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HomeMy WebLinkAboutNCG030088_MONITORING INFO_20200122WA /� D STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. G D3 b DOC TYPE ❑ HISTORICAL FILE EX MONITORING REPORTS DOC DATE ❑ a b aD D / o�-a YYYYMMDD B/S/H/ BSH HOME APPLIANCES CORPORATION RECEIVED JAN 2 2 2020 January 16, 2020 CENTRAL FILES DWR SECTION Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Reference: Stormwater Discharge Outfall Monitoring Reports, July - December. 2019 Certificate of Coverage No. NCG030088 BSH Home Appliances New Bern, NC 28562 As required, I have enclosed two signed copies of our Stormwater Discharge Monitoring Report. This report has a separate report for Pond 1. During the first rain event, the rainfall was so heavy that I was not able to pull samples within the 30-minute requirement at Pond 1. 1 waited and pulled samples later in the month for Pond 1 during a separate event. You will find that testing showed that all parameters were met and were within permitted benchmarks. //Sincerely, (JG Crdfg Dickerson EHS Engineer II BSH Home Appliances Ph: 252-626-8972 i Storn ater'Discharge Monitoring Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000 Date submitted 01/17/2020 CERTIFICATE OF COVERAGE NO. NCG03 0 0 8 8 FACILITY NAME BSH Home Appliances COUNTY Craven PERSON COLLECTING SAMPLES Charles Dickerson LABORATORY Environmental Chemists Lab Cert. # 16-18038 Comments on sample collection or analysis: Pond 1 Collection Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑ Jan -June •I July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS QORW ❑HQW ❑Trout ❑PNA �G'�'�jr^r� ■❑Zero -flow ❑Water Supply [:]SA IED ❑Other JAN 2 2 2020 CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 C-10iR SECTION n No discharge this oerood?2 Outfall No. Date Sample Collected , (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended, Solids PH' Standard units Total Copper Total Lead Total Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organicss Benchmarks _ - 100 mg/L or 50 mg/L" 6.0 — 9.0 0.010 mg/L 0.075 mg/L 0.126 mg/L 15 mg/L 1 mg/L Parameter Code - 46529 COS30 I 00400 01119 01051 01094 00552 78141 Pond 1 12/9/2019 1 1.3 5.0 8.1 1 <0.01 <0.01 <0.01 <5 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here., 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. See General Permit, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities'which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purpose's of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 1 of 3 Facilities that incorporate asolvent 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), I 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) ��ySt �Aei�.rcc MLR Title (Print title) `TS 1 I3 BD 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 mg/L". where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If 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. n No dischorae this oeriod22 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Iriches3 New Motor Oil or Hydraulic Oil Usage Non -Polar 0&G/ Total J Petroleum Hydrocarbons Total Suspended Solids Benchmarks - - - 15 mg/L 300 mg/l. or Sq mg/L4 Parameter Code - 46529 NCOIL 00552 CO530 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 1, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES 0 NO Q IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES Q NO Q REGIONAL OFFICE CONTACT NAME: Mail an original copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reportsl to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 si iificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of % 4';7/zz' Z.,5I Date Permit Date:11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 3 of 3 StormwkerDischarge MonitoringReport for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000 Date submitted 01/17/2020 CERTIFICATE OF COVERAGE NO. NCG03 0 0 8 8 FACILITY NAME SSH Home Appliances COUNTY Craven PERSON COLLECTING SAMPLES Charles Dickerson LABORATORY Environmental Chemists Lab Cert. # 16-18038 Comments on sample collection or analysis: No Discharge Pond 4. Pond 1 collected at different time due to flooding rain. Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑ Jan -June E July -Dec or 0 Monthly' (month) DISCHARGING TO CLASS❑ORW ❑HQW ❑Trout ❑PNA REGEIVEU Zero -flow [:]Watersupply []SA JAN 2 2 NZO ❑other CEN- W\L FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION: 0 No discharge this period?z Outfall No. Date Sample Collected ' (mo/dd/yr) 24-hour rainfall amount, Inches; Total Suspended Solids pH' Standard units Total Copper Total Lead Total Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organicss Benchmarks _ - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.010 mg/L 0.075 mg/L 0.126 mg/L 15mg/L 1 mg/L Parameter Code - 46529 C0530 00400 01119 01051 01094 00552 78141 Pond #2 11/05/2019 2.6 13.9 7.27 0.002 <0.01 <0.01 1 <5 Pond#3 11/05/2019 2.6 31.2 7.91 0.002 <0.01 <0.01 <5 Pond # 4 No Discharge No Discharge No Discharge No Discharge No Discharge No Discharge No Discharge No Discharge No Discharge ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 1 of 3 Facilities,that incorporate a:solvent management plan into the Stormwater Pollution -Prevention Plan may so certify, and the requirement for TTOimonitoring 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), I 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) F_HS *- '; e- z. s s V%C,'2 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 mg/L". where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if 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. n No discharge this neriod?