NCG500670_Regional Office Historical File Pre 2018

SOC PRIORITY PROJECT: No
To: Compliance & Expedited Permitting Unit
Attention: Derek Denard
Date: October 22, 2014
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Cabarrus
NPDES Permit No.: NCG500670
PART I - GENERAL INFORMATION
1. - Facility and address: Mailing Address: Physical Location:
Chemical Specialties, LLC 5910 Pharr Mill Road
P.O. Box 1330 Harrisburg, NC 28075
Harrisburg, NC 28075
2. Date of investigation:. October 14, 2014
3. Report prepared by: Wes Bell, Environmental Specialist
4. Person contacted and telephone number: Jonna Stein/Operations Manager, (704).455-
4171 and Dave Haley/Safety Health and Environmental Manager, [phone]
5. Directions to site: From the jet. of NC Hwy. 49 N and Pharr Mill Road, take a right onto
Pharr Mill Road and travel approximately 0.4 miles and the facility's driveway will be on
the right.
6. Discharge point(s):
USGS Quad No.:
Latitude: 350 19' 50"
Longitude: 800 37' 28"
F16SE
7. Receiving stream or affected surface waters: Rocky River
a. Classification: C
b. River Basin and Subbasin No.: Yadkin 030711
C. Describe receiving stream features and pertinent downstream uses: The discharges
combine in a wet -weather ditch and travel over 200 yards until reaching the Rocky
River (Stormwater Outfall 001).
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Flow to be permitted: 0.000878 MGD
b. Current permitted capacity: N/A

M
Page Two
d. Description of existing or substantially constructed WWT facilities: There are no
existing WWT facilities
e. Description of proposed WWT facilities: There are no proposed treatment
facilities.
f. Possible toxic impacts to surface waters: A biocide (CL-6050 MB) and corrosion
inhibitor (MG-906) are added to both cooling towers. Refer to the MSDS for
each chemical additive attached to the application package. A Biocide Worksheet
Form 101 is also in the process of being completed and submitted for these
additives.
2. Treatment plant classification: N/A
3. Compliance Background: N/A
PART III - OTHER PERTINENT INFORMATION
Special monitoring or limitations (including toxicity) requests: None at this time.
PART IV - EVALUATION AND RECOMMENDATIONS
The applicant requests authorization to discharge non -contact cooling water generated
from two on -site cooling towers (Industrial and Main Drive). The facility may not have to
provide dechlorination if the chlorine concentrations dissipate in the wet weather ditch prior to
entering the Rocky River. The cooling tower discharges are based on conductivity levels
measured by in -line monitoring systems. The discharge will be intermittent in nature and may
occur on a daily basis. Issuance of a GP is recommended.
2zel
],,Signature of Report Preparer bate
162 zz
Water Quality Regional Supervisor ate

MRO
September 15, 2014
NC DNR / DWR
Water Quality Permitting Section
1617 Mail Service Center
Raleigh, NC 27699-1617
DivisiON G., ER QUALITY
WASSEP 29 2014
OFRCE
CHEMICAL SPECIALTIES RECEIVED
SEP 17 2014
DENR-LAND QUALITY
STORMWATER PERMITTING
Subject: Application for Cooling Water Discharge Under General Permit for
Chemical Specialties LLC
Harrisburg, NC
Dear Sir or Madam:
Please see enclosed application package for General Coverage of cooling water discharge (NCG500000).
The package includes the following:
1) Application (2 copies)
2) MSDS of biocide and corrosion inhibitor (2 copies of each)
3) Lab Results of the two cooling towers (2 copies)
4) County Map of area (3 copies)
5) Proposed routing of Cooling Tower blowdown water to Outfall 001(2 copies)
6) Application fee for $100
Chemical Specialties LLC currently has both a stormwater and an NPDES permit.
If you need any additional information please contact Dave Haley, 704-455-4177 or by e-mail,
dhalev@chemspec,com.
Sincerely,
Dave Haley
Safety Health and Environmental Manager
Chemical Specialties LLC
PO Box 1330 — 5910 Pharr Mill Road — Harrisburg, NC 28075
Phone — 704-455-5181 Fax — 704-455-6507

Are
NCDENR
Division of Water Resources
National Pollutant Discharge Elimination System (NPDES)
Application for Coverage. Under General Permit
NCG500000
Non -contact cooling water, boiler blowdown, cooling tower blowdown,
condensate, and similar point source discharges.
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
Certificate of Coverage
N
C
I G 1
5
0
Check #
Amount
6
8D6
Assigned To: ,p
NOTICE OF INTENT
Itod
[Required by 15A NCAC 0211.0127(d)l; [term definition see 15A NCAC 02H :010309)]
1) Mailing address of facility owner/operator: (address to which all correspondence should be mailed)
Company Name
Chemical Specialties LLC
Owner Name
Chemical Specialties LLC
RECEIVED
Street Address
P.O. Box 1330
SEP 17 2014
City
Harrisburg. State NC
ZIP ggpp7SS
LNDUALITY
Telephone #
704 - 455 - 4177 Fax # 704 - 455 - 6507
STORMW PERMITTING
Email Address
[e-mail]
2) Location of facility producing discharge:
r,IV1v@0 VVtT E- QUAL1 e Y
Facility Name .
Chemical Specialties LLC
9SEP � 2014
Facility Contact
Dave Haley.,J,
Street Address
5910 PlTMill R d
Mt ORESV..'_LOFFICE
arr a
City Harrisburg State NC ZIP Code 28075 -
County Cabarrus
Telephone # 704 - 455 - 4177 Fax # 704 - 455 - 6507
Email Address [e-mail]
3) Physical location information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersectio.Ln).
From Charlotte, Go I-85 North to Exit 42, Turneft at end of ramp onto NC4.9 North, Drive 'approx. 8
miles, turn right onto Pharr Mill Road, 1/4 mile facility is on the right
. 4) This NPDES permit applicationapplies to which of the following:
® New [term definition see 15A NCAC 02H .0103(16)] or Proposed
❑ Modification
Please describe the modification:
5) Does this facility have any other NPDES permits [term definition see .15A NCAC 02H .0103(15)1?
❑ No
® Yes — Please list the permit numbers for all current NPDES permits. for this facility: NPDES Storinwater.
(NCS000057) and NPDES Waste Water (NC0006351)
6) What is the nature of the business applying for this permit? Chemical Manufacturing
Page 1 of 4 Revised 81112013

