NCS000295_MONITORING INFO_20190506

A"
STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
�IL6 n 0 V
DOC TYPE
[I FINAL PERMIT
b, MONITORING REPORTS
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ Quo O �)v"'
YYYYMMDD

JACKSON PAPER
MANUFACTURING
April 26, 2019
NCDEQ, Division of Water Resources, hilormation Processing Unit
Attn: Central Filcs/eDMR
1617 Mail Service Centel -
Raleigh, North Carolina 27699-1617
RE: Discharge Ninnitoring Report- April 2019 Monthly Tier 2 Report
NPDES Permit No. NCS000295
Jackson Paper Nianufacturinl; Company
Dear Division of Water Resources:
As stated in the first quarter 2019 DMR, we have instituted a Ticr Two response foe Outfall 001,
cl'fcctivc April, 2019. We sampled Outfall 001 and the receiving water directly upstream and
downstream of Outfall 001 for all parameters listed in our permit on April 26, 2019. We use Pace
Analytical for testing, and the turnarOund tinge for test results is about 1-2 weeks. We will submit
the monthly DMR for April as soon as we receive the test results back from the lab.
1 certify that based on information and belief formed from reasonable inquiry, the statenlelits and
information in the document are true, accurate, and complete.
Please contact Kiesha Bridges at [phone] Ext. 226 if you have any questions or need any
additional information.
RECEIVED
Sincerely, MAY 0 6 2019
1 CENT RAL FILES
DWR SECTION
Carr Tym 11
Vice -President Operations
Jackson Paper Manufacturing Company
Enclosure: Stormwater Discharge Monitoring Report
cc: .IPMC File
NORTH CAROUNA'S LAIZGf:S-1-RECYCLED PAPER PRODUCER
152 WFS'IMAIN ST'lu.1''rpN) Rox 0670SYiv,v. NC28779 TF:I.[phone] 1AX(828)580-6755

.'t
JACKSON PAPER
MANUFACTURING
March 29, 2019
NCDEQ, Division of Water Resources, Information Processing Unit
Attn: Central FilesleDMR
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Discharge Monitoring Report
NPDES Permit No. NCS000295
Jackson Paper Manufacturing Company
Dcar Division of Water Resources:
APR 03&J
Ol4118�Ti0m
FIL
Please find enclosed Discharge Monitoring Report for .Jackson Paper ManuGacturing Company
NPDES Permit No. NCS000295 for reporting period starting January 1, 2019 and ending; March
31, 2019.
Results from samples taken on February 28, 2019 from Outfall 002 and 004 show no benchmark
exceedanecs.
Results from samples for Outfall 003 show in excecdancc for COD. As a result, Jackson Paper
Will InStltutc a Tier One response for Outfiall 003.
Results from samples for Outfall 001 show a benchmark exceedance form and foe COD. Outfali
001 is located at a catch basin in the middle of the facility's front parking lot. The basin collects
runoff from the employee and visitor parkin; areas, roof drains from the off -lee building, and
delivery truck loading/unloading clocks. Portions of West Main Street, located east ofthc facility,
slopes towards the facility so that stormwater from this section of roadway runs towards Outfall
001,
At Outfall 001, the sampling results from two consecutive monitoring Periods are above the
benchmark values for TSS and COD.
In response to the benchmark cxccedances, We conducted a stormwater Inanag'ement inspection of
the facility on March 25, 2019. In addition to a Tier One response, we Will imincaialcly institute a
Tier Two response for Outfiall 001 that includes the following:
NORTH CAROLINA'S LARGFST RECYCLED PAPER PRODUCER
152 WISE MAIN SIRHA @ PO Box 6670 5vuN. NC28779 TE1,[phone] FAX [phone]

