear Sir or Madam,
JAN 0 9 'GIB
ti;�FO��h�'�la;, n�c�rF.SSWGtJt1l�
Enclosed please find a Stormwater Discharge Outfall (SDO) Monitoring Report (original
and one copy) for the semi-annual period of .luly 1, 2017 — December 31, 2017 for our
Charlotte, North Carolina facility.
Please contact me at [phone] if you have any questions or require additional
information.
Very truly yours,
JCl Jones Chemicals, Inc.
Timothy J. Gaffney
Executive Vice President
TJG:tg
Enclosure
Cc Mike Croke, JC1 — Charlotte, NC:
Caledonia Branch • 100 Sunny Sol Blvd. • Caledonia, NY 14423 • telephone: [phone] • facsimile: 585.538.2316 • 800.255.3789
Branch Locadwis • Warwick, NY • Barharmn, 014 • Riverview, MI • Merrimack, NH • Charlotte, NC • Jacksonville, FL
• Beech Crruve, IN • Milfoal. VA • Tacoma, WA • Torrance, CA • Crrjxate Office Smasota, FL
www.jcichemicals.com

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 000 3 3z-( or SAMPLES COLLECTED DURING CALENDAR YEAR: -Z 0 (-7
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 Tc--r— -o>tieS Cam'^ "Cclt
PERSON COLLECTING SAMI"LE(S) W i l5 i t? LL'a K
CERTIkIEDLABORATORY(S) Cke*%-&.c-La6s,�„�e , Lab#
C( Q r io{{e�.1 CC „2 BoZ 19 _ Lab #
Part A: Specific Monitoring Requirements
COUNTY W1e_cKl.CK6k!a
PAIONE NO. (]0 3 Q .2 - J -7 6
(SIGNATURE O;?IERMT FEE OWDESIGNEE)
By this signature, certify that this report is accurate
complete to the best of my knowledge.
Date
SampleTotal
Collected
Flow (if pp)
:SuspendedSolids (TSS)
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes _no
(if yes, complete Part 13)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
I inches
mgn
m
Units
gaumo
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date i 1 oG 1-7 -
Total Event Precipitation (inches): r
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 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 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."
&2� � �LM4� -
ry 212,018
(Signature of Pe tt (Date)
Form SWU-246-112608
Page 2 of 2

.j
4)[cl
JnrK5 Chemioak Inc.
July 5, 2017
RECEIVED
JUL 1. 0 2017
Division of Water Quality
CENTRAL FILES
Surface Water Protection Section
DWR SECTION
Attention: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Stormwater Discharge Outfall Monitoring Report
JCI Jones Chemicals, Inc., Charlotte, NC
Permit Number: NCS-000334
Dear Sir or Madam,
Enclosed please find a Stormwater Discharge Outfall (SDO) Monitoring Report (original
and one copy) for the semi-annual period of January 1, 2017 — June 30, 2017 for our
Charlotte, North Carolina facility.
Please contact me at [phone] if you have any questions or require additional
information.
Very truly yours,
JCI Jones Chemicals, Inc.
f�
Timothy J. Gaffney
Executive Vice President
TJG:tg
Enclosure
Cc Mike Croke, JCI -- Charlotte, NC
Caledonia Branch - 100 Sunnv Sol Blvd. • Caledonia, NY 14423 - telephone: [phone] - facsimile: 585,538.2316 - 800,255.3789
Branch Locatitms - Warwick, NY - Barberton, OH • Riverview, MI - Merrimack, NH • Charlarre, NC - Jacksonville, FL
• Beech Grove, IN • Milford, VA • Tacoma, WA • Torrance, CA • Corporate Office Sarasota, FL
www.jcichernicals.com

�"
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 3 _ _ or SAMPLES COLLECTED DURING CALENDAR YEAR: 'x 0 1+
Certificate of Coverage Number: NCG (This monitoring report shall he received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME 10 ` cal S COUNTY M t< CK L6-1"-) Wt2 G
PERSON COLLECTING SAMPLE{Pk9 IE NO. o" 3 4 Y- - 9 7 G 7
CERTIF_ IED LABORATORY(S) V - Labs • Lab_# ^ `
C-kar(r,Vm,P c 2 i31 l `t Lab # (SIGNATURgkf PE9M I IT OR DESIGNEE)
By this signa ure, I certify that this report is accurate
complete to the best of my knowledge.
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
P
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids (TSS)
Total
p
�Sr �or�s
P H
i�t(ca es
131�6frs
CNlor,V%e,
T o-}q (
Res, c(,Aq
mo/dd/ yr
MG
inches
m
m
Units
rv�
lr
w� L
001
s'6
0.119
6. 9
0.30
4 01 0
40.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes V/no
(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
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
m
Units
al/mo
Form SWU-246-112608
Page 1 of 2