NCG500000 New Application
7) Description of Discharge:
[Required by 15A NCAC 02H .0105(c)(1)1
a) Is the discharge directly to the receiving water? ❑ Yes ® No
If no, submit a site map with the pathway to the potential receiving waters clearly marked. This includes
tracing the pathway of the storm sewer to the discharge point, if the storm sewer is the only viable means of
discharge.
b) Number of discharge points (ditches, pipes, channels, etc. that convey wastewater from the property):
1 (Outfall 001)
c) What type of wastewater is discharged?
❑ Non -contact cooling water
❑ Boiler blowdown
® Cooling Tower Blowdown
❑ Condensate
❑ .Other Please Describe:
Indicate which discharge points, if more than one.
❑ Discharge point(s) #:
❑ Discharge point(s) #:
® Discharge point(s) #: Outfall 001_
❑ Discharge point(s) #:
❑ Discharge point(s) #:
d) Volume of discharge per each discharge point (GPD — Gallons Per Day):
#1:878 GPD #2: GPD #3: GPD
#4: GPD
e) Please describe the type of process (i.e., compressor, A/C unit, chiller, boiler, etc.) the wastewater. is being
discharged from, per each separate discharge point (if applicable, use separate sheet): The discharge is
from 2 non -contact cooling towers (Industrial and Main Drive cooling towers) The discharge
would be piped from each and would be routed to ditch that leads to Outfall 001.
8) Please check the type of chemical added to the wastewater for treatment, per each separate discharge
point (f applicable, use separate sheet): [Required by 15A NCAC 02H .0105(c)(i)1
® Biocides Name: CL-6050MB Manuf.:. Chemgard
® Corrosion inhibitors Name: MG-906 Manuf.: Chenigard
❑ Chlorine Name: Manuf.:
❑ Algaecide Name: Manuf.:
❑ Other Name: Manuf:
❑ None
If �py box above, other than "None" is checked, a completed Biocide 101 Form and manufacturers' information on
the additive is required to be submitted with the application for the Division's review. .
9) Is there any type. of treatment being provided to the wastewater before discharge (i.e., retention ponds,
settling ponds, etc.)?
N
❑ Yes —:Please include design specifics (i.e., design volume, retention time, surface area, etc.) with submittal
package. Existing treatment facilities should be described in detail.- Design criteria and operational data (including
calculations) should be provided to ensure that the facility can complywith the requirementsof the General Permit,
as required by 15A NCAC 02H .0127. The treatment shall be sufficient to meet the limits set by the general permits.
Note: Construction of any wastewater treatment facilities requires submission, of three (3) sets of plans and
specifications along with the application. Design of treatment facilities must comply with.the requirements of 15A
NCAC 2H:0138. If construction applies to this discharge, include_ the three sets ofplans and specifications with this
application.
Page 2 of 4 Revised 91112013