I. Reheat all required cICtiolls outlined in Wier 011e of our Permit.
2. Jmmediately institute monthly monitoring and reporting for all parameters at Outfall 001,
Monthly (analytical and (Jualitative) monitoring will continue until three consecutive sample
results are below the benchmark values or within benchmark range, We Will also institute monthly
monitoring for all parameters in the receiving water directly upstream and downstream of' the
monitoring point In accordance with the Tier Two Response.
I certify that biased on information and belief formed from reasonable IngUlry, the statements and
information in the document are. true, accurate, and complete.
Please contact Kicsha Bridges at [phone] Ext. 226 if you have any questions or need any
addltlonal lnformat1011,
r,
Sincerely,
Carr Tyndal
Vice -President Operations
Jackson Paper Manufacturing Company
Enclosure: Stormwater Discharge Monitoring Report
cc: JPMC File

Storrs tivater Discharge Outfall (SDO)
-Monitoring Report
Pennit Number NCS000295
Facility Name: Jackson Paper Manufacturing Company
Person Collecting Samples: Kiesha Brides
Certified Laboratory: Pace Analytical Services, -[-LC Project 1r 92419635
Samples Collected During Calendar Year: 2019
(This monitoring report shall be received by the Division no later than 30 days from the date the
facility receives the sampling results from the laboratory.)
County: Jackson
Ph o NO. 828 586- 34 E.et. 26
(S 'ATMJRE OF PERMITT E OR DESIGNEE)
By this signature, I certify that this report is accurate
and complete to the best of my knowledge.
Oil and Grease
Turbidity
I'SS
pfi
COD
Benchmark
15
Not Required
50
(6-9)
120
Benchmark
Benchmark
Benchmark
Benchmark
Date
Result
Result
Result
Result
Outfall
E-%ceedance
Exceerlance
Exceedance
Exceedance
Sampled
(mg/L)
()'/N
mg/L
YIN
YIN)
(mgIL)
()'/N
2/28/2014
OOi
ND
No
125.0
Yes
7.0
No
197.0
Yes
2.45 m
2/28/2014
002
ND
No
8.0
Na
7.4
No
ND
No
3:10 m
2/28/19
003
ND
No
13.8
No
7.0
No
255.0
Yes
3:20 m
2/28114
004
ND
No
27.7
No
6.0
No
40.5
No
�:55 rn
ND: Not detected at or above adjusted reporting limit.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _Yes x No
-Measureable
Storm Fvent7
Yes
0.04

Storm Event Characteristics:
Date: February 28, 2019
Total event precipitation. (inches): 0.04
Duration of storm event: 2 hours
Estimated -volume of discharge sampled:
Time since last rain event: 3 days
Drainage Area Mail Original and one copy to:
i ii ui iv Division of Water Quality
Area (acres) 1.69 5.43 20.45 1,77 Attn: Central Files
Area (sf) 73,616 236,531 890,802 77,101 1617 Mail Service Center
Volume (cf) 245 788 2,969 257 Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
and i risonme t } knowing violations."
Z-1
(Signature of P r
mitfee (Dat

m
aceAnalyfical
wwwpwefabs.com
March 15, 2019
Kiesha Bridges
Jackson Paper Mfg. Co.
152 West Main St.
Sylva, NC 28779
RE: Project: Stormwater 2128
Pace Project No.: 92419635
Pace Analytical Services, LLC
2225 Riverside Or.
Ashevllle, NC 28804
[phone]
Dear Kiesha Bridges:
Enclosed are the analytical results for sample(s) received by the laboratory on March 01, 2019. The
results relate only to the samples included in this report. Results reported herein conform to the most
current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where
applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Chris Derouen
[e-mail]
[phone]
Project Manager
Enclosures
cc: Keisha Bridges, Jackson Paper Mfg. Co.
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 19

