NCG060098_MONITORING INFO_20190424

PERMIT NO.
DOC TYPE
DOC DATE
STORMWATER DIVISION CODING SHEET
NCG PERMITS
�,v
/v o"& "
HISTORICAL FILE
!xMONITORIN6 REPORTS
YYYYMMDD

PERMIT NO.
DOC TYPE
DOC DATE
STORMWATER DIVISION CODING SHEET
NCG PERMITS
0 HISTORICAL FILE
VVIONITORING REPORTS
11
YYYYMMDD

NC Division of Water Cluality.
Regional Supervisor
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
RE: Vertellus Greensboro LLC; Permit #: NCG060000
Tier 2 & 3 Notifications
Dear Ms. Knight:
Attached are results from March outfali monitoring.
P.
��'Vertellus
Smart Chemistry. Our Specialty. -
April 8, 2019
Outfall #1 tested out of range for TSS and Outfall #6 tested out of range for TSS and COD. All other
Outfalls and parameters were within the Benchmarks. The site is evaluating possible causes and
will sample again at the next practical opportunity,
Please feel free to contact me at 336-834-4903 or via email at [e-mail] if you have
any questions regarding this information. T
Sincerely,
For, Vertellus Greensboro LLC
Aaron Kramer
EHS Manager, Vertellus LLC
RESPONSIBLE CARE*
[xiarnwarta[rn .o xisrur�tsu.m
Vertellus
2110 W. Gate City Blvd.
Greensboro, NC 27403
Phone: [phone]
www.vertellus.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No.
Date submitted 4/8/2019
CERTIFICATE OF COVERAGE NO. NCG06 0098 RECEIVED
FACILITY NAME �p� �� Y01A
COUNTY ,'^~ - ---
PERSON COLLECTING SAMPLES Aaron Kramer CENTRAL FILES
Part A:StornmxvaterBenchmarks and Monitoring Results
Total event rainfall 2 —0.45" or [] No discharge this period'
VCjil—
CY
zonly applies tofacilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at Any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3'identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [:] yes N no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
I only applies tofacilities that use/process meats.
' The total precipitation must berecorded using data from anon-site rain gauge.
, For sampling periods with nodischarge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
(Lf_ves, complete Part 8)
S\YD' 4y Last Revised: October l8.20\2

'See General permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
*FOR PART 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 II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES ® NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO
REGIONAL OFFICE CONTACT NAME: _Winston Salem Regional Office —
Moil an original and one copy of this DMR including aN_"No Discharge" reports within 30 days ofreceipt 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, NC 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)
4/8/2019
(Date)
Additional copies of this form may be downloaded at: http://Portal,ncdenr.org/web/wg/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted _1 4 2019
CERTIFICATE OF COVERAGE NO. NCG06 0098 RECEIVED
FACILITY NAME Vertellus Greensboro LLC JAN 2 2 Z019
COUNTY Guilford
PERSON COLLECTING SAMPLES Aaron Kramer CENTRAL FILES
LABORATORY Meritech Lab Cert. # 165 DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall Z 0.45' or n No discharge this period'
OutfaII-No.:•: ,
_
- 5ample'Collected'';
'-.inn/dd%yr
=TSS,
';ing%L =
_ ` : pH '.
.Standard units'
•COD; _
mg/L -
Oil an_d Grease,.
1 mg/L -
:Fecal CoGform',, ,
_Colonies per i00 ml
Enterococci',
: Colonies per 100 ml .
,Benchmar0j-* t
'<
100 or 504
Within.6.6.g 9.0
'120
30.•
1000' .
i,
500
01
12/14/18
748
6.4
27
10
n/a
n/a
02
Representative
---
---
---
---
n/a
n/a
03
Representative
-
-
-
--
n/a
n/a
04 1
Representative
---
---
---
- -
n/a
n/a
05
12/14/18
<2.5
6.5
<15
<5
n/a
n/a
06
12/14/18
38
6.6
31
<5
n/a
n/a
Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
^See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.,
>
Sample Collected,
n o/dd/yr. '
Oil and Grease,
mg/L-
- . TSS,
mg/L.
: ; pH;
Standard units
New_ Motor Oil,Usage,
Annual average gal/mo
.Benchmark"
Y `
> :'° 30
:100'or 504
I 6.0 -- 9.0.
only applies to facilities that use/process meats.
I The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes complete Part 13)
SWU-249 Last Revised: October 18, 2012
Page I of 2

a
J
*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: _Winston Salem Regional Office_
Mail an original and one col2y of this DMR includin all "No Discharge" reports within 30 days o recei t o the lab results or at end o
monitoring period in the cose_ of "No Discharge" reports) to. -
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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."
�j
�1 3 2019
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/`su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

NC Division of Water Quality.
Regional Supervisor
450 Manes Mill Road, Suite 300
Winston-Salem, NC 27105
RE: Vertellus Greensboro LLC; Permit #: NCG060000
Tier 2 & 3 Notifications
Dear Ms. Knight:
Attached are results from December outfall monitoring.
'Vertellus°
Smart Chemistry, Our Specialty.'
January 2, 2019
Outfall #1 tested out of range for TSS. All other Outfalls and parameters were within the
Benchmarks. The site is evaluating possible causes and will sample again at the next practical
opportunity. Outfall #1 also tested out of range for TSS on 6/20/18 with a reading of 307 mg/L
and on 1/12/18 with a reading of 110 mg/L.
Please feel free to contact me at 336-834-4957 orvia email at [e-mail] if you have
any questions regarding this information.
Sincerely,
For, Verteilus Greensboro LLC
Ben Stewart
Site Director, Vertellus LLC
�7
RESPONSIBLE CARE
nua mMu� r W rvt Tn 4niur�eii m
Vertellus
2110w. Gate City Blvd.
Greensboro, NC 27403
Phone: [phone]
www,vertedus.com