NCG500000 New Application
10) Discharge Frequency: [Required by 15A NCAC 02H .0105(c)(1)1
a) The discharge is: ❑ Continuous ® Intermittent ❑ Seasonal
i) If the discharge is intermittent, describe when the discharge will occur: Discharges will occur when
the cooling tower water reaches a set conductivity. The water will then automatically
discharge.
ii) if seasonal check the month(s) the discharge occurs:
❑ Jan ❑ Feb ❑ Mar. ❑ Apr ❑ May ❑ Jun ❑ Jul ❑ Aug. ❑ Sept.. ❑ Oct. ❑ Nov. ❑ Dec.
b) How many days per week is there a discharge? 7
c) Please check the days discharge occurs: ® Sat. ® Sun. ® Mon. ® Tue. ® Wed. ® Thu. ® Fri.
11). Pollutants: [Required by 15A NCAC 02H .0105(c)(1)1
Please list'any known pollutants that are present in the discharge, per each separate discharge point (if
applicable, use separate sheet): None
12) Receiving: Waters: [Required by 15A NCAC 02H .0105(c)(1)]
a) What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility
wastewater discharges end up in? If the site wastewater discharges to a separate storm sewer system
(4S), name the operator of the 4S (e.g City of Raleigh). Storm ditch that lead to Outfa11001-and
then to the Rocky River
b) Stream Classification: C
13) Alternatives to Direct Discharge:
. . [Evaluation required by G.S. § 143-215.1(b)(5)(a) and 15A NCAC 02H .0105(c)(2)1
Address the feasibility of implementing each of the following non -discharge. alternatives
a) Connection to a' Municipal or Regional Sewer Collection System.
b) Subsurface disposal (including nitrification field, infiltration gallery, injection wells, etc.)
c) Spray irrigation
The alternatives to discharge analysis should include boring logs and/or other information indicating that a.
.subsurface system is neither feasible nor practical as well as written confirmation indicating that connection to
a POTW is not an option. It should also include a present value of costs analysis as outlined in -the. Division's
"fin ineering.4lternatives Analysis (EAAI Guidance Docun:erit. "
Additional Application Requirements:
For new or proposed discharges, the following information must be included in.triplicate with this application or it
will be returned as incomplete. Per:15A NCAC 02H .0105(c)
a) .7.5 minute series USGS topographic map (or a photocopied portion, theregfl with discharge location clearly
indicated.
b) Site map, if the discharge is not directly to a stream, the pathway to the receiving stream must be clearly
indicated. This includes tracing the pathway of a storm sewer to its discharge .point.
c) If this application is being submitted by a consulting engineer or engineering firm), include documentation.
from the applicant showing that the engineer (or Firm) submitting the application has been designated an
authorized Representative of the applicant, per 15A NCAC 02H .013.8(b)(1). .
d) Final plans for the treatment system (if applicable). The plans must be signed and sealed by a North
Carolina registered Professional En ineer and stamped - "Final Design-Not:released for construction;" per
15A NCAC 02H .0139.
Page 3 of 4 Revised 91112013

NCG500000 New Application
CERTIFICATION
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: Mr. Steve Novak
(Signature of Applicant)
(Please review 15A NCAC 02H .0106(e) for authorized signing officials)
North Carolina General Statute Statute & 143-215.613 provides that:
Title: VP of Operations
�-)z- KY
(Date Signed)
Any person who knowingly makes any false. statement representation, or. certification in any application, record, report,
plan, or other document filed or required to be maintained under. this Article. or a rule implementing this Article; or who
knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or
who falsifies, tampers with, or knowingly renders inaccurate, any recording or monitoring device or method required to be
operated or maintained under this Article or rules of the Commission implementing this Article, shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). 18 U.S.C. Section 1001 provides a
punishment by a fine or imprisonment not more than 5 years, or both, for a similar offense.
This application must be accompanied by a check or money order for $100.00 (per G.S. 4 143-2U.3(a)(n)1
made payable to:
NCDENR
Mail this application and one copy of the entire package (with check) to
NC DENR / DWR / Water Quality Permitting Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attn: Charles Weaver
Final Checklist
This application will -be returned as incomplete, .as allowed by 15A NCAC 02H .0107(b), unless all the
following items have been included:
Cornplete. application with all supporting documents (plus one copy of entire package)
® Checks or money order for $100.00, payable to NCDENR
Z 3 copies of county map or USGS quad sheet with location of facility clearly marked on map
❑ 3 sets of plans and specifications signed and sealed by a North Carolina P.E.
® Thorough responses to. items 1-7 on this application
Note:. The submission -of this document does not guarantee the issuance of an NPDES permit.
Page 4 of 4 Revised 91112013

Chemical Specialties LLC, Harrisburg, NC
Cooling Tower Biocide Information for CT-002 (Industrial) and CT-004 (Main Drive)
Rainfall/Stormwater Data
Annual Rainfall -inches (average)
41.6
Stormwater/ one inch of rain (gallons)
617,030
Total stormwater / year (gallons)
25,668,448
going to outfall # 001
95%
Outfall #1 stormwater/year (gallons
24,385,026
Cooling Tower Water Usage
Industrial CT-002
Main Dr CT-004
Total
Total Water Consumption / CT / year (gal)
1,983,600
900,000
2,883,600
Annual blowdown generated @ 1/9 cycles (gal)
220,400
100,000
320,400
Annual Blowdown to Outfall #1 (gal)
220,400
100,000
320,400
Average daily CT blowdown to Outfall #001 (gal)
878
Total annual SW and cooling tower water thru Outfall # 001 (gal)
24,705,426
Total daily water thru Outfall #1 (gal)
67,686
Outfall #1 %from blowdown
1.30%
Projected CT Additve Concentrations
CL 6050
MG 906
Corrosion Inhibitor
Biocide
Additive concentration in water (ppm)
27
28
Additive concentration in blowdown water (ppm)
_
243
252
Max avg. additive concentration in Outfall #1 (ppm)
3.15
3.27
Cooling Tower sampling results 8/27/2014
* Note: these samples were taken directly from the Cooling Tower prior to mixing with other storm waters
Industrial CT-002
Main Dr CT-004
Chlorine, Total Residual (SM 4500-CI G)
.094 mg/L
.084 mg/L
Chemcial Oxygen Demand (SM 5220D)
ND mg/L
34.0 mg/L
pH (SM 4500 H+B)
8.49
8.67