6
IacleAnalytical
(�wow.pacdab&mn
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 2BB04
{828}254-7176
CERTIFICATIONS
Project: Stormwater 2/28
Pace Project No.: 92419635
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
South Carolina Certification M 99006001
LouisianalNELAP Certification # LA170028
Florida/NELAP Certification #: E87627
North Carolina Drinking Water Certification #: 37706
Kentucky UST Certification M 84
North Carolina Field Services Certification #: 5342
VirginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NCO30
North Carolina Drinking Water Certification #: 37712
North Carolina Wastewater Certification #: 40
South Carolina Certification M 99030001
VirginialVELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
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(�IacieAnalyfical
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SAMPLE ANALYTE COUNT
Pace Analytical Services, LLC
2225 Riverside Or.
Asheville, NC 28804
[phone]
Project:
Pace Project No.:
Stormwater 2128
92419635
Analysts
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92419635001
OUTFALL # 1
EPA 1664B
JMS
1
PASI-C
SM 2540D-2011
CEH
1
PASI-A
EPA 904CC
ECH
1
PASI-A
SM 5220D-2011
GC
1
PASI-A
92419635002
OUTFALL # 2
EPA 1664B
JMS
1
PASI-C
SM 254OD-2011
CEH
1
PASI-A
EPA9040C
SMK
1
PASI-A
SM 5220D-2011
GC
1
PASI-A
92419635003
OUTFALL # 3
EPA 1664B
JMS
1
PASI-C
SM 254OD-2011
M.1P
1
PASI-A
EPA9040C
SMK
1
PASI-A
SM 5220D-2011
GC
1
PASI-A
92419635004
OUTFALL # 4
EPA 1664B
JM5
1
PASI-C
SM 2540D-2011
MJP
1
PASI-A
EPA9040C
ECH
1
PASI-A
SM 5220D-2011
GC
1
PASI-A
REPORT OF LABORATORY ANALYSIS
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Pace Analytical Services, LLC
® 2225 Riverside Dr,
aceAnalytical Asheville, NC 28804
www.pacelabs.aom [phone]
ANALYTICAL RESULTS
Project: Stormwater 2l28
Pace Project No.: 92419635
Sample: OUTFALL # 1 Lab ID: 92419635001 Collected: 02/28/19 14:45 Received: 03/01/19 08:00 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1664 SGT-HEM, TPH
Analytical Method: EPA 1664B
Total Petroleum Hydrocarbons
ND mg1L
5.0 1 03115/19 07:12
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Total Suspended Solids
125 mglL
25.0 1 03/04/19 23:40
9040 pH
Analytical Method: EPA 9040C
pH at 2S Degrees C
7.0 Sid. Units
0.10 1 03/07/19 18:49 H3
5220D COD
Analytical Method: SM 5220D-2011
Preparation Method: SM 5220D-2011
Chemical Oxygen Demand
197 mglL
25.0 1 03/04/19 18:55 03/05/19 16:48
REPORT OF LABORATORY ANALYSIS
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Pace Analytical Services, LLC
aceAnalytrcal 227.5 Riverside dr.
Asheville, NC 28844
www.pactfaCs.COrn [phone]
ANALYTICAL RESULTS
Project: Stormwater 2128
Pace Project No.: 92419635
Sample: OUTFALL # 2 Lab ID: 92419635002 Collected: 02/28/19 15:10 Received: 03/01/19 08:00 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1664 SGT-HEM, TPH
Analytical Method: EPA 1664E
Total Petroleum Hydrocarbons
ND mglL 5.0 1 03/15/19 07:12
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Total Suspended Solids
8.0 mg/L 3.1 1 C3104119 23:41
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
7.4 Std. Units 0.10 1 03/04119 11:01 113
5220D COD
Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand
ND mglL 25.0 1 03/04/19 18:55 03/05110 16:48
REPORT OF LABORATORY ANALYSIS
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Pace Analytical Services, LLC
leac,Analytical 2225 Riverside
Asheville, NC 28804
044
www.pacelabs.com [phone]
ANALYTICAL. RESULTS
Project Stormwater 2128
Pace Project No.: 92419635
Sample: OUTFALL # 3 Lab ID: 92419635003 Collected: 02/28/19 15:20 Received: 63/01/19 08:00 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No, QUai
1664 SGT-HEM, TPH
Analytical Method: EPA 1664B
Total Petroleum Hydrocarbons
ND mg1L
5.6 1 03/15/19 07:13
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Total Suspended Solids
13.8 mglL
5.0 1 03/05/19 11:22
9040 pH
Analytical Method: EPA 9040C
pH at 25 DP.Ureas C
7.0 Std. Units
0.10 1 03/04/19 11:07 H3
5220D COD
Analytical Method: SM 5220D-2011
Preparation Method: SM 52200-2011
Chemical Oxygen Demand
255 mglL
25.0 1 03/04/19 18:55 03/05/19 16:48
REPORT OF LABORATORY ANALYSIS
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Date: 03/15/2019 04:39 PM witheut the written consent of Pace Analytical Services, LLC. Page 6 of 19