NC Division of Water Quality.
Regional Supervisor
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
RE: Vertellus Greensboro LLC; Permit #: NCG060000
Tier 2 & 3 Notifications
Dear Ms. Knight;
Attached are results from November outfall monitoring.
t.
V'Vertelius°
Smart Chemistry. Our Specialty:
December 13, 2018
Outfall #5 tested out of range for COD. The site is evaluating possible causes and will sample again
at the next practical opportunity. This exceedance puts the site into Tier 2 monitoring
requirements for COD at Outfall 5.
The site is adhering to Tier 3 notification requirements found in Part II, Page 8 of 12 of General
Stormwater Permit No. NCG060000 for COD at Outfall #5. This is the first exceedance for COD for
Outfall #5 in the past 24 months.
Please feel free to contact me at 336-834-4957 or via email at bstewart@vertellus,com if you have
any questions regarding this information.
Sincerely,
l..
r
For, Vertellus Greensboro LLC
Ben Stewart
Site Director, Vertellus LLC
Ea
RESPONSIBLE CARE
Verteilus '-
2110 W. Gate City Blvd.
Greensboro, NC 27403
Phone: [phone]
www.vertellu5_Com

-Zl
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted _12 14 2018
CERTIFICATE OF COVERAGE NO. NCG06 0098
FACILITY NAME Vertellus Greensboro LLC RECEIVED
COUNTY Guilford
DEC192018
PERSON COLLECTING SAMPLES Aaron Kramer
LABORATORY Meritech Lab Cert. # 16.5 CENTRAL _�ILE�.
D11M `'_:CTio L.l
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall' 0.45" or ❑ No discharge this period'
Outfall No. it
.Sample"Collected,
mo/dd/yr:-'
T55,
mg/L -
pH, -,
Standard units -
COD, '
mg/L.
Oil and Grease,
mg/L
Fecal Coliforml, _
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark:%
f
- -
100 or 50°•
Within 6.0 - 9.0 :
.120 _..
30`
,
1000
S00
01
11/2/18
37
6.5
65
<5
n/a
n/a
02
Representative
---
--
---
n/a
n/a
03
Representative
---
---
---
n/a
n/a
04
Representative
---
---
---
n/a
n/a
05
11/2/18
7
6.7
140
<5
n/a
n/a
06
11/2/18
1 28
6.4
1 67
<5
1 n/a
n/a
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results. only for facilities averaging > 55 gal of new motor oil/month.
OutfalLNo,
-
Sample.Collected,
mo/dd/yr- "_ .
Oil and Grease,
rng/L
TSS,
.'mg/L
pH, `
Standard units
New Motor Oil Usage,
Annual'average gal/mo
Benchmark
--
; 30
100 or30° -
` . 6.0 - 9.0
-
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S W U-249
(if yes, complete Part B)
Last Revised: October 18, 2012
Page i of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER I 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. _Winston Salem Regional Office
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
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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)
�12 13 2018
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

NC Division of Water Quality,
Regional Supervisor
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
RE. Vertellus Greensboro LLC; Permit #, NCG060000
Tier 2 & 3 Notifications
Dear Ms. Knight,
Attached are results from June outfall monitoring.
Z- ''Vertellus°
Smart Chemistry. Our Specialty. -
November 5, 2018
CE- 0D
"V 14
DV
VF,rC�ILES
1pR�
Outfall #6 tested out of range for COD. The site is evaluating possible causes and will sample again
at the next practical opportunity. This exceedance puts the site into Tier 2 monitoring
requirements for COD at Outfall 6.
The site is adhering to Tier 3 notification requirements found in Part II, Page 8 of 12 of General
Stormwater Permit No. NCG060000 for COD at Outfall #6. The most recent result, along with prior
results were above the permit limit of 120 mg/I are in the table below. The site will continue to
investigate and attempt to determine and address the root cause of exceedances.
Date
Outfall #6 Result
COD (me)
1/12/2018
281
7/6/2018
156
10/20/18
386
Please feel free to contact me at 336-834-4957 or via email at bstewart@vertellus_com if you have
any questions regarding this information.
Sincerely,
For, Vertellus Greensboro LLC
Ben Stewart
Site Director, Vertellus LLC
vertellus
2110 W. Gate City Blvd.
Greensboro, NC 27403
RF,SPONSIBLE CARE Phone: [phone]
t.coM.W0r 1mnrtTM-1—
www.verte lus.cam

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted _10 20 2018
CERTIFICATE OF COVERAGE NO. NCG06 0098
FACILITY NAME Vertellus Greensboro LLC
COUNTY Guilford
PERSON COLLECTING SAMPLES Aaron Kramer
LABORATORY Meritech Lab Cert. # 165
Part A: Stormwater Benchmarks and Monitoring Results
NOV 14 zoI8
tqTRAL ,. .,
fywr SP 11-cnc�Gi
Total event rainfall z 0.84" or ❑ No discharge this period'
Outfall No.
Sample Collected; ;
mo/dd/yr
, ° `" TSS, _.,
" "mg/L.'
pH,:'
Standard tiriits•.`rng/L,
".• `COD, '
r
Oil and Grease,
•mg/L
Fecal Coliform j.
Colonies'per 100 ml
Enterococci',
Colonies per 100 ml
Benchmark
-
100 or 50'
Within 6.0'-9.0'
120
30. ,
1000
500
01
10/20119
26
6.3
67
<5
n/a
n/a
02
Representative
---
---
---
---
n/a
n/a
03
Representative
---
---
---
- -
n/a
n/a
04
Representative
---
---
---
---
n/a
n/a
05
10/20/18
7
6.6
48
<5
n/a
n/a
06
10/20/18
17
7.1
386
<5
n/a
n/a
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at and outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
,Outfall'No.
5ample.Coilected, .;
mo/dd/yr
Oi1 and.Grease, .
mg/L
"TSS;
mg/L
hH,;- . .,
Standard'.units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
30'
n 300"ar 504
6:0
1 only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
I For sampling periods with no discharge at gny outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(± yes, complete Part B)
SWU-249