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06-vEAR R000 PLAN
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CHEMICAL SPECIALTIES, INC. HARRISBURG. NORTH CAROLINA
SITE TOPOGRAPHIC MAP
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Chemical Specialties, Inc.
5910 Pharr Mill Road Harrisburg, NC.28075
EPA ID: NC 01229
CERTIFICATE OF ANALYSIS
Wastewater
Analysis of Samples for pH — SM 4500 W B
Date of Analysis: 08/27/14
Sam 1p a ID Parameter Concentration
1) CT-002 pH 8.49
Analyst Signature: ��

Chemical Specialties, Inc.
5910 Pharr Mill Road Harrisburg, NC 28075
EPA ID: NC 01229
CERTIFICATE OF ANALYSIS
Wastewater
Analysis of Samples for pH — SM 4500 W B
Date of Analysis: 08/27/14
Sample ID Parameter Concentration
1) CT-004 pH 8.67
Analyst Signature: `-►��c�,t-��

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September 08, 2014
Dave Haley
Chemical Specialties Inc.
5910 Pharr Mill Rd
Harrisburg, NC 28075
RE: Project: COOLING TOWER SAMPLING
Pace Project No.: 92215134
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Dear Dave Haley:
Enclosed are the analytical results for sample(s) received by the laboratory on August 27, 2014. The
results relate only to the samples included in this report. Results reported herein conform to the
most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless
otherwise noted in the body of the report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless. otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Jon D Bradley
jon. brad [e-mail]
Project Manager
Enclosures
QP«RFDi
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
9e �A— without the written consent of Pace Analytical Services, Inc.. Page 1'of 11

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Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: COOLING TOWER SAMPLING
Pace Project No.: 92215134
Asheville Certification IDS
2225 Riverside Dr., Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
West Virginia Certification #: 356
VirginiaNELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc... Page 2 of 11

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Project: COOLING TOWER SAMPLING
Pace Project No.: 92215134
Lab ID Sample ID
92215134001 CT-002-082714
92215134002 CT 004-082714
SAMPLE ANALYTE COUNT
Method
SM 4500-CI G
SM 5220D
SM 4500-CI G
SM 5220D
REPORT OF LABORATORY ANALYSIS
This reportshall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Analytes
Analysts Reported Laboratory
MDW
1
PASI-A
SMW
1
PASI-A
MDW
1
PASI-A
SMW
1
PASI-A
Page 3 of 11

r Pace Analytical Services, Inc.
_ ,>daceAnal kcal 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
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ANALYTICAL RESULTS
Project: COOLING TOWER SAMPLING
Pace Project No.: 92215134
Sample: CT-002-082714 Lab ID: 92215134001 Collected: 08/27/14 13:29 Received: 08/27/14 16:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
4500CL G Chlorine, Residual Analytical Method: SM 4500-CI G
Chlorine, Total Residual 0.094 mg/L 0.024 1 09/02/1417:12 7782-50-5 H1
52201) COD Analytical Method: SM 5220D
Chemical Oxygen Demand ND mg/L 25.0 1 09/05/14 22:10
. Date: 09/08/2014 09:53 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 4 of 11

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ANALYTICAL RESULTS
Project: COOLING TOWER SAMPLING
Pace Project No.: 92215134
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Sample: CT-004-082714 Lab ID: 92216134002 Collected: 08/27/1413:26 Received: 08/27/14 16:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
4500CL G Chlorine, Residual Analytical Method: SM 4500-CI G
Chlorine, Total Residual 0.084 mg/L 0.024 1 09/02/1417:12 7782-50-5 H1
5220D COD Analytical Method: SM 5220D
Chemical Oxygen Demand 34.0 mg/L 25.0 1 09/05/14 22:10
REPORT OF LABORATORY ANALYSIS
.This report shall not be reproduced, except in full,
Date: 09/08/2014 09:53 AM without the written consent of Pace Analytical Services, Inc..
Page 5 of 11

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QUALITY CONTROL DATA
Project: COOLING TOWER SAMPLING
Pace Project No.: 92215134
QC Batch: WET/32961 Analysis Method: SM 4500-CI G
QC Batch Method: SM 4500-CI G Analysis Description: � 4500CL G Chlorine, Total Residual
Associated Lab Samples: 92215134001, 92215134002
METHOD BLANK: 1276799 Matrix: Water
Associated Lab Samples: 92215134001, 92215134002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Chlorine, Total Residual mg/L ND 0.024 09/02/14 17:12
SAMPLE DUPLICATE: 1276800
92215134002 Dup
Parameter Units Result Result RPD Qualifiers
Chlorine, Total Residual mg/L 0.084 0.085 1 H1
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[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: 09/08/2014 09:53 AM without the written consent of Pace Analytical Services, Inc.. Page 6 of 11

