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Home My WebLink AboutNCG030659_MONITORING INFO_20190102STORMWATER DIVISION COC NCG PERMITS PERMIT NO. � /V CC�o3U DOC TYPE 0 HISTORICAL FILE MONITORING REPO DOC DATE ❑ � V I i UCR YYYYMMDD Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No NCG030000 Date submitted 11 29 18 CERTIFICATE OF COVERAGE NO N00030659 FACILITY NAME Matlab — Plant 10 COUNTY Randolph PERSON COLLECTING SAMPLES Mitch Auman LABORATORY Prism_ Lab Cert # 402 Comments on sample collection or analysis Part A Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 -Q>fMp oRIOD ❑ Jan -June ® July -Dec REC or ❑ Monthly' month) ,JAB 0 qISfi §RGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA ❑Zero -flow [:]Watersupply [—]SA CEN1 RAL FILES ®Other DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inchee Total Suspended Solids PH, pH, Standard units Copper Lead Zinc O&G/fa[I Total Petroleum Hydrocarbons Total Toxic Organicss Benchmarks =__> - - 100 mg/L or 50 mg/1_4 6 0 — 9 0 0 010 mg/L 0 075 mg/L 0 126 mg/L 15 mg/L 1 mg/L 01 11/13/18 115 59 7 3 0 0 016 0 -- 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall Z 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 ram gauge requirement 4 See General Permit, Table 3 identifying 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 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent 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 " Prgss_ Brower Name (Print name) Title (Print ti 12 -3 115, (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: ❑ No discharge this period 72 Outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches; Non -polar O&G/TPH by EPA 1664 (5GT-HEM) Total Suspended Solids pH Benchmarks =_=> _ - 15 mg/L 100 mg/L or 50 mg/L* 6 0 - 9 0 5U Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies Permit Date 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 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 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 11 SECTION B + TIEti 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMFTER AT ANYONE OUTFALL7 YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME Mail an original and one 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 Mall 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 " (Signature of Permittee) (Date) Permit Date 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 RAIN EVENT DATA FACILITY Matlab, Inc — Plant #10 ADDRESS 7307 Jordan Road Ramseur, NC 27205 CONTACT PERSON Press Bower TELEPHONE 336- 629-4161 11/13/18 2 6 Acres x 43560 = 108900 x 1 15 = 125535 x 0833 = 10432 x 7 48 = 78031 / 1000000 = 0 078 mg STORMWATER DISCHARGE OUTFALL (SDO) QUALITATIVE MONITORING REPORT Certification of Coverage No Facility Name County Permit No NCG030659 Matlab, Inc —Plant #10 Randolph Expires 5/31/2021 Ramseur, North Carolina Inspector Name Date of Inspection Paul W S an enber 11/13/18 i, OUTFALL DESCRIPTION Outfall No Structure (pipe ditch, etc } Receiving Stream 1 Pipe Tributary to Describe the industrial activities that occur within the outfall drainage area Paintinq & Coating Manufacturing i, r r � +x ,l T� w 'R I. rn [ Y �, t l S y !• f 1� eTlt a x Color F I F Y'` - r' F 1, r M 5 f Y•. l 3 Y Describe the color of the discharge using basic colors (red, brown, blue, etc) and tint (light, medium, dark) as descriptors Light Brown r , f : xa 1 a s Jr " em ` ` w Odorr ' Vr � n," dt- Descnbe any distinct odors that the discharge may have (i a smells strongly of oil weak chlorine odor etc } None Clarit Choose the number which best describes the clanty of the discharge where 1 is clear and 10 is very cloudy (circle one) 1 O 3 4 5 6 7 8 9 10 Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface is covered in floating solids (circle one) O2 3 4 5 6 7 8 9 10 +',,SUS ended Solids '' �-rt„ cJ r + r�"SY�` :,'r�.. ;_- 7" Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 Is extremely muddy (circle one) O2 3 4 5 6 7 8 9 10 11 .\ts 1 r11 SAY^±V \l .� i J WJ wlw 0 2 3 Ww 41 i'41Yi Y. iIM� r> a "Foan1 n Is there any foam In the stormwater discharge (circle one)? Yes N L �f5i "`'Oil Sheen �,'"`" ..1 rC 1 yr J" .ryt ^iwr~ *F Ss •huJ'ar` �i Is there an olf sheen In the stormwater discharge (circle one)? Yes No Erosion De-osition , raga r + tr wy t Is there evidence of erosion or deposition at the outfall? (circle one) Yes No If yes, list and describe Other_, r jta G t , Is there other obvious indicators of stormwater pollution in the stormwater discharge (circle one) Yes No If yes list and descnbe x +�' �.-3, r ti^;'``'fir' o a+ry J..-.-'.r .. r ti �-'--j n1r '�' __ a' xsl ...� r 4 f _r �- N3 Rain Event a- -ems 3 fir_ F �. P 3 --- s� Was this a Representative Storm Event? X Yes —No Total Event Precipitation (Inches 1 15 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 ,vr, ram= r t: a' ' . s i} � �, t W- is ,r_ F.CeMficatiori-_t By this signature I certify that this report is accurate and complete to the best of my knowledge Inspector's Signature rMd 70, s�� STORMWATER FACILITY INSPECTION FORM Facility Name Location Certification of Coverage No NCGO30659 Matlab Inc — Plant #10 Ramseur North Carolina Expires 5/31/2021 Number of Inspector's Name Date outfalls Paul W Spangenberg 11/13/18 1 t fH 1 ! fy� }S, , [A'y - -. tY Y , vt H Conofttln Areas - Evidence of pollutants entering system (circle one) Yes o If yes, describe Areas of potential pollutants entering system Describe None Control measures present (circle one) Yes No If yes, describe Additional control measures needed (circle one) Yes No If yes, describe Sediment and erosion control measures present (circle one) es No If yes, describe Rip -Rap at discharge and drainages ditches Describe any new structural stormwater management measures None �� Potential Pollutant Areas "Vt� ` >n i -0 I Descnbe any loading/unloading operations Trucking. Tank Truck Describe any outdoor storage activities Wood Pallets, Scrap Metal, Solid waste dumpsters, used equipment Descnbe any outdoor manufacturing or processing activities None Describe and dust or particulate generating areas None Describe any onsite waste disposal activities None �u,rw,, di'! , !•;'� » :I s ° „ s SI nificant 61aaks orSpills Any reportable spills or leaks in the past year (circle one) Yes No If yes date Impact on storrnwater system(s) Certlflcatlon,By this signature I certify that this report Is accurate and complete to the best of my knowledge Inspectors Signature ;VWd 2V ROM, IM ineorrnroFUM INC. Full Service Analytical & Environmental Solutions Mid -Atlantic Associates Inc - Raleigh Paul Spangenberg 409 Rogers View Court Raleigh, NC 27610 NC Cerllficedon No 402 NC Drinking Water Cert No 37735 SC Certification No 99012 Project Matlab - Ramseur Lab Submittal Date 11/14/2018 Prism Work Order 8110239 Case Narrative 11 /28/2018 This data package contains the analytical results for the project identified above and includes a Case Narrative Sample Results and Chain of Custody Unless otherwise noted all samples were received in acceptable condition and processed according to the referenced methods Data qualifiers are flagged individually on each sample A key reference for the data qualifiers appears at the end of this case narrative Please call if you have any questions relating to this analytical report Respectfully PRISM LABORATORIES, INC Angela D Overcash VP Laboratory Services Data Qualifiers Key Reference Reviewed By Tern W Cole For Angela D Overcash Project Manager HT Sample received and analyzed outside of the hold time BRL Below Reporting Limit MDL Method Deteebon Limit RPD Relative Percent Difference * Results reported to the reporting limit All other results are reported to the MDL with values between MDL and reporting limit indicated with a J This report should not be reproduced except In Its entirety wdhout the wntten consent of Prism Laboratories Inc 449 Springbrook Road P 0 Box 240643 Charlotte NC 26224-0643 Phone 7041629-6364 Toll Free Number 1-8001629-b364 Fax 7041625.0409 Page 1 of 6 AtBLS-M Full Service Analytical & @nvironmental Solutions Sample Receipt Summary 11/28/2018 Prism Work Order 8110239 Client Sample ID Lab Sample ID Matrix Daterrime Sampled Date/Time Received 10 8110239-01 Water 11/13/18 0 00 11/14/18 10 46 Samples were received in good condition at 3 0 degrees C unless otherwise noted This report should not be reproduced except in its entirety Wfhaut the written consent of Prism Laboratories Inc 449 Springbrook Road P D Box 240643 Chartotte NC 28224-0643 Phone 704fs29-6394 Toll Free Numbar 1-B001629.6364 Fax 70V5254MB Page 2 of 6� �PR I S NI FufF 9ervlca Artaiytical d Laboratory Report C1ti Envlmnmental Solullona 11i2812018 Mid -Atlantic Associates Inc -Raleigh Project Matiab - Ramseur Client Sample I❑ 10 Attn Patti Spangerlberg Prism Sample ID 8110239-01 409 Rogers View Court Prism Work Order 8110239 Raleigh NC 27610 Sample Matrix Water Time Collected 111131180000 Time Submitted 11/14/18 10 46 Parameter Result Ungs Report MDL Dilution Method Analysis Analyst Batch Limit Factor DateMrne 1D General Chemistry Parameters Oil & Grenso (HEM) BRL mg1L so 14 1 1664B 11127/18 902 SLS PSK0444 pH 7 3 HT pH Units 1 SM460" B 11114118 16 20 CBP PSK0323 Tote! Suspended Salida 69 mg1L 36 040 1 SM2640 D 11119118 15 20 CBP P8K0337 Total Metals Copper BRL m911_ 0 010 0 C0lo 1 200 7 1111911 B 1608 JAB P6K0317 Lead BRL mglL 00050 00010 1 2007 11/19118 1608 JAB PSK0317 7Jnc 0 is mg1L D 030 0 0013 1 2007 11/19/18 16 08 JAB P8K0317 This report should not be reproduced except In its entirety without the written consent of Prism Laboratories Inc 449 3pringbrook Road P O Box 240643 Charlotte NC 28224-0643 Phone 7041629$364-Toll Free Number 1-8001629.6364 Fax 7041626A409 rPage 3 of 6 �P R I S M I F it Service Analytical 8 Environmental Solutions 7�ueowivn�ea uc Mid-Atlanbc Associates Inc -Raleigh Attn Paul Spangenberg 409 Rogers view court Raleigh NC 27610 Total Metals - Qualhy Control Project Matlab -Ramseur Level II QC Report 11/28118 Prism Work Order 8110239 Time Submitted 11/14/2018 10 46 00AM Reporting Spike Source %REC RPID Analyte Result Limit Units Level Result %REC Limits RP❑ Limit Notes Batch PSK0317 - 200 7 Blank (P8K0317 BLK1) Prepared 8 Analyzed 11/19118 Capper BRL 0 010 mg1L Lead BRL 00050 mg1L Zinc BRL 0 030 mg1L LCS (PSK0311-BSI) Prepared 8 Analyzed 11/19/18 Copper 0 49B 0 010 mglL 05001 100 85-115 Lead 0 507 00050 mg1L 05001 101 85-115 ,Zinc 0 525 0 030 mg/L 05001 105 85-115 This report should not be reproduced except in its entirety without the wntten consent of Prim Laboratories Inc 449 9pringbrook Road P 0 Box 240643 Charlotte NC 28224.0643 Phone 7041929-6364 Toll Free Number 1.8001628-6S64-Pax 7041625-0409 Page 4 of 6 ` t S n� I Full Service Aaelyticel 8 V l £mlronmaretal Soiuuarts 'r[AefIIMTORIISl RaG Mid-Atianbc Associates, Inc - Raleigh Attn Paul Spangenberg 409 Rogers View Court Raleigh NC 27610 General Chemistry Parameters QualityControl Project Matlab - Ramseur Level II QC Report 11/28/18 Prism Work Order 8110239 Time Submitted 11/14/2018 10 46 0DAM Reporting Spike Source %REC RPD Analyte Result Llmlt Units Level Result %REC Limits RPn Limit Notes Batch P81<0323 NO PREP LCS (P8K032343Si) Prepared & Analyzed 11/14/18 pH gas pH Units 6 880 100 98 5-101 5 Duplicate (PSK0323-DUPi) _ Source 8110239-01 Prepared & Analyzed 11/14/18 ` pH 720 pH Units 729 04 10 Batch PSK0337 - NO PREP Blank (P8K0337-BLK1) Prepared & Analyzed 11/19/18 Total Suspended Solids BRL so mg1L LCS 1POK0337 BSI) Prepared & Analyzed 11/19/18 Total Suspended Solids 510 so mg1L 4770 107 00-11 D Batch PSK0444 - NO PREP Blank (PBK0444-BLK1) Prepared & Analyzed 11/27/18 Oil & Grease (HEM) BRL 50 mg1L LCS (PSK0444-BSI) Prepared & Analyzed 11/27/18 Oil & Grease (HEM) 364 so mgll- 4000 91 78-114 Sample Extraction Data Prop Method 200 7 Lab Number Batch InItiat Final CaterrIme 811023"'! PSK0317 50 mL 50 mL 11119119 8 30 This report should not be reproduced except In its entirety without the written consent of Pnsm Laboratories Inc 449 Springbrook Rood P 0 Box 240643 Charlotte NC 28224-060 Phone 7041629.63" Toll Free Number 1.800/629-6364 Fax 7041626-0409 Page 5 of 6 Service PRISM I Environmental Solutions ZQW&OM.Et LABORATORIES rnc. 449 Spnngbrook Road Charlotte NC 28217 Phone 7041S2"364 Fax 70415254909 Client Company Name Report To/Contact Name Sao\ SQdna cr.ht-a Reporting Address L40q Atry e .-'t CHAIN OF CUSTODY RECORD PAOI~L_ OF I OUWM A TO ENSURE PROPER BILLINGt Project Name Short Hold Analysis (Yes) (No) UST Project. (Yes) (NO) 'Please ATTACH any project specific reporting (QC LEVEL 1 II 111 M provisions andlor QC Requirements invoice To fYl j--F i-Iehitc. ASGOCIJ r*, Address LK(; Xobe! NJ ie w G-vC- r.trmii._ or nL7(l0 Y 1yEq NO NIA `' Samples INTACT tiporarrival? O' Received ON WET ICE? r_ PROPER PRESERVATIVES 1ndloatW? 