NCG140398_2020 DMR_20210106

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2020
*Report ALL STORMWATER monitoring data on this form (include "No Flow /"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14 13❑ 9❑ 8
Facility Name: Carolina Ready Mix and Builders Supply, LLC
County: Madison
Phone Number: (828 ) 686-3040
Certified Laboratory Pace Analyticial
Lab # 40
Lab #
Total no. of SDOs monitored 1
Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No ❑✓
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ✓❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑✓
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Outfall No.
Total Rainfall,
inches
Total
Suspended
Solids (TSS),
m /I
pH,
SU
Non -polar O&G
(EPA Method
1664 SGT-HEM)) ,
(
mg/I (VMA)
Napplicable
New Motor Oil
Usage (gal/mo.)
lfapplicable
Stormwater
Benchmarks
Date Sample
Collected,
mo/dd/ r
05/18/20
Indicate NO FLOW if
applicable
2.25
Circle Benchmark
100/50
43.2
6.0-9.0 15
8.4 NA
>55 allmo. average requires TSS and
g g
Non -polar OaG monitoring
NA
11 /11 /20
1.25
13.2
8.4
NA
NA
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 0❑ 3❑ 9�®
CERTIFICATION
"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."
[Required by 40 CFR §122.22]
Signature'�1C`-!�.
Date 01 /06/21
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG140000
Ready -Mixed Concrete
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG14 0 3 9 8 Person Collecting Samples: Gary Kilker
Facility Name: Carolina Ready Mix and Builders Supply, LLC Laboratory Name: Pace Analytical
Facility County: Madison Laboratory Cert. No.: 40
Discharge during this period: ❑■ Yes ❑ No (if no, skip to signature and date)
rHas your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes ❑■ No
If so, which Tier (I, Il, or III)?
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
Trout
N/A
Date Sample Collected MM/DD/YYYY
05/18/20
46529
24-Hour Rainfall in inches
2.25
C0530
TSS in mg/L (100 or 50*)
43.2
00400
pH in standard units (6.0-9.0)
8.4
Non -Polar Oil & Grease in
00552
mg/L (15) for drainage areas that use > 55
NA
gal/mo of new hydraulic oil on average
NCOIL
Estimated New Motor/Hydraulic Oil
NA
Usage in gal/month
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L.
Notes (optional):
"I certify by my signature below, 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." 4
ittee or Delegated Authorized Individual
01.06.21
Date

Li
0
LL
Z
R
0
Z
S0
G
Q
•E
CA
C
1
L
m
3
C
m
L
L
V
V
41
W �
Z ❑t.7
W �
J W
O a
uLU zr
aa0
0
z
LAJ
W h1
06
0
W a
~ z
LL
U }
ui
� J
U LL
L.
N
L
0
Li
LO
r
a
z
a
IS
W =
Z
v ❑ N
Oc H ❑
�C W
} N
El�4
.•. M1. U
H z
0 Ln 3
z J
z
N
a Q o
W
J
a
Q
Q
z
H
u
W
J
J
O
u
z
O
N
O:
W
a
LL
z
J
a
z
0
H
a
0
21
r N
C t
IA
L Q,
c E
LA
w N
O
m
N > C
O ..
C o
f
o
C to
a+ O �
,= Y
i C
,
>
LLI •E
7
J
m
LA
kA w
N
\0
~ E
ry)A
J
E
L
_ 'C 4+
Q C C
Qi
L
W W
I aJ °C
O "
o £ 2 ;.3
tti
H 0UJ O
'
LL
a
41 p \ O
O
E Z�h
1 O
z
1
1 .
�1
s
\
m
\
n
Q1 N
� w-
�> O
a1
K a1
N do
N J d
Y
oj
ai
>
O a
ru c
a aJ
o (9
a)
a�
v c
Q N
E
N C
O
a1 Q
Y a
i N E aJ
f6
E aJ O
h aJ Ln ca
Uo
�v
c s O
v 3 m
v v = W o
d
_ 7 n to
O ?
Y "O
L
u
v a c o
w a) Y 2 -0
C7 o0 3 +
N
Q (� p C
= v O E
Y
rz
N_ m v o 0
= m Co M
O u 0 C Y
Z C N do O.
i 0-'U
a
o w a u
i N N
O '—Z
o o a 3 y
O Ou u aJ
v L v m x >
+� (Uc � —
w -4
w = Z3 W o C
3 c c E^ 4
Q Q O o N O
_ -0 -1 -0 m
U r a aJ r p
u
0 ra
z E O
X > 6 \
v
O aJ 'Q ` Q
O . @ -r- aO
u 10
p ra a Y
z > o � °� E
} 2 a`j
a

