NCS000303_COMPLETE FILE - HISTORICAL_20190218

5TORMWATER DIVISION CODING SHEET ----
RESCISSIONS .
PERMIT NO..
�r � S 00 D. � U 3
�v
DOC TYPE
Iff COMPLETE FILE'- HISTORICAL
DATE OF
RESCISSION
YYYYMMDD

Craig Fulcher
Environmental, Health & Safety Manager
SPX Transformer Solutions, Inc.
[e-mail]
T 919 288 8378
January 9, 2019
FEB 18 ZGI1
CENTRAL FILF,c,
Division of Water Quality GINR IE-CTIONI
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Discharge Monitoring Report for SDO-001 for December 2018
To Whom it May Concern:
Please find enclosed SPX Goldsboro's completed Discharge Monitoring Report (DMR) for
December 2018. This fulfils the requirement of the Stormwater Permit NCS000303, Tier 11 monthly
reporting.
Please feel free to contact me at [phone] if you have any questions or require any additional
information.
Sincerely,
Craig Fulcher
Environmental, Health & Safety Manager
SPX Transformer Solutions, Inc. 2701 US Highway 117 South, Goldsboro, NG 27530 www.spxtransformeTsolutions.com

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS000303 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(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 SPX Goldsboro COUNTY Wavne
PERSON COLLECTING SAMPLE(S) Sara Lorette/AECOM PHONE NO.919-581-1677
CERTIFIED LABORATORY(S) Pace Analytical Services, LLC Lab. Cert. #12, 5342, 37706
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
pH
Total
Rainfall
mo/dd/ r
S.U.
Inches
SDO 001
12/01/18
7.48
1.51"
ND = Non Detect
Outfall
No.
Date
Sample
Collected
TSS
Oil & Grease
mo/dd/yr
m /L
m IL
SDO 001
12/01/18
18.6
ND
ND = Non Detect
Outfall
No.
Date
Sample
Collected
PCBs
Total Nitrate
mo/dd/vr
m /L
mgfL
SDO 001
12/01/18
ND
2.4
ND = Non Detect
E
GNATURE OF PERMITTEE OR DESIGNEEEQUIRED ON PAGE 2.
Note: Monthly monitoring is in effect
due to the current Tier II status.
Permit Number NCS000303 Form SWU-247, last revised 21212012
Page 1 of 2

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 Activity Monitoring Requirements
outfall
Date
50050
00556
00530
00400
Total Flow
Total
Oil & Grease
Non -polar
Total
pH
New Motor
No.
Sample
Collected
(if applicable)
Rainfall
(if appl.)
O&GITPH
Suspended
Oil Usage
(Method 1664
Solids
SGT-HEM), if
appi.
molddlvr
I MG
linches
I m h
I
m Il
unit
I gal/mo
STORM EVENT CHARACTERISTICS:
Date 12/ 1 /18
Total Event Precipitation (inches): 1.51 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 27644-1617
"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 altd imprisonment for knowing violations."
(Signature of Perm
(Date)
Permit Number NCS000303
Form SWU-247, last revised 21212012
Page 2 of 2

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit:
Permit No.: a /3/0 /3 / or Certificate of Coverage No.:
Facility Name: SPX (n)lSSb3(V _
County: 47A+NC Phone No. _q i
Inspector: (LA Z-oae-rrC _
Date of Inspection: 0 t -Zp! k
Time of Inspection: _ 3 ! PA
Total Event Precipitation (inches): 1 - S- i
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 certify, that t�is report is accurate and complete to the best of my knowledge:
(Signature of Permitteee or Designee)
Pagel of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfail No. 00t Structure ( ipe, ditch, etc.)
Receiving Stream: UMictly.2 t 0,J
Describe the industrial activities that occur within th i
T1'
drainage area:
2. Color: Describe the color of the dischusing basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Ito (D 1 d r _
3. Odor: Describe any distinct odors that p the discharge may have (i.e., smells strongly of oil, a weak chlorine odor, etc.): O o o o-r
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 S
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 0 4 5
b. 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:
1 2 0 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? &
No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe cy"kA P i u W &3 air^os-� e' k TC (,t;i,
Uf\�vu a,Vr. 0r- Ur` t hn,. r— Ain Us hiJi'
51��Alii� M, ne,bv- � kJe 14? 1.0'V DCPt.tJJCILi An, a.lA1n.T 41 A"
N 1 ti i 0L t 1
CL S 62r .. r
ce ,n <,,U r` W A S I f\'
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

aceAnalytrcal o
www,pacefabs.c=
December 12, 2018
Craig Fulcher
SPX Transformer Solutions, Inc.
2701 Highway 117 South
Goldsboro, NC 27530
RE: Project: Stormwater
Pace Project No.: 92409147
Dear Craig Fulcher:
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersviile, NC 28078
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on December 03, 2018,
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual,
where applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Nicole Gasiorowski
[e-mail]
[phone]
Project Manager
Enclosures
cc: Jennifer Jones, AECOM
Jennifer Wheat, AECOM
t
9B��pQ�s
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 14

aceAnalytrcal"
www-paceMbs-corn
CERTIFICATIONS
Project: Stormwater
Pace Project No.: 92409147
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 106
Huntersville, NC 28078
[phone]
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
South Carolina Certification #: 99006001
Louisiana/NELAP Certification # LA17002B
FloridalNELAP Certification #. E87627
North Carolina Drinking Water Certification #: 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification #: 5342
VirginiafVELAP Certification #: 460221
North Carolina Wastewater Certification #: 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
FloridalNELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiafVELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
VirginiafVELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 14

aceAnalytical.
www.pacelatrs.=n
SAMPLE ANALYTE COUNT
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project:
Pace Project No.:
Stormwater
92409147
Analytes
Lab ID
Sample to
Method
Analysts
Reported
Laboratory
92409147001
001
SM 254OD-2011
SOB
1
PASI-E
EPA 1664B
JMS
1
PASI-C
EPA 608.3
SEM
9
PASI-C
TKN+NO3+NO2 Calculation
EWS
1
PASI-A
EPA 351.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 353.2 Rev 2.0 1993
KDF1
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 14

