NCG140046_COMPLETE FILE - HISTORICAL_20190501

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
/v /y
I
DOC TYPE
L& HISTORICAL FILE
❑ MONITORING REPORTS
D06 DATE
❑ a bl 1 0 5 0 l
YYYYMMDD

May 1,.2019
Ms. bebra.-Tunstall.
Qity:pf:1 incolnton:WWTP
P.O. Bdx 617
Lincolnton,,NC 28093
Bear Ms. Tbristall,
I am Vriting.ypu in.responseto the Notice of Violatio'n. tedeivea fTbm:office' AtedAviii.30,2019
-.: . .. . ... . . I Ypur- :d
in:. regards, to: the - unpermitted process wast ewater'being:.'discharge into the.City of Lincolntoii's sewer
system.
The reason for:this:Aischarge is that back on November 3, 2 6,1:1:t Concrete: Supply,received permission
on
from Clay Harrel� n "Ab'Wo.l '' rked With:the:City 6f.Lin cohiton',' io discharge water from the
. 0
..
plantdirectly to the'.City's'sewer;system:He said ihat'it was find..withhitiiand'tht"blarit'. As
rp . pr6seinitadv'e;q'fthe City of LincoInton.we took him at his-wordthat we:were:61lowed'-to do. so. If he
had ed.uslhat:h�: was ii0t the:de6idi'g�pAqy,.:ofth&.p. andischarge; in dem Oiffiitfi�p-)(-6c6s;! .. d the...
requirements.w.e.wou'ld have. -gladly taken tbe:appropr.late step
s.',.
To prevent further -occurrences, as of March 19,.2019.. we stopped.dischargifigAo the City of Li'nOlnton's
. sewer's'stein. We started,treating h ' i t e-processwateUforpH and.allowed.it to ais6barge:from our site as
. ....
permitted by out North - Carolina Industrial Stormwater permit. We have &&fed an : d are :awaiting
delivery and instailation.ofa Co1base.d. � .pH adjusting; sy"Stem... Once installed, we will determine to
either, maintain our offsite discharge in: ance.witg.6ur.is'S'uid�-Nofth.,'Cafoliiia Indust6al.
Stormwater perrdit or :.o btain a discharge.perrnitf iom the City.cif tincolnton:into thescwer:system
Please understand -.that we are.detennined to prevent
that this: can be acc6m6lishe&'W'ith bett& training, c(
Sincer I
j;lni;e Alexander.
En'vir'o:=eiAaFWnag&r
-Concrete-8uppty- "
Office::104-302 49JO
,o[situatiOnjiom arising ,again. We feel
ition, and f6llbw up.vith:our istaff.

Watson, Edward M
From:
Debra V. Tunstall<[e-mail]>
Sent:
Friday, May 24, 2019 2:24 PM
To:
Watson, Edward M; Parker, Tony R
Cc:
Donald A. Burkey; Robert W. Pearson; Todd Elmore
Subject:
[External] Concrete Supply Company
Attachments:
D00052419-05242019091854.pdf
Mr. Watson,
Attached are documents of the City's communications with Concrete Supply Company, Lincolnton Plant.
On March 26th, I visited the Concrete Supply Company and collected various samples from their Clearwell. The pH and
temperature of their process wastewater were 11.92 Standard Units and 26 degrees Celsius respectively. During this visit,
I asked the plant manager, Gary Hunter, if they check the pH in their Clearwell. His response was no and informed me
they were given permission to discharge their process wastewater into the City's sewer system. Upon questioning him, of
whom they received permission from I was handed a piece of paper with words of seeming authorization, but no signature
(page one). I handed the plant manager an Industrial Waste Survey Form and asked him to fill it out and return it to me.
The updated IWS. form was on my desk the following morning (pages two and three).
On April 30th, after receiving the lab results from the March 26th sample collection, I revisited this plant. During this visit, I
explained I was there to collect more samples and recheck their pH. The pH and temperature of their Clearwell were
11.83 Standard Units and 24.9 degrees Celsius respectively. I also handed the plant manager the results of their March
26th samples and a Notice of Violation for discharging their process wastewater into our plant. This NOV was based on a
2014 IWS form showing a volume between 2500 to 3000 gallons of process wastewater staying in their concrete process
and zero amount discharging into the City's sewer system (lab results -pages four through twelve), (NOV- pages thirteen
and fourteen), and the 2014 IWS (pages fifteen and sixteen).
During this visit, the plant manager informed me that the operation manager was in route and wanted to talk with me. Gus
Segura, operation manager, informed me they no longer are discharging into the sewer and was going to install a pH unit
and apply for a permit. When I asked what they are doing with their water I was told the water goes into a holding area, to
allow for solids settling, then the water is discharged on the ground near their basins. As I stood inches from where I was
told the water was being discharged, I pointed and asked this field? Gus replied yes and explained they could continue to
discharge on the ground, which is authorized by their storm water discharge permit if their request for an industrial user
permit is denied.
I left the Concrete Supply Company and reported my findings to my supervisor. An Industrial User Permit Application was
also emailed to Gus upon returning to my office.
The following day. I received a reply to their NOV via email (page seventeen). I also learned the City had concreted their
sewer line entry point, approximately on March 26". to prevent further discharging into our sewer system.
On May 2211cl, I received the lab results from the April 301h, sample collection (pages eighteen through thirty-one).This
sample collection included Volatile Organic Compounds-6241625.
Both sample collections were reviewed and their results are noted to be non hazardous to the City's wastewater treatment
plant. During both visits, I explained to the plant manager that our Sewer Use ordinance prohibits any wastewater
discharge with a pH of 12.0 or more Standard Units.
The above information addresses the findings of what resulted in both laboratory documentations and written
communications with the Concrete Supply Company.

Let us know of any other concerns you would like for us to address.
Regards,
Debra V. Tunstall
Pretreatment Compliance Technician

K
11 /312011
TALKED WITH CLAY HARRELSON SUPERINTENT WITH CITY OF LINCOLNTON .
ABOUT PUMPING OUR PIT WATER INTO THE SEWER LINE BESIDE OF WASHPIT ..
HE SAID IT WAS OK AND FINE WITH HIM AND THE SEWER PLANT.
TIME :10:55 AM 11-3-11 ROBERT RICHARD LEADMAN , LINCOLNTON PLANT

City of )E.incolaton
Ind ustrriad Waste Survey Short Form
This ,form has been sent to your business to determine types and sources of wastewater that are
entering the Ci of Lincolnton Wastewater Treatment Punt. This form must be completed in
accordance with Division 2, Section 8.62 of the City of Lincolnton Sewer 'Lise' Ordinance. The
Sewer 'Use. Ordinance can be examined during normal businesSL hours at the address listed at the
end of this form. If you have any question or concerns while completing the form please contact:
Debra Tunseall at 704-736-8960. Please provide the following information about your business:
Name of Business: L c.i cl-
Mailing Address:
PO I301, J .2 7 ?- : L /Wf/l [ .2 y
Physical Address: � S
City/State/Zip Code: Z'j rt
Telephone: �_3 SJ �' ^_ Fax:
Contact Person at Facility: Cury Telep1one:
Number of Employees: Number Shifts & Work Days/Week: 1S�1.'f� _-��cl�
What Standard industrial Classification (SIC) Code(s) do you report under:
Briefly describe your business include products manufactured or services performed:
//(a1LJ�4CA, Ie f-ek1 /' .A fc,fc':�6W`L..f<
Please list all water uses and approximate volume used in gallons per day for each use;
including facility washdown water.
Water Case
Volwrie Used (gallons per
da
Process: L— �, f C �6, / err ,A 4 ,,,.,"-
S `�
Contact Cooling Water / Cooling Tower Dischar e
_A/X
Boiler Blowdown:
Facility Washdown / Clean Up:
/Jl�
Domestic fbathrooms, cafeteria):
3
Total:
Sal
-Our-SeverUse_Ordinance_requims-that"an.Authorized-RMeo tive of the User sign Ali reports
to the City of Lincoffitou. Authorized Representativeis defined as a Person responsible for the
Principle Business decisions or other. policy decisions for the facility_
IWS Short Form
Filoname: IWS Short Fonn
RoVision Date: September 1.1993

