WQ0005603_Groundwater Monitoring Report August 2020_20200915

A
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
(COMPLIANCE REPORT FORM
awl n Iry Please Print Clearlyor
Facility Name: COATS AMERICAN
Permit Name (if different):
Facility Address: 630 AMERICAN THREAD RD MARION NC 28752
630 AMERICAN THREAD RD MARIOtJ'N628752
act Person: PHILLIP C PITTMAN
Location/Site Name: BACK GROUND
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW10
Well Depth: 18 ft.
Depth to Water Level 82546: 15.6 ft. below measuring point
Measuring Point is 2•5 ft. above land surface
County MCDOWELL
Telephone#: [phone]
No. of wells to be sampled: 3
Date sample collected: 8/11/20
Well Diameter: 2 in
Screened Interval: N/A ft.
Relative M.P. Elevation:
PERMIT Number: Expiration Date: 5 -ZGZC%
Non -Discharge WQ0005603 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
to N/A ft.
ft.
Volume of water pumped/bailed before sampling: 3 gallons
SamDleS for metals were collected unfiltered: ❑■ YES ❑ NO and field acidified: OYES ❑ NO
Date sample analyzed: SEE BELLOW Laboratory Name: WATER TECH
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.16 8/28/20
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
dissolved Solids:Total 7030o 51 8/13.20
mg/L
Al - Aluminum oil o5 <0.025 8/19/20
mg/L
pH (Lab) 00403 6.9 8/11/20
units
Ba - Barium 01007 <0.005 8/19/20
Mg/L
TOC 00680 <1.0 8/24/20
mg/L
Ca - Calcium 00916 <0.05 8/19/20
mg/L
Chloride 0094o 3.3 8/17/20
mg/L
Cd - Cadmium 01027 <0.002 8/19/20
/pig/L
Arsenic 01002 <0.005 8/19/20
Ajg/L
Chromium: Total 01034 <0.005 8/19/20
Mg/L
Grease and Oils 00552
mg/L
Cu - Copper 01042 <0.005 8/19/20
mg/L
Phenol 32730
ug/L
Fe - Iron 01045 0.032 8/19/20
jK)g/L
Sulfate 00945 <10 8/26/20
mg/L
Hg - Mercury 71900 <0.0002 8/19/20
Mpg/L
Specific Conductance 00095 82 82 8/13/20
FtMhos
K - Potassium 00937 <0.5 8/19/20
mg/L
Total Ammonia 00610
mg/L
Mg - Magnesium 00927 <0.5 8/19/20
mg/L
(Ammonia Nitrogen NH3as N. Ammonia Nitrogen, Total)
Mn - Manganese 01055 <0.005 8/19/20
f9g/L
TKN as N 00625
mg/L
Ni - Nickel 01067 <0.005 8/19/2
g/L
FIELD ANALYSES:
pH 00400: 6.97 units
Spec. Cond. 00094:
Odor 00085: NONE
Appearance CLEAR
Temp. 000lo: 15, y °C
µMhos
DRY at
time of
sampling,
here: 0
L✓
Certification No. 50 f/� t[
Pb - Lead olo51 <0.005 8/10/20 �g/L 4 `Fr�1 F ' m\A=
Zn - Zinc 01092 <0.01 8/19/20 mg/L S E p 15 2020
Other (Specify Compounds and Concentration UniOVVP SECTION
ALKALINITY 40 mg/I 8/12/20
TURBIDITY 0.55 ntu 8/12/20 t
ANTIMONY <0.005 mg/18/19/20
BERYLLIUM <0.001 mg/I 8/19/20
BORON 0.1 mg/l8/20/20
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑■ Yes (1) ❑ No (0)
VOC 7873 method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs. mg/L VOC Removal%
rermittee for Autnonzeu /,gent[ ivame anu i me - riease Pmu ui ryPe
GW-59 Rev.3-1-2016
Agent)
IAI,'i

