NCS000508_MONITORING INFO_20190325

\fv S2�
STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
/VLS o o b �D U
DOC TYPE
❑FINAL PERMIT
MONITORING REPORTS
0 APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ Qu/ � U
YYYYMMDD

To: North Carolina Department of Environmental Quality
Division of Energy Mineral and Land Resources
(original Attn: Central Files
& 1 copy) 1617 Mail Service Center
Raleigh, NC 27699-1617
Discharge Monitoring Report
Facility Name: Piedmont Triad International Airport Permit: NCS000508
County: Guilford Phone: [phone]
Person Collecting Sample: B. J. Lineback; Pilot Environmental, Inc. [phone]
Certified Laboratory(s): Research and Analytical Laboratories, Inc. Lab #: 34
Lab #:
Date of Sample Collection: March 1. 2019
Schedule (NPDES 2): Season 9 (year)
Period 3 (quarter)
Event - (deicing)
Tier Two - (month)
ADF Applied (if applicable): 0 gallons on March 1, 2019
0 gallons on February 28, 2019
0 gallons on February 27, 2019
20 gallons on February 26, 2019
Total Event Precipitation: 0.79 inches on March 1, 2019
0.03 inches on February 28, 2019
0.01 inches on FebruaN 27 2019
0.00 inches on February 26, 2019
Routine, Deicing Event, and/or Tier Two Analytical Monitoring Results Attached
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: Date: 3/19/2019
https.,Ilprojects.mbakereorp.com/PTIA/ListsIDMRs/A///tems.aspx

S
p�
tormwater Discharge Outfall (SDO)
NPDES Permit: NCS000508
P:EDlMONT M1060 LN'T R„A�,�,AL Mot
Qualitativeg
Report Re ort
Page 1 of 3
aL
-for'guidance on complethW this
vestigator: 335.708.4655
portion of this form,:vlsit �
17,
Quantitative Data to he collected
Fine
v
during Routine (P) and Deicing
Date: 3 t
G]
I `
1r(� water/
�
°
•F
Event (E) Sampling
NESSeason Period
Event
Tier
ps-storm
- ",' 3
.1
?:
c
(P-RSDO only) (P-Mo only)
2 9 3
_
_
= ` ire. to
_
r
w
is
W
.�
(E • MOW) (E - IS onlyl (E - IS only)
SDl3 Structure Time
Structure
N $ J
!2
`
pH Turbi ity D.O.
Condition
Flow
S
u,
{6 - 9) (S mg/L)
.
LSO
001
60 " RCP
002
18 " RCP003
18 "CMP
IT
005
42 " RCP
✓
Y
I
!J
I
e
rJ
Aj
e
007 60 " RCP
✓
!
1
1
N
N
l
1
!
I
JV .
lj
008 48 " CMP 6 1 2z3✓
r
,
RCP
009 24 " �/
_ Post complete d signed form to:
httns://oroiects.mbakercorn.com/PT1
010 grass sheetf p 3 I/
g(t1s�sLEield%IOAesvlu/Allltems,asnx. _
.
011 grass shee 3 ✓
012 grass shee 0 a
-
a;v
1e
N
!
+
+�
n)
..,v
,013 grass Shea
✓
/J
f
014 grass swale Qdt35
✓
of
015 riprap Swale 6
!J
016 grass swale
N
AJ
017 15 " RCP ✓
018 15 "RCP R.
"Q
:019 36 " RCP
020, 54 "'RCP 3
023, 24 "' ✓
./U
(_.
tj
025 .36 " R
- 028, 48 ° R029-
24 " R✓
03I 36 " R'032`
42 .,.R
JPI
42 R
038 48 "R.
30A R6062 746
i
I
:s<� -..;8y th€s signature, I certify that this report is accurate aiid,complete to thelbest.ofmynowledge: -

