NCG060095_Monitoring_20200116

For guidance on filling out this form, please visit: htt1�://portal.ncde.nr.orItiveh/wdlwsisii/rl dU eSSw#tab-4
Permit No.: N/C/G / 0 / 6 / 0 / 0 / 0 / 0/ or Certificate of Coverage No.: N/C/G/ 0/ 6/ 0/ 0/ 9/ 5/
Facility Name: Goulston Technologies, Inc.
County: Union Phone No. 704-296-6427
Inspector:
Date of Inspection: 9 ® n t�
Time of Inspection: 3113T
Total Event Precipitation (inches): I . Ll . n
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
........................... .......... ...._............................ ..... ............. .......... .......... . .. .. ..........
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
.......... _ ........ .............. ..... . ........ ............ ............ ...... .................... ......... ......... ............
By this signature rI certify that this report is accurate and complete to the best of my knowledge:
(Signature df Permittee or Designee)
1. 9esor4ption: t
'.l Structure (pipe, ditch, etc.) pipe
Receiving Stream: Bearskin Creek
Describe the industrial activities that V occur within the outfall drainage area:
�? (east \d N k Ella rotj
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: r j-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): Ao
Page 1 of 2
S WU-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
b
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes Eo
8. Is there an oil sheen in the stormwater discharge? Yes nNo
9. Is there evidence of erosion or deposition at the outfall? Yes &No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-20120613

For guidance on filling out this form, please visit: pdessN.y#tab-4
Permit No.: N/C/G / 0 / 6 / 0 / 0 / 0 / 0 / or Certificate of Coverage No.: N/C/G/ 0 / 6/ 0/ 0/ 9/ 5/
Facility Name: Goulston Technologies, Inc.
County: Union Phone No. 704-296-6427
Inspector: _ LLO, ryl�r
Date of Inspection: i — 1
Time of Inspection: 3 o
Total Event Precipitation (inches): 1 . q t
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be perfonned during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this si nature, I certify that this report is accurate and complete to the best of my knowledge:
�2,z z�
of Permittee or
1. � 1�m� �c��G►r .
Structure (pipe, ditch, etc.) pipe
Receiving Stream: Bearskin Creek
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 1y. r
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): nog
Page 1 of 2
SWU-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes o
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe (\(
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-20120613

January 13, 2020
Attention: Lily Kay
North Carolina Department of Environmental Quality
Division of Energy, Mineral & Land Resources
Mooresville Regional Office
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Dear Lily,
Results from the roof run off stormwater sampling requested during our October 22, 2019
Compliance Evaluation Inspection are attached. The pH for both samples was 6.9.
Please feel free to contact me at ymckinney goulston.com or 704-296-6427 if there are
any questions or if additional information is needed.
� su�' r-1.\
Veronica McKinney
Human Resources Ma ager
700 N. Johnson St. I Monroe, NC 28110, USA
P.O. Box 5025 1 Monroe, NC 28111-5025, USA
PHONE [phone] FAx [phone] www.gouiston.com