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
or
Facility Name: COATS AMERICAN
Permit Name (if different):
Facility Address: 630 AMERICAN THREAD RD MARION NC 28752
630 AMERICAN THREAD RD MARION'Nt'28752
itact Person: PHILLIP C PITTMAN
II Location/Site Name: BACK GROUND
County MCDOWELL
Te leph one#: 8287564111
No. of wells to be sampled: 3
PERMIT Number: Expiration Date: �5:_ 20Zt3
Non -Discharge W00005603 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
N Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
If WELL
WELL ID NUMBER (from Permit): MW10 Date sample collected: 8/11/20
Well Depth: 18 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 15.6 ft. below measuring point Screened Interval: N/A ft.
Measuring Point is 2.25 ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 3 gallons
Samples for metals were collected unfiltered: ❑■ YES ❑ NO and field acidified: BYES
to N/A ft.
ft.
❑ NO
FIELD ANALYSES:
pH 00400: 6.97 units Temp. 00010: /;, y °C
Spec. Cond. 000sa: µMhos
Odor 00085: NONE
Appearance CLEAR
WAS
DRY at
time ofsampling,
check
here: ❑
LABORATORY INFORMATION
Date sample analyzed: SEE BELLOW
Laboratory Name: WATER TECH
Certification No. 50
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al -Aluminum 01105
mg/L
COBALT 0.005 mg/I 8/19/20
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
STRONTIUM <0.01 mg/I 819/20
TOC 00680
mg/L
Ca - Calcium oo916
mg/L
MOLYBDENUM <0.005 mg/I 8/19/20
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
SELENIUM <0.005 mgA 8/19/20
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
SODIUM 18.8 mg/I 8.19/20
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH3as N, Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
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GW-59 Rev.3-1-2016

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Print Clearly or Type
Facility Name: COATS AMERICAN
Permit Name (if different):
Facility Address: 630 AMERICAN THREAD RD MARION NC 28752
630 AMERICAN THREAD RD MARION'N '28752
itact Person: PHILLIP C PITTMAN
II Location/Site Name: BACK GROUND
County MCDOWELL
Telephone#: [phone]
No. of wells to be sampled: 3
PERMIT Number: Expiration Date: CZO
Non -Discharge W00005603 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW10
Date sample collected: 8/11/20
FIELD ANALYSES:
WAS
Well Depth: 18 ft.
Well Diameter: 2 in.
pH 00400: 6.97 units Temp. 000lo: 1 °C
DRY at
Depth to Water Level 82546: 15.6 ft. below measuring point Screened Interval: N/A ft. to
N/A
ft. Spec. Cond. 00094: µ Mhos
time of
sampling,
Measuring Point is 2.25 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: NONE
check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance CLEAR
here: ❑
Samples for metals were collected unfiltered: K YES
❑ NO and field acidified: OYES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: SEE BELLOW
Laboratory Name: WATER TECH
Certification No. 50
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L THALLIUM <0.005 mg/I 8/19/20
TOC 00680
mg/L
Ca - Calcium 00916
mg/L VANADIUM <0.005 mg/I 8/19/20
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Signature
(Date)
GW-59 Rev.3-1-2016

A
SUBMIT FORM ON YELLOW PAPER ONLY
IGROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Print Clearly or Type
Facility Name: COATS AMERICAN
Permit Name (if different):
Facility Address: 630 AMERICAN THREAD RD MARION NC 28752
630 AMERICAN THREAD RD MARIO01d�28752
Contact Person: PHILLIP C PITTMAN
Well Location/Site Name: SOUTH OF CLAFIER 2
County MCDOWELL
Tele phone#: [phone]
No. of wells to be sampled: 3
iRMIT Number: Expiration Date: I._?OZc
in -Discharge W00005603 UIC
'DES Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW16
Date sample collected: 8/11/20
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
pH 00400: 7.67 units Temp. 000lo: IS c °C
DRY at
Depth to Water Level szsas: 5.6 ft. below measuring point Screened Interval: N/A ft.
to N/A
ft. Spec. Cond. 000sa: µMhos
time ofsampling,
Measuring Point is 2•4 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085: NONE
check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance CLEAR
here: ❑
Samples for metals were collected unfiltered: ❑■ YES
❑ NO and field acidified: CJ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: SEE BELLOW
Laboratory Name: WATER TECH
Certification No. 50
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 <0.005 8/19/20 g/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 <0.01 8/19/20 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.16 8/28/20
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 703oo 261 8/13/20
mg/L
Al - Aluminum o11o5 0.027 8/19/20
mg/L ALKALINITY 130 mg/I 8/12/20
pH (Lab) 00403 7.9 8/11/20
units
Ba - Barium 01007 0.045 8/19/20
jWg/L
TURBIDITY 2.7 ntu 8/12/20
TOC 00680 <1.0 8/24/20
mg/L
Ca - Calcium 00916 35.2 8/19/20
mg/L ANTIMONY <0.005 mg/I 8/19/20
Chloride 0094o 30 8/17/20
mg/L
Cd - Cadmium 01027 <0.002 8/19/20
Og/L
BERYLLIUM <0.001 mg/I 8/19/20
Arsenic 01002 <0.005 8/19/20
40g/L
Chromium: Total 01034 <0.005 8/19/20
Ag/L BORON <0.1 mg/I 8/20/20
Grease and Oils 00552
mg/L
Cu - Copper 01042 <0.005 8/19/20
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045 0.634 8/19/20g/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 37.7 8/26/20
mg/L
Hg - Mercury 71900 <0.0002 8/19/20
/pg/L
Lab Report Attached? ❑■ Yes (1) ❑ No (0)
Specific Conductance 00095 432 8/13/20
µMhos
K - Potassium 00937 1.66 8.19/20
mg/L VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927 17.4 8/19/20
mg/L method #
(Ammonia Nitrogen. NH3asN, Ammonia Nitrogen, Total)
Mn - Manganese 01055 0.025 8/19/20
**g/L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067 <0.005 8/19/10
Mg/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.3-1-2016