s
*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 it SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES MNOEI
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ®NO ❑
REGIONAL OFFICE CONTACT NAME: _Winston Salem Regional Office
Moil an original and one copy, of this DMRincluding all "No Discharge"' reports, within 30 days of receipt of the lob results (or 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, NC 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)
_11 5 2018
(Date)
Additional copies of this form may be downloaded at: http://Mortal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
5 W U-249
I a.t 1?P%n.Prl- Cl't-1— IQ IAIII

NC Department of `
Environmental Quality {
Received E
OCT 15 2018
Winston-Salem
NC Division of Water Quality;.
Regional Office
Regional Supervisor
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
RE: Vertellus Greensboro LLC; Permit #: NCG060000
Tier 2 & 3 Notifications
Dear Ms. Knight:
Attached are results from September outfall monitoring.
Lj
Vertellus-,
Smart chemistry. Our specialty, -
October 11, 2018
Outfall 96 tested out of range for COD. The site is evaluating possible causes and will sample again
at the next practical opportunity. This exceedance puts the site into Tier 2 monitoring
requirements for COD at Outfall 6.
The site is adhering to Tier 3 notification requirements found in Part II, Page 8 of 12 of General
Stormwater Permit No. NCG060000 for COD at Outfall 46. The most recent result, along with prior
results were above the permit limit of 120 mg/I are in the table below. The site will continue to
investigate and attempt to determine and address the root cause of exceedances.
Date
Outfall #6 Result
COD (mg/1)
9/1/2017
153
1/12/2018
281
7/6/2018
156
9/14/18
142
Please feel free to contact me at 336-834-4957 or via email at [e-mail] if you have
any questions regarding this information.
Sinc
For, Vertellus Greensboro LLC
Ben Stewart
Site Director, Vertellus LLC
�0
RESPONSIRU CARE
vertellus
2110 W. Gate City Blvd.
Greensboro, NC 27403
Phone: [phone]
www.verteilus.com

A
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted _9 14 2018
CERTIFICATE OF COVERAGE NO. NCGO6 0098
FACILITY NAME Vertellus Greensboro LLC
COUNTY Guilford
PERSON COLLECTING SAMPLES Aaron Kramer
LABORATORY Meritech Lab Cert. # 165
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall 0.84" or ❑ No discharge this period'
-Odtfall,No' `,
-.,
Sample Collected
mo%dd/yr y
TSS,.
r : mg/L_ .
pH,'
Standard units'
COD,
mg/L,
" Oil'and•Grease,
mg, L
•Fecal Coliforml; .
Colonies:per.100 ri
+ Enterococcil,
Colonies per.100 ml
Benchmark
100 or 50° .
; Wlthin.6:0:='9.0'"
120 ..
30
1000
:. ' t" ; Soo
01
9/14/18
55
6.3
44
<5
n/a
n/a
02
Representative
---
---
---
---
n/a
n/a
03
Representative
--
---
---
---
n/a
n/a
04
Representative
---
---
---
n/a
n/a
05
9/14/18
11.4
7.5
<15
<5
n/a
n/a
06
9/14/19
148
6.8
142
<5
n/a
n/a
' Only applies to facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
'For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes N no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
outfall'No,, :
Sample"Collected;
mo/lid/yr"
-'Oil and Gr""ease,;,
, : mg/L `�
TSS,
: mg/L = '
'-
'-pH,#' ss . -
_Standard units :
°New Mot& Oil•Usagel—.
:-Annual average,ga!/mo
Benchmark
30 -
"- -100 of 50° "
6.0 = 9.0
-- = -
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if ryes, complete Part B)
fti
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*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 E]
REGIONAL OFFICE CONTACT NAME: _Winston Salem Regional Office_
Mail an original and one copy of this DMR,_ including all "No Discharge" reports, within 30 days of receipt of the lob results (or at end of
monitoring period in the case of "No Discharge" reports) io:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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)
10/11/2018
(Date)
Additional copies of this form may be downloaded at: hapjlr)ortal.ncdenr.org/web/wq/­ws/su/nodcssw#tab-4
SWU-249
Last Revised; October 18, 2012
Page 2 of