Pace Analytical Services, l-l_C
a 6
aCG 2225 Riverside Asheville, NC 2B804
04
www.pacelabs.com
($28)254-7176
ANALYTICAL RESULTS
Project: Stonnwater 2128
Pace Project No.: 92419635
Sample: OUTFALL # 4 Lab In: 92419635004 Collected: 02/28/19 14:55 Received: 03/01/19 08:00 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed GAS No, Qual
1664 SGT-HEM, TPH
Analytical Method: EPA 1664E
Total Petroleum Hydrocarbons
ND ni
5.0 1 03/15/19 07:13
2540❑ Total Suspended Solids
Analytical Method: SM 2540D-2011
Total Suspended Solids
27.7 ni
2.5 1 03/05/19 11:22
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
6.0 Std. Units
0.10 1 03/07/19 18:55 H3
5220D COD
Analytical Method: SM 5220D-2011 Preparation
Method: SM 5220D-2011
Chemical Oxygen Demand
40.8 ni
25.0 1 03/06/19 16:11 03/06119 20:30
REPORT OF LABORATORY ANALYSIS
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Date: 03/15/2019 04:39 PM wit}ioul the written consent of Pace Analytical Services, LLC. Page 7 of 19

laneAnalytical"
w,vw.pacefabs.com
QUALITY CONTROL DATA
Project: Stormwater 2/28
Pace Project No.: 92419635
QC Batch: 463492 Analysis Method: EPA 16648
QC Batch Method: EPA 1664B Analysis Description: 1664 SGT-HEM, TPH
Associated Lab Samples: 92419635001, 92419635002, 92419635003, 92419635004
METHOD BLANK: 2521534 Matrix: Water
Associated Lab Samples: 92419635001, 92419635002, 92419635003, 92419635004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Petroleum Hydrocarbons rnglL ND 4.8 03/15/19 07:05
Pace Analytical Services, LLG
2225 Riverside Dr.
Asheville, NG 28804
(828)254-71i6
LABORATORY CONTROL SAMPLE: 2521535
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Petroleum Hydrocarbons 1 19.2 22.0 114 64-132
MATRIX SPIKE SAMPLE- 2521536
92420723001 Spike MS MS % Rec
Parameter Units Result Conc. Result % Rec Limits Qualifiers
Total Petroleum Hydrocarbons mg/L ND 19.2 21.5 110 64-132
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
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Date: 03/15/2019 04:39 PM without the written consent of Pace Analytical Services, LLG. Page 8 of 19