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall i amount, Inches' New Motor Oil or Hydraulic Oil Usage Non -Polar O&G/ Total Petroleum Hydrocarbons, Total'Suspended solids .. Benchmarks - I- - - 15 mg/L 100 mg/L or 50 mg/0 Parameter Code - 46529 NCOIL 00552 CO530 MIA 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 1, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • . A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑I NO Q IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES 0 NO Q REGIONAL OFFICE CONTACT NAME: Mail an original copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." i7�� Date Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 3 of 3 RECEIVED 4 JAN 2 2 2020 ok"/Rt J �L FILES NCDENR Stormwater Discharge Outfall (SDO) r cTlon Qualitative Monitoring Report Forguidance on filling out thisform, please visit: http://nortal.ncdenr.org/web/lr/npdes-stormwater/ Permit No.: N/C/ q/ �/ �/ v/ V/ C�/U/ or Certificate of Coverage No.: N Facility Name: ISSS"%G✓,G-0 S /� County: C dCtv'< v✓ Phone No. -J-6-2- d,3 i -'7y 3 D Inspector: dGeuJ Date of Inspection: Time of Inspection: of Total Event Precipitation (inches): 9 3 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) dyes ❑ No Please verify whether Qualitative Monitoring must be performed during a 'representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event' or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event' is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. 1 I Structure (pipe, ditch, etc.)y Qi Receiving Stream: ee- IC Describe the industrial activities that occur within thepoutfall drainage area: (� c &L. am lb14 fOt��. /manic h"�rfLu-,N4 ct�T. 11, 4-,.e-5 2. Color: Describe the color of the �/ discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: &"i0U Zafa-) 'o 1W— oT ('fa p dr brIle 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 4J,, n l 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 /3 J 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids andd55 is the surface covered with floating solids: 1 2 3 4 5 — 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: /if" 1 (�/ 3 4 5 7. Is there any foam in the stormwater discharge? Yes 6) 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes 'V 10. Other Obvious Indicators of Stormwater Pollution: List and describe nat2 AJn if;.' "/ "a ��,-J, rn— Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 7/31/2013 w�N v ►MC®ENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out thisform, please visit., http://portal.ncdenr.org/web/Ir/npdes-stormwater/­ PermitNo.: 0�f/ or Certificate of Coverage No.: Facility Name: &11 / / On i i -6c j County: rAlf vv �7 Phone No. 2!ZL— 6-3-1— -7 / 3U v Inspector: mi, ,v f 7 Ced `ate Date of Inspection: ii/os 2019 Time of Inspection: S �0 ew r Total Event Precipitation (inches): 2 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certjk that this report is accurate and complete to the best of my knowledge: (Signature of Pgnittee or Designee) Page 1 of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. p Structure (pipe, ditch, etc.)' Receiving Stream: We ' C Qu0f4 Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the, Idischarge using basic colors (red, brown, blue, etc.) and tint V (light, medium, dark) as descriptors: f,2'1, i%`<Mn�- (arA2w,u 3. Odor: Describe any di tinct o ors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 4 dd'Z 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: �� /10 / 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2) 3 4 . -5' 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 11iis no solids and 5 is extremely muddy: 1 /23 4 5 7. Is there any foam in the stormwater discharge? Yes 1 8. Is there an oil sheen in the stormwater discharge? Yes /Nd 9. Is there evidence of erosion or deposition at the outfall? Yes 60 10. Other Obvious Indicators of Stormwater Pollution: l/ List and describe " Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 7/31/2013 w � NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out thisform, please visit. http://portal.ncdenr.org/web/lr/nodes-stormwater/ Permit No.: /16 )/D/ or Certificate of Coverage No.: N I Facility Name: 1354 11ote /� County: (�tALt,— Inspector: ! 07i Date of Inspection: Time of Inspection: yf Phone No. G5 .)� '_6.5 %— 141 j o Total Event Precipitation (inches): Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See inf rmation below.) Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event' or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event' is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this sippature, 1 certify at t is report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. Structure (nine, ditch, Receiving Stream: �6 rrr Q �iPeE'i Describe the industrial activities that oFcur within 1 A c/ v B 7 _ Af'� r., _�. /.rn etc.) /' O-i; the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: SA ;L "f 1:r d -i`— kl)wu/t�- 3. Odor: Describe any distinct o ors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): �&, a k 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 0 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 (2) 3 4 - - S -- 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 its no solids and 5 is extremely muddy: 1 C2 / 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes l 9. Is there evidence of erosion or deposition at the outfall? Yes V 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 7/31/2013 NC®ENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out thisform, please visit., httl2://portal.ncdenr.org/web/Ir/nl2des-stormwater/­ Permit No.: N/C/ i Facility Name County: �arr^ Inspector:/ Date of Inspection: Time of Inspection: Total Event Precipitation (inches): 2. or Certificate of Coverage No.: Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) es ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this sig�re, I certify t at th' report is accurate and complete to the best of my knowledge: t, (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: / �J Outfall No. �% n Structure (pipe ditch, etc.) /3/ Jf� Receiving Stream: fir >c G Q'j Describe the industrial activities that occur within the outfall drainage area: A,4',f::n 67' 2. Color: Describe the color of the (light, medium, dark) as descriptors:. using basic colors (red, brown, blue, etc.) and tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): A%,u--�— 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: ^ / 1 2 3 4 5 /Vl/r 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2 3 4 -5 ---- A -- 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and S is extremely muddy: 1 2 3 4 S V1 / 7. 8. 9. Is there any foam in the stormwater discharge? Yes No Is there an oil sheen in the stormwater discharge? Yes Is there evidence of erosion or deposition at the outfall? 10. Other Obvious Indicators of Stormwater Pollution: List and describe No Yes C o Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. -/o Z� Page 2 of 2 SWU-242, Last modified 7/31/2013 wo. Environmental Chemists, Inc. 4 6602 Windmill Way, Wilmington, NC 28405 ° 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 ° 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentatchemists.com environmentalchemists.com BSH Home Appliances 120 Bosch Boulevard New Bern NC 28562 Attention: Craig Dickerson Date of Report: Jan 14, 2020 Customer PO #: Customer ID: 08100025 Report #: 2019-20601 Project ID: Pond 1 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 19-52214 Site: Pond #1 12/9/2019 7:00 AM Water Craig Dickerson Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 12/11/2019 Arsenic EPA200.7 <0.01 mg/L 12/11/2019 Barium EPA200.7 <0.01 mg/L 12/11/2019 Cadmium EPA200.7 <0.01 mg/L 12/11/2019 Chromium EPA200.7 <0.01 mg/L 12/11/2019 Copper EPA200.7 <0.01 mg/L 12/11/2019 Lead EPA200.7 <0.01 mg/L 12/11/2019 Selenium EPA200.7 <0.01 mg/L 12/11/2019 Silver EPA200.7 <0.01 mg/L 12/11/2019 Zinc EPA200.7 <0.01 mg/L 12/11/2019 Mercury EPA245.1 <0.0002mg/L 12/16/2019 Alachlor EPA 608.3 <0.002 mg/L 12/12/2019 Aldrin EPA 608.3 <0.002mg/L 12/12/2019 Alpha - BHC EPA 608.3 <0.0001 mg/L 12/12/2019 Aroclor - 1016 EPA 608.3 <0.005 mg/L 12/12/2019 Aroclor - 1221 EPA 608.3 <0.005 mg/L 12/12/2019 Aroclor - 1232 EPA 608.3 <0.005 mg/L 12/12/2019 Aroclor - 1242 EPA 608.3 <0.005 mg/L 12/12/2019 Aroclor - 1248 EPA 608.3 <0.005 mg/L 12/12/2019 Aroclor - 1254 EPA 608.3 <0.005 mg/L 12/12/2019 Aroclor- 1260 EPA 608.3 <0.005 mg/L 12/12/2019 Atrazine EPA 608.3 <0.001 mg/L 12/12/2019 Beta-BHC EPA 608.3 <0.0001 mg/L 12/12/2019 Butachlor EPA 508.3 <0.08 mg/L 12/12/2019 Chlordane EPA 608.3 <0.01 mg/L 12/12/2019 DDD EPAso8.3 <0.0002mg/L 12/12/2019 Report #:: 2019-20601 Pape 1 d 5 ~ Environmental Chemists Inc. ® G 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax sr. 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists.com BSH Home Appliances Date of Report: Jan 14, 2020 120 Bosch Boulevard Customer PO #: New Bern NC 28562 Customer ID: 08100025 Attention: Craig Dickerson Report #: 2019-20601 Project ID: Pond 1 DDE EPA 608.3 <0.0001 mg/L 12/12/2019 DDT EPA 608.3 <0.0002mg/L 12/12/2019 Delta-BHC EPA 608.3 <0.0001 mg/L 12/12/2019 Dieldrin EPA 608.3 <0.002 mg/L 12/12/2019 Endosulfan I EPA608.3 <0.0001 mg/L 12/12/2019 Endosulfan II EPA 608.3 <0.0002mg/L 12/12/2019 Endosulfan sulfate EPA 608.3 <0.0001 mg/L 12/12/2019 Endrin EPA 608.3 <0.0001 mg/L 12/12/2019 Endrin aldehyde EPA 608.3 <0.0001 mg/L 12112/2019 Gamma-BHC EPA 608.3 <0.0001 mg/L 12/12/2019 Heptachlor EPA 608.3 <0.0004mg/L 12/12/2019 Heptachlor epoxide EPA 608.3 <0.0002 mg/L 12/1212019 Hexachlorocyclopentadiene EPA 608.3 <0.001 mg/L 12/12/2019 