PT,tRPA4rT
riCtr�nlrr! trtt[w
. Uneback
linvestigator,.' 336.708.4655
Date:
NPDES Season
Period
Event
Tier;
Structure
SDO Structure
Time
Condition
Flow
004 54 " RCP
06A 72 " RCP
}
J
16A riprap Swale
()IT `t
024 36 " RCP
026 36 " CMP
�Q
027 54 " RCP
030 24 " MP
J
Y
0
033 42 " RCP
j
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
for guidance on completing this
portion of this form, visit'
'
httVZ140oCtaI.ncdenr-ora/tveb1
l[/nodes orm�yater/
,"n
.
a
—0
o
Ln_
0
N
pT. C M: D -i
{A
_
O
W
C� a .-. I
1 Iv
�
I Y N 1
!
Is Location Time - Condition Flow Erosion
;[#01 Brush Creek
r 02 Brush Creek
i#05 Brush Creek
.##06 Brush Creek
UT to
.#!07rsepen ;k
to
N®®®M®
�j r i f 1N N n1
[ry / bank stabliitvl 11 unsteam'& 1dowr
irate and complete to the hest of myAnowledge: -
NPDES Permit: NC5000508
Page 2 of 3
Quantitative Data to be collected
during Routine (P) and Deicing
Event (E) Sampling
(P-RSDO only) (P•RSDO on1y)
°c
(E • IS&RSDO) (E - IS only) (E - IS only)
pH Turbidity
D.O.
v°J
(6 - 9) (50 NTU)
(S mg/L)
L .�� I �o•�g
��R
V C u
a
C5
-
7;
Qx�w.
z
'� Cam
�. 1
'1l it.
off - Turbidity D.O.

RESEARCh & ANA[YTBCA1
CEO LA ORATORIES, INC.
For: Pilot Environmental
PO Box 128
Kernersville, NC 27285
Attn: BJ Lineback
Report of Analysis
3/13/2019
IjjIII IfII+f, 1.
•o
Ro NC 434 Y.
NC 437701
r �
..........
AP*'
Client Sample ID: SDO 004
Lab Sample ID:
63565-01
Site: Pilot Environmental
Collection Date:
311I2019
10M
Parameter
Method
Result
Units
Rep Limit Analyst Analysis Date/Time
Ammonia Nitrogen
SM 4500 NH3 D-1997
<0.1
mg/L
0A
LP
3/8/2019
BOD-5
SM 5210 B-2001
6.17
mg/L
2
SK
3/1/2019 1540
COD
EPA 410.4
36
mglL
5
HW
3/12/2019
Hydrocarbon 0&G
EPA 1664 Revision BlSilica Gel
<5
mglL
5
EE
3/4/2019
MBAS
SM 5540 C-2000
<0.1
mg/L
0.1
AW
3/1/2019 1400
Nitrate+ Nitrite
Hach 10206
0.767
mglL
0.3
FK
3/1/2019 1601
Total Phosphorous
SM 4500 P E-1999
0.116
mglL
0.05
BJ
3/5/2019
Total Suspended Solids (TSS)
SM 2540 0-1997
<5
mglL
5
LP
3/4/2019
Client Sample 1D:
SDO 024
Lab Sample ID:
63565-02
Site:
Pilot Environmental
Collection Date:
3/1/2019
10:05
Parameter
Method
Result
Units
Rep Limit Analyst Analysis DatelTime
Ammonia Nitrogen
SM 4500 NH3 D-1997
<0.1
mglL
0A
LP
3/8/2019
BOD-5
SM 5210 B-2001
2.36
mglL
2
SK
3/1/2019 1540
COD
EPA 410.4
10
mglL
5
HW
311212019
Hydrocarbon 0&G
EPA 1664 Revision B/Silica Gel
<5
mg/L
5
EE
3/4/2019
MBAS
SM 5540 C-2000
<0.1
mglL
0.1
AW
3/1/2019 1440
Nitrate + Nitrite
Hach 10206
0.556
mg/L
0.3
FK
3/112019 1601
Total Phosphorous
SM 4500 P E-1999
0.246
mglL
0.05
BJ
3/5/2019
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www,randalabs.com Page 1
i7� Cori b:lsit vii:

