NCG030659_DMR_20201214

•
409 Rogers View Court
1'l id Atlantic fficlg91 2 27610
office 19.250 9918
Engineering& Environmental Solutions facsimile 919.250-9950
- — MAAONLINE.COM
N C Department of
November 23, 2020
Environmental Quality
Received
NCDEQ/DWR DEC 1 4 2020
Attention: Central Files Winston-Salem
450 West Hanes Mill Road, Suite 300 Regional Office
Winston-Salem, NC 27105
Subject: STORMWATER SAMPLING RESULTS
MATLAB, INC. - PLANT 10
7303 JORDAN ROAD
RAMSEUR, RANDOLPH COUNTY, NORTH CAROLINA
PERMIT NCG030325- NGG-d 3
MID-ATLANTIC JOB NO. 000R2943.10
Dear Sir/Madam:
Attached please find the Stormwater Discharge Monitoring Reports (DMR) and analytical
report for the sampling conducted at the above-referenced site. A stormwater sample was
collected from Outfall 001 on November 11, 2020 and analyzed for total suspended solids
(TSS) pH, lead (Pb), copper (Cu), zinc, (Zn), and oil and grease (O&G). As indicated on
the attached DMR, all parameters were reported below or within their respective
benchmark values. If you have any questions or need additional information, please
contact me at 919-250-9918.
Sincerely,
MID-ATLANTIC ASSOCIATES, INC.
°d1V4h
Paul W. Spangenberg
Director of Environmental Compliance Services
Attachments: Stormwater Discharge Monitoring Report
Laboratory Analytical Report
EXPERIENCED CUSTOMER FOCUSED INNOVATIVE

NC Department of
Environmental Quality
NCDEQ Division of Energy, Mineral and Land Resources Received
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000 DEC 14 2020
Metal Fabrication Winston-Salem
Click here for instructions Regional Office
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.NCGO3L0 6 5 9 Person Collecting Samples: Paul w.Spangenberg
Facility Name: Matlab,Inc.-Plant 10 Laboratory Name: Con-Test
Facility County: Randolph Laboratory Cert. No.: 652
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, II,or Ill)?
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Class C
N/A Date Sample Collected MM/DD/YYYY 11/11/2020
46529 24-Hour Rainfall in inches 2.30
•
00552 Non-Polar Oil&Grease in mg/L(15) <5.6
C0530 TSS in mg/L(100 or 50*) 18
00400 pH in standard units(6.0—9.0) 6.7
NCOIL New Motor/Hydraulic Oil Usage in N/A
gal/month
01119 Copper,total recoverable in mg/L 0.0050
(0.010 FW,0.005 SW)
01051 Lead,total recoverable in mg/L 0.00091
(0.075 FW,0.220 SW)
•
01094 Zinc,total recoverable in mg/L(0.126 0.013
FW,0.095 SW)
78141 Total Toxic Organics(TTO)in mg/L(1) N/A
* Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of SO 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."
C /2 7 2a
Signature of Permittee or Delegated Authorized Individual Date

Table of Contents
410con-test
ANALYTICAL LABORATORY
39 Spruce Street'East Longmeadow,MA01028'FAX [phone]'TEL.[phone]
November 19,2020
Paul Spangenberg
Mid-Atlantic Associates,Inc.-Raleigh,NC
409 Rogers View Court
Raleigh,NC 27610
Project Location:Plant 10-Ramseur,NC
Client Job Number:
Project Number:R2943.10
Laboratory Work Order Number:20K0640
Enclosed are results of analyses for samples received by the laboratory on November 12,2020.If you have any questions
concerning this report,please feel free to contact me.
Sincerely,
jiattit) of/.gigeg..4.
Kerry K.McGee
Project Manager
Page 1 of 14

Table of Contents
Table of Contents
Sample Summary 3
Case Narrative 4
Sample Results 5
20K0640-01 5
Sample Preparation Information 7
QC Data 8
Metals Analyses(Total) 8
B271017 8
Conventional Chemistry Parameters by EPA/APHA/SW-846 Methods(Total) 9
B270939 9
B270961 9
B271151 9
Flag/Qualifier Summary 10
Certifications 11
Chain of Custody/Sample Receipt 12
Page 2 of 14