n
a
u
u
s
H
N
C L C
o a a
0 E A
� �
hA
H C ++ T
L
0 =
L
i+
O N C
2 E
I 3 �
v �
Z
S C
0
•fp V
�
d'
C in
a+ O W
C +'
a� 3
i C
�
W 0
V
1 4!
'O
C
J
C 0
0cc0
fn yOj E
m
0
t-
0
o
uj
_
ven
J
"IE
'In
r ,_
�
3
_
o tz
�
1
1 �
CL r- C
to
H
V
i
1 �
tL
(i M
E
c u
4-6
3 Z
O
o
a
J
Q
f—
O
W
z
O
r
z
Q
Q
V)
LU
Lu
z ❑
W O
W z
U
X ❑w
Y
(n
Q W
r
U
z
W
m
N•
or O W
O c
C G
G W Q
� � Z
O W v
Q o z
=LLJO
r u U
U
U z LL
W Ov O
J
O Z
W O
V) > (7
Q Q W
= _ =
kA
L
Ln
O
z
C
7
U
C
In
4-
O
e--1
�
fT
O
U
r\
] L N
a)
C
0
3
c Lz aJ '
p
� — v o
C
LL
L (E
a + u U
O
' >
L t
ZN
0 L/) i
O
O
0 � z
L
O
Ln
o ❑
_
U
c .OJ
.0
❑ Q CY
ai
0 o v
y Q
E E
CU
u
E y O
U 7
E
� � y
O CL 6 C
u c a
O m E
c c a c
0 O
O f11 N L
> aj o E
O 0 E o
O 'Z3 O C
C ZS
O C N O
N E y
L L —
O O
0
Q1 m -6 4J
m v
y y
v E
E 7
ai -0 C
� o ._
(1J C @
a) E 'O
2
3 E E
o 'v o
E •E � •E
— N
7
� v
N
E � txo o
O L vi
U y Q1 4J
tlA
txo C
i 3 C C
C O '
+ p fl-
i
I a) L L
v v v tv
C- "-
i y
i v :3 v)
1 0- :_
y 0 ++
I L Q)
�F ¢' t)J f4
: v v
1 v� O E
(6 E
Ln
r-I
O
N
\
O
m
_ O
d �
M
i+ 0
E
N
L \
\
�H
O a
N
L ra
3 ❑
� y
m
d

t nvironmento/
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https:Hdeq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: NcAgr. / "Y /U
Facility Name: �° �C' lV� - �� gg14Al- [..--
County:
f ) A1>1s,aht Phone No. &) 9 - Af /,-� . -7 D `/G
Inspector: kc
Date of Inspection: >�
Time of Inspection: % / O c'
Total Event Precipitation (inches): c2• 0 5
.............- ............ --- —__-__........ _........... _.._---_...... _... - ....................... ....- - ..._-.. .......
---
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the pennittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
Of Permittee or Designee)
1. Outfall Description:
Outfall No. a):Z Structure (pipe, ditch, etc.): d,' k-j,
Receiving Stream:
eveg -Rle e ,4A ?r t;e r -
Describe the industrial activities that occur withinthe outfall drainage area:
!!
Page 1 of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:��-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): ny CVlrz—
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 I is no solids and 5 is the surface covered with floating solids:
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:
L., 2 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes Q No.
8. Is there an oil sheen in the stormwater discharge? OYes c@, No.
9. Is there evidence of erosion or deposition at the outfall? O Yes 0 No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe Po kV
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, Last modified 06/01/201 S

o '
a,�
ceAnalydical
www,pacslabs.c0M
June 01, 2020
Gary Kilker
Carolina Ready Mix
606 Old US Highway 70
Ridgecrest, NC 28770
RE: Project: STORMWATER 051820
Pace Project No.: 92478058
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Dear Gary Kilker:
Enclosed are the analytical results for sample(s) received by the laboratory on May 19, 2020. The results relate only to the
samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the face Network:
• Pace Analytical Services -Asheville
If you have any questions concerning this report, please feel free to contact me,
Sincerely,
4—
Chris Derouen
[e-mail]
[phone]
Project Manager
Enclosures
h� O
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
4 without the written consent of Pace Analytical Services, LLC.
%9eQg�.Sp ,
Page 1 of 13

(��aoeAnalXical
www.pacelabs.com
Project: STORMWATER 05182D
Pace Project No.: 92478058
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
FloridalNELAP Certification M E87648
Massachusetts Certification M M-NC03D
North Carolina Drinking Water Certification 4: 37712
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
CERTIFICATIONS
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
UrginiaNELAP Certification M 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 13

aceAnalAcal
wwvt.pacelabs.cam
Project: STORMWATER 051820
Pace Project No.: 92478058
Lab ID Sample ID
92478058001 _ MARSHALL
9247BOSS002 FLETCHER
9247BD58003 SWANNANOA
PASI-A = Pace Analytical Services -Asheville
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
SAMPLE ANALYTE COUNT
Method
Analysts
Analytes
Reported
Laboratory
SM 254OD-2011
MJP
1
PASI-A
EPA 9040C
SMK
1
PASI-A
SM 254OD-2011
MJP
1
PASI-A
EPA9040C
SMK
1
PASI-A
SM 2540D-2011
MJP
1
PASI-A
EPA9040C
SMK
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 113

_ ;a'ceAnaljd1cal'
www.pacelahs,com
ANALYTICAL RESULTS
Project: STORMWATER 05182D
Pace Project MD.: 92478058
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Sample: MARSHALL Lab ID: 92478058001 Collected: 05/1812011:20 Received: 05/19/20 08:00 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 254OD-2011
Pace Analytical Services -Asheville
Total Suspended Solids 43.2 mg/L 25.0 1 05/21/2011:42
9040 pH Analytical Method: EPA 9040C
Pace Analytical Services -Asheville
pH at 25 Degrees C 8.4 Sid. Units 0.10 1 05/D1/20 15:23 H3
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/01/2D20 04:25 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 13