City of Unceinton
Industrial Waste Survey Short form
To the Best of my knowledgethe information on this form is true and accurate,
SignatSignatureDate 3
Title 6-f /hl,- - Mane jF
Return this completed form within 15 days to:
Debra Tunstall
QV of LincoInton W'WIT
Post Office Box 617
LincoInton, NC 28093
Failure to return this form is enforccable in accordance witli the City of LincOlnL011 Sewer e-W,-,r Use
Ordinance and may include fines or suspension of service.
The City of LincoInton Sewer Use Ordinance can'be viewed at:
City of Lincalnton Public, Service Center
128 Matz Avenue
Linoolnton., NC 28092
Sincerely,
Debra Timstall
Pretre.a.tmenc Compliance Technician
IWS Short Form
Filemme.- M3.3hoxt Form
Revision Date: September 1, 1993

11/3/2011
TALKED WITH CLAY HARRELSON SUPERINTENT WITH CITY OF LINCOLNTON .
ABOUT PUMPING OUR PIT WATER INTO THE SEWER LINE BESIDE OF WASHPIT ..
HE SAID IT WAS OK AND FINE WITH HIM AND THE SEWER PLANT.
TIME :10:55 AM 11-3-11 ROBERT RICHARD LEADMAN , LINCOLNTON PLANT

City of Uncoluton �J
I ndustriag Waste Survey Short Form
This form has been sent. to your business to deteranine types and sources of wastewater that are
entering the Cijy of Lincolnton Wastewater Treatment plant. This form must be completed in
accordance with Division 2, Section 8.62 of the City of Lincolnton Sewer Use Ordinance. The
Sewer Use Ordinance can be examined during normal business, hours at the address listed at the
call of this form. If you have, any question or concerns while completing the form please contact:
Debra Tunstall air704-736-8960. Please provide the folloA ing information about your business:
Name of Business: _ �� C, -,feS,,,. A 1'.6
Mailing Address: Q 130 S�2 y C.. rX.n,t
Physical Address:
CitylStateVZip Code: 4/1 9.1
Telephone: 3 S 3 �' Fax: JAY/ 0 _ —
Contact Person at Facility: �,-u vrt f �� Telephone:--7,9c/- S Y ad
Number of Employees: _i�_ Number Shifts & Work Days/Week:�lky5-
What Standard Industrial Classification (SIC) Code(s) do you rcgiort under:
Briefly describe your business include products manufactured or services performed
Ali *1.T°CTv/g-...... 'rf[L Ah A &A ale
Please list all water uses and approxiimiate volume used in gallons per day for each use;
including facility washdown water.
Water Use
Volume Used (gallons per
day)
Process: C� C�.9�, /
C `111_ _
Contact Coolie Water / Cooling Tower DisChar e
fib
Boiler Blowdown:
Facility Washdown / Clean
Domestic Q2athrqoms,cafeteria :
3
Total:(
- _dux SeweUe_Orclivance requires that-an.Authorized Repretatye of :the User sign allreports
to the City of Lincolnton. Authorized Representative is defined as a Person responsible for the
Principle Business decisions or other. policy decisions for the facility.
NVS Short Form
Filename: IWS Short Form
Revision Date: September ],1993

City of Ult9c(?inton
Industrial Waste Survey Shoat .Fora
To the Best of my knowledge the information on this form is true and accurate,
12- ..... Date 3 — 7- / l
7
Retur€t this completed form within 15 days to;.
Debra Twzstall
QV of Lincolnton �VWTP
Post Office Box 617
Lincolnton,NC 28093
Failure to return this form is enfiorecable in accordance with the City of Lincolnum Sewer Use
Ordinance and may include fines or suspensioiz of service.
The City of Lincointon Seaver Use Ordinance can he viewed at:
City of Lincolnton Public Service Center
128 Motz Avenue
Lincolnton, NC 28092
Sincerely,
Debra Tunstall
Pietreatment Compliance Technician
r
IWS Short form
Filename: IWS Short Farm
Revision Date: September 1, 1993

INVOICE
Blue Ridge Labs, Inc.
Invoice # 2019- 0245
Date: 4/2312019
A.O. Box 2W
Lenoir. NC 28645
Phone; 0287280149 Fax: [phone]
Client: City of Lincointon WVVTP Bill To: City of Lincointon WVVTP
PO Box 617 PO Box 617
_ Lincointon, IBC 28093 Lincointon, NC 28093
PO NUMBER � LAB REF. ID I TERMS LAB CONTACT PROJECT NAME
173 Net 10 Days 1 Steve Johnson
Sample Name Concrete Supply
TARGET NAME
Ag by ICP
QUANTITY
1
UNIT PRICE
$10.00
EXTENDED PRICE
$10.00
As by ICP
1
$10.00
$10.00
BOD
Cd bit ICP
Cr by ICP
Cu by ICP
1
1
1
1
$30.00
$10.00
$10.00
$10.00
$30.00
$10.00
$10.00
$10.D0
Cynaide
1
$35.00
$35.00
Hg by Cold Vapor
1
$35.D0
$35.00
Mo by ICP
NI by ICP
1
1
$10.00
$10.00
$10.00
$10.00
Oil & Grease
1
$35.00
$35.00
Pb by ICP
5b by ICP
i
1
$10.00
$10.00
$10.00
$10.00
Se bu ICP
1
$%00
$10.00
Total Nitrogen
1
$40.00
$40.00
Total Suspended Solids
1
$15.00
315.00
Zn by ICP
1
$10.00
$10.00
Please Remit: $300.00
Upon submission of samples, buyer agrees that Involces are due at time of delivery. Open accounts are due 20 days following
the involve data. A finance charge of 1.5 % per month will be impaled on all past -due accounts. When relinquishing samples to
Blue Ridge Labs, buyer agrees to pay all collection and attorneys fees If the account becomes deliquent. Blue Ridge Labe
reserves the right to deny all QC and support documentation for ail open accounts which are greater than 60 days. Additionally,
Blue Ridge Labs also reserves the right to Inform the appropriate local, state or federal agency that all support documentation
Is not available due to the failure to the above Invoice terms. Data used for compliance purposes will be rendered Invalid for
reporting until the account Is cleared.