RESEARCh & ANA1yTiCAL
Report of Analysis
Qo
LA ORAT®RdESi INC.
3/13/2019
�Q
Client Sample ID: SDO 024
Lab Sample ID:
63565-02
Site: Pilot Environmental
Collection Date:
3/1/2019
10:05
Parameter
Method
Result
Units
Rep Limit Analyst Analysis Date/Time
Total Suspended Solids (TSS)
SM 2540 D-1997
<5
mg/L
5
LP
3/4/2019
Client Sample ID: SDO 030
Lab Sample ID:
63565-03
Site: Pilot Environmental
Collection Date:
3/1/2019
10:34
Parameter
Method
Result
Units
Rep Limit Analyst Analysis Dategiime
Ammonia Nitrogen
SM 4500 NH3 D-1997
<0.1
mg/L
0.1
LP
3/8/2019
BOD-5
SM 5210 B-2001
<2
mg/L
2
SK
3/1/2019 1540
COD
EPA 410.4
<5
mg/L
5
HW
3/12/2019
Hydrocarbon O&G
EPA 1664 Revision B/Silica Gel
<5
mg/L
5
EE
3/4/2019
MBAS
SM 5540 C-2000
<0.1
mg/L
0.1
AW
3/1/2019 1440
Nitrate + Nitrite
Hach 10206
1.20
mg/L
0.3
FK
3/1/2019 1601
Total Phosphorous
SM 4500 P E-1999
0.092
mg/L
0.05
BJ
3/5/2019
Total Suspended Solids (TSS)
SM 2540 D-1997
<5
mg/L
5
LP
3/4/2019
Client Sample ID: SDO 033
Lab Sample ID:
63565-04
Site: Pilot Environmental
Collection Date:
3/1/2019
11:30
Parameter
Method
Result
Units
Rep Limit Analyst Analysis Date/Time
Ammonia Nitrogen
SM 4500 NH3 D-1997
<0.1
mg1L
0.1
LP
3/8/2019
BOD-5
SM 5210 B-2001
<2
mg/L
2
SK
3/1/2019 1540
COD
EPA 410.4
<5
mg/L
5
HW
3112/2019
Hydrocarbon O&G
EPA 1664 Revision B/Silica Gel
<5
mg/L
5
EE
3/4/2019
MBAS
SM 5540 C-2000
<0.1
mg/L
0.1
AW
3/1/2019 1440
Nitrate + Nitrite
Hach 10206
0.781
mg/L
0.3
FK
3/1/2019 1601
Total Phosphorous
SM 4500 P E-1999
0.098
mg/L
0.05
BJ
3/5/2019
Total Suspended Solids (TSS)
SM 2540 D-1997
16.2
mg/L
5
LP
3/4/2019
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www,randatabs.com Page 2
ral Cod basic 0d

RESEARCh & ANA[yTICA1
LAbORATORIESf INC.
Ana"cal / Process Consultations
nl. w..a 199& neM-Ai
CHAIN OF CUSTODY RECORD
Water / Wastewater
Mist
Company
Pilot Environmental, Inc.
Job No.
(PTAA PO#0114-1)
�
av
0
-�
r
a
5z
t
rA
x
7
�;
g
U15
a:
.J
�.
c
0
a
a
;
a:
a,�I
a
o
z
a
o
cy
�
Street Address
PO Box 128
Project
NCS000508 Discharge Monitoring (YME-T-)
City State, Zip
Kernersville, NC 27285
Sampler Name (Please Print)
B.J. Lineback 336.708.4655
a
Contact
B.J. Lineback
Phone
336.310.4527
Sampler Signature
93
t j
Sample Number
Date
Time
C
e
0
0
Temp
o C
Res.
CL
Chlorin
emov
Y o
Sample
Matrix
r
Sample Location 1 I.D.
p
p
On
(�h Use Only)
Reauested Analvsh
3 1 l
05
✓
w
SDO 004
2
1
21
1.
1
1p
o ,� a
� Y =�
Q g W
o
? vim, a 0 m?
H a M
V c� J z Z
Cz
✓
w
5
2
1
2
✓
w
SB9-?6
5
2
1
2
j oo
✓
W
SDO 024
5
2
1
2
✓
w
Sao ffi%pu
5
2
1
2
✓
W
AAX -4 �-
5
2
1
2
p
✓
W
SDO 030
2
1
2
O
✓
W
SDO 033
2
1
2
Relic ui
Date/T'me
VVtJ r�l
Received By
Remarks
Routine (quarterly) Analytical Monitoring.
Please post results to htt r e s.mhakerco om PTIA Usts Lab962pResults Aliltems.as
Re ' quashed B
at ime
Received By
On ice
I Sample Temperature at receipt •C