Pace Analytical Services, LLC
Analytical 9B00HuntersvIle, NCi2B 08lace
wwwpacWabscom
[phone]
ANALYTICAL RESULTS
Project: Stormwater
Pace Project No.: 92409147
Sample: 001 Lab ID: 92409147001 Collected: 12/01/18 15:30 Received: 12/03/18 09:24 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed GAS No. Qual
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Total Suspended Solids
18.6 mglL
5.0
1
12/04/18 10:41
D6,L1
HEM, Oil and Grease
Analytical Method: EPA 1664B
Oil and Grease
ND mglL
4.8
1
12/08/18 19:31
608 PCB Pest RVE
Analytical Method: EPA 608.3 Preparation
Method: EPA
608.3
PCB-1016 (Aroclor 1016)
ND ug/L
0.50
1
12/05/18 13:56
12/11/18 21:59
12674-11-2
PCB-1221 (Aroclor 1221)
ND ug/L
0.50
1
12/05/18 13:56
12/11/18 21:59
11104-28.2
PCB-1232 (Aroclor 1232)
ND ug/L
0.50
1
12/05/18 13:56
12/11/18 21:59
11141-16-5
PC8-1242 (Aroclor 1242)
ND ug/L
0.50
1
12/05/18 13:56
12/11/18 21:59
53469-21-9
PCB-1248 (Aroclor 1248)
ND ug/L
0.50
1
12/05/18 13:56
12/11/18 21:59
12672-29-6
PC8-1254 (Aroclor 1254)
ND ug/L
0.50
1
12/05/18 13:56
12/11/18 21:59
11097-69-1
PCB-1260 (Aroclor 1260)
ND ug/L
0.50
1
12/05/18 13:56
12/11/18 21:59
11096-82-5
Surrogates
Tetrachioro-m-xylene (S)
77 %
60-140
1
12/05/18 13:56
12/11/18 21:59
877-09-8
Decachlorobiphenyl (S)
108 %
60-140
1
12/06/16 13:56
12/11/18 21:59
2051-24-3
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Total Nitrogen
1.4 mg/L
0.52
1
12/07/18 17:48
351.2 Total Kjeldahl Nitrogen
Analytical Method: EPA 351.2 Rev 2.0
1993 Preparation
Method: EPA 351.2 Rev 2.0 1993
Nitrogen, Kjeldahl, Total
ND mg/L
0.50
1
12/06/18 01:26
12/07/18 05:51
7727-37-9
353.2 Nitrogen, N021NO3 Ares.
Analytical Method: EPA 353.2 Rev 2.0
1993
Nitrogen, NO2 plus NO3
1.0 mg/L
0.020
1
12/05/18 09:05
Date: 12/12/2018 12:47 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 4 of 14

aceAnalytical
www.pscefabs.WM
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92409147
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QC Batch: 445458
Analysis Method: SM 254OD-2011
QC Batch Method: SM 254OD-2011
Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92409147001
METHOD BLANK: 2441919
Matrix: Water
Associated Lab Samples: 92409147001
Blank Reporting
Parameter
Units
Result Limit Analyzed Qualifiers
Total Suspended Solids
mg/L
ND 2.5 12/04/18 10:40
LABORATORY CONTROL SAMPLE: 2441920
Spike LCS LCS % Rec
Parameter
Units
Conc. Result % Rec Limits Qualifiers
Total Suspended Solids
mg/L
250 278 111 90-110 L1
SAMPLE DUPLICATE: 2441921
92409147001 Dup
Parameter
Units
Result Result RPD Qualifiers
Total Suspended Solids
mg1L
18.6 20.8 11 D6
SAMPLE DUPLICATE: 2441922
92409226001 Dup
Parameter
Units
Result Result RPD Qualifiers
Total Suspended Solids
mg/L
25.0 27.5 10 D6
Results presented on this page are In the units indicated by the -Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/12/2018 12:47 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 14

(�Iacmnalj&alo
www.pecelabs.com
QUALITY CONTROL DATA
Project: Stormwaler
Pace Project No.: 92409147
QC Batch: 446596 Analysis Method: EPA 1664E
QC Balch Method: EPA 16646 Analysis Description: 1664 HEM, Oil and Grease
Associated Lab Samples: 92409147D01
METHOD BLANK: 2447681
Associated Lab Samples: 92409147001
Parameter Units
Oil and Grease mglL
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
NO 4.8 12/08/1819:20
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28076
[phone]
LABORATORY CONTROL SAMPLE:
2447682
Spike LCS
LCS
% Rec
Parameter
Units
Conc. Result
% Rec
Limits
Qualifiers
Oil and Grease
mglL
38.5 37.3
97
78-114
MATRIX SPIKE SAMPLE:
2447683
92408693004 Spike
MS
MS
% Rec
Parameter
Units
Result Conc.
Result
% Rec
Limits Qualifiers
Oil and Grease
mglL
ND 38.5
42.4
107
78-114
Results presented on this page are In the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/12/2018 12:47 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 14

aceAnalytical
www.p"labs.com
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92409147
QC Batch: 445740 Analysis Method: EPA 608.3
QC Batch Method: EPA608.3 Analysis Description: 608 PCB Pest Red Vol
Associated Lab Samples: 92409147001
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
METHOD BLANK: 2443338
Matrix: Water
Associated Lab Samples: 92409147001
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
PCB-1016 (Aroclor 1016)
ug1L
ND
0.50
12/11/18 23:03
PCB-1221 (Aroclor 1221)
ug/L
ND
0.50
12/11/18 23:03
PCB-1232 (Aroclor 1232)
ug/L
ND
0.50
12/11/18 23:03
PCB-1242 (Aroclor 1242)
ug/L
NO
0.50
12/11/18 23:03
PCB-1248 (Aroclor 1248)
ug/L
NO
0.50
12/11/18 23:03
PCB-1254 (Aroclor 1254)
ug/L
NO
0.50
12/11/18 23:03
PCB-1260 (Aroclor 1260)
ug/L
NO
0.50
12/11/18 23:03
Decachlorobiphenyl (S)
%
95
60-140
12/11/18 23:03
Tetrachloro-m-xylene (S)
%
64
60-140
12111/18 23:03
LABORATORY CONTROL SAMPLE:
2443339
Spike
LCS
LCS % Rec
Parameter
Units
Conc.
Result
% Rec Limits Qualifiers
Decachlorobiphenyl (S)
%
91 60-140
Tetrachloro-m-xylene (S)
%
62 60-140
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2443341 2443340
MS MSD
92409458001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Decachlorobiphenyl (S) % 64 74 60-140
Tetrachloro-m-xylene (S) % 31 54 60-140 S2
Results presented on this page are In the units Indicated by the "units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/12/2018 12:47 PM without the written consent of Pace Analytical Services, LLC.
Page 7of14