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client : City of Lincolnton W WTP
PO Box 617
Lincolnton, NC 28093
Attention: Mr. Donald Burkey
Date Received:
26-Mar-19
Report Date:
23-Apr-19
Sample Date:
26-Mar-19
BRL #:
BR ,2019-0173
Lab Sample ID:
LSID-2019-00745
Client Sample ID:
Concrete Supply
Parameter
Ag
As
Cd
Cr
Cu
Mo
Ni
Pb
Sb
Se
Zn
Hg
[e-mail]
Result
MQL,
Unit
Method
Analysis
Time
Analysis
Date
Analyst
k
0.001
mg/1
200.7
1994
16:03
4/2/2019
KCJ
*
0.01
mg/I
200.7
1994
16:03
4/2/2019
KCJ
*
0.0002
mg/I
200.7
1994
16:03
4/2/2019
KCJ
*
0.001
mg/I
200.7
1994
16:03
4/2/2019
KCJ
0.014
0.001
mg/i
200.7
1994
16:03
4/2/2019
KCJ
0.069
0.001
mg/l
200.7
1994
16:03
4/2/2019
KCJ
*
0.001
mg/I
200.7
1994
16:03
4/2/2419
KCJ
*
0.01
mg/l
200.7
1994
16:03
4/2/2019
KCJ
"
0.01
mg/I
200.7
1994
16:03
4/2/2019
KCJ
0.013
0.01
mg/1
200.7
1994
16:03
4/2/2019
KCJ
0.113
0.001
mg/1
200,7
1994
16:03
4/2/2019
KCJ
*
0.0001
mg/l
245.1
1994
14:14
4/18/2019
KCJ
Reported By:
S. J.706hnson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 1 of 6

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client:
Attention:
City of Lincolnton WWTP
PO Box 617
Lincolnton, NC 28093
Mr. Donald Burkey
Date Received:
26-Mar- 19
Report Date:
23-Apr-19
Sample Date:
26-Mar-19
BRL #
BRL-2019-0173
Lab Sample ID:
LSID-2019-00746
Client Sample ID:
Concrete Supply
[e-mail]
Analysis Analysis
Parameter Result MQL Emit Method Time Date Analyst
N2+N3 3.68 0.08 mg/I SM 19 4500-N 16:14 4/17/2019 KCJ
TKN 6.02 0.5 mgA SM 19 4500-N 11:09 4/ 16/2019 KC J
Reported By:
S. . Johnson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 2 of 6

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client:
City of Lincointon WWTP
PO Box 617
Lincointon, NC 28093
Attention:
Mr. Donald Burkey
Date Received:
26-Mar-19
Report Date:
23-Apr-19
Sample Date:
26-Mar-19
BRL #:
BRL-2019-0173
Lab Sample ID:
LSID-2019-00747
Client Sample ID:
Concrete Supply
Parameter
Fats, Oil & Grease
Result MQL
9.5 1
Reported By:
[e-mail]
Analysis Analysis
Unit Method Time Date Analyst
mgll 5520B 2001 14:23 4/12/2019 KCJ
S. K Johnson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 3 of 6

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-01.49
Client : City of Lincointon WWTP
PO Box 617
Lincolnton, NC 28093
Attention: Mr. Donald Burkey.
Date Received:
26-Mar-19
Report Date:
23-Apr-19
Sample Date:
26-Mar-19
BRL #:
BRL-2019-0173
Lab Sample ID:
LSID-2019-00748
Client Sample ID:
Concrete Supply
Parameter Result MQL
Cyanide 0.010 0.005
Reported By:
[e-mail]
s
Analysis
Unit Method Time
mg/l 4500-CN-E 1 16:36
Analysis
Date
4/1/2019
S. g4ohnson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 4 of 6
Analyst
KCJ

Blue .Ridge Lacks
PO Box 2940
Lenoir, NC 28645
828-728-0149
[e-mail]
Client:
City of Lincolnton WWTP
PO Box 617
Lincolnton, NC 28093
Attention:
Mr. Donald Burkey
Date Received:
26-Max-19
Report Date:
23-Apr-19
Sample Date:
26-Mar-19
BRL #:
BRL-2019-0173
Lab Sample ID:
LSID-2019-00749
Client Sample ID:
Concrete Supply
Analysis Analysis
Parameter Result MQL Unit Method Time Date Analyst
TSS 9.4 5 mg/l 2540D 1997 17:03 3/26/2019 KCJ
Reported By:
S. J.4ainson, D.R Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 5 of 6

Blue Ridge Labs
PO Box 2940
Lenoir, NYC 28645
828-728-0149
Client : City of Lincolnton WWTP
PO Box 617
Lincolnton, NC 28093
Attention: Mr. Donald Burkey
Date Received:
26-Mar-19
Report Date:
23-Apr-19
Sample Date:
26-Mar-19
BRL #:
BRL-2019-0173
Lab Sample ID:
LSID-2019-00750
Client Sample ID:
Concrete Supply
Parameter
BOD-5 day
[e-mail]
Analysis
Result MQL Unit Method Time
151 2 mg/I SM 5210B
Analysis
Date Analyst
3/27/2019 WtrTech
Reported By: '
S. I do son, D.R. Wessinger
* Concentrations are below Minimum Quantification Lintit except where noted.
NC Laboratory Certificate No. 275
Page 6 of 6

ArVi.VLGUIU/It1U lU:l0 Am
rAA vo,
r. UUI/UUZ
unri 0mCK LARNInc.
POST OFFICE BOX IM - A6 PINEWOOD PLAZA DR.
GRANITE FAILS. NORTH CAROLINA 28634
(828) 3s "444
SAMPLE Blue Ridge Labs 0750
PFRMIT V
ADDRESS: Blue Ridge Labs
P.O. sox 2040
Lenoir NG, 28645
COL.L.EC"ON DA M—
S126J3019
COLLECTION 77ME:
10:33
RECEIVED DA7M
3/2&2019
RECEIVED 77AIE_
15:55
REPORTED:
414/2019
LOG 1D: 1003-377 REPORTED BY: NC C£RTEM LAB # 5U
Tauy GraBB, Lab Supoxviw r

NPDS.Reporting
Crroundwate.r
kk
Blue Ridge dabs, Inc.
P.O. Box 2940
Lenoir,,NC 28W
Telephone [phone] Fax [phone]
. Chain of Custody
Sanitary LmA i) Hazardous Waste Industrial or QC .Non State Reporting
UST/Trust`Fund Reporting
Bi,l To:
1� Prrojea Name:
j PO Number. j
1 Iee Present: Y N
Field
Preservatives Lab Check
Tamp
RRMM
Field
Check
liw�Y
Sulfide
',Chlor
Check
N.'
I Field
. Y N
Chlor
PorA
Re ' he Date; Time: Re ved By: Date: Time:
fpon submission ofsamples, client agrees that invoices are due at the time work is completed. Open accounts are due 20 days following invoice date. A finance 4 mge oft.$% per month will be imposed on all gaslue accounts.
Then relinquishing maniples to Blue Ridge Labs (BRL), buyer authorizes BRL to perform only the anabmw indkamd above and -also agmes to pay collection and atnomey feefthe accountbeemnes delinquent Blue Ridge Labs
Serves the right to deny documentation far any work where.payutont has not been made, in effect rendering that data unsupported for regulatory purposes. BRL cannot gtttaantee "any regulatory mrtJt my will net ept any work
tbmiMcd, therefore it is the d icnes respotrsibilto request on this form appropriate tests. NC DENR Certified Lab #275

Lincointon NC
Gary Hunter
Concrete Supply Company
PO Box 5247
Charlotte, NC 28299
NOTICE OF VIOLATION
Industrial User Name:
Concrete Supply Company
Date of Notification:
April 30, 2019
This Notice of Violation is being issued for discharging unpermitted process wastewater into the City's
sewer system. On Tuesday, March 26, after receiving information from the state, I visited your plant to test
your process wastewater. During my visit, I collected various samples and checked the pH of your process
wastewater. Prior to leaving your plant, I left another Industrial Waste Survey Short Form and explained
that the pH value of your process wastewater read 1192 Standard Units.1 also explained that the City's pH
limit for our permitted industrial users range between 6.0 and 9.0 S.U. The City of Lincolnton Sewer Use
Ordinance states a pH of 12, entering our sewer system is prohibited.
Prior to this visit, the only documentation on file was a 2014 IWS form, which shows your process
wastewater, 2500 to 3000 gallons, stays in the concrete process. This form does not reference any of your
wastewater entering our sewer line; however the updated IWS form, received on March 27`�, does reference
a volume of 5698 gallons of process wastewater entering our sewer lines from your Clearwell. Any
wastewater entering the City's sewer line without authorization is considered an unpermitted discharge.
Prior authorization is needed from. the City of Lincolnton before any process wastewater can enter into our
sewer system.
Unknown process water dischgrm—can be detrimental to the City's Wastewater Treatment Plant,
and are not allowed to be discharged into -the City's sewer lines. A'written response to this Notice of
Violation is due within 15 days from the date of notification above. Your written response should outline
reasons for noncompliance and the corrective actions taken to achieve compliance. Failure to correct this
violation will lead to escalated actions by the City.of Lincolnton, which includes fines and/or suspension of
service:
Notice of Violation written response due date: May 15, 2019