0) Received WITHIN HOLDING TIMES? CUSTODY SEALS INTACT? T VOLATILES rec d WIOUT HEADSPACE? _ - PROPER CONTAINERS wear 3 t _-- TEMP Therm IO_ZblOb ery I Cr. °C Phone (9t9)gL0`9Rd__Fax(lies) (No) (9l,?3360`4460 Purchase Order No181;;,g Reference RJ,4 3 TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL Email Address Requested Due Date Q 1 Day 0 2 Days ❑ 3 Days Gi 4 Days O 5 Days Certification NEI.AC DoD— FL NC EDD a PDF Excel Other Type "Working Days" 0 s-s Days l o days ❑ �h y� � Be Sdo Location Name f� q� 1n� i710.t rl # j 0 _ Samples recenred alter 14 0o wfl be �-APP� processed next bumnew day SC� OTHER NIA SRe location Physical Address IA -.6egf.A) C. Turnaround tlme is based on busmess days exdtxft weekends and holidays Water Chlorinated YES— NO (SEE REVERSE FOR TERMS a CONDITIONS REGARDING SERVICES RENDERED BY PRISM LABORATORIES. INC To CLIDM Sample Iced Upon Collection YES NO TIME MATRDI SAMPLE CONTAINER ANALYSIS / REQUESTED PRISM CLIENT DATE SAMPLE DESCRIPTION COLLECTED COLLECTED MIL MANY (SOIL, WATER OR PRESEAVA TIMES l REMARKS LAB +TYPE NO S17F ID NO HOURS SLUDGE) SEE BELOW 14 , Wa�er P Cu,zN 01 I f f9 et o I rG1. f i f i I ! Sampler's Signature Sampled By (Pont Name) r fc�Cll ut� �t V^ Afnflaiton Upon relinquishing this Chain of Custody Is your authorization for Prism to proceed with the analyses as requested above Any changes roust be submitted In wrlting to the Prism Project Manager There will be charges for any changes after analyses have been Initialized ale(Sign-re) Dana Additional Comments "a t g—t Dam site Time Z�29) (SW—) By Data FIeld Tech Fee I � t i"" ( 16 Mileage MAMM d arShIprttaiC ALL SAMPLE COOLERS 11"OU1.0 BE TAPED SHUT ?O FOR TRANSRTATION TO THE LABORATORY SAMPLES ARE NOT ACCEFTED AND AGMST CDC VERIFIED UNnt RECEIVED AT THE LABORATORY �[ j I] Fad Ex VUPS Q Hwd49WerW U PrIm Fuld Swvmo Q NPDES UST GROUNDWATER DRINKING WATER SOLID WASTE [ RCRA CERCLA LANDFILL OTHER.0 NC ❑ SCI ❑ NC ❑ SC ❑ NC ❑ SC i o NC ❑ SC I I ❑ NC ❑ SC I (3 NG L] 13 NC ❑ 5C I LING ❑ SC� O NG Q SC 'CONTAINER TYPE CODES A =Amber C = Clear G= Glass P = Plastla; TL = Teflon -tined Cap VOA= Volatile Organics Analysis (Zero Head Space) ORIGINAL Stormwater Discharge Monitoring Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No NCG030000 Date submitted 4/&119 CERTIFICATE OF COVERAGE NO NCG03 0 6 5 9 FACILITY NAME Mailab Inc Hwy 495 Campus COUNTY Randolph PERSON COLLECTING SAMPLES Mitch Auman LABORATORY Con test Lab Cert # 652 Comments on sample collection or analysis Part A Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD Q Jan -June ❑ July -Dec or ❑ Monthly' month �E L lHARUG TO CLASS ❑ORW ❑HQW [:]Trout❑PNA ❑Zero -flow ❑Water supply ❑SA APR 2 8 2019 [:]Other - CENTRAL FILE1 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 IJR SECTIOr ❑ No discharge this period ;2 Outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, inches; Total Suspended Solids p}!, 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/O 6 0 — 9 0 0 010 mg/L 0 075 mg/L 0126 mg/L 15 mg/L 1 mg/L Parameter Code - 46529 C0530 00400 01119 01051 01094 00552 78141 01 3/21/19 015 96 65 00040 00012 0 012 0 NIA i Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall 2 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 "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/l/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 TTO monitoring may-.)e 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 (70) 1 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 " Press Brower Name (Print name) VP of Engineering Title (Print title Signature �� ) Date Note Results must be reported in numencal 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 mWL 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 S Vehicle Maintenance Area Monitoring Results only for facilities averaging a 55 gal of new oil per month ❑ No discharge this period pz Outfall No pate Sample Collected' (mo/dd/yr) 24 hour rainfall amount, Inches' New Motor Oil or Hydraulic oil Usage Non -Polar O&G/ Total Petroleum Hydrocarbons Total Suspended Solids Benchmarks - 15 mg/L 100 mg/L or 50 mg/L4 Parameter Code 46529 NCOIL 00552 COS30 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 2, or Tier 3 responses See General Permit text Permit Date 11/1/2018 05/31/2021 5WU 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 ANYONE OUTFALL7 YES ❑ N0 E1 IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME Mail an anginal copy of this DMR, including -all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period 1n the case of "No Discharge" reports] to Division of Water Quality Attn DWQ Central Files 1617 Mad 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 significant penaltses for submitting false information, including the possibility of fines and Imprisonment for knowing violations " 'V Signature of Permittee Date Permit Date 11/1/2018 05/31/2021 SWU-245, last revised 11/1/2018 Page 3 of 3 RAIN EVENT DATA FACILITY Matlab Inc — Hwy 49 S Campus ADDRESS 1112 Highway 49 South Asheboro, NC 27204 CONTACT PERSON Press Bower TELEPHONE 336- 629-4161 STORM EVENT INFORMATION YEAR MONTH DAY DATE 2019 3 21 HOURS MINUTES DURATION 24 0 PRECIP AMOUNT (IN) 15" RUNOFF 097 VOL MIGAL HOURS DAYS PRECEDING 0 EVENT 4 PRINCIPLE EXECUTIVE OFFICER OR AUTHORIZED AGENT PRINT SIGNATURE DATE Paul W Spangenberg 1W//0vWA,2F 00/p 3/21 /19 43560 x 24 = 1045440 x 0 15" = 156816 x 0 0833 = 13062 7 x 7 48 = 97709 5 1 0 97 MIGal STORMWATER DISCHARGE OUTFALL (SDO) QUALITATIVE MONITORING REPORT Certification of Coverage No Permit No NCG03000 Expires 5/31/2021 Facility Name Matlab Inc — Hwy 49S Campus Asheboro North Carolina County Randolph Inspector Name Paul W S an enber Date of Inspection 3l21/19 OUTFALL DESCRIPTION Outfall No 1 Structure (pipe ditch etc) Pipe Receiving Stream Taylor Creek Describe the industrial activities that occur within the outfall drainage area Painting & Coating Manufacturing Color Describe the color of the discharge using basic colors (red brown blue, etc ) and tint (light, medium, dark) as descriptors Light Tan Odor Describe any distinct odors that the discharge may have (i a smells strongly of oil, weak chlorine odor etc ) None Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy (circle one) O2 3 4 5 6 7 8 9 10 Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface is covered in floating solids (circle one) 0 2 3 4 5 6 7 8 9 10 Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy (circle one) O2 3 4 5 6 7 8 9 10 Foam Is there any foam in the stormwater discharge (circle one)? Yes N Oil Sheen Is there an oil sheen in the stormwater discharge (circle one)? Yes No Erosion Deposition Is there evidence of erosion or deposition at the outfall? (circle one) Yes No If yes list and describe Other is there other obvious indicators of stormwater pollution in the stormwater discharge (circle one) Yes No If yes list and describe Rain Event , cwh Was this a Representative Storm Event9 X Yes _ No Total Event Precipitation (Inches) 15 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 Certification By this signature I certify that thisreportis accurate and complete to the best of my knowledge Inspector's Signature �� V. .S STORMWATER FACILITY INSPECTION FORM Facility Name Location Certification of Coverage No NCG030660 Matlab, Inc — Hwy 49 S campus Asheboro, North Carolina Expires 5/31/2021 Number of Inspectors Name Date Outfalls Paul W Spangenberg 3/21119 1 Con ting Areas Evidence of pollutants entering system (circle one) Yes No If yes describe Areas of potential pollutants entering system Describe None Control measures present (circle one) Yes No If yes describe Additional control measures needed (circle one) Yes No If yes describe Sediment and erosion control measures present (circle one) es No If yes describe Rip -Rap at discharge and drainages ditches Describe any new structural stormwater management measures None Potential Pollutant Areas Describe any loading/unloading operations Trucking Tank Truck Describe any outdoor storage activities Wood Pallets Scrap Metal Solid waste dumpsters used equipment Describe any outdoor manufacturing or processing activities None Describe and dust or particulate generating areas None Describe any onsde waste disposal activities None Significant ks or Spills Any reportable spills or leaks in the past year (circle one) Yes No If yes, date Impact on stormwater system(s) Certification By this signature I certify that this report is accurate and complete to the best of my knowledge Inspectors Signature PaAd 7v .� � Table of Contents conmtestO- ANALYTICAL LABORATORY 39 Spruce Street East Longmeadow MA 01028 FAX 413/525 6405 TEL 4131525 2332 Apnl 1 2019 Paul Spangenberg Mid Atlantic Associates Inc. Raleigh NC 409 Rogers View Court Raleigh NC 27610 Project Location 49S Campus Asheboro NC Client Job Number Project Number R2943 10 Laboratory Work Order Number 19C1203 Enclosed are results of analyses for samples received by the laboratory on March 22 2019 If you halve any questions concemmg this report please feel free to contact me Sincerely 6&1 �. AL&Q Kerry K McGee Project Manager Page 1 of 44 Table of Contents Table of Contents Sample Summary Case Narrative Sample Results l 9C 1203-0 l Sample Preparation Information QC Data Metals Analyses (Total) B226568 Conventional Chemistry Parameters by EPAIAPHAISW 846 Methods (Total) B226669 8226696 B22681 1 Flag/Qualifier Summary Certifications 3 4 5 5 7 8 8 8 9 9 9 9 10 Chain of Custody/Sample Receipt 12 Page 2 of 14 Table of Contents tons,test ANALYTICAL LABORATORY 39 Spruce Streel East Longmeadow MA 01028 FAX 413/525 6405 TEL 413/525 2332 Mid Atlantic Associates Inc Raleigh NC 409 Rogers Vicw Court RP FORT DAT 1 41112019 Raleigh NC 27610 PURCHASI ORDER NUMBER AT"rN Paul Spangcnbcrg PROJECT NUMBER R2943 10 ANA[1TICA[ %UMMARI WORK ORDER NUMBER 19C1203 The results of analyses performed on the following samples submitted to the CON I EST Analytical I aboratory erg found in this report PROJECT LOCATION 49S Campus Asheboro NC FII LD SAMPLI # LAB ID MAIRIX SAMPI 1 DI SLRIPTION TES SUB I AB 19C1203 01 Storm Waicr I'PA 166411 SM21 22 2540D S M 21 22 4500 H B SW 846 6020B Page 3 of 14 C MCA" ANALYTICAL LABORATORY 39 Spruce Street East Longmeadow MA 01028 FAX 4131525 6405 TEL 413/525 2332 CASF NARRATINF SUSINIAR1 All reported results are within defined laboratory quality control objectives unlcss listed below or othcr isc qualified m this report SM21 224500It B Qualifications II 05 Holding time was exceeded pH analysts should be performed immediately at time of sampling Nommal I5 minute holdmb time was cxsscded Anal,tc & Snmplcs(s) Qualified pill 19C120301[1] 1322669(,-DUI I SW 8466020H Qualifications R 04 Duplicate rclatnc percent difference (RPD) is a less useful indicator of sample precision for sample results that are <5 tunes the reporting limit (Rl ) Anahte & Samples(s) Qualified 1 cad 19CI203 01[l] 1322656H DUPI The results of analysis reported only relate to samples submitted to the Con Test Analytical Laboratory for testing I certify that the analyses listed above unless specifically listed as subcontracted if any were performed under m} direction according to the approved methodologies listed in this document and that based upon my inquiry of those individuals immediately responsible for obtaining the information the matenal contained in this report is to the best of my know ledbe and belief accurate and complete IisaA Worthington Itrojcct Manabcr Table of Contents I Page 4 of 14 Table of Contents con test° ANALYTICAL LABORATORY 39 Spruce Street East Longmeadow MA01028 FAX 4131525 6405 TEL 4131525 2332 Project l ocatton 49S Lampus Ashcboro AC Sample Dc"tip}ion Work Order 19C1203 Date RCLCI%Cd 3/2212019 Field SempleN I Sampled 3;2112019 1230 Samole la 19C 1201 01 Samnlc Matrix Stonn Water N1rtals Anuhscs (Total) Date Date(] rme Anul)lc Results RL DL Units Dilation Flal,/Qual Method I ripand Anulyccd Anahst Copper 00040 0 0050 000090 mg/L L J SA 946 6020D 3125/19 V26+19 12 50 Mil{ Lead 00012 00010 000024 rnWL I R 04 SW $46 6020D 3125l19 1i26119 12 50 M111 Zinc: 0 012 0 010 00049 mgll I SW 946 602f1D 1125119 1126119 12 5o mill Page 5 of 14 Table of Contents con"tcst� ANALYTICAL LABORATORY 39 Spruce Street East Longmeadow MA 01028 FAX 4131525 6405 TEL 4131525 2332 Project I ocatton 49S Campus Asheboro NC Sample Descrtpuon Work Order 19C 1203 Date Received 3/22/2019 Field Sample g 1 Sampled 1/21/2019 1230 Sample ID 19C1203-01 Sample Matrix Storm Water Conrcntional Chemistr) Parameters h} F P11APH US" S46 Methods (lutal) Date Date/Time Analt(e Results RI IN Units Dilution FlaglQual Method Prepared Anahccd Anal)sl PH a 19°C 65 pH Units I 11 05 SM21 22450011 t3 3123/19 3123/19 15 48 AIA Total Suspended Solids 9 6 2 0 4) H2 mg/1 l SM21 22 2540D 3126/19 3126f l9 15 32 1 Oil & Grease (IIFM) ND 14 099 moll 1 I I A 1664E 3128I19 3f2H119 13 (9) 11 Page 6 of 14 Table of Contents conrtest`� ANALYTICAL LABORATORY 39 Spruce