3
NC Division of Water Quality.
Regional Supervisor
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
� 'Vertellus°
Smart Chemistry. Our Specialty.,
October 11, 2018
RE: Vertellus Greensboro LLC; Permit #: NCG060000
Tier 2 & 3 Notifications RECE IVE
Dear Ms. Knight: OCT 1
CENTRF-kL
Attached are results from September outfall monitoring. DWR SfrCTt"
Outfall 46 tested out of range for COD. The site is evaluating possible causes and will sample again
at the next practical opportunity. This exceedance puts the site into Tier 2 monitoring
requirements for COD at Outfall 6.
The site is adhering to Tier 3 notification requirements found in Part II, Page 8 of 12 of General
Stormwater Permit No. NCGO60000 forCOD at Outfall #6. The most recent result, along with prior
results were above the permit limit of 120 mg/I are in the table below. The site will continue to
investigate and attempt to determine and address the root cause of exceedances.
Date
Outfall #6 Result
COD (mg/1)
9/1/2017
153
1/12/2018
281
7/6/2018
156
9/14/18
142
Please feel free to contact me at 336-834-4957 or via email at [e-mail]_m_ if you have
any questions regarding this information.
Sinc
For, Vertellus Greensboro LLC
Ben Stewart
Site Director, Vertellus LLC
Vertellus
0� 2110 W. Gate City Blvd.
�� Greensboro, NC 274C3
RESPONSIBLE CARE* Phone: [phone]
01M C(1 1-FM TO M W W W .v Lrtel lus.corn

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted �9 14 2018
CERTIFICATE OF COVERAGE NO. NCG06 0098
FACILITY NAME Vertellus Greensboro LLC
COUNTY Guilford
PERSON COLLECTING SAMPLES Aaron Kramer
LABORATORY Meritech Lab Cert. # 165
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall 2 0.84" or ❑ No discharge this period'
s7utfall,No. ;
Sample Calleet@'dl-'
mo/dd/yr `;
"' K - TSS, -�"
mg/L;+
pH; t• "
Staniiard'units
"C617,'
mgJC
`,Oil and Grease,.'
c.
-Fecal Coliforml,
.Colonies per'.100 ml'
Enterococcil,
Colonies per 100 mi
:Berichmark +'
- Y, `
`,'' 100'ar:50°
wWithin.6:0 = %O0 ,_
- 120 `�`_ `
. , - :> 30: "' :
1000` _
a-
- 500
01
9/14/18
55
6.3
44
<5
n/a
n/a
02
Representative
---
---
---
---
n/a
n/a
03
Representative
--
--
- -
---
n/a
n/a
04
Representative
---
-
---
n/a
n/a
05
9/14/18
11.4
7.5
<15
<5
n/a
n/a
06
9/14/18
148
6.8
142
<5
n/a
n/a
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 5S gal of new motor oil/month.
' Outfall:No.
;5ample'Collected,
mnJild/.yr .
Oi! and Grease; ' _
rtig/L
TSS,'
i mgJh
:pH,
: Standard. units :
• New`Motor Oil Usage,
"Anrival.average.galJmo
' Bencl4mark
-
30.
100'or 504 ' y '
6.0 = 9.0
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ifyes, complete Part B)
SWU-249 last Revised: October 18, 2012
Page 1 of 2

*FOR PART 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 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: _Winston Salem Regional Office_
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days o recei t of the lab results or at end o
monitoring period in the case of "No Discharge" reports) to. -
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, INC 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)
10/11/2018
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdesswgtab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

Im
11
�7Vertellus-
NC Division of Water Quality.
Regional Supervisor
4S0 Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
RE: Vertellus Greensboro LLC; Permit #: NCG060000
Tier 2 & 3 Notifications ('OD? g
Dear Ms. Knight:
Attached are results from June outfall monitoring.
Smart Chemistry. Our Specialr/.-
August 13, 2018
RECEIVE]
AUG 21 2018
CENTRAL FILES
DWR SECTION
Outfall 4#6 tested out of range for COD. The site is evaluating possible causes and will sample again
at the next practical opportunity. This exceedance puts the site into Tier 2 monitoring
requirements for COD at Outfall 6.
The site is adhering to Tier 3 notification requirements found in Part II, Page 8 of 12 of General
Stormwater Permit No. NCG060000 for COD at Outfall 46. The most recent result, along with prior
results were above the permit limit of 120 mg/l are in the table below. The site will continue to
investigate and attempt to determine and address the root cause of exceedances.
Date
Outfall #6 Result
COD (mg/1)
9/6/2017
233
9/1/2017
153
1/12/2018
281
7/6/2038
156
Please feel free to contact meat 336-834-4957 or via email at [e-mail] if you have
any questions regarding this information.
!' 'j9 o
RESPONSIBLE CARE
Iff �'a ro 41151,1"Id 1W
Sincerely,
For, Vertellus Greensboro LLC
Ben Stewart
Site Director, Vertellus LLC
Ver',Ous
2110 W, Gate City Blvd.
Greensboro, NC 27403
Phone: [phone]
www.vertehus.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted �8 13 2018
CERTIFICATE OF COVERAGE NO. NCG06 0098
FACILITY NAME Vertellus Greensboro LLC
COUNTY Guilford
PERSON COLLECTING SAMPLES Aaron Kramer
LABORATORY Meritech Lab Cert. # 165
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall' 0.75" or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr -
TSS,
mg/L
pH,,
Standard units
COD,
- mg/L
Oil and'Grease,..
mg%L
Fecal Coliforml,.- -
f Colonies per 100 mf .
Enterococcil, .
- Colonies per 100 ml
Benchmark
- _
100 or 504
Within 6.0 — 9.0
.120 • ;
- 30
•1000
Soo
01
07/06/18
21A
6.4
44
<5
n/a
n/a
02
Representative
---
-
---
n/a
n/a
03
Representative
--
--
---
n/a
n/a
04
Representative
---
---
---
---
n/a
n/a
05
07/06/18
11.4
7.6
<15
<5
n/a
n/a
06
07/06/18
1 97
1 8.5
156
<5
n/a
n/a
1 Only applies to facilities that use/process meats.
' The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Dutfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
__ TSS,
mg/L -
, pH,;,
Standard units
, _ New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or.504
6.0 - 9.0 •',
' only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
•*°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ifye
s• complete Part B)
SWU-249 Last Revised: October 18, 2012
Page I of 2