JP.
STORM EVENT CHARACTERISTICS:
Date 7 Di+rS
Total Event Precipitation (inches):
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 Water Quality
Attn_ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-I617
"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."
( � � A Jw, 6 - � F�
--1-U I , s, as/-2
(Signature of Pe . ) (Date)
Form SWU-246-112608
Page 2 of 2

Permit Number: NCS 000331 or
Certificate of Coverage Number: NCG
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR:`9'(D 16
(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 ��� 5o IP-9 C""ey n1 calS x e- • COUNTY Q t c t rq
PERSON COLLECTING SAMPLE(S) : v Ge-i 0.0, C E NE D , II o vE NO. C 3 n — -I (a
CERTIFIED LABORATORY(S)ChQ"vt- ctc,. L t . Lab #
C L-4e) N G 8- i Q Lab # JAN 4 6 2017 (SIGNATURE O RMI E O ESIGNEE)
By this signature, I certify that this report is accurate
CENTRAL FILES complete to the best of my knowledge.
Part A: Specific Monitoring Requirements DWR SECTION
Outfall
No.
DateII
Sample
Collected
I
—
Total_
t i t
ttal
t
Total
Suspended
Solids
===MEL�,f
,
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes —no
(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
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
m
m
Units
al/mo
Form SWU-246-112608
Page I of 2

S'l`'JRM EVENT CHARACTERISTICS:
Date f 3b �� 7 Total Event Precipitation (inches):' v
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 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 my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibijlitypf fines and imprisonment for knowing violations."
(Signature of Pltmv4l
V (Date)
Form SWU-246-112608
Page 2 of 2

STORM WATER DISCHARGE OUTFALL (SIv?O)C6
MONITORING REPORT may:.
0 y
Permit Number: NCS 0 O 03 -3 or SAMPLES COLLECTED DURING CALENDAR YEAR: Z 01 G
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 5"C=T0Yles Coke tCOJI) SV` C • COUNTY 'l.f Q
PERSON COLLECTING SAMPLE(S) VLOL.3a rd 1Mc 1p_o�u * P�-i_9E NO. O 3 2: 7 '7
CERTIFIED LABORATORY(S) CV ewo- Qt laA r- Lab #
C 10Vk#-. 0 C. �RSa!!!I.ab :: EECE 1vE(SIGNATURE Of WR 1IT-W9OR SIGNEE)
By this signature, I certify that this report is accurate
AUG 0 2 2016 complete to the best of my knowledge.
Part A: Specific Monitoring Requirements
CENTRAI FII1=5;
Outfall
No.
Date
Sample
Collected
50050
DW
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids (TSS)
Total
Q�os�inotu t
pH
P"At i-es
;
mo/dd/yr
MG
inches
m
m
m
Units
f L-
oot
ab Z'71b
3.0
2-12,
3.8
6•D
1.0
o.z3
tads
ll
��
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Zno
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
m
m
Units
gallmo
Form SWU-246-1 t2608
Page 1 of 2

�s STQRM EVENT CHARACTERISTICS:
Date 6 27 16
Total Event Precipitation (inches): J • Z�
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 Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 fines and imprisonment for knowing violations."
I AAO--:� 1 � k�� , 20 I fo
(Signature of ttee) (Date)
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
�t MONITORING REPORT
Permit Number: NCS O 0 033 or SAMPLES COLLECTED DURING CALENDAR YEAR: d j
Certificate of Coverage Number: NC (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.)
P rips
FACILITY NAMECrToAeS Cke.vv. k cot / �y�G COUNTY Wk�tL-1 SV`3a
PERSON COLLECTING SAMPLE(S) ��,e�p �'�t'� w� _ P#I !W NO. '
CERTHIED.LABORATORY_(S) Lherw-- (�ec(_c&-s rc-Lab_# _
CWULOjigl Lab # (SIGNATU PE E DESIGNEE) rr�
By this signature, I certify that this report is accurate
complete to the best of my knowledge. ~�
Part A: Specific Monitoring Requirements
-
Outfali-"
No
..
;Date :,,.:;
Sam le
Collected f
`50050.
_
Total 3
Flow (�f app)
Total
RamfalliY
Oil & GreaseTotal
Suspendeds z
=Total' i r L
rQi►os �.or S
P H
Sep!
1�►fsi
F
tat
o-�. �
_
-moldd/yr'
MG
-inches'=
:.a
m
m -
:Units
ll:_: -
y fr
�" ` lr
0o
s �r
0. q S
<1.0
3 2
0.8a
6.91
o . os
< o.os
< 0.05—
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per mouth? _ yes '►o
(if yes, complete Part B)
Part B. Vehicle Maintenance Activity Monitorine Requirements
Outfall',
No
-Date".
Sample
Collected
50050 <
'00556,
0053Wn,,' ` =
'00400
Total`Flow "^,.
'( applicable}
Total RamfaII
_
Otl &Grease
Total�Y = "=
Suspended-
pli y
New Motor 011=
;U¢age
mo/dd/ r
MG - ;.
inches= :;- ,
in,
=
Units .- ..:.
al/mo >s.
Form SWU-246-t 12608
Page 1 of 2