SUBMIT FORM ON YELLOW PAPER ONLY
(GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
rwnu rTv rurneuwrrnu Please Print Cleariv or
Facility Name: COATS AMERICAN
Permit Name (if different):
Facility Address: 630 AMERICAN THREAD RD MARION NC 28752
630 AMERICAN THREAD RD MARION t)28752
tact Person: PHILLIP C PITTMAN
I Location/Site Name: SOUTH OF CLAFIER 2
County MCDOWELL
Telephone#: [phone]
No. of wells to be sampled: 3
:RMIT Number: Expiration Date: `j 2-620
in -Discharge WQ0005603 UIC
'DES Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW16
Date sample collected: 8/11/20
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
`
pH 00400: 7.67 units Temp. 000lo: Al G` °C
DRY at
Depth to Water Level e2546: 5.6 ft. below measuring
point Screened Interval: N/A ft. to N/A ft. Spec. Cond. 000sa: µMhos
time ofsampling,
Measuring Point is 2.4 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: NONE
check
Volume of water pumped/bailed before sampling: 3
gallons
Appearance CLEAR
here: ❑
Samples for metals were collected unfiltered: ❑■ YES
❑ NO and field acidified: BYES ❑ NO
Date sample analyzed: SEE BELLOW
Laboratory Name: WATER TECH
Certification No. 50
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 70300
mg/L
All - Aluminum oil o5
mg/L
COBALT <0.005 mg/I 8/19/20
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
MOLYBDENUM <0.005 mg/I 8/19/20
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
SELENIUM <0.005 mg/I 8/19/20
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
SODIUM 26.2 mgA 8/19/20
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
STRONTIUM 0.256 mg/I 8/19/20
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
ipecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3asN, Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
PHILLIP C PITTMAN ORC
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.3-1-2016
1? -9`zV

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
or
Facility Name: COATS AMERICAN
Permit Name (if different):
Facility Address: 630 AMERICAN THREAD RD MARION NC 28752
630 AMERICAN THREAD RD MARIOWNef 28752
act Person: PHILLIP C PITTMAN
Location/Site Name: SOUTH OF CLAFIER 2
County MCDOWELL
Telephone#: [phone]
No. of wells to be sampled: 3
WELL ID NUMBER (from Permit): MW16 Date sample collected: 8/11/20
Well Depth: 15 ft. Well Diameter: 2 in
Depth to Water Level 82546: 5.6 ft. below measuring point Screened Interval: N/A ft.
Measuring Point is 2.4 ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 3 gallons
Samples for metals were collected unfiltered: ❑■ YES ❑ NO and field acidified: LfJ YES
PERMIT Number: Expiration Date: 'r'0 cZG
Non -Discharge W00005603 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
to N/A ft.
ft.
❑ NO
FIELD ANALYSES:
pH 00400: 7.67 units
Spec. Cond. 00094:
Odor 000m: NONE
Appearance CLEAR
Temp. 00010: z °C
uMhos
Date sample analyzed: SEE BELLOW
Laboratory Name: WATER TECH
Certification No. 50
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 70300
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
THALIUM <0.005 mg/I 8/19/20
TOC 00680
mg/L
Ca - Calcium oo916
mg/L
VANADIUM <0.005 mg/I 8/19/20
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
If WELL
DRY at
time of
sampling,
check
here: 11
GW-59 Rev.3-1-2016