Methoxychlor EPA 608.3 <0.002 mg/L 12/12/2019 Metolachlor EPA 608.3 <0.008mg/L 12/12/2019 Metribuzin EPA 608.3 <0.008mg/L 12/12/2019 Propachlor EPA 608.3 <0.06mg/L 12/12/2019 Simazine EPA 608.3 <0.0007 mg/L 12/12/2019 Toxaphene EPA 608.3 <0.01 mg/L 12/12/2019 1,1,1-Trichloroethane EPA624 <0.5pg/L 12/12/2019 1,1,2,2-Tetrachloroethane EPA624 <0.5pg/L 12/12/2019 1,1,2-Trichloroethane EPA624 <0.5pg/L 12/12/2019 1',1-Dichloroethane EPA624 <0.5 pg/L 12/12/2019 1,1-Dichloroethene EPA624 <0.5pg/L 12/12/2019 1',2-Dichlorobenzene EPA624 <0.5 pg/L 12/12/2019 12-Dichloroethane EPA624 <0.5pg/L 12/12/2019 1,2-Dichloropropane EPA624 <0.5 pg/L 12/12/2019 1,3-Dichlorobenzene EPA624 <0.5 pg/L 12l12/2019, 1,4-Dichlorobenzene EPA624 <0.5 pg/L 12/12/2019 Acrolein EPA624 <5pg/L 12/12/2019 Report #:: 2019-20601 Pane 9 nl6 Environmental Chemists, Inc. 4 mo. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 ' 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info eenvironmentalchemists.com BSH Home Appliances Date of Report: Jan 14, 2020 120 Bosch Boulevard Customer PO #: New Bern NC 28562 Customer ID: 08100025 Attention: Craig Dickerson Report #: 2019-20601 Project ID: Pond 1 Acrylonitrile EPA624 <5pg/L 12/12/2019 Benzene EPA624 <0.5Ug/L 12/12/2019 Bromodichloromethane EPA624 1.99pg/L 12/12/2019 Bromoform EPA624 <0.5pg/L 12/12/2019 Bromomethane EPA624 <0.5Ng/L 12/12/2019 Carbon Tetrachloride EPA 624 <0.5 Ng/L 12/12/2019 Chlorobenzene EPA624 <0.5ug/L 12112/2019 Chloroethane EPA624 <0.5pg/L 12/12/2019 Chloroform EPA624 7.97pg/L 12/12/2019 Chloromethane EPA624 <0.5Ng/L 12/12/2019 cis-1,3-Dichloropropene EPA624 <0.5pg/L 12/12/2019 Dibromochloromethane EPA624 0.850pg/L 12/12/2019 Ethylbenzene EPA624 <0.5ug/L 12/12/2019 M+PXylene EPA624 <1.0pg/L 12/12/2019 Methylene chloride EPA624 <0.5pg/L 12/12/2019 ortho-Xylene EPA624 <0.5Ng/L 12/12/2019 Tetrachloroethene EPA624 <0.5pg/L 12/12/2019 Toluene EPA624 <0.5pg1L 12/12/2019 Trans-1,2-Dichloroethene EPA624 <0.5Ng/L 12/12/2019 trans-1,3-Dichloropropene EPA624 <0.5pg/L 12/12/2019 Trichloroethene EPA624 <0.5ug/L 12/12/2019 Trichlorofluoromethane EPA624 <0.5pg/L 12/12/2019 Vinyl chloride EPA624 <0.5ug/L 12/12/2019 2,4,6-Trichlorophenol EPA625 <5.1EFug/L 12/12/2019 2,4-Dichlorophenol EPA625 <5.15Ng/L 12/1212019 2,4-Dimethylphenol EPA625 <5.15ug/L 12/12/2019 2,4-Dinitrophenol EPA625 <25.8pg/L 12/12/2019 2-Chlorophenol EPA625 <5.15ug/L 12/12/2019 2-Methyl-4,6-dinitrophenol EPA625 <25.8pg/L 12/12/2019 2-Nitrophenol EPA625 <25.8pg/L 12/12/2019 Report #:: 2019-20601 Paae 3 of 5 me Environmental Chemists, Inc. 4 6602 Windmill Way, Wilmington, NC 28405 ' 910.392.0223 Lab ' 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 ' 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 ' 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS infocenvironmentalchemists.com BSH Home Appliances Date of Report: Jan 14, 2020 120 Bosch Boulevard Customer PO #: New Bern NC 28562 Customer ID: 08100025 Attention: Craig Dickerson Report #: 2019-20601 Project ID: Pond 1 4-Chloro-3-methylphenol EPA625 <5.15pg/L 12/12/2019 4-Nitrophenol EPA625 <25.8pg/L 12/12/2019 Pentachlorophenol EPA625 <25.8ug/L 12/12/2019 Phenol EPA625 <5.15pg/L 12/12/2019 1,2 Diphenylhydrazine EPA625 <5.15pg/L 12/12/2019 1,2,4-Trichlorobenzene EPA625 <5.15Ng/L 12/12/2019 1,2-Dichlorobenzene EPA625 <515pg/L 12/12/2019 1,3-Dichlorobenzene EPA625 <5.15 pg/L 12/12/2019 1,4-Dichlorobenzene EPA625 <5.15pg/L 12/12/2019 1-Methylnaphthalene EPA625 <5.15pg/L 12112/2019 2,4-Dinitrotoluene EPA625 <5.15pg/L 12/12/2019 2,6-Dinitrotoluene EPA625 <5.15ug/L 12/12/2019 2-Chloronaphthalene EPA625 <5.15ugIL 12/12l2019 2-Methylnaphthalene EPA625 <5.15 Ug/L 12/12/2019 3',3'-Dichlorobenzidine EPA625 <10.3ug/L 12/12/2019 4-Bromophenyl phenyl ether EPA 625 <5.15 ug/L 12/12/2019 4-Chlorophenyl phenyl ether EPA625 <5.15 pg/L 12/12/2019 Acenaphthene EPA 625 <5.15 pg/L 12/12/2019 Acenaphthylene EPA625 <5.15pg/L 12/12/2019 Anthracene EPA625 <5.15 pg/L 12/12/2019 Benzidine EPA625 <10.3pg/L 12/12/2019 Benzo (a]pyrene EPA 625 <5.15 pg/L 12/12/2019 Benzo(a)anthracene EPA625 <5.15pg/L 12/12/2019 Benzo(b)fluoranthene EPA625 <5.15pg/L 12/12/2019 Benzo(g,h,i)perylene EPA625 <5.15pg/L 12/12/2019 Be nzo(k)fluoranthene EPA625 <5.15pg/L 12/12/2019 Bis ( chloromethyl ) ether EPA625 <5.15I1g/L 12l12/2019 Bis(2-Chloroethoxy)methane EPA625 <5.15pg/L 12/12/2019 Bis(2-Chloroethyl)ether EPA625 <5.15NglL 12/12/2019 Bis(2-Chloroisopropyl)ether EPA625 <5.15pg/L 12/12/2019 Report #:: 2019-20601 envi�roch�em Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 ' 910.392.0223 Lab ' 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 ' 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 - 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS into@environmentalchemists.com BSH Home Appliances Date of Report: Jan 14, 2020 120 Bosch Boulevard Customer PO #: New Bern NC 28562 Customer ID: 08100025 Attention: Craig Dickerson Report #: 2019-20601 Project ID: Pond 1 Bis(2-ethylhexyl)phthalate EPA625 <5.15ug/L 12/12/2019 Butylbenzylphthalate EPA625 <5.15pg/L 12/12/2019 Chrysene EPA625 <5.15pg/L 12/12/2019 