Pace Analytical Services, LLC
2225 Riverside Dr.
,1!;1axAnalyticalo Asheville, NC 28804
www,pacelahs.com
[phone]
ANALYTICAL RESULTS
Project: STORMWATER 051820
Pace Project No.: 9247SD58
Sample: FLETCHER Lab ID: 92478058002 Collected: 05/18/20 07:10 Received: 05/19/20 08:00 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 254OD-2011
Pace Analytical Services -Asheville
Total Suspended Solids 61.3 mg/L 12.5 1 05121/2011:43
9040 pH Analytical Method: EPA D040C
Pace Analytical Services - Asheville
pH at 25 Degrees C 8.2 Std. Units 0.10 1 0610112015:14 H3
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/01/2020 04:25 PM without the written consent of pace Analytical Services, LLC. Page 5 of 13

��aceAnalXical"
www.pacelabs.com
ANALYTICAL RESULTS
Project: STORMWATER D51820
Pace Project No.: 92478058
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, ND 28804
[phone]
Sample: SWANNANOA Lab ID: 92478058003 Collected: 05/18/20 08:35 Received: 05/19/20 08:00 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 254DD-2011
Pace Analytical Services -Asheville
Total Suspended Solids 31.7 mg/L 6.2 1 05/2112011:43
9040 pH Analytical Method: EPA 9040C
Pace Analytical Services -Asheville
pH at 25 Degrees C 7.8 Sid, Units 0.10 1 06101/2015:16 H3
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in lull,
Date: 06/01/2020 04�25 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 13

(��IaceAnalyfical
www.pacolabs.com
QUALITY CONTROL DATA
Project: STORMWATER 051820
Pace Project No.: 92.478058
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
QC Batch: 542864
Analysis Method:
SM 254OD-2011
QC Batch Method: SM 254OD-2011
Analysis Description:
2540D Total Suspended Solids
Laboratory:
Pace Analytical Services -Asheville
Associated Lab Samples: 92478058001, 9247BD58002, 92478058D03
METHOD BLANK: 2891867
Matrix: Water
Associated Lab Samples: 92478058001,
92478058002, 92478D58003
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg1L
ND
2.5 05/21/2011:42
LABORATORY CONTROL SAMPLE:
2891868
Spike LCS
LCS %Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250 266
106 90-110
SAMPLE DUPLICATE: 2891869
92478197001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
268
272 1
SAMPLE DUPLICATE: 2891870
92478214001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
6D7
618 2
Results presented on this page are In the units Indicated by the "Units" column exceptwhere an alternate unit Is Presented to the rlghtof the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
Dale: 00/01/4020 04:25 PM without the written consent of Pace Analytical Services, I.I.C.
Page 7 of 13

VaceAnalytical"
._. www.pacefabs.wm
QUALITY CONTROL DATA
Project: STORMWATER 051820
Pace Project No.: 92478058
QC Batch: 544392 Analysis Method: EPA 9040C
QC Batch Method: EPA 9040C Analysis Description: 9040 pH
Laboratory: Pace Analytical Services - Asheville
Associated Lab Samples: 92478058001, 92478058002, 92478058003
SAMPLE DUPLICATE: 2898995
92477877D01 Dup
Parameter Units Result Result RPD Qualifiers
pH at 25 Degrees C Std. Units 7.1 7.0 1 H3
SAMPLE DUPLICATE: 2898997
92478588001 Dup
Parameter Units Result Result RPD Qualifers
pH at 25 Degrees C Sid. Units 7.8 7.8 0 H3
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Results presented on lhls 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: 06/01/2020 04:25 PM without the written consent of Pace Analytical Services, LLC.
Page 8 of 13

loon Pace Analytical services, LLC
p 2225 Riverside Dr.
aceAnapical Asheville, NC 28804
www.paceiabs.com [phone]
QUALIFIERS
Project: STORMWATER 051820
Pace Project No.; 92478058
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.
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-Diphenylhydrazinedecomposes 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 Chioroethylvinyl 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.
TN -The NELAC Institute.
ANALYTE QUALIFIERS
H3 Sample was received or analysis requested beyond the recognized method holding time.
Date: 06/01/2020 04:25 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written coiseni of Pace Anaytical Services, LLC.
Page 9 of 13

(�IaceAnalytical
www,pacalabs.com
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: STORMWATER 051820
Pace Project No.: 92478058
Lab ID Sample ID QC Batch Method
92478058001
MARSHALL
SM 254OD-2011
92478058002
FLETCHER
SM 2540D-2011
92478058003
SWANNANOA
SM 2540D-2011
92478058001
MARSHALL
EPA 9040C
92478058002
FLETCHER
EPA 9040C
92478058003
SWANNANOA
EPA 9040C
Date: 06/01/2020 04:25 PM
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
QC Batch Analytical Method
542864
542864
542864
544392
544392
544392
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, Li-C.
Analytical
Batch
Page 10 of 13