Sincerely,
Debra V. Tunstail
Pretreatment Compliance Technician

City of Lincolnton
Industrial Waste Survey Short Form
This ,form has -been sent to your business to determine types and sources of wastewater that are
entering the !Ck of Lincolnton Wastewater Treatment Plant. This form must- be completed in
accordance with Division 2, Section 8.62 of the City of Lincolnton Sewer Use Ordinance. The
Sewer Use Ordinance can be examined during normal business. hours at the address listed at the
end of this form. If you have any question or concerns while completing the form please contact. -
Debra TunstaH at 704-736-8960. Please provide the following information about your business:
Name of Business: �, r r�-�, �� , (,y CO.-, C L c
Mailing Address: �. 0
Physical Address:
City/State/Zip Code: _ L r ,, ce 16 +IVY, a ` O -7,;L ---
Telephone: 'i - _ 1 ? d a no Fax: ? u y 'T1 y - G S-d
Contact Person at Facility:_R,�,q- Telephone: -7 air S"- 7 3 Yy
Number of Employees: �] _ Number Shifts & Work Days/Week: Z Q�V_,s
What Standard Industrial Classification (SIC) Code(s) do you report under:
Briefly describe your business include products manufactured or services performed:
1� (C • _ h r _ cl� C w f � 1/C ¢h • •S� r �'i cl-c-> /:ar Otam
f f: _Y�. 1 f O &t y 9 5 Ncc�r�
Please list all water uses and approximate volume used in gallons per day for each use,
including facility washdown water.
Water Use
Volume Used (gallons per
day
Process:
r SUd ge6��
S dq* ' u-J'i tor,wk, eft
�--
Contact Coo1jag Water / Cooling Tower Dischar e
Boiler Blowdown:
---
Facility Washdown / Clean Up:
Sib C)
Domestic(bathrooms, cafeteria):
13 cw
Total:
3 3a
�S �n
Cwt►aiL.
iDimSewer—USe-Ordinance-requires-that_an Authorized -Representative -of the User -sign -all --reports
'to the City of LificoIntom Authorized Representative is defined as a Person responsible for the
Principle Business. decisions or other policy. decisions for the facility.
IWS Short Form
Filename: IWS Short Form
Revision Date: September 1, 1993

City of Lincoluton
Industrial Waste Survey Short ]Form
To the Best of my knowledge the information on this f6rm is true and accurate,
Signature Date f_ f f c O l rY _ _
Name (Print) -o 4,- _4c<y+61 _ _ Title
Retur. n thas.completed forms within 15 days to:
Debra Tunstall
City of Lincolnton WVTP
Post Office Box 617
Lincolntop, NC 28093
Failure to return this form is enforceable in accordance with the City of Lincolnton Sewer Use
Ordinance and may include fines or suspension of seraice.
The City of Lincolnton Sewer Use Ordinance can be viewed at:
City of Lincolnton Public Service Center
129 Motz Avenue
Lincolnton, NC 28092
Sincerely,
Debra Tunstall —
Pretreatment Compliance Technician
IWS Short Form -
Film&=: IWS Short Form
{ Revision Lisle: September 1, 1993
E
k

INVOICE
Blue Ridge Labs, Inc. Invoice # 2019- 0336
Date: 5/22/2019
P.O. Box 2940
Lenoir. NC 28645
Phone: [phone] Fax: [phone]
Client: Citv of Uncointon WWTP 6111 To: City of Llncolnton WWTP
PO Box 617 PO Box 617
_ Lincolnton, NC 28093 Lincolnton, NC 28093
PO NUMBER LAB REF. ID TERMS LAB CONTACT PROJECT NAME
298 Net 10 Days Steve Johnson
Sample Name Concrete Supply Co.
TARGET NAME
Ag by ICP
As by ICP
Cd bu ICP
QUANTITY
1
1
1
UNIT PRICE EXTENDED PRICE
$10.00 $10.00
$10.00 $10.00
$10.00 $10.00
Cr by ICP
- 1
$10.00
--- $10.00
Cu by tCP
i
$10.00
$10.00
EPA 625 ABN Summit
1
$245.00
$245.00
EPA-624
Fig by Cold Vapor
Mo by ICP
1
1
1
$155.00
$35.00
$10.00
$155.00
$35.00
$10.00
NI by 1CP
1
$10.00
$10.00
Pb by ICP
1
$10.00
$10.00
Sb by ICP
1
$10.00
$10.00
Se bu ICP
1
$10.00
$10.00
~ Zn by ICP
1
$10.00
$10.00
Please Remit:
$646.00
Upon submission of samples, buyer agrees that Invoices are due at time of delivery. Open accounts are due 20 days following
the invoice date. A finance charge of 1.6 % per month will be Imposed on all past -due accounts. When relinquishing samples to
Blue Ridge Labs, buyer agrees to pay all collection and allomeys fees if the account becomes deliquent. Blue Ridge Labs
reserves the right to deny all QC and support documentation for all open accounts which are greater than 60 days. Additionally,
Blue Ridge Labs also reserves the right to Inform the appropriate local, state or federal agency that all support documentation
Is not available due to the failure to the above Invoice terms. Data used for compliance purposes will be rendered invalid for
reporting until the account Is cleared.

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149 [e-mail]
Client : City of Lincolnton WWTP
PO Box 617
Lincolnton, NC 28093
Attention: Mr. Donald Burkey
Date Received:
30-Apr-19
Report Date:
22-May-19
Sample Date:
30-Apr-19
BRL #:
BRL-2019-0296
Lab Sample ID:
LS[D-2019-01180
Client Sample ID:
Concrete Supply Co.
Parameter
Result
MQL
Unit
Method
Analysis
Time
Analysis
Date
Analyst
Ag
0.015
0.001
mg/1
200.7
1994
15:13
5/20/2019
KCJ
As
*
0.01
mg/l
200.7
1994
15:13
5/20/2019
KCJ
Cd
«
0.0002
mg/I
200.7
1994
15:13
5/20/2019
KCJ
Cr
0.023
0.001
mg/I
200.7
1994
15:13
5/20/2019
KCJ
Cu
0.032
0.001
mg/I
200.7
1994
15:13
5/20/2019
KCJ
MO
*
0.001
mg/I
200.7
1994
15:13
5/20/2019
KCJ
Ni
*
0.001
mg/I
200.7
1994
15:13
5/20/2019
KCJ
Pb
*
0.01
mg/l
200.7
1994
15:13
5/20/2019
KCJ
Sb
+
0.01
mg/I
200.7
1994
15:13
5/20/2019
KCJ
Se
0.093
0.01
mg/I
200.7
1994
15:13
5/20/2019
KCJ
Zn
0.176
0.001
mg/l
200.7
1994
15:13
5/20/2019
KCJ
lig
*
0.0001
mg/1
245.1
1994
12:16
5/8/2019
KCJ
Reported By:
S. X j6hason, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page I of 8