Dibenzo(a,h)anthracene EPA625 <5.15pg/L 12/12/2019 Diethylphthalate EPA625 <5.15Ng/L 12/12/2019 Dimethylphthalate EPA625 <5.15pg/L 12/12/2019 Di-n-Butylphthalate EPA625 <5.15pg/L 12/12/2019 Di-n-Octylphthalate EPA625 <5.15pg/L 12/12/2019 Fluoranthene EPA625 <5.15pg/L 12/12/2019 Fluorene EPA625 <5.15pg/L 12/12/2019 Hexachlorobenzene EPA625 <5.15pg/L 12/12/2019 Hexachlorobutadiene EPA625 <5.15ug/L 12/12/2019 Hexachlorocyclopentadiene EPA625 <25.8pg/L 12/12/2019 Hexachloroethane EPA625 <5.15pg/L 12/12/2019 Ihdeno(1,2,3-cd)pyrene EPA625 <5.15pg/L 12/12/2019 Isophorone EPA625 <5.15ug/L 12/12/2019 Naphthalene EPA625 <5.15pg/L 12/12/2019 Nitrobenzene EPA625 <5.15pg/L 12/12/2019 N-nitroso-dimethylamine(NDMA) EPA625 <5.15pg/L 12/12/2019 N-Nitroso-di-n-propylamine EPA625 <5.15pg/L 12/12/2019 N-Nitroso-diphenylamine EPA625 <5.15pg/L 12/12/2019 Phenanthrene EPA625 <5.15pg/L 12/12/2019 Pyrene EPA625 <5.15pg/L 12/12/2019 Residue Suspended (TSS) SM 2540 D 5.0 mg/L 12/09/2019 Comment: Reviewed by:���(`� Report #:: 2019-20601 6602 Windmill Way 1 ENVIRONMENTAL CHEMISTS, INC OFFICE: 910-392-0223 Ilmingto FAX 910G3 2- Analytical & Consulting Chemists NCDENR: DWO CERTERCCATION # 94 NCDHHS: DLS CERTIFICATION # 37729 4424 rnl 1 Cr`TI/1G1 Ahim r.0 Al K, �r r+l In�•n..v VVV 1 V✓ 1 CLIENT: BSH ADDRESS: I00 V5X v PROJECT NAME: POND f CONTACT NAME: REPORT NO: Q O PO NO: REPORT TO: PHONElFAX: COPY TO: E-MAIL: CAMDI c TVoD. I _ I_A..__. v - Sample Identification - Collection a a E . m r -- ---- N n `o E u o U _- ... ;, , =° 0 O d -• • _ ••...,,,,,. ° t E U e W - m al QQ J z _ �nlucuy rr = rreu, 0, =abeam, PRESERVATION DV = DOII, SL = Sluage, athee AN REQUESTED, Date Time Temp O z 2 a to 2 ii 2 x o Q : w F o POND 1 ' oG $d°l� X X 608,625 624 G C G P G G C P X < H O&G G G C P X TSS ME G G IC X <a RCRA 8, ZN, CU G G P G G M NOTICE - DECHLORINATION: Samples for Ammonia, TIN, Cyanide, Phenol and Bacteria must be dechlorinated (0.2 ppm or less) In the field at the ti a of collection. See reverse for Instructions Transfer Relinquished By: Date/Time eceived By: Daterrime ,- 2. Temperature wha r- ect%l A A ---- I -A. z J / .- Delivered By: =I=�I��• IYesample 7 --� Date: rllti.0 AA on. !LA Oc �e ktowte *f- dJas.�fi D�wta . ��`. l.L.s LA"' Environmental Chemists Inc. _ ® 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax sm 255-A Wilmington Highway, Jacksonville, NC28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists.com BSH Home Appliances Date of Report: Dec 06, 2019 120 Bosch Boulevard Customer PO #: New Bern NC 28562 Customer ID: 08100025 Attention: Report #: 2019-18688 Project ID: Stormwater Lab ID Sample ID: Collect Date/Time Matrix Sampled by 19-47542 Site: Pond #2 11/5/2019 5:20 PM Water Craig Dickerson Test Method Results Date Oil & Grease (O&G) EPA 1664 <5 mg/L 11/12/2019 ,Lead EPA zoo.7 <0.01 mg/L 11/07/2019 'Zinc EPA200.7 <0.01 mg/L 11/07/2019 Copper EPA200.8 0.002mg/L 11/11/2019 Alachlor EPA 608.3 <0.002mg/L 11/07/2019 Aldrin EPA 608.3 <0.002mg/L 11/07/2019 Alpha - BHC EPA 608.3 <0.0001 mg/L 11/07/2019 Aroclor -1016 EPA 608.3 <0.005mg/L 11/07/2019 Aroclor -1221 EPA 608.3 <0.005mg/L 11/07/2019 Aroclor - 1232 EPA 608.3 <0.005 mg/L 11 /07/2019 Aroclor- 1242 EPA 608.3 <0.005mg/L 11/07/2019 Aroclor - 1248 EPA 608.3 <0.005 mg/L 11/07/2019 Aroclor - 1254 EPA 608.3 <0.005 mg/L 11 /07/2019 Aroclor -1260 EPA 608.3 <0.005mg/L 11/07/2019 Atrazine EPA606.3 <0.001 mg/L 11/07/2019 Beta-BHC EPA 608.3 <0.0001 mg/L 11/07/2019 Butachlor EPA 608.3 <0.08mg/L 11/07/2019 Chlordane EPA 608.3 <0.01 mg/L 11/07/2019 DDD EPA 608.3 <0.0002mg/L 11/07/2019 DDE EPA 608.3 <0.0001 mg/L 11/07/2019 DDT EPA 608.3 <0.0002mg/L 11/07/2019 Delta-BHC EPA608.3 <0.0001 mg/L 11/07/2019 Dieldrin EPA 608.3 <0.002mg/L 11/07/2019 Endosulfan I EPA 608.3 <0.0001 mg/L 11/07/2019 Endosulfanll EPA 608.3 <0.0002mg/L 11/07/2019 Endosulfan sulfate EPA 608.3 <0.0001 mg/L 11/07/2019 Report #:: 2019-18688 Environmental Chemists, Inc. A 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab 0 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax sm 255-A Wilmington Highway, Jacksonville, NC 28540 - 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists.com BSH Home Appliances Date of Report: Dec 06, 2019 120 Bosch Boulevard Customer PO #: New Bern NC 28562 Customer ID: 08100025 Attention: Report #: 2019-18688 Project ID: Stormwater Endrin EPA608.3 <0.0001 mg/L 11/07/2019 Endrin aldehyde EPA608.3 <0.0001 mg/L 11/07/2019 Gamma-BHC EPA608.3 <0.0001 mg/L 11/07/2019 Heptachlor EPA608.3 <0.0004mg/L 11/07/2019 Heptachlor epoxide EPA608.3 <0.0002 mg/L 11/07/2019 Hexachlorocyclopentadiene EPA608.3 <0.001 mg/L 11/07/2019 Methoxychlor EPA608.3 <0.002mg/L 11/07/2019 Metolachlor EPA608.3 <0.008mg/L 11/07/2019 Metribuzin EPA608.3 <0.008mg/L 11/07/2019 Propachlor EPA608.3 <0.06mg/L 11/07/2019 ,Simazine EPA608.3 <0.0007mg/L 11/07/2019 Toxaphene EPA609.3 <0.01 mg/L 11/07/2019 �1,1,1-Trichloroethane EPA624 <0.5pg/L 11/13/2019 1,1,2,2-Tetrachloroethane EPA624 <0.5Ng/L 11/13/2019 1,1,2-Trichloroethane EPA624 <0.5ug/L 11/13/2019 1,1-Dichloroethane EPA624 <0.5ug/L 11/13/2019 1,1-Dichloroethene EPA624 <0.5 pg/L 11/13/2019 1,2-Dichlorobenzene EPA624 <0.5pg/L 11/13/2019 1,2-Dichloroethane EPA624 <0.5pg/L 11/13/2019 1,2-Dichloropropane EPA624 <0.5Ng/L 11113/2019 1,3-Dichlorobenzene EPA624 <0.5pg/L 11/13/2019 1,4-Dichlorobenzene EPA624 <0.5 pg/L 11/13/2019 Acrolein EPA 624 <5Ng/L 11/13/2019 Acrylonitrile EPA624 <5Ng/L 11/13/2019 Benzene EPA624 <0.5pg/L 11/13/2019 Bromodichloromethane EPA624 <0.5Ng/L 11/13/2019 Bromoform EPA624 <0.5pg/L 11/13/2019 Bromomethane EPA624 <0.5pg/L 11/13/2019 Carbon Tetrachloride EPA624 <0.5ug/L 11/13/2019 Chlorobenzene EPA624 <0.5pg/L 11/13/2019 Report#:: 2019.18688 vena 9 nt 5 Environmental Chemists, Inc. 4 0 6602 Windmill Way, Wilmbigton, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax VJt 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax sM 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists.com BSH Home Appliances Date of Report: Dec 06, 2019 120 Bosch Boulevard Customer PO #: New Bern NC 28562 Customer ID: 08100025 Attention: Report #: 2019-18688 Project ID: Stormwater Chloroethane EPA624 <0.5ug/L 11/13/2019 Chloroform EPA624 <0.5pg/L 11113/2019 IChloromethane EPA624 <0.5Ug/L 11/13/2019 cis-1,3-Dichloropropene EPA624 <0.5pg/L 11/13/2019 Dibromochloromethane EPA624 <0.5pg/L 11/13/2019 Ethylbenzene EPA624 <0.5pg/L 11/13/2019 M+PXylene EPA624 <1.0ug/L 11/13/2019 Methylene chloride EPA624 <0.5 pg/L 11/13/2019 ortho-Xylene EPA624 <0.5ug/L 11/13/2019 Tetrachloroethene EPA624 <0.5ug/L 11/13/2019 Toluene EPA624 <0.5ug/L 11113/2019 Trans- 1,2-Dichloroethene EPA624 <0.5pg/L 11/13/2019 trans-1,3-Dichloropropene EPA624 <0.5Ng/L 11/13/2019 Trichloroethene EPA624 <0.5ug/L 11/13/2019 Trichlorofluoromethane EPA624 <0.5ug/L 11/13/2019 Vinyl chloride EPA624 <0.5pg/L 11/13/2019 2,4,6-Trichlorophenol EPA625 <5.10pg/L 11/06/2019 2,4-Dichlorophenol EPA625 <5.10pg/L 11/0612019 2,4-Dimethylphenol EPA625 <5.10 pg/L 11/06/2019 2,4-Dinitrophenol EPA625 <25.5pg/L 11/0612019 2-Chlorophenol EPA625 <5.10pg/L 11/06/2019 2-Methyl-4,6-dinitrophenol EPA625 <25.5Ng/L 11/06/2019 2-Nitrophenol EPA625 <25.5pg/L 11/06/2019 4-Chloro-3-methylphenol EPA625 <5.10ug/L 11/06/2019 4-Nitrophenol EPA625 <25.5pg/L 11/06/2019 Pentachlorophenol EPA625 <25.5pg/L 11/06/2019 Phenol EPA 625 <5.10 pg/L 11/06/2019 1,2 Diphenylhydrazine EPA625 <5.10 pg/L 11/06/2019 1,2,4-Trichlorobenzene EPA625 <5.10pg/L 11/06/2019 1,2-Dichlorobenzene EPA625 <5.10 pg/L 11/06/2019 Repon #:: 2019-18688 oa�o 1 M 9 mo"' Environmental Chemists Inc. 4 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists.com BSH Home Appliances Date of Report: Dec 06, 2019 120 Bosch Boulevard Customer PO #: New Bern NC 28562 Customer ID: 08100025 Attention: Report #: 2019-18688 Project ID: Stormwater 1,3-Dichlorobenzene EPA625 <5.10 pg/L 11/06/2019 1,4-Dichlorobenzene EPA625 <5.10pg/L 11/06/2019 1-Methylnaphthalene EPA625 <5.10pg/L 11/06/2019 2,4-Dinitrotoluene EPA625 <5.10pg/L 11/06/2019 '2,6-Dinitrotoluene EPA625 <5.10pg/L 11/06/2019 2-Chloronaphthalene EPA625 <5.10pg/L 11/06/2019 2-Methylnaphthalene EPA625 <5.10Ng/L 11/06/2019 3,3'-Dichlorobenzidine EPA625 <10.2pg/L 11/06/2019 4-Bromophenyl phenyl ether EPA625 <5.10 pg/L 11/06/2019 4-Chlorophenyl phenyl ether EPA 625 <5.10 pg/L 11/06/2019 Acenaphthene EPA625 <5.10Ng/L 11/06/2019 Acenaphthylene EPA625 <5.10pg/L 11/06/2019 Anthracene EPA625 <5.10 pg/L 11/06/2019 Benzidine EPA625 <10.2pg/L 11/06/2019 Benzo [a]pyrene EPA625 <5.10 Ng/L 11106/2019 Benzo(a)anthracene EPA625 <5.10pg/L 11/06/2019 Benzo(b)fluoranthene EPA625 <5.10pg/L 11/06/2019 Benzo(g,h,i)perylene EPA625 <5.10Ng/L 11/06/2019 Benzo(k)fluoranthene EPA625 <5.10 pg/L 11/06/2019 Bis ( chloromethyl ) ether EPA625 <5.10 pg/L 11/06/2019 Bis(2-Chloroethoxy)methane EPA625 <5.10pg/L 11/06/2019 Bis(2-Chloroethyl)ether EPA625 <5.10Ug/L 11/06/2019 Bis(2-Chloroisopropyl)ether EPA625 <5.10Ng/L 11/06/2019 Bis(2-ethylhexyl)phthalate EPA625 <5.10pg/L 11/06/2019 Butylbenzylphthalate EPA625 <5.10Ng/L 11/06/2019 Chrysene EPA625 <5.10pg/L 11/06/2019 Dibenzo(a,h)anthracene EPA625 <5.10pg/L 11/06/2019 Diethylphthalate EPA625 <5.10pg/L 11/06/2019 Dimethylphthalate EPA625 <5.10Ng/L 11/06/2019 Di-n-Butylphthalate EPA625 <5.10pg/L 11/06/2019 Repon #:: 2019.186B8 Pane 4 of 9 Environmental Chemists, Inc. - 0 0 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 ' 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists.com BSH Home Appliances Date of Report: Dec 06, 2019 120 Bosch Boulevard Customer PO #: New Bern NC 28562 Customer ID: 08100025 Attention: Report #: 2019-18688 Project ID: Stormwater Di-n-Octylphthalate EPA625 <5.10Ng/L 11/06/2019 Fluoranthene EPA625 <5.10pg/L 11/06/2019 'Fluorene EPA625 <5.10pg/L 11/0612019 Hexachlorobenzene EPA625 <5.10pg/L 11/06/2019 Hexachlorobutadiene EPA625 <5.10pg/L 11/06/2019 Hexachlorocyclopentadiene EPA625 <25.5pg/L 11/06/2019 Hexachloroethane EPA625 <5.10pg/L 11/06/2019 Indeno(1,2,3-cd)pyrene EPA625 <5.10pg/L 11/06/2019 Isophorone EPA625 <5.10pg/L 11/06/2019 Naphthalene EPA625 <5.10pg/L 11/06/2019 Nitrobenzene EPA625 <5.10pg/L 11/06/2019 N-nitroso-dimethylamine(NDMA) EPA625 <5.10pg/L 11/06/2019 N-Nitroso-di-n-propylamine