j� �� Sample
>°dG2mcallCf1I
Document Name:
Document No.:
F-CAR•CS-033-Rev
Document Revised: February 7, 2018
Page 1 of 2
issuing Authority:
Pace Carolinas Quality Office
Laboratory receiving sa ples.
Greenwood ❑ Huntersville ❑ Raleigh❑ Mechanicsville❑
Asheville Eden❑
WO# ' 92478058
Client Name: Project #:
Cho �s ts�
Tull C 1
Courier: ❑Fed Ex ❑UPS USPS Client
III
IIII
I IN
11111111111
❑ Commercial ❑Pace ❑other;,
92478058
Custody Seal Present? ❑)ZNo Seals Intact? Dyes ONO
t
JYes
Datejlnitials Person Examining Contents;
rr 7
Packing Material: ❑Bubble wrap []Bubble Bags None ❑ Other
Biological Tissue Frozen
[-]yes ❑No PN/A
Thermometer: �� G w Type of Ice: JZWet ❑Blue
ZI Ilt Gun ID:
❑None
Cooler Temp (°C): b,5 Correction Factor: Add/Subtract (°C) D. 0
Tamp should be above freezing to 6°C
S
Cooler Temp Corrected VC)--
❑Samples out of ternp criteria. Samples on ice, cooling process
has begun
Ills
USDA Regulated Soil (7f 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,
Ha%vai! and Puerto Rico)? Elves []No
[]Yes ❑No
Including
Comments/Dlscrepa ncy:
Chain of Custody Present?
Yes LJN2
LJN/A
A.
Samples Arrived within Hold Time?
Yes No
[]N/A
2.
Short Hold Time Analysis (<72 hr.)?
Yes No
❑N/A
3•
Rush Turn Around Time Requested?
.-Yes No
❑N/A
4•
Sufficient Volume?
Yes No
N/A
5.
Correct Containers Used?
Yes []No
[I NIA
G.
-Pace Containers Used?
Yes ❑No
❑N/A
Containers Intact?
Yes [0No
❑N/A
7.
Dissolved analysis: Samples Field Filtered?
IlYes No
Z
❑N/A
S.
Sample Labels Match COC?
Yes ❑No
❑N/A
9.
19eacispace in VOA Vials ❑Yas ©No N/A 10.
Trip Blank Present? W ❑Yes �jNo N/A 11.
Trip Blank Custody Seals Present? ❑ytrs MNO N/A ,,{
Field Data Required? ©Yes X..IFJo
COMMENTS/SAMPLE DISCREPANCY / —
Lot ID of split containers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted: Date/Time:
Date:
Project Manager SCURF Review:
Date:
Project Manager SRF Review;
Page 11 of 13

,� Document flame:
sample Condition Upon Receil
�weAnai�ical Document No.:
F-CAR-CS-033-Rev,06
*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/801S (water) DOC, LLHg
**Bottom half of box Is to list number of bottle
x
Z)
C
z
•iC
E
fJ
E
N
E
�'
�
E
�
E
O
to
E
�
O
E
C'
.F
d
E
a
m
m
c
N
m
H
w
H
m
m
m
a
m
a
m
ll7
3
t�.7
d
l�7
a
lM'J
¢
1
\
+
i
2
3
l
�4
5
y
6
7
\
8
9
10
11
J2
Document Revised: February 7, 2018
Page 1 of 2
Issuing Authority:
Pace Carolinas Quality Office
Project N W®# : 92478Q58
PM; COI Due Date: 06/03/20
CLIENT: 93—CarolinaR
pH Adjustment Log for Preserved Samples
Time
Sample ID Type of PrepH upon receipt Date preservation adjusted pdr)useryAmount dation aervative
added servative
h;ote: Whenever there is a discrepancy affectln8 North Carolina compliance samples, a copy of this form wia be sent to Ilte North Carolina DEHNR Cei
Out of hold, incorrect preservative, out of temp, lncormct containers,
on
Lot W
page 12 of 13

£ b iO E 6 06ed
W
O
CV-
0
i
easrT:j®
(jeuy
teyi0
loueylew
£ONZBN
HOON
104
dill
�71
rn
o;
N�
W G •°
nj a^
-ZI
I
# WBIIe-
(NIA}
i�etul
�
so�dwag
NIA
te�oop
Pains
(NrA)
nj
uo paya0aa
0
u! d w31
J
�S
r
.h
a
W
J
a
CL
z
z
7
*I

£ 610 £ 6 OBd
(NO,
�
la� NI
,l000
alea
b sn
WA)
`14 ol 0�7
C� uo Payaaaa
(NIA) oul,olyo lenp{saa 0 u! dW31
a � �
a
h
a °
s �
w
17111
� e Nld ;ssl see�S{euy �':
9 ,ay!a
y SOMON
ts m HOaN \
A y m IOH
{ IL CONH
z o ti osz c I �i L
g Patiaseldu(
P:
w
moo Jo SH3iY1
n Q a. o. a -
J W
NGI1G3llo31V d1Y3131dfYV8
w 3 a a J Q a s a
z J w E
z �3
O Q Cf o s•'1 ,�,.,,: Q a N
x rdwoa�v edtt�•01 HdA13ldVVS CQ <p t ZV
U
E O E (pa�o{fapm plan ws) 3dGO XI?llYYi 3
iu
CL O
n N a m z# W M N
cr n
W `
r
x J `u m S pp
�vy
r r r
V
r9i o[ cr w a

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG140000
Ready -Mixed Concrete
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring; Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG14 0 13 19 18 Person Collecting Samples: Gary Kilker
Facility Name: Carolina Ready Mix and Builders Supply, LLC Laboratory Name: Pace Analytical
Facility County: Madison Laboratory Cert. No.: 40
Discharge during this period: ❑■ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes ❑■ No
If so, which Tier (I, 11, or III)?
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
Trout
N/A
Date Sample Collected MM/DD/YYYY
11/11/20
46529
24-Hour Rainfall in inches
1.25
C0530
TSS in mg/L (100 or 50*)
13.2
00400
pH in standard units (6.0 — 9.0)
8.4
Non -Polar Oil & Grease in
00552
mg/L (15) for drainage areas that use > 55
NA
gal/mo of new hydraulic oil on average
NCOIL
Estimated New Motor/Hydraulic Oil
NA
Usage in gal/month
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L.
Notes (optional):
"I certify by my signature below, 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."
01.06.21
Permittee or Delegated Authorized Individual Date