s
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
and 1 copy
to:
COMPLIANCE REPORT FORM
Is
FACILITY INFORMATION
Please Print Clearly or Type
p
Facility Name: COATS AMERICAN
N
Permit Name (if different):
N
Facility Address: 630 AMERICAN THREAD RD MARION NC 28752
TI�t't`t
630 AMERICAN THREAD RD MARIOC'28752
County MCDOWELL
Contact Person: PHILLIP C PITTMAN
Telephone#: [phone]
Well Location/Site Name: NORTH OF CLAFIER 2
No. of wells to be sampled: 3
(from Permit
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW17
Date sample collected: 8/11/20
Well Depth: 15 ft.
Well Diameter: 2 in.
Depth to Water Level 82546: 6.8 ft. below measuring point Screened Interval: N/A ft.
to N/A ft.
Measuring Point is 2.7 ft. above land surface
Relative M.P. Elevation:
ft.
Volume of water pumped/bailed before sampling:
3
gallons
Samples for metals were collected unfiltered: K YES
El NO and field acidified: L�(ES El NO
LABORATORY INFORMATION
Date sample analyzed: SEE BELLOW
Laboratory Name: WATER TECH
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.16 8/28/20
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
issolved Solids:Total 70300 232 8/13/20
mg/L
Al - Aluminum oil o5
mg/L
pH (Lab) 00403 7.9 8/11/20
units
Ba - Barium 01007 0.039 8/19/20
�g/L
TOC 00680 <1.0 8/24/20
mg/L
Ca - Calcium 00916 34.9 8/19/20
mg/L
Chloride 0094o 27 8/17/20
mg/L
Cd - Cadmium 01027 <0.002 8/19/20
Mpg/L
Arsenic 01002 <0.005 8/19/20
rag/L
Chromium: Total 01034 <0.005 8/19/20
ftg/L
Grease and Oils 00552
mg/L
Cu - Copper 01042 <0.005 8/19/20
mg/L
Phenol 32730
ug/L
Fe - Iron 01045 <0.025 8/19/20
Ay(g/L
Sulfate 00945 32.8 8/26/20
mg/L
Hg - Mercury 71900 <0.0002 8/19/20
hg/L
Specific Conductance o0095 385 8/13/20
ItMhos
K - Potassium 00937 2.35 8/19/20
mg/L
Total Ammonia 00610
mg/L
Mg - Magnesium 00927 16.0 8/19/20
mg/L
(Ammonia Nitrogen, NH3asN; Ammonia Nitrogen, Total)
Mn - Manganese olo55 <0.0095 8/19/20
JVg/L
TKN as N 00625
mg/L
Ni - Nickel 01067 <0.005 8/19/20
Mpg/L
ERMIT Number: Expiration Date: 5 -101u
on -Discharge W00005603 UIC
PDES Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH 00400: 7.77 units
Spec. Cond. 00094:
Odor 00085: NONE
Appearance CLEAR
Temp. 000lo: /p. 9 °C
µMhos
Certification No. 50
Pb - Lead 01051 <0.005 8/19/20Ig/L
Zn - Zinc 01092 <0.01 8/19/20 mg/L
Other (Specify Compounds and Concentration Units):
ALKALINTY 116 mg/I 8/12/20
TURBIDITY 2.6 ntu 8/12/20
ANTIMONY <0.005 mg/I 8/19/20
BERYLLIUM <0.001 mg/18/19/20
BORON <0.1 mg/18/20/20
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? El Yes (1) ❑ No (0)
VOC 7873 method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
DRY at
time of
sampling,
check
here: ❑
GW-59 Rev.3-1-2016