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client : City of Lincolnton W WTP
PO Box 617
Lincointon, NC 28093
Attention: Mr. Donald Burkey
Date Received:
30-Apr-19
Report Date:
22-May-19
Sample Date:
30-Apr-19
SRL #:
BRL-2019-0296
Lab Sample W:
LSID-2019-01181
Client Sample ID:
Concrete Supply Co.
blueridgelabslenoirOgmail.com
Parameter
Result
MQL
Unit
Method
Analysis
Time
Analysis
Date
Analyst
1, 1, 1,2-Tetrachloroethane
*
5
ug/l
EPA-624 Exp
11.14
5/7/2019
Summit
1,1,1-Trichloroethane
*
5
ug/I
EPA-624Exp
11:14
5/7/2019
Summit
1,1,2,2-Tetrachloroethane
*
5
ugll
EPA-624 Exp
11:14
5/7/2019
Summit
1,1,2-Trichloroethane
*
5
ug/I
EPA-624 Exp
11:14
5/7/2019
Summit
I,1-Dichloroethane
*
5
ug/I
EPA-624Exp
11:14
5nl2019
Summit
1, 1 -Dichloroethene
*
5
ug/I
EPA-624 Exp
11.14
5/7/2019
Summit
1,2-Dichlorobenzene
*
5
ug/l
EPA-624 Exp
11:14
5/7/2019
Summit
1,2-Dichloroethane
*
5
ug/i
EPA-624 Exp
11:14
5/7/2019
Summit
1,2-Dichloropropane
*
5
ug/l
EPA-624 Exp
11:14
5/7/2019
Summit
1,3-Dichlorobenzene
*
5
ug/I
EPA-624 Exp
11:14
5nl2019
Summit
1,3-Dichloropropylene
*
5
ug/l
EPA-624 Exp
11.14
5/7/2019
Summit
1,4-Dichlorobenzene
*
5
ug/l
EPA-624 Exp
11:14
5/7/2019
Summit
2-Butanone
*
50
ug/l
EPA-624 Exp
11:14
5/7/2019
Summit
2-Chloroethylvinyl Ether
•
10
ug/l
EPA-624 Exp
11:14
5/7/2019
Summit
Acrolein
*
50
ug/l
EPA-624 Exp
11:14
5nl20 i 9
Summit
Acrylonitrile
*
50
ug/1
EPA-624 Exp
11:14
5l7/2019
Summit
—Benzene
— 5—
—ug/l—EPA-624-Exp----H-
-]4­97/2019
-Summit —
Bromoform
*
5
ug/I
E A-624 Exp
11:14
5/7/2019
Summit
Reported By:
S. J.
n, D,R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 2 of 8

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
[e-mail]
Client.-
Attention:
Date Received:
Report Date:
Sample Date:
BRL #:
Lab Sample ID:
Client Sample ID:
City ofLincolnton WWTP
PO Box 617
Lincolnton, NC 28093
Mr. Donald Burkey
30-Apr-19
22-May-19
30-Apr-19
BRL-2019-0296
LSID-2019-01181
Concrete Supply Co.
Analysis
Analysis
Parameter
Result
MQL
Unit
Method
Time
Date
Analyst
Carbon tetrachloride
*
5
ug/l
EPA-624 Exp
11:14
5nl2019
Summit
Chlorobenzene
*
5
ug/l
EPA-624 Exp
11:14
5/7/2019
Summit
Chiorodibromomethane
5
ug/I
EPA-624 Exp
11:14
5/7/2019
Summit
Chloroethane
*
5
ug/1
EPA-624 Exp
11:14
5/7/2019
Summit
Chloroform
*
5
ug/l
EPA-624 Exp
11:14
5nl2019
Summit
cis-1,3-Dichloropropene
*
5
ugli
EPA-624 Exp
11:14
5nl2019
Summit
Dichlorobromomcthme
*
5
ugll
EPA-624 Exp
11:14
5/7/2019
Summit
Ethylbenzene
*
5
ug/l
EPA-624 Exp
11:14
5/7/2019
Summit
m,p-Xylene
*
5
ug/l
EPA-624 Exp
11:14
5/712019
Summit
Methyl bromide
+
5
ug/I
EPA-624 Exp
11:14
5/7/2019
Summit
Methyl chloride
*
5
ug/l
EPA-624 Exp
11:14
5/7/2019
Summit
Methylene chloride
*
5
ug/I
EPA-624 Exp
11:14
5l7/2019
Summit
MTBE
*
5
ug/l
EPA-624 Exp
11:14
5/7/2019
Summit
Naphthalene
5.93
5
ug/I
EPA-624 Exp
11:14
5/7/2019
Summit
o-Xylene
*
5
ug/I
EPA-624 Exp
11:14
5/7/2019
Summit
TBA
*
50
ug/I
EPA-624 Exp
11:14
5/7/2019
Summit
eT trachlaroethene
*
S
ug/I
EPA-624 Exp
11:14
�5/7/2019
Summit
Toluene
5
ug/l
EPA-624 Exp
11:14
5/7/2019
Summit
Reported By:
S. J.
son, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
SIC
Laboratory Certificate No. 275
Page 3 of 8

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149 [e-mail]
Client :
City of Lincolnton WWTP
PO Box 617
Lincolnton, NC 28093
Attention:
Mr. Donald Buricey
Date Received:
30-Apr-19
Report Date:
22-May-19
Sample Date:
30-Apr-19
BRL 4:
BRL-2019-0296
Lab Sample ID:
LSID-2019-01181
Client Sample ID:
Concrete Supply Co.
Analysis
Analysis
Parameter
Result MQL
Unit
Method
Time
Date
Analyst
trans-1,2-Dichloroethene
* 5
ug/l
EPA-624 Exp
11:14
5/712019
Summit
trans-1,3-Dichloropropene
* 5
ug/I
EPA-624 Exp
11:14
5/7/2019
Summit
Trichloroethene
* 5
ug/l
EPA-624 Exp
11:14
5/7i2019
Summit
Trichlorotluoromethane
* 5
ug/1
EPA-624 Exp
11:14
5/7/2019
Summit
Vinyl chloride
* 5
ug/l
EPA-624 Exp
11:14
5/7/2019
Summit
Xylene, Total
* 5
ugA
EPA-624 Exp
11:14
5/7/2019
Summit
Reported By:
S. Json, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certlflcate No. 275
Page 4 of 8

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client: City of Lincolnton WWTP
PO Box 617
Lincolnton, NC 28093
Attention: Mr. Donald Burkey
Date Received:
30-Apr-19
Report Date:
22-May-19
Sample Date:
30-Apr-19
BRL #:
BRL-2019-0296
Lab Sample LD:
LSID-2019-01182
Client Sample ID:
Concrete Supply Co.
[e-mail]
Analysis
Analysis
Parameter
Result
MQL
Unit
Method
Time
Date
Analyst
4,6-13initro-o-Cresol
*
0.0693
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
4-Nitrophenol
*
0.0396
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Acenaphthene
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Acenaphthyiene
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Anthracene
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Benzidine
*
0.0842
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Benzo(a)anthracene
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Benzo(a)pyrene
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Benzo(b)fluroanthene
*
0.0099
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Benzo(g,h,i)perylene
*
0.0149
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Benzo(k)fluoranthene
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Bis(2-chloroethoxy)methane
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Bis(2-chlorocthyl)ether
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Bis(2-chloroisopropyl)ether
*
0.005
mgfL
EPA-625.1 A/
22:05
5/6/2019
Summit
Bis(2-ethylhexyl)phthafate
*
0.0792
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Bromophenyl phenyl ether, 4-
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/20I9
Summit
- -"--'— Butyl } ph-thalaae
—0:0099
— —mgU
EPA=625:1 A/—'22:05-
---5/6/2019—'--
Summit
Ch I oronaphthalene, 2-
*
0.00
mg/L EPA-625.1 A/
22.05
5/6/2019
Summit
Reported By:
S. JI$Wnson,
D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 5 of 8