Z
STORM EVENT CHARACTERISTICS:
Date Iq
.�
Total E ent Precipitation (inches): 0 9
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 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 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."
L�� *g,�— eG o r
(Signature of Pe M) (Date)
t
Form SWU-246-112608
Page 2 of 2

Ici
Jones Chemicals hr
December 3, 2015
RECEIVED
Division of Water Quality DEC 0 8 2015
Surface Water Protection Section CENTRAL FILES
Attention: Central Files r SECTION
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE. Stormwater Discharge Outfall Monitoring Report
JCI Jones Chemicals, Inc., Charlotte, NC
Permit Number: NCS-000334
Dear Sir or Madam,
Enclosed please find a Stormwater Discharge Outfall (SDO) Monitoring Report (original
and one copy) for the semi-annual period of July 1, 2015 — December 31, 2015 for our
Charlotte, North Carolina facility.
Please contact me at [phone] if you have any questions or require additional
information.
Very truly yours,
JCI Jones Chemicals, Inc.
�N
Timothy J. Gaffney
Executive Vice President
TJG:tg
Enclosure
Cc Mike Croke, JCI — Charlotte, NC
Caledonia Branch • l00 Sunny Sol Blvd. • Caledonia, NY 14423 • telephone: [phone] • facsimile: 585,538.2316 • 800-255.3789
Branch Locations • Warwick, NY - Batherton, OH • Riverview, MI • Merrimack, NH - Charlotte, NC • Jacksonville, FL
• Beech Grove, IN - Milford, VA • Tacoma, WA - Tommce, CA • Corporate Office Sarasota, FL
www.jcichemicals.com

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS Q O O -3 3 L{ or SAMPLES COLLECTED DURING CALENDAR YEAR: Z 01$
Certificate or 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.) NEW7
FACILITY NAME :C= iheS G t
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S)C" -$ccc L417s
C a{ g4 N C ?= EZ [, 4 -Lab ##
Part A: Specific Monitoring Requirements
COUNTYe
Kj!0 NO 7 ) 3 U- 9 76 7
(SIGNATUR E TEE 4X DESIGNEE)
By this signature, I certify that this report is accurate C'7
complete to the best of my knowledge.
Outfail
Date
50050•
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids(TSS)
Total
�+Osp�+or4t5
pH
tJi{-ra+eS
Wvi rI+ej
Cklort^e,
--r-o+-[
nes"a%Q
mo/ddlyr
MG
inches
m
m
Units
vh L
rv. L
V-^ L
001
10662
!.O
< 1.o
! 2
<o.as
S
o.as
0.0 r
L 0.O
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes Zo
(if yes, complete Part 13)
Part R- VPhirlP IU nintannnrP Activity Mnnitnrina RpnnirPmantc
Outfall
No.
Date
Sample
Collected
50050
1
00556
00530
00400
Total Flow
(ir applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
mo
Units
al/nao
RECENED
3UN 16 2015
DERR_LAND QUALIV
STORMWATER PERM1TT1NC_'
Form SWU-246-112608
Page I of 2