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
cnrru ITV tWCnoMeTlnld Please Print Clearly or
Facility Name: COATS AMERICAN
Permit Name (if different):
Facility Address: 630 AMERICAN THREAD RD MARION NC 28752
630 AMERICAN THREAD RD MARIOt 46t 8752 County MCDOWELL
Contact Person: PHILLIP C PITTMAN Telephone#: [phone]
Well Location/Site Name: NORTH OF CLAFIER 2 No. of wells to be sampled: 3
(from Permit)
ILL ID NUMBER (from Permit): MW17 Date sample collected: 8/11/20
II Depth: 15 ft. Well Diameter: 2 in.
)th to Water Level 82546: 6.8 ft. below measuring point Screened Interval: N/A ft.
asuring Point is 2.7 ft. above land surface Relative M.P. Elevation:
ume of water pumped/bailed before sampling: 3 gallons
notes for metals were collected unfiltered: ❑■ YES ❑ NO and field acidified: 21ES
PERMIT Number: Expiration Date: = ZOly
Non -Discharge WO0005603 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
to N/A ft.
ft.
FIELD ANALYSES:
pH 00400: 7.77 units
Spec. Cond. 00094:
Odor 00085: NONE
Appearance CLEAR
Temp. 00010: % 7"V °C
uMhos
Date sample analyzed: SEE BELLOW
Laboratory Name: WATER TECH
Certification No. 50
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
rng/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 70300
mg/L
All - Aluminum o1105
mg/L
COBALT <0.005 mg/I 8/19/20
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
MOLYBDENUM <0.005 mg/I 8/19/20
TOC o068o
mg/L
Ca - Calcium 00916
mg/L
SELENIUM <0.005 mg/I 8/19/20
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
SODIUM 16.5 mgM 8/19/20
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
THALLIUM <0.005 mgll 8119/20
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance o0095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH3asN; Ammonia Nitrogen, Total)
Mn - Manganese o1055
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L vvc: Kemovarro
If WELL
WAS
DRY at
time of
sampling,
u
GW-59 Rev.3-1-2016

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
or
Facility Name: COATS AMERICAN
Permit Name (if different):
Facility Address: 630 AMERICAN THREAD RD MARION NC 28752
630 AMERICAN THREAD RD MARIO0&t 28752
IContact Person: PHILLIP C PITTMAN
Well Location/Site Name: NORTH OF CLAFIER 2
County MCDOWELL
Telephone#: [phone]
No. of wells to be sampled: 3
PERMIT Number: Expiration Date: ,"- 26,?C7
Non -Discharge W00005603 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
If WELL
WELL ID NUMBER (from Permit): MW17 Date sample collected: 8/11/20
Well Depth: 15 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 6.8 ft. below measuring point Screened Interval: N/A ft.
Measuring Point is 2.7 ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 3 gallons
Samples for metals were collected unfiltered: N YES ❑ NO and field acidified: ❑ YES
to N/A ft.
ft.
❑ NO
FIELD ANALYSES:
pH 00400: 7.77 units Temp. 000lo: , °C
Spec. Cond. 000sa: µMhos
Odor 00085: NONE
Appearance CLEAR
WAS
DRY at
time ofsampling,
check
here: ❑
LABORATORY INFORMATION
Date sample analyzed: SEE BELLOW
Laboratory Name: WATER TECH
Certification No. 50
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al - Aluminum oil o5
mg/L
STRONTIUM 0.345 mg/I 8/19/20
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
VANADIUM <0.005 mgA 8/19/20
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH,as N. Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.3-1-2016

URTIrRiTECH LRBS.lnc.
POST OFFICE BOX 1056 - H5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Coats America (MW#10) COLLECTION DATE:
8/11/2020
PERMIT #. COLLECTION TIME:
07:30
ADDRESS: Coats America (Wells) RECEIVED DATE:
8/11/2020
P.O. Box 368
RECEIVED TIME:
15:00
Marion, NC 28752
REPORTED:
9/3/2020
ANALYSIS
ANALYSIS
RESULTS
UNITS
DATE
ANALYST
TDS
51
mg/L
8/13/20
lag
Chloride
3.3
mg/L
8/17120
lag
T. Phosphorus
<0.16
mg/L
8/28120
jdg
TOC
<1.0
mg/L
8/24120
Sulfate
<10
mg/L
8/26120
metals
see attached
pH
6.9
su's
8/11/20
lag
Alkalinity
40
mg/L
8/12/20
lag
Conductivity
82
umhos/cm
8113/20
jrg
Turbidity
0.55
ntu
8112120
lag
LOG ID: 2008-142 REPORTED BY: Nfm�6o"
CCERTIFIED LAB # 50
Tony Gragg, Lab Supervisor

uivrLmirECH U185-mc.
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Coats America (MW#16) COLLECTION DATE: 8/11/2020
PERMIT #: COLLECTION TIME: 08:30
ADDRESS., Coats America (Wells) RECEIVED DATE: 8/11/2020
P.O. Box 368 RECEIVED TIME: 15:00
Marion, NC 28752
REPORTED: 9/3/2020
ANALYSIS
ANALYSIS
RESULTS
UNITS
DATE
ANALYST
TDS
261
mg/L
8/13/20
lag
Chloride
30
mg/L
8/17120
lag
T. Phosphorus
<0.16
mg/L
8/28120
Jdg
TOC
0.0
mgll
8/24/20
Sulfate
37.5
mg/L
8126/20
metals
see attached
pH
7.9
su's
8/11/20
lag
Alkalinity
130
mg/L
8/12/20
lag
Conductivity
432
umhos/cm
8/13/20
irg
Turbidity
2.7
ntu
8/12/20
lag
LOG ID: 2008-143 REPORTED BY: NCCERTIFIED LAB # 50
fN�
Tony Gragg, Lab Supervisor