I.L.
0
LL
z_
R
0
F—
z
00
G
fa
L
Q
.^E
W
Ln
1
0
0
Ln
v
Q
W
cc
Q
t2
v )
0
cc
cc
RI
uj
❑ I i❑
J
L
Q
N
(L
E
ui
O❑
N
o
�N
I
❑
Q
IA
L
}
L
to
O❑Q
u O M
O0,
-in-2
;,,�
o>c
ui
Z
O
Z
J
L Z >
a a z Z
2
:) O
U
Ln V) Ou a
Q 0
001
CI
m
OI
R*
r-I
0
V
Z
*k �
M M
J J
Id
O m V
Z i J �C
L = °- d
O
O Z Q
LL ui U O
O w m
LU a o Q
Q Z u
U y Z uw
LL O LL
J
w U OTC 0~C
L Q L L
U I1 a U
f
rt
Z
d
~ ry
C �
c E
N
cO
C N
O
n•
C
y a+ O
F C r T
O
i
_ 2
O
a
Q C
r
C in
++ O av
r Y
�
�
> C
1
O
L o E
N
r
J
� E
o
fC N
H
E v> 3
N
v OLL
v
° o O
e-
o E Z
0
Z
r
O
7
O
O
M
c-I
n
N N
N
> O
Q! �
K N
N N W
M
4J J CL
E
> a
O u
Q �
� C
a v
o �
v v
a.
aJ C
Q
E v
co c
o
Y v
i N EfB �
m v O
F- N N
O 'CIO w bD
O i C
� Y
v E y Y
Y � v
L
E c L O
ayci 01 3 �
v Y Y 2
d
Q O mw
v E E 3 m
v 3z�L �
� LL o0
o -0 c
; Y
p o
E v
u
a 2 u
I-- O
0 0 �
•y- N O N
w aj
m 3
p 7
2
L �
U/ v o
o s ro w
O u c
E
� � L NV
O N m V
N j a y
O N YO
LL N
O o N 3 y
Z c Q
O O v c
d Y M X >
� v v
— E
in
w on O CD
c N
Q o 00 v O
U y v v O U"
O — v
O
O n L U
O
z X > -O \
o
Q v n
O .N , I y
J V u R
O M2 E
C
_ Ln o v
m a LL

O
N
++ N OC
0 v a
E
O O
0A
L i 'L
H � O T
O O
5 g o
O s
L
}I
0 w C
SO O
N E
=
3 m
cu
Z
a
c.
C in
O a)
ar �
m
L =
w 3 'E
� V
ar
v
c
C 0
a -0 .�
' OH E
� r..
O
F-
O
t W
2
In
�tn Q
O �
CL
= O +—
o�
C
O =r-
a)
Q -0
a) �
E '
Ny
ar 0 0
o V E
O
3 Z
0
In
J
a
O
Lu
O
T
z
LU
Q
U
z
w
LUO
LU
U Z
LU
X ❑
Y
CC V)
aW
� r
u
z
LLJ
co r
c Z
00
w
z s
O w
.ZT _
in H
Q 0
= W
H
F Q
J �
v z
O
U
O
O>
> W
a Q
a;
o ° v
y Q
CU E E
O
bD
a) C
L c
E a) ° •°
v dA
9
C u .>
v E u. w
o ai .c
3 3 5 o
u C Y
C O .—
O
O O- -o C
u C a1
o m E
c c a) c
O aD O
C i -0 N
O a) v
a a
) 0 E
a) y Y O
o_ � c
`o •� o c
c a N
u .T T
L =
T O O
*' 0
cu E °
•- n
0 v o v
cu
C CO
3 y y
a) E on
v 0
m 'E °
v - c u
=3 o .S
Q � •y
O O
QJ 'y ♦+
3 ro o ro
v E c E
c p •v O
S a) N
� O—
y y t@
� E c
@ O y
co �
E L C °
a,
0 y al a)
M y ;
�
m 0 O
� a) c
3 v�N
_ c °
Q N
° v
C
O. 4_• L Y
N
O
C 01
6LA
C L
O O
u vO O E
_ h
N
M
N_
O
N o
TID
Ln
0
N
0
m
O
4J �
N ci
c-1
C:)
N
CL
O N
3 �
i+ y
E
N d

i "I
11.: rwiro)2Jiten tal
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https:Hdeq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N_/C/ / / / / / / / or Certificate of Coverage No.: N_/C/G/
Facility Name: Nk,2 I"Aoj Za n/,
County: &4 n `SO,v' Phone No.
Inspector: ,44n'!
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
... I I
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the pennittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Sign re of Permittee or Designee)
1. Outfall Description:
Outfall No. 60. L Structure (pipe, ditch, etc.): r-
Receiving Stream:
Describe the industrial activities that occcur within the outfall drainage area:
Page 1 of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic
(light, medium, dark) as descriptors: 0)
(red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): /1/ U © q?,2 h
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:
0 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:
(3�11 2 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes Q� No.
8. Is there an oil sheen in the stormwater discharge? OYes A� No.
9. Is there evidence of erosion or deposition at the outfall? O Yes 'Q No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe no nle
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, Last modified 06/01/2018