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Pace Analytical Services, Inc.
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Huntersville, NC 28078
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[phone]
QUALITY CONTROL DATA
Project: COOLING TOWER SAMPLING
Pace Project No.: 92216134
QC Batch: WETA/20149
Analysis Method: SM 5220D
QC Batch Method: SM 5220D
Analysis Description: 5220D COD
Associated Lab Samples: 92215134001, 92215134002
METHOD BLANK: 1279222
Matrix: Water
Associated Lab Samples: 92215134001, 92215134002
Blank Reporting
Parameter Units
Result Limit Analyzed
Qualifiers
Chemical Oxygen Demand mg/L
ND 25.0 09/05/14 22:10
LABORATORY CONTROL SAMPLE: 1279223
Spike LCS LCS % Rec
Parameter Units
Conc. Result % Rec Limits
Qualifiers
Chemical Oxygen Demand mg/L
750 746 99 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1279224 1279225
MS MSD
92216053001
Spike Spike MS MSD MS
MSD
% Rec
Parameter Units Result
Conc. Conc. Result Result % Rec
% Rec
Limits
RPD Qual
Chemical Oxygen Demand mg/L 342
750 750 1020 1030 90
91
90-110
1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1279226 1279227
MS MSD
92214870001
Spike Spike MS MSD MS
MSD
% Rec
Parameter Units Result
Conc. Conc. Result Result % Rec
% Rec
Limits
RPD Qual
Chemical Oxygen Demand mg/L 46.0
750 750 765 765 96
96
90-110
0
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: 09/08/2014 09:53 AM without the written consent of Pace Analytical Services, Inc..
Page 7 of 11

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QUALIFIERS
Project: COOLING TOWER SAMPLING
Pace Project No.: 92215134
DEFINITIONS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture content.
ND - Not Detected at or above adjusted reporting limit.
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.
S - Surrogate
1,2-Diphenylhydrazine (8270 listed analyte) decomposes toAzobenzene.
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.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride.
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
ANALYTE QUALIFIERS
H1 Analysis conducted outside the EPA method holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 09/08/2014 09:53 AM without the written consent of Pace Analytical Services, Inc.. Page 8 of 11

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QUALITY CONTROL DATA CROSS REFERENCE TABLE '
Project: COOLING TOWER SAMPLING
Pace Project No.: 92215134
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch Analytical Method Batch
92215134001
CT 002-082714
SM 4500-CI G
WET/32961
62215134002
CT 004-082714
SM 4500-CI G
WET/32961
92215134001
CT 002-082714
SM 5220D
WETA/20149
92215134002
CT 004-082714
SM 5220D
WETA/20149
REPORT OF LABORATORY ANALYSIS
This report shall riot be reproduced, except in full,
Date: 09/08/2014 09:53 AM without the written consent of Pace Analytical Services, Inc..
Page 9 of 11

Document Name:
Document RevisedApril 07. 2014
/f�,flet Aaty<{cal
'Sample, Condition Upon Recei fi SPOR .
Pa e., of 2
Document Number:
Issurng Aufhorifys
F=CHR CS=003 rev.14�.
Pace Huntersville Quality Office
Ifent Name:
Courier; Ej Fed Ex R UPS.❑ USPSQ l tC Commercial[] Pace Otheron
Custody :Seal on :Cooler/Box Presents ❑yes Seals intact: Eyes ❑ no. y� � E ����10.
`t?�oj�sirrl�
Packing Ateriai; 0 Bubble Wrap .Q :Bubble Bags [] (ne. ❑ Other•: .
Thermometer Usod: IR Gun T110201 Type- of Ice: ale . Blue None �;. "'Samples on ice, coolirtg,proczss has begun
Temp:Correction:Factor T1102 N'o Correction T1'30.1: No Correction
' Date and In itrals oecson exa
CBiololoaf:Tssue s:Frozen: wes No N/ACoeceCTep,: rnrng
contents
_T6m*P:.houlzy be above free2ing to 6°C _., . Comments
No ...ONIA. I -
Chain. of Custody Present:
Chain ofCustody Filled ,Out... (=ivies: ❑tso ... .0NfA 2.._.. . .
Gfiatn:of Gustody.Relingwrsh:ed::. NO C7NrA 3:........ ....
;Sampler tame & Stgnafure on GOO: yes ❑No: ON/Aft,
7'TuM.-I
Used:
s u.rgn uw,�r
�ONo
es ' -
Containers intact: � ;:,�� ONo ❑N/A19.
Filtered volurrte received for Dissolved :tests ❑Yes ONO: TT. . .. ..
Samps m
le kabeiatch COC: 2Yes ONO ❑NIA 12.
-Includes date/timeHD/Analysis Wdrn
All Containers neerjing'preservatron nave Deen cnecKeo.
Es ❑No: ON/A 13.
All.containers needing preservation are found to be.in. y s .ONa ONIA
compliance with EPA recommendation:
exceptions::VOA,. coliFonn, TOG',.O&G, .'M-DRO (water) GYes,�
.es NTIC• 14:
Samples checketl'for dechlorination: ❑ Y ❑No �. _ . .
Headspace rn VOA Vials.(>6mm): E Yes ❑No. . �a 15.
Trip Blank Present: []Yes ❑No PWK 16.
Tip Blank Custody Seals Present ❑Yes ONO ❑N/A,.-
Pace Trip- Blank Lot (if purchased):: .
Client'Notifrcation/ Resolution: Field Data Required? Y / N
Person Contacted: Datefrime:
Comments/Resolution:
SCURF Rev>feVt+ Date: f ;
y
SRl^ Review: Date: t
- Fy
Note Whenever there is a:discrepancy affecting Noah Carolina compliance
samples a copy of this form.wiilbe sent to the. North Carolina DEHNR��,]1�1��if�«l�
CD Certification Office ( Le out of hold, incorrectpreservative, out of temp, 92215134{ \,a
o incorrect containers)
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section A Section 13
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GHA1N-0F WtT®DY / Analytical: Rl�rluest Document
Tile Cham-of-Custody Is a LEGAL DOCUMENW All relevant fieids,jnusf be Corn fe4o accurately„
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f�EGULAT RY /AGENCY r.,-, u
NPDES ? PRO UNO. OwER j DRINKING WATER
I UST ( RCRA
j OTHER
S1te LocaU4n
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Section D Matrix Codes
IZequesfed Analysts Fjit�red,{YINj�
RequiradClien! Information Ma7nIX I C DE m a :.
4— r COLLECTED
Q Preservatives y
Drinking Water. DW
Water WT O.
Wasto Water WlV M POSiTE coniFo� r
Prod act p co . START nan : w x
SoiPSol!d SL
SAMPLE ID Oil OL q o. ;N
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(A-7,0-91:) Air AR :W :Q Z' -� .. ❑.
Sample IDS MUST BE UNIQUE Tissue TS O _ q
Other oT X 2•2 v
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_ DATE TIME .: - DATE TIM[ N: .1t = 2 2. Z 'Z .a .O ;� .. .
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ADDFTIONAL CDR1�vt�NY5 Et NQE(jSHEU•BY / AF ILIATON DAT TIME t * x AC�EPTr D by IAFFI AT1 N .. ''
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SAKIPLECOND&IONS'
..... ............_... _
SAPoIPL('R NAt!€E AND ciGNATURE :':
PRINT Nome of SAMPLER: ? v Z
SIGNATURE of SA<r1PLER: • I/✓��f DATE Signed
1tAtdIDD1YYj: �� 7 � n� N E I
�� ^ 'Irnportan! R'o;o: By CiJnirg Infix !emt }ror: ;uo accapii7;f Paci+$ NET dD dry naymonl tet;ne and a4reMnq to (o!e charpoS of i.fi% ner month for any invoices no! pahJ :vid'rd r 3e u�-"� Q I
rs. F-ALL-Q-020rev.07. 15-Nav_onm