Table of Contents
ton-tEst®
ANALYTICAL LABORATORY
39 Spruce Street•East Longmeadow,MA 01028•FAX [phone]*TEL.[phone]
Mid-Atlantic Associates,Inc.-Raleigh,NC
409 Rogers View Court REPORT DATE: 11/19/2020
Raleigh,NC 27610 PURCHASE ORDER NUMBER:
ATTN:Paul Spangenberg
PROJECT NUMBER: R2943.10
ANALYTICAL SUMMARY
WORK ORDER NUMBER: 20K0640
The results of analyses performed on the following samples submined to the CON-TEST Analytical Laboratory arc found in this report.
PROJECT LOCATION: Plant 10-Ramseur,NC
FIELD SAMPLE# LAB ID: MATRIX SAMPLE DESCRIPTION TEST SUB LAB
I 20K0640-01 Water EPA 1664B
SM2 1-22 2540D
SM2I-22 4500 H B
SW-846 6020B
Page 3 of 14

Table of Contents
gri.) con-test
ANALYTICAL LABORATORY
39 Spruce Street'East Longmeadow,MA 01028'FAX [phone]'TEL.[phone]
CASE NARRATIVE SUMMARY
All reported results arc within defined laboratory quality control objectives unless listed below or otherwise qualified in this report.
S I2t-224500II B
Qualifications:
H-05
Holding time was exceeded.pH analysis should be performed immediately at time of sampling. Nominal 15 minute holding time was
exceeded.
Analyte&Samples(s)Qualified:
pH
20K0640-01[1]
Thc results of analyses reported only relate to samples submitted to the Con-Test Analytical Laboratory for testing.
I certify that the analyses listed above,unless specifically listed as subcontracted,if any,were performed under my direction according to the approved methodologies listed
in this document,and that based upon my inquiry of those individuals immediately responsible for obtaining the information,the material contained in this report is,to the
best of my knowledge and belief,accurate and complete.
W f)//
Lisa A.Worthington
Technical Representative
Page 4 of 14

Table of Contents
4----) Con-tESt®
ANALYTICAL LABORATORY
39 Spruce Street•East Longmeadow,MA 01028*FAX [phone]•TEL.[phone]
Project Location: Plant 10-Ramscur,NC Sample Description: Work Order: 20K0640
Date Received: 11/12/2020
Field Sample#: 1 Sampled: 11/12/2020 09:00
Sample ID: 20K0640-01
Sample Matrix: Water
Metals Analyses(Total)
Date Date/Time
Analyte Results RL DL Units Dilution Flag/Qual Method Prepared Analyzed Analyst
Copper 0.0050 0.0010 0.00087 mg/L 1 SW-8466020B 11/16/20 11/17/20 15:12 QNW
Lead 0.00091 0.00050 0.000085 mg/L I SW-846 6020B 11/16/20 11/17/20 15:12 QNW
Zinc 0.013 0.010 0.0023 mg/L I SW-846 6020B 11/16/20 11/17/20 15:12 QNW
Page 5 of 14

Table of Contents
Con-tESt®
ANALYTICAL LABORATORY
39 Spruce Street'East Longmeadow,MA 01028•FAX [phone]•TEL.[phone]
Project Location: Plant 10-Ramseur,NC Sample Description: Work Order: 20K0640
Date Received: 11/12/2020
Field Sample#: 1 Sampled: 11/12/2020 09:00
Sample ID: 20K0640-01
Sample Matrix: Water
Cons cntional Chcmistr Parameters is l:P:V:N.PHA/SW-846 Methods(Total)
Date Date/Time
Analyte Results RI. DI, Units Dilution Flag/Qual Method Prepared Analyzed Analyst
pH @14.2°C 6.7 plIUnits I H-05 SM2I-224500IIa 11/14/20 11/14/20 12:10 RAV
Total Suspended Solids IS 2.8 1.1 mg/L I SM2I-22 2540D 11/16/20 11/16/20 11:05 LL
Oil&Grcasc(HEM) ND 5.6 4.0 mg/L I EPA 1664B 11/18/20 11/18/20 13:00 LL
Page 6 of 14

Table of Contents
0 Con-tESt®
ANALYTICAL LABORATORY
39 Spruce Street*East Longmeadow,MA 01028*FAX [phone]•TEL.[phone]
Sample Extraction Data
EPA 1664B
Lab Number[Field IDI Batch Initial ImLI Date
20K0640-01[I] B271151 250 11/18/20
SM21-22 2540D
Lab Number[Field IDI Batch Initial ImLI Date
20K0640-01[I] B27096I 180 I I I r,20
SM21-22 4500 II B
Lab Number[Field ID[ Batch Initial ImLI Date
20K0640-01[I] B270939 50.0 11/14/20
Prep Method:SW-846 3005A Analytical Method:SW-846 6020B
Lab Number[Field IDI Batch Initial ImLI Final ImLI Date
20K0640-01[I] B271017 50.0 50.0 11/16/20
Page 7 of 14