aceAnalytical
www.pacelahs.tom
December 01, 2020
Gary Kilker
Carolina Ready Mix
606 Old US Highway 70
Ridgecrest, NC 28770
RE: Project: Stormwater 11/11
Pace Project No.: 92505579
Dear Gary Kilker:
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on November 12, 2020. The results relate only
to the samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
• Pace Analytical Services -Asheville
• Pace Analytical Services - Charlotte
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
4—��-
Chris Derouen
[e-mail]
[phone]
Project Manager
Enclosures
�.fQ pCFO
2`/ REPORT OF LABORATORY ANALYSIS
v This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 1 of 15

ace Analytical"'
www.pacelabs.com
it
i
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
CERTIFICATIONS
Project: Stormwater 11/11
Pace Project No.: 92505579
Pace Analytical Services Charlotte
9800 KinceyAve. Ste 100, Huntersville, NC 28078
South Carolina Certification #: 99006001
Louisiana/NELAP Certification # LA170028
Florida/NELAP Certification #: E87627
North Carolina Drinking Water Certification #: 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification #: 5342
Virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification #: 12
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
North Carolina Drinking Water Certification #: 37712
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
Virginia/VELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 15

aceAnalXical
www.pacelabs.com
SAMPLE ANALYTE COUNT
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: Stormwater 11/11
Pace Project No.: 92505579
Analytes
Lab ID Sample ID
Method
Analysts
Reported
Laboratory
92505579001 MARSHALL
SM 2540D-2011
ALP
1
PASI-A
EPA 9040C
NAL
1
PASI-A
92505579002 FLETCHER
SM 2540D-2011
ALP
1
PASI-A
EPA 9040C
NAL
1
PASI-A
92505579003 SWANNANOA PLANT
EPA 1664E
CJM
1
PASI-C
EPA 1664B
CJM
1
PASI-C
SM 2540D-2011
ALP
1
PASI-A
EPA 9040C
NAL
1
PASI-A
PASI-A = Pace Analytical Services - Asheville
PASI-C = Pace Analytical Services - Charlotte
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 3 of 15

Pace Analytical Services, LLC
Analytical
2225 Riverside Dr.
d ;a7ceAnalyt ca Asheville, NC 28804
www.pacelabs.com [phone]
i
ANALYTICAL RESULTS
Project: Stormwater 11/11
Pace Project No.: 92505579
Sample: MARSHALL Lab ID: 92505579001 Collected: 11/11/20 16:05 Received: 11/12/20 08:19 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D-2011
Pace Analytical Services - Asheville
Total Suspended Solids 13.2 mg/L 2.5 1 11/14/20 12:02
9040 pH Analytical Method: EPA 9040C
Pace Analytical Services - Asheville
pH at 25 Degrees C 8.4 Std. Units 0.10 1 11/30/20 17:27 H3
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/01/2020 09:23 AM without the written consent of Pace Analytical Services, LLC. Page 4 of 15

Pace Analytical Services, LLC
2225 Riverside Dr.
aceAnalytical Asheville, NC 28804
www.pacelabs.com [phone]
i
ANALYTICAL RESULTS
Project: Stormwater 11/11
Pace Project No.: 92505579
Sample: FLETCHER Lab ID: 92505579002 Collected: 11/11/20 12:40 Received: 11/12/20 08:19 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D-2011
Pace Analytical Services - Asheville
Total Suspended Solids 43.1 mg/L 2.5 1 11/14/20 12:02
9040 pH Analytical Method: EPA 9040C
Pace Analytical Services -Asheville
pH at 25 Degrees C 8.7 Std. Units 0.10 1 11/30/20 17:26 H3
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/01/2020 09:23 AM without the written consent of Pace Analytical Services, LLC. Page 5 of 15

;7 6
/�ceAnalXical
www.pacelabs.com
ANALYTICAL RESULTS
Project: Stormwater 11/11
Pace Project No.: 92505579
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
(828 )254-7176
Sample: SWANNANOA PLANT
Parameters
Lab ID: 92505579003 Collected: 11/11/20 10:05
Results Units Report Limit DF
Received: 11/12/20 08:19 Matrix: Water
Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664B
Pace Analytical Services - Charlotte
Oil and Grease
ND mg/L
5.0
1
11/25/20 12:06
1664 SGT-HEM, TPH
Analytical Method: EPA 1664E
Pace Analytical Services - Charlotte
Total Petroleum Hydrocarbons
ND mg/L
5.0
1
11/25/20 12:06
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Pace Analytical Services -Asheville
Total Suspended Solids
31.7 mg/L
2.5
1
11/14/20 12:02
9040 pH
Analytical Method: EPA 9040C
Pace Analytical Services - Asheville
pH at 25 Degrees C
8.6 Std. Units
0.10
1
11/30/20 17:25 H3
Date: 12/01/2020 09:23 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 6 of 15

01,101
11,,RalceAnalytical
www.pacelabs.com
i'
i
QUALITY CONTROL DATA
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: Stormwater 11/11
Pace Project No.: 92505579
QC Batch: 582959
Analysis Method:
EPA 1664E
QC Batch Method: EPA 1664B
Analysis Description:
1664 HEM, Oil and Grease
Laboratory:
Pace Analytical Services - Charlotte
Associated Lab Samples: 92505579003
METHOD BLANK: 3082581
Matrix: Water
Associated Lab Samples: 92505579003
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Oil and Grease
mg/L
ND 5.0
11/25/20 12:06
LABORATORY CONTROL SAMPLE: 3082582
Spike LCS
LCS % Rec
Parameter
Units
Cone. Result
% Rec Limits Qualifiers
Oil and Grease
mg/L
40 34.5
86 78-114
MATRIX SPIKE SAMPLE: 3082583
35589884015 Spike
MS MS % Rec
Parameter
Units
Result Cone.
Result % Rec Limits Qualifiers
Oil and Grease
mg/L
2.6J 40
33.6 78 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
This report shall not be reproduced, except in full,
Date: 12/01 /2020 09:23 AM without the written consent of Pace Analytical Services, LLC. Page 7 of 15