Material Safety Data Sheet
�
-�� May be used to comply with OSHA's Hazardous Communication Standard 29 CFR 1910.1200 Standard must be consulted
for specific requirements.
C H E M GARD Note: Blank spaces are not permitted. If any item is not applicable, or no information is available, the space must be
marked to indicate that.
Identity: (As Used on Label and List)
CL-6050MB
Section 1 - Identification
Manufacturer's Name
Chemgard, Incorporated
Address (Number, Street, City, State, and Zip Code
1062.8. Batesville Road
Greer, SC 29650
Date Prepared/Revised
11/12/12
Emergency Telephone Number
Chemtrec 1-800-424-9300
Telephone Numbers for Information
864-879-0884
.864.879-7981
Name of Preparer (optional)
William Smith
Section 2 - Hazardous Ingredients/Identity Information
Composition Components/Cas Numbers
Sodium Hydroxide #1310-73-2
PolymaleicAcid #26099-09-2
2-phosphono-1,2,4-butanetricarboxylic acid
#37971-36-1
Sodium Tolytriazole #64665-57-2
OSHA PEL ACGIH TLV PERCENT
2 mg/m3 2 mg/m3 6-9
N/E WE 7-9
WE N/E 5-7
N/E, N/E 1-3
Note: N/D = Not Determined N/A = Not Applicable N/E = None Established
HM1S- Health: 3 Flammability: 0 Reactivity: 2 PPE D
Emergency Response Guidebook Number: 154
DOT Information: (RQ) Corrosive Liquid, N.O.S. (Sodium Hydroxide Aqueous Mixture), 8, UN 1760, H
Section 3 - Physical/Chemical *Characteristics
Boiling Point: 212OF
Vapor Pressure (mm Hg.): 17.5
Vapor Density (A1R=1): <1
Solubility in Water:. Complete
Specific Gravity: 1.065 —1.070
Melting Point: N/A
Evaporation Rate (eutylAcetate=l): N/D
Appearance and Odor. Slight yellow clear solution'.
CL-6050MB
Page 1

Section 4 - Fire and Explosion Hazard Data
Flash Point (Method Used) N/D
Flammable Limits LEL: N/D UEL: N/D
Extinguishing Media: This material is not flammable. Use extinguishing media appropriate for surrounding
materials.
Special Fire Fighting Procedures: Wear self-contained breathing apparatus and full protective clothing. Use
water spray to cool nearby containers.
Unusual Fire and Explosion Hazards: Extinguish all nearby sources of ignition since Hydrogen gas may be
liberated from contact with some metals.
Section 5 - Reactivity Data
Stability
Unstable:
Stable: X
Conditions to Avoid: Acids, combustible materials, and metals.
Incompatibility (Materials to Avoid)
Organic chemicals, especially nitro carbons.
Hazardous Decomposition or Byproducts
Generates hazardous mist at boiling point.
Hazardous Polymerization
May Occur: Will Not Occur; X
Conditions to Avoid: Same as "incompatibility"
Section 6 - Health Hazard Data
Route(s) of Entry: Inhalation? Yes Skin? Yes Ingestion? Yes
Health Hazards (Acute and Chronic) - Signs and Symptoms of Exposure:
Eyes: Burning and irritation. .
Skin:. May result in areas of destruction .of skin tissue:or primary irritant dermatitis.
Ingestion:. Burns to mouth, throat, and gastrointestinal irritation.
Inhalation; May cause varying degrees of damage to the affected tissues and also increase
susceptibility to respiratory illness.
CL-6050MB
Page 2