Blue Ridge Labs
PO Bax 2940
Lenoir, NC 28645
828-728-0149
Client : City of Lincolnton WWTP
PO Box 617
Lincointon, NC 28093
Attention: Mr. Donald Burkey
Date Received:
30-Apr-19
Report Date:
22-May-19
Sample Date:
30-Apr-19
BRL #:
BRL-20I9-0296
Lab Sample ID:
LSID-2019-01182
Client Sample ID:
Concrete Supply Co.
[e-mail]
Analysis
Analysis
Parameter
Result
MQL
Unit
Method
Time
Date
Analyst
Chlorophenol, 2-
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Chlorophenyl phenyl ether, 4-
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Chrysene
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Di-n-butylphthalate
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Di-n-octylphthalate
*
0.0297
mg/L
EPA-625.I A/
22:05
5/6/2019
Summit
Dibenzo(a,h)anthracene
*
0.0495
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Dichlorobenzene, 1,2-
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Dichlorobenzene, 1,3-
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Dichlorobenzene, 1,4-
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Dichlorobenzidine-3,3'
*
0.0594
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Dichlorophenol, 2,4-
*
0.005
mg/L
EPA-625.1 Al
22:05
5/6/2019
Summit
Diethylphtha late
*
0.005
mg1L
EPA-625.1 Al
22:05
5/6/2019
Summit
Dimethylphenol, 2,4
•
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Dimethylphthalate
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Din itrophenol, 2,4-
*
0.0792
mg/L
EPA-625.1 Al
22:05
5/612019
Summit
Dinitratoluene, 2,4-
*
0.005
mg/L
EPA-625.1 Al
22:05
5/6/2019
Summit
- ina rt ole; 2; - touen
D
0:005
___ m _
� EP;d► -625 1 A/�22:�5
__..._....—
--
5/6/2019
Summit
Diphenylhydrazine, 1,2-
*
0.0 8
m
EPA-625.1 A/
22:05
5/6/2019
Summit
Reported By:
,
?/
S. J.Whnson,
D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 6 of 8

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client : City of Lincolnton WWTP
PO Box 617
Lincolnton, NC 28093
Attention: Mr. Donald Burkey
Date Received:
30-Apr-19
Report Date:
22-May-19
Sample Date:
30-Apr-19
BRL #:
BRL-2019-0296
Lab Sample ID:
LSID-2019-01182
Client Sample ID:
Concrete Supply Co.
[e-mail]
Analysis
Analysis
Parameter
Result
MQL
Unit
Method
Time
Date
Analyst
Fluoranthene
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Fluorene
'+
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Hexachloroben7ene
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Hexachlorobutadiene
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Hexachlorocyclopentadiene
0.0594
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Hexachloroethane
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Indeno(1,2,3-cd)pyrene
*
0.0139
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
]sophorone
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
N-nitrosodi-n-propylamine
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
N-Nitrosodimethylamine
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
N-Nitrosodiphenylamine
»
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Naphthalene
+
0.005
mg/L
EPA-625.1 Al
22:05
5/6/2019
Summit
Nitrobenzene
•
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Nitrophenol, 2-
+
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
p-Chloro-m-cresol
*
0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
Pentachlorophenol
*
0.0248
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
- Phenant rene
*
O.f105
_ _ ing/L
EPA-625.1 Af
22:05
5/6/20i9
gummit
Phenol
*
0.005
mg/L
EPA-625.I A/
22:05
5/6/2019
Summit
love
Reported By:
S. J. nson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 7 of 8

Blue .Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client :
City of Lincointon WWTP
PO Box 617
Lincolnton, NC 28093
Attention:
Mr. Donald Burkey
Date Received:
30-Apr-19
Report Date:
22-May-19
Sample Date:
30-Apr-19
BRL #:
BRL-2019-0296
Lab Sample ID:
LSID-2019-01182
Client Sample ED:
Concrete Supply Co.
Parameter
Pyrene
Pyridine
Total Cresols
Trichlorobenzene, 1,2,4-
Trichlorophenol, 2,4,6-
Reported By:
[e-mail]
Result MQL Unit Method
Analysis Analysis
Time Date Analyst
* 0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
* 0.0198
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
* 0.0248
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
* 0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
* 0.005
mg/L
EPA-625.1 A/
22:05
5/6/2019
Summit
S. J: Jolt'(dbn, D.R. Wessinger '
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 8 of 8

Sienrrnif Enyir•onnfemal Technolo fes, Inc,
T �T-�M9 g Analytical Report
4 r' 3310 Win & Y P
�t111::r r I t , It .:r , Gryahoga.Falls, 01du 44223- (consolidated)
r: r r r+ ::.;;:.:•.::',r,:,- T'EL: [phone] FAX.[phone]$9 WO#: 19050258
fNebsife: lufy:',imru sef rk cony Dale Reported: 5/9/2019
CLI•F,NT: Blue Ridge Labs. Inc. Collection Date: 4/30/2019 12:32:00 PM
Project: 1181 /1182
Lab W: 19050258-001
Client Sample [D 1182
Matrix: NON -POTABLE WATER
Analyses Result PQ.L Qual Units D>' Date Analyzed
SVOC BNA METHOD 625.1
SEMI -VOLATILE ORG. COMPOUNDS BY GC/MS {EPA 626.1)
1,2,4-Trlchiorabenzene
NO
0.00495
12-Dlchlorobenzene
NO
0.00495
1,2-Diphenylhydrazine
NO
0.0198
1,3-Dichlorobenzene
NO
0,00495
14-Dichlorobenzene
NO
0.00495
2,4,6-Tdchlorophenol
NO
0.00495
2,4-Dichlorophenol
NO
0.00495
2,4-Dimethylphenol
NO
0.00495
2,4-Dinitrophenol
NO
0.0792
24-Dinitrotoluene
NO
0.00495
2,6-Dinitrotoluene
NO
0.00495
2-Chloronaphlhalene
NO
0.00495
2-Chlorophenoi
ND
0.00495
2-Nitrophenol
NO
0.00495
3,3'-Dich10robenzidine
NO
0.0594
4,6-Dinitro-o-cresol
NO
0.0693
4-Bromophenyl phenyl ether
ND
0.00495
4-Chlarophenyl phenyl ether
NO
0.00495
4-Nitrophenol
ND
0,0396
Acenaphthene
NO
0.00495
Acenaphthylene
NO
0.00495
Anthracene
NO
0.00495
Benzidine
NO
0.0842
benzo(a)anthracene
NO
0.00495
Benzo(a)pyrene
ND
0.00495
Benzo(g,h,l)perylene
NO
0.0149
Benzo(k)Buorenthene
NO
0.00495
Benzo(b)fluoranthene
NO
0.00990
B"ss(2-chloroethoxy)methane
ND
0.00495
Bis(2-chloroethyl) ether
NO
0.00495
Bis(2=cMDroisdpTrsppl}�t
ND'------0:00495�
Bis(2-a1,hy1hexyl) phthaWe
ND
0.07994
Butyl benzyi phthalate
NO
0.00990
Chrysene
NO
0.00495
Qualifiers: r; Wae above gmnvtetion rangy
M 14wl Integration Cued to detatnme vex rapom
PL Pgmn umi
RL Reponlag Daemon Lima
E625 SW3510C Analyst:9JH
mg/L
5
5/6/2019 10:05:00 PM
mg1L
5
516/2019 10:05:00 PM
mg/L
5
5/612019 10T5:00 PM
mg/L
5
5/612019 10:05:00 PM
mg1L
5
5/612019 10:05:00 PM
mg1L
5
5/6/2019 10:05:00 PM
mg1L
5
5/6/2019 10:05M PM
mg1L
5
516/2019 10',05'.00 PM
mg/L
5
5/6/2019 10:05:00 PM
mg1L
5
5/6/2019 10:05:00 PM
mg1L
5
5/612019 10;05:00 PM
mglL
5
5/612019 10:05:00 PM
mg1L
5
5/6/2019 10:05:00 Pita
mg1L
5
5/6/2019 10:05:00 PM
mg/L
5
5/6/2019 10:05:00 PM
mg/L
5
5/6/2019 10:05:00 PM
mg1L
5
5/612019 10:05:00 PM
mg1L
5
51612019 10:06:00 PM
mglL
5
5/612019 10:05:00 PM
mg1L
5
5/6/2019 10:05:00 PM
mglL
5
5/6/2019 10:05:00 PM
mg/L
5
5/612019 10:05:00 PM
mg1L
5
5/6/2019 10:05:00 PM
mglL
5
5i6i2Ui9 10:05:00 Pith
mg1L
5
5/6/2019 10:05:00 PM
mg1L
5
5/61201910:05:00 PM
mg/L
5
5/6/2019 10:05:00 PM
mg/L
5
5I61201910:05:00 PM
mg1L
5
516/201910:05:00 RM
mg1L
5
515/2019 10:05:00 PM
516/2019 10:05:00 PM
!llgrL
J
10:05:no f f.1
✓IV L.V 1 V
mg1L
5
5/6/2019 10:05:00 PM
mg/L
5
5/6/2019 10:05:00 PM
H Holding limes for
preparation or analyse exceeded
ND Not Detected
R RPD outfide acgoed rccovery bmits
W Samplacommw impanture s out of limit xs spaified at restcode
Original
Page 5 of 39