aceAnalXical
www.pacelabs.com
Project: Stormwater 11/11
Pace Project No.: 92505579
QC Batch: 582960
QC Batch Method: EPA 1664B
Associated Lab Samples: 92505579003
METHOD BLANK: 3082591
Associated Lab Samples: 92505579003
Parameter Units
Total Petroleum Hydrocarbons mg/L
QUALITY CONTROL DATA
Analysis Method: EPA 1664E
Analysis Description: 1664 SGT-HEM, TPH
Laboratory: Pace Analytical Services - Charlotte
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 5.0 11/25/2012:06
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
LABORATORY CONTROL SAMPLE:
3082592
Spike LCS
LCS
% Rec
Parameter
Units
Conc. Result
% Rec
Limits
Qualifiers
Total Petroleum Hydrocarbons
mg/L
20 19.6
98
64-132
MATRIX SPIKE SAMPLE:
3082593
35589884015 Spike
MS
MS
% Rec
Parameter
Units
Result Conic.
Result
% Rec
Limits Qualifiers
Total Petroleum Hydrocarbons
mg/L
5.01.1 20
10.2
38
64-132 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 be reproduced, except in full,
Date: 12/01/2020 09:23 AM without the written consent of Pace Analytical Services, LLC. Page 8 of 15

/ .ceAnalytical
www.pacelabs.com
i
i
QUALITY CONTROL DATA
Project: Stormwater 11/11
Pace Project No.: 92505579
QC Batch: 580382 Analysis Method: SM 2540D-2011
QC Batch Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services - Asheville
Associated Lab Samples: 92505579001, 92505579002, 92505579003
METHOD BLANK: 3070275 Matrix: Water
Associated Lab Samples: 92505579001, 92505579002, 92505579003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 11/14/20 12:00
LABORATORY CONTROL SAMPLE:
3070276
Parameter
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 3070324
Parameter
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 3070325
Parameter
Units
Total Suspended Solids
mg/L
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 228 91 90-110
92505572001 Dup
Result Result
51.4 52.2
92505597001 Dup
Result Result
202 275
RPD Qualifiers
2
RPD Qualifiers
31 D6
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: 12/01 /2020 09:23 AM without the written consent of Pace Analytical Services, LLC. Page 9 of 15

aceAnalytical "
r
www.pacelabs.com
QUALITY CONTROL DATA
Project: Stormwater 11/11
Pace Project No.: 92505579
QC Batch: 583262 Analysis Method: EPA 9040C
QC Batch Method: EPA 9040C Analysis Description: 9040 pH
Laboratory: Pace Analytical Services - Asheville
Associated Lab Samples: 92505579001, 92505579002, 92505579003
SAMPLE DUPLICATE: 3084062
92505579003 Dup
Parameter Units Result Result RPD Qualifiers
pH at 25 Degrees C Std. Units 8.6 8.6 0 H3
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, 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: 12/01/2020 09:23 AM without the written consent of Pace Analytical Services, LLC.
Page 10 of 15

�aceAnapicai
www.pacelabs.com
i
QUALIFIERS
Project: Stormwater 11/11
Pace Project No.: 92505579
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
2225 Riverside Dr.
Asheville, NC 28804
[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-Diphenylhydrazini 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.
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
H3 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 be reproduced, except in full,
Date: 12/01/2020 09:23 AM without the written consent of Pace Analytical Services, LLC. Page 11 of 15

1!zAnalyfical'
www.pacelabs.com
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Stormwater 11/11
Pace Project No.: 92505579
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Lab ID Sample ID QC Batch Method QC Batch Analytical Method
92505579003
SWANNANOA PLANT
EPA 1664E
582959
92505579003
SWANNANOA PLANT
EPA 1664B
582960
92505579001
MARSHALL
SM 2540D-2011
580382
92505579002
FLETCHER
SM 2540D-2011
580382
92505579003
SWANNANOA PLANT
SM 254OD-2011
580382
92505579001
MARSHALL
EPA 9040C
583262
92505579002
FLETCHER
EPA 9040C
583262
92505579003
SWANNANOA PLANT
EPA 9040C
583262
Date: 12/01 /2020 09:23 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Analytical
Batch
Page 12 of 15