(�IacleAna,ll"
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QUALITY CONTROL DATA
Project: Stormwater 2128
Pace Project No.: 92419635
Pace Analytical Services, LLC
2225 Riverside ❑r.
Asheville, NC 28904
(828)2`i4-717C,
QC Batch: 461447
Analysis Method:
SM 254OD-2011
QC Batch Method: SM 254OD-2011
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92419635001, 92419635002
METHOD BLANK: 2512415
Matrix: Water
Associated Lab Samples: 92419635001, 92419635002
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mglL
ND 2.5 0=4119 23:34
LABORATORY CONTROL SAMPLE:
2512416
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mglL
250 250
100 90-110
SAMPLE DUPLICATE: 2512417
92419424002 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mglL
14.8 16.0 8 D6
SAMPLE DUPLICATE: 2512418
92419583001 Oup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mglL 497 520 4
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
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6
aceAnalytical
~pacelabs.cam
QUALITY CONTROL DATA
Project: Stormwater 2/28
Pace Project No.: 92419635
QC Batch: 461473 Analysis Method: SM 254OD-2011
QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92419635003, 924196350C4
METHOD BLANK: 2512471 Matrix: Water
Associated Lab Samples: 92419635003,92419635004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 03105/19 11:21
LABORATORY CONTROL SAMPLE:
2512472
Parameter
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 2512473
Parameter
Units
Total Suspended Solids
mg1L
SAMPLE DUPLICATE: 2512474
Parameter
Units
Total Suspended Solids
mg/L
Spike LCS LCS
Conc. Result % Rec
250 248 99
92419635003 Dup
Result Result
13.8 13.2
92419702002 Dup
Result Result
2120 2150
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
% Rec
Limits Qualifiers
90-110
RPD Qualifiers
4
RPD Qualifiers
1
Results presented on this page are in the units indicated by the " tlnits" column except where an alternate unll is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
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(�IacleAna,(Xicale
wwtvpaMabs.wm
QUALITY CONTROL DATA
Project: Stormwater 2128
Pace Project No.: 92419635
QC Batch: 461232 Analysis Method: EPA 9040C
QC Batch Method: EPA 9040C Analysis Description: 9040 pH
Associated Lab Samples: 92419635002, 92419635003
SAMPLE DUPLICATE: 2511600
Parameter
pH at 25 Degrees C
92418908003 Dup
Units Result Result
Std. Units 13.4 13.4
RPD Qualifiers
0 E,H3
Pace Analytical Services, LLC
2225 Riverside Dr,
Aslieville, NC 28804
[phone]
Results presented on this page are In the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/15/2019 04:39 PM without the: writlen consent of Pace Analytical Services, LLC. Page 11 of 19

(� ac6Analytical"
www.pacolabs.com
QUALITY CONTROL DATA
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project:
Stormwater 2128
Pace Project No.:
92419635
QC Batch:
462021 Analysis Method: EPA 9040C
QC Hatch Method:
EPA 9040C Analysis Description: 9040 pH
Associated Lab Samples:
92419635001, 92419635004
SAMPLE DUPLICATE: 2515188
92419658001 Dup
Parameter Units Result Result RPD Qualifiers
pH at 25 Degrees C Std. Units 6.8 6.5 6 H3
SAMPLE DUPLICATE: 2515924
92419676001 DLJp
Parameter Units Result Result RPD Qualifiers
pH at 25 Degrees C Std. Units 0.42 0.42 0 E,H3
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
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Date: 03/15/2019 04:39 PM without the written consent of Pace Analytical Services, LLC. Page 12 of 19

Pace Analytical
Services, LLC
Riverside
227ille,
Asheville,NC 28804
(�IacieAnalyficalo
www.pacelabs.com
(828 )254-7176
QUALITY CONTROL DATA
Project: Stormwater 2128
Pace Project No,: 92419635
QC Balch: 461435
Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011
Analysis Description: 5220D COD
Associated Lab Samples: 92419635001, 92419635002,
92419635003
METHOD BLANK: 2512388
Matrix: Water
Associated Lab Samples: 92419635001, 92419635002,
92419635003
Blank Reporting
Parameter Units
Result Limit
Analyzed
Qualifiers
Chemical Oxygen Demand mglL
NU 25.0
03/05/19 16:42
LABORATORY CONTROL SAMPLE: 2512389
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits
Qualifiers
Chemical Oxygen Demand mglL
750 741
99 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2512390 2512391
MS MSD
92419552001
Spike Spike MS
MSD MS
MSD
% Rec
Parameter Units Result
Conc. COne. Result
Result % Rec
% Rec
Limits
RPD Offal
Chemical Oxygen Demand mglL 823
100 100 925
915 101
92
90.110
1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2512392 2512393
MS MSD
92419670001
Spike Spike MS
MSD MS
MSD
% Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec
% Rec
Limits
RPD Qual
Chemical Oxygen Demand mg1 912
100 100 999
999 87
87
90-110
0 M1
Results presented on this page are In the units indicated by the "units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
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Date: 03/15/2019 04:39 PM without the written consent of Pace Analylical Services, LLC.
Page 13 of 19