aceAnalytical
www.pacelebs-=n
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92409147
QC Batch: 445902 Analysis Method: EPA 351.2 Rev 2.0 1993
QC Batch Method: EPA 351.2 Rev 2.0 1993 Analysis Description: 351.2 TKN
Associated Lab Samples: 92409147001
METHOD BLANK: 2444299 Matrix: Water
Associated Lab Samples: 92409147001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen, Kjeldahl, Total mg/L ND 0.50 12/07/18 05:49
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE: 2444300
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Nitrogen, Kjeldahl, Total mglL 10 10.1 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2444301 2444302
MS MSD
92409147001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc, Conc. Result Result %Rec % Rec Limits RP❑ Qual
Nitrogen, Kjeldahl, Total mglL ND 10 10 9.6 9.9 92 95 90-110 3
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2444303 2444304
MS MSD
92409401001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg1L 2.3 10 10 12.1 11.8 98 95 90-110 3
Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/12/2018 12:47 PM without the written consent of Pace Analytical Services, LLC.
Page 8 of 14

acmnalytical`
www.pec@Wbs,com
Project: Stormwater
Pace Project No.: 92409147
QC Batch: 445641
QC Batch Method: EPA 353.2 Rev 2,0 1993
Associated Lab Samples: 92409147001
METHOD BLANK: 2442921
Associated Lab Samples: 92409147001
Parameter Units
Nitrogen, NO2 plus NO3 mglL
QUALITY CONTROL DATA
Analysis Method: EPA 353.2 Rev 2.0 1993
Analysis Description: 353.2 Nitrate + Nitrite, preserved
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
NO 0,020 12/05/18 08:50
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE: 2442922
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Nitrogen, NO2 plus NO3 mglL 2.5 2.5 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2442923 2442924
MS MSD
92409232001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, NO2 plus NO3 mglL NO 2.5 2.5 2.5 2.5 101 101 75-125 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2442925 2442926
MS MSD
92409232002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, NO2 plus NO3 mglL ND 2.5 2.5 2.6 2.6 103 104 75-125 0
Results presented on this page are In the units Indicated by the-ttnits- column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/12/2018 12:47 PM without the written consent of Pace Analytical Services, LLC,
Page 9 of 14

laxAnalytical"
www. pacelabs corn
QUALIFIERS
Project: Stormwater
% Pace Project No.: 92409147
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersvilte, NC 28078
{704)875-9092
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4.5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC institute.
LABORATORIES
PASI-A Pace Analytical Services - Asheville
PASI-C Pace Analytical Services - Charlotte
PASI-E Pace Analytical Services - Eden
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
L1 Analyte recovery in the laboratory control sample (LCS) was above QC limits. Results for this analyte in associated
samples may be biased high.
52 Surrogate recovery outside laboratory control limits due to matrix interferences (confirmed by similar results from sample
re -analysis).
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/12/2018 12i47 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14

Pace Analytical Services, LLC
acEAnalyircal
98D0 4(incey Ave. Suite 100
Huntersvdie, NC 28078
www.pecelebs.cam
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Stormwater
Pace Project No.: 92409147
Analytical
Lab ID Sample ID
QC Batch Method
QC Batch
Analytical Method Batch
92409147001 001
SM 2540D-2011
445458
92409147001 001
EPA1664B
446596
92409147001 001
EPA608.3
445740
EPA608.3 446614
92409147001 001
TKN+NO3+NO2
446439
Calculation
92409147001 001
EPA 351,2 Rev 2.0 1993
445902
EPA 351.2 Rev 2.0 1993 446217
92409147001 001
EPA 353.2 Rev 2.0 1993
445641
Date: 12/12/2018 12:47 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 11 of 14

Document Name: Document Revised: February 7, 2018
Sample Condition Upon Recei t(SCUR) Page 1 of 2
C$�fialCBr+ ` Document No.: Issuing Authority:
F-CAA-CS.033-Rev.06 Pace Carolinas Quality Office
Laboratory receiving samples:
Asheville ❑ Eden[] Greenwood D Huntersville ❑ Raleigh❑ Mechanicsville(]
Client Name: Project #: !(/ WO# : 92409 1 47
Courier: ❑Fed>=x ❑UPS V❑USPS [Glicnt I��I� i fl.�Ili �If!� 011 ❑ Commercial []Pace ❑Other: 2409147
i
Custody Seat Present? ❑Yes &Ko Seals Intact? Des ®No
Date/initials Person Examining Content
Packing Material: ❑Babble Wrap ❑Bubble Hags = done ❑ Other Biological Tissue Frrs:en?
Thermometer: [)Yes ❑No QN/A
❑iR C{un ID: q;T�C.5 Type of Ice: �et ❑Biue ❑None
Cooler Temp ('C): IV , t Correction Factor; Add/Subtract ('C) r 4
� Temp should be above freezing to VC
Cooler Temp Corrected (. C): �- ❑Sarnp.es out of temp criteria. samples on ice, cooling process
has begun
USDA Regulated Soil (E] N/A, water sample)
Did samples origi5jUe in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate frum a fareign source (internati Ily,
F-iYps Tnrkiriino Havall anrd Puprtn Rirn17 I-lYes F<
Comments/Discrepancy:
Chain of Custody Present?
©No
❑NYA
1. -
Sa moles Arrived within Hold Time?
Wes
❑Np
❑V/A
2.
Short Hold Time Analysis (02 hr.)?
❑4'es
Bo
❑rf/A
3.
Rush Turn Around Time Requested?
ElYes
4,
Sufficient Vaiume?
ElYes
❑N❑
❑N/A
5.
Correct Containers Used?
-Pace Containers Used?
E res
cs
ONo
❑Na
❑N/A
❑N/A
6.
Containers Intact?
[:IN.
El WA
7.
Dissolved analysis:5amples Field Filtered?
EJY.
Sample Labels Match COC?
-includes Date/Time/ID/Analysis Matrix: W
es
[:)No
❑N/A
9.
Neadspace in VOA Viats (>5-6mm)?
❑Yes
❑No
2N/A
10.
Trip Blank Present?
Trip Blank Custody 5eais Present?
[]Yes
❑Yes
❑Na
[]NO
Q(,IJA
LV%A
11.
CONVYIENTSAAMPLE DISCREPANCY
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
Project Manager SCURF Review:
Project Manager SRF Review:
it! i!V b
Oki
Date/Time:
Field Data Required? []Yes [-]Flo
Lot ID of split containers:
Date: �Z �
Date: IQ
I V
Page 12 of 14