<ceAnayical'
Sa
Document Name:
Condition Upon Rec
Document No.:
Document Revised: October 28, 2020
Paae i of 2
issuing Authority:
Pace Carolinas Quality Office
Laboratory receiving samples:
Asheville/ Eden[] Greenwood ❑ Huntersville ❑ Raleigh❑
Mechanicsville❑ Atlanta[] Kernersville(-
Wa# a 9PV055 1 J
Client Name:
Project
�
Courier: ❑F d Ext ❑UPS ❑Ui S r Client
92505579
❑ Commercial ❑Pace ❑Other:
Custody Seal Present? []Yes ❑No Seals Intact? []Yes []No
r Jt�/ Dr 2
Dale/Initials Person ExaminingContents:./
Packing Material: ❑Bubble Wrap ❑Bubble Bags E]None ❑ Other
Biological Tissue Frozen?
❑Yes ❑No []N/A
Thermometer: 1 ©wet ❑Blue
Q IR Gun ID: c- , ij Cst Type of ice: /
❑Ncae
Correction Factor:
Cooler Temp: Add/Subtract (°C)
Temp should be above freezing to VC
❑ia 1ptes out of temp criteria. Samples on ice, cooling process
Cooler Temp Corrected (°C): l !
has begun
USDA Regulated Soil ( P N/A, water sample)
Did samples originate irt'a quarantine zone within the United States: CA, NY, or SC (check maps)?
Did samples orginate from a foreign source (internationally,
Dyes ❑No
mcluomgnav m
Corn me nts/ Discrepancy:
Chain of Custody Present?
MYes
ONO
©N/A
1.
Samples Arrived within Hold Time?
Short Hold Time Analysis J<7Z hr.)?
ffyes
Oyes
©No
ONo
❑N/A
❑N/A
2.
3.
Rush Turn Around Time Requested?
Oyes
J No
N/A
4.
Sufficient Volume?
r7lYes
❑No
❑N/A
5.
Correct Containers Used?
-Pace Containers Used?
[nYes
Oyes
ONO
ONO
❑N/A
❑N/A
6.
—_
Containers Intact?
QYes
ONO
ON
7.
Dissolved analysis: Samples Field Filtered?
yes
❑No
, N/A
8.
Sample Labels Match COC?
-includes Date/lime/ID/Analysis Matrix:
Headspace in VOA Vials (>5-6mm)7
Trip Blank Present?
Trip Blank Custody Seals Present?
[Yes
1
k
❑yes
❑Yes
❑Yes
©No
rJNo
[]No
ONO
❑N/A
EIL A
�j/ N/A
NIA
g•
10.
11.
COMMENTS/SAMPLE DISCREPANCY Field Data Required? ❑Yes (JNo
Lot ID of split containers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
Project Manager SCURF Review:
Project Manager SRF Review:
Date/Time:
X
Date:
Date:
Page 13 of 15

Document Name:
Sample Condition Upon Recei
c7C6At7c7/YtICc71 ^ Document No.:
F-CAR-CS-033-Rev.07
*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, LLH8
**Bottom half of box is to list number of bottles
Document Revised: October 28, 2020
Page 2 of 2
Issuing Authority:
Darn rarnlin�;c n11,4Iity nffire
WO# a 921.51)5579
PM: CD1 Due Date: 11/30/20
CLIENT: 93—CaralinaR
I....._... .
O
H
4
Z
W
v
a
v
v
v
r✓
y
v
z
v
z
?
y
m
>
Z
rs
c
V
V
N
C
?
ON
Q
Z
>
_.-.
°'
z
>
U
Z
N
v
2
._
2
U
F
r
2
2
.Y
a
4
E
Q
¢
E
¢J
o
`�
Q�
>
Q
O>
O
O
>
ii.
w
a
v
:n
sv
'nC
?
Q
.�
J
E
a
J
E
E
J
E
�:
J
E
E
J
E
J
E
Q
a
o
y
E
m
E
J
E
J
E
E
,�
A
>
11
t
>
L
E
o
E
n
o
F
0
N
e1
N
D
p
`i
p
`f
q
'7
p
4
�p
i
N
o
N
eN^!
N
to
ri
N
M
sir
N
yr
M
Q
M
S
N
H
Ot
t7r
L.
on
Q
l'J
Io.
N
M
t7
d
a.
L
a
a
6
6
4
3
'i
t:)
ei
l9
a
M
U'
a
e-1
t7
a
t7
a
U'
a
V'
o
>
>
>
>
f> i
o
H
m
a
>
0
m
m
m
m
m
m
co
m
a
2
I
3
5
6
7
i
i
8
;
I
10
a
i
12
--
pH Adjustment
Log for Preserved Samples
Sample ID Type of Preservative pH upon receipt
Date preservation adjusted Time preservation Amount of Preservative Lot
adjusted added
t FHNR Certification
Office (i.e.
Note: Whenever there is a discrepancy affecting North Carouna compnance samplu,, a wp)
Out of hold, incorrect preservative, out of temp, incorrect containers.
Page 14 of 15

S L to S l abed
(NIA)
1
helW
SaldweS
z
NIA
ialoo0
Q.
poleaS
R osn
U
(NI),)
eJI
(NIA) auu014) lenpisey
('
0 ul dW31
H
K
_
S
h
�f
m
o'.
U
u
�
n�
gyp
�
w
rA 6q aseat0 Due lip
X
z
n
SSl
x
x
X
o
NlJ
teal sas/ieuy
p
ta410
eloueglavl
\
c
y
COZSNN
a
.. _,
HOUN
A
�
IOH
CONH
Q
i a
R,
z
m
m
70SZH
ur
4 coo
o
n�. a
paruasoidu0
d0 it
o
v m
R m
¢ U
Q a
a a
Sa3Nl'1110�
NDLL03l-M IV dmi 31dMIS
`
Z
W
w
p
W
p
a
R
i-
z
0
a
ul
_
_
F
O
y
O
(d Yf00=J evaO-ol 3dA13ldRYVS
w
+'�
fuel of topoo Allan eas) g©�O 1(I i11VRY
�
�
O
F O
a
h
m
z i!
O
a Y
gs3�a°S3za
'c
s
o
c
�
d
g
E
J d�
K�
`3c
u
2 s
O
v
# W 311
*-
N
M
v
N
CO
3w
CO
01
r
E o`
9: 'E'
n
a
U 4
\J