Table of Contents
ilk-Icon-test®
ANALYTICAL LABORATORY
39 Spruce Street•East Longmeadow.MA 01028*FAX [phone]*TEL.[phone]
QUALITY CONTROL
Metals Analyses(Total)-Quality Control
Reporting Spike Source %REC RN)
Analyte Result Limit Units Level Result %REC Limits RPD Limit Nolra
Balch B271017-S\\-84h 3005A
Blank(B271017-BLK1) Prepared:11/16/20 Analyzed:11/17/20
Copper ND 0.0010 mg/L
Lead ND 0.00050 mg/L
Zinc ND 0.010 mg/1-
LCS(B271017-BSI) Prepared:11/16/20 Analyzed:11/17/20
Copper 1.02 0.010 mg/L 1.00 102 80-120
Lead 0.526 0.0050 mg/L 0.500 105 80-120
Zinc 1.04 0.10 mg/L 1.00 104 80-120
LCS Dup(B271017-BSD1) Prepared:11/16/20 Analyzed:11/17/20
Copper 1.02 0.010 mg/L 1.00 102 80-120 0.156 20
Lead 0.523 0.0050 mg/L 0.500 105 80-120 0.614 20
Zinc 1.04 0.10 mg/L 1.00 104 80-120 0.0303 20
Page 8 of 14

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1111111/ con-tEstQ'
ANALYTICAL LABORATORY
39 Spruce Street'East Longmeadow,MA 01028*FAX [phone]'TEL.[phone]
QUALITY CONTROL
Conventional Chemistry Parameters by EPA/APHA/SW-846 Methods(Total)-Quality Control
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch B270939-SM21-22 4500 II B
LCS(B270939-BSI) Prepared&Analyzed:11/14/20
PH 6.00 pH Units 6.00 100 90-110
Batch B270961-SM21-22 2540D
Blank(B270961-BLKI) Prepared&Analyzed:11/16/20
Total Suspended Solids ND 2.5 mg/L
LCS(B270961-BSI) Prepared&Analyzed:11/16/20
Total Suspended Solids 162 10 mg/L 200 81.0 57.4-123
Balch B271151-EPA 1664B
Blank(B271151-BLK1) Prepared&Analyzed:11/18/20
Oil&Grcasc(HEM) ND 1.4 mg/L
LCS(B271151-BSI) Prepared&Analyzed:11/18/20
Oil&Grease(HEM) 18 mg/L 20.0 89.5 78-114
Page 9 of 14

Table of Contents
61) con-test'
ANALYTICAL LABORATORY
39 Spruce Street'East Longmeadow, MA01028'FAX [phone]'TEL.[phone]
FLAG/QUALIFIER SUMMARY
' QC result is outside of established limits.
t Wide recovery limits established for difficult compound.
t. Wide RPD limits established for difficult compound.
a Data exceeded client recommended or regulatory level
ND Not Detected
RL Reporting Limit is at the level of quantitation(LOQ)
DL Detection Limit is the lower limit of detection determined by the MDL study
MCL Maximum Contaminant Level
Percent recoveries and relative percent differences(RPDs)are determined by the software using values in the
calculation which have not been rounded.
No results have been blank subtracted unless specified in the cast narrative section.
H-05 Holding time was exceeded.pH analysis should be performed immediately at time of sampling. Nominal 15
minute holding time was exceeded.
Page 10 of 14