*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 ATTHE 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 E NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME: _Winston Salem Regional Office
Mail an original and one -copy of this DMR including all "No Discharge" reports, within 30 day-5 of receipt of the lab results Lor of end o
monitoring period in the case of "No Discharge" reports)_to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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, includingthe possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
8(13L2018
(Date)
Additional copies of this form may be downloaded at: http:[/oortal.ncdenr.orglweblwq/ws/su/`npde.5sw#Itab-4
.SWU-249
Last Re%rised: October 18. 2412
Page 2 of 2
1

er rl
NCDepartment of Vertellus*
Environmental Quality
Received
NC Division of Water Quality. AU6 i Ltfi
Regional Supervisor Winston-Salem
450 Hanes Mill Road, Suite 300°„*,,.;,
Regional Office '.
Winston-Salem, NC 27105
:.
RE: Vertellus Greensboro LLC; Permit #: NCG060000
Tier 2 & 3 Notifications
Dear Ms. Knight:
Attached are results from June outfall monitoring.
Smart Chemistry. Our Specialty.'
August 13, 2018
Outfall #6 tested out of range for COD. The site is evaluating possible causes and will sample again
at the next practical opportunity, This exceedance puts the site into Tier 2 monitoring
requirements for COD at Outfall 6.
The site is adhering to Tier 3 notification requirements found in Part II, Page 8 of 12 of General
Stormwater Permit No, NCG060000 for COD at Outfall 96. The most recent result, along with prior
results were above the permit limit of 120 mg/I are in the table below. The site will continue to
investigate and attempt to determine and address the root cause of exceedances.
Date
Outfall #6 Resuit
COD (mg/1)
9/6/2017
233
9/1/2017
153
1/12/2018
281
7/6/2018
156
Please feel free to contact meat 336-834-4957 or via email at bstewartyerteWs.com if you have
any questions regarding this information.
RESPONSIBLE CARE
a.�mr,.rc� r,>;i m.rv.emrr
Sincerely,
For, Vertellus Greensboro LLC
Ben Stewart
Site Director, Vertellus LLC
vertellus
2110 W. Gate Cite Blvd.
Greensboro, NC 274C3
Phone: [phone] L
www.vertellus.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted _$ 13 201$
CERTIFICATE OF COVERAGE NO. NCGO6 0098
FACILITY NAME Vertellus Greensboro LLC
COUNTY Guilford
PERSON COLLECTING SAMPLES Aaron Kramer
LABORATORY Meritech Lab Cert. # 165
Part A, Stormwater Benchmarks and Monitoring Results
Total event rainfall' 0.75"
NC Department of
Environmental Quality
Received
AUG 1 r 2018
Winston- alem
RegionalO ice
or ❑ No discharge this period'
Outfall No.
Sample Collected_,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,.-
mg/L.'
Fecal Coliform.'
- Colonies per 100 ml
Enterococci', .
: Colonies per 100 ml"
Benchmark
-
100 or 50'
Within 6.0 — 9.0.
120
30 '.
1000
Soo
01
07/06/18
21.4
6A
44
<5
n/a
n/a
02
Representative
---
---
---
n/a
n/a
03
Representative
--
-
---
---
n/a
n/a
04
Representative
---
---
---
---
n/a
n/a
05
07/06/19
11.4
7.6
<15
<5
n/a
n/a
06
07/06/18
97
8.5
156
<5
n/a
n/a
'Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
.TSS,
mg/L '
pH,
Standard units '
-New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or'50°
6.0 — 9.0
' Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5WU-249
(ifyes, complete Part B)
Last Revised: October 18, 2012
Page I of 2
W

*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 EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES Z NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME: _Winston Salem Regional Office_
Mail an original and one col2y of this DMR including all "No Discharge" reports, within 30 da 's of receipt of the lab results Lor at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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( a possibility of fines and imprisonment for knowing violations."
cl-_
(Signature of Permittee)
8/13/2018
(Date)
Additional copies of this form may be downloaded at: litto://portal.ncdenr.on=/web/wQ/ws/su/npdessw##tab-4
SWU-249 Last Revised: October 18, 2012
N Page 2 oI' 2

NC Division of Water Quality.
Regional Supervisor
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
RE: Vertellus Greensboro LLC; Permit #: NCG060000
Tier 2 & 3 Notifications
Dear Ms. Knight:
Attached are results from June outfall monitoring.
p.
Vertelluso
Smart Chemistry. Our Specialty. -
July 10, 2018
EC V D
SUL I I Zp"
C)wR s c a
Outfall #1 tested out of range for TSS. The site is evaluating possible causes and wilt sampie again
at the next practical opportunity. This exceedance puts the site into Tier 2 monitoring
requirements for TSS at Outfall #1.
The site is adhering to Tier 3 notification requirements found in Part II, Page 8 of 12 of General
Stormwater Permit No. NCG060000 for COD at Outfall ##6. The most recent result, along with prior
results were above the permit limit of 120 mg/I are in the table below. The site will continue to
investigate and attempt to determine and address the root cause of exceedances.
Date
Outfall #6 Result
COD (mg/1)
9/6/2017
233
9/1/2017
15.3
1/12/2018
281
6/20/18
1530
Please feel free to contact me at 336-834-4957 or via email at [e-mail] if you have
any questions regarding this information.
Sincerely,
For, Vertellus Greensboro LLC
Ben Stewart
Site Director, Vertellus LLC
Vertellus
@9 2110 W. Gate City Blvd.
Greensboro, NC 27403
RESPONSI BLE CARE Phone: [phone]
VOIMfR C.0—J. Yr rn PKl41ti•RIIST�'
www.vertellus.com