M
Iterno
BP4U-125 mL Plastic Unpreserved (N/A) (CI-)
AP3U-250 mL Pi4stic Unpreserved (N/A)
Bp2U-5Q0 mL Plestic Unpreserved (N/A)
9P1U-1 liter Plustit Unpreserved (N/A)
BP45-125 mL Plastic H2SO4 (pH < 2) (Cl-)
0P3N-250 mL PlastlC HNO3 (pH < 2)
eP4Z-17S mL Plastic 2N Acetate & NaOH (>9)
9P4C-225 mL Plastic tVaDH (pH: 12) (Ci-)
WGFU-Wide-mouthed Glass'a r Unpreserved
AG1U-1 IkCr Amber Unpreserved (N/A) (CI-)
AG1Fi-1 liter Amber HCI (pH 2)
AUBU-250 mL Amber Unpreserved (N/A) (Cl-)
AGSS-1 ilterAmber H2SO4 (pH <2)
AG35-25n mL Amber H2SO4 [PH c 2)
AMA(QG3A)-2SO mL Amber NH4C] (N/A)(Ci-)
D69H-40 mL VOA HCI (N/A)
VG9T.40 mL VOA Na2S203 (N/A)
VG9U-40 mL VOA Unix (N/A)
DGDP-40 mL VOA H3PO4 (N/A) -
VDAK (G vWls Per kit)-5035 kit (N/A)
V/GK (3 vials Perklt)-VPH/Gas kit (N/A)
SPST-125 mL Sterile Plastic (N/A— iab)
SP2T-250 mL Sterile Plastic (N/A — lab)
IIPBA-750 mL Plastic (NH2)zSD4 (9.3-9,7)
lam'" AGOU-100 mL Amber Unpreserved vials (N/A)
f
VSUU-20 mLSclntlliatlon vials (N/A)
Dp9U-40 mL Amber Unpreserved vials (N/A)
W
O
♦ n M C
7C-
In
Dcr
O iti D
o o
X
u; a ro o
O n tT
x
:3 CL
r a n 2
C
rA w
ti -D
w
t:7- O ra O
O 6 O 4
M d 7
0 2
nzu
� H
r 3
H ..
M
N
I
X
0
O_ C
1D
Q-
N O
IN
ram'
M
CID
N
D
1^^•
D
rbr
�8
A

v
O
v
C NAl N-OF-CUSTODY /
7hs Qwlr-al-Llnlody to a LEGAL C
:a! Request Document
NI retevam fields must be carrtPkftd 8=MtNY•
ISP
.�
all=
M
■ra■©■0
r■
©©©r■■■■r■■■
■■■■MMrr■i■■i■■3
■r■■■■r■■r■■
■■M■■MMrrrrr■Mr■■
■■r■■r■■■■■■
■■■r■■�r■■■rr■■■■■
■r■■r■r■rrrr
iiiii■�iiiiii�i�ii
iiiiiri��iii
■■■�■■�■■r■■r■■r■
r■rr■rr■rrr■
■r■�r�■■■■r■rrrr■�r■
■■■■■r■rr■■■
■r■■_
err■■■■■_
■
f4.
4ySC16.�
_TTT__y
C:�-^.•, i�--.]l`k![F
T■'.■■�■r■■■■r■■■■r�r■
�:';y'F+'
••�:
1•
_
;.b :• ��TTr',rel.
.:
_ .. ...w '.
_ C"KAW96

Craig Fulcher
Environmental, Health & Safety Manager
SPX Transformer Solutions, Inc.
[e-mail]
T 919 288 8378
December 5, 2018
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
,o\l eo
,� zoti�
�WR S�C�`O�
RE: Discharge Monitoring Report for SDO-001 for November 2018
To Whom it May Concern:
WAU KESHA 71
Please find enclosed SPX Goldsboro's completed Discharge Monitoring Report (DMR) November
2018. Due to the lack of flow for the month of November this was a "No Flow" event and the DMR
is filled out accordingly. This fulfils the requirement of the Storinwater Permit NCS000303, Tier II
monthly reporting.
Please feel free to contact me at [phone] if you have any questions or require any additional
information.
Sincerely,
Z 1,
e�A e-27'
Craig Fulcher
Environmental, Health & Safety Manager
SPX Transformer Solutions, Inc. 2701 US Highway 117 South, Goldsboro, NC 27530 www.spxtransformersolutions.com

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS000303 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(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 SPX Goldsboro COUNTY Wavne
PERSON COLLECTING SAMPLE(S) Sara Lorette/AECOM PHONE NO.919-581-1677
CERTIFIED LABORATORY(S) Pace Analytical Services, LLC Lab. Cert. #12, 5342, 37706
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
pH
Total
Rainfall
mo/dd/yr
S.U.
inches
SDO 001
1 NO FLOW
ND = Non Detect
Outfall
No.
Date
Sample
Collected
TSS
Oil & Grease
mo/dd/yr
m
m /L
SDO 001
NO FLOW
ND = Non Detect
Outfall
No.
Date
Sample
Collected
PCBs
Total Nitrate
mo/dd/ yr
m /L
m IL
SDO 001
NO FLOW
ND = Non Detect
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Note: No Flow was available in
November 2018. Monthly monitoring
is in effect due to the current Tier II
status.
Permit Number NCS000303 Form SWU-247, last remised 21212012
Page 1 of 2

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 Activity Monitoring Requirements
Outfall
Date
50050
00556
OOS30
.00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GITPH
Total
Suspended
pH
New Motor
Oil Usage
No.
Sample
Collected
(Method 1664
Solids
SGT-HEM), if
appl.
mo/dd/ r
MG
inches
m /l
m Il
unit
al/mo
STORM EVENT CHARACTERISTICS:
Date
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 ar`e significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature
/..- S- f?
(Date)
Permit Number NCS000303 Form SWU-247, last revised 21212012
Page 2 of 2

Craig Fulcher
Environmental, Health & Safety Manager
SPX Transformer Solutions, Inc.
[e-mail]
T 919 288 8378
WAUKESHA 71
December 5, 2018
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Discharge Monitoring Report for SDO-001 for October 2018
To Whom it May Concern:
Please find enclosed SPX Goldsboro's completed Discharge Monitoring Report (DMR) for October
2018. No parameters were recorded over the benchmarks. The facility is still under monthly
monitoring due to the Tier 11 status of previous months. This fulfils the requirement of the
Stormwater Permit NCS000303, Tier II monthly reporting.
Please feel free to contact me at [phone] if you have any questions or require any additional
information.
Sincerely,
Craig Fulcher
Environmental, Health & Safety Manager
SPX Transformer Solutions, Inc. 2701 US Highway 117 South, Goldsboro, NC 27530 www.spxtransformersolutions.com

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS000303 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(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 SPX Goldsboro COUNTY Wayne
PERSON COLLECTING SAR'IPLE(S) Sara Lorette/AECOM PHONE NO. 919-581-1677
CERTIFIED LABORATORY(S) Pace Analytical Services, LLC Lab. Cert. #12, 5342, 37706
Part A: Specific MonitoringRe uirements
Outfall
No.
Date
Sample
Collected
pH
Total
Rainfall
mo/ddl r
S.U.
Inches
SDO 001
10/10/2018
7.92
0.25
ND = Non Detect
Outfall
No.
Date
Sample
Collected
TSS
Oil & Grease
moldd/ r
m /L
m /L
SDO 001
10/10/2018
34.9*
<4.8*
ND = Non Detect
Outfall
No.
Date
Sample
Collected
PCBs
Total Nitrate
moldd/ r
m L
m IL
SDO 001
10/10/2018
<0.0005*
2.6*
ND = Non Detect
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Note: Monthly monitoring is in effect
due to the current Tier II status.
*Samples requiring thermal preservation
were received outside of recommended
temperature limits of 0-6 degrees
Celsius.
Permit Number NCS000303 Form SWU-247, last revised 21212012
Page 1 of 2

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 Activity Monitoring Requirements
Ontfall
Date
50050
00556.
00530
00400
No.
Sample
Total Flow
Total
Oil & Grease
Non -polar
Total
pH
New Motor
Collected
(if applicable)
Rainfall
(if appl.)
O&GITPH
Suspended
Oil Usage
(Method 1664
Solids
SGT-HEM), if
appl.
molddlvr
MG
inches
m Il
mg/1
unit
al/mo
STORM EVENT CHARACTERISTICS:
Date 10/10/2018
Total Event Precipitation (inches): 0.25 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."
(Signature of Permi
12r!-1Z
(Date)
Permit Number NCS000303
Form SWU-247, last revised 21212012
Page 2 of 2

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit- bttl2vllpQrtal.nc:denE.org/wgbllrinpdes-stormwate
Permit No.: j�/�/�/_/_ _/ �/� // or Certificate of Coverage No.:
Facility Name: SPX f o 14 Sbar-o
County: w aA rye, Phone No. 9 11 ` 73q — 9a o
Inspector &,,& Lo r-e_
Date of Inspection: _ 10 I D `" I iK
Time of Inspection- la SD PM
Total Event Precipitation (inches):y ` [ -
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 qualitativeto 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 repgrt is accurate and complete to the best of my knowledge:
(Signature of'hermittee or Wignee)
Pagel of 2
5WU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. '500 — I Struc re (pipe, ditch, etc.)
Receiving Stream: UIR A& +-V�6u J1. LL►y[S N�
Describe the industrial activities that occur witbin the outfali drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: k4�i u�: i DI�u.W
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): A Wyk.
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 � 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 1 is noosolids and 5 is extremely muddy:
1 2 C3 J 4 S
7. Is there any foam in the stormwater discharge? Yes CN q)
8. Is there an oil sheen in the stormwater discharge? Yes (No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
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

aceAnalytical
www.pecehbs =n
October 23, 2018
Craig Fulcher
SPX Transformer Solutions, Inc.
2701 Highway 117 South
Goldsboro, NC 27530
RE: Project: Stormwater
Pace Project No.: 92403015
Dear Craig Fulcher:
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
Enclosed are the analytical results for sample(s) received by the laboratory on October 11, 2018.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual,
where applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Nicole Gasiorowski
[e-mail]
[phone]
Project Manager
Enclosures
cc: Jennifer Jones, AECOM
Jennifer Wheat, AECOM
PCB°
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
[phone]
Page 1 of 15

lacceeAnalytical
www.paoelab&mn
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
CERTIFICATIONS
Project: Stormwater
Pace Project No.: 92403015
Charlotte Certification IDS
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
South Carolina Certification #: 99006001
LouisianalNELAP Certification # LA170028
FloddalNELAP Certification #: E87627
North Carolina Drinking Water Certification #: 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification #: 5342
VirginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 12
Asheville Certification IDS
2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40
FloridalNELAP Certification #: E87648 South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030 VirginiaNELAP Certification #: 460222
North Carolina Drinking Water Certification #: 37712
Eden Certification IDS
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 15

Pace Analytical Services, LLC
aceAnalytrcal0
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
www.peookftcorn
[phone]
SAMPLE ANALYTE COUNT
Project: Stormwater
Pace Project No.: 92403015
Analyses
Lab ID Sample ID
Method
Analysts
Reported Laboratory
92403015001 SDP-001
SM 2540D-2011
SOB
1 PASI-E
EPA 1664B
JMS
1 PASI-C
EPA608.3
SEM
9 PASI-C
TKN+NO3+NO2 Calculation
KDF1
1 PASI-A
EPA 351.2 Rev 2.0 1993
MFO
1 PASI-A
EPA 353.2 Rev 2.0 1993
KDF1
1 PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page.3 of 15

(�Iacmnalyfical*
www.pecelabs ccm
ANALYTICAL RESULTS
Project: Stormwater
Pace Project No.: 92403015
Pate Analytical Services, LLG
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Sample: SDP-001 Lab ID: 92403015001 Collected: 10/10/18 23:30 Received: 10/11118 10:40 Matrix: Water
Comments: • Samples requiring thermal preservation were received outside of recommended temperature limits of 0-6 degrees Celsius.
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D-2011
Total Suspended Solids 34.9 mglL 3.6 1 10/15/18 08:58
HEM, Oil and Grease Analytical Method: EPA 1664E
Oil and Grease ND mg1L 4.8 1 10/22/18 00:10
608 PCB Pest RYE Analytical Method: EPA608.3 Preparation Method: EPA608.3
PCB-1016 (Aroclor 1016)
ND
uglL
0.50
1 10/15118 11:37
10/16/18 12:55
12674-11-2
PCB-1221 (Aroclor 1221)
ND
ug1L
0.50
1 10/15/18 11:37
10/16/18 12:55
11104-28-2
PCB-1232 (Aroclor 1232)
NO
ug1L
0.50
1 10/15/18 11.37
10/16/18 12.55
11141-16-5
PC13-1242 (Aroclor 1242)
ND
ug/L
0.50
1 10/15/18 11:37
10/16/18 12:55
53469-21-9
PCB-1248 (Aroclor 1248)
ND
uglL
0.50
1 10/15/18 11:37
10/16/18 12:55
12672-29-6
PCB-1254 (Aroclor 1254)
NO
uglL
0.50
1 10/15/18 11:37
10116/18 12:55
11097-69-1
PCB-1260 (Aroclor 1260)
ND
uglL
0.50
1 10/15/18 11:37
10/16/18 12:55
11096-82-5
Surrogates
Tetrachloro-m-xylene (S)
100
%
60-140
1 10/15/18 11.37
10/16/18 12:55
877-09-8
Decachlorobiphenyl (S)
86
%
60-140
1 10/15/18 11:37
10/16/18 12:55
2051-24-3
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Total Nitrogen
2.6
mg1L
0.52
1
10/18/18 14:54
351.2 Total Kjeldahl Nitrogen
Analytical Method: EPA 351.2 Rev 2.0 1993 Preparation
Method: EPA 351.2 Rev 2.0 1993
Nitrogen, Kjeldah), Total
2.2
mglL
0.50
1 10/14/18 14:41
10/16/18 01:07
7727-37-9
353.2 Nitrogen, N021NO3 pros.
Analytical Method: EPA 353.2 Rev 2.0 1993
Nitrogen, NO2 plus NO3
0,43
mglL
0.020
1
10/17/18 10:49
REPORT OF LABORATORY ANALYSIS
This report shalt not be reproduced, except in full, .
Date: 10/23/2018 1112 AM without the written consent of Pace Analytical Services, LLC. Page 4 of 15

aceAnalytical.
www.pmvlabs.com
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92403015
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QC Batch: 436173
Analysis Method:
SM 2540D-2011
QC Batch Method: SM 2540D-2011
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92403015001
METHOD BLANK: 2399974
Matrix: Water
Associated Lab Samples: 92403015001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
ND
2.5 10/15/18 08:57
LABORATORY CONTROL SAMPLE: 2399975
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250 274
110 90-110
SAMPLE DUPLICATE: 2399976
92403122001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
6.4
5.9 8 D6
SAMPLE DUPLICATE: 2399977
92403125001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
6.6
7.1 7 D6
Results presented on this page are In the units Indicated by the "Units- column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/23/2018 11:12 AM without the written consent of Pace Analytical Services, LLC. Page 5 of 15

Iacl
Analytical
www.patelabs.corn
(�
QUALITY CONTROL DATA
Pate Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntorsvi3e, NC 28078
[phone]
Project: Stormwater
Pace Project No.: 92403015
QC Batch: 437530
Analysis Method:
EPA 1664E
QC Batch Method: EPA 1664B
Analysis Description:
1664 HEM, Oil and Grease
Associated Lab Samples: 92403015001
METHOD BLANK: 2406070
Matrix: Water
Associated Lab Samples: 92403015001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Oil and Grease
mg1L
ND 4.8 10/22/18 00:08
LABORATORY CONTROL SAMPLE: 2406071
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Oil and Grease
mg1L
38.5 37.1
96 78-114
MATRIX SPIKE SAMPLE: 2406072
92402687001 Spike
MS MS % Rec
Parameter
Units
Result Conc.
Result % Rec Limits Qualifiers
Oil and Grease
mg1L
ND 38.5
36.9 96 78-114
Results presented on this page are In the units Indicated by the -Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 1012312018 11:12 AM without the written consent of Pace Analytical Services, LLC. Page 6 of 15

•
ac,Mnalytical
www.paced &c=
QUALITY CONTROL DATA
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: Stormwater
Pace Project No.: 92403015
QC Batch: 436213
Analysis Method: EPA608.3
QC Batch Method: EPA 608.3
Analysis Description: 606 PCB Pest Red Vol
Associated Lab Samples: 92403015001
METHOD BLANK: 2400290
Matrix:
Water
Associated Lab Samples: 92403015001
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
PCB-1016 (Aroclor 1016)
ug/L
NO
0.50
10/16/18 14:11
PCB-1221 (Aroclor 1221)
ug/L
NO
0,50
1011611814:11
PCB-1232 (Aroclor 1232)
ug/L
NO
0.50
10/16/18 14:11
PCB-1242 (Aroclor 1242)
ug1L
NO
0.50
10/16/18 14:11
PCB-1248 (Aroclor 1248)
ug/L
NO
0.50
10/16/18 14:11
PCB-1254 (Aroclor 1254)
ug/L
NO
0.50
10/16118 14:11
PCB-1260 (Aroclor 1260)
ug/L
NO
0.50
10/16/18 14:11
Decachlorobiphenyl (S)
%
104
60-140
10/16/18 14:11
Tetrachloro-m-xylene (S)
%
77
60-140
10/16/18 14:11
LABORATORY CONTROL SAMPLE: 2400291
Spike
LCS
LCS % Rec
Parameter
Units
Cone. Result
% Rec Limits Qualifiers
Decachlorobiphenyl (S)
%
112 60-140
Tetrachloro-m-xylene (S)
%
102 60-140
MATRIX SPIKE SAMPLE: 2400292
92403281001
Spike
MS MS
% Rec
Parameter
Units
Result
Cone.
Result % Rec
Limits Qualifiers
Decachlorobiphenyl (S)
%
104
60-140
Tetrachloro-m-xylene (S)
%
125
60-140
SAMPLE DUPLICATE: 2400293
92403281002
Dup
Parameter
Units
Result
Result
RPD Qualifiers
PCB-1016 (Aroclor 1016)
ug/L
NO
ND
PCBA221 (Aroclor 1221)
ug1L
NO
ND
PCB-1232 (Aroclor 1232)
ug1L
NO
NO
PCB-1242 (Aroclor 1242)
ug1L
NO
NO
PCB-1248 (Aroclor 1248)
ug1L
NO
NO
PCB-1254 (Aroclor 1254)
ug/L
NO
NO
PCB-1260 (Aroclor 1260)
ug1L
NO
NO
Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10123/2018 11:12 AM without the written consent of Pace Analytical Services, LLC. Page 7 of 15

(�Iacmnalyfical"
w m..pecelabs.=n
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92403015
QC Batch: 436148 Analysis Method: EPA 351.2 Rev 2.0 1993
QC Batch Method: EPA 351.2 Rev 2.0 1993 Analysis Description: 351.2 TKN
Associated Lab Samples: 92403015001
METHOD BLANK: 2399875
Associated Lab Samples: 92403015001
Parameter Units
Nitrogen, Kjeldahl, Total mg1L
LABORATORY CONTROL SAMPLE: 2399876
Parameter Units
Nitrogen, Kjeldahl, Total mg1L
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.50 10/16/18 00:56
Spike LCS LCS % Rec
Conc, Result % Rec Limits Qualifiers
10 9.4 94 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2399877 2399878
MS MSD
92402844001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 1.1 10 10 9.7 10.9 86 98 90-110 11 M1,R1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2399879 2399880
MS MSD
92403137001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 4.8 10 10 15.5 15.6 107 109 90-110 1
Results presented on this page are In the units indicated by the "Units" column except where an altemale unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/23/2018 11:12 AM without the written consent of Pace Analytical Services, L.L.C.
Page 8 of 15

aceAnalytical"
www.pacelabs.cvm
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92403015
QC Batch: 436373 Analysis Method: EPA 353.2 Rev 2.0 1993
QC Batch Method: EPA 353.2 Rev 2.0 1993 Analysis Description: 353.2 Nitrate + Nitrite, preserved
Associated Lab Samples: 92403015001
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
METHOD BLANK: 2400847
Matrix:
Water
Associated Lab Samples: 92403015001
Blank
Reporting
Parameter
Units
Result
Limit Analyzed Qualifiers
Nitrogen, NO2 plus NO3
mg/L
ND
0.020 10/17/18 10:15
LABORATORY CONTROL SAMPLE:
2400848
Spike
LCS LCS % Rec
Parameter
Units
Cone.
Result % Rec Limits Qualifiers
Nitrogen, NO2 plus NO3
mg/L
2.5
2.5 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2400849 2400850
MS MSD
92402332002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, NO2 plus NO3 mg/L 4.0 2.5 2.5 6.0 6.0 82 81 75-125 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2400851 2400852
MS MSD
92402419001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, NO2 plus NO3 mg/L 0.24 2.5 2.5 1.6 1.6 55 55 75-125 1 M1
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/23/2018 11:12 AM without the written consent of Pace Analytical Services, LLC.
Page 9 of 15

ac6Analyfical
www.pacelabs.=
QUALIFIERS
Project: Stormwater
Pace Project No.: 92403015
DEFINITIONS
Pate Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
DF - Diludon Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
M D L -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration,
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
i RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
PASI-C Pace Analytical Services - Charlotte
PASI-E Pace Analytical Services - Eden
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
R1 RPD value was outside control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 10/23/2018 11:12 AM without the written consent of Pace Analytical Services, LLC. Page 10 of 15

acmnalX cal o
www.pecelabs com
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Stormwater
Pace Project No.: 92403015
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huniersville, NC 28078
[phone]
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method Batch
92403015001
SDP-001
SM 254OD-2011
436173
92403015001
SDP-001
EPA 1664E
437530
92403015001
SDP-001
EPA608.3
436213
EPA608.3 436433
92403015001
SDP-001
TKN+NO3+NO2
437006
Calculation
92403015001
SDP-001
EPA 351.2 Rev 2.0 1993
436148
EPA 351.2 Rev 2.0 1993 436330
92403015001
SDP-001
EPA 353.2 Rev 2.0 1993
436373
Date: 10/23/2018 11:12 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 11 of 15

Document Name:
Document Revised: February 7, 2018
Sample Condition Upon Receipt(SCUR)
Page 1 of 2
Document.No.:,_ -- —
issufrrgAutlrbJr4
,,eAnaojcal'
F-CAR-CS-033-Rev.06
Pace Carolinas Quality Office
Laboratory receiving samples-.
Asheville ❑ Eden[] Greenwood Fluntersvilie ❑ Raleigh(] Mechanicsville[]
Nam- - Client Name: Project #: 1 WO# : 924030V5 -
Courier: []Fed Ex' CUPS ❑USPS Client 1 i NNII
❑ Commercial []PacePace ❑Other: 92403015 III
Custody Seal Present? ❑Yes . o Seals Intact? ❑YesYo j
Date/InI ialsPersonExaminingContents:
�r7
Packing Material: ❑Bubble Wrap Alubble Bags ❑None ❑ Other Biological Tissue Frozen?
Thermom _ % �( ❑Yes ❑No 14N/A
AIIR Gun ID: do ] Type of Ice: y_Z w ❑81ue []None
Cooler Temp ('C):
('C): —1 .S O Correction Factof. Ad Subtract ('C)� \G' .
f Temp should he above freezing to 6'C
Cooler Temp Corrected ('C): Qsamples out of temp criteria. Sampleson ice, cooling process
hasbegun
USDA Regulated Soil {(,V/A, water sample)
Did samples originate in a q aran tine zone within the United States: CA, NY, or SC {check maps)? Did samples originate from a foreign source (internationally,
Myes svo including Hawaii and Puerto Rico)? nYes .40
Comments/Discrepancy:
Chain of Custody Present?
es
©No
QN/A
1.
Samples Arrivedwithin Hold Time?
Yes
❑N
ON/A
2.
Short Hold Time Analysis (<77 hr.)?
❑Yes
N
❑N/A
3.
Rush Turn Around Time Requested?
QYes
No
ONJA
4.
Sufficient Volume?
es
❑No
❑N/A
S.
Correct Containers Used?
-Pace Containers Used?
Y?-
as
ONO
(]No
ON/A
QN/A
6.
Containers Intact?
25
ONO
N/A
7.
Dissolved analysis: Samples Field Filtered?
QYes
❑No
N/A
8. }
Sample tabels Match COC?
-Includes Date/Time/ID/Analysis Matrix:
2<es
�✓
❑No
❑N/A
9.
Headspace in VOA Vials (�,S-6mm)?
❑Yes
ONO
N/A
10. -
Trip Blank Present?
Trip Blank Custody Seals Present?
❑Yes
Yes
©No
❑No
N/A
N/A
11.
COMMENTS/SAMPLE DISCREPANCY Field Data Required? ❑Yes [:]No
c--a PaN, -5 cz c6 at v3 0(- - -
ID-of,split-LOntainers:.___..__._.__.
CLIENT NOTIFICATION/RESOLUTION
IVLre.r Fos
Person contacted: it I Date/Time: 7
Project Manager SCURF Review: Date; 4
Project Manager SRF Review: Date; 1(}L1 C�
Page 12 of 15