EPA625 <5.10pg/L 11/06/2019 N-Nitroso-diphenylamine EPA625 <5A0pg/L 11/06/2019 Phenanthrene EPA625 <5.10pg/L 11/06/2019 Pyrene EPA625 <5.10pg/L 11/06/2019 ResidueSuspended (TSS) sM2540D 13.9mg/L 11/07/2019 sM 4500 H s 7.27 units 11 /08/2019 Comment Reviewed by: L ' A�, Report #:: 2019-16666 ,L envroch'etnr I ENVIRONMENTAL CHEMISTS, INC NCDENR: DWO CERTIFICATION N 94 NCDHHS: DLS CERTIFICATION q 37729 PAI I OP'r1f%J AhIM l UAIAI AO /.I lnT 1w 6602 Windmill Way Wilmington, NC 28405 OFFICE: 910392-0223 FAX 910-392.4424 Info ® environmentalchem ists.com CLIENT: (js+� PROJECT NAME: 5-4-ar w4 REPORTNO: ADDRESS: CONTACT NAME: PO NO: REPORT TO: PHONE/FAX: en COPY TO: email: Sampled BV:K. -- 6 dr4i 1$ t of A �&w C %.0 o QAMDI D TVDD• I — Inf!L. ..a C _ Cie.. . u, _ I., cr — Sample Identification Collection m E m a a `o " E D ..-.. �a `o e a ' .....__..., � e; c E " g¢ m o 5 M z I ......I PRESERVATION C,, V,..-V UVg.,vwc.. ANALYSIS REQUESTED Date Time Temp,0 w 0 �30Ar i6 475 a3Dl.1 G G C P L o1�S,e�/. SGIZ C In C"P51�r W G C P Cod 13 �;uls� C P C P G C P G G C P G G C P I G G I C P G G Transfer Relinquished By: Daterriime Re eived By: DateMme 1. 2. T.o*.. ..1. •-•••r-•-•�•- 1 r.....cr.c�. 1'ICICtiICY: HeSampie Hetluested: Delivered By: Received By: Date: Time: Comments: TURNAROUND: M(9 Environmental Chemists, Inc. 4 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@enviroiimezitalcheinists.com BSH Home Appliances Date of Report: Dec 06, 2019 120 Bosch Boulevard Customer PO M New Bern NC 28562 Customer ID: 08100025 Attention: Report #: 2019-18690 Project ID: Stormwater Lab ID Sample ID: Collect Date/Time Matrix Sampled by 19-47544 Site: Pond #3 11/5/2019 4:50 PM Water Craig Dickerson Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 11/12/2019 Lead EPA200.7 <0.01 mg/L 11/07/2019 Zinc EPA200.7 <0.01 mg/L 11/07/2019 Copper EPA2OO,B 0.002mg/L 11/11/2019 Alachlor EPA 608.3 <0.002mg/L 11/07/2019 Aldrin EPA 608.3 <0.002mg/L 11/07/2019 Alpha - BHC EPA 608.3 <0.0001 mg/L 11/07/2019 Aroclor - 1016 EPA60&3 <0.005 mg/L 11/07/2019 Aroclor - 1221 EPA 608.3 <0.005 mg/L 11/07/2019 Aroclor - 1232 EPA 608.3 <0.005 mg/L 11/07/2019 Aroclor - 1242 EPA 608.3 <0.005 mg/L 11/07/2019 Aroclor- 1248 EPA 608.3 <0.005mg/L 11/07/2019 Aroclor - 1254 EPA 608.3 <0.005 mg/L 11/07/2019 Aroclor -1260 EPA 608.3 <0.005mg/L 11/07/2019 Atrazine EPA 608.3 <0.001mg/L 11/07/2019 Beta-BHC EPA 608.3 <0.0001 mg/L 11/07/2019 Butachlor EPA 608.3 <0.08mg/L 11/07/2019 Chlordane EPA 608.3 <0.01 mg/L 11/07/2019 DDD EPA 608.3 <0.0002mg/L 11/07/2019 DDE EPA 608.3 <0.0001 mg/L 11/07/2019 DDT EPA 608.3 <0.0002mg/L 11/07/2019 Delta-BHC EPA 608.3 <0.0001 mg/L 11/07/2019 Dieldrin EPA 608.3 <0.002mg/L 11/07/2019 Endosulfan I EPA 608.3 <0.0001 mg/L 11/07/2019 Endosulfan II EPA 608.3 <0.0002mg/L 11/07I2019 Endosulfan sulfate EPA 608.3 <0.0001 mg/L 11/07/2019 Report #:: 2019.16690 Environmental Chemists, Inc. 0 6602 Windmill Way, Wilmington, NC 28405 - 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax sM 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists.com BSH Home Appliances Date of Report: Dec 06, 2019 120 Bosch Boulevard Customer PO #: New Bern NC 28562 Customer ID: 08100025 Attention: Report #: 2019-18690 Project ID: Stormwater Endrin EPA608.3 <0.0001 mg/L 11/07/2019 Endrin aldehyde EPA60&3 <0.0001 mg/L 11/07/2019 Gamma-BHC EPA608.3 <0.0001 mg/L 11/07/2019 Heptachlor EPA608.3 <0.0004mg/L 11/07/2019 Heptachlor epoxide EPA608.3 <0.0002 mg/L 11/07/2019 Hexachlorocyclopentadiene EPA608.3 <0.001 mg/L 11/07/2019 Methoxychlor EPA608.3 <0.002mg/L 11/07/2019 Metolachlor EPA608.3 <0.008mg/L 11/07/2019 Metribuzin EPA608.3 <0.008mg/L 11/07/2019 Propachlor EPA608.3 <0.06mg/L 11/07/2019 Simazine EPA608.3 <0.0007mg/L 11/07/2019 Toxaphene EPA608.3 <0.01 mg/L 11/07/2019 1,1,1-Trichloroethane EPA624 <0.5pg/L 11/13/2019 1,1,2,2-Tetrachloroethane EPA624 <0.5Ng/L 11/13/2019 1,1,2-Trichloroethane EPA624 <0.5pg/L 11/13/2019 1,1-Dichloroethane EPA624 <0.5Ug/L 11/13/2019 1,1-Dichloroethene EPA624 <0.5Ng/L 11/13/2019 1,2-Dichlorobenzene EPA624 <0.5Ug/L 11/13/2019 1,2-Dichloroethane EPA624 <0.5pg/L 11113/2019 1,2-Dichloropropane EPA624 <0.5pg/L 11/13/2019 1,3-Dichlorobenzene EPA624 <0.5Ng/L 11/13/2019 1,4-Dichlorobenzene EPA624 <0.5 pg/L 11/13/2019 Acrolein EPA624 <5pg/L 11/13/2019 Acrylonitrile EPA624 <5pg/L 11/13/2019 Benzene EPA624 <0.5pg/L 11/13/2019 Bromodichloromethane EPA624 <0.5pg/L 11/13/2019 Bromoform EPA624 <0.5pg/L 11/13/2019 Bromomethane EPA624 <0.5pg/L 11/13/2019 Carbon Tetrachloride EPA624 <0.5 pg/L 11/13/2019 Chlorobenzene EPA624 <0.5pg/L 11/13/2019 Report #:: 2019-18690 a�..a 1 „r c CDC", Environmental Chemists Inc. 6602 Windmill Way, Wilmington, NC 28405 < 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL R CONSULTING CHEMISTS info(7nenvironmentalchemists.com BSH Home Appliances Date of Report: Dec 06, 2019 120 Bosch Boulevard Customer PO #: New Bern NC 28562 Customer ID: 08100025 Attention: Report #: 2019-18690 Project ID: Stormwater Chloroethane EPA 624 <0.5pg/L 11/13/2019 Chlorofo m EPA 624 r <0.5pg/L 11/13/2019 Chloromethane EPA 624 <0.5pg/L 1.1/13/2019 