SEMI-ANNUAL. STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted �7 10 2018
CERTIFICATE OF COVERAGE NO. NCG06 0098 RECEIVED
FACILITY NAME Vertellus Greensboro LLC
COUNTY Guilford JUL 17 2018
PERSON COLLECTING SAMPLES Aaron (Kramer
LABORATORY Meritech Lab Cert. # 165 CENTRAL FILES
DVIJR SECTION
Part A, Stormwater Benchmarks and Monitoring Results Total event rainfall z 0.75" or ❑ No discharge this period'
Outfall;No.
"Sample Collected;
mo/dd/yr. ,-
_TSS"*
mg/L.
-pH, .'
. Standard units
' COD,
t :mg/l.
Oil and Grease,'
.. mg%L '
Fecal Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark '
-
100 or 504
Within 6.0—..9.0
�._ .120
30
1000
.500
01
06/20/18
307
6.1
39
<5
n/a
n/a
02
Representative
---
—
---
---
n/a
n/a
03
Representative
---
---
---
---
n/a
n/a
04
Representative
—
---
n/a
n/a
05
06/20/18
15.3
6.6
<15
<5
n/a
n/a
06
06/20/18
1530
8.1
1 226
<5
n/a
n/a
'only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B- Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No..
: Sample Collected,
mo%dd/yr:
;Oil,and Grease,
mg/L
TSS,
mg/L
:' °' .pH,
Standard units
New Motor Oil Usage,
Annual,average gal/ma
Benchmark
-
30
100 or 504 `
6.0 — 9.0
-
' Only applies to facilities that use/process meats.
2The total precipitation must he recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(i'fyes, complete Part 13)
SWU-249 I-ast Revised: October 18, 2012
Page 1 of 2

*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: _Winston Salem Regional Office_
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results1or 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, NC 27:1617
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."
f _7 11 2018
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/suZnpdessw#tab-4
SWU-244 Last Revised: October 19, 2012
Page 2 of 2

NC Division of Water Quality.
Regional Supervisor
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
RE: Vertellus Greensboro LLC; Permit #: NCG060000
Tier 2 & 3 Notifications
Dear Ms. Knight:
Attached are results from June outfall monitoring.
n
�V'Vertellus•
Smart Chemistry. Our Specialty. -
July 10, 2018
NIC Department of
Enviror►-rital04L1a!it'/
I,E .=r�i��ea
JUG. 16 2510
Winston-Salem
Regiona' Offire
Outfall 41 tested out of range for TSS. The site is evaluating possible causes and will sample again
at the next practical opportunity. This exceedance puts the site into Tier 2 monitoring
requirements for TSS at Outfall #1.
The site is adhering to Tier 3 notification requirements found in Part II, Page 8 of 12 of General
Stormwater Permit No. NCG060000 for COD at Outfall #6. The most recent result, along with prior
results were above the permit limit of 120 mg/I are in the table below. The site will continue to
investigate and attempt to determine and address the root cause of exceedances.
Date
Outfall #6 Result
COD (mg/1)
9/6/2017
233
9/1/2017
153
1/12/2018
281
6/20/18
1530
Please feel free to contact me at 336-834-4957 or via email at [e-mail] if you have
any questions regarding this information.
Sincerely,
For, Vertellus Greensboro LLC
Ben Stewart
Site Director, Vertellus LLC
Vertellus
2110 W. Gate City Blvd.
Greensboro, NC 27403
RESPONSIBLE CARE Phone: [phone]
4 ? www.vertellus.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG06OOOO
Date submitted _7 10 2018
CERTIFICATE OF COVERAGE NO. NCG06 0098
FACILITY NAME Vertellus Greensboro LLC
COUNTY Guilford
PERSON COLLECTING SAMPLES Aaron Kramer
LABORATORY Meritech Lab Cert. # 165
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall 1 0.75" or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 50'
Within 6.0 — 9.0
120
30
1000
500
01
06/20/18
307
6.1
39
<5
n/a
n/a
02
Representative
---
---
---
---
n/a
n/a
03
Representative
---
I-
--
--
n/a
n/a
04
Representative
---
---
--
---
n/a
n/a
05
06/20/18
15.3
6.6
<15
<5
n/a
n/a
06
06/20/18
1530
8.1
226
<5
n/a
n/a
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 504
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*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: _Winston Salem Regional Office_
Moil an ariginal 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, NC 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."
r_"o
_7 11 2018
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