Street East Longmeadow MA 01028 FAX 4131525 6405 TEL 4131525 2332 Sample Luractlan Data P PA 1664B ab Numher IPield ID] Batch Initial [ma [ Date 19C 1203 (it [ 1 ] B226H I I IN() 03/28/19 SM21 22 25400 l ah Numhcr 1Preld ID[ Batch Initial Ind I Date 19(,12()3 W ll] B226669 250 03l2(09 S%121 22 4500 1118 I ah Number [Pteld ID] Batch Initial Iml [ Date 19C 1203 01 [ 11 B226696 Soo 03123119 Prep I%Icthod SW 8463005A SW 11466020B 1 ah Number IPuld In[ Batch Initial [ml I Ptaal Jml [ Date 19C120301[1] B226569 500 500 03/25/19 Page 7 of 14 Table of Contents con -test° ANALYTICAL LABORATORY 39 Spruce Street East Longmeadow MA 01028 FAX 413/525 6405 TEL 413/525 2332 QUALM CON 1ROL rUtialsAnal)ses(lolal) Quahl%Conlrol Reporting Spike Source %REC RPD Analyte Result I emit Units Letel Result %RLC l tmits RPD Limit Notes Batch B226568 NN 846 3005A Bin nk(B226568 BI KI) Prepared 03/25/19 Analyzed 03126119 Copper ND 00050 mg/1 I cad ND 00010 mgll Zinc ND 0010 mg/l I CS (B226568 BSI) PrLparcd 03/25/19 Analyzed 03/26/19 Copper 101 0050 MO l 00 101 80 120 l cad 0 523 0 010 MO 0 500 105 80 120 Zinc 0 997 0 10 mgA l 00 99 7 80 120 I CS Dup (B226568 BSDI) Prepared 03/25119 Analyzed 03/26/19 Copper 0 975 0 050 m&A 100 97 5 80 t20 394 20 l cad 0 522 0010 mg/L 0 500 104 90 t 20 0 238 20 Zinc 0 990 010 m> A 100 990 60 120 0 708 20 Duplicate (B226568 DUPI) Source 190203 01 Prcpan.d 03/25/19 Analyzed 03/2019 Copper 000460 0 0050 MO 000402 137 20 1 I cad 000142 (Y 0010 MO 0 00) 16 20 5 " 20 R 04 Zinc 00129 0 010 mg11 00118 814 20 Matrix Spike (B226568-MSI) Source 19C1203 01 Prepared 03/25119 Analyzed 03/26/19 Copper 0 994 0 050 MO 100 ND 994 75 125 Lead 0 524 0 010 myll 0 500 NI) 105 75 125 /me 3 02 0 10 mg/L 100 IN 102 75 125 Page 8 of 14 l onwtesV ANALYTICAL LABORATORY 39 Spruce Street East Longmeadow MA 01028 FAX 4131525 6405 TEL 413/525 2332 QUAI ITY COATROI Conlentional ChCmistr) Parameters h) LPAIAPIWSV4 846 Methods (Intal) Otml t Sbntr�l Table of Contents Reportmb Spike Source %REC RPD Analyze Result LimiI lJmts Lewl Result %REC Limits RPD Limn Notes Batch B226669 SM21 22 2540D Blank (B226669 III Kl) Prepared & Analyzcd 03/26/19 Total Suspended Solids LCS (B226669 BSI) ND 2 5 mglL Prepared & Analyzcd 03/26/19 Total Suspended Solids Batch B226696 SM21 22 4500 H B L54 10 mg11 200 770 64 3 117 LCS (B226696 BSI) Prepared &Analyzed 03/23/19 PH LCS (B226696 BS2) 601 pH Units 600 too Prepared & Analyzcd 03/26/19 90 110 PH Duplicate (B226696 DUP1) 5 99 pit Umts SourCL 19C1203 01 600 99 8 Prepared & Analyzcd 03/23/19 90 110 PH Batch B226811 F PA 1664B 65 pH Units 6 5 1 12 5 D 05 Blank (11226811 BI Ki) Prepared &Analyzcd 03/28/19 Oil & Grcasc (HEM) Blank (B226811 BI K2) ND 14 mg/L Prepared & Analyzcd 03/29/19 Oil & Grcasc (HW LCS(B226811 BSI) ND 56 mglL Po.parcd&Analyzed 03128A9 Oil & Grease (HCM) 1 CS (B226811 BS2) 19 mgll 200 935 Prepared & Analyzed (13/28119 78 114 Oil & Grease (HEM) 680 mg/1 800 95 5 78 114 1 Page 9 of 14 Table of Contents conitlest" db, ANALYTICAL. LABORATORY 39 Spruce Street East Longmeadow MA 01028 FAX 4131525 6405 TEL 413525 2332 FLACIQUAI IPIFR SUIINIARI • QC result is outside of established limns t Wide rccoscry limits established for difficult compound t 0. ide RPD limits established for drtTiculi compound N Data cxcccdcd client recommended or regulatory level ND Not Detected RI Reporimb I imn is at the level ofquantttauon (I OQ) IN DCteChon I imit is the lower limit of detection determined by the MDl study MCI Maximum Contaminant I evel PLrlcrlt mcovuics and relative perccnt dit%renccs (RPDs) arc ddermmed by IhL Wftware ustnh values in IhL Lalculauon which havL not been rounded No results have htvn blank subtrauLd unl[ s vpceificd m thv Lasc nary ivc s ion I1 05 lloldi% tint. was exacdad pH analysis should be perforined immediately aI umL of samplm6 Nominal 15 minute holding time Aas exceeded J Dcwcted but below the Reporting I unit (lowest calibration standard) thLnforc rcwli is art kstimawd concentration (Cl P J Flab) R 04 Duplicate relative percent difference (RPD) is a Icss useful Indicator of sample precision for sample results that are <5 times the rcportmb limit (RI ) Page 10 of 14 41111 Coil -test° + ANALYTICAL LABORATORY 39 Spruce Street Easl Longmeadow MA 01028 FAX 4131525 6405 TEL 4131525 2332 CI RI IFICAI 10M Certified Analyses included in this R(porl Anal)le Certifications FPA 1664B in Nater Oil & Crease (IIFM) Cl MA NH N1 RE NC NIL VA S4121 22 2540D in It aver Total SusPcnded Solids CTMA ME NY RI NC MF VA S4121 22 4500 it B in Water PH Cl MA RI SH 846 6010E in Rater Copper - CT NH NYMI VA NC Icad CTNHNYMI VA NC Zinc CTNH N Y M I VA NC I he C(tN I EST Em ironmcnial I nbnratory operatLS under the F4)11oA mg I-crttfications and accreditalions Code Description Number Exptrce A111A A1HA LAP I I C 1S017025 2005 100033 03/1/2020 NIA Massachusetts IN P M MA 100 06130/2019 Cl Connecticut Department of Publilc Health PI1 0567 09130/2019 NY Ncw York State Department of Health 10899 NI 1 AP 0411/2019 NH S New Hampshire I nnironmental Lab 2516 NI I AP 02/5/2020 RI Rhode Island DcparumLm of Hcalih I AOM1 12 12/30/2019 NC North Carolina Div of Water Quality 652 12/31/2019 NJ New Jersey IN P MA007 Ni I AP 0613012019 11 Florida Department of I lealth 1871027 NI I AP 06/30/2019 V 1 Vermont Depanment of Health Lead Laboratory 1 1015036 07/30/2019 Nil State of Maine 2011028 0619/2019 VA Commonwealth ofVirgmia 460217 12/14/2019 NH P NcA Hampshire 1 nvironmental I ab 2557 NI 1 All 091612019 V I DW Vermont Ihpartrncnt of Health Dnnkin6 WalLr V1 255716 06/12/2019 NC DW North Carolina Department of Health 25703 07/31/2019 Table of Contents Page 11 of 14 ton -test' j rwt'�M' LUadUioRY Address 409 Rogers View Court Ra Phone (919)624 0630 Project location Project Ntm ber Project Manager Con -Test Quote Narne/Nranber invoice Recrptent Sampted By 1 7 T'� 7 { - y!'M4yn COnTmt� s. enis iqco http I /www contesElabs corn Doc A 379 Rev 1_03242017 Phone CHAIN OF CUSTODY RECORD lliortf+ Carolina) 39 SprLKe Street Page —1—of 1 East Longmeadow MA D1D28 — — Fax 41 Emall fnfoacontesttabs com 7 Day ❑ 10 Day r 0 of Containers M(d Atlantic Asswates Date = Preservation Code 1] ' Container Code 1 Day IZ Day 03 Ray ❑ 4 Day ❑ ❑ ANALYSIS ❑ Fiete F'tttetted- REQt1E57ED Mattab Inc R2943 10 Paul W enberq_@rl' aeunk Paul W Spangenberg F . na[ PL'f r EXCEL M Like Data PkS Requwed it To psp?nt enbe To a (91 1 3/21IM9 12 30 3/21/19, 12 30 1 3/21/19 12 30 3/21119 12 30 1 3/21119 12 30 3/21/19 12 30 inqurshed try {signature! trd W/ Ste¢ - 777// 9 ReceY by (signature) c{ Uished by (signaturel [ta s ed by (signature) N O Q 2 Stora water Project Entity El El 2L GWPC SWSL Ma MscC Gavernmen t Federal rt _ [] tab to Filter Li n U a �+ � Field Filtered' - 0 !(a?maaonllne corn ❑ Lab to Filter - 1250-9950 IGW - Ground Water WW * Wrsta Water x O L x x a11Y* ilrinid owater A m Air x 0 L H S= Sett SL = Sludip x O L N N N SO: a Wid O� Grilse (piealpe _- defina} ' Prexervatien lodes ' f E iced FI - HCL M - Metharro! N - Nitric Add S - Sutfuric Acid B - Sodium Bisulfate 1 X - Sodium Flydroxide T - Sodium 1 1i11osulfate _ 4 = Mer (ptease Please use the following codes to indtcate possible sample oxKeniretion within the define} Conc Code Column above H High M- Medlum L Low C Clean U Unknown s Container Codes A - Amber Glass G - Mass Program Information OSCA ❑ USTfTM t Fund SWS Landfill 0 REC IHSB Orphaned Landfill State Lead Other P - Plastft - -V : Vial S = Surnma Ca111ster T - Tedlar Sag 0 Either (please - j 41 Ocher pt13 ONLY Cr fD ❑ rkumci;,elty ❑ Chromatogram ❑ Snxhtet O_ ❑ Nownfield ❑ A1NA LAP LLC ❑ Non soxhtel 0 ❑ school O 7 CD 7 CA 325120119 Track your package or shlpmnnl with FedEx Tracking Table of Contents fi, 774776617533� Delivered - Saturday 3/23/2019 at 10 23 am DELIVERED Signed for by M PROVENCH GET STATUS UPDATES OBTAIN PROOF OF DELIVERY FROM I TO Raleigh NC US EAST LONGMEADOW MA US Multiple -piece Shipment 5 Piece shipment +g1 , tic ni%r'9c;rt�y� TRACKING NUMBER ,+ ti SNIPPI R CITY STATE n+. { SHIP DATE STATUS ; ps ,� { �d ' ° RA ]�4 \% }.. , k DELIVERY GATE ,„ y{ a y l l{t{ DESTINAYION/RECIPIENT,-K I 'CITYBTATIE 14n S (�' *4xy.7��ya `'��'Y� 4rN t 11 t �+11.�, t` Yi, l �lJ^� {o1 K] J1' 774776617533 RALEIGH NC 3/22/2019--f--+� I I I 3/23/2019 EA51 LONGMEADOW MA (master) I I 774776617739 RALEIGH NC E 3/22/2019 0 I f 3/23/2019 FAST LONGMEADOW MA I 1774776617945 RALEIGH NC I 3/22/2019 ` 3/23/2019 I LAST LONGMEADOW MA t I 774776618069 RALEIGH NC 3/72/2019 3/2312019 ! LAST LONGMEADOW MA E 774776618390 RALEIGH NC 3/22/20193/23/2019 I EAST LONGMEADOW MA � I Shipment Facts TRACKING NUMBER SERVICE MASTER TRACKING NUMBER 774776617533 FedEx Priority Overnight 774776617533 WEIGHT 151bs 1 6 8 kgs DELIVERED TO Shipping/Receiving TOTAL PIECES 5 TOTAL SHIPMENT WEIGHT TERMS SHIPPER REFERENCE 75 Ibs / 34 02 kgs Third Party BO hops /Iwww ledex cwWappslle&xtracWaction--track&trackingnumber=774776617533&cntry_oode-us&locaie-on US Page 13 of 14 Table of Contents I Have Not Confirmed Sample Container Numbers With Lab Staff Before Relinquishing Over Samples ® te S t-"> AfVALYTICAL LAi30RAT��iY Doc# 277 Rev 5 -2Q17 Login Sample Receipt Checklist - (Rejection Criteria Listing - Using Acceptance Policy) Any False Statement will be brought to the attention of the Client - State True or False Client Nkc 1 "CAAr\�AC Received By -Z1, F--- - Date C% Time tc2`?S How were the samples In Cooler No Cooler received? Direct from Sampling Were samples within By Gun # �Z2_ On Ice -T No Ice Ambient Melted Ice Actual Temp - QJ '�- Temperature? 2-6'C .T By Blank # Actual Temp - Was Custody Seal Intact? \�.Xa Were Samples Tampered with Was COC Relinquished ? T Does Chain Agree With Samples? _ T Are there brokenlleakinghoase caps on any samples? Is COC in ink/ Legible? _ -t Were samples received within holding time? -'C Did COC include all Client Analysis -t Sampler Name -r' pertinent Information Project ID's -T Collection Dates/Times T Are Sample labels filled out and legible" � d Are there Lab to Filters? Who was notified? Are there Rushes? Are there Short Holds? Is there enough Volume? T Is there Headspace where applicable) L 4-�_ Proper Media/Containers Used? T Were trip blanks received? V- Do all samples have the proper pH'? Who was notified? Who was notified? �T MS/MSD?�_ Is splitting samples required? On COC? 1 Acid -T?2y\4 Base FS �a{K'.i...'SG3f..:: .�ir�IkHy�eK1�/r�u.ii4.�rke.� �=..ir�w.T��.iatwo::�%:.?iii�i."rhsi.[a:=s1r".'i.�i�•�...s. �.p.4.\�.i�r�a�}f�:.�c Ems.:am�"+.•,I:� S+a<.f�r-a':�V:ti<�.�ri�::2� �-{�1'a:ram ��2._ mel ®OR - • • • • ,� '� ��Sytl.:iC.S I+! .�M1;S- ref G /- 1f�i AMAN Olt i Vie- h 4. �5G T'f• ar r'�'F'w'k 'f-y�'ti,,, iF r-•- " "T.r -. "``-v�^^-» ;r-"'+�J^rreY F a' , �} r�,7.•s `^�S i7-.-",2"f".' �% FIE M- Ma 5tormwater Discharge Monitoring Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No NCG030000 Date submitted sf7119 CERTIFICATE OF COVERAGE NO NCG03 o 6 5 9 FACILITY NAME Matlab Inc Plant 10 COUNTY Randolph PERSON COLLECTING SAMPLES Mitch Auman LABORATORY Con test Lab Cert # 652 Comments on sample collection or analysis Part A Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD Jan -June ❑ July -Dec or Monthly' (rr►ont! c C fDIS HARGING TO CLASS ❑ORW ❑HQW []Trout❑PNA RCCC I tF ❑Zero -flow ❑Water Supply [:]SA MAR 18 2019 ❑other CE,N I RAL F-11LES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 OVIR SECTION ❑ No discharge this period;2 Outfall No Date Sample 1 Collected (mo/dd/yr) 24-hour rainfall amount, a inches Total Suspended Solids PH, Standard units Total Copper Total Lead Total Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks _ - 100 mg/L or 50 mg/O 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 C0530 00400 01119 01051 01094 00552 78141 01 2120/19 083 30 70 00058 00019 0 089 0 NIA ' 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 ' 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 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 monitonng 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 " Press Brower Name (Print name) VP of En sneering Title (Pr e 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 a 55 gal of new oil per month ❑ No discharge this period?' Outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 New Motor Oil or Hydraulic Oil Usage Non -Polar O&G/ Total Petroleum Hydrocarbons Total Suspended Solids Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/L° Parameter Code 46529 NCOIL 00552 C0530 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 2, or Tier 3 responses See General Permit text Permit Date 11/1/2018-05/31/2021 5WU 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 r TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME Marl an original cMv of this DMR, Including all "No Discharge" reports, within 30 days of receftit of the lab results for at end of monitoring period in the case o "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 