orrm rEcH L as,I..
POST OFFICE BOX 1056 - #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Coats America (MW#17) COLLECTION DATE:
8/11/2020
PERMIT #.- COLLECTION TIME:
10:30
ADDRESS: Coats America (Wells) RECEIVED DATE:
8/11/2020
P.O. Box 368 RECEIVED TIME:
15:00
Marion, NC 28752
REPORTED:
9/3/2020
ANALYSIS
ANALYSIS
RESULTS
UNITS
DATE
ANALYST
TDS
232
mg/L
8/13/20
lag
Chloride
27
mg/L
8117/20
lag
T. Phosphorus
<0.16
mg/L
8/28/20
jdg
TOC
<1.0
mg/L
8/24120
Sulfate
32.8
mg/L
8126120
metals
see attached
pH
7.9
su's
8111/20
lag
Alkalinity
116
mg/L
8112/20
lag
Conductivity
385
umhos/cm
8113/20
jrg
Turbidity
2.6
ntu
8/12/20
lag
LOG ID: 2008-144 REPORTED BY: NC CERTIFIED LAB # 50
flill *
Tony Gragg, Lab Supervisor

ESEARCh & ANA1YT1W Report of Analysis
LAORATORks INC*
8/26/2020
a�o'ta:irirpt �
C,
For: Water Tech Labs, Inc.
*��� ......•.,rv0
P.O, Box 1056
Granite Falls, NC 28630
Nc#aa �,ish w
Attn: Tony Gragg
NC #37701
d� 4
oP�f4,2
ft6D AIA
rn t'<nti
Client Sample ID:
Site:
Parameter
Coats America MW 10
water Tech
Method
M T _ T
Result
Units
Lab Sample ID: 86150.01
Collection Date: 8/11/2020 7:30
Rep Limit Analys Analysis DatelTime
Aluminum, Total~Y�
EPA 200.7
<0,025
mg/L�
0.025
MM
8/1912020
Antimony, Total
EPA 200.7
<0.005
mg/L
0.005
MM
8/19/2020
Arsenic, Total
EPA 200.7
<0.005
mg/L
0,005
MM
8119/2020
Barium, Total
EPA 200.7
<0.005
mg/L
0.005
MM
8119/2020
Beryllium, Total
EPA. 200.7
<0.001
mg/L
0.001
MM
8/19/2020
Boron, Total
EPA 200.7
<0.1
mg/L
0.1
MM
8/20/2020
Cadmium, Total
EPA 200.7
<0.002
mg/L
0..002
MM
811912020
Calcium, Total
EPA 200,7
<0.5
mg/L
0.5
MM
8/19/2020
Chromium, Total
EPA 200.7
<0.005
mg/L
0.005
MM
8/1912020
Cobalt, Total
EPA 200.7
<0.005
mg1L
0.005
MM
8/19/2020
Copper, Total
EPA 200.7
<0,005
mg/L
0.005
MM
8/19/2020
Iron, Total
EPA 200.7
0.032
mg/L
0.025
MM
811012020
Lead, Total
EPA 200.7
<0.005
mg/L
0.005
MM
8/19/2020
Magnesium, Total
EPA 200.7
<0.5
mg/L
0.6
MM
8/1912020
Manganese, Total
EPA 200.7
<0,005
mg/L
0.005
MM
8/19/2020
Mercury, Total
EPA 245.1
<0.0002
mg1L
0.0002
EW
8/19/2020
Molybdenum, Total
EPA 200.7
<0.005
mg/L
0.006
MM
8/19/2020
Nickel, Total
EPA 200.7
<0.005
mg1L
0.005
NIM
8/19/2020
P.O. Box 473 106 Short Street
Kernersville, North Carolina 27284
Tel: [phone]
Fax: [phone]
www randaiabs.cam Page' 1