NC Division of Water Quality.
Regional Supervisor
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
RE: Vertellus Greensboro LLC; Permit #: NCG060098
Tier 3 Notification
v Vertellus.)
Smart Chemistry. Our Spaclalty.•
April 20, 2018
REcp Et)
APR 2 6 2o18
CENTRAL. FILES
DWR SECrION
Dear Ms- knight:
The site recently submitted outfal! monitoring results in a separate mailings for stormwater
sampling conducted on Outfalls #1, #5, and #6 on 4/7/2018. All reported results are within the
permit limit. The site is adhering to Tier 3 notification requirements found in Part li, Page 8 of 12
of General Stormwater Permit No, NCG060000.
Please feel free to contact me at 336-834-4957 orvia email at bstewart2vertellus.eom if you have
any questions regarding this information.
Sincerely,
For, Vertellus Greensboro LLC
Ben Stewart
Site Director, Vertellus LLC
�0
RESPONS I BLE CARe
I'MMM1 NI 10 I11MIN-NI RY
Vertellus
2110 W. Gate City Blvd,
Greensboro, NC 27403
Phone; 336-292-1781
wivW.vertellus.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted �4 20 2018
CERTIFICATE OF COVERAGE NO. NCG06 0098
FACILITY NAME
Vertellus Greensboro LLC
COUNTY Guilford
PERSON COLLECTING SAMPLES Ben Stewart
LABORATORY Meritech Lab Cert. # 165
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall' 0.75" or ❑ No dischorge this period'
Outfall No.
Sample Collected;
W..mo/dd/yr:
TSS,
.,mg '`'
pH,
Standard units
COD,
« mg/i
Oil and Grease,
mg/L.' : , ,
Fecal Coliforml,
Colonies per 100 ml
:Enterococcil,
Colonies per i0o ml
Benchmark
-
100 or 50°=
Within 6:0 — 9.0. ,
120 _ .
. ;-30' •
1060
500,
01
04/7/2018
3
6.8
20
<5
n/a
n/a
02
Representative
---
---
---
---
n/a
n/a
03
Representative
---
---
---
---
n/a
n/a
04
Representative
- -
---
---
w-
n/a
n/a
05
04/7/2018
<2.5
7.0
13
<5
n/a
n/a
05
04/7/2018
r 33
6.5
111
<5
n/a
n/a
' Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
• Outfall No.,-
Sample Collected, -
_ mo/dd/yr
Oil and Grease, •
mg/L.
TSS,-
= mg/L
pH,
Standard units
NeW Motor Oil Usage,
Annual average gal/mo
Benchmark.
- ; -30
100 or 504
'6.0 — 9.0
- -
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ifye5, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page I of 2

*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
REGIONAL OFFICE CONTACT NAME: _Winston Salem Regional Office_
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, NC 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)
_4 20 2018
(Date)
Additional copies of this form may be downloaded at: http:/Iportal.ncdenr.org/web/wq/wslsu/npdessw#tab-4
SWU-249
I.ast Revised: October 18, 2012
Page 2 of 2

w
April 20, 2018
?3e �1 7
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: No Flow Report — March 2018
Tier 3 Stormwater Monitoring
�'Vertelius°
Smart Chemistry. Our Speciaity.-
RECEiIVED
APR S 6 Z018
CENTRA4 FILES
DWR SECTION
On October 26, 2016, Vertellus Performance Materials Inc. (now Vertellus Greensboro LLC}
submitted notification that the site falls under Tier III stormwater notification requirements for
COD and TSS on Outfall #6.
This is to report that there was no measurable flow from Outfall #6 on site during a time when
sampling was possible for the month of March 2018.
Please contact me at 336-834-4957 if you require additional information.
Benjamin D Stewart
Site Director
Vertellus Greensboro LLC
Vertellus Greensboro LLC
2110 W. Gate City Blvd.
Greensboro, NC 27403
Phone. [phone] Fax. [phone] www,vertellus.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted �4 15 2018
CERTIFICATE OF COVERAGE NO. NCG06 0098
FACILITY NAME Vertellus Greensboro
COUNTY Guilford
PERSON COLLECTING SAMPLES Ben Stewart
LABORATORY Meritech Lab Cert. # 165
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall Z or ® No discharge this period'
Outfall'No.
'Sample Collected, .
= mo/dd/yr ' :,
. - ;'TSS, .
mg/L
pH,
:; Standard units
COD,
mg/L
oil and Grease,
mg/L.
Fecal Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
100 or S0" ,
: Within 6:0 9.0 -
120, -
.30.
1000
500
01
---
---
-
- -
---
n/a
n/a
02
---
---
---
---
---
n/a
n/a
03
---
---
---
---
--
n/a
n/a
04
---
---
---
---
---
n/a
n/a
05
- -
---
---
---
---
n/a
n/a
Ob
- -
- -
---
--
- -
n/a
n/a
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.-
Sample Collected,'
mo/dd/yr'
'Oil and Grease,
mg/L
TSS, `
mg/L.'
.pH,
standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark.
-
30
100 or 504
.6.0'= 9.0
-
' Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Q ve5, complete Part Bj
.1
SWU-249 Last Revised: October 18, 2012
Page i of 2

*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 ® NOEI
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO
REGIONAL OFFICE CONTACT NAME: _Winston Salem Regional Office_
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, NC 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. 1 am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
�4 15 2018
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/`wglwslsu/npdessw#tab-4
16
S W U-249
Last Revised; October 18, 2012
I'age 2 of 2

oe
E
March 15, 2018
Page I 1
RECEIVED
MAR 2 4 2018
CENTRAL
DWRSECTIO'
N'
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: No Flow Report — February 2018
Tier 3 Stormwater Monitoring
Vertelluso
Smart Chamis".Our Spacialty.-
NCG-- 06 0 a Cl
On October 26, 2016, Vertellus performance Materials Inc- (now Vertellus Greensboro LLC)
submitted notification that the site falls under Tier III stormwater notification requirements for
COD and TSS on Outfall #6.
This is to report that there was no measurable flow from Outfall #6 on site during a time when
sampling was possible for the month of February 2018.
Please contact me at 336-834-4957 if you require additional information.
Benjamin D Stewart
Site Director
Vertellus Greensboro LLC
Vertellus Greensboro LLC
2110 W. Gate City Blvd.
Greensboro, NC 27403
Phone. [phone] Fax. [phone] www.vertellus.com