aceAnalytical-
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January 07, 2020
John McTaggart
Goulston Technologies
700 N. Johnson Street
Monroe, NC 28110
RE: Project: RAINWATER ROOF DISCHARGE
Pace Project No.: 92458747
Dear John McTaggart:
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on December 26, 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,
Tyriek Hooks
[e-mail]
[phone]
Project Manager
Enclosures
cc: Ms. Sally Duncan, Goulston Technologies
Veronica McKinney, Goulston Technologies
John McTaggart
pECRp�
�9BORaio%
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
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Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Project: RAIN WATER ROOF DISCHARGE
Pace Project No.: 92458747
Pace Analytical Services Charlotte
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Louisiana/NELAP Certification # LA170028
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
South Carolina Certification #: 99006001
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
Virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
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t
SAMPLE ANALYTE COUNT
Project: RAIN WATER ROOF DISCHARGE
Pace Project No.: 92458747
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Lab ID Sample ID
Method
Analysts
Analytes
Reported
Laboratory
92458747001 RAIN WATER ROOF DISCHARGE A
EPA 1664E
HH
1
PASI-C
SM 2540D-2011
CJL
1
PASI-A
SM 5220D-2011
LEF
1
PASI-A
92458747002 RAIN WATER ROOF DISCHARGE B
EPA 1664E
HH
1
PASI-C
SM 2540D-2011
CJL
1
PASI-A
SM 5220D-2011
LEF
1
PASI-A
REPORT OF LABORATORY ANALYSIS
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ANALYTICAL RESULTS
Project: RAIN WATER ROOF DISCHARGE
Pace Project No.: 92458747
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: RAIN WATER ROOF
DISCHARGE A
Parameters
Lab ID: 92458747001 Collected: 12/23/19 15:35
Results Units Report Limit DF
Received: 12/26/19 11:45 Matrix: Water
Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664B
Oil and Grease
ND mg/L 5.0 1
01/06/20 13:30
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Total Suspended Solids
ND mg/L 2.5 1
12/27/19 15:52
5220D COD
Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand
ND mg/L 25.0 1
12/31/1912:01 12/31/19 15:48
Sample: RAIN WATER ROOF
Lab ID: 92458747002 Collected: 12/23/19 15:35
Received: 12/26/19 11:45 Matrix: Water
DISCHARGE B
Parameters
Results Units Report Limit DF
Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 1664E
Oil and Grease ND mg/L 5.0 1 01/06/20 13:35
2540D Total Suspended Solids Analytical Method: SM 2540D-2011
Total Suspended Solids ND mg/L 2.5 1 12/27/19 15:53
5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand ND mg/L 25.0 1 12/31/19 12:01 12/31/19 15:49
REPORT OF LABORATORY ANALYSIS
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Date: 01 /07/2020 03:58 PM without the written consent of Pace Analytical Services, LLC.
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QUALITY CONTROL DATA
Project: RAIN WATER ROOF DISCHARGE
Pace Project No.: 92458747
QC Batch: 517897 Analysis Method: EPA 1664B
QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease
Associated Lab Samples: 92458747001, 92458747002
METHOD BLANK: 2772436 Matrix: Water
Associated Lab Samples: 92458747001, 92458747002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Oil and Grease mg/L NO 5.0 01/06/20 13:24
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE:
2772437
Spike LCS
LCS
% Rec
Parameter
Units
Conc. Result
% Rec
Limits
Qualifiers
Oil and Grease
mg/L
40 37.6
94
78-114
MATRIX SPIKE SAMPLE:
2772438
92458866001 Spike
MS
MS
% Rec
Parameter
Units
Result Conc.
Result
% Rec
Limits Qualifiers
Oil and Grease
mg/L
5.3 40
44.9
99
78-114
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
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QUALITY CONTROL DATA
Project: RAIN WATER ROOF DISCHARGE
Pace Project No.: 92458747
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QC Batch: 517022
Analysis Method:
SM 2540D-2011
QC Batch Method: SM 254OD-2011
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92458747001,
92458747002
METHOD BLANK: 2769232
Matrix: Water
Associated Lab Samples: 92458747001, 92458747002
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
ND 2.5
12/27/19 15:49
LABORATORY CONTROL SAMPLE:
2769233
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250 254
102 90-110
SAMPLE DUPLICATE: 2769234
92458634003 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 830 1070 25
SAMPLE DUPLICATE: 2769235
92458746001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 69.0 70.0 1
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: 01 /07/2020 03:58 PM without the written consent of Pace Analytical Services, I.I.C. Page 6 of 12

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QUALITY CONTROL DATA
Project: RAIN WATER ROOF DISCHARGE
Pace Project No.: 92458747
QC Batch: 517274 Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD
Associated Lab Samples: 92458747001, 92458747002
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
METHOD BLANK: 2770044 Matrix: Water
Associated Lab Samples: 92458747001, 92458747002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Chemical Oxygen Demand mg/L ND 25.0 12/31/19 15:42
LABORATORY CONTROL SAMPLE: 2770045
Spike LCS LCS % Rec
Parameter Units Cone. Result % Rec Limits Qualifiers
Chemical Oxygen Demand mg/L 750 744 99 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2770046 2770047
MS MSD
92458595001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 138 100 100 234 238 96 101 90-110 2
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2770048 2770049
MS MSD
2626933001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Conc. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 28.2 100 100 138 122 109 94 90-110 12 R1
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: 01/07/2020 03:58 PM without the written consent of Pace Analytical Services, LLC.
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QUALIFIERS
Project: RAIN WATER ROOF DISCHARGE
Pace Project No.: 92458747
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL-Adjusted Method Detection Limit.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
R1 RPD value was outside control limits.
REPORT OF LABORATORY ANALYSIS
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QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: RAIN WATER ROOF DISCHARGE
Pace Project No.: 92458747
Lab ID
Sample ID
QC Batch Method
92458747001
RAIN WATER ROOF DISCHARGE
EPA 1664B
A
92458747002
RAIN WATER ROOF DISCHARGE
EPA 1664E
B
92458747001
RAIN WATER ROOF DISCHARGE
SM 2540D-2011
A
92458747002
RAIN WATER ROOF DISCHARGE
SM 2540D-2011
B
92458747001
RAIN WATER ROOF DISCHARGE
SM 5220D-2011
A
92458747002
RAIN WATER ROOF DISCHARGE
SM 5220D-2011
B
Date: 01/07/2020 03:58 PM
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
QC Batch Analytical Method
517897
517897
517022
517022
517274 SM 5220D-2011
517274 SM 5220D-2011
REPORT OF LABORATORY ANALYSIS
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without the written consent of Pace Analytical Services, LLC.
Analytical
Batch
517467
517467
Page 9 of 12