LAORATORiESP lrwo
man
Client Sample iD: Coats America MW 10
Site: water Tech
Parameter _— Method
Potassium,
Selenium, Total EPA 200.7
Sodium, Total EPA 200.7
Strontium, Total EPA 200.7
Sulfate SM 4500 SO4 E-2011
Thallium, Total EPA 200.7
Total Organic Carbon SM 5310 N-2011
Vanadium, Total EPA 200.7
Zinc, Total EPA 200.7
Report of Analysis
8/26/2020
Lab Sample ID: 86150-01
Collection Date: 8/11/2020 7:30
Result
Units
Rea Limit
Analyst Analysis Date/Time
<0,5
mg/L
0.5
MM
8/19/2020
<0.005
mg/L
0.005
MM
8/19/2020
18.8
mg/L
0.5
MM
811912020
<0.01
mg/L
0.01
MM
8/19/2020
<10
mg!L
10
FK
8/2612020
<0.005
mg1L
0.005
MM
8/19/2020
<1.0
mg/L
1
MG
6/2412020
<0.005
mc01L
0.005
MM
8/1912020
<0.01
mg1L
0.01
MM
8/19/2020
Glient Sample ID:
Coats America MW 16
Lab Sample ID:
86150-02
Site:
water Tech
Collection Date:
8/11/2020
8:30
Parameter
Method
Result
Units
Rep Limit Analyst Analysis Date/Time
Aluminum, Total
^ _ -
EPA 200.7
0.027
mg/L
0.025
MM
8/19/2020
Antimony, Total
EPA 200.7
<0.005
mg/L
0.005
MM
8/19/2020
Arsenic, Total
EPA 200,7
<0.005
mg/L
0.005
MM
8/19/2020
Barium, Total
EPA 200.7
0,045
mg/L
0,.005
MM
8/19/2020
Beryllium, Total
EPA 200.7
<0..001
mg/L
0,001
MM
8/19/2020
Boron, Total
EPA 200.7
<0,1
mg/L
0.1
MM
8/20/2020
Cadmium, Total
EPA 200.7
<0,002
mg/L
0.002
MM
8/19/2020
Calcium, Total
EPA 200.7
35.2
mg1L
0.5
MM
8/19/2020
Chromium, Total
EPA 200.7
<0.005
mcq/L
0.005
MM
8/19/2020
Cobalt, Total
EPA 200.7
<0.005
mg/L
0.005
MM
8/19/2020
Copper, Total EPA 200.7 <0.005 mg/L 0.005 MM 8/19/2020
Iron, Total EPA 200.7 0.634 mg/L 0,025 MM 8/19/2020
P O, box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www,randalabs.com Page 2
raE cra i:r;�c : rd

FsEARch & ANAtyncd Report of Analysis
LAboitAnRiES, INC. 8i26i2020
Client Sample ID:
Coats America MW 16
Lab Sample ID:
86150-02
Site:
water Tech
Collection Date:
8/11./2020
8:30
Parameter
Method
Result
Units
Rep Limit Anal st Analysis Date/Time
Lead, Total
EPA 200.7
<0.005
mg/L
01005
MM
811912020
Magnesium, Total
EPA 200.7
17.4
mg/L
0.5
MM
8/19/2020
Manganese, Total
EPA 200.7
0,025
mg/L
0.005
MM
8/19/2020
Mercury, Total
EPA 245.1
<0.0002
mg/L
0.0002
EW
8/1912020
Molybdenum, Total
EPA 200.7
<0.005
mg/L
0,005
MM
8/19/2020
Nickel, Total
EPA 200.7
<0.005
mg/L
0.005
MM
8/19l2020
Potassium, Total
EPA 2003
1.66
mg/L
0.6
MM
8/19/2020
Selenium, Total
EPA 200.7
<0.005
mg/L
0.005
MM
8/19/2020
Sodium, Total
EPA 200.7
26,2
mg/L
0.5
MM
8/19/2020
'Strontium, Total
EPA 200.7
0.256
mg/L
0.01
MM
8/19/2020
Sulfate
SM 4500 SO4 E-2011
37.5
mg/L
10
FK
8/26/2020
Thallium, Total
EPA 200.7
<0.005
mg/L
0.005
MM
8//912020
Total Organic Carbon SM 5310 N-2011
<1.0
mg/L
1
MG
8/24/2020
Vanadium, Total
EPA 200.7
<0,005
mg/L
0.005
MM
8/19/2020
Zinc, Total
EPA 200.7
<0.01
mg/L
0.01
MM
8/19/2020
Client Sample ID:
Coats America MW 17
Lab Sample ID:
86150-03
Site:
water Tech
Collection Date:
8/11/2020
10:30
Parameter
Method
Result
Units
Rep Limit Anal s Analysis Date/Time
AlUMINLIm, Total
EPA 200.7
<0.025
mg/L
0,025
MM
8/19/2020
Antimony, Total
EPA 200.7
<0.005
mg/L
0.005
MIA
8/19/2020
Arsenic, Total
EPA 200.7
<0.005
mg./L
0.005
MM
8/19/2020
Barium, Total
EPA 200.7
U39
mg/L
0,005
MM
8/19/2020
Beryllium, Total
EPA 200.7
<0.001
mg/L
0.001
MM
8/19/2020
P.Q Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] mvw.randalabs.com Page 3