weather.gov
Greensboro,
Piedmont Triad International Airport.
'0.0--*
Enter Your
"City, ST" or
zip code
Go
metric
D
Temperature
(IF)
Pressure Precipitation (in.)
a
Time
Wind
Vis.
Weather
Sky
6 hour
Relative
Wind
Chill
Heat
Index
altimeter
sea
t
(est)
(mph)
(mi.)
Cond.
Air
Dwpt
Humidity
{°F)
{°F)
(in)
level 1 hr 3 hr 6 hr
e
Max. Min.
(mb)
01
07:54
E 10
2.00
Light
OVC005
44
44
100%
39
NA
30.08
1018.4 0.01
Rain
Fog/Mist
01
06:54
E 9
1.25
Light
OVC005
45
45 50 45
100%
40
NA
30.07
1018.1 0.05 0.13
Rain
Fog/Mist
01
05:54
E 10
1.25
Light
OVC003
46
46
100%
41
NA
30.05
1017.5 0.03
Rain
Fog/Mist
01
04:54
SE 7
2.50
Light
OVC003
48
48
100%
45
NA
30.03
1016.6 0.01
Rain
Fog/Mist
01
03:54
SE 8
1.50
Light
OVC004
48
48
100%
44
NA
30.02
1016.1 0.02 0.04
Rain
Fog/Mist
01
02:54
SE 8
1.75
Light
OVC004
49
49
100%
46
NA
30.03
1016.6 0.01
Rain
Fog/Mist
01
01:54
SE 12
1.75
Fog/Mist
OVC006
49
49
100%
44
NA
30.04
1016.9 0.01
01
00:54
S 10
2.00
Fog/Mist
OVC006
50
50 60 50
100%
46
NA
30.03
1016.6 0.01 0.04
28
23:54
SE 8
2.00
Light
OVC010
50
50
100%
47
NA
30.05
1017.1 0.03
Rain
Fog/Mist
28
22:54
S 9
6.00
Light
OVC017
51
49
92%
NA
NA
30.05
1017.2
Rain
Fog/Mist
28
21:54
SE 13
10.00
Overcast
BKN022
54
48
80%
NA
NA
30.05
1017.2
BKN100
OVC200
28
20:54
SE 10
10.00
Overcast
BKN065
55
49
80%
NA
NA
30.03
1016.8
BKN110
OVC200
28
19:54
SE 9
10.00
Light
SKN045
58
48
70%
NA
NA
30.03
1016.9
Rain
OVC060
28
17:54
SE 7
10.00
Overcast
BKN060
62
46
56%
NA
NA
30.01
1015.8
OVC200
28
16:54
E 5
10.00
Overcast
SCT065
64
44
48%
NA
NA
30.00
1015.6
BKN095
OVC250
28
15:54
Calm
10.00
Overcast
FEW050
65
43
45%
NA
NA
30.00
1015.6
FEW140
OVC250
28
14:54
Calm
10.00
Overcast
65
43
45%
NA
NA
30.00
1015.7