lac,eAnalyfical"
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QUALITY CONTROL DATA
Pace Analytical Services, LI-C
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: Stormwater 2/28
Pace Project No.: 92419635
QC Batch: 461821
Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011
Analysis Description: 5220D COD
Associated Lab Samples: 92419635004
METHOD BLANK: 2514214
Matrix: Water
Associated Lab Samples: 92419635004
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Chemicai Oxygen Demand mgIL
ND 25.0
03106/19 20:28
LABORATORY CONTROL SAMPLE: 2514215
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits Qualifiers
Chemical Oxygen Demand mg/L
750 752
100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2514216 2514217
MS MSD
92419793001
Spike Spike MS
MSD MS MSD % Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec o . Rec Limits RPD Qual
Chemical Oxygen Demand mg1L 10700
100 100 12500
12500 1870 1870 90-110 0 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2514218 2514219
MS MSD
92419789001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg1L 124000 100 100 182000 180000 57900 55900 90-110 1 M1
Results presented on this page are In the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
Date: 03/15/2019 04:39 PM without the written consent of Pace Analytical Services, LLC,
Page 14 of 19

ac6Analytical
wwwpacelabscom
QUALIFIERS
Project: Storrnwater 2129
Pace Project No.: 92419635
DEFINITIONS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
DF - Dilution Factor, if reported represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting Ilmit.
MDL- Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azohenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unfounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenyiamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNl accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services - Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
E Analyte concentration exceeded the calibration range. The reported result is estimated.
1­13 Sample was received or analysis requested beyond the recognized method holding time.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
mate: 03/15/2019 04:39 PM without the written consent of Pace Analytical Services, LLC. Page 15 of 19

Pace Analytical Services, LLC
acMnalytical
Riverside NC 2660404
Asheville,
wwwpacelabs.com
(828 )254 -7176
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project:
Stormwater 2128
Pace Project No,:
92419635
Analytical
Lab ID
Sample 1D
QC Batch Method
QC Batch
Analytical Method
Batch
92419635001
OUTFALL # 1
EPA 1664B
463492
92419635002
OUTFALL # 2
EPA 1664B
463492
92419635003
OUTFALL 4 3
EPA 1664B
463492
92419635004
OUTFALL # 4
EPA 1664E
463492
92419635001
OUTFALL 4 1
SM 254OD-2011
461447
92419635002
OUTFALL # 2
SM 2540D-2011
461447
92419635003
OUTFALL 4 3
SM 2540D-2011
461473
92419635004
OUTFALL 4 4
SM 2540D-2011
461473
92419635001
OUTFALL 4 1
EPA 9040C
462021
92419635002
OUTFALL 4 2
EPA 9040C
461232
92419635003
OUTFALL 4 3
EPA 9040C
461232
92419635004
OUTFALL 4 4
EPA 9040C
462021
92419635001
OUTFALL 4 1
SM 5220D-2011
461435
SM 5220D-2011
461626
92419635002
OUTFALL 4 2
SM 5220D-2011
461435
SM 5220D-2011
461626
92419635003
OUTFALL 4 3
SM 5220D-2011
461435
SM 5220D-2011
461626
92419635004
OUTFALL 4 4
SM 5220D-2011
461821
SM 5220D-2011
461879
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
Date: 03/15/2019 04:39 PM wlthout the written consent of Pace Analytical Services, LLC.
Page 16 of 19