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el con-test®
ANALYTICAL LABORATORY
39 Spruce Street'East Longmeadow,MA 01028*FAX [phone]*TEL.[phone]
CERTIFICATIONS
Certified Analyses included in this Report
Analyte Certifications
EPA 16648 in Water
Oil&Grease(HEM) CT,MA,NH,NY,RLNC,ME,VA
SM2I-22 2540D in Water
Total Suspended Solids CT,MA,NH,NY,RI,NC,ME,VA
SM2I-22 4500 H 8 in Water
pH CT,MA,RI
SW-846 60208 in Water
Copper CT,NH,NY,ME,VA,NC
Lead CT,NH,NY,ME,VA,NC
Zinc CT,NH,NY,ME,VA,NC
The CON-TEST Environmental Laboratory operates under the following certifications and accreditations:
Code Description Number Expires
AIHA AIHA-LAP,LLC-ISO17025:2017 100033 03/1/2022
MA Massachusetts DEP M-MA100 06/302021
CT Connecticut Department of Publilc Health PH-0567 09/302021
NY Ncw York State Department of Health 10899 NELAP 04/1/2021
NH-S Ncw Hampshire Environmental Lab 2516 NELAP 02/5/2021
RI Rhode Island Department of Health LAO00112 12/30/2020
NC North Carolina Div.of Water Quality 652 12/31/2020
NJ New Jersey DEP MA007 NELAP 06/30/2021
FL Florida Department of Health E871027 NELAP 06/30/2021
VT Vermont Department of Health Lead Laboratory LL015036 07/30/2021
ME State of Maine 2011028 06/9/2021
VA Commonwealth of Virginia 460217 12/14/2020
NH-P Ncw Hampshire Environmental Lab 2557 NELAP 09/6/2021
VT DW Vermont Department of Health Drinking Water VT-255716 06/12/2021
NC-DW North Carolina Department of Health 25703 07/31/2021
PA Commonwealth of Pennsylvania DEP 68-05812 06/30/2021
MI Dept.of Env,Great Lakes,and Energy 9100 09/6/2021
Page 11 of 14

•
LOLOCO 'i °
e r http://www.contestlabs.com Doc#379 Rev 1 03242017
con-tEst"
Phone: CHAIN OF CUSTODY RECORD(North Carolina) 39 SpruceStreet
i uuivno.,.ueowromPage_' O(_1—_Fax:41 Requested Turnaround Time . East Longmeadow,Mn 01028
Email:Infos contestlabs.com 7-Day ❑ 10-Day 0 1 2 1 1 1 t Company Name:. :. Due Date:
mid Atlantic Associates # r se aton
Address.409 Rogers View Court,Ra • S N N NI z Preservation Code
. . Rush-Approval Required P G P P P P ,
Phone:[phone] Container Code
1-Day ❑ 3-Day ❑ ANALYSIS REQ
UESTED Dissolved dlbtafsSamples
Project Name: Matlab,Inc. 2-Day 0 4-Day ❑ ❑ Field Filtered
Project Location: Plant 10-Ramseur,NC Data Delivery
Project Number: R2943.10 0 Lab to Filter
Format: PDF ❑+ EXCEI. ❑
Project Manager: Paul W.Spangenberg Other:
Con-Test Quote Name/Number: n ,� . Orth ld Filt hate,Sampies
CLP Like Data Pkg Required: 0 ca F u a w 0 Field Filtered
Invoice Recipient: pspangenberq{rlmaaonllne.com Email To: pspangenberq(cr�maaonline.com
Sampled B 0 Lab to Filter
i� y: Paul W.Spangenherg Fax To#: [phone]
Con•Tect Sam le D 1 Desk B r 1
Work Order,/ p Beginning Date/Time Ending Date/Time Composite, Grab A1at i' Conc Code t MatttX CoSle=.
Cole GW a Ground Water
1 )///.)2 2. 5 9; di r'l/J31 �f. Ql) x 0 t x -
x x x x x WW2 Wash Water
DW=Drinking Water
A=Air
S=Sell
SL a Map
0*Other gptease
define)
` 2 Preservation Codes:
IAIced
H=IiCL
Mkiethanol
N'='Nftrit Acid
S=Sulfuric Acid
B=Sodium Bisulfate
X=Sodium Hydroxide
Comments: T=Sodium
Thiosulfate
Please use the following codes to indicate possibie sample concentration within the 0=Other(please
Conk Code column above: define)
H-High;M-Medium;L-Low; C-Clean; U-Unknown
3 Container Codes:
��tshe by:(signature) / • • :. North Carolina Detection Limit Requirements A=Amber Glass
// Program Information i)e ❑ 2L G=Glass
•by:(sign./re) 5 t.A 13 ❑ GWPC MCA ❑ UST/Trust Fund P=Plastic
a5 1 ❑ SWSL D SWS Landfill ❑ REC ST=Sterile
V=Vial
Relinquished gnature) 0 INse IHSB Orphaned Landfill S=Summa Canister
❑ MSCC ;-"Irl •
❑ State Lead T=Tedlar Bag
Received by signature) 'Other: ❑ Other, 0=Other(please
define)
quished by:(signature/ Project Entity • Otherco
CrtS
co ❑ Government ❑ Municipality PCB ONLY
tp ved by:(signature) ❑ Federal 0 ❑ Chromatogram 0 Soxhlet 00
CD ❑ Brownfield 0 A/HA-LAP,LLC Non Soxhlet
rJ
City 0 School ❑ C7
O O
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