* ;x , Simmu! bmironmemal Technologies, Inc,
pf !N ; r �` 21;ts-r 3310 win Si. Analytical Report
Cti'rahagaralls..Ohio 44223 (consolidated)
TEL: [phone] FAX: [phone] WO#: t9050258
i['ebsife: Jr '.ivirt}rsertek.conr Date Reported: 5/9/2019
CLIENT: Blue Fl idge Labs, Inc. Collection Date: 4/30/2019 12:32:00 PM
Project: 1181/1 182
Lab ID: 19050258-001
Client Sample ID 1 182
Matrix: NON -POTABLE WATER
Analyses Result PQL Qual Units Dr Date Analyzed
SVOC BNA !METHOD 625.1 E625 SW3310C Analyst: BJH
SEMI -VOLATILE ORG. COMPOUNDS BY GCIMS (EPA 625.1)
Di-n-butyl phthalate
NO
0.00495
mg1L
5
51612019 10!05:00 PM
Di-n-octyl phthalate
NO
0.0297
mg/L
5
5/6/2019 10:05:00 PM
Dibenzo (a,h) anthracene
NO
0.0495
mg1L
5
5/6/2019 10:05:00 PM
Diethyl phthalate
NO
0.00495
mglL
5
5/6/2019 10:05:00 PM
Dimethyl phthalate
ND
0,00495
mg1L
5
5/6/2019 10:05:00 PM
Fluoranthene
ND
0.00495
mg/L
5
5/6/2019 10:05 00 PM
Fluorene
NO
0.00495
mg1L
5
516/2019 10:05:00 PM
Hexachlorobenzene
ND
0.00495
mg1L
5
516/2019 10:05:00 PM
Hexachlorobutadiene
NO
0.00495
mg/L
5
5/6/2019 10:05:00 PM
Hexachlorocyclopentadiene
NO
0.0594 QC+
mg1L
5
5/612019 10:05700 PM
Hexachloroethane
ND
0,00495
mg1L
5
51612019 10:05:00 PM
indeno(1,2,3-cd)pyrene
NO
0.0139
mg/L
5
516/201910:05:00 PM
Isophorone
NO
0.00495
mg1L
5
51612019 10:05:00 PM
N-Nitrosodi-n-propylamine
NO
0,00495
mg1L
5
5/612019 10:05:00 PM
N-Nitrosodimethylamine
NO
0.D0495 QC+
moll-
5
5/6/2019 10:05:00 PM
N-Nitrosodiptienylamine
NO
0.00495
mg/L
5
5/612019 10:05:00 PM
Naphthalene
ND
0,00495
mg1L
5
5/6/2019 10:05:00 PM
Nitrot>enxene
ND
0.00496
mglL
5
5/612019 10:05:00 PM
p-Chloro-m-cresol
NO
0.00495
mg/L
5
5/612019 10:05:00 PM
Pentachlorophenol
NO
0,0248
mg/L
5
5/612019 10:05:00 PM
Phenenthrone
ND
0.00495
mg1L
5
5/6/2019 10:05:00 PM
Phenol
NO
D.00495
mg1L
5
5/612019 10:05:00 PM
Pyrene
NO
0.00495
mg/L
5
5/612019 10:05:00 PM
pyridwe
mill
O.W98
mg/L
5
5i612Oi910:05:0GFM
Cresols, Total
ND
0.0248
m91L
5
5JB12019 10:05:00 PM
Sum 2-1~luorophenol
19.7
10- 140 m
%Rec
5
5/6/2019 10:05:00 PM
Sum Phenol-d6
17.5
10 - 140
%Rec
5
5/6/2019 10:05:00 PM
Sum Nitrobenzene-d5
45.8
15 - 314
%Rec
5
516/201910i05:00 PM
Sum, 20Tiibromophenol
68.9
10 -185
%Rec
5
5/61201910:06:00 PM
Sum 2-Fluorobiphenyl
51.4
25.4 - 158
%Rec
5
5/6/2019 113:05:00 PM
- —Su - erp enyT=d'f4 --
68:3
_ 3337- 151�--
�-o]aRec ---._
— 5
5/612049 10:05:00 PArI
Qu>aiitlers: a t'rlue abu+e quantaation mnZe
M Manual Itrcegralwn usad to dcterrmne area «sponst
PL Permit Limit
ELL Reporting Dcteaion tuna
11 HoMry lima for preparation ar analysts escecded
ND Not Detected
R RI'F outside uapted recovery [volts
%V Sampie contauer temperaturo is out of limit as spm:iried at testcoda
Original
Page 6 of 39