FEW050
FEW140
OVC250
28 13:54
Vrbl6
10.00
Overcast
FEW050
64
44
48%
NA
NA
30.01
1016.0
BKN150
OVC250
28 12:54
Calm
10.00
Overcast
FEW040
64
44
65 41
48%
NA
NA
30.03
1016.7
BKN 150
OVC250
28 11:54
N 5
10.00
Overcast
FEW040
64
43
46%
NA
NA
30.04
1017.0
SCT150
OVC250
28 10:54
N 9
10.00
Overcast
BKN160
64
43
46%
NA
NA
30.03
1016.7
OVC250
28 09:54
Vrbl5
10.00
Overcast
FEW100
58
51
78%
NA
NA
30.03
1016.7
OVC250
28 08:54
N 3
7.00
Overcast
FEW002
50
49
96%
NA
NA
30.02
1016.7
OVC250
28 07:54
W 3
7.00
Overcast
FEW002
44
44
100%
NA
NA
30.00
1016.1
OVC250
28 06:54
Calm
0.25
Fog
BKNO01
42
42
45 39
100%
NA
NA
29.98
1015.5
28 05:54
W 6
0.25
Fog
VV001
43
43
100%
39
NA
29.96
1014.8
28 04:54
Calm
0.13
Fog
VV002
45
45
100%
NA
NA
29.95
1014.3
28 0154
W 9
0.13
Fog
VV001
45
45
100%
40
NA
29.95
10141
28 02:54
W 6
0.25
Fog
OVC003
44
44
100%
41
NA
29.97
1014.9
28 01:54
SW 5
9.00
Partly
FEW009
40
39
97%
36
NA
29.98
1015.4
Cloudy
SCT250
28 00:54
W 5
9.00
Partly
FEW070
39
38
44 39
96%
35
NA
29.99
1015.7
Cloudy
SCT250
27 23:54
W 5
10.00
Mostly
BKN070
40
39
97%
36
NA
30.00
1016.1
Cloudy
BKN250
27 22:54
SW 7
10.00
Mostly
SCT015
42
39
89%
38
NA
30.02
1016.9
Cloudy
BKN070
BKN250
27 21:54
SW 3
10.00
Overcast
OVC010
43
40
89%
NA
NA
30.05
1017.7
27 20:54
NW 3
10.00
Mostly
BKNO12
39
37
93%
NA
NA
30.04
1017.6
Cloudy
BKN250
27 19:54
N 5
10.00
Partly
FEW021
41
38
89%
38
NA
30.04
1017.4
Cloudy
SCT250
27 18:54
NW 3
10.00
Partly
FEW021
44
38
46 41
79%
NA
NA
30.04
1017.5
Cloudy
SCT250
27 17:54
SE 3
10.00
Overcast
SCT021
45
39
80%
NA
NA
30.04
1017.3
OVC250
27 17:36
Calm
10.00
Overcast
SCT021
46
38
73%
NA
NA
30.05
NA
OVC250
27 16:54
NE 5
10.00
Overcast
BKN021
46
38
73%
44
NA
30.06
1018.0
OVC250
27 15:54
E 3
10.00
Overcast
OVC017
44
38
79%
NA
NA
30.08
1018.7
27 14:54
E 5
10.00
Overcast
OVC015
43
35
74%
40
NA
30.11
1019.7
27 13:54
E 3
10.00
Overcast
BKN017
42
34
73%
NA
NA
30.14
1020.6
BKN043
OVC060