RESEARCh & AWY ICAO.
Report of Analysis
o
��,/� O R'A �I ��iIF � �i � 0
8/26/2020
Client Sample (D: Coats America MW 17
Lab Sample ID:
86150-03
Site: water Tech
Collection Date:
8/11/2020
10:30
Parameter
Method
�. _
Result
Units
Rea Limit Analyst Analysis Datel Time
Boron, Total
EPA 200.7
<0.1
mg/L
0.1
MN1
$l2{)/2020
Cadmium, Total
EPA 200.7
<0,002
mg/L
0,002
MM
8/19/2020
Calcium, Total
EPA 200.7
34.9
mg/L
0,5
MM
8/19/2020
Chromium, Total
EPA 200,7
<0.005
mg/L
0.005
MM
8/19/2020
Cobalt, Total
EPA 200.7
<0,005
mg/L
0.005
MM
> Pl912026
Copper, Total
EPA 200.7
<0.005
mg/L
0.005
MM
8/1912020
Iron, Total
EPA 200.7
<0.025
mg/L
0.025
MM
8/19/2020
Lead, Total
EPA 200.7
<0.005
mg1L
0.005
MM
8/19/2020
Magnesium, Total
EPA 200.7
16.0
mg/L
0.5
mm
8119/2020
Manganese, Total
EPA 200.7
<0,005
mglL
0,005
MM
8119/2020
Mercury, Total
EPA 245.1
<0.0002
mg/L
0.0002
EW
8119/2020
Molybdenum, Total
EPA 200.7
<0.005
mg/L
0.005
MM
8/19/2020
Nickel, Total
EPA 200.7
<0.005
mg/L
0.006
MM
8/19/2020
Potassium, Total
EPA 200.7
2.35
mg/L
0.5
MM
8/19/2020
Selenium, Total
EPA 200.7
<0.005
mg1L
0.005
MM
8/19/2020
Sodium, Total
EPA 200.7
16.5
mg/L
0.5
MM
8/19/2020
Strontium, Total
EPA 2003
0,345
mg/L
0,01
MM
8/10/2020
Sulfate
SM 4500 SO4 E-2011
32.8
mg/L
10
FK
8/26/2020
Thallium, Total
EPA 200.7
<0,005
mglL
0,005
MM
8/19/2020
Total Organic Carbon
SM 5310 N-2011
<1,0
mg/L
1
MG
8/24/2020
Vanadium., Total
EPA 200.7
<0.005
mg/L
0,005
MM
8/19/2020
Zinc, Total
EPA 200.7
<0.01
mg/L
0.01
MM
8/19/2020
MA = not analyzed
R0, Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone]
Fax: [phone]
www.randalabs.com
Page 4

GW-59A COMPLIANCE REPORT FORM
Permit # 0&oa0,5-4- 0Z
(Summit one each monitoring period with GII=59 forms.)
1
Enter date monitoring results were due. ( ) Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms!
YES
NO
1F the answer to question 1 or 2 is "YES" list in the space provided below the weli identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
identification plate, area overgrown, etc.)? If the is -?'es ••,
YES
NO
answer contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
NO
✓
If the answer to question 4 is "NO", skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with conslituent(s) and concentration(s)
exceeding standards in the space provided below:
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO", skip to section 8.
If the answer to question 5 is "YES", list in the space provided below, each well with constituents) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer is "YES", a groundwater quality problem may be occurring. C0114TACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is 'YES", describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Regional Office within 90 days; an evaluation may be
required to determine the impact the waste disposal system I> havinq at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation
fines, and/or penalties.
g
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowledge that the above informatlon,was evaluated and the infor(nationsubmitted fn thls n;
report (Complian7 Report GW-59A) is true and complete to the' best of my knowledger „ g^
Signature of Permitted (or Authorized Agent) Date
GNV-59A 12/8/2003