theri ni\ficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " Signature of Permittee Permit Date 11/1/2018 05/31/2021 ---5 /2 2/ Date SWU-245, last revised 11/1/2018 Page 3 of 3 RAIN EVENT DATA FACILITY Matlab Inc — Plant #10 ADDRESs 7307 Jordan Road Ramseur, NC 27205 CONTACT PERSON Press Bower TELEPHONE 336- 629-4161 STORM EUENT�INFORMATION drt�h��fi�r�1�"�' •uF DATE YEAR MONTH DAY 19 2 20 HOURS MINUTES DURATION 24 0 PRECIP AMOUNT (IN) 027 RUNOFF VOL GAL 018 HOURS DAYS PRECEDING EVENT 0 3 2/20/19 2 5 Acres x 43560 = 108900 x 0 27= 29403 x 0833 = 2449 2 x 7 48 = 18320 51 1000000 = 0 018 mg STORMWATER DISCHARGE OUTFALL (SDO) QUALITATIVE MONITORING REPORT Certification of Coverage No Facility Name 1 County Permit No NCG030659 Matlab Inc — Plant #10 Randolph Expires 5/31/2021 Ramseur North Carolina Inspector Name Date of Inspection T2/20119 Paul W 5 an enber OUTFALL DESCRIPTION Outfall No —[ Structure (pipe ditch etc) Receiving Stream 1 Pipe Tributary to Describe the industrial activities that occur within the outfall drainage area Painting & Coating Manufacturing Color Describe the color of the discharge using basic colors (red, brown, blue, etc ) and tint (light medium, dark) as descriptors Light Brown Odor Describe any distinct odors that the discharge may have (i a smells strongly of oil weak chlorine odor etc ) None Clarity Choose the number which best describes the clanty of the discharge where 1 is clear and 10 is very cloudy (circle one) 1 O2 3 4 5 6 7 8 9 10 Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface is covered in floating solids (circle one) 0 2 3 4 5 6 7 8 9 10 Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy (circle one) 1 O2 3 4 5 6 7 8 9 10 Foam Is there any foam in the stormwater discharge (circle one)? Yes N Oil Sheen Is there an oil sheen in the stormwater discharge (circle one)? Yes No Erosion Deposition Is there evidence of erosion or deposition at the outfall? (circle one) Yes No If yes, list and describe Other Is there other obvious indicators of stormwater pollution in the stormwater discharge (circle one) Yes No If yes, list and describe r� I Rain Event 4, Was this a Representative Storm Event? X Yes _ No Total Event Precipitation (Inches] 0 27 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 x 1 Certificationw ' By this signature I certify that this report is accurate and complete to the best of my knowledge Inspector's Signature Pad 70. .S STORMWATER FACILITY INSPECTION FORM Facility Name Location Certification of Coverage No NCG030659 Matlab Inc — Plant #10 Ramseur North Carolina Expires 5/31/2021 Number of Inspector s Name Date Outfalls Paul W Spangenberg 2/20/19 1 Con ting Areas Evidence of pollutants entering system (circle one) Yes No If yes, descnbe Areas of potential pollutants entering system Describe None Control measures present (circle one) Yes No If yes describe Additional control measures needed (circle one) Yes No If yes describe Sediment and erosion control measures present (circle one) es No If yes, describe Rip -Rap at discharge and drainages ditches Describe any new structural stormwater management measures None Potential Pollutant Areas Describe any load inglunloadmg operations Trucking, Tank Truck Describe any outdoor storage activities Wood Pallets, Scrap Metal, Solid waste dumpsters used equipment Describe any outdoor manufacturing or processing activities None Describe and dust or particulate generating areas None Describe any onsite waste disposal activities None Significant ks or Spills Any reportable spills or leaks in the past year (circle one) Yes No If yes, date Impact on stormwater system(s) Certification By this signature I certify that this report is accurate and complete to the best of my knowledge Inspectors Signature Pawe 7y .j t PJI Table of Contents con -test" ANALYTICAL LABORATORY 39 Spruce Street East Longmeadow MA 01028 FAX 413/525-6405 TEL 413/525-2332 March 4 2019 Paul Spangenberg Mid -Atlantic Associates Inc -Raleigh NC 409 Rogers View Court Raleigh NC 27610 Project Location Plant 10-Ramseur NC Client Job Number Project Number R2943 00 Laboratory Work Order Number 19BO996 Enclosed are results of analyses for samples received by the laboratory on February 21 2019 If you have any questions concerning this report please feel free to contact me Sincerely %&, �. O'�� Kerry K McGee Project Manager Page 1 of 14 Table of Contents Table of Contents Sample Summary Case Narrative Sample Results 19BO996-01 Sample Preparation Information QC Data Metals Analyses (Total) B22448I Conventional Chemistry Parameters by EPA/APHA/SW-846 Methods (Total) B224214 B224255 B224383 Flag/Qualifier Summary Certifications Chain of Custody/Sample Receipt 3 4 5 G1 7 8 8 8 9 9 9 9 10 11 12 Page 2 of 14 Table of Contents con-e stO ANALYTICAL LABORATORY 39 Spruoe Street East Longmeadow MA 01028 FAX 4131525-6406 TEL 413/525-2332 Mid Aelanbe Associates, Inc Raleigh NC 409 Rogers View Court REPORT DATE 314/2019 Ralegh NC 27610 PURCHASE ORDER NUMBER ATTN Paul Spangcnbcrg PROJECT NUMBER R2941 OD ANALYTICAL SUMMARY WORK ORDER NUMBER 19B0996 The rosults of analyses performed on the following samples submitted to the CON TEST Analytical Laboratory are found in this report PROJECT LOCATION Plant tNRamseur NC FIELD SAMPLE 6 LAB ID MATRIX SAMPLE DESCRIPTION TEST SUB LAB I 19BO996-01 Winer EPA 1664E SM21 22 2540D SM21 22 4500 H B SW 8466020B I age 3 of 14 Table of Contents con-tlestO ANALYTICAL LABORATORY 39 Spruce Street East Longmeadow MA 01026 FAX 413/525-6405 TEL 4131525-2332 CASE NARRATIVE SUMMARY All reported results are within defined laboratory quality control objecmes untesS listed below or otherwise qualified in this report Quadfieations R-02 SM21 22 2540D Duplicate RPD is outside of control limits Outlier can be attributed to sample non -homogeneity encountered during sample prep Analyte & Samples(s) Qualified Toots Suspended Solids 19B09964)1111 B224214-DUP2 SM21 22 45M H D Qaalifieattoag H-05 Holding time was exceeded pH analysis should be performed mimediately at time of sampling Nominal 15 mmute holding time was exceeded Analyte & Samples(s) QuaDfied pH 19BO996-0Ij1] The restdts ofanalyses reported only relate to samples submitted to the Con Test Analytical Laboratory for testing I certify that the analyses listed above, unless specifically listed as subcontracted, deny were performed under my duution according to the apprmed methodologies listed in this document, and that based upon my inquiry of those individuals immediately, responsible for obtaining the information the material contained rn this report is to the best of my knowledge and belief accurate and complete 4,,4,WW"A�� LisaA Worthington Project Manager Page 4 of 14 cTable of Contents on"test ANALYTICAL LABORATORY 39 Spruce Street East Longmeadow MA 01028 FAX 4131525-6405' TEL 413/525-2332 Project Location Plant 10-Ramseur NC Sample Descnphon Work Order 19BO996 Date Received 2121/2019 Flew Sample a I Sample IA 19B0996-01 Start Datefrime 2/20/2019 9 10 ROAM Samole Matnx Water Ston Datcrruoe 220/2019 9 40 00AM Metals Analyses (Total) Date Daterrime ADalyte Results RL DL Units Dilution FlueQual Method Prepared Analyzed Analyst Copper /5 tw 58 50 090 µglL I SW 946 6020E 2/26119 2127/ 19 10 40 MJH Lead 19 1 0 024 µg/L 1 SW 8456020E 2/26/19 2127119 10 40 MJH Zinc• { G 6 89 10 49 µglL 1 SW-84660208 2126/19 2/27/19104D MJH Page 5 of 14 Table of Contents comlesto ANALYTICAL LABORATORY 39 Spruce Street East Longmeadow MA 01028 FAX 413/525-6405 TEL 413/525-2332 Project L,ocanon Plant 10-Ramseur NC Sample Description Work Order 19BO996 Date Received V2112019 Field Sample 0 1 Sample ID 19BM6-01 Start Daterrinic 2/20/2019 9 30 OOAM Sample Matrix Water Stun Date/Time 2/2012019 9 40 OOAM Conventional Chemistry Parameters by EPA/APHA/SVI4146 Methods (Total) Date 11ate/Pime Analyte Results RL DL Units Dilution FlaWQual Method Prepared Analyzed Analyst pH @20 3aC 70 pH Units I H-05 SM21 22 4500 H 6 2/23119 2123119 13 50 AIA Total Suspended Solids 30 20 12 mg/L I R-02 SM21 22 2540D 2/22/19 2122/19 17 19 LL Oil & Grease (HEM) ND 14 099 mg/L I EPA 1664E 2/26/19 W6/19 13 25 LL rPa6f14 - Table of Contents con"teto ANALYTICAL LABORATORY 39 Spruce Street East Longmeadow MA 01028 FAX 413/52"405 * TEL 413/525-2332 Sample Extraction Data SPA 1664B Lab Number [Field ID] Batch ImtW [mL] Date 19BO996-01 [1] B224383 1000 02/26/19 SM21 22 2t401) Lob Number [Field IDl Batch laihal lmL] Date 19BO996-01 ]1] B224214 250 02/22/19 SM21-22 4500 H B Lab Number [Field ID] Batch Initial [mLl Dale 19B09%-01 [1] B224255 500 02/23/19 Prep Method SV4-846 3005A SW4 46 60208 Lab Number [Field IDl Batch Initial [mLl Final [mLl Date 19BO996-01 [1 ] 8224481 500 500 02/26/19 CPage 7 of 14 +(� (1�� Table of Contents Saom`-testo ANALYTICAL LABORATORY 39 Spruce Street East Longmeadow MA 01028 FAX 4131625-MOO TEL 41 3/525-2332 QUALITY CONTROL Metals Analyses (Total) Quality Control Reporting Spike Source %REC RPD Analyte Result Limn Units Level Result %REC LMUILS RPD Limit Notes Batch B224481- 9W-844 3WA Blank(B224481 BLKI) Prepared 02/26/19 Analyzed 02/27/19 Copper ND 50 118)L Lead ND 10 µg/L Zinc ND 10 µg/L LCS (B224481 BSI) Prepared 02I26/19 Analyzed 02/27/19 Copp- ]000 50 lagIL ]000 too 8D-120 Lead 504 10 11g1L 500 101 80-120 Zinc 1040 100 4L 1000 104 80 120 LCSDup(822448113SDI► Prepared 02/26/19 Analyzed 02/27/19 Copper 1020 50 14g/L 1000 102 80-120 188 20 Lead 511 t0 pg)L 500 102 80 120 142 20 Zinc 1040 100 li8/L 1000 104 80-120 0349 20 �w Page 8 of 14 Table of Contents Croon"Usto ANALYTICAL LABORATORY 39 Spruce Street East Longmeadow MA 01028 FAX 413/525-6405 TEL 413/525-2332 QUALITY CONTROL Cotiventlonal Chemistry Paramettrs by EPA/APHAISW-846 Melhods (Total) Quality f nntrol Reporting Spike Source %REC RPD nalyte Result I omit Units Level Result %REC Lumts RPD Limit Notes Batch B224214 SM21 22 2340D Blank (8224214-BLKI) Prepared & Analyzed 02/221l9 Total Suspended Solids ND 25 mg/L LCS(B2I4214-BSI) Prepared & Analyzed 02/22/19 Total Suspended Solids 138 10 rng/L 200 690 643 117 Duplicate (B224214-DUP2) Source 19BO996-01 Prepued & Analyzed 02/22/19 Total Suspended Solids 29 20 m81L. 30 341 = 5 R-02 Batch 8224255 SM21 22 45M H B LCS (82242SS.BS1) Prepared & Analyzed 02723/19 PH 602 pH Units 600 too 90 110 Batch B224393 EPA 1664H Monk(82243&3-BLKI) Prepared & Analyzed 02/26/19 Oil & Grease (HEM) ND 14 m8/L Blank (B224383-BLK2) Prepared & Analyzed 02/26/19 Oil & Grease (HEM) ND 28 mg/1 LCS (82243B3-BSI) Prepared & Anahmod 0n&19 Oil & Grease (HEM) E9 mg1L 200 910 78-114 LCS (8224383 BS2) Prepared & Analyzed 02/26/19 Oil & Grease (HEM) 410 mg/L 400 103 78-1 l4 Page 9 of 14 Table of Contents con-Itesto ANALYTICAL LABORATORY 39 Spruce Street East Longmeadow MA 01028 FAX 4131525-6405 TEL 4131525 2332 FLAGIQUALIFIER SUMMARY • QC result is outside of established huts t Wide recovery limits established for difficult compound $ Wide RPD lints established for difficult compound # Data exceeded client recommended or regulatory level ND Not Detected RL Reporting Limn is at the level of quanntation (LOQ) DL Detection Lima is the lower limit of detection determined by the MDL study MCI Maximum Contaminant Level Percont feC0YenC5 and relative percent differences (RPDs) are determined by the software using values in the ,,alcolatron which have not been rounded No results have been blank subtracted unless specified in the case narrative seeuon F1 05 Holding time was exceeded pH analysis should be performed immediately at time of sampling Nominal 15 mutate holding time was exceeded R-02 Duplicate RPD is outside of control limits Outlier can be attributed to sample non homogeneity encountered during sample prep [Page 10 of 14 acon-Acsto ANALYTICAL LABORATORY 39 Spruce Street East Longmeadow MA 01028 FAX 4131525-0405 TEL 4131525-2332 CERTIFICATIONS Table of Contents Certified Analyses included in this Report Analyte Certifications EPA I664B in Water Oil & Crease (HEM) CT MA NH NY RI NC ME —VA SMZI-22 2540D m Water Total Suspended Solids CT MA NH NY RI NC ME,VA VM21-22 4500 H B in Watt pH CT MA RI S W446 6020B m Water Copper CT NH NY ME VA NC Lead CT NKNY MI,VA NC Zmc CT NKNY ME,VA-NC The CON TEST Environmental Laboratory operates under the following certifications and acereditatons Code Descnpton Number Expires AIHA AIHA LAP LLC ISO17025 2003 100033 03/1/2020 MA Massachusetts DEP M MAk00 06/30/2019 Cr Connecticut Department of Pubble Health PH-0567 09/30/2019 NY New York State Department of Health 10899 NELAP 0411 /2019 NHS New Hampshire Environmental Lab 2516 NELAP 02/5/2020 RI Rhode island Department of Health LAOD0112 12/3012019 NC North Camlina Div of Water Quality 652 12/31/2019 NJ New Jersey DEP MA007 NFI AP 06/30/2019 FL Florida Department of Health E971027 NELAP 06/30/2019 VT Vermont Department of Health Lead Laboratory LL015036 07/30/2019 MC State ofMame 2011028 06/9/2019 VA Commonwealth ofVirgmia 460217 IV1412019 NH P New Hampshire Environmental Lab 2557 NELAP 09/612019 VT DW Vermont Department of Health Drinking Water VT 255716 06/12/2019 NC DW North Carolina Department of Health 25703 07/31/2019 Page 11 of 14 ti q 66�cf(� http I/www contestlab5 Corn Doc ✓r 379 Rev 1 03242017 con -tar Phone CHAIN OF CUSTODY RECORD (North Caroltne) 39 Spruce Street Page _1_ of _1_ Fast Longmeadow MA01028 Fax. 41 Email l t.tabs cram 7 Day © 10-Day p R of Containers Mid A? [antic AMCat Diet Date 'Preservation Code Address 409 Rogers View Court RA ' Container Code Phone 19141624-0630 1 DaY ❑ 3-Day 2 baY ❑ 4 Day © Y51S REIQ UE5TED AM Filtered , [] 'Lab to Filter Mattab htc Project Location Ptant 10 Ramseur NC a Project Number R2443 14 Format POF [+] EJFCEL ('] Other CLP Like Data Pkg Required 0 Email to a enbe maaonllnfs cam Fax To i1 (919) 250-"50 o 3 a ` f i r Field Filtered' , lab w Filter ' - Gw Project Manager- Paul W Spangenberg Con Test Quote Name/Number invoice ReMent n enbe maaonl[ne corn Sampled By Paul W Spareenberg ilndlrR � s � � 61Srae WIN iYd orm i water WWaWatt Wrtar VW=byirdtmawatar f SOL Q�Iiyy„ttii"ttSolid��Cat 0 a Other (Ptsm 2/201191930 2120/191940 x 0 L X x x x x x lam" � 3 K {'- �' i � � ; deiu,s> ` � �eIY�IL{Slt1 �9ti'Rl HCL 1iytT�r?