cis-1,3-Dichloropropene EPA 624 <0.5pg/L 11/13/2019 Dibromochloromethane EPA 624 <0.5pg/L 11/13/2019 Ethylbenzene EPA 624 <0.5pg/L 11/13/2019 M+PXylene EPA 624 <1.0pg/L 11/13/2019 Methylene chloride EPA 624 <0.5pg/L 11/13/2019 ortho-Xylene EPA 624 <0.5 pg/L 11/13/2019 Tetrachloroethene EPA 624 <0.5pg/L 11/13/2019 Toluene EPA 624 <0.5pg/L 11/13/2019 Trans- 1,2-Dichloroethene EPA 624 <0.5pg/L 11/13/2019 trans-1,3-Dichloropropene EPA 624 <0.5pg/L 11/13/2019 Trichloroethene EPA624 <0.5pg/L 11/13/2019 Trichlorofluoromethane EPA 624 <0.5pg/L 11/13/2019 Vinyl chloride EPA 624 <0.5 pg/L 11/13/2019 2,4,6-Trichlorophenol EPA625 <5.10pg/L 11/06/2019 2,4-Dichlorophenol EPA625 <5.10pg/L 11/06/2019 2,4-Dimethylphenol EPA625 <5.10pg/L 11/06/2019 2,4-Dinitrophenol EPA625 <25.5pg/L 11/06/2019 2-Chlorophenol EPA625 <5.10pg/L 11/06/2019 2-Methyl-4,6-dinitrophenol EPA625 <25.5pg/L 11/06/2019 2-Nitrophenol EPA625 <25.5pg/L 11/06/2019 4-Chloro-3-methylphenol EPA625 <5.10pg/L 11/06/2019 4-Nitrophenol EPA625 <25.5pg/L 11/06/2019 Pentachlorophenol EPA625 <25.5pg/L 11/06/2019 Phenol EPA625 <5.10pg/L 11/06/2019 1,2,Dipheny1hydrazine EPA625 <5.10 pg/L 11/06/2019 1,2,4-Trichlorobenzene EPA625 <5.10pg/L 11/06/2019 1,2-Dichlorobenzene EPA625 <5.10pg/L 11/06/2019 Report #:: 2019-18690 �_ « Environmental Chemists Inc. ® 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910,392.4424 Fax a s 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 - 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info r@environmenlalchemists.com BSH Home Appliances Date of Report: Dec 06, 2019 120 Bosch Boulevard Customer PO #: New Bern NC 28562 Customer ID: 08100025 Attention: Report #: 2019-18690 Project ID: Stormwater 1,3-Dichlorobenzene EPA625 <5.10 pg/L 11/06/2019 1,4-Dichlorobenzene EPA625 <5.10pg/L 11/06/2019 1-Methylnaphthalene EPA625 <5.10ug/L 11/06/2019 2,4-Dinitrotoluene EPA625 <5.10pg/L 11/06/2019 2,6-Dinitrotoluene EPA625 <5.10ug/L 11/06/2019 2-Chloronaphthalene EPA625 <5.10ug/L 11/06/2019 2-Methylnaphthalene EPA625 <5.10pg/L 11/06/2019 3,3'-Dichlorobenzidine EPA625 <10.2pg/L 11/06/2019 4-Bromophenyl phenyl ether EPA625 <5.10 pg/L 11/06/2019 47Chlorophenyl phenyl ether EPA625 <5.10 pg/L 11/06/2019 Acenaphthene EPA625 <5.10pg/L 11/06/2019 Acenaphthylene EPA625 <5.10pg/L 11/06/2019 Anthracene EPA625 <5.10ug/L 11/06/2019 — Benzidine EPA625 <10.2pg/L 11/06/2019 Benzo [a]pyrene EPA 625 <5.10 pg/L 11/O6I2019 Benzo(a)anthracene EPA625 <5.10pg/L 11/06/2019 Benzo(b)fluoranthene EPA625 <5.10pg/L 11/06/2019 Benzo(g,h,i)perylene EPA625 <5.10pg/L 11/06/2019 Benzo(k)fluoranthene EPA625 <5.10pg/L 11/06/2019 Bis ( chloromethyl ) ether EPA625 <5.10 ug/L 11/06/2019 Bis(2-Chloroethoxy)methane EPA625 <5.10pg/L 11/06/2019 Bis(2-Chloroethyl)ether EPA625 <5.10pg/L 11/06/2019 Bis(2-Chloroisopropyl)ether EPA625 <5.10ug/L 11/06/2019 Bis(2-ethylhexyl)phthalate EPA625 <5.10pg/L 11/06/2019 Butylbenzylphthalate EPA625 <5.10pg/L 11/06/2019 Chrysene EPA625 <5.10pg/L 11/06/2019 Dibenzo(a,h)anthracene EPA625 <5.10 pg/L 11/06/2019 Diethylphthalate EPA625 <5.10pg/L 11/06/2019 Dimethylphthalate EPA625 <5.10pg/L 11/06/2019 Di-n-Butylphthalate EPA625 <5.10pg/L 11/06/2019 Report #:: 2019-18590 Environmental Chemists, Inc. 4 mo. 6602 Windmill Way, Wilmington, NC 28405 ° 910.392.0223 Lab ° 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info r@environmentaldtemists.com BSH Home Appliances Date of Report: Dec 06, 2019 120 Bosch Boulevard Customer PO #: New Bern NC 28562 Customer ID: 08100025 Attention: Report #: 2019-18690 Project ID: Stormwater Di-n-Octylphthalate EPA625 <5.10pg/L 11/06/2019 Ruoranthene EPA625 <5.10pg/L 11/06/2019 Fluorene EPA625 <5.10pg/L 11/06/2019 Hexachlorobenzene EPA625 <5A0pg/L 11/06/2019 Hexachlorobutadiene EPA525 <5.10pg/L 11/06/2019 Hexachlorocyclopentadiene EPA625 <25.5I1g/L 11/06/2019 Hexachloroethane EPA625 <5.10pg/L 11/06/2019 Indeno(1,2,3-cd)pyrene EPA625 <5.10pg/L 11/06/2019 Isophorone EPA625 <5.10pg/L 11/06/2019 Naphthalene EPA625 <5.10pg/L 11/06/2019 Nitrobenzene EPA625 <5.10pg/L 11/06/2019 N-nitroso-dimethylamine(NDMA) EPA625 <5.10pg/L 11/06/2019 N Nitroso-di-n-propylamine EPA625 <5.10Ng/L 11/06/2019 N-Nitroso-diphenylamine EPA625 <5.10 /L u9 11I06/2019 Phenanthrene EPA625 <5.10pg/L 11/06/2019 Pyrene EPA625 <5.10pg/L 11/06/2019 Residue Suspended (TSS) SM 2540 D 31.2 mg/L 11/07/2019 pH SM 4500 H 6 7.91 units 11/08/2019 Comment: A Reviewed by: Report #:: 2019-18690 qwmwENVIRONMENTAL CHEMISTS, INC WindmillO2t Way Wi92-0223 lmington, AX 28405 Analytical & Consulting Chemists NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 Info®envlronmentalchemiste.com T NAME: TO: COPY PO NO: NO: Sample Identification Collection E g • m g o m E u u I T re: m o ° ` I = mnuent, o P E E m m S z = Effluent, W PRESERVATION = Well, ST = Stream, SO = Soil, SL = Sludge, Other: ANALYSIS REOUESTED D tte Ti Tem W z z 8 $ c o w c G G 2��• PV, Oi4-5rt'L._ C L C.,, ns t -&-, G C P C P C P CP G ,.__ f G C Gx.4s P G G C P G G C 4___-- P G G Transfer Relinquished By: I DateMme I -A-Received By: PateMme f 1 2 Temperature when Delivered Bv: ( J upe nvquesteo: Time: TURNAROUND: