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HomeMy WebLinkAboutNCG030451_MONITORING INFO_20190701STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. I Iv C& U 3v 45" DOGTYPE O HISTORICAL FILE 9 MONITORING REPORTS DOC DATE p � 1 �J U r7 D V YYYYMMDD t Stormwater Discharge Monitoring Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000 Date submitted 6/17119 CERTIFICATE OF COVERAGE NO. NCG03 0 4 5 1 SAMPLE COLLECTION YEAR 2019 FACILITY NAME LL Building Products, Inc. _ ._ SAMPLE PERIOD [j] Jan -June ❑ July -Dec COUNTY Pender I� / or I—]Monthly'month ��C 1 Y PERSON COLLECTING SAMPLES Paul Spangenberg ( HARGING TO CLASS ❑ORW ❑HCtW ❑Trout ❑PNA LABORATORY Pdsm Lab Cert. # 402 JUL 01 2019 ❑Zero -flow ❑Water Supply ❑SA Comments on sample collection or analysis: [:]OtherCENTRALFILES DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 Part A: Stormwater Benchmarks and Monitoring Results ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Total Copper Total Lead Total Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organicss Benchmarks _ - 100 mg/L or 50 mg/L° 6.0 — 9.0 0.010 mg/L 0.075 mg/L 0.126 mg/L 15 mg/L 1 mg/L Parameter Code - 46529 C0530 00400 01119 0105i 01094 00552 78141 01 5131119 0.34 4.0 7,9 0 0 0.0068 11 NIA 1 Monthly sampling (Instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here, 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Section B, Table 1 to Identify the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: I1/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 1 of 3 Stormwater Discharge Monitorinz Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000 Date submitted 6117119 CERTIFICATE OF COVERAGE NO. NCG03 0 4 5 1 FACILITY NAME LL Building Products, Inc, COUNTY Pender PERSON COLLECTING SAMPLES Paul Spangenberg LABORATORY Priam Lab Cert. # 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑ Monthly'(month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow []water Supply [—]SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 3 No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, inches' Total Suspended Solids PH, Standard units Total Copper Total Lead Total Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organicss Benchmarks _ - 100 mg/L or 50 mg/L' 6.0 — 9.0 0.010 mg/L 0.075 mg/L 0.126 mg/L 15 mg/L 1 mg/L Parameter Code - 46529 COS30 00400 01119 01051 01094 00552 78141 01 5131/19 0.05 4.0 7.9 0 0 0.0068 1.2 NIA ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. a See General Permit, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic 0'rg anics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (far metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 1 of 3 1 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility Is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Will Hall Name (Print name) Engineering Manager Title (Prink tie) Signature Date Note: Results must be reported In numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mwhere XX Is the numerical value of the detectlon limit, reporting limit, etc. in mg/L. Note: if you report a sample value In excess of the benchmark, you must Implement Tier 1, Tler 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches9 New Motor Oil or Hydraulic Oil Usage Non -Polar O&G/ Total Petroleum Hydrocarbons Total Suspended Solids Benchmarks - - - 15 mg/L 100 mg/L or SO mg/1.4 Parameter Code 46529 NCOIL 00552 COS30 Footnotes from Part A also apply to Part B Note: If you report a sample value In excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 2 of 3 ' � _ r _ ' -� - � ' _ � �t . , `. � _ ., � � I ' '� 1 � J = � � - � 1 .. � � . � i _ ! .� � - ' i � 1� � _ .� t FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO Q REGIONAL OFFICE CONTACT NAME: Mall an orlcrJnal copy of this OUR, including all "Na Discharge" reports, within 30 days of receipt of the lab results for at end o j monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQCentraI Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED; "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 hest of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penaltles for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Permittee Permit Date: 11/1/2018-05/31/2021 zy l Date SWU-245, last revised 11/1/2018 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring_Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 6/1/18 CERTIFICATE OF COVERAGE NO. NCG030451 FACILITY NAME LL Building Products Inc. COUNTY Pendar PERSON COLLECTING SAMPLES William Hall LABORATORY Prism Lab Cert. # 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly' (month) RECEJVF* IARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA AUG1 2�18 ❑Zero -flow ❑water Supply []SA ®Other CENT ,AL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches s Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organics Benchmarks - 100 mg/L or 50 mg/L° 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L is mg/L 1 mg/L 01 5/10/18 0.06 20 7.2 BRL BRL 0.062 0 2 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General •Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the Stormwater or areas which are exposed to rainfall or Stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." William Hall Name (Print name) ManagingEngineer Title (Print - le} r � t bf (Signature) Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be rep rted in the format, "<XX rrtg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No. pate Sample Collected' (moldd/yr) 24-hour rainfall amount, lnches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/i/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART Il SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." r/1 ( Date) Permit Date: 11/112012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 r„ Stormwater Discharge Monitoring Report RECEIVED for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000 Date.submitted 1115118 FEB 13 2010 CERTIFICATE OF COVERAGE No.rNCG03 0 4 5 1 FACILITY NAME LL Building Products, Inc. COUNTY Pender PERSON COLLECTING SAMPLES Paul Spangenberg LABORATORY Prism Lab Cert. #1 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results CENTRAL FILES SAMPLE COLLECTION YEAR 2018 � ��CTI�N SAMPLE PERIOD ❑ Jan -June 0 July -Dec y or ❑ Monthly' _ (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA []zero -flaw ❑Water Supply ❑SA []Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Total Copper Total Lead Total Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organics5 Benchmarks _ - 100 mg/L or 50 mg/L° 6.0 — 9.0 0.010 mg/L 0.075 mg/L 0.126 mg/L 15 mg/L 1 mg/L Parameter Code - 46529 C0530 00400 01119 01051 01094 00552 78141 01 12/21/18 0.05 5.0 7.0 0 0 0.17 0 NIA ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies. 'Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2018-05/31/2021 5WU-245, last revised 11/1/2018 Page 1 of 3 !*+ Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the Stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Will Hall Name (Print name) Engineering Manager Title (Print title � � l Signature Date Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 New Motor Oil or Hydraulic Oil Usage Non -Polar O&G/ Total Petroleum Hydrocarbons Total Suspended Solids Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/La Parameter Code - 46529 NCOIL 00552 C0530 Footnotes from Part A also apply to Part B Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SFF PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO [] IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail on original copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lo_b results (or at end ot monitoring_ period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Centrai Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Permittee F Date Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 12/14/17 CERTIFICATE OF COVERAGE NO. NCG030451 FACILITY NAME LL Buildiniz Products, Inc. COUNTY Pendar PERSON COLLECTING SAMPLES William Hall LABORATORY Prism Lab Cert. # 402 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June ® July -Dec or []Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other JAIL 0 2 2018 Part A: Stormwater Benchmarks and Monitoring Results i)MI GECTION a nnn nrnnttin 11�117 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall , amount, Inches 3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organics5 Benchmorks ==_> _ 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 1s mg/L 1 mg/L 01 11/14/17 0.00 6.2 7.7 0 0 0.038 0 ------- Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring maybe waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the stormwater Pollution Prevention Plan." William Hall Name (Print name) Managing Engineer Title (Print title) " �; r Z A�., (1: � 7 /2/fl (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mRIL", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. (Vote: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No. - Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 . Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, "fable 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: + A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. + 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case o "No Discharge" re arts to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." r (Signature of Permittee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 d o�, aHE 'RISM ®Y LABORATORIES ING Full -Service Analytical & Environmental Solutions Leonhardt Environmental, P.C. Derr Leonhardt Suite 101, 8392 Six Forks Road Raleigh, NC 27615 NC Certification No. 402 NC Drinking Water Cert No. 37735 SC Certification No. 99012 Project: LL Building Products Lab Submittal Date: 11/16/2017 Prism Work Order: 7110310 Case Narrative 12/04/2017 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are Flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Please call if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. a'_1 Angela D. Overcash VP Laboratory Services Data Qualifiers Key Reference: Reviewed By Terri W. Cole For Angela D. Overcash Project Manager HT Sample received and analyzed outside of the hold time. BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference * Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page 1 Of 6 r� � Fuli-Service Analytical R Sample Receipt Summary aP Lq Mj, I Environmental SDI Utions 12/04/2017 Prism Work Order: 7110310 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received LLB001 7110310-01 Water 11/14/17 11/16/17 Samples were received in good condition at 4,1 degrees C unless otherwise noted. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc, 449 Spring brook Road - P.O. Box 240643 - Chartotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-8001529.6364 - Fax: 7041525-04D9 Page 2 01` 6 ����AAAA1111 \` APLR I S n Full -Service al Sol do s ' V' Environmental Solutions ®'l71.no TORIea I� Leonhardt Environmental, P.C. Attn: Derr Leonhardt Suite 101, 8392 Six Forks Road Raleigh, NC 27615 Project: LL Building Products Sample Matrix: Water Laboratory Report 12/04/2017 Client Sample ID: LLB001 Prism Sample ID: 7110310-01 Prism Work Order: 7110310 Time Collected: 11/14/17 16:00 Time Submitted: 11/16/17 11:40 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Daterrime ID General Chemistry Parameters Oil R Grease (HEM) BRL mg1L 5.0 0,98 1 '1664B 11/30/17 11:53 SLS P71<0558 pH 7.7 HT pH Units 1 'SM4500-H B 11116/17 16:56 EGC P7K0345 Total Suspended Solids 6.2 mg1L 5.0 0.40 1 'SM2540 D 11117/17 11:40 BMS P7K0352 Total Metals Copper BRL mg1L 0.010 0,0010 1 `200.7 11/27117 23:12 JAB P71<0456 Lead BRL mg1L 0.0050 0.0010 1 .'200.7 11l27117 2312 JAB P71<0456 Zinc 0.038 mg1L 0.030 0.0013 1 '200.7 11/27117 23:12 JAB P7K0456 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc, 449 Springbrook Road - P,O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704/529-6364 - Toll Free Number: 1-800152M364 - Fax: 7041526-0409 Page 3 of 6 If . . n u Full -Service Analytical & M I Environmental Solutions -Vi.soaroaaa ina Leonhardt Environmental, P,C, Attn: Derr Leonhardt Suite 101, 8392 Six Forks Road Raleigh, NC 27615 Total Metals - Quality Control Analyte Project: ILL Building Products Level II QC Report 1214117 Prism Work Order: 7110310 Time Submitted: 11/16/2017 11:40:00AM Reporting Spike Source %REC RPD Result Limit Units Level Result %aREC Limits RPD Limit Notes Batch P7K0456 - 200.7 Blank (P7K0456-BLK1) Prepared & Analyzed: 11/27/17 Copper BRL 0,010 mg1L Lead BRL 0.0056 mg1L Zinc BRL 0.030 mg1L LCS (P7K0456-BS1) Prepared & Analyzed: 11127117 Copper 0.235 0.010 mglL 0.2500 94 85-115 Lead 0.229 0.0050 mg1L 0.2500 91 85-115 Zinc 0.250 0.030 mg1L 0.2500 100 55-115 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529.6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page 4 of 6 &&Q,Lq Full -Service Analytical & Environmental Solutions �Ee iHc Leonhardt Environmental, P,C. Attn: Derr Leonhardt Suite 101, 8392 Six Forks Road Raleigh, NC 27615 General Chemistry Parameters - Quality Control Analyte Level II QC Report 1214117 Project: LL Building Products Prism Work Order: 7110310 Time Submitted: 11/16/2017 11:40:OOAM Reporting Spike Source %REC RPM Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P7KO346 - NO PREP LCS (P7K0346-BS1) Prepared & Analyzed: 11/16/17 pH 6.87 pH Units 6,880 100 98.5-101.5 Batch P7KO352 - NO PREP Blank (P7K0352-BLK1) Prepared & Analyzed: 11/17/17 Total Suspended Solids BRL 5.0 mg1L LCS (P7K0352-BS1) Prepared & Analyzed: 11/17/17 Total Suspended Solids 480 5.0 mglL 477.0 101 90-110 Batch P7K0558 - NO PREP Blank (P7K0558-BLK1) Prepared & Analyzed: 11/30/17 Oil & Grease (HEM) BRL 5.0 mglL LCS (P7K0558-BS1) Prepared & Analyzed: 11/30/17 Oil & Grease (HEM) 39.0 5.0 mg1L 40.00 98 78-114 Sample Extraction Data Prep Method: 200.7 Lab Number Batch Initial Final Datefrime 7110310-01 P7K0456 So mL 50 mL 11/27/17 8:10 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529.6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page 5 of 6 4. CE YAHN COW CUS O ,a/®Y RECORD £��, Full -Service Analytical & ep a r CO .:.u.� ® Y i I �'..'13 �i'"1-n3p'NO NIA O Environmental Solutions PAGE OF QUOTE 9 TO ENSURE PROPER BILLING: �y y r S y r ,•. Sampies INTACT upon amyal� -5.�.r'"r f� t �'�`. �•! - •�+•w.. U BORATOP'E9,tNG �j �Y "�'= 1 '� tY 'N ram- i a fi ' N' 1 f '^ Hf, (0 r Project Name: 4L 0 ufL01 tj& PdAID 594MPl!.� Received ON UlET ICE?, � s'r ` � "t t �s 449 S rin brook Road • Ghariotte, NC 2621 i �" " r Tr ' 0 t Phone 7041529-6364 Fax: 7041525.0409 Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO) PROPER PRESERVATIVES indicated? x % a n =�L �Vt�•ptG '�It1RGaryt/ *Please ATTACH any project specific reporting (QC LEVEL 1 tl III IV) Client Company Name: r Received 1NITHIN HDCOING a provisions and/or QC Requirements CUSTODY,�SCALS INTACTN Report To/Contact Name: (-EPC,, L�a� ppr �-,u,•, /2<m.,m � VOLPTILES recd V4110UT F3EADSPACE� 1 x T - - Invoice To: Reporttiing Addrre-ss: �t PROPER CONTAINERS used?y ; Y r✓ g r2 r7iiCrOfKs j �1i{� j0} ((�[1 (f Address: TEMP ThermlD. • - Observed: �C l Corr..I�,_°C Phone:y19- 80b1%2_ Fax (Yes) (No): Purchase Order NoJBilling Reference TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL Email Address: 1 d i' eanhardt ca tt, •Met Requested Due Date 0 1 Day ❑ 2 Days ❑ 3 flays ❑ 4 Days ❑ 5 Days Certification: NELAC DoD FL NC A EDD Type: PDF _Excel Other "Working Days" ❑ 6-9 Days ❑ Standard 10 days ❑ Rush Work Must BePre-pproved SG OTHER NIA > Site Location Name: l.D O &W Samples received after 14:00 will be processed next business day. Site Location Physical Address: 2A5 Me- Kar Rck Turnaround time is based on business days, excluding weekends and holidays. Water Chlorinated: YES— NO ��. (SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES 0 r w G RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) Sample Iced Upon Collection: YES_ NO TIME MATRIX SAMPLE CONTAINER ANALYSIS REQUESTED PRISM CLIENT DATE COLLECTED (SOIL, PRESERVA- LAB SAMPLE DESCRIPTION COLLECTED MILITARY WATER OR TYPE NO. SIZE TIVES �(rj REMARKS ID NO. HOURS SLUDGE} SEE FLOW i- L O 001 iA 11.14- -17 I (o r 00 W A.MP, ✓ L) j o LL6 001 f3 11-� �--17 Mot o i Wi4TOZ. ! ./ 1 sool V III-/Y-/71t 4 o WAYM.- l I I� I I I 1 1/1 1 I 1 loll I Sampler's Signat Sampled By (Print Name) / r o?,e L_CaA1#A19Vr I Atriliation _60A*MI-7411/7 relinquishing, this Chain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be submitted in writing to the Prism Project Manager. There will be charges for any changes after analyses have been initialized. Additional Comments. SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC UNTIL RECEIVED AT THE LABORATORY. ❑ Fed Ex 0 UPS ❑ Hand -delivered O Prism Field Service ❑ Other NPDES: UST: GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER: ❑NC❑SC ID NO tJSO ❑NC Cl SO ONO ❑SC ONO ❑SC ❑NC❑SC ❑NC QSC El NO ❑SC ❑NC ❑SC *CONTAINER TYPE CODES: A = Amber C = Ciear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ;SiteArnval<Tlme r -.SIB Departure Time =' � r- Fleid Tech Fee Mileage rgF ""T:•, $E�'REVER$E.FOR _.. aTERMSii.GONDI IONS_ � � x Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 6/2/17 CERTIFICATE OF COVERAGE NWNCG030451 FACILITY NAME _LL Building Products, Inc._______ COUNTY Pendar PERSON COLLECTING SAMPLES William Hall LABORATORY Prism Lab Cert. # 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flaw ❑Water Supply ❑SA RECEIVED ®Other JUN 1 'I, 2017 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 CENTRAL FILE DV'VR SECTION ❑ No discharge this period?2 Outfall No. Date Sample Collected; (mo/dd/yr) 24-hour ralnfall amount, inches' Total Suspended Solids pH, Standard units Copper -Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics5 Benchmarks =__> - - 200 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 01 5/7/17 0.07 0 7.2 0 0 _ 0.13 0 ------- 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the 5tormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last dischargemonitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the 5tormwater Pollution Prevention Plan." William Hall Name (Print name) Managing Engineer Title (Print title) (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BOL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, lnches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Sollds pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERSTIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. + 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an on inal and one copy of this DMR including all "No Discharge' reports, within 30 days of receipt ot the lab results or at end of monitoring eriod In the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) `r/ A 7 / (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 RAIN EVEN[' DATA FACILITY: LL Building Products ' ADDRESS: 295 McKoy Road Burmaw. NC 28452 CONTACT PERSON: William Hall TELEPHONE-. (336) 629-4161 STORM 1?VEN`I' INFORMA`I`ION DATE YEAR MONTH DAY 2017 5 7 HOURS MINUTES DURATION 60 0 PRECIP. AMOUNT (IN.) 0.07 RUNOFF VOL. MIGAL. 0.043 HOURS DAYS PRECEDING EVENT 1 0 PRINCIPLE EXECUTIVE OFFICER OR AUTHORIZED AGENT PRINT SIGNATURE DATE Paul. W. Spangenberg 5717 23 Acres x 43560 = 1001880 X 0.07 = 70131.6 X 0.0833 = 5841.9 X 7.48 = 43697.8 / MG = 0.043 PRiSM ,UBORATa7PoE$ mr, Full -Service Analytical & Environmental Solutions Leonhardt Environmental, P.C. Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 INC Certification No. 402 NC Drinking Water Cert No. 37735 SC Certification No. 99012 Project: LL Building Products Lab Submittal Date: 05/12/2017 Prism Work Order: 7050274 Case Narrative 05/24/2017 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Please call if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. a ----I Angela D. Overcash VP Laboratory Services Data Qualifiers Key Reference: Reviewed By Angela D. Overcash VP Laboratory Services A Sample analyzed out of hold. HT Sample received and analyzed outside of the hold time. BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference * Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, withoyt the written oonsent of Prism Laboratories, Inc, 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 -Toll Free Number: 1-8001529.6364 -Fax: 7041525-0409 Page 1 of 6 n']�[� Sample Receipt Summary ��`'n I S M I E viru menMce Analytical a J l nviranmantal Solutions 05/24/2017 .%uern�sarEs+wc Prism Work Order: 7050274 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received 01 7050274-01 Water 05/07/17 05/12/17 Samples were received in good condition at 2.3 degrees C unless otherwise noted. This report should not he reproduced, except in its entirety, without the written consent of Prlsm Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224.0543 Phone: 7041529-6364 - Toll Free Number: 1-8001529.6364 - Fax: 70415254409 Page 2 of 6 f /' P R I S M I Full -Service Anelyt R Envlrpnmantai 6olutlotlone LweauTonza u Laboratory Report 05124/2017 Leonhardt Environmental, P.C. Project: LL Building Products Client Sample ID: 01 Attn: Paul Spangenberg Prism Sample ID: 7050274-01 Suite 101, 8392 Six Forks Road Prism Work Order: 7050274 Raleigh, NC 27615 Sample Matrix: Water Time Collected: 05/07/17 14:30 Time Submitted: 05/12/17 16:30 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date rime ID General Chemistry Parameters Oil & Grease (HEM) BRL mg1L 5.0 0.98 1 '1664B 5123117 11:07 TJY P7E0436 pH 7.2 HT pH Units 1 'SM4500-H B 5115117 11:39 BMS P7E0278 Total Suspended Solids BRLA mg1L 3.0 0.40 1 'SM2540 D 5116117 12:38 SLS P7E0309 Total Metals Copper BRL mg1L 0.010 0.00040 1 '200.7 5119117 18:41 JAB P7E0341 Lead BRL mg/L 0.0050 0.00090 1 '200.7 5119117 18:41 JAB P7E0341 Zinc 0.13 mg1L 0,030 0.010 1 '200.7 5119117 18:41 JAB P7E0341 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 2822"543 Phone: 7041529-6i364- Toll Free Number: 1-8001529-6364- Fax: 70415254409 Page 3 of 6 ._.Fu-Service Analytical aR M {j I Enviromantall Solutions ` " Jwrn�,owcs nec Level II QC Report 5/24/17 Leonhardt Environmental, P.C. Attn: Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 Total Metals - Quality Control Analyte Batch P7E0341 - 200.7 Project: LL Building Products Prism Work Order. 7050274 Time Submitted: 5112/2017 4:30:00PM Reporting Spike Source %REC RPD Result Limit Units Level Result %REC Limits RPD Limit Notes Blank (P7E0341-13LK1) Prepared & Analyzed: 05118/17 Copper BRL 0,010 m911- Lead BRL 0.0050 mg1L Zinc BRL 0.030 mg1L LCS (P7E0341-BS1) Prepared & Analyzed: 05/18/17 Copper 0.249 0.010 mglL 0.2500 100 85-115 Lead 0.251 0.0050 mglL 0.2500 101 85-115 Zinc 0.257 0.030 mg1L 0.2500 103 85-115 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 20224-0543 Phone: 7041529.6364 - Toll Free plumber: 14MIS29-6364 - Fax; 7041525-0409 Page 4 of 6 &0JR I S M FuIF-Service Analytical 6 Hnvlronmental Solutions L�9GP�TORIia PIG Level Il QC Report 5r24117 Leonhardt Environmental, P.C. Attn: Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 General Chemistry Parameters - Quality Control Analyte Batch P7E0278 - NO PREP Project: LL Building Products Reporting Result Limit Units Prism Work Order: 7050274 Time Submitted: 5/12/2017 4:30:OOPM Spike Source %REC RPD Level Result %REC Limits RPD Limit Notes LCS (P7E0278-BS1) Prepared & Analyzed: 05/15/17 pH 6.85 pH Units 6.880 100 98.5-101.5 Duplicate (P7E0278-DUP1) Source: 7050274-01 Prepared & Analyzed: 05/15/17 PH 7.18 pH Units 7.16 0,3 10 Batch P7E0309 - NO PREP Blank (P7E0309-BLKi) Prepared & Analyzed: 05/16/17 Total Suspended Solids BRL 5.0 mglL LCS (P7E0309-BS1) Prepared & Analyzed: 05/16/17 Total Suspended Solids 470 5.0 mg/L 477.0 98 90-110 Batch P7E0436 - NO PREP Blank (Pn0436-BLK1) Prepared & Analyzed: 05123/17 Oil & Grease (HEM) BRL 5.0 mg1L LCS (P7E0436-BS1) Prepared & Analyzed: 05/23/17 Oil & Grease (HEM) 34.9 5.0 mg1L 40.00 87 78-114 Prep Method: 200.7 Lab Number Batch 7050274-01 P7E0341 Initial 50 mL Sample Extraction Data Final Daterrime 50 mL 05118/17 7:55 This report should not be reproduced, except in its entirety, wlthoul the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phono: 70V529.6364 - Toll Free Number: 1-8001529-6364 - Fax: 70415254409 Page 5 of 6 •xr•. .. .a l.r ... ...•,..� .J. fJJeJ:..e.a...u...u�a. �.u_�J..a.JJ. J..�� .�.,.......,.. i-'.-.-_J....,,.,.�..�....r�.t�..................... _..�....,auJ. JJn�__ �.�.�u.�...u,......,Ju..�..--......._.......-�....�.�....1J.�.:_..v................ u.•.,,_u. .,_ u... .. ''�. r '43 k' ,. 1 weonAroRrEs via CHAIN OF CUSTODY RECORD to �... .a�. _.-{. k-: 7 1 (.'11�-'��"rY"''`'��1J aY� -..v il•�a•��1' tvNQK�r�Nf'At��`{ PAGE __.__ OFQUOTE / TO ENSURC PROPER 81LUNQ: S $d711pIBe INTACT Up0f19njval?+•�i' �: •.y� L r - 3 3 ¢ 1 t4 t 7 - it r'•t i'f 1. f} Futl Service Analytkal 6 Environmental solutions LL Building Products DN-VueT ICE? Temp" t '1`'.�' .,,Thy-li : e- x r=� 5`3 449 Springbrook Road • P.O. Box 240543 • Charlotte, NC 2B=4-0543 Project Name: y Vx r zF RROPERRRESERVATtV!"S)ndcated7+ t Phone:704/520-W64 • Fax. 704/526-0409 Short Hold Analysis: (Yes) (No) UST Project: (Yes) (No) I +i (.-. I" ReceHed WITHIN HOLOINCITIMEBT h ar' lr 2 a8s kRY r y Leonhardi Env. , P.C. 'Please ATTACH any project specific reporting (00 LEVEL 1.11 1111Yj CUSTODY sEAlSrINTACT? t— _S I t4`rlir� Client Company Name: Ow Leonhardt provisions and/or QC Requirements f v ws +r�- i Report To/Contact Name: Le"ardt enwronmental, P.C. VOLAnLES reed WIOtJr,HEADSPACE? Re Ortln Address: "'Six Forks RoaC, Suite 1a Ir1Y0)ce To: _ a c a� s v r ya r °fit r +1 p g PROPER CONTA NER9 uaed7 9392 Six Forks Raod, Suite 101 ) 1 } '7T-k Addre93:d?;-r�F`5a .y�44i l „r€1�_et a r aiY ,i ?,' Raleigh, NC 27615 - :x Ra:atgh, NC 27615 Phone: t91yr­Fax (Yes) (No): r� eta r "„� Gorr lanwron®Cansauth.nar Purchase Order No./Billing Reference Small (Yxs) (No) Email Address Requested Due Date 1 Day 2 Days 3 Days 4 Days s Days EDD Type: PDF Excel_Other "Working Days" - 6-9 Days Standard 10 days Site Location Name: LLButdingFmduus Samples received after 15:00 will be processed next business clay. Site Location Physical Address: Burgaw, NC Turnaround time is based on business days, excluding weekends and holidays. (SEE REVERSE FOR TERMS d CONDmONS REGARDING SERVICES — RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL Certification: NELAC USACE.^, FL NC SC_,___ OTHER N/A Water Chlorinated: YES_ NO Sample iced Upon Collection: YES ✓ NO p CLIENT SAMPLE DESCRIPTION DATE COLLECTED TIME COLLECTED MILITARY HOURS MATRIX (Soil, WATER OR SLUDGE) SAMPLE CONTAINER PRESERVA- TIVESLAS AN` /O / ES REQUESTED a REMARKS PRISM ! NO. 'TYPE SEE BELOW NO. SIZE 01 5/7/17 14:30 Water G 2 Qt HCL �/ Metals: Zn, Pb, Cu j 01 5/7/17 14:35 Water P 1 Pt None 01 5/7/17 14:40 Water P 1 Pt HNO 3 Sa !e s ature Paul Spangenberg Sampled By (Print Name) Affiliation Leonhardt Env. P,C r ' ' ;Stti3 ArrfYaITU11e::;a �,z a.. U o rel€ qu) hang, this Chafn of u t Is your authorization for Prism to proceed with the analyses as requested above. Any changes must be ltted ting to the Prism PrPlect Manager. There svl)I be charges for any changes after analyses have been Initialized. e' ul igneture) tl By.(Signature) Dale S r f Ouns . O •� Additional Comments: Selte Departure Time Rellmuls By (Si aturs) a By. (Signaturere) Date `( ^/� 1 .f:leld leech -. •..Y r f f h ,:' -_ •- RRsashed B (Slpnalure) - / R Pon P ' m Lahoratonos By: Data S - Q 17 r k iYr _•q:.,,r.ri :.t�;.'s.��.,.hs•�?;t<a:Rs. ethod n Omens: NOTE., AELE SAMPLE COOLERS SHOULb BE TAPELF 4mu OD EA FO TRA PO An T LAB R SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC L RECEIVED AT THE LABORATORY. UPS Handdolverea Prism Fuld Service Other n rOW D. -7 O S ,C) UST: GROUNDWATER: DRINKING WATER: } SOLID WASTE: I RCRA: CERCLA LANDFILL II OTHER: _NC _SC _NC _SC -NC _SC + _NC _SC J _NC _SC _NC _SCI _NC _SC1 _NC _SC YP C '8 t TS: A = Amber C = Clear G = Glass P = Plastic, T(_ = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) r.,,h ORtGWAL • j ?"PRISM CHAIN OF CUSTODY RECORD _ SLABORATOFIES'INXiiC k l# y ♦...ate..: ..= :.-'�.. § "".� PAGE OF QUOTE • TO ENSURE PROPER SELLING: ai ;Sample`s Full Service Analytical & Environmental Solutions LL Building Products Receive[ 449 Springbrook Road • P.O. Box 240W • Charlotte, NC 28224-0543 Protect Name: t 4 Short Hold Analysis: (Yes) (No) UST Protect: (Yes) (No) PROPEf Phone: 704/529 6364 Fax:7041525-0409 �', Receive[ Client Company Name: Leonhardt Env., P.C. `Please ATTACH any protect specific reporting (QC LEVEL I.II III IV) PSK- +- provisions and/or QC Re uirements GUSTOi i[I ur ' :YES ` NC) '-NIATI :' q u - .,, su Derr Leonhardt e.�- Report To/Contact Name: Leonhardt Environmental, P.C. �VOLATILES.ree'd W!C'UT-HEADSPACE Invoice To: I Reporting Address: 8392 Six Forks Road. Suite 10 PRijpER CONTAINERS used? p 9 9392 Six Forks Raod, Suite 101 + Raleigh, NC 27615- Address: +" ,'s'�""4�'+.Ia.' Raleigh, NC 27615 - Phone: (9iv)846- 492 Fax (Yes) (No): (9i9)547-8i fie __ Derr — >t lenviron@bellsoulh.not Purchase Order No./Billing Reference Email y : (No) Email Address Requested Due Date 1 Day 2 Days 3 Days 4 Days 5 Days EDD Type: � PDF_ Excel— Other "Working Days" . 6-9 Days ✓Standard 10 days Site Location Name: LLBuildingProducts" Samples received after 15:00 will be processed next business day. Site Location Physical Address: Bu gaw• NC Turnaround time is based on business days, excluding weekends and holidays. (SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)Sample TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL Certification: NELAC USACE FL NC SC OTHER N/A Water Chlorinated: YES_ NO ✓ Iced Upon Collection: YES ✓ NO CLIENT SAMPLE DESCRIPTION DATE COLLECTED TIME COLLECTED MILITARY HOURS MATRIX (SOIL, WATER OR SLUDGE) SAMPLE CONTAINER PRESERVA- TIVES Ur qa� 0 ANALYSES REQUESTED REMARKS FF_-' Ci A PRISM LAB ID NO, 'TYPE 5EE BELOW NO. SIZE 01 517117 14:30 Water G 2 Qt HCL �/ Metals: Zn, Pb, Cu 01 517117 14:35 Water P 1 Pt None 01 517117 14:40 Water P 1 Pt HNO 3 Sa !er's Signature �•S" � Sampled By (Prins Name) Paul Spangenberg Affiliation Leonhardt Env. RC Upo relin fishing, this C C n of stod is your authorization for Prism to proceed with the analyses as requested above. Any changes must be sp itted irINWriting to the ism Project Manager. There will be charges for any changes after analyses have been initialized. i had By gnalure) AeneivedBy; (Signature) Date MilitarylHours Additional Comments: 'SItB�Departure Tlrrie z�K elinquished B (Signa ) Received By: (Signature) . Data ksw:a..rsryura - Field Tech'Fee: �' Relinquished By: (Signature) Received For Prism Laboratories By: Date Melnod of Shipmens: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH CUSTODY SFALS FOR TRANSPORTATION TO THE LABORATORY. SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC UNTIL RECEIVED AT THE LABORATORY. Fed Ex UPS Hand -delivered Prism Field Service Other Log -In Group No. ' NID S_ SC` UST. NC _ SC GRIOUND SGTER: I DRINKING WATER: SOLID WASTE: R �3C SC C NC LA SC LANDFILL NC SC OTHER: NC _ SC 'CONTAINEjR TYPE CODES: ODES: A = Amber C = Clear G = Glass P = Plastic; TL = Teflon -Lined Cap VOA111iii= Volatile Organics Analysis (Zero Bead Space) ORIGINAL Semiannual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 11/8/16 CERTIFICATE OF COVERAGE NO. NCG030451 FACILITY NAME LL Building Products, Inc. COUNTY Pendar . PERSON COLLECTING SAMPLES Gordon Blackwell LABORATORY Prism Lab Cert. # 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ❑ Jan -June ® July -Dec D�, .� �„� or El Monthly' (month) ISCHI�_RGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA DEC 0 6 Z016 ❑Zero -flow ❑Water Supply []SA ®Other CENTRAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall No. Date Sample Collected) (mo/dd/yr) 24-hour rainfall amount, inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics' Benchmarks =__> - - 100 mg/L or 50 mg/0 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 01 10/20/16 0.10 9.0 7.2 0 0 0 0 N/A 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. ' Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Managing Engineer Title (Print tit' fo Ir / (Signature) Date Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mi;/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, inches' Non -polar O&G/TPH by EPA 1664 (5GT-HEM) Total Suspended Solids pH Benchmarks ==_> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU I i Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note:, If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART it SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ED REGIONAL OFFICE CONTACT NAME: Mail an original and one copy o this DMR includingall "No Dischar e" re orts within 30 days o receipt o the lab results or at end o monitoringeriod in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 submittA false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) If 1414 (Da&) Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 10 20 16 23 Acres x 43560 = 1001880 X 0.10= 100188 X 0.0833 = 8345.6 X 7.48 = 62425.5 / MG = 0.06 RAIN EVENT DATA FACILITY: LL Building Products ADDRESS: 295 McKoy Road Burgaw, NC 28425 CONTACT PERSON: Gordon Blackwell TELEPHONE: (910) 259-6374 DURATION HOURS I MINUTES 12 1 30 PRECIP. OA0 AMOUNT (IN.) RUNOFF 0.06 mlg VOL. (GAL.I DAYS HOURS PRECEDING 7- EVENT 11 12 ia RR I S M . �LABORATORIE$ INC Full -Service Analytical & Environmental Solutions Leonhardt Environmental, P.C. Derr Leonhardt Suite 101, 8392 Six Forks Road Raleigh, NC 27615 NC Certification No. 402 NC Drinking Water Cert No. 37735 SC Certification No. 99012 Project: LL Building Products Lab Submittal Date: 10124/2016 Prism Work Order: 6100445 Case Narrative 11101 /2016 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Please call if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. Angela D. Overcash VP Laboratory Services Data Qualifiers Key Reference: Reviewed By Cara C. Rusmisell For Angela D. Overcash Project Manager HT Sample received and analyzed outside of the hold time. BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference * Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704/529-6364-Tall Free Number: l-8001529.6364-FAx:7041525-0409 Page 1 of6 ON LPr-)2R ISM Full -Service Analytical & Sample Receipt Summary Environmental Solutions 11/01/2016 a RPRJTORIEd INC. Prism Work Order: 6100445 Client Sample I❑ Lab Sample ID Matrix Date Sampled Date Received 01 6100445-01 Water 10/20/16 10/24/16 Samples were received in good condition at 4.1 degrees C unless otherwise noted. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.D. Box 244543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 -Toll Free Number: 1-8001529-6364 - Fax: 704/525-0409 Page 2 Df 6 4 �P R I S M Euviron i n al Solution s Environmontrtl Solutions ��uaoruroniea+xe Leonhardt Environmental, P.C. Attn: Derr Leonhardt Suite 101, 8392 Six Forks Road Raleigh, NC 27615 Project: LL Building Products Sample Matrix: Water Laboratory Report 11/01/2016 Client Sample ID: 01 Prism Sample ID: 6100445-01 Prism Work Order: 6100445 Time Collected: 10/20/16 14:30 Time Submitted: 10124/16 09:30 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Daterrime ID General Chemistry Parameters Oil & Grease (HEM) BRL mglL 5.0 1,0 1 '1664B 10131I16 10;33 TJY P6J0550 pH 7.2 HT PH Units 1 "SM4500-i1 B 10124/16 13:03 BMS P6J0409 Total Suspended Solids 8.0 mglL 6.2 0.80 1 'SM2540 D 10125116 12:56 SLS P6J0442 Total Metals Copper BRL mglL 0.010 0.00040 1 "200.7 10/26/16 22:10 bgm P6J0459 Lead BRL mglL 0.0050 0.00090 1 *200.7 10/26/16 22:10 bgm P6J0459 Zinc BRL mg1L 0,030 0.010 1 '200.7 10/26116 22:10 bgm P6J0459 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 -Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page 3 o 66 v n. PARI S n n Full -So e Analytical & r� ' V' Environmental Solutions auoan�maiEs u+c Leonhardt Environmental, P.C. Attn: Derr Leonhardt Suite 101, 8392 Six Forks Road Raleigh, NC 27615 Total Metals - Quality Control Analyte Batch P6J0459 - 200.7 Project: ILL Building Products Level II QC Report 1111116 Prism Work Order: 6100445 Time Submitted: 10/24/2016 9:30:00AM Reporting Spike Source %REC RPD Result Limit Units Level Result %REC Limits RPD Limit Notes Blank (P6J0459-BLK1) Prepared & Analyzed: IW26I16 Capper BRL 0.010 mg1 Lead BRL 0.0050 mg1L Zinc BRL 0.030 mg1L LCS (PGJ0459-BSI) Prepared & Analyzed: 10/26/16 Copper 0.246 0.010 mg1L 0.2500 98 85-115 Lead 0.258 0.0050 mglL 0.2500 103 85-115 Zinc 0.244 0.030 mg1L 0.2500 98 85-115 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224.0643 Phone; 704/529-6364 - Toll Free Number: 1-800/529-6364 - Fax: 7041525-0409 Page 4 of 6 LPRIBEISM FEnvvironiron uiea Analytical mental SalUtiona ..�© aaonnr ES, me Level 11 QC Report 11/1116 Leonhardt Environmental, P.C. Project: ILL Building Products Prism Work Order: 6100445 Attn: Derr Leonhardt Time Submitted: 10/24/2016 9:30:OOAM Suite 101, 8392 Six Forks Road Raleigh, NC 27615 General Chemistry Parameters - Quality Control Reporting Spike Source %REC RPD Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes Batch PGJ0409 - NO PREP LCS (P6J0409-BS1) Prepared & Analyzed: 10/24/16 PH 6.88 pH Units 6,880 100 98.5-101.5 Duplicate (P6J0409-DUPI) Source: 6100445-01 Prepared & Analyzed: 10/24/16 pH 7.31 pH Units 7.22 1 10 Batch P6J0442 - NO PREP Blank (P6J0442-BLK1) Prepared & Analyzed: 10W25116 Total Suspended Solids BRL 5.0 mg/L LCS (PGJ0442-BSI) Prepared & Analyzed: 10/25/16 Total Suspended Solids 470 5.0 mg1L 477.0 99 90-110 Duplicate (PGJ0442-DUPI_) Source: 6100445-01 Prepared & Analyzed: 10/25/16 Total Suspended Solids - 9.8 5.0 mg1L 8.0 20 20 Batch P6JO550 - NO PREP Blank (PBJ0550-BLK1) Prepared & Analyzed: 10131116 Oil & Grease (HEM) BRL 5.0 mg/L LCS (136J0550-BS1) Prepared & Analyzed: 10131116 Oil & Grease (HEM) 32.8 5.0 mglL 40.00 82 78-114 Sample Extraction Data Prep Method: 200.7 Lab Number Batch Initial Final Daterrime 6100445-01 P6J0459 50 mL 50 mL 10/26/16 9:35 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529.6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page 5 of 6 t µ , +Ae� TUji �`• CHAIN OF CUSTODY RECORD PWr O PAGE i OF QUOTE i TO ENSURE ROPER BILLO: �j eB a ' r.+!iswleo/u,alyeealsErsvlronmantafsoYutsona LLBliilding Avg WETiO Project Name: 5_ 448 Springbrook Road • P-0.13ox?.40543 •Charlotte, NC 28224 0.x{3 qQ%M Phone:7041529-G364 • Fax: 7041525-ws Short Hold Analysis: (Yes) (No) UST Project- (Yes) (No) Client Company Name: Leonhardt. Lhv„ P.C. - 'Please ATTACH any project specific reporting (QC LEVEL 1-II 10 IV) a •a +p . 1fN rS�.{.f'SM - ? o Report To/Contact Name; Der Lo�rardl provisions and/or QC Requirements Invoice To: Leonharrn Ennmrtmnlxl, P.C. Reporting Address: 8392 Six rri4 Road,srno 10 '1Y j R:Ilalsh, NC27615. Address 9392 StK Forks Rand, Su3e 101 ... Phone: {919i 94¢7a92 Fax (Yes] (No]: 19113) 647-5112 Dart Email {YKs} (No) Email Address Purchase Order No.18111ing Reference' TO BE FILLED IN BY CLIENT/SAMPL[NG PERSONNEL Requested Due Dare 1 Day 2 Days 3 Days 4 Days 5 Days Certification: NELAC USAGE FL 'NC EDD,i3Ae: PDF Excel— Other "Working Days' 6-9 Days V Standard 10days Site Location Name: LL SUldlog Predr.ots' -SC____-_ OTHER WA Samples received after I5:00wi11 be processed next buS]nesS day. Site Location Physical Address: R" rg . NC Tumaraund time is based on business days, excluding weekends and holidays. Water Chlorinated: YES_ NO ✓ (SEE REVERSE FOR TEAMS s CoNDMONS REGARDING SERVICES $ I I ed V CcII Cti ` -YES f NO TIME CLIENT DATE COI..LECTED SAMPLE DESCRIPTION COLLECTED MiOrARY HOURS 01 10120lI 6 ' -JA 4:30 01 10120/16 14:35 01 10/20/16 14:40 RENDERED BY PRISM LABORATORIES; INC-TO CLIENT) amps C pOn a Oil. MATRIX S O E ANALYSES REQUESTED (SAIL. WATER OR SLUDGE) AMPLE C NTAiN R PRESERVA- TES r p "TYPE SEE BELOW NO, SIZE Water P 1 OZ NHO3 Water P 1 PT None Water G 2 QT HCL Sampler's Signature LaYPM 4" I Sampled By (Print Name) Paul W. SparlgErtbOrg Affiliation LEPC Upo linquistilfg, this Chain of Cust6dy is your authorization for Prism to proceed with the analyses ae requested above. Any changes must be su d In t1ling to the Prls Project Manager. There vAll be charges for any changes after analyses have been Initialized. a y: awra /�-- Recetvad By: (S pnem,re) Dam M IItary�N ems_ ! �— tip / , — . �� _ 1012//16 010:00 -i - /d l � edy.b Re' lsh9(Sung: re Pecelva r Prism 4bo By: �— Me rpmenr. N -ALL,AMP DL£RS SHOULD B TAPED HUT WITH CUSTODY SEALS FCR SPORTATIDN TO THE RATOHY. G" coup M. SAMPLES ARE NOT ACCEPTED ANA SVERIFIED AGAINST COG UNTIL RECEIVED ATT� ORATORY. I Fed Ex UPS Herd-CeYyered prom FM Service Other Pick-up V G `4,% J �_l "l J NPDES: I UST: GROUNDWATER: DRINKING WATER: SOLID WASTE: RGRA: I CERCLA LANDFILL I OTHER: —NC —SCE =NC _SC I I NC �8C _NC _SC _NC _SD _NC _5CI No _SCI _NC _SC `CONTAINER TYPE CODES: A=Amber C = Clear G = Glass P = Plastic-, TL =Teflon -Lined Cap VOAI= Volatile Organics Analysis (Zero Head Space) FR15M REMARKS LAB ID NO. pB, CU,ZN Additional Comments: 'SRe�rl'athnetrTlmef� - +Stitt}. 3 7 I "- SEE REVERSE FOR`:=!! --g7ERM1S & CONDITION51:' a- ' F ' I .. LAa.OiIATTORt B: rrrd Full SWACe Melyticd S Environmental Satutlons 449 Springbrook Road • P.O. Box 240543 • Charlotte, NC 28P24,0843 Phone:704/529-6W • Fax:704/525-0408 Client Company Name: Leon nardi Env. , P.C. , Report To/Contact Name: Da" LsontWdt Reporting Address: 6392 Six Forks Raatl. Suits 10 Raleigh, NC 27615 CHAIN OF CUSTODY RECORD PAGH OF _' auoTs r To H11auRe PRoPen wLLwa Project Name: LL Building Short Hold Analysis: (Yes) (No) UST Project (Yes) (No) 'Please ATTACH any project specific reporting (QC LEVEL 1.11111 IV) provisions and/or QC Requirements ImroiCe TO: Leonhardt Environmental, P.C. Address, 9392 Six Forks Raod, Suke 101 Phone: t"e]a.o-r+ux Fax (Yes) (No): Lair) mr as 1A Dart Purchase Order NoJBilling Reference TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL Email (YKs) (No) Email Address I°""'°"®�'.dum."°t Requested Due Date t Day 2 Days 3 Days 4 Days 5 Days. Certification: NELAC USACE FL NC EDD PDF,. Excel —Other T'— "working Do"" 8-9 Days + Standard 10 days Site Location Name: LL BLIIdJrgPrutlt,cta' SC_ OTHER WA e" Samples racehrod after 15:00 wIA be processed next busines8 day. Water Chlorinated: ✓ Site Location Physical Address: Dih - Nc Turnaround time Is based on business days, excluding weekends and holidays. YES _,-^ NOPEE REVERSE FORTERMS N Sample iced Upon Collection: 'YES V NO . RENDEREDB PRISM .TOARDINSER1nCEs TIME MATRIX SAMPLE CONTAINER rn ANALYSES REQUESTED PRISM CLIENT DATE COLLECTED (SOIL, PRESERVA- LA8 'TYPE SAMPLE DESCRIPTION COLLECTED MILITARY WATER OR TIVES REMARKS HOURS SLUDGE) SEE BELOW . NO. SIZE t1 la NO. 01 10/20/16 14:30 Water P 1 OZ NH03 pB, CU,ZN 01 10/20/16 14:35 Water P 1 PT None 01 10/20/16 14:40 Water G 2 QT HCL I Paul W. Spangenberg LEPC Sampler's sqkwatur Sampled B (Print Name)Af iliatan Upon wishing, e C ain of to your authorizatian for Prism to proceed with the analyses as requested above. Any changes must be e sLib In writing the Prism Pr ct Manager. There will be charges for arty Wtanges after analyses have been Initialized. ' e y; Fn u ace enure) Date istaryrhbtxs Additional Comments: rtiisg" 10/21116 010:00 allmoshad Sf. (Sqnahp Received*: (SIFne3re) DatarC�B.. . r xOIN4trs'F04M. Relinquished By; (Signature) Recelvetl For Pr1sm l.abaraivda•+ By: Data MNea Methodent NOTE, ALL SAMPLE COOLEAS SHOULD BE TAPED SHUT WT9 dUSTODY FO P R ON TO THE LABORATORY. Log-n" l;hatira _ SAMPLES ARE NOT ACCEPM ANO VERtF1ED ALUUNST COC UrML RECEIVED AT THE LABORATORY. Fed Ex UPS Kand-doWered Prism Field Som" Uther Pick-up N NO Scl U NO _ SC I NO GROUNDWATER: DRINKING LATER: � SOLCID WASTE: J I R NC '— SCI C NO - SC LANDFILL F_ SC I OTHER: SC 'CONTAINER TYPE CrA OD S: A = Amber C = Clear G = Glass P = Plastic-, TL = Teflon-Llned Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 6/30/15 CERTIFICATE OF COVERAGE-N0ACCUM451 FACILITY NAME LL Building Products, Inc. COUNTY Pendar PERSON COLLECTING SAMPLES William Hall LABORATORY Prism Lab Cert. #402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2016 Z.7,4r SAMPLE PERIOD ® Jan -June ❑ 1Aulw ec or ❑ Monthly' — (month) DISCHARGING TO CLASS ❑ORW ❑HQW Z❑Trout ❑PNA RECEIVED ❑Zero -flow �]Wiatel Supply []SA ®Other �Xn� . OCT 27 2016 CENTRAL FiLES PLEASE REMEMBER TO SIGN ON PAGE;; AND/OR 3 4 DWR SECTION ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, inches' Total Suspended Solids pH Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics' Benchmarks 100 mg/L or 50 mg/L4 6.0 —9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 01 5/3/16 1.49 0 7.3 0 0 0.033 0 ------- 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469,12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." William Hall Name (Print name) Managing Engineer T Title (Print title) �r37 (Signature) Date Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, th2y must be reported in the format "<XX m L" where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement firer 1, Tier 1, or rer3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 31/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a somple value in excess of the benchmark, you must implement Tier 1, Tier 1, or Trer3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoringrperiad in the case of "No Discharge" reports) _ _ Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: " 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." (Signature o0lermittee) -r 12 v / (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 NC Certification No. 402 r-V� SC Certification No. 99012 /oEii_ & f NG Drinking ter 37735 I M fEnlvionmentace l Soutions ondNo.. 460rt 2 1o. VA CCertificatical �;R - 7 LZO TOR m RX DOD ELAP: L-A-B Accredited Certificate No, L2307 ISO/IEC 17025: L-A-13 Accredited Certificate No. L2307 Leonhardt Environmental, P.C. Paul Spangenberg Suite 101, $392 Six Forks Road Raleigh, NC 27615 Project_ LL Building Products Lab Submittal Date: 05/05/2016 Prism Work Order. 6050084 Y_q_ Case Narrative 05/17/2016 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Please cat] if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. a__11 Angela D. Overcash VP Laboratory Services Data Qualifiers Key Reference: Reviewed By Cara C. Rusmisell For Angela D. Overcash Project Manager HT Sample received and analyzed outside of the hold time. BRL Below Reporting Limit MDL Method Detection Limit RPD Relative percent Difference * Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springb►ook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7MS294364 - Toll Free Number. 1-8801529-b364 - Fax: 704f526-M9 Page 1 of 6 P�F�fSM ✓ueoa�*awcs. we Futl-Service Analytical 8 Environmental Solutions Sample Receipt Summary 05/17/2016 Prism Work Order: 6050084 Client Sample ID Lab Sample ID Matrix Data Sampled Date Received 01 6050084-01 Water 05/03/16 05/05/16 Samples were received in good condition at 3.7 degrees C unless otherwise noted. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc- 449 Springbrook Road - P.O. Box 240643 - charlotte, NC 2B22"643 Phone: 70V529-6364 - Tell Free Number. 1-9001529-63" - Fax: 7U41526-W9 Page 2 of 6 a� P�R i S M I Full -Service Analytical 8 Fsvironmental Solutions usoavowrn uc Leonhardt Environmental, P.C. Attn: Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 Project: LL Building Products Sample Matrix: Water Laboratory Report 05117/2016 Client Sample ID: 01 Prism Sample ID: 6050084-01 Prism Work Order: 6050084 Time Collected: 05/03/16 14.30 Time Submitted: 05/05/16 08:20 Parameter Result Units Report MOL Dilution Methw Analysis Analyst Batch Limit Factor Daterrime ID General Chemistry Parameters Oil & Grease (HEM) BRL mg1L 5.0 1.D 1 '1664B 5113116 9:45 TJY PbUM PH T-3 HT pH Units 1 'Sfr44600-H 13 615M6 12:23 EGC POE0096 Totat Suspended Solids BRL mg1L 2.8 0.80 1 'SM 2540 D 519116 11:44 SLS P6E0197 Total Metals Copper BRL mg/L 0,010 0.0021 1 '200.7 516116 18:24 bgm PBED121 Lead BRL mg1L 0.0050 0.00070 1 '200.7 5016 18:24 bgm P6E0121 Zinc 0.033 1111911- 0,030 0.0073 1 '200.7 5i6M6 18:24 bgm PBE0121 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrooit Road - P.O. Box 240643 - Charlotte, NC 2822"S43 Phone: 7041629-6364 - Toll Free Number. 1-8001529-6364 - Fait: 70415254KO Page 3 Df 6 0 FunService PRISM I Environmental Solutions T I +tea we Leonhardt Environmental, P.C. Attn: Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 Total Metals - Quality Control Project: LL Building Products Level II QC Report 5117116 Prism Work Order: 6050084 Time Submitted: 5/5/2016 8:20:o0AM Reporting Spike Source %REC , RPD . Analyte Result Limit Units Level Resuft %REC Limits RPD Limit Notes Batch PGE0121 - 200.7 Blank (KE0121-BLK1) Prepared & Analyzed: 05/06/16 Copper BRL 0.010 mg1L Lead BRL 0.0050 mgJL Zinc BRL 0,030 mgfL LCS (P6E0121-BSi) Prepared & Analyzed: 05/06/16 Copper 0.238 0.010 mg1L 0,2600 95 85-115 Lead 0,247 0.0050 mg1L 0.2500 99 85.115 Zinc 0.254 0.030 mg1L 0.2500 102 85-115 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643 Phone: 704IS29-6364 - Toll Free Number. 1-800/529-6364 - Fax: 7041625-M9 Page 4 of fi --_.F�. f...�...■ I n A I Fullim-me nvironmeo Analytical Ental 3oiutioas 1�,_weautornEx irc, Leonhardt Environmental, P.C. Attn: Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 General Chemistry Parameters - Quality Control Project: LL Building Products Level II QC Report 5117116 Prism Work Order: 6050084 Time Submitted: 5/5/2016 8:20:OOAM Reporting Spike Source %REC RPD Analyte Result Limit Units Level Result %REC Limits RPD limit + 'Notes Batch P6E0096 - NO PREP LCS (P6E0096-BS1) Prepared & Analyzed: 05/05/16 pH 6,80 pH Units 6.880 100 98.5-101.5 Batch PGE0197 - NO PREP Blank (P6E0197-BLK1) Prepared & Analyzed: 05/09/16 Total Suspended Solids BRL 5.0 mglL LCS (P6E0197-13S7) Prepared & Analyzed: 05/09116 Total Suspended Solids 470 5.0 mg/L 477.0 99 90-110 P6E0288 - NO PREP Blank (P6E0288-BLK1) Prepared & Analyzed: 05/13/16 Oil & Grease (HEM) BRL 5.0 mglL LCS (PSE0288-BSI) Prepared & Analyzed: 05/13116 Oil & Grease (HEM) 34.6 5.0 mg/L 40.00 86 78-114 Duplicate (P6E0288-OUP1) Source: 6050084-01 Prepared & Analyzed: 05113/16 Oil & Grease (HEM) BRL 5,0 mg1L 1.04 18 Sample Extraction Data Prep Method: 200.7 Lab Number Batch Initial Final Datelrtme 6050084-01 P6E0121 50 mL 50 mL 05/06/16 7:55 This report should not be reproduced, except in its entirety, Mhout the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 -Charlotte, NC 28224-0643 Phone: 7041529-6364 - Toll Free Number. 1-8001529-0364 - Fax. 70416254M9 Page 5 of 6 i _. .'-f'".5,0,� 1. isJ�Le:%':ei,'1iisi��i�JJu.ua.........,...,...,..-.......::'li:�jJ�iJJs1J. JfiJ.�,.. aJJ..,gauge..a....�........._.a-.a.....-....J..•. l... J... i.•�-i............ra. -.T�. ql 1 9 i 1� RISM P4 r ' - Stn rqf*� � LA90RA70RIF.8,I1NC .lil. Full Samee Analytical 8 Environmental Solutions 449 Springbrook Road • P.O. Boy 240543 • Charlotte, NG 28224.050 Phone:704/529-6364 & Fax-,7041525-0409 Client Company Name: Lecnhardi Env. , P.C. . A Report TO/Contact Name: Derr Leonhardt Reporting Address: gags six Forks Road, sane .a }r yf Releioh. NC 27815. ; Y i� mil :f ;::p ;ae I� CHAIN OF CUSTODY RECORD PA09 OF OUOTE N TO ENSURE! PROPER BILLINOr Project Name: LL Building Products Short Hold Analysis: (Yes) (No) UST Project (Yes) (No) 'Please ATTACH any project specific reporting (QC LEVEL 1,11111 IV) provisions and/or QC Requirements Invoice To: Lmnhardt EnvhonmontaE, P.C. Address: 9392 S'x Forks Read, Sults 101 Raleigh, NC 27515 ny Nk'.+ 8��ppi{6Yit101' ti{1 fd d7pL7'flpot�s iVa�7�d1 ���,g�to I O t.6dt r4a r r��a WWI a� 6 F�Fi.ViAaIVEB indlcateclp NI IIV NOL{73NQ TlJ+4ES ''� � -�.�`'� AlCd(t I �.6 Sry+� SSE At I ACT? kit Ap. '; 6 w i fi?l' cF4L'7 rr�l.Frs _ ah. .a.:,rc^.'r* .#aeaS:tlt rE'nnrla'i. Phone: to n,o»o-agd. 'Fax (Yes) (Noj: '"''°" ber. Email (Yrs) (No) Email Address lend on�eansw;n.rer Purchase Order NoJBllling Reference Requested Due Date 1 Day 2 Days 3 Days a Days s Days. EDD Type: PDI — Excel— Other "Working Days" :. 6-9 Days ✓ Standard 10 days Site Location Name: LL Building Products Samples received after 15:00 will be processed next trusinesa day, Site Location Physical Address- Burgaw, NC Tumaround time fs based on business days, excluding weekends and holidays. - . - (SEE REVrASE FOR TERMS A CONDmONS REGARDING SERVICES RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL Certification: NELAC USACE FL NC ✓ 5C ,� OTHER NIA Water Chlorinated: YES ___" NO ✓ Sample Iced Upon Collecflon: 'YES ✓ NO p CLIENT SAMPLE DESCRIPTION DATE COLLECTED TIME CALLECTED M]LlTARY HOURS MATRIX SAMPLE CONTAINER (SQiL, WATER OR 'TYPE SLUDGE} SEE BELOW NO. SIZE PRESERVA- TINES ANAI_Y4ES "�ii X REQUESTED REMARKS a PRISM LAB ED NO. 01 i 5/3/16 14:30 Water G 2 Qt HCL; ,/ Metals: Zn, Pb, Cu 01 513/16 14:35 Water P 1 Pt None 01 513/16 14:40 Water P 1 Pt HNO 3 Sampler's Signature Paul Spangenberg Sampled By Print Name) Leonhardt Env. P,C Affiliation 1 e r Upon r ishln s hain of s y Is you authorization for Prism to proceed with the analyses as requested above. Any changes must be subm e n vrlting a Prism act Ma ger. There will be charges for any changes after analyses have been Initialized. e; ad g,a c t Ignatu Date ? & {` u7tary/H/osurs L J C- Additional Comments: gH v rrie Ja E•'i Si1e Departure,.Tlrne ," 1i ssra'FYt4aRrvst'i7Fz '6.^ Reilnqul th d By {Slgna Rec Ive : (Slgna raj late . FietdTeo Ftla;ts�,• ¢�v .__,G��k Refinqut ad Sy: re) �. clued rism Laboratories 6y: Date S�/ P NOTE: ALL SAMP19 COOLERS SOU OBE TAP VJ1TM DY SEALS FOR TRANSPORTATION TOT E LABORATORY, SAMPI_; ARE NOT ACCEPTED AND VERIFIED AGAIN C0c L RECEIVED AT THE LABORATORY. Fec Ex UPS Hand-dellvered Pdsrn FWd Servke Dthar d' ""}'; � '��y� n Uroup No. N NG S_ SCI LISTNC _So G N UND SCTER: _ NICKIN SG ATER: SOLID _SC STE: R NC _ SC C NC LA SC NC LANDFILL NC OTHER:_ SC `CONTAINER TYPE CODt9; A = Amber C = Clear G = Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) OR(G(NAL RAIN EVENT DATA FACILITY: LL Building Products___ _ ADDRESS: 295 McKoy _Road Burgaw, NC 28452 CONTACT PERSON: William Hall TELEPHONE: (336) 6294161 STORM EVENT INFORMATION DAT, YEAR MONTH DAY 2016 5 3 HOURS MINUTES DURATION 60 0 1'RliC1P. AMOUNT(IN.) 1.49 RUNOFF VOL. MIGAL. 0.93 DAYS HOURS PRECEDING EVENT 2 12 PRINCIPLE EXECUTIVE OFFICER OR AUTHORIZED AGENT PRINT SIGNATURE DATE Will Hall 5316 23 Acres x 43560 = 1001880 X 1.49 = 1492801 X 0.0833 = 124350 X 7.48 = 930140 / MG = 0.93 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 12/4/15 CERTIFICATE OF COVERAGE NO. NCG030451- FACILITY NAME LL Building Products, Inc. COUNTY Pendar� .�.c•-r+iU� PERSON COLLECTING SAMPLES Gordon Blackwell�'"`� LABORATORY Prism Lab Cert. l# 402 Comments on sample collection or analysis: F1LES CTION Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) � DISCHARGING TO CLASS ❑ORW ❑HQW ❑TroutC~ i, pNA ❑Zero -flow ❑Water Supply K SA ®Other 07- PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids PH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organfcss Benchmorks =__> - - 100 mg/L or 50 mg/1. 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 01 11/20/15 1.80 4.0 7.0 <XX <XX 0.049 <XX N/A ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. -'Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included it the Stormwater Pollution Prevention Plan." Gordon Blackwell Name (Print name) Managing Engineer Title (Print title) ,q rL,� or��_ (Signature) !Z 15 Date Note: Results must be reported in numerical format. Do not repo-rt Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No. Date Sample Date (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date; 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 - Note: If you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text. FOR PARY A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMIt including at/ "No Discharge" reports, within 30 days of receipt of the lab results. for at end of monitoring period in the case of "No Discharge" reports to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED - "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. am aware that there are significant penaltks for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) 1 L17 IS - (Date) Permit Date: 11/l/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 cco 30q,5-1 RAIN EVENT DATA FACILITY: LL Building Products ADDRESS: 295 McKoy Road Burgaw, NC 28425 CONTACT PERSON: Gordon Blackwell TELEPHONE: (910) 259-6374 STORM EVENT INFORMATION DATE YEAR MONTH DAY 2015 11 20 HOURS MINUTES DURATION 24 0 PRECIP. 1.80 AMOUNT (IN.) RUNOFF 1.1 mlg VOL_ GAL. DAYS HOURS PRECEDING EVENT 5 0 PRINCIPLE EXECUTIVE OFFICER OR AUTHORIZED AGENT PRINT SIGNATURE DATE Gordon Blackwell 1214115 J' 3� q�, s i¢'. ��. [, . �i'• ai;f I ER R ISM M-:::�7i AHORATORIES INC. Full -Service Analytical & Environmental Solutions Leonhardt Environmental, P.C. Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 NC Certification No. 402 SC Certification No. 99012 NC Drinking Water Cert No. 37735 VA Certification No. 460211 DoD ELAP: L-A-B Accredited Certificate No. L2307 ISOIIEC 17025: L-A-B Accredited Certificate No. L2307 Project: LL Building Products Lab Submittal Date: 11/23/2015 Prism Work Order: 5110459 Case Narrative 12/0312015 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Please call if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. a ----I Angela D. Overcash VP Laboratory Services Data Qualifiers Key Reference: Reviewed By Terri W. Cole For Angela D. Overcash Project Manager HT Sample received and analyzed outside of the hold time. BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference * Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224.0543 Phone: 7041529.6364 -Toll Free Number: 1.8001529-6364 - Fax: 70415254409 Page 1 of 6 e PPRISM �rlueonnroAiea iae Full -Service Analytical & Sample Receipt Summary Environmental Solutions 12/03/2015 Prism Work Order: 5110459 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received Stormwater Runoff 5110459-01 Water 11 /20115 11 /23/15 Samples were received at 12.5 degrees C. See case narrative for further information. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529.6364- Tall Free Number: 1-800/529-63b4- Fax: 704152"409 Page 2 of 6 f[ Laboratory Report FuEI-Service R S M � Analytical & �� I Environmental Solutions 12/03/2015 �usaurmEs, 1+ Leonhardt Environmental, P.C. Project: LL Building Products Client Sample ID: Stormwater Runoff Attn: Paul Spangenberg Prism Sample ID: 5110459-01 Suite 101, 8392 Six Forks Road Prism Work Order: 5110459 Raleigh, NC 27615 Sample Matrix: Water Time Collected: 11120115 08:45 Time Submitted: 11/23115 11:50 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters Oil & Grease (HEM) BRL mg1L 7.0 0.48 1 '1664B 1211/15 14:10 ARC P51-0026 pH 7.0 HT pH Units 1 'SM4500-H B 11123115 13:09 EGC P5K0461 Total Suspended Solids 4.0 mg1L 2.9 0.80 1 'SM 2540 D 11124116 12:20 EGC P5K0500 Total Metals Copper 8RL mg1L 0.010 0,0021 1 '200.7 1212115 14:25 BGM P51-0004 Lead BRL mg1L 0.0050 0.00070 1 200.7 1212115 14:25 BGM P51-0004 Zinc 0.049 mg1L 0,030 0.0073 1 '200.7 1212/15 14:25 BGM PSL0004 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 -Toil Free Number: 1-8001529-6364 - Fax: 704/625-0409 Page 3 of 6 0 InER I S M Full -Service Analytical Environmental Solutions Tan<easc Leonhardt Environmental, P.C. Attn: Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 Total Metals - Quality Control Anaiyte Batch P511-0004 - 200.7 Project: LL Building Products Level II QC Report 1213/15 Prism Work Order: 5110459 Time Submitted: 11/23/2015 11:50:00AM Reporting Spike Source %REC RPD Result Limit Units Level Result %REC Limits RPD Limit Notes Blank (P5L0004-13111 Prepared: 12/01/15 Analyzed: 12102/15 Copper BRL 0.010 mg/L Lead BRL 0.0050 mglL Zinc BRL 0.030 mglL LCS (P511-0004-BS1 ) Prepared: 12/01/15 Analyzed: 12/02/15 Copper 0.237 0.010 nri 0.2500 95 85-115 Lead 0.249 0.0050 mg/L 0.2500 100 85-115 Zinc 0.249 0.030 ni 0.2500 100 85-115 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704/529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page 4 of 6 nFull -Service Analytical & �fR I S M I Environmental Solutions •©r LA9d1ATMilE61NG Leonhardt Environmental, P.C. Project: LL Building Products Attn: Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 General Chemistry Parameters - Quality Control Level II QC Report 12/3115 Prism Work Order: 5110459 Time Submitted: 11/23/2015 11:50:00AM Reporting Spike Source %REC RPD Analyte Result Limit Units Level Result %REC Limits RP❑ Limit Notes Batch P5K0461 - NO PREP LCS (P5K0461-BS1) Prepared & Analyzed: 11/23/15 pH Batch P5K0500 - NO PREP 6.91 pH Units 6.880 100 98.5-101.5 Blank (P5K0500-BLK1) Prepared & Analyzed: 11/24/15 Total Suspended Solids LCS (P5K0500-BSI) BRL 5-0 mglL Prepared & Analyzed: 11124115 Total Suspended Solids Batch P5L0026 - NO PREP 480 5.0 mg/1- 477.0 101 90-110 Blank (P5L0026-BLK1) Prepared & Analyzed: 12/01/15 Oil & Grease (HEM) LCS (PSL0026-BS1) BRL 5.0 mg/L Prepared & Analyzed: 12101/15 Oil & Grease (HEM) 33.9 5.0 mg/L 40.00 85 78-114 Sample Extraction Data Prep Method: 200.7 Lab Number Batch Initiar Final Daterrime 5110459.01 P5L0004 50 mL 50 mL 12/01/15 &05 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, }nc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364-Toll Free Number: t-8001529-6364-Fax: 7041525-0409 Page 5 of 6 CHAIN OF CUSTODY RECORD 1� 5� Full -Service Analytical & Environmental lronmental Solutions PAGE ` OF L QUOTE tt TO ENSURE PROPER BILLING: - '� '" ^ iABORATORtE5, INC. t ! {) `A i %- ' & r� Q A vj 449 Springbrook Road • Charlotte, NC 20217 Project Name: L L �jU Ti — }ti •3 Phone 7041529-6364 • Fax: 7041525-0409 Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO) Client Company Name: i-L- ii j` . *Please ATTACH any project specific reporting (QC LEVEL 1 II Ili IV) y° cf provisions and/or QC Requirem is Report TolContact Name: CInvoice To: e 0 r,4K N Re orting Address: MQ � � Address: 1' M�,� PhoneNIUM Ctt} �—SiQ�( b Faz (Y{es) (No): `�) Q_Z5J . J l Purchase Order No.lBiliing Reference TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL Email Address:�t k `fa)_t�11, G . Chi j Requested Due Date ❑ 1 Day ❑ 2 ays ❑ 3 Days ❑ 4 Days ❑ 5 Days Certification: NELAC 'DOD FL NC EDD Type: PDF Excel Ot er "Working Days" ❑ 6-9 Days 10 days ❑ P e h Worlk Must Be AStandard ved k - Site Location Name: Samples received after 14:00 will be processed next business day. SC OTHER NIA Site Location Physical Address:Z� c ,- Q 4> d, Turnaround time is based on business days, excluding weekends and holidays. Water Chlorinated: YES_ NO_ j / (SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES Phil IV �-- Z '-1 T.Z,S RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) Sample Iced Upon Collection: YES NO TIME MATRIX SAMPLE CONTAINER ANALYSIS REQUESTED PRISM CLIENT DATE COLLECTED (SOIL, PRESERVA- REMARKS LAB 'TYPE NO. SIZE SAMPLE DESCRIPTION COLLECTED MILITARY WATER OR TIVES/// ZID NO, FLOURS SLUDGE) SEE BELOW Z^ S N L )) { L Qr CAP:,�"C. G I r alm rit `c�2 Ir ° [, l e NQ�1 E P /5- d^mil N � �r5 1i 3ampler's Signature ° pled By.(Print Name) Affiliation Upon relinquishing, this Chain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be submitted in writ' g to the risen Project Manager. There will be charges for any changes after analyses have been initialized. li y: (Sig a ure) �4 Received By: {Signature) Date MilitarylHours Additional Comments: site gr�ivai Time; 1120_ L44 Reline®shad y: (Signs ure) Received By. (Signature) Date Site Departure Time: Re4riquished By (Signature) Received For -Prism Lab6 ato By. Dale _ r /f"� Field Tech Fee:` ~✓ �'�/, f l �Jv Mileage: Method Di Shipment: NOTE: ALL SA161PLE COOLERS SHOULD BE TAPED SHUT WIT�USTODY 5BALS FOR TRANSPORTATION TO THE LABORATORY. GOG Gr up No, SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST GOC NT1L RECEIVED AT THE LABORATORY. 5 t 1 %A S � Fed Ex UPS ❑ Hand -delivered L] Prism Field Service Cl Oiher V NPDES: UST: GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER: ❑ NC Q SC R NG ❑ SC I] NC 0 SC ❑ NC ❑ SC ❑ NC 0 SG LI NC ❑ SC ❑ NC ❑ 5C ❑ NC ❑ SC NC ❑ SC ❑ ❑ ❑ ❑ ❑ o ❑ ❑ a Page 6 of 6 ....�.,r�en�r� e t r� .,..v�.a. rti—rviiuoi �, — i,�cai �— �iaao r — rtaasn., i � — ieii�n-�incv vaN vvn — v�wuie viyaniw ra ic�iyaia t�et� � �cau �l,ace1 . 0 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted __ 9/9/15 CERTIFICATE OF COVERAGE NO. NCG030451 FACILITY NAME LL Building Products, Inc. _ COUNTY Pendar PERSON COLLECTING SAMPLES Gordon Blackwell LABORATORY Prism Lab Cert. # 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ® July -Dec ©Er+U91,NGor El Monthly' (month) ff11CVV TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA SEP 2 5 M5 ❑zero -flow ❑water Supply ❑SA ®Other CENTRAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organics' Benchmarks =_ - - 100 mg/L or 50 mg/L° 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 01 9/1/15 1.35 4.9 6.9 <XX <XX 0.92 5.6 N/A ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Gordon Blackwell Name (Print name) Managing Engineer Title (Print title) �� I - �Q, L�_ . � -Zis (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mgjL", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. !Vote: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected; (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an ottglnal and one c�� this -MR, including all "No Discharge" reports, within 30 days of receipt of the tab results for at end of monitoringperiod in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 penaltyeg for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) '. _z+-20/s, (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 RAIN EVENT DATA FACILITY: LL Building Products ADDRESS:' 295 McKoy Road Bur aw NC 28425 CONTACT PERSON: Gordon Blackwell TELEPHONE: (910) 259-6374 DURATION PRECIP. AMOUNT (IN.) RUNOFF VOL. (GAL. PRECEDING EVENT HOURS 24 DAYS 2 1.35 8.4 mlg MINUTES n HOURS N PRINCIPLE EXECUTIVE OFFICER OR, AUTHORIZED AGENT PRINT SIGNATURE DATE Gordon Blackwell 919115 f P.M"'RcaiISM . OLABORATpRIE$ INC NC Certification No. 402 SC Certification No. 99012 Full -Service Analytical 8 NC Drinking Water Cert No. 37735 Environmental Solutions VA Certification No. 460211 DoD FLAP: L-A-B Accredited Certificate No, L2307 ISOIIEC 17025: L-A-B Accredited Certificate No. L2307 Leonhardt Environmental, P.C. Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 Project: ILL Building Products Lab Submittal Date: 09/02/2015 Prism Work Order: 5090033 Case Narrative 0910912015 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are Flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Please call if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. a___1 Angela D. Overcash VP Laboratory Services Data Qualifiers Key Reference: Reviewed By Terri W. Cole For Angela D. Overcash Project Manager HT Sample received and analyzed outside of the hold time. BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference * Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529.6364-Toll Free Number: 1-8001529.6364 -Fax: 7041525-0409 Page 1 of 6 ,A4,` i1, 1 P'RISM �LABORATORIE9, ING Full -Service Analytical & Sample Receipt Summary Environmental solutions 09/09/2015 Prism Work Order: 5090033 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received Stormwater Runoff 5090033-01 Water 09/01 /15 09/02/15 Samples were received at 10.5 degrees C. See case narrative for further information. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O, Box 240543 - Charlotte, NC 28224-0543 Phone: 704152M364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 r Page 2 .\ i � Full -Service Analytical R Laboratory Report (j [�] Environmental ^PRISM Solutions 0910912015 �,�,,'77 00MTon IEl, ina Leonhardt Environmental, P.C. Project: LL Building Products Client Sample ID: Stormwater Runoff Attn: Paul Spangenberg Prism Sample ID: 5090033-01 Suite 101, 8392 Six Forks Road Prism Work Order: 5090033 Raleigh, NC 27615 Sample Matrix: Water Time Collected: 09/01/15 14:00 Time Submitted: 09/02/15 10:40 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Datelrime ID General Chemistry Parameters Oil S Grease (HEM) 5.6 mg/L 5.0 0.48 1 '1664B 918N5 10:50 ARC P510134 pH 6.9 HT pH Units 1 'SM4500-H B 912115 14:40 EGG P510048 Total Suspended Solids 4.9 mg/L 3.3 0.80 1 'SM 2540 D 913115 11:35 EGC P510073 Total Metals Copper BRL mg/L 0.01c 0.0021 1 '200.7 913115 21:22 BGM P510058 Lead BRL rrg1L 0.0050 0.00070 1 '200.7 913115 21:22 BGM P510058 Zinc 0.092 mg/L 0.030 0.0073 1 '200.7 913115 21:22 BGM P510058 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc, 449 Springbrook Road - P.O- Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page 3 of 6 KKR, 1111RFull -service Analytical & R,�j ISM I Environmental Solutions I �AeaaATCiRIE$ INC Leonhardt Environmental, P.C. Attn: Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 Total Metals - Quality Control Project: ILL Building Products Level II QC Report 919115 Prism Work Order: 5090033 Time Submitted: 9/2/2015 10:40:OOAM Reporting Spike Source %REC RPM Analyte Result Limit Units Level Result %REC Limits RPO Limit Notes Batch P510058 - 200.7 Blank_(P510058-BLK1) Prepared & Analyzed: 09103115 Copper BRL 0.010 mg/L Lead BRL 0.0050 mg1L Zinc BRL 0.030 mg1L LCS (P510058-BS1) Prepared & Analyzed: 09/03/15 Copper 0.268 0.010 mg1L 0.2500 107 85-115 Lead 0.274 0.0050 mg1 0.2500 110 85-115 Zinc 0,277 0,030 mg1L Q2500 111 85-115 c This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Sprmgbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704/529.6364 - Tall Free Number: 1-800152M364 - Fax: 7041525-0409 Page 4 of 6 \ Level II QC Report 1�� R ISM Full -Service iea Analytical 8 Environmental A Solutions 919115 �!7"R0AA* RISK IRG Leonhardt Environmental, P.C. Project: LL Building Products Prism Work Order: 5090033 Attn: Paul Spangenberg Time Submitted: 9/2/2015 10:40:OOAM Suite 101, 8392 Six Forks Road Raleigh, NC 27615 General Chemistry Parameters - Quality Control Analyte Reporting Result Lirnit Units Spike Source %REC RPD Level Result %REC Limits RPD Limit Notes Batch P510048 - NO PREP LCS (P510048-BSI) Prepared & Analyzed: 09/02/15 pH Duplicate (P510048-DUP1) 8.89 pH Units Source: 5090033-01 6.880 100 98.5-101.5 Prepared & Analyzed: 09/02/15 pH Batch P510073 - NO PREP 6.95 pH Units 6.88 1 10 Blank (P510073-BLK1) Prepared & Analyzed: 09/03/15 Total Suspended Solids LCS (P510073-BSI) BRL 5.0 mglL Prepared & Analyzed: 09/03/15 Total Suspended Solids Batch P510134 - NO PREP 480 5.0 mglL 477.0 100 90-110 Blank (P510134-BLK1) Prepared & Analyzed: 09/08/15 Oil & Grease (HEM) BRL 5.0 mg1L LCS (P510134-BSI) Prepared & Analyzed: 09/08/15 Oil & Grease (HEM) 34.8 5.0 mpIL 40.00 87 78-114 Sample Extraction Data Prep Method: 200.7 Lab Number Batch Initial Final Datefrime 5090033-01 P510058 50 mL 50 mL 09103/15 8:40 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.D. Box 240643 - Charlotte, NC 28224-0543 Phone: 7041529-6364-Toll Free Number: 1-8001529-6364- Fax: 7041525-0409 Page 5 of 6 CHIT OF CUSTODY RECORD ' � Full -Service Analytical 8 µ ah F I SM Environmental Solutions PAGE_ OF QUOTE 0 TO ENSU PROPER BILLING: �- Sampla iNTAGT upon arnval r p LABoflATOMES. INC. / if 'sC +, ✓ r -`•r�- �� tY rr ?a Project Name: (� J f I� Recelved ON WET ICE �� z - 449 S rin brook Road Charlotte, NC 2$217 m Phone 7�529.6364 • Fax: 7041525.0409 Short Hold Analysis: (Yes) (No} ST Project: (Yes) (NO) a� rPROPER PRESERVATIVES Indlcated�f >C�n �� £ a, ff T j h `Please ATTACH any project specific reporting (QC LEVEL 1 II 111 IV) i Recelved WITHIN IlpLDING TIMES o- ' Y Client Company Name. LL {]U,I+2iN VKa CUSTODY.SEPLSIN?ACi� s provisions andfor QC Requirem nts . Y Report To/Contact Name: GOtl I ►`j ( i VOLATiLES rec d NllOIJT HEADSPAGE7 Invoice 70: ! y orting Address: ORE 'mC Address: ,PROPER CONTAINERSused9 Qrl• Zed TEMP.•TYIp, , .. �,(j;Observed7. i 77 ,:°G 1 Corr...-1U }9C Phone: (1�k3 -%``19 ax.( (Yes) No): `��-79j Purchase Order No./Billing Reference TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL Email Address: �� C �clAj h �1 . CQ rr� Requested Due Date 0 1 Day ❑ 2 ays ❑ 3 Days O 4 Days ❑ 5 Days Certification: NELAC DoD FL NC EDD Type: PDFExcel _Other L � JrJ "Workin Days" ❑ 6-9 Days: : Standard 10 days ❑ Rush Work Must Be g y y y Pre -Approved SC OTHER NIA Site Location Name: r ..S`Samples receivod after 14:00 will a processed next business day. Site Location Physical Address: `2. S McKov, Tumaround time is based on business days, excluding weekends and holidays. Water Chlorinated: YES_ NO_ C '2 42 (SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) Sample Iced Upon Collection: YES— NO TIME MATRIX SAMPLE CONTAINER ANALYSIS REQUESTED PRISM CLIENT DATE COLLECTED (SOIL, PRESERVA- REMARKS LAB 'TYPE NO. SIZE SAMPLE DESCRIPTION COLLECTED MILITARY WATER OR TlVES////// [D NO. HOURS SLUDGE) SEE BELOW j� t 1 1 f I I t ns i? 2 �l - r/��L YJ N 6 �� cS'lJ V sr u�¢ r fob P !� lq_ flIA r Sampler's Signature mpled By (Print Name) �I till Affiliation !1 y Upon relinquishing, this Chain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be submitted in writing to the P m Projec nager. There will be charges for any changes after analyses have been initialized. RelOqMqrsd : (i na ) F Received By: (Slgnalure) Date MIIISarylHours Additional Comments i :Sete Arnval�Time - , Rellnqui etl y: (51gnature) Recelved By: (Signature) Date `.Site pep3rture Time:: FIeId Tech;Fe6 Relinquished By: (Signature) Received For P ' m Lahomtodes By: Date t Mileage>` Method of Shipment: NOTE: ALL SAMPLE COOLERS SHOULD 6E TAPED SHUT WITH C_ $TO Y SEAL FOR TRANSPORTATION TO THE LABORATORY. COC Gro p No. r :i{ SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COCU IL RECEIVED AT THE LABORATORY. ]y 0 C) I ❑ Fed Ex UPS l7 Hand -delivered Cl Prism Feld Service ❑ Other NPUkS:( UST: GRUUNlJWATER: URINKINCi WAitR: SOLIDWASTE: KGKA: GtRGLA LANDFILL IUltll: ❑NC❑SC ❑NC ❑SC ❑NC ❑SC ❑NC QSC ❑NC ❑SC ❑NC❑SC El INC ❑SC ❑NC ❑SC ❑NC ❑SC CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL. Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 6/30/15 _ CERTIFICATE OF COVERAGE NO. NCG030451 FACILITY NAME _LL Building Products, Inc. COUNTY Pendar PERSON COLLECTING SAMPLES Gordon Blackwell LABORATORY Prism Lab Cert. # 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly' (month) RECrElVaSDARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA SEP 2 5 Z015 ❑Zero -flow [:]Water Supply ❑SAS ®Other CENTRAL FILES DVVR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 ❑ No discharge this period?z Outfall No. Date Sample Collected) (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics' Benchmarks 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L No Flow ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. - ' See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semicon��;ctor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 46922; and for cathode_0y tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 -;�Facilifies that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Gordon Blackwell Name (Print name) Managing Engineer Title (Print title) c:/ L11 � �L "I 114&_ 9 _24 _261S (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDI_, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period ?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches s Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/2S/2012 Page 2 of 3 Note if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail on original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 suh—itting false information, including the possibility of fines and imprisonment for knowing violations. (Signature of Permittee) (Date) C _jojs Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. hCGO3OOOO Date submitted 12/8/14 CERTIFICATE OF COVERAGE NO. NCG03045r" FACILITY NAME LL Buiildiniq Products, Inc. COUNTY Pendar PERSON COLLECTING SAMPLES Gordon Blackwell LABORATORY Prism Lab Cert. # 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA RECEIVED ❑Zero -flaw ❑Water Supply ❑SA DEC 15 2014 ®other CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION ❑ No discharge this period?1 Outfall No. Date Sample Collected) (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks =__> - - 100 mg/L or SO mg/L4 6.0 — 9.0 0.007-mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L O1 11/17/14 0.38 0 6.7 0 0 0.032 0 N/A 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ' See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the ail the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Gordon Blackwell Name (Print name) Managing Engineer Title (Print title) ^� f lr 4- (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX m /L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value In excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?Z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. + 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period In the case of "No Discharge" reports] to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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." (Signature of Permittee) iL 6 r4 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted CERTIFICATE OF COVERAGE NO. NCG030451 FACILITY NAME LL Building Products, Inc. COUNTY Pendar PERSON COLLECTING SAMPLES Gordon Blackwell LABORATORY Prism Lab Cert. ## 402 Comments on sample collection or analysis: Dart A: Stormwater Benchmarks and Monitoring Results 6/5 SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA RECEIVED ®Other SEP 12 2014 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 CENTRAL FILES DWR SECTION No discharge this period?' -Outfall No ;Date Sam le p `=Cal[ectedl Imo/ild/.Yr) 24 hour rainfall _. - -amount ' s ]nches3 rT s - ^°Total Suspended Soids Fes.. _ - ? H.., _'. sp ;Standard units= _ _ ;. F = ---�- _ = Copper Leads , ,Zinc - - - Non Polar.0&G/! - - - , Total Petroleum _ >i ydrocarbons , Y: Total Toxic- "Organics-s Benchmarks = => y - ' n w _ ='100Emg/Vor:50 mg/L" " ' = 6_:0 9'0 _: O.00Tmg/L 0.03 mg%L 0:067_rng/L 01 5/16/14 1.26 5.8 7.0 <XX <XX 0.053 <BRL N/A 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469,22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Gordon Blackwell Name (Print name) Managing Engineer Title (Print title) (Signature) �_ 2 3-) 4- (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall: No."- , r Date Sampler - s �CollectedF (mo/dd/yr) ::. - 24 hour rainfall . ',amoun3; .Inches.:, FM:. _ _Non -polar 0&G/TPH:by L EPA_.1664;(SGT-HEM) ^ Total Suspended Solids pH _Benctimarks =-15.mg/L `300 mg/L or,50 mg/L*_ w 6:0 m 9:0 5U _ Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OLITFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: N 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." U! (Signature of Permittee) L-?-3- �4- (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 LLEONHARDT ENVIIIONMENTAL, P.C. June 5, 2014 LL Building Products 295 McKoy Road Burgaw, NC 28452 Attention: Gordon Blackwell Re: Discharge Monitoring Report Dear Mr. Blackwell: 8392 Six forks Road, Suite 101 Raleigh, Forth Carolina 27615 (919) 946-7492 FAX (919)847-8112 Enclosed you will find the Discharge Monitoring Report (DMR) for the sampling event conducted on May 15, 2014. Please sign the report where indicated, and send the original and one copy in the envelope provided. Ensure that you make copies for your files. Please don't hesitate to contact me with any questions. Sincerely, LEONHARDT ENVIRONMENTAL, P.C. Paul W. Spangenberg Env. Compliance Manager nvironmental Engineering Consulting and Services RAIN EVENT DATA FACILITY: LL Building_ Products _ ADDRESS: 295 McKoV Road Bur.gaw, NC 28425 CONTACT PERSON: Gordon Blackwell TELEPHONE: ) 259-6374 STORM EVENT INFORMATION � . xm" � � .i i • .. :".• :.U. ... ",. I-:'. .': -`_. '. F } h -fir rx. DATE YEAR MONTH DAY 2014 5 16 HOURS MINUTES DURATION 24 30 PRECIP. 1.26 AMOUNT (IN.) RUNOFF 7.8 mlg VOL. GAL. DAYS HOURS PRECEDING EVENT 5 0 PRINCIPLE EXECUTIVE OF'FICER,OR AUTHORIZE D,,AG ENT a %.k� 4 k: r 1 PRINT SIGNATURE DATE d 511a14 Gordon Blackwell ��gd 'J /MN R I S M �LAWRATORIM Mr - Full -Service Analytical & Environmental Solutions Leonhardt Environmental, P.C. Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 NC Certification No. 402 SC Certification No. 99012 NC Drinking Water Cert No, 37735 VA Certification No. 460211 DoD FLAP: L-A-B Accredited Certificate No. L2307 ISOlIEC 17025: L-A-B Accredited Certificate No. L2307 Project: LL Building Products Lab Submittal Date: 05/19/2014 Prism Work Order: 4050468 Case Narrative 0610412014 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Narrative Notes: Samples were received at a temperature of 7.8 degrees C. Please call if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. 6 Il 1�_J Angela D. Overcash VP Laboratory Services Data Qualifiers Key Reference: Reviewed By Cara C. Rusmisell For Angela D. Overcash Project Manager HT Sample received and analyzed outside of the hold time. BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference * Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-800152M364 - Fax: 7041525-0409 Page 1 of 6 7i rO�,S I `- `� Full -Service Analytical 8 i44.99 J i vi Fnviron mantel Solutions rwdgldMNM�LA RAMnIEfi ING Sample Receipt Summary 06/04/2014 Prism Work Order: 4050468 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received Stormwater Runoff 4050468-01 Water 05/16/14 05/19/14 Samples were received at 7.8 degrees C. See case narrative for further information. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Spriogbrook Road - P.O. Box 240M - Charlotte, NC 28224-0543 Phone: 704/529.6364 - Toll Free Number: 1-8001529.6364 - Fax: 7041526-0409 Page 2 of 6 ef Laboratory Report AP i � FuIE-ServiceAnaEytical &E ISM Environmental Solutions 06l0412014 D'iwaon�.w+�a inc Leonhardt Environmental, P.C. Project: ILL Building Products Client Sample lU Stormwater Runoff Attn: Paul Spangenberg Prism Sample ID: 4050468-01 Suite 101, 8392 Six Forks Road Prism Work Order: 4050468 Raleigh, NC 27615 Sample Matrix: Water Time Collected: 05/16/14 14:00 Time Submitted: 05/19/14 09:45 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Datefrime ID General Chemistry Parameters Oil & Grease (HEM) BRL mg/L 7.7 0.37 1 '1664A 613114 16:33 JAB P41`0046 pH 7.0 HT pH Units 1 'SM4500-H B 5119114 17.37 JHB P4E0460 Total Suspended Solids 5.8 mg1L 5.0 1.0 1 'SM 2540 D 5123114 14:00 JAB P4E0493 Total Metals Copper BRL mg/L 0.010 0.00060 1 '200.7 5122114 21:33 BGM P4E0451 Lead BRL mg1L 0.0050 0.00068 1 '200.7 5122/14 21:33 BGM P4E0451 Zinc 0.053 mg1L 0.030 0.0060 1 '200.7 5122/14 21:33 BGM P4E0451 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Spring brook Road - P.O. Box 240543 - Charlotte, NC 23224-0543 Phone: 7041529.6364 - Toll Free Number: 1-8401529-6364 - Fax: 7041525-0409 Page 3 of 6 r� Fun -Service Analytical 8 aP R I S M I Environmental Solutions �r7ueauma�s�� Leonhardt Environmental, P.C. Attn: Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 Total Metals - Quality Control Analyte Project: LL Building Products Level II QC Report 614114 Prism Work Order: 4050468 Time Submitted: 5/19/2014 9:45:00AM Reporting Spike Source %REC RPD Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P4E0451 - 200.7 Blank (P4E0451-SLK1) Prepared & Analyzed: 05/22/14 Copper BRL 0.010 mg1L Lead BRL 0.0050 mg1L Zinc BRL 0.030 mg1L LCS IP4E0451-BS1) Prepared & Analyzed: 05/22/14 Copper 0.259 0.010 mg1L 0.2500 104 85-115 Lead 0.265 0.0050 mg1L 0.2500 106 85-115 Zinc 0.276 0.030 mg1L 0.2500 110 85-115 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 -Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-800/529-6364 - Fax: 7041525-0409 Page 4 of 6 Fullea d Environments] Solutions sj7iwgor �.owca, we Leonhardt Environmental, P.C. Attn: Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 General Chemistry Parameters - Quality Control Project: LL Building Products Level f11 QC Report 6/4114 Prism Work Order: 4050468 Time Submitted: 5/19/2014 9:45:OOAM Reporting Spike Source %REC RPD Analyze Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P4E0460 - NO PREP LCS (P4E0460-8S1) Prepared & Analyzed: 05/19/14 pH 6.88 pH Units 6,860 100 99-101 Duplicate (P4E0460-DUP1) Source: 4050468-01 Prepared & Analyzed: 05/19/14 pH 7.00 pH Units 6.99 0.1 10 Batch P4EO493 - NO PREP Blank (P4E0493-BLK1) Prepared & Analyzed: 05/23/14 Total Suspended Solids BRL 5.0 mg1L Blank (P4E0493-BLK2) Prepared & Analyzed: 05/23/14 Total Suspended SoWs BRL 5.0 mg1L LCS (P4E0493-BS1) Prepared & Analyzed: 05/23/14 Total Suspended Solids 460 5.0 mg1L 468.0 99 90-110 Batch P4F0046 - NO PREP Blank (P41`0046-BLK1) Prepared & Analyzed: 06/03/14 Oil & Grease (HEM) BRL 5.0 mg/L LCS (P4170046-BS1) Prepared & Analyzed: 06/03/14 Oil & Grease (HEM) 37.7 5.0 mg/L 40.00 94 78-114 Sample Extraction Data Prep Method: 200.7 Lab Number Batch Initial Final Datoffime 4050468-01 P4E0451 50 mL 50 mL 05/22/14 9:50 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529.6364 - Toll Free Number: 1-8001529-6364 - Fax: 704/525-0409 Page 5 of 6 s^ pq_ CHAOS+! OF CUSTODYRECORD n� ISM Full -Service Anafyticai & ` �p ! YES' NO N!A ,, Environmental Solutions PAGE OF _ QUOTE 9 TO ENSURE PROPER BILLING: L^/A - ~lJ1BOHpTORIES INC, I ; /„Samples ENTACT upon arnvaiv ..._.��, �:T •^ 449 Springbrook Road - Charlotte, NC 26217 Project Name: _ ' "' Z)U +t- C� r %�l� - 5(.f A �1,4W Phone 7041529-6364 • Fax: 704/525-0409(! �^ Short Hold Analysis: (Yes) (No) ! UST Project: (Yes) (NO) , I t rJpa(i , / �]�1� *Please ATTACH any project specific reporting (OC LEVEL [ tl It[ IV) Client Company Name: L' provisions and/or QC Requirements Report TolContact Name: 0 eA dyAl M Arikwp 1(Invoice To: L EiO ! _ t Reporting Address: �� � � kiln,/ Rai-r ,4Address: _ tr n] 1 t) i t1 f llTl d_ E� 1 IN , € l�t� hl C R42 Phone: 'it IM Fax es} (N0}:1 [U G.7 1 purchase Order No./Billing Reference `7 htAc JE A A r, CO TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL Email Address: 1 Requested Due Date Lt 1 Day D 2 Days O 3 Days ❑ 4 Days 0 5 Days Certification: NELAC 'DOD FL NC EDD Type. PDF_Excel Other working Days" ❑ 6-9 Days0 Standard 10 days CI Rush Worn Must SePre- Site Location Name: L L I � C(r t, i Sced OTHER NIA si r e _ Samples received after 14:00 will pe processed next business day. Sire Location Physical Address: P 2E M, me j?6,4A Turnaround lime is based on business days, excluding weekends and holidays. Water Chlorinated: YES_ NO_ Ilp i 11 / tSEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES % RAZE f RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) Sample Iced:lfpon Collection: YES NO TtME MATRIX SAMPLE CONTAINER ANALYSIS REQUESTED PRISM CLIENT DATE COLLECTED (SOIL, PRESERVA- REMARKS LAB *TYPE NO. SIZE SAMPLE DESCRIPTION COLLECTED MILITARY WATER OR TIVES ID NO. HOURS SLUDGE) SEE BELOW C. ..s �pj I� A 4-1 ' 4 11U 0(h n &A 1 �O/�Uzlm/pled GOAC1/i•v ktqlgl rfVEC Sampler's Signature By (Print Name) IL Affiliation t ( Upon relinquishing, this Chain of Custody [s your authorization for Prism to proceed with the analyses as requested above. Any changes must be submitted in writing to the Prism Project Manager, There will be charges for any changes after analyses have been initialized. Relinquished Signature) / Received By: (Sgnalure) Date Military/Hcurs Additional Comments. '-Site Arnval Time Relinquished -`f ignatlXe} / Received By: (Signature) Date FSlte DepaitUra ill'ne' Field Tech Fee Relinquished By: (Signalura) Received FOr P ' La oratories Da �'ll Methcd of Shipment: NOTE; ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WIT USTODY SEALS FOR TRANSPORTATION TO THE LABORATORY. COG Group No. - \ SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CO .UNTIL RECEIVED AT THE LABORATORY. �"- ❑ Fed Ex `-] UPS 0 Hand-dellvered 0 Prfsm Feld Service ❑ Other U NO f][SC� ❑L7 NC ❑ SC D GROUNDWATER: SCTER: I DIRT O D SWAYER: ❑ NSOLID ❑ SG E' NC ❑ SC ❑❑ NO ❑ SC I ❑❑ NC LANDFILL O SC ❑O NO ❑ SC *CONTAINER TYPE CODES. A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ,ORIGINAL.