[M M w MBti18na1 .N o NiWc Acid S = Svdknftrk Acid ' B - Soditml9isulfatr x o Sodium Hydro rdde T = Sodium _. Titfoctlllate Other (O`i ' .,� €}}rs? s{Y z %� /� a Wixey a;�?,,, � � � SO s x ? dYst'°r �.�_-� C mL'ntS Please use the fuliowfng codes to indicate posiNe sample Concentration wtthln the det) Conc Cods column above - M Nigh,M Medium L Low; C Clean V llrnkrwlrn lonwilers2ft A - Amber Glass G . Glass ReunwIshed by (stgnature) r Progimn lnfonykWon ylaat S/ryrari" -tI r 1 © 2L 3 DSGA tPST/Tnrst Fund SWS Landfill ❑ REC. _ P =Plastic �' StertLe rf R�C�/ by ( t G' 0 GWPC 0 SWSL J' " � IH% Orphaned Landfill State Lead -S = Sletirna Canister T =Tediar Bag Rett try t ) t// i1i58 AtSCC l Other 0 = Other (please ' de ine) --� �l Project Entity Other s� Ea ONLY v ursi,ed (signature) 0 Government ❑ Munlclpallty © Federal ❑ Brownfletd ( Chromatogram ❑ AfHA-L4P,LLC ❑ soxhiet IN ❑ Non Soxhtt% 1p by gnature) l j 0 City ❑ School O O C7 O A C (p 7 212212019 Track your package or shipment wNh FedEx Tracking FVAJGXPP 774530640902 Delivered Friday 2/22/2019 at 9 05 am DELIVERED Signed for by B BECCA GET STATUS UPDATES OBTAIN PROOF OF DELIVERY FROM TO Raleigh NIL US EAST LONGMEADOW MA U5 Multiple -piece Shipment 5 Piece shipment Table of Contents i s (D SHIPPER CITY TRACKING NUMBER SHIP DATE .t STATUS ti DELIVERY DATE DESTINATIDWRE:CIPIENT STATE I 1 t CITY STATE 774530641129 RALEIGH NC 2/21/2019 2/22/2019 EAST LONGMILQDOW MA (master ) 774530640096 RALEIGH NC 2/21/2019 2/22/2019 EAST LONGMFADOW MA 774530640876 RALEIGH NC 2121/2019 2/22/2019 EAST LONGMEADOW MA 77453064089E RALEIGH NC 2/21/2019 2/22/2019 EAST LONGMEADOW MA 774530640902 RALEIGH NC 2/21/2019 env 2/22/2019 EAST LONGMEADOW MA Shipment Facts TRACKING NUMBER SERVICE MASTER TRACKING NUMBER 774530640902 FedEx Priority Ohernight 774530641129 WEIGHT DELIVERED TO TOTAL PIECES 15 lbs / 6 8 kgs SNpping/ReLeiving 5 TOTAL SHIPMENT WEIGHT TERMS SHIPPER REFERENCE 15 Ibs / 6 8 kgs Third Party 80 Page 13 of 14 htrpsJ/www fedex coNappsMadextraeW?aclgn=track&tmcknunitwm-774530$40902&Iocabcen usa«ntry_coae=us Table of Contents I Have Not Confirmed Sample Container Numbers With Lab Staff Before Relinquishing Over Samples m%ftou le test, APEAI..YTIGAL LAE30RATORV _ Doc# 277 Rev 5 207 Login Sample Receipt Checklist - (Rejection Criteria Listing - Using Acceptance Policy) Any False Statement will be brought to the attention of the Client - State True or False Client (1 ,ck 0 1 Received By Cpy Date 14 °i Time CR/ S,- How were the samples In Cooler T No Cooler On Ice �� No Ice received? Direct from Sampling Ambient Melted Ice By Gun # I Actual Temp - Were samples within Temperature7 2-6°C T' By Blank # Actual Temp - Was Custody Seal Intact? N— Were Samples Tampered with! Was COC Relinquished ? -t Does Chain Agree With Samples? r Are there brokenlleakinglioose caps on any samples? _E Is COC in ink/ Legible? Were samples received within holding lime? �- Did COC include all Client i Analysts T Sampler game pertinent Information? Project �- ID's T Collection Dates/Times _L Are Sample labels filled out and legible? —r- Are there Lab to Filters? 4— Who was notified? Are there Rushes? Who was notified? - Are there Short Holds? h` Who was notified? _-) Is there enough Volume? T Is there Headspace where applicable? 1< MSIMSD? Proper Media/Containers Used? Is splitting sampI s required? Were trip blanks received? On COC?r Do all samples have the proper pH7 Acid PI, L Base Un 1 Liter Amb 1 Liter Plastic 16 oz Amb HCL- 500 mL Amb 500 mL Plastic 8oz Amb/Clear Meoh- 250 rnL Amb 250 mL Plastic 4oz AmblClear Bisulfate- Flash point Col /Bacteria 2oz AmblClear DI- Other Glass Other Plastic Encore JThiosulfate-1 SOC Kit Plastic Bag Frozen Sulfuric- I I Perchlorate Ziolock Wig- 1 1 Liter Amb 1 1 1 Liter Plastic J_ 1 16 oz Amb _ I I HCL- 1 500 mL Amb 1 1 500 mL Plastic I I 8oz Amb/Clear I int I I 2oz IThiosulfate-1 I SOC Kit I IPlastic Bag Frozen j Sulfuric I I Perchlorate I I ZiDlock j http !lwww coritestlabs com Doc # 379 Rev 1_03242017 con -taco �., Phone CHAIN OF CUSTODY RECORD (North Carolina) 39 Spruce Street East Longmeadow MA 01028 Page _1_ of I. Fax 41 Email infowantestlabs com 7 Day ❑ 10 Day 0 # of Containers Mid Atlantic Associates Due Date Z Preservation Code Address 409 Rogers View Court Ra a Container Code Phone (919) 624 0630 1 Day ❑ 3 Day ❑ ANALYSIS REQUESTED + Matlab Inc 2 Day ❑ 4 Day ❑ ❑ Field Filtered r ' Project Location Plant 10 Ramseur NC + ❑ Lab to Fitter Project Number R2943 10 Format PDF 0 EXCEL ❑ _ Project Manager Paul W Spangenberg Other z + Can Test Quote Name/Number CLP Like Data Pkg Required Ela 'tJ o u w N ❑ Field Filtered Invoice Recipient mangenbeinAmawnline com Email To pspangenberg@maaonhne com ❑ - Lab to Filter 4 Sampled By Paul W Spangenberg Fax To # (919) 250 9950 ' ,Con Test i P n c `f ° ? i Sampte ID /-Desc a w ^' i " beginning Date/Time' 7 ; ` V f « rr — o a > �, Ending Date/Time o. �, Composite Grabi iMatrtx . ,x A Conc Codex i Matrix fades Work Ordertl ,r — u # GW Ground Water 1 2/20/19l9 30 2/20/19l4 40 x O L X X X X X X VAV = Waste Water DW= DrmkinjiWater t * �, e � "} t' A=Air S e Sail �0 SL = Sludge SOL = Solid ,, KO=Other (please define x Preservation Codes I =Iced H=HCL M = Methanol Acid _N=Nitric 5 = Sulfuric Acid Jr B = Sodium Bisulfate X = Sodium Hydroxide T,=Sodium Comments Thiosulfate Please use the following codes to indicate possible sample concentration within the O = Other (please Conc Code column above define) H High M Medium L Low C Clean U Unknown 3 Container Codes A = Amber Glass Relinquished by (signature) , / �// .S— "� Y C �0 i Program Information DSCA ❑ USF1Tnnt Fund G = Glass P = Plastic ❑ 2L — ---- Rec i by {st atur aa A �� ❑ GWPC I SWS Landfill ❑ REC S rile Vial ❑ SWSL IHSB Orphaned Landfill S = Summa Canister Relinquished by (signature) ❑ I1-156 F State Lead T = Tediar Bag ❑ WC Other 0 = Other (please Received by (signature) define) ai6iidrT„dlat►iA!Ueo1Vi Relinquished by (signature) Project Entity Other PCB ONLY ❑ Government ❑ Municipality ❑ Chromatogram ❑ Soxhlet Received by (signature) © Federal ❑ Brownfield ❑ AIHA LAP,LLC ❑ Non Soxhlet ❑ City ❑ School r con -test* ■wa,*ric.� iwaoiuTan Address 409 Rogers View Court Ra Phone (919)624 0630 .Ali lir-T-46Z Project Location Project Number Project Manager Con Test Quote Name/Number Invoice Recipient Sampled By Con Test Work Order# is Phone Fax 41 Email info(kontesthbs com Mid Atlantic Associates http Ilwww contestla s cam CHAIN OF CUSTODY RECORD (North Carolina) 7 Day ❑ 10 Day Due Date ❑+ 1 Day 2 Day ❑ 3 Day ❑ 4 Day C) ❑ Mattab Inc Plant 10 Ramseur NC i i R2943 10 Format Other PDF ❑ EXCEL ❑ Paul W Spangenberg Doc # 379 Rev 1_03242017 39 Spruce Street Page _1_ of _i_ East Longmeadow MA 01028 # of Containers i Preservation Code ' Container Code ANALYSIS REQUESTED ICEME= I I ❑ Field Filtered ❑ Lab to Filter CLP Like Data Pkg Required ❑ 0 F 0 a ' + L3 Field Filtered PsPan-qenbern@ffLaaonhneCOM Email To pspang enbert 0maaonline com ❑ Lab to Filter Paul W Spangenberg Fax To # (919)250 9950 Sample ID / Desci Beginning Date/Time Ending Date/'lime Composite Grab 'Matrix Conc Code Matrix Codes GW = Ground water WW = Waste water 1 2120/19/9 30 2/20/19/9 40 x 0 L X X X X X X DW= Drinking Water Relinquished by (signature) ;piimdW S¢aePaire.y IIIIIIIIIIIIE ❑ 2L Received by (signature) ❑ GWPC ❑ SWSL Relinquished by (signature) ❑ IHSB M MSCc eived by (signature) nqulshed by (signature) Project Entity ❑ Government elved by (signature) ❑ Federal ❑ City A=Air S = Soil SL = Sludge SOL = Solid O n Other (please define) 2 Preservation Codes I = Iced H=HCL M = Methanol N = Nitric Acid S = Sulfuric Acid B = Sodium Bisulfate X = Sodium Hydroxide T = Sodium i mosulrate Please use the following codes to indicate possible sample concentration within the 0 = Other (please Conc Code column above define) H High M Medium L Low C Clean U Unknown a Container Codes A = Amber Glass c = class P = Plastic Program Information OKA ❑ UST/Trust Fund Sws Landfill ❑ REC. ST = Sterile iall IHSB Orphaned Landfill S = Summa Canister State Lead T = Tedtar Bag Other 0 = Other {please ❑ Municipality ❑ Brownfield ❑ School 0 Chromatogram ❑ Soxhlet ❑ AiHA LAP LLC ❑ Non Soxhlet Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 11 29 18 CERTIFICATE OF COVERAGE NO N00030659 FACILITY NAME Matlab — Plant 10 COUNTY Randolph PERSON COLLECTING SAMPLES Mitch Auman LABORATORY Prism_ Lab Cert # 402 Comments on sample collection or analysis Part A 5tormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June ® July -Dec RECEIVLD or ❑ Monthly' month) DEC DISCHARGING ❑ [:]Trout TO CLASS ORW ❑HQW Trout ❑PNA LU s0 ❑Zero -flow ❑Water Supply ❑SA CENTRAL. ,--ILES ®Other C1r R c__CTIQ1': PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organicss Benchmarks - - 100 mg/L or 50 mg/0 6 0 — 9 0 0 010 mg/L 0 075 mg/L 0 126 mg/L 15 mg/L 1 mg/L 01 11/13/18 115 59 73 0 0 016 0 ------ Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall z 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 ' See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies '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 11/1/2012-10/31/2017 SWU-245 last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent 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 " Press Brower Name (Print name) Title (Punt tit (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 me/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 ❑ No discharge this period ?2 Outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 5 0 -- 9 0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies Permit Date 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2of3 Note if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses See General Permit text 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 ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME Mail an original and one 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 " r 1-2- _3 (Signature of Permittee) (Date) Permit Date 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 RAIN EVENT DATA FACILITY Matlab. Inc — Plant #10 ADDRESS 7307 Jordan Road Ramseur, NC 27205 CONTACT PERSON Press Bower TELEPHONE 336- 629-4161 STORM EVENT INFORMA^TI��a ON,fM h 1fi Y 1 DATE YEAR MONTH DAY 18 11 13 HOURS MINUTES DURATION 48 0 PRECIP AMOUNT(IN) 1 15 RUNOFF VOL GAL 078 HOURS DAYS PRECEDING EVENT 0 3 R PRINCIPLE`EXECUTIVE,C}FFICER OR AUTHORIZED. GE�NI T'��;, �` r d - R a , PRINT SIGNATURE DATE Paul W Spangenberg ��/� 10/9f 11/13/18 2 5 Acres x 43560 = 108900 x 1 15 = 125535 x 0833 = 10432 x 7 48 = 78031 / 1000000 = 0 078 mg STORMWATER DISCHARGE OUTFALL (SDO) QUALITATIVE MONITORING REPORT Certification of Coverage No Permit No NCGO30659 Expires 5/31/2021 Facility Name Matlab Inc —Plant #10 Ramseur North Carolina County Randolph Inspector Name Paul W S an enber Date of Inspection 11113/18 OUTFACE DESCRIPTION Outfall No Structure (pipe, ditch, etc } 1 Pipe f2ecetving Stream Tributary to Describe the industrial activities that occur within the outfall drainage area Painting & Coating Manufacturing Color Describe the color of the discharge using basic colors (red, brown blue etc ) and tint (light medium dark) as descriptors Light Brown Odor Describe any distinct odors that the discharge may have (i a smells strongly of oil weak chlorine odor etc ) None Clarity Choose the number which best describes the clanty of the discharge where 1 is clear and 10 is very cloudy (circle one) 1 O2 3 4 5 6 7 8 9 10 Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface is covered in floating solids (circle one) O2 3 4 5 6 7 8 9 10 Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy (circle one) O2 3 4 5 6 7 8 9 10 Foam Is there any foam in the stormwater discharge (circle one)? Yes N Oil Sheen Is there an oil sheen in the stormwater discharge (circle one)? Yes No Erosion Deposition Is there evidence of erosion or deposition at the outfall? (circle one) Yes No If yes list and describe Other Is there other obvious indicators of stormwater pollution in the stormwater discharge (circle one) Yes No If yes, list and describe Rain Event Was this a Representative Storm Event? X Yes No Total Event Precipitation (Inches)1 15 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 a Certification By this signature I certify that this report is accurate and complete to the best of my knowledge Inspector's Signature Padw. CAA�O'll STORMWATER FACILITY INSPECTION FORM Facility Name Location Certification of Coverage No NCG030659 Matlab Inc —Plant #10 Ramseur North Carolina Expires 5/31/2021 Number of Inspectors Name Date Outfalls Paul W Spangenberg 11/13/18 1 Con ting Areas Evidence of pollutants entering system (circle one) Yes kNjo If yes, describe Areas of potential pollutants entering system Describe None Control measures present (circle one) Yes No If yes describe Additional control measures needed (circle one) Yes No If yes descnbe Sediment and erosion control measures present (circle one) es No If yes, descnbe Rip -Rap at discharge and drainages ditches Describe any new structural stormwater management measures None Potential Pollutant Areas Describe any loading/unloading operations Trucking Tank Truck Describe any outdoor storage activities Wood Pallets, Scrap Metal Solid waste dumpsters used equipment Describe any outdoor manufacturing or processing activities None Describe and dust or particulate generating areas None Describe any onsrte waste disposal activities None Significant 6eaks or Spills t + Any reportable spills or leaks in the past year (circle one) Yes No If yes date Impact on stormwater system(s) Certification By this signature I certify that this report is accurate and complete to the best of my knowledge Inspector's Signature Palze W .� r\� I S M ��%u.aorurnaies iNa Full Service Analytical 8 Environmental Solutions Mid -Atlantic Associates Inc -Raleigh Paul 5pangenberg 409 Rogers View Court Raleigh NC 27610 NC Certification No 402 NC Onnking Water Cert No 37735 SC Certification No 99012 Protect Matlab - Ramseur Lab Submittal Date 11/14/2018 Prism Work Order 8110239 Case Narrative 11128/2018 This data package contains the analytical results for the project identified above and includes a Case Narrative Sample Results and Chain of Custody Unless otherwise noted all samples were received in acceptable condition and processed according to the referenced methods Data qualifiers are flagged individually on each sample A key reference for the data qualifiers appears at the end of this case narrative Please call if you have any questions relating to this analytical report Respectfully PRISM LABORATORIES, INC Angela D Overcash VP Laboratory Services Data Qualifiers Key Reference Reviewed By Tern W Cole For Angela D Overcash Project Manager HT Sample received and analyzed outside of the hold time BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference * Results reported to the reporting limit All other results are reported to the MDL with values between MDL and reporting limit indicated with a J This report should not be reproduced except in its entnety without the written consent of Prism Laboratones Inc 449 Springbrook Road P O Box 240643 Charlotte NC 28224-0643 Phone 70416294364 Toll Free Number 1-8001629-6364 Fax 7041625-0409 r Page 1 of 6 f �P R I S M Full Samice Analytical A Envimnmenlal Solutions ueo�ummes n�c Sample Receipt Summary 11/28/2018 Prism Work Order 8110239 Client Sample ID Lab Sample ID Matrix Daterrime Sampled Daterrime Received 10 8110239-01 Water 11/13/18 0 00 11/14/18 10 46 Samples were received in good Condition at 3 0 degrees C unless otherwise noted This report should not be reproduced except in Its entirety without the written consent of Prism Laboratories Inc 449 5pringbrook Road P O Box 240643 Charlotte NC 26224.0543 Phone 7041529-0364 Toll Free Number 1-8001529-0364 Fax 7041526-0409 r Page 2 of 6 �.\ Laboratory Report �P R I S M 9arvice Analytical S ,J I� En Enrlronmen[al Salutlons 1 1/281IQ1 a L Aad1A/d M& I Mid -Atlantic Associates Inc -Raleigh Project Matlab -Ramseur Client Sample ID 10 Attn Paul Spangenberg Prism Sample ID 8110239-01 409 Rogers View Court Pnsm Work Order 8110239 Raleigh NC 27610 Sample Matrix Water Time Collected 11/13/18 00 00 Time Submitted 11/1411810 46 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Daterrime ID General Chemistry Parameters Oil & Grease (HEM) BRL mg/L 50 14 1 1664E 11/27/18 9 02 SLS PBK0444 pH 7 3 HT pH Untta 1 SM4600-H B 11114118 1620 CBP PSK0323 Total Suspended Solids 69 mg/L. 36 040 1 SM2640 D 11/19/18 1620 CBP PBK0337 Total Metals Copper BRL mg1L 0 010 00010 1 2007 11/19118 1608 JAB PSK0317 Lead BRL mg1L 00050 00010 1 2007 11/19118 1608 JAB PBK0317 Zinc 0116 mg1L 0 030 00013 1 2007 11/19/18 1608 JAB PSK0317 This report should not be reproduced except in its entirety without the written consent of Prism Laboratories Inc 449 Springbrook Road P O Box 240643 Charlotte NC 28224-0643 Phone 7041529-6364 Toll Free Number 1-8001629.6364 Fax 704/526-0409 Page 3 of 6 Lv-'-',R, LI S M Full Service Analytical sEnrironmenial Solutlnnem�+romea we Mid -Atlantic Associates Inc - Raleigh Attn Paul Spangenberg 409 Rogers View Court Raleigh NC 27610 Total Metals Quality Control Project Matlab -Ramseur Level II QC Report 11/28/18 Pnsm Work Order 8110239 Time Submitted 11/14/2018 1C 46 00AM Reporting Spike Source °/REC RPD Analyte Result Limit Units Level Result %REC Limits RPO Limit Notes Batch P8K0317 200 7 Blank tP8K0317-BLK1) Prepared & Analyzed 11/19/18 Copper BRL 0 010 mg/L Lead BRL 00050 mg/L Zinc BRL 0 030 mg/L LCS_(P8K0317-BSI► Prepared &Aratyzed 11119/18 Copper 0 49B 0 010 mglL 05001 100 85-115 Lead 0 507 00050 mg/L 0 5001 101 85-115 Zinc 0 525 0 C30 mg/L 0 5001 105 85-115 This report should not be reproduced except in its entirety without the written consent of Prism Laboratories Inc 449 Springbrook Road P 0 Box 240643 Charlotte NC 28224-0643 Phone 7041629.6364 Toll Free Number 1-8001529-6364 Fax 7041626-0409 Page 4 of 6 1, 1 Full Analytical I S M IEnvronmental Solutions 8 r.aoawronirs n.c Mid -Atlantic Associates Inc -Raleigh Attn Paul Spangenberg 409 Rogers View Court Raleigh NC 27610 General Chemistry Parameters Quality Control Project Matlab -Ramseur Level II QC Report 11/28/1 S Prism Work Order 8110239 Time Submitted 11/14/2018 10 46 OOAM Reporting Spike Source %REC RPD Anatyte Result Limit Units Level Result %REC Limits RPn Limil Notes Batch P8K0323 - NO PREP LCS (PSK0323-BSI) Prepared & Analyzed 11/14/16 PH 685 pH Units 6 a80 100 98 5-101 5 Duplicate (PSK0323 DUP1) Source 8110239-01 Prepared & Analyzed 11/14118 pH 726 PH Units 7 28 04 10 Batch P8K0337 - NO PREP Blank (PSK0337 BLK1) Prepared & Analyzed 11/19/18 Total Suspended Solids BRL $ 0 mgfL LCS (PSK033743S1) Total Suspended Solids Batch P8K0444 - NO PREP Blank (P8K0444-BLKI) Oil & Grease (HEM) 510 Prepared & Analyzed 11119118 50 mglL 4770 107 90-110 BRL 50 mg1L Prepared & Analyzed 1112711 B LCS (PSK0444-BSI) Prepared & Analyzed 11/27/18 Oil & Grease (HEM) 364 so mg1L 4000 01 78-114 Sample Extraction Data Prop Method 200 7 Lab Number Batch Initial Final DatoMme 6110239-01 P81<0317 50 mL 50 mL 11/19/18 8 30 This report should not be reproduced except in its entirety without the written consent of Pnsm Laboratories Inc 449 Springbro*k Road P O Box 240643 Charlotte NC 28224-0643 Phone 7041629.6364 Toll Free Number- 1-8001629-6364 Fax 7041626.0409 Page 5 of 6 VIBLABORATORIEstW_ISM Full Service Analytical & Environmental Solutions 449 Spnngbrook Road Charlotte NC 25217 Phone 7041529-6364 Fax 7041523A409 Client Company Name IYl A JAf A..LL�.'Jks Report To/Contact Name ►Pcwl S�,anac..k,r-a Reporting Address LI0 4 i °Ys t --•- CHAIN OF CUSTODY RECORD PA3>>_L-of t QUOTE O TO ENSURE PROPER RILUNGi Project Named -� Q Short Bold Analysis (Yes) (No) UST Project (Yes) (NO) 'Please ATTACH any project specific reporting (QC LEVEL 1 II III m provisions andfor QC Requirements Invoice To M.A-Rt')ah}rL RSSoCiaArrS Address LJ0( - QC Z7L,((? YES Samples INTACT upon arrival? Received ON WET ICE? PROPER PRESERVATIVES Indicated ' Received WITHIN HOLDING TIMES? CUSTODY SEALS INTACT? VOLATWLES rec d W/OUT HEADSPACE9 PROPER CONTAINERS used? TEMP Therm ID=�{ OLservod��Al NO NIA I I Corr. Phone (919) '.15.'o-R9 t$ Fax (Yes) (No) (10 60-4g5o ' r Purchase Order NoAlling Reference WICL4 S TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL Email Address Requested Due Date O 1 Day C, 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 Days Certification NELAC DoD FL NC st Be EDD 'type POF_Excel Other Working Days" ❑"Days tgtandard 10 days ❑ Push Work Must Site Location Name ('(t ct ttah- t�l c,,,+ d (0 Samples received after 14 00 wdl be processed aW business day pproved SC OTHER NIA Site Location Physical Address AnL. %Sur , N c- Turnaround time is based on business days excluding weekends and holidays Water Chlorinated YES! NO_ (SEE REVERSE FOR TERMS a CONOmONS REGARDING SERWCEs RENDERED BY PRISM LABORATORIES INC TO CLIENT) Sample Iced Upon Collection YES_ NO CLIENT 8AMPLJr DESCRIPTION DATE COLLECTED TIME COLLECTED MILITARY MATRIX (SOIL, WATER OR SAMPLE CONTAINER I PRESERVA- T1VE3 ANALYSIS REQUESTED / REMARKS PRISM LAB 'TYPE HOURS SLUDGE) SEEBELOW I NO SIZE I /0D I NO ID [ I I Wader 11 Ip6l Cu,zN 01 I I 13, 1 I 1 / o �r1G I 1 I I [ 1 I l I [ I I I I I I I I I I I I I I I I ' rly' Sampler s Signature Sampled By (Print Name) JL! r,CIL /-i-cJw- Affiliation Upon relinquishing, this Chain of Custody Is your authorisation for Prism to proceed with the analyses as requested above Any changes must be submitted in writing to the Prism Project Manager There will be charges for any changes after analyses have been Initialized R*Wxpwhad By I —) om Mkt*N"1z Additional Comments al TamaRelnquishee By { nature} By X narLrel rtun3 Timel 71d tad () fi wraxnes By, h Fee ) 1 I i ( i'0 Mileage memad Sitomwit NOTE, ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH CU FOR TRANSPORTATION TO THE LABORATORY_Qr0t:p Noe SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAIN8T COC UNTIL RE EKED AT THE LABORATORY o Fed Ex UPS 0 Hand-deUvered O Prism Field Saw= O Olher NPDES ff UST GROUNDWATER DRINKING WATER SOLID WASTE RCRA CERCLA LANDFILL II OTHER ' ❑NCQSCI UNC ❑SC ❑NC ❑SC oNC ❑SC 13NC ❑SC ❑NC ClC oNC El QNC QSC 0ONC❑SC ❑ 'CONTAINER TYPE CODES A = Amber C = Clear G= Glass P = Plastic, TL = Teflon -Lined Cap VOA = Volawe Organics Analysis (Zero Head Space) ORIGINAL CEDW EDR 6 Armstrong Road 4th floor Shelton, CT 06484 Phone 855 337 5126 Fax 888 322 4793 paymybill edrnet corn Account # 1011768 Mid -Atlantic Associates BIII To Ship TO Eric Auferhaar Sandy Miller 409 Rogers View Ct 409 Rogers View Ct Raleigh NC 27610 Raleigh, NC 27610 INVOICE Invoice # INVO1130501 Robs Hydrauhcs Rob s T118100 EDR Lightbox Basic Benson, 6275 NC Hydraulics Task 1 Highway 50 N, Benson Benson NC 27504 Ala Carte Order Date 11/28/2018 Invoice Date 11/28/2018 Order# 5496206 $250 00 Radius Map With Geo N Certified Sanborn Map N Rpt Online Sanborn Report N Viewer Aerial Photo Search N EDR Lightbox Building N Permit EDR Lightbox N Historical Topo Map I N � $0 00 Sales Tax $0 00 Payable Upon Receipt Total Amount $250 00 Remit Payment To Pay By Credit Card ACH / Wire Transfers EDR paymybill edrnet corn Please contact Accounts Receivable prior to wiring funds Page 1 of 2 Federal Tax IDft 82 4819768 Please remember to include invoice numbers and amounts with your payments Thank you for your business EDR complies with the requirements of 41 CFR §§ 60 1 4(a) 60 300 5(a) and 60 741 S{a} Thesc regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race color religion sex sexual orientation gender identity or national origin Moreover these regulations require that covered prime contractors and subcontractors take affirmative action to employ and advance in employment individuals without regard to race color religion sex sexual orientation gender identity national origin protected veteran status or disability Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 8/13/18 CERTIFICATE OF COVERAGE NO NCG030659 FACILITY NAME Matlab. Inc — Plant 10 COUNTY Randolph PERSON COLLECTING SAMPLES Mitch Auman LABORATORY Prism Lab Cert # 402 Comments on sample collection or analysis Part A Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec RECEIVPJ-) or ® Monthly' July (month) DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA AUG Z 8 2018 ❑Zero -flow ❑Water Supply [:]SA CENTPAL z❑Other �'K`R SECTIOA� PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period ?2 Outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches s Total Suspended Solids i pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organicss Benchmarks =__> - - 100 mg/L or 50 mg/1.4 6 0 — 9 0 0 007 mg/L 0 03 mg/L 0 067 mg/L 15 mg/L 1 mg/L 01 7/24/18 014 0 0 0" ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall z 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, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies s 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/l/2012-10/31/2017 SWU 245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent 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 °ermit 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 " Press Brower Name (Print name) VP of Enoneering Titlez (Signature) (5 ;z /8 (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 PartB Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new oil per month ❑ No discharge this period?' Outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6 0 — 9 0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies Permit Date 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2of3 Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses See General Permit text TOR PART A AND PART B MONITORING RESULTS • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART II SECTIONS • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART It SECTION B • TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME Mail an original and one copy of this DMR _including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to T 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 " (Signature of Permittee) (Date) Permit Date 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No NCG030000 Date submitted 6/15/18 CERTIFICATE OF COVERAGE NO N00030659 FACILITY NAME Matlab, Inc — Plant 10 COUNTY Randolph PERSON COLLECTING SAMPLES Mitch Auman LABORATORY Prism Lab Cert # 402 Comments on sample collection or analysis Part A Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' June (month) .DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA 7d1� ❑Zero -flow ❑Water Supply [:)SA JUL 0 ❑other FILCO G4 fi < SCM 101N1 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall No Date Sample Collected) (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, StandardOrganics units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic s Benchmarks =__> - - 100 mg/L or 50 mg/O 6 0 — 9 0 0 007 mg/L 0 03 mg/L 0 067 mg/L 15 mg/L 1 mg/L 01 6/1/18 031 0 0 ' 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 a See General Permit, Table 3 identifying 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 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring maybe 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), 1 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the starmwater or areas which are exposed to rainfall or starmwater 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 " Press Brower Name (Print name) VP of Engineennp, Title (Pant t n�i (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 a 55 gal of new oil per month ❑ No discharge this period ?2 Outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/L* 6 0 — 9 0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies Permit Date 11/1/2012 10/31/2017 SWU-245, last revised 10/25/2012 Page 2of3 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 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 ANYONE OUTFALL? YES ®NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results or at end of monitorin errod 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 " (Signature of Permittee) (Date) Permit Date 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No NCG030000 Date submitted 6/11/18 CERTIFICATE OF COVERAGE NO NCG030659 FACILITY NAME Matlab, Inc — Plant 10 COUNTY Randolph PERSON COLLECTING SAMPLES Mitch Auman LABORATORY Prism Lab Cert # 402 Comments on sample collection or analysis Part A Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec RECEIVED, or ®Monthly' May (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA JUL Q 5 2018 ❑Zero -flow ❑Water Supply [:]SA CENTiPAI ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics' Benchmarks ===> - - 100 mg/L or 50 mg/L" 6 0 — 9 0 0 007 mg/L 0 03 mg/L 0 067 mg/L 15 mg/L 1 mg/L 01 5/23/18 031 0 0 037 1 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, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies ' 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 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent 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 ' Press Brower Name (Print name) VP of Engineerine 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 m 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 ❑ No discharge this period;2 Outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches s Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 rng/L 100 mg/L or 50 mg/L• 6 0 — 9 0 5U Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies Permit Date 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier responses See General Permit text 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 ANYONE OUTFALL? YES ®NO 0 IF YES, HAVE YOU CONTACTED THE OWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or 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 " N (Signature of Permittee) (Date) Permit Date 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 4/6/18 CERTIFICATE OF COVERAGE NO NCG030659 FACILITY NAME Matlab, Inc — Plant 10 COUNTY Randolph _ PERSON COLLECTING SAMPLES MEtch Auman LABORATORY Prism Lab Cert # 402 Comments on sample collection or analysis Part A Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' Mar Cmonthl DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑water Supply ❑SA c // ❑Other RCCE WFAAEMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 MAY 0 9 2018 CEfV7Fcgb FILES I]WR ❑ No discharge this period 22 ��C�TI!'�a. Outfall No Date Sample R Collected' (mo/dd/yr) 24-hour rainfall amount, Inches; Total Suspended Solids P PH, Standard units Copper Co v Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks =__> _ - 100 mg/L or 50 mg/O 6 0 — 9 0 0 007 mg/L 0 03 mg/L 0 067 mg/L 15 mg/L 1 mg/L 01 3/21/18 01 0 0 057 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall z 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 saes maybe eligible for a waiver of the rain gauge requirement See General Permit, Table 3 identifying 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 11/1/2012 10/31/2017 5WU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent 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 " Press Brower Name (Print name) VP of Engineering _ 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 ❑ No discharge this period ?2 Outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Salads pH Benchmarks ===> _ - 15 mg/L 100 mg/L or 50 mg/L* 6 0 — 9 0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies Permit Date 11/1/2012-10/31/2017 SWU 245, last revised 10/25/2012 Page 2 of 3 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 FOR PART A AND PART B MONITORING RESULTS • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART 11 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 ANYONE OUTFALL7 YES ®NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or 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 property 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 " ` /3 / (Signature of Permittee) (Date) Permit Date 11/l/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 3/2/18 CERTIFICATE OF COVERAGE NO NCG030659 FACILITY NAME _Matlab, Inc — Plant 10 COUNTY Randolph PERSON COLLECTING SAMPLES Mitch Auman LABORATORY Prism Lab Cert # 402 Comments on sample collection or analysis Part A 5tormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly'^ /month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [:]Watersupply ❑SA ❑Other Recmvf� QASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 APR 05 1018 CEN7`RAL FILES ❑ No discharge this period;` Outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Orgarncss Benchmarks =__> - - 100 mg/L or 50 mg/L° 6 0 — 9 0 0 007 mg/L 0 03 mg/L 0 067 mg/L 15 mg/L i mg/L 01 2112/18 0 1S 13 63 0 0 0 032 0 N/A ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall z 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 ram gauge Unattended sites maybe eligible for a waiver of the rain gauge requirement "See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies s 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 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent 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 " Press Brower Name (Print name) VP of Enoneering _ Title (Rrrnt (Signature) (Date) Note Results must be reported in numencal 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 me/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 PartB Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new oil per month ❑ No discharge this penod71 Outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/L* 6 0 — 9 0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies Permit Date 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 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 FOR PASTA 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 It SECTION B • TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALLa YES ®NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME Marl an original and one copy of this DMR, rncludina all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Drschar e" 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 I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signature of Permittee) (Date) Permit Date 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No NCG030000 Date submitted 2/09/18 CERTIFICATE OF COVERAGE NO NCG030659 SAMPLE COLLECTION YEAR 2019 FACILITY NAME Matlab Inc — Plant 10 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec COUNTY Randolph or ® Monthly' Jan (month) PERSON COLLECTING SAMPLES Mitch Auman p� DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY Prism Lab Cert # 402 KEIVED ❑Zero -flow ❑Water Supply ❑SA Comments on sample collection or analysis FEB 21 Z018 [—]Other CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION Part A Stormwater Benchmarks and Monitoring Results ❑ No discharge this period 22 Outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organics' Benchmarks =__> - - 100 mg/L or 50 mg/L° 6 0 — 9 0 0 007 mg/L 0 03 mg/L 0 067 mg/L 15 mg/L 1 mg/L 01 1/23/18 010 0 010 14 ' 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 a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies s 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 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the 5tormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring maybe 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 5tormwater Pollution Prevention Plan " Press Brower Name (Print name) VP of Engineering _ Title (Pn t title) (Signature) V ,�_> /,_� 18 (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 me/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 ❑ No discharge this period a2 Outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6 0 — 9 0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies Permit Date 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 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 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 ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or 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 " (Signature of Permittee) (Date) Permit Date 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 ^r` API iioM �DuleoUvolnee, Pr_ Full Service Analytical & Environmental Solutions Mid -Atlantic Associates Inc -Raleigh Paul Spangenberg 409 Rogers View Court Raleigh NC 27610 NC Certification No 402 NC Drinking Water Cart No 37736 SC Certification No 99012 Project Matlab - Ramseur Lab Submittal Date 01/25/2018 Prism Work Order 8010360 Case Narrative 02/05/2018 This data package contains the analytical results for the project identified above and includes a Case Narrative Sample Results and Chain of Custody Unless otherwise noted all samples were received in acceptable condition and processed according to the referenced methods Data qualifiers are Flagged individually on each sample A key reference for the data qualifiers appears at the end of this case narrative Please call if you have any questions relating to this analytical report Respectfully PRISM LABORATORIES, INC Angela D Overcash VP Laboratory Services Data Qualifiers Key Reference Reviewed By Angela D Overcash VP Laboratory Services BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference * Results reported to the reporting limit All other results are reported to the MDL with values between MDL and reporting limit indicated with a J This report should not be reproduced except in its entirety without the written consent of Prism Laboratories Inc 449 Springbrook Road P Q Box 240543 Charlotte NC 28224 0543 Phone 7041529.6364 'Coll free Number 1-800152M364 Fax 704/525-M9 rr\ RR I S M I Full Analytical 6 Environmental Solutlona lNoK.To--& ■+a Sample Receipt Summary 02/05/2018 Prism Work Order 8010360 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received a 8010360-01 Water 0103118 01/25/18 Samples were received In good condition at 1 7 degrees C unless otherwise noted This report should not be reproduced except in its entirety without the written consent of Prism Laboratories Inc 449 Springbrook Road P O Box 240543 Charlotte NC 28224.0543 Phone 7041529 6364 Toll Fro* Number 1 800/529 6364 Fax 7041525-0409 Full alyti Env SarvlCO 4d SoluCal En�ironmsnta! &alutlons Laboratory Report 0210512018 Mid -Atlantic Associates Inc -Raleigh Attn Paul Spangenberg 409 Rogers View Court Raleigh NC 27610 Project Matlab -Ramseur Sample Matrix Water Client Sample ID 01 Prism Sample ID 8010360-01 Prism Work Order 8010360 Time Collected 01/23/18 11 00 Time Submitted 01/25/18 08 45 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Daterrime ID Total Metals Copper 0 010 mglL 0 010 00010 1 *200 7 1/31118 20 46 JAB P8A0462 Zinc 014 mg1L 0 030 0 0013 1 2007 1131118 20 46 JAB P8A0462 This report should not be reproduced except in its entirety without the written consent of Prism Laboratories Inc 449 Spring brook Road P 0 Box 240543 Charlotte NC 28224-0543 Phone 7041529-6364 Toll Fro* Number 1-8001529-6364 Fax 7041525-0409 G n� /PRISM Full servicemnmen Analytical 8 1 Environmentai Solutions iAmm row&i Mid -Atlantic Associates Inc -Raleigh Project Matlab Ramseur Attn Paul Spangenberg 409 Rogers View Court Raleigh NC 27610 Total Metals Quality Control Level II QC Report 2r5r18 Prism Work Order 8010360 Time Submitted 1/25/2018 8 45 00AM Reporting Spike Source %REC RPp Analyte Result Limit Units Level Result %REC Limits RPM Limit Notes Batch P8A0462 - 200 7 Blank (138A0462 BLK1) Prepared & Analyzed 01/31/18 Copper BRL 0 010 mg1L Zinc BRL 0030 mg1L LCS (PBA0462 BSI) Prepared & Analyzed 01/31/18 Copper 0 529 0 010 mg1L 05001 106 85 115 Zinc 0 537 0 030 mgtL 05001 107 85 115 Sample Extraction Data Prep Method 200 7 Lab Number Batch Initial Final DatelTime 8010360 01 P8A0462 50 mL 50 mL 01/31/18 8 30 This report should not be reproduced except in its entirety without the written consent of Prism Laboratories Inc 449 Springbrook Road P O Box 240543 Charlotte NC 28224-0543 Phone 704152"364 Toll Free Number 1-8001529-6364 Fax 7041525-0409 RAIN EVENT DATA FACILITY Matlab, Inc —Plant #10 ADDRESS 7307 Jordan Road Ramseur, NC 27205 CONTACT PERSON Press Bower TELEPHONE 336- 629-4161 x n STORM EVENT INF4RMATiIOO N DATE YEAR MONTH DAY 18 1 23 HOURS MINUTES DURATION 4 30 PRECIP AMOUNT(IN) 0 10 RUNOFF VOL GAL 0 006 HOURS DAYS PRECEDING EVENT 0 7 STORMWATER FACILITY INSPECTION FORM Facility Name Location Certification of Coverage No NGG030000 Matlab, Inc — Plant ##10 Ramseur, North Carolina Expires 12/31/2018 Number of Inspector's Name Date Outfalls 1 Paul W Spangenberg 1/23/18 Con"ting Areas Evidence of pollutants entering system (circle one) Yes No If yes describe Areas of potential pollutants entering system Describe None Control measures present (circle one) Yes No If yes describe Additional control measures needed (circle one) Yes No If yes describe Erosion control at downs outs and drainage ditches Sediment and erosion control measures present (circle one) es No If yes describe Rip -Rap at discharge and drainages ditches Describe any new structural stormwater management measures None Potential Pollutant Areas Describe any load inglunloading operations Trucking Tank Truck Describe any outdoor storage activities Wood Pallets Scrap Metal Solid waste dumpsters used equipment Describe any outdoor manufacturing or processing activities None Describe and dust or particulate generating areas None Describe any onsite waste disposal activities None Significant s or Spills Any reportable spills or leaks in the past year (circle one) Yes No If yes date Impact on stormwater system(s) Certification By this signature I certify that this report is accurate and complete to the best of my knowledge Inspector's Signature 2LU4 STORMWATER DISCHARGE OUTFALL (SDO) QUALITATIVE MONITORING REPORT Certification of Coverage No Facility Name County Permit No NCGO3000 Matlab Inc — Plant #10 Randolph Expires 12131/18 Ramseur, North Carolina Inspector Name Date of Inspection Paul W S a enbe 1f23118 OUTFALL DESCRIPTION Outfall No Structure (pipe ditch etc) Receiving Stream 1 Pipe Tributary to Describe the industrial activities that occur within the outfall drainage area Painting # Coating Manufacturing Color Describe the color of the discharge using basic colors (red brown blue etc) and tint (light medium dark) as descriptors Light Brown Odor Describe any distinct odors that the discharge may have (i a smells strongly of oil weak chlorine odor etc ) None Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy (circle one) 1 O 3 4 5 6 7 8 9 10 Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface is covered in floating solids (circle one) 1O 2 3 4 5 6 7 8 9 10 Sus nded Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy (circle one) O2 3 4 5 6 7 8 9 10 Foam Is there any foam in the stormwater discharge (circle one)? Yes N Oil Sheen Is there an oil sheen in the stormwater discharge (circle one)? Yes No Erosion Depos3bon Is there evidence of erosion or deposition at the outfall'? (circle one) Yes No If yes list and describe Other Is there other obvious indicators of stormwater pollution in the stormwater discharge (circle one) Yes No If yes list and describe Rain Event Was this a Representative Storm Event' X Yes No Total Event Precipitation (Inches} 0 10 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 pnor Certification By this signature I certify that this report is accurate and complete to the best of my krimMedge Inspector's Signature ®V. 79 '1, CHAIN OF CUSTODY RECORD PAQa _ OF , OUOTE / TO [MSURH PROPER eiLUKQ, P aLd Fuu service Ana"cal 4 EnvbXmUnentatl solutions Matlab #10 449 Springtrrook Road • P 0 Box 240M • Charlotte, NC 28224-0543 Project Name r Phone 7QMG29-63M • Fa)L 7041525-009 Short Hold Analysis (Yes) (No) UST Project (Yea) (No) Client Company Name Mid AllantIc Associates 'Please ATTACH any project specific reporting (OC LEVEL 111111 IV) Report To/Contact Name Paul Spaagenbero provisions and/%oor QC ft Mk u lrernents 4gpRopencVwwr'.+xaa Invoice To MkJReporting Address Addre99 409 Rape, view Coup Raleigh NC27610 Rateqgh MC 275ta Phone 19212t}ee1a Fax (Yes) (No) (ain] L�9`IOl) R2943 P��„g�,l�� Purchase order No1871hng Reference Email (Y s) (No) Email Address Requested Due Date 1 Day 2 days 3 Days 4 Days 5 Days EDD Type ✓ PDF Excel_Other "Working DaW 6-9 Days V Standard 10 days Site Location Name "a"" Plant#te Samples received attar 15 00 will be processed next business day Site Location Physical Address. Ramseur Ne Tumeround time is based on business days excluding weekends and holidays a�Er MRED B PPFUSM LAS Ft,cCMIMO� TO CUUM TO BE FILLED IN 8Y CLIENT/SAMPLING PERSONNEL Certification: NELAC USACE FL. NC SC_ OTHER WA Water Chlorinated YES_ NO— Sample Iced Upon Collection YES NO CLIENT SAMPLE DESCFUP71ON DATE COLLECTED TIME COLLECTED MILITARY HOURS KkTRIX (SOIL WATER On SLUDGE] SatePLE eallrAtxER I ANALYSES REQUESTED PRESERVA- ilVi 5 REMARKS PRISM LAB ID No 'TYPE 881c BELOW NO I SUE 01 1/23118 11 00 Water P t Oz NH102 ,/ Cu, ZN S ler'S Slgn to Sampled By (Pont NamPaul Spangenberg Name) Paul Inc r ' ' Nmi n re ui g, this Cha of Custody Is your authorization for Priam to proceed with the analyaea as requested above Any changes must be s d In ng to the PrIwA Project Manager There wIll be charges for any changes after analyses have been Initlaiized I ! ft Additional Comments n e,a, �o gal�ro> Rain 10 a,)�� z 964rn V&hod BY ) RaDh7�Prtem l.eflamto 6 j ONLY �sitaoapann7kna yp61 �'s`r+`.C4:'-hW - AL T 8 SHDU CIP �_T—!E5 f SAMPLES AAC HOT AC,GEPrED ANO Y$@IiD AQAVW CAC 0CNU - RECBYED A THY i o 1 rZ60 Fed UPS HamPdeaverrd Pram Field E.M. +'r- • �- l J N OES UST NC SCj NC _ SC I NC NowCTeR I uINCiCIN SC ATEfi S NC W _SC A NCB _ SG C NC SC # NC EFICLA LANDFILL I OTHER R SC -CONTAINER TYPE CODES, S, A = Amber C = Clear G = Glass P = Pleak TL = Teflon-Linlled Cap VOAii= Volatile Organics Analysis (Zero Head Space) ORIGINAL Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No NCG030000 Date submitted 6/23/17 CERTIFICATE OF COVERAGE NO NCG030659 FACILITY NAME Matlab Inc —Plant 10 COUNTY Randolph PERSON COLLECTING SAMPLES Mitch Auman LABORATORY Prism Lab Cert # 402 Comments on sample collection or analysis Part A Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR. 2017 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly' (month) RECEJ�DE HARGINGTOCLASS ❑ORW ❑HClW ❑Trout ❑PNA JUL i 7 201? ❑Zero -flow ❑Water Supply ❑SA ❑Other CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DVVR SECTION El No discharge this period?' outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organics Benchmarks =_-> - - 100 mg/L or 50 mg/O 6 0 — 9 0 0 007 mg/L 0 03 mg/L 0 067 mg/L 1S mg/L 1 mg/L 01 5/22/17 054 BRL 58 0 013 BRL 061 BRL N/A ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall z 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 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies S 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 11/1/2012 10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement forTTO 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 nest of my knowieage 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 " Press Brower Name (Print name) VP of Engineering Title (Print title) G 30 /7 (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 (Vote 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 ❑ No discharge this period?2 Outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__? _ - 15 mg/L 100 mg/L or 50 mg/L* 6 0 — 9 0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5 identifying the especially sensitive receiving water classifications where the more protective benchmark applies Permit Date 11/1/2012-10/31/2017 SWU-24S last revised 10/25/2012 Page 2 of 3 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 FOR PART AND PART B MONITORING RESULTS • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART II SECTION B + 2 EXCEEDANCES IN A RO%A/ FOR THE SAME PARAMETER AT THE SAME OUTFAI L 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 ATANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results (or 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 I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signature of Permittee) G 30 r (Date) Permit Date 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 12/6/15 —� CERTIFICATE OF COVERAGE NO NCG030659 FACILITY NAME Matlab, Inc — Plant 10 COUNTY Randolph PERSON COLLECTING SAMPLES Mitch Auman LABORATORY Prism Lab Cert # 402 Comments on sample collection or analysis Part A Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2016 0 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' tmonth) p DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout PNA RECEIVED ❑Zero -flow [:]Water Suppl❑gy ❑t]SA ❑Other DEC 13 1Utb CENTRAL EILE4ASE REMEMBER TO SIGN ON PAGES 2 AND/OR DWR SECTION C3X__1 No discharge this period ?2 Outfall No Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics' Benchmarks - - 100 mg/L or 50 mg/L4 6 0 — 9 0 0 007 mg/L 0 03 mg/L 0 067 mg/L 15 mg/L 1 mg/L 01 11/14/16 026 0 60 0 027 0 35 0 N/A ' 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 a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies s 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 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent 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 " Press Brower Name (Print name) VP of Engineering Title (Pant 12 7 2oij. (Signature) _ (Date) ^T 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 ❑ No discharge this period P2 Outfall No Date sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6 0 — 9 0 SU Footnotes from Part A also apply to this Part S * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies Permit Date 11/1/2012-10/31/2017 SWLI-245, last revised 10/25/2012 Page 2 of 3 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 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 OUTcALL TRIGGEP 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 ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or 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 I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signature of Permittee) 1 Z. 7 201-6 (Date) Permit Date 11/1/2012 10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3