27
12:54
E 6
8.00
Light
SCT020
41
34
42 39
76%
37
NA
30.18
1022.0 0.01 0.01
Rain
OVC075
27
11:54
NE 6
10.00
Overcast
OVC019
41
30
65%
37
NA
30.22
1023.4
27
10:54
NE 9
10.00
Overcast
BKN017
42
30
62%
37
NA
30.23
NA
OVCO26
27
09:54
N 7
10.00
Overcast
OVCO26
41
29
62%
36
NA
30.25
1024.3
27
08:54
NE 8
10.00
Mostly
BKN029
39
29
67%
33
NA
30.25
1024.4
Cloudy
BKN044
BKN100
BKN250
27
07:54
NE
10.00
Overcast
OVCO26
40
33
77%
34
NA
30.26
1024.9
10
27
06:54
NE
10.00
Light
BKN027
42
34
48 42
73%
35
NA
30.25
1024.3
12
Rain
OVC043
27
05:54
NE 6
10.00
Overcast
FEW037
47
34
fit%
44
NA
30.23
1023.6
OVC045
27
04:54
NE 3
10.00
Overcast
OVC060
47
35
63%
NA
NA
30.21
1022.8
27
03:54
Calm
10.00
Overcast
BKN055
46
34
63%
NA
NA
30.21
1022.8
BKN075
OVC110
27
02:54
S 3
10.00
Mostly
BKN110
46
34
63%
NA
NA
30.21
1022.9
Cloudy
27
01:54
Calm
10.00
Overcast
OVC090
47
32
56%
NA
NA
30.23
1023.E
27
00:54
S 3
10.00
Partly
FEW120
48
32
53 45
54%
NA
NA
30.24
1023.7
Cloudy
SCT250
26
23:54
S 5
10.00
A Few
FEW250
47
32
56%
45
NA
30.25
1024.1
Clouds
26
22:54
S 6
10.00
A Few
FEW250
47
31
54%
44
NA
30.36
1024.5
Clouds
26
20:54
S 3
10.00
Fair
CLR
51
28
41%
NA
NA
30.27
1024.9
26
19:54
S 5
10.00
Partly
FEW120
51
27
39%
NA
NA
30.28
1025.6
Cloudy
SCT250
26
18:54
S 7
10.00
Mostly
SCT120
53
26
61 53
35%
NA
NA
30.28
1025.5
Cloudy
BKN250
26
17:54
S 8
10.00
Mostly
FEW140
56
26
32%
NA
NA
30.27
1025.0
Cloudy
BKN250
26
16:54
S 14
10.00
Mostly
FEW140
60
25
26%
NA
NA
30.26
1024.7
Cloudy
BKN250
26
15:54
S 12
10.00
Mostly
SCT140
61
24
24%
NA
NA
30.28
1025.2
G 21
Cloudy
BKN250
26
14:54
SW 9
10.00
Mostly
BKN140
60
24
25%
NA
NA
30.29
1025.6
Cloudy
BKN250
26
13:54
SW
10.00
Mostly
BKN140
58
23
26%
NA
NA
30.31
1026.4
10
Cloudy
BKN250
26
12:54
SW
10.00
Mostly
BKN150
59
23
60 31
25%
NA
NA
30.34
1027.2
10
Cloudy
BKN250
26
11:54
SW
10.00
Partly
SCT150
58
24
27%
NA
NA
30.38
1028.6
12 G
Cloudy
SCT250
20
26
10:54
SW 6
10.00
Partly
SCT150
54
21
28%
NA
NA
30.40
1029.5
Cloudy
SCT250
26
09:54
S 7
10.00
51
23
33%
NA
NA
30.41
1029.6

A Few
FEW150
Clouds
FEW250
26 08:54 SW 6 10.00 A Few
FEW150 45 23 42%
42
NA
30.41 1030.1
Clouds
FEW250
p
a Time Wind Vis.
Max. Min.
Air Dw t
Sky P Relative
Wind
Heat
sea
altimeter
level 1 hr 3 fir 6 hr
( )
t (est) {mph) (mi.) Weather
Cond. 6 hour Humidity
Chill
Index
(mb)
(°F)
(°F)
e
Temperature (°F)
Pressure Precipitation (in.)
National Weather Service
Back to
Last Modified: Febuary, 7 2012
Southern Region Headquarters
previous page
Privacy Policy
Fort Worth, Texas
Disclaimer