r dL'e� lCal
Document fame:
Sample Condition Upon Receipt(SCUR)
Document Revised: February 7, 2018
Page 1 of 2
Document No.;
F=CAR=C5-'033=Rev.06-
Issuing AutftorityL-
T
Pace Carolinas Quality Office
*Check mark top half of box if pH and/or dechlorination is Project # J
verified and within the acceptance range for preservation jl
samples. I
Exceptions: VOA, Coliform, TOC, oil and Grease, DRO/8015 (water) DOC, LLHg !
**Bottom half of box is to list number of bottle L
WO#:924®3®i5
PM: NMG Due Date: 10/22/18
CLIENT: 92-SPX Golds
E
E
1v
Z
CIA
a
a
a.
E
04
ry
Z)
a
a
m
z 2
0
v
y
7
m
i
E
N
7D
m
a
m
2
V
v
v
m
a
E
O
N
D
N
a
m
`
v
>
d
4
a
v
_
D
r1
a
m
iz
N
V
a
v
n
_
A
E
in
N
VI
V
a
m
N
V
n
1n
Z
=
m
E
O
N
z
m
q
m
o
m
Z
y
a
w
Z
N
E
�n
N
N
C
a
M
M
A
a
z
E
vi
H
U
V
a
m
v
a
C
=
M
U
o
E
LL
[�
3
a
v
MP
M
Q
_
.y
t7
a
=
a U
S
E
¢
_
r�
C7
a
a
p
N
E
a
p
N
M.-1
t7
a
V
V
P
a
E
_
VI
t7
a
V
n
v
O
ry
2
E
a
E
4
N
V1
M
0
a
=
z
v
E
¢
N
T
try
O
a
en
0
a
d
Z
a
a
>
E
V
i
M
U
o
Z
m
H
a
O
>
E
Q
ti
C1
47
>
Q
=
b
¢
0
>
E
O
C
M
Q
7
Q
Z
p
0
a
O
>
E
Q
d
M
0
a
Q
Y
in
m
10n
i
n
°
i�
X
a
O
>
a
Y
17
a
}
y
n
�°
,a
Y
tJ
�
>
I
z
a
G
`a
E
r+
r
v1
a
wt
A
?
u
t9
d
m
v
h
E
LM
N
r
N
a
^
01
Oi
0
ry
=
z
u
m
a
E
N
4
a
Co
W
�U
aZi
Q
3
v
E
a
.�
E
M
7
C
0w
Cc
a
Z
n
m
a
o
_ro
c
u
E
17
>
z
v1
}
v
v
c
E
a
E
C
O
t7
n
1
f
t
z
3\N\\
\
1
a
N1
11
N\
5
`
\N
N\N
I
NN
7
\R
\N
N\
a
I
9
N\\\
\\L
N-
LO
I
\\N\
\\\N
12
N-
pH Adjustment Log for Preserved Samples
Sample ID
Type of Preservative
pH upon receipt
Date preservation adjusted
Time preservation
adjusted
Amount of Preservative
added
Lot N
Mote: Whenever :here is a discrepancy affecting North Carolina compliance samples, a copy of this form w4l be Sent to the North Carolina DEHNR Certification Office (i.e,
Out of hold, incorrect preservative, out of temp, incorrect containers,
Page 13 of 15

CHAIN -OF -CUSTODY / Analytical Request Document
r The Chairs -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed ac
irately.
F�
Section A
Section a Section C _
7
Required Client Information:
Required Project Information: Invoice Information:
PagO . t Of
Company: SPX
Goldsboro
Reportro: Craiq Fulcher
Attention:
Address: 2701
Nighv.ay 117 Soutn
Copy To:
Company Name:
Golosboro, NC 27530
Addim:
— a. Rd ulat A enc
Email- I
Puncnase Order a:
Pace Quote:
Phone: JFax
Project Name: Starmwater
Pace Project Manager. nicole.pasiorrn ki@ acetabs,com,
-
- --State 1 Location ,' _. ' -
Requested Due Date:
Project 0:
Pace Profile 73: EW30-1
NC
!
R
iiestnd
AiriMyi4s
Filtered
IY
_
A-
- - - - - _
AAATRIK CODE
$
�]
COLLECTED
z
Preservatives-
a�
u
V
Wsla VR
VAv
,L,
A
Prea+at P
SAMPLE ID a a
START
END
ti
`..
T
One Character perbox. w�P. wP
w
w
.a
.m
m
o
tA•7,' 0-91 . -) .a
b5
O
>-
m
a
U
#
o
�Sample Ids must be umiquo Wier
x
,µ.,
w
o
'D
�O ��
ill
PATE
TIME
DATE
TIME
a
m
:
7
T
=
S
z
2
4
,a'
-
O
a
2
t ^'
Sr�O ' oo
iJi
fi
I��fo
li' C
1C
>[
K
u
K
I
W 1
2..
3'
44
JI
I
6'
I
:7
i
R
9s
I
2-
I
_
R71r-.7- •''" AOOITIONALCOYNENTS
RELWOUISHED BY 71LFFILWTION -
DATE. t�
.TIME �^•
- CEPTED BY I AFFWATION
-DATE' •
ME
i SAMPLE CONDITIONS. - -
I
`
SAMPLER NAME AND SIGNATURE'• _ _ - —"-'..t'_` •ga •=�., _ _ �2-�,.
-
c
PRINT Name of SAMPLER: ^
c
a
m
a
u Z
o w
m o z
8
S z
SIGNATURE of SAMPLER: DATE Signed:
w
F1±
a
m
m
d

0
UI)
Section A
Rcty.i.od CA. ni kjo—� lion:
CHAIN -OF -CUSTODY I Analytical Request Document
The Chain-of-Cuzlodyir a LEGAL DOCUMENT. All rel4vant Geld; MUSt be CompizEed
S"Mon a Secdon C
Rcruimd Project 1,1`an.aziow. lnlo..niflon!
CC-P—Y, I SYX Wi3 taro
i".-Par.Ta G!Y;JFLja.n . T.--.--
Ajd-u I VO I 1 117 S-M
Zopy To: C 0n. P,-j I Y N;-, re:
N- 2753a
PMF.,* Mn3q�.
,3 i-t" f L 6
Duo rklw
',P; •• Pmr.lo r. &Lfij
NC
.. .. ......
COLLECTED
I
SAMPLE ID ad a0
START
Q.* Ch�-t- Per b-c W-
-N
(A4- C-9 1. -) —
ASimple
Id. r;-= be Urique or
73
DATE
TiVZ
DATE
Tl:,iz
Z,
z
x
z
Z
L
x�
Y
ai
tR
N,
to- 1-1
CIe,
A/
PRINT 1,14ll*e at SAIAPLER:
SIGNATURE of SP..MPLER: DATE Signed;