" Surnmit DIVO'OrNtlertlal Teclrrrolo reS, MC.
�� M l g Analytical Report
y ,,f rm �t 4 1 y " 331 Q Wirt Sr.
;yrlr .'.ara;. ' -;a: cr •:: Cuyahoga Falls. Ohio 44213 (COMAdated)
w.r !` •?':; : =att•'t'::ir`: TEL [phone] FLI: [phone] WO#: 19050258
Webslre: lute.;' ivn7v,selreJkcQnr Date Reported; 5/912{119
CLIENT: Blue Ridee Labs. Inc.
Project: 1181/1 182
Lab ID: 19050258-002
Client Sample ID 1181
Analyses
Collection Date: 4/30/2019 12:32:00 PM
Matrix: NON -POTABLE WATER
Result PQL Qual Units DF Date Analyzed
VOLATILE ORGANIC COMPOUNDS BY GCIMS (EPA. 624.1) E624 Analyst: RMT
VOC BY GCIMS (624.1)
1,1,1,2-Tetrachloroethane
NO
5.00
pg/L
1
517/2019 11:14:00 AM
1,1,1-Tdchloroethane
NO
5.00
pg/L
1
5/7I2019 11:14:00 AM
1,1,22-Tetrachloroethane
NO
5,00
pg/L
1
5/7/2019 11:14:00 AM
1,12-Trichloroethane
ND
5.00
µg1L
1
5/712019 11:14:00 AM
1,1-Dichloroethane
NO
5,00
µg/L
1
517/201911:14:00AM
1,1-Dichloroethene
N0
5.00
µg/L
1
5/7/201911:14:00AM
1,2-Dichlorobenzene
ND
5.00
pg1L
1
5/712019 11:14:00 AM
1,2-Dichloroethane
ND
5.00
pg/L
1
51712019 11.14:00 AM
1,2-0ichtoropropane
NO
5.00
µg/L
1
51712019 11:14:00 AM
1,3-Dichlorobenzene
NO
5.00
µg/L
1
5I712019 11:14:00 AM
1,4-Dichlorobenzene
NO
5.00
pg1L
1
5/7/2019 11:14:00 AM
Benzene
NO
5,00
pg1L
1
5/7/2019 11:14:00 AM
Bromodichloromethane
NO
5,00
pg1L
1
5/7/2019 11:14:00 AM
Bromofotm
NO
5.00
pg/L
1
5/7/2019 11:14:011 AM
Bramomethane
NO
5.00
pg/L
1
517/2019 11;14:00 AM
Carbon tetrachloride
NO
5.00
pg/L
1
5/7/2019 11:14:00 AM
Chlorobenzene
NO
5.00
pg/L
1
51712019 11A4:00 AM
Chlaroethane
ND
5.00
pg/L
1
5/712019 11:14:00 AM
Chloroform
NO
5.00
pg/L
1
5I7/2019 11:14:00 AM
Chloromethane
NO
5.00
pg/L
1
5/7/2019 1 i:14:00 AM
Toluene
ND
5.00
pg/L
1
5/7/2019 11:14:00 AM
Dibratnochloromethane
NO
5.00
µg1L
1
5/7/2019 11:14:00 AM
Ethylbenzene
ND
5.00
pg/L
1
517/2019 11:14:00 AM
rn,p-Aylene
ND
5,00
pg1L
i
&T20t9 i i:14:00AM
Methylene chloride
NO
5.00
pg1L
1
5/7/2019 11:14:00 AM
Naphthalene
5.93
5.00
pg/L
1
5/7/2019 11:14:00 AM
o-Xylene
NO
5.00
pg1L
1
517/2019 11:14:00 AM
Tetrachloroethene
ND
5.00
pg/L
1
5/7/2019 11:14:00 AM
trans-11,2-01chloroethene
ND
5.00
µg/L
1
5M2019 11:14:00 AM
Trichloroethene
ND
5,00
pg/L
1
5/7/2019 11:14:00 AM _
0MfMDT0Tethane
—ND
5,Cf0
pg/L
1
5/7/2019 11:14:00 AM
y i;;yl chtosirta
t�C
5.00
pg1L
1
5i712010 11:14:00 AM
1,3-Dichloropropylene
NO
5.00
pglL
1
5/712019 11:14:00 AM
Acrolein
NO
50.00L+QC+pg1L
1
517/2019 11:14:00 AM
Qualifierm E Value shovequasttitationrange H Holding times for prepartironoranalysisnceeded
N1 'Manual Jntegmtion used to determine area rtspotne ND Na Deteqed
PL Permg Limo R RPD outside accepted.recav" limits
R L Rcponing Detection Limit W SarnOt container temperature 4 out of limit as spocirud a tcatwde
Original
Cage 7 of 39

r'Y a Sionnift Errvironntentol Technologies, Inc.
�� :,° � � _ � � g� Analytical Report
' �,y f r v � a� 3310 Win St.
i :% Tt.,ar. _,trt.a , c....-; :.,,. ,. Cuyahoga Falls, Ohio-14223 {consolidated)
,".-::r ;:': '- _}' _';,•., TEL: (330j 153-8211 Fitt: (330) 253 a489 WO#: 19050258
Websife: )wjwi.ivtrtv.serrekCour Dwe Reporied: 5/9/2019
CLIENT: Blue Ridge Labs. Inc.
Project. 1181 /1182
Lab ID: 19050258-002
Client Sample ID 1181
Collection Date: 4/30/2019 12:32:00 PAI
Matrix: NON -POTABLE WATER
Analyses
Result
PQL Qual
Units
DI"
Date Analyzed
VOLATILE ORGANIC COMPOUNDS BY OCIMS (EPA 624.11
E524
Analyst: RMT
VOC BY GC1MS (624.1)
MTBE
ND
5.00
pg1L
1
517/2019 11:14:00 AM
Acettonitrile
ND
50,0
pg1L
1
5l712019 11:14,00 AM
Acrylonitrile (2-propenendrile)
NO
50.0
pg/L
1
51712019 11:14:00 AM
teft-Butyl alcohol
ND
50.0
pg/L
1
51712019 11:14:00 AM
2-Butanone
ND
50.0
pg1L
1
5/7/2019 11:14:00 AM
2-CEVE
ND
10.0
pglL
1
51712WO 11:14:00 AM
cis-1,3-Dichioropropene
ND
5.00
pglL
1
51712019 11:14: 00 AM
trans-1,3-Dichloropropene
ND
5.00
pg1L
1
5/7/2019 11:14:00 AM
Xylenes, Total
NO
5.00
pg/L
1
5R12019 11:14:00 AM
Surr: 4-Bromofluorobenzene
100
70 - 130
%Rec
1
5/7/2019 11:14:00 AM
Surr: Dibramotluoromethane
103
70 -130
%Rec
1
517/2019 11:14:00 AM
Surr: Toluene-d8
100
70 - 130
%Ree
1
5/7/2019 11:14:00 AM
Qualifiers•. E Vah¢Abovt"ffiltuion rags
M Manual fMcgtation used to determine arts response
PL Parrit Ltnn
RL Reporting Do"Aton Limn
H How;t simec frn psepunian or anhl lk etettdcd Y V
ND NotDttecttd
R eD outside accepted recomy limns
tt' $ampk coru4net toWeraturu n out of lesn as specified at testcode
Original
Page 8 of 39

Blue Ridge Labs, Inc.
P.O. Box 2940
Lenoir, NC 28645
Telephone [phone] Fax [phone]
Chain of Custody
NPDS Reporting Groundwater Sanitary Landfill Hazardous Waste Industrial or QC Non State Reporting
UST/Tr11st`Fund Reporting
Report To: Bi To -
of of Liacolnto MOQ� W
T l v-aS& CFV► Project Name
PO Number:
Ice Present: Y N
Field Preservatives Lab Check
Sample ID
Sample
Type
Date
Time
Time &
Temp
HR.MM
°C
Field
Sulfide
Check
Y N
Field
Sulfide
Present /
Removed
JY N
Resid
Chlor
Field
Check
Y N
Field
Dechlorination
Y N
pH
Resid
Chlor
PorA
Temp
°C
Sampler
Initials
Analysis Requested
�
FFFI_
Time:
Upon submission of samples, client agrees that �nvoiees are due at the time work is completed. Open accounts are due 20 days Owing invoice date. A finance charge of 1.5% per month will be, unposed on all pedue accounts.
When relinquishing samples to Blue Ridge Labs (BRL), buyer authorizes BRL to perform only the analysis indicated above and.also agrees to pay collection and attorney feef the acapunt.beeomes delinquent Blue Ridge Labs
reserves the right to deny documentation for any wort where payment has not been trade, in effect rendering that data unsupported fix regulatory purposes. BRL cannot guarantee that any regulatory authority will accept any work
submitted, tbarefore it is the die(►t's responsibility to request on this form appropriate tests- NC De R Ccrtified Lab 4275