To: North Carolina Department of Environmental Quality ��y� i�
Division of Energy Mineral and Land Resources t �!
(original Attn: Central Files FEB 2 6 Z019
& 1 copy) 1617 Mail Service Center
Raleigh, NC 27699-1617 ;. ENTRAL Fi!-G`'
DIVIR SI CTiON
Discharge Monitoring Report
Facility Dame: Piedmont Triad International Airport Permit: NCS000508
County: Guilford Phone: [phone]
Person Collecting Sample: B. J. Lineback; Pilot Environmental, Inc. [phone]
Certified Laboratory(s): Research and Analytical Laboratories, Inc. Lab #: 34
Lab #:
Date of Sample Collection: January 13, 2019
Schedule (NPDES 2): Season 9 (year)
Period - (quarter)
Event - (deicing)
Tier Two 1 (month)
ADF Applied (if applicable): 0
gallons on January
13, 2019
75
gallons on January
12, 2019
270
gallons on January
11, 2019
0
gallons on January
10, 2019
Total Event Precipitation: 0.87 inches on January-13,
2019
trace inches on January
12, 2019
0.00 inches on January
11, 2019
0.00 inches on January
10, 2019
Routine, Deicing Event, and/or Tier Two Analytical Monitoring Results Attached
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: Date: 2/21/19
hops://projects. mbokercorp.comIPTtAlListsIDMRsIAIlitems.aspx

R E§EARCh & ANAtyTi CA1
'To I LAbORAT®RiE5, INC.
For: Pilot Environmental
PO Box 128
Kernersville, NC 27285
Attn: BJ Lineback
Report of Analysis
1/22/2019
I allot to
G • t.- H '`cal f'
Q M
� to NC 434 z N
NC 037701
90 ft.
�;'FZ�l�FD�A;�
Client Sample 10: SDO 004 Lab Sample ID: 61572-01
Site: Pilot Environmental Collection Date: 1/13/2019 11:48
Parameter Method Result Units Rep Limit Analyst Analysis Date/Time
BOD-5 SM 5210 B-2001 7.98 mglL 2 HW 1/14/2019 1604
Client Sample ID: SDO 024 Lab Sample ID: 61572-02
Site: Pilot Environmental Collection Date: 1/13/2019 11:36
Parameter Method Result Units Rep Limit Analyst Analysis DatelTime
BOD-5 SM 5210 B-2001 3.40 tn1glL 2 HW 1/14/2019 1604
COD
EPA 410.4
15 mglL 5 HW 1/14/2019
NIA = not analyzed
P,O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] wvnv.randalabs.com Page 1
ral cw. ba5r.; vlti

RESEARCh & ANAtyTICAI
^= LAbORAT016E5 INC.
1 ' Analytical / Process Consultations
CHAIN OF CUSTODY RECORD
Wafer/Wastewater
Mist.
ompany
Pilot Environmental, Inc.
Job No.
(PTAA POil0114-1)
z
l
u
x
a
O
S
a
E
A
V
�
°
+�
'
N
u
a
m
C7
Z!
o"
.a
_
0.
o
U
,
d
�
G7
a
a
z
z
O
a
.a
_
0
_
"
Street Address
PO Box 128
Project
NC5000508 Discharge Monitoring (Y9P-E-T1),
City, State, Zip
Kernersville, NC 27285
Sampler Name (Please Print)
B.J. Lineback 336.708.4655
•�
Contact
B.J. Lineback
Phone
336.310.4527
Sampler Sig" tu re -IY
w
Sam !c IYpilMr
Dale
Time
6
E
1.0
Temp
C
Res.
C1
o.r
m
xSam
ari
or
le Location
ZClN
(Lab Use Only)
e ste Ana st
i 1- l
il�I.B
W
S o
m
Co — s Do�cgq-
r
V1
1 14
11
✓
w
SDO 024
(2
Rcti l3
Dale/hi c
1 ! 11 u
Received By
,k
Remarks
Tier Two (monthly) Analytical Monitoring.
Please P results to htts: ro'ects.mbakercor .com PTIA Lists Lab%ZOResults Allitems.as x
li:clin uishcd 13y
l3aleffime
Received
n Ice
Sample Temperature at receipt °C