Document Name:
Document Revised: February 7, 2018
'
i ,81ce lyflCal
Sample Condition Upon Receipt(SCUR)
Page 1 of 2
Document No,:
Issuing Authority:
j
F-CAR-CS-033-Rev.06
Pace Carolinas Quality Office
Laboratory receiving samples:
Asheville ❑ Eden❑ Greenwood
Huntersvi�e0
WOMMINMEM Client Name:
+' f / Project #:
C_i7('(/(Sr 0A
Courier: ❑Fed Ex ❑UPS ❑USPS ❑Client
❑ Commercial ]P e []Other;
Custody Seal Present? MY— o� Seals Intact? ❑Yes QNo
Date/initials Person Examining Contents: CJ E2�
?racking Material: ❑Bubble Wrap �26ubble Bags ;None U Other Biological Tissue f ozen?
Thermometer, / Dyes ❑No �EfN/A
�IR Gun ID; 921058 Type of Ice: Wet ❑Blue ❑Nrine
Cooler Temp (°C): — Correction Factor: Add/Subtract ('C) Q.d°C
Cooler Temp Corrected ('C): ` ` Temp should be above freezing to 6'C
[]Samples out of temp criteria. Samples on ice, cooling process
has begun
USDA Regulated So1112-N/A,water sample)
Did samples originate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (internationally,
(—lYes r INo Inehidina Hnwaii and Puarta Rirnl) MY— ntdm
Ralelgh❑ Mechanicsville❑
,..
Chair of Custody Preseni7
Yeess
©NoLiN/A
:Comments/Discrepancy:
1. -I
I
Samples Arrived within Hold Time?
QYes
[]NO
[]N/A
2.
Short Hold Time Analysis (t72 hr.)?
Des
No
❑N/A
3.
Rush Turn Around Time Requested?
C)Y�es
®IVO
❑N/A
4.
Sufficient Volume?
t yes
('"t
CJN/A
S.
6.
Correct Containers Used? !fYes 7,;No ❑N/A
-Pace.ContainersUsed? Qie5 ]No ❑N/A
Containers Intact?
Yes
ONo
❑N/A
7.
Dissolved analysis: Samples Field Filtered?
[ jYes
(]Now
❑N/A
Is.
Sample Labels Match COC? f[j4es ❑No
-Includes Date/Time/ID/Anaiysis Matrix`.
❑N/A
9. `
Headspace in VOA Vials (>5-6mm)?
❑yes
No
IA"
10,
Trip Blank Present?
Trip Blank Custody Seals Present?
❑yes
❑Yes
CjNo " QN/g
❑No " �N//A
11.
COMMENTS/SAMPLE DISCREPANCY
Lot ID of split containers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
C
Project Manager SCURF Review: 13,71.
V 7/
Project Manager SRF Review: s
Date/Time:
FleldData Required? Des QNo
Date:
Date
Page 10 of 12

Document Name:
Document Revised: February 7, 2018
Sample Condition Upon Recelpt(SCUR)
Page 1 of 2
n A aCeAnalyfical
Document No.:
Issuing Authority:
,t
f-CAR-CS-033-Rev,05
Pace Carolinas Quality Office
*Check mark top half of box if pH and/or dechlorination is Project #
verified and within the acceptance range for preservation
samples.
Exceptions: VOA, Coliform, TOC, Oil and Grease, DRO/8015 (water) DOC, LLHg
"Bottom half of box is to list number of bottle
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Date preservation adjusted
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