Carcinogenicity. NTP? NO IARC Monographs? NO OSHA Regulated? NO
Medical Conditions Generally Aggravated by Exposure:
None known
Emergency and First Aid Procedures
Eyes: Immediately flush with large amounts of water, lifting upper and lower lids occasionally.
Skin: Remove contaminated clothing. Wash affected areas with soap and water.
Ingestion: Dilute by drinking large quantities of water. Do not induce vomiting. Seek medical attention.
Inhalation: Remove to fresh air. Give oxygen if breathing is difficult.
Section 7 - Precautions for Safe Handling and Use
Steps to Be Taken in Case Material is Released or Spilled
Dike area with absorbent material to prevent spread of spill. Pump chemical spill into large tank of
water and neutralize with dilute Hydrochloric Acid. Keep non -neutralized materials out of sewers,
storm drains, surface water and soil.
Waste Disposal Method
Follow -federal, state, and local regulations. Upon neutralization,. flush to drain with large excess of
water.
Precautions to Be Taken in Handling and Storing
Store in a dry, well ventilated area. Place away from incompatible materials. Store at temperatures
above freezing.
Other Precautions
None known.
Section - 8 Control Measures
Respiratory Protection (Specify Type): If ventilation is not adequate, and the TLV is exceeded, a NIOSH
approved respirator is recommended.
Ventilation: Local Exhaust: Yes .
Mechanical- Exhaust: Yes
Special:. None
Other: None
Protective Gloves: impervious rubber Eye Protection: chemical goggles or safety
glasses
Other Protective Clothing or Equipment: An eyewash station and safety shower should be readily.
available.
Work/Hygienic Practices:. Follow normal chemical hygiene.
Note: This data is furnished gratuitously independent of any sale of the product and only for your investigation and independent verification. While.
the information is believed to be correct, Chemgard, Inc. makes no representation as to the accuracy of the information contained herein. Chemgard,
Inc. shall in no event be responsible for any damages of whatsoever nature directly or indirectly resulting from the publication or use of or reliance
upon data contained herein.
No warranty, either expressed or implied of merchantability or fitness or of any nature with respecfto the product or to the data herein is made
hereunder. You are urged to obtain data sheets for all Chemgard products you buy, process, use or distribute, and encouraged to advise anyone
working with or exposed to such products of the information contained herein.
CL-6050MB
Page 3

b
Material Safety Data Sheet
May be used to comply with OSHA's Hazardous Communication Standard 29 CFR 1910.1200 Standard must be
consulted for specific requirements.
C H E IVI GARD Note: Blank spaces are not permitted. If any item is not applicable, or no information is available, the space must be
marked to indicate that.
Identity: (As Used on Label and List)
MicrogardT"° 906
Section 1 - Identification
Manufacturer's Name
__Chemgard, Incorporated
Address (Number, Street, City, State, and Zip Code
1062 S. Batesville Road
Greer, SC 29650
Date Prepared/Revised
07/27/04
EPA REGISTRATION NO.:
1744-20001-45440
Emergency Telephone Number
Chemtrec 1-800-424=9300
Telephone Numbers for Information
864-879-0884
864-879-7981
Name of Preparer (optional)
.Molly Nolan
Section 2 - Hazardous Ingredients/Identity Information
Composition Components/Cas Numbers OSHA PEL ACGIH TLV PERCENT
Sodium Hydroxide #1310-73-2. C2 units C2 units 1.0-1.5
Sodium Hypochlorite #7681-52-9 2Cmg/m3 N/E 12.5
Note: N/D = Not Determined NIA = Not Applicable. N/E = None Established
HM1S- Health: 2 Flammability: 0 Reactivity: 1 PPE: B
Emergency Response Guidebook Number:.154
DOT Information: (RQ) Hypochlorite Solution. (contains more than 5% but less than 16% availablechlorine
by weight), 8, UN 1791, III
Section 3 -. Physical/C.hemi'cal 'Characteristics
Boiling -Point: 100°C
.Vapor. Pressure (mmHg.): N/A
Vapor Density (AIR=1):.N/A
Solubility in Water: Complete
Specific Gravity: 1.22
Melting Point: N/A
Evaporation Rate (Butyl Acetate=1'): N/D
Appearance and Odor: Greenish yellow liquid with chlorinous odor
MicrobardTM 906
Page 1

Section 4 - Fire and Explosion Hazard Data
Flash Point (Method Used) N/A
Flammable Limits LEL: N/A UEL: N/A
Extinguishing Media: Water
Special Fire Fighting Procedures: Eliminate ignition source. Wear self-contained breathing apparatus
and complete personal protective equipment. Use water spray to cool fire, exposed structures and tanks,
and to disperse vapor cloud if fire is not present. Use carbon dioxide or dry chemical for small fires; alcohol
foam or water fog for large fires.
Unusual fire and Explosion Hazards: Although this material is not flammable in aqueous state, it will burn
in the presence of a strong ignition source after the water is removed.
Section 5 - Reactivity Data
Stability
Unstable: Stabler X
Conditions to Avoid: Heat and ultraviolet light.
Incompatibility (Materials to Avoid)
Avoid contact with acids or acid detergents, organic mateial, ammonia or amines, and metals.
Hazardous Decomposition or Byproducts
Reacts with acids to release chlorine. .
,Hazardous Polymerization
May Occur:
Will. Not Occur: X
Conditions to Avoid: Heat and ultraviolet light
Section 6 - Health Hazard Data
Route(s) of Entry: Inhalation? Yes Skin? Yes Ingestion? Yes
Health Hazards (Acute and Chronic) - Signs and Symptoms of Exposure:
.Eyes: Corrosive (FHSA)
Skin: (FHSA). skin irritation
Ingestion: Practically non -toxic; Oral LD50 (rats) >8.9 g (NaC1O)/kg
Inhalation: Practically non -toxic;
MicrogardTm 906
Page 2