STORM EVENT CHARACTERISTICS:
Date a6 6x !S
Total Event Precipitation (inches):
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 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 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."
i V
re-L0 .Z_OI�
(Signature of P (Date)
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 6 G C) ` '�Ll or SAMPLES COLLECTED DURING CALENDAR YEAR: Z 0 1 S
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.)
FACILITYNAME' '����5C�Nrv4iCe�VS1COUNTY
PERSON COLLECTING SAMPLE(S) c _ t vvttavr KILO -NE, NO ('7 3 9 2 — 93 C'7
CERTIFIED LAB ORATORY(S) C ke - - A cL c [ abs ern[_ Lab # c
Lab # (SIGNATUR 'PE EE DCSIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Part A: Specific Monitoring Requirements
Outrall
Date
50050
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids (TSS)
Total
1
NOS i' h ° "A-S
pH
0 ,1 E.&I Ae,
mo/dd/yr
MG
inches
mg!
m /l
m
Units
vy 1
001 A I L
ten_ L,
col
106lnz 1
Q
8
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes 1n0
(if yes, complete Part B)
Part R- Vehirle Maintenance Activitv Mnnitarinn Reanirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
m
m /l
Units
galfino
RECEIVED
JUN 17 2015
DENR-LAND QUALITY
STORMWATER PERMITTfNG
Pone SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Dale a6 6- ! y
Total Event Precipitation (inches): 6
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 Water Quality
Attn: Central Files
16I7 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 will► 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 any 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."
1YA-4-/Ylrue-�
(Signature of P ' 'E (Date)
Form SWU-246-112608
Page 2 of 2

James Chemicals Inc.
June 10, '2015
Division of Water Quality
Surface Water Protection Section
Attention: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Stormwater Discharge Outfall Monitoring Report
JCI Jones Chemicals, Inc., Charlotte, NC
Permit Number: NCS-000334
Dear Sir or Madam,
Enclosed please find a Stormwater Discharge Outfall (SDO) Monitoring Report (original
and one copy) for the semi-annual period of January 1, 2015 — June 30, 2015 for our
Charlotte, North Carolina facility.
Please contact me at [phone] if you have any questions or require additional
information.
Very truly yours,
JCl Jones Chemicals, Inc.
(�2
Timothy J. Gaffney
Executive Vice President
TJG:tg
Enclosure
Cc Mike Croke, JCI — Charlotte, NC
RECEIVED
jUN 16 2015
DEAR -LAND QUALITY
STQRMWATER PERMITTING
ING
Caledonia Branch • 100 Sunny Sol Blvd. • Caledonia, NY 14423 • telephone: [phone] • facsimile: 585.538,2316 • 800.255.3789
Branch L carions • Warwick, NY - Barberton, OH • Riverview, Ml • Merrimack, NH - Charlotte, NC • Jacksonville, FL
• Beech Grove, IN • Milford, VA - Tacoma, WA - Torrance, CA • Corporate Office Sarasota, FL
www.jcichemicals.com

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 000339 or
Certificate of Coverage Number: NCG
FACILITY NAME TCT: TOvxeS C yyAt CgIS/j;-%a--
PERSON COLLECTING SAMPLE(S) ► A C- 1
CERTIFIED LABORATORY(S) �` �p srn— Anc CXL6S Lab #
Cinr_J L , N G Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: o201
(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
P O ENO. 3 9 z —et'Ir
(SIGNATURE eV 9RRMI1TEE O ESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
1
Date
Collected
II i
TotalSample
r app.).)
f
1Total
Suspended
i i
mop�
r r
i�i lEi'�li �
•
�
� �
•
• a
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes y Ito
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfa4
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
OR & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
M10
mo
Units
al/mo
RECEIVED
MAY 12 M4
CENTRAL FILES
DWQ/BOG
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTEMTICS:
Dateoq 3o III
Total Event Precipitation (inches):
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 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 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."
1 nkot:.:j 91 2-pf 'f
(Signature of Pe t (Date)
Form SWU-246-112608
Page 2of2

ATC
)1'1�
tones Chemicals Inc.
Mats 8, 2014
Division of Water Quality
Surface Water Protection Section
Attention: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Stoniawater Discharge Outfall Monitoring Report
JCI Jones Chemicals, Inc.. Charlotte, NC
Permit Number: NCS-000334
Dear Sir or Madam,
Enclosed please find a Stormwater Discharge 0utf«ii r SPCj Monitoring Report (original
and one copy) iur the scnli-:1rmnal period r "kinriary 1, 2014 — June 30, 2614 for rur
Charlotte. North Carohna facility.
Please contact me at (585) 5318-2314 if you gave any questions or require additional
information.
Very truly yotkrs,
.ICI Jones Chmnicais, Inc.
Timothy J. Ggffne.y
Executive Vice President
TJG:tg
Enclosure
Cc Mike Croke. JCl _. Charlotte. W."
Caledonia Branch • 100 Sunny Sol Blvd. * Caledonia, NY 14423 • telephone: [phone] • facsimile: 585.538,2316 • 800.255,3789
Branch Locations • Warwick, NY • Barberton, OH • Riverview, MI • Merrimack, NH • Charlotte, NC • Jacksonville, FL
• Beech Grove, 1N • Milford, VA • Tacoma, WA • Torrance, CA • Corporate Office Sarasota, FL
www.jcichemicals.com