Document Name:
Document Revised: February 7, 2018
Sample Condition Upon Recelpt(SCUR)
Page 1 of 2
-,-2cehvlytical,/
Document No.:
Issuing Authority:
F-CAR-CS-033-Rev.06
Pace Carolinas Quality Office
Laboratory receiving sa pies:
Asheville.7 Eden❑ Greenwood ❑ Huntersville ❑ Raleigh[] Mechanicsville❑
Client Name: •
�o'r. )<s � n p�� -� .� 1r�fL ,��,ect � WO# • 92419635
Courier: ❑Fed Ex ❑UPS ❑USPS ❑Client
❑ Commercial ❑Pace ❑Other.
92410635
Custody Seal Present? Des ,QNo Seals intact? ❑Yes QNo
Packing Material: XBubbie Wrap ❑Bubble Bags ❑None ❑ Other
Thermomet
FIR ID: T /� Type of Ice: �{rVet []Blue
Cooler Temp ('C). `7. L Correction Factor: Add/Subtract (-C) (! -
CoolerTemp Corrected ('C): S
USDA Regulated Solt ([f N/A, water samplel
Did samples originate In a quarantine zone within the United States: CA, NY, or SC (check maps)?
Ryes FlNo
Date/Initlals Person Examining Contents: J
u�1/1
Biological Tissue F zen?'
[:]Yes❑No N/A
❑None
Temp should be above freezing to 6'C
❑Samples out of temp criteria. Samples on ice, cooling process
has begun
Did samples originate from a foreign source (internationally,
inrludine Harrali and Puerto Ricoi? MYes ❑No
Comments/ Discrepancy:
Chain of Custody Present?
yes
ONO
❑N/A
1.
Samples Arrived within Hold Time?
es
No
AI/A
2.
Short Hold Time Analysis (<72 hr.)?
[]Yes
i No
QNIA
3.
Rush Turn Around Time Requested?
❑yes
QNo
N/A
4,
Sufficient Volume?
yes
❑No
N/A
S.
Correct Containers Used?
-Pace Containers Used?
es
Yes
❑ND
[]No
❑N/A
❑NJA
6.
Containers Intact?
Zres
❑No
❑N/A
7.
Dissolved analysis: Samples Field Filtered?
❑Yes
No
❑N/A
8.
Sample Labels Match COC?
-Includes Date/Time/ID/Analysis Matrix:
{ 25Yes
1
❑No
❑NJA
9.
Headspace In VOA Vials (>5-6mm)?
❑Yes
El No
Trip Blank Present?
Trip Blank Custody Seals Present?
❑Yes
Yes
❑No
❑No
r/A
COMMENTS/SAMPLE DISCREPANCY
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
Project Manager SCURF Review:
Project Manager SRF Review:
Date/Time;
Field Data Required? ❑Yes-2 o
Lot ID of split containers:
Date:
Date: 3 ,
Page 17 of 19

f2'ehialytical'
Document Name:
Document Revised: February 7, 2018
Sample Condition Upon Recelpt(SCUR)
Page 1 of 2
Document No.:
issuing Authority:
,�.-
F-CAR-CS-033-Rev.06
Pace Carolinas Quality Office
*Check mark top half of box if pH and/or dechlorination is
verified and within the acceptance range for preservation
samples.
Exceptions: VOA, Coliform, TOC, oil and Grease, DRO/8015 (water) DOC, LLHS
"Bottom half of box is to list number of bottle
Project # WO# : 92419635
PM: COI Due Date: 03/15/19
CLIENT: 93-Jackson P
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pH Adjustment Log for Preserved Samples
Sample ID
Type of Preservative
pH upon receipt
Date preservation adjusted
Time preservation
adjusted
Amount of Preservative
added
Lot 4
Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (i.e.
Out of hold, incorrect preservative, out of temp, Incorrect containers.
Page 18 of 19

I�
/ . PaceAnaly cal"
CHAIN -OF -CUSTODY 1 Analytical Request Document
The Chainof-Custody is a LEGAL DOCUMENT. All relevant fields must be completed a=ratety-
w .pacalabsxiaa
Page: 01
Section A Section B Section C
O 67384
Required Client Information: Required Project Information: Invoice Information:
Compan ReTo: Attenl;am
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Address'
�rijL'S� I'1�ct+n 53"
Copy To: r
Company Name:
REGULATORY AGENCY
S 1 �j R G a � 7
Address:
I— NPOES r ' GROUND WATER ♦ DRINKING WATER
UST (— RCRA F OTHER
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Inc (S6;, 0 ',r,t,e�-
Purchase Order No.:
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Fax:
Pr Name:
Pao Pmpd
Site Location
STATE:
Rv rtetl Dua D off T: clL Q �Cs 1
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Project Number:
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Requested
AnalysiS
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Section D Matrix Codas
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'fmpenant Note: By sgnug 1195 lore you are acccptrg Pace's NET 30 day payrnam lemes and agreeing to lam chxVn of 1-5% Par month fob - h+acas not paid Za-10 d/S's. - r F-ALL-Q-020rev.07. 15-May-2007