° Carcinogenicity: NTP? NO IARC Monographs? NO OSHA Regulated? NO
Medical Conditions Generally Aggravated by Exposure: None expected at industrial use level.
Emergency and First Aid Procedures
Eyes: Immediately flush with plenty of water for at least 15 minutes, hold eyelids open during washing.
Skin: Immediately flush skin with plenty of water while removing contaminated clothing and shoes. Wash
before reuse.
Ingestion: Do not'induce vomiting. Drinking mucilage, raw egg white, milk or rice gruel. Follow with emetic
(Tablespoonful of mustard in glass of water). If unavailable, drink a quart of water. Do not give food to an
unconscious person. Take immediately to hospital or physician.
Inhalation: Remove to fresh air. Give oxygen if breathing is difficult.
Section 7 - Precautions for Safe Handling and Use.
Steps to Be Taken in Case Material is Released or Spilled
Waste Disposal Method
Follow federal, state, and local regulations.
Precautions to Be Taken in Handling and Storing
Remove all sources of ignition. Wear NIOSH/MSHA approved self-contained breathing apparatus.
.Follow OSHA regulations for respirator use, (see 29 CFR 19:10.134). Wear vapor proof safety
goggles, impervious coveralls and rubber or neoprene gloves. Clean. up in a manner to minimize
contamination with organic material. Do_ not return material to, original container. Place in a fresh
container and isolate outside or in a well -ventilated area.. Do not seal the container. Flush any
residual material with large quantities of.water to a chemical sewer.. Keep spill out of municipal
sewer and natural waterways. Contact authorities in the event of large spills. Obey all
environmental regulations.
.Other Precautions
This product contains 12.5% Sodium Hypochlorite with a Reportable Quantity of 100 lbs. (45.5 kg)
designated pursuant to section-311 of the CWA (40 CFR Part 117)..
RCRA Requirements;
Refer to Federal Regulatory Information Section.
Section - 8 Control Measures
Respiratory Protection (Specify Type): If ventilation is not adequate, and the TLV is exceeded, a NIOSH
approved respirator is recommended.
Ventilation: Local -Exhaust: Yes
Required as dictated" by airborne concentrations.
Mechanical Exhaust: Yes
Protective Gloves: impervio.us.rubber
Special .None
.Other: None
Eye Protection:. chemical goggles or safety
glasses
MicrogardTM 906
Page 3

Other Protective Clothing or Equipment: An eyewash station and safety shower should be readily.
available. Impervious aprons and boots are suggested. Protective long-sleeved clothing and shoes should
be worn and laundered before reuse.
Work/Hygienic Practices: Follow normal chemical hygiene..
Permissible Air. Concentrations:
Active ingredient wt% = 12.5
Water Wt%= approx. 76
*contains sodium hydroxide 1.0-1.5% (Hazardous ingredient) TLV= 2 mg/m3
Section 9- Special Precautions
Warning Statesments:
Danger. Corrosive oxidizer solution. Causes severe skin and eye burns. Vapor irritating to eyes,
skin, and lungs.
Precautionary Measures:
.Avoid breathing vapor. Do not get in eyes, on skin, or on clothing. Do not take internally.
Handling & Storage:
For industrial use only! Keep container closed. Use with adequate ventilation. Handle with care.
Wash thoroughly after handling. Keep away from heat, flame, or sunlight.
Section 10- Federal Regulatory Information
TSCA-
All product components are listed in the TSCA inventory.
CERCLA=
This product contains 12.5% of Sodium Hypochlorite (RQ 100 lbs./ 45.4 kg)
RCRA-
A waste containing this product may have the hazardous waste no. D002 (Corrosive) 40 CFR
261.22
DOT-
(RQ) Hypochlorite Solution, 8, UN 179.1, III.
EPA -
Sara TitIeIII, Section 313: NOT LISTED
SARA-
Section 311" and 312 Classification: Immediate health hazard.
Note: This data is furnished gratuitously independent of any sale of the product and :only for your investigation and independent. verification. While
the information is believed to be correct, Chemgard, Inc. makes no.representation as to the accuracy of the information contained herein. Chemgard,
Inc.'shall in no event be responsible for any.damages`of'whatsoever nature directly or indirectly resulting from the publication or use of or reliance
upon data contained herein.
No warranty,_ either expressed or implied of merchantability or fitness or of any nature with respect to the product or to the data herein is made
hereunder. You are urged to obtain data sheets for all Chemgard products you buy, process, use or distribute,. and encouraged to advise anyone
working with or exposed to such products of the information contained'herein.
MicrogardTm 906
'Page 4