*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: _Winston Salem Regional Office_
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
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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)
3/15/2018
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October Is, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT'
for North Carolina Division of Water Quality General Permit No. NCGO60000 .
Date submitted 11/1712017
CERTIFICATE OF COVERAGE NO. NCG06 0098
FACILITY NAME Vertellus Greensboro LLC
COUNTY Guilford
PERSON COLLECTING SAMPLES Ben Stewart
LABORATORY Meritech Lab Cert. ## 165
Part A: Stormwater Benchmarks and Monitoring Results
To to! event rainfall' 0.84" or ❑ No discharge this period'
Outfall No. i,
Sample Collected,
mo/dd/yr
TSS,.
=• mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L '
Fecal Coliforml,
Colonles per 100 ml
: Enterococcil,
Colonies per 100 ml
Benchmark
100 or 504
Within 6.0-9.0
.120
30
1000
Soo
01
9/6/2017
<2.5
7A2
<15
<5
n/a
n/a
02
Representative
---
-
---
n/a'-
n/a
03
Representative
---
-
-
-
n/a
n/a
04
Representative
--
-
- -
n/a
n/a
05
Representative
-
- -
- -
n/a
n/a
06
9/6/2017
32
6.94
233
<S
n/a
n/a
1 Only applies to facilities that use/process meats.
Z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using.more than 55 gallons of new motor oil per month? E yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No. �'
W
Sanple Collected,
, rho/dd/yr
Oil and Grease,
mg/L
TSS,
. mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark _;
30
100 or so" i
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any'outfalls, you must still submit this discharge monitoring report with a checkmark here.
''See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(lfyes, complete Part B)
SWLJ-249 Last Revised: October 18, 2012
Page I o l' 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART li 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: _Winston Salem Regional Office____
Mail an original and one copy of this DMR, including all "N_ o Discharge" reports1 within 30 days of receipt of the lab results_ jor at end of
monitoring period in the case of "No Discharge"' reports) to:
Division of Water Quality
Attn: DWQ Central Files i
1617 Mail Service Center
Raleigh, NC 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)
11/17/2017
(Date)
Additional copies of this form may be downloaded at: htt ): nortal.ncdenr_org//web/wq/ws/su/nodessw##tab-4
S WU-249
Last Revised: October 18, 2012
Page 2 of 2

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
I �
Contact: Ben Stewart Report Date: 9/13/2017
Client: Vertellus Performance
2110 High Point Rd. Project: 1H2015 Stormwater
Greensboro, NC 27403 Date Sample Rcvd: 9/8/2017
Meritech Work Order # 09081704 Sample: Outfall 41 Grab 9/6/17
Parameters Result Analysis Date Reporting Limit Method
COD
<15 mg/L
9/11/17
15 mg/L EPA 410.4
Total Suspended Solids
<2.5 mg/L
9/11/17
2.5 mg/L SM 2540 D
Oil & Grease (HEM)
<5 mg/L
9/12/17
5 mg/L EPA 1664E
PH
7.42 S.U.
9/6/17
1.0 - 14.0 S.U. SM 4500-HB
Meritech Work Order # 09081705
Parameters
Sample: Outfall 46 Grab
9/6/17
Result Analysis Date Reporting Limit Method
COD
233 mg/L
9/11/17
15 rng/L EPA 410.4
Total Suspended Solids
32 mg/L
9/11/17
2.5 mg/L SM 2540 D
Oil & Grease (HEM)
<5 mg/L
9/12/17
5 rng/L EPA 1664B
PH
6.94 S.U.
9/6/17
1.0 - 14.0 S.U. SM 4500-HB
1 I hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax[phone]

Chain of Custod Record COC
Client: Vertellus
Address: Vertellus
2110 High Point Road
Greensboro, NC 27403
Attention: Ben Stewart
email: [e-mail]
NPD1 s#:
Phone: [phone]
Fax:
Email: mkdreisffr vertOus.com
Project: 1H2015 Slormwater
Po #:
MERITECH INC.
' Environmental Laboratories
A Division oiWatcr Technology and Control, Inc.
642 Tamco Rd Phone [phone]
Reidsville, NC Pax: 1-336-342-1522
27320 Email: wtclabobellsout_h.net
Web Site: www.meritech-labs.com
Turn ArOnd Time'
Std (10 days)
3 25 Day
t
24 -48 Hr
i
Sample
LoeationllD #
Sampling Dates & Times,
Person Taking Sample (Signature):
Lab Use Only
START
E140
Comp?
Grab?
# of
cants.
Tests Required
6n
Ica?
pH OK?
C120K?
Date
Time
Date
Time
Outfall #1
9/612017
1:10 PM
Grab
1
Oil and Grease 7 (
yes
Outfall #1
9/6/2017
1:10 PhI
Grab
1
Total Suspended Solids
yes
Outfall #1
9/6/2017
1:10 PM
Grab
1
COD pH = 7.42
yes '
Outfall #6
9/6/2017
1:15 PM
Grab
1
Oil and Grease (,
J
Outfall #6
916/2017
1:15 PM
Grab
1
Total Suspended Solids
Outfall #6
9/6/2017
1:15 PM
Grab
1
COD pH=6.94
Method of Shipment:
Comments: Arm i
48RU
C�.f,e M1 J
UPS
❑Fed Ex
❑ Hand Delivery�--
❑Other
Will these results he used frtr regulatory pur es?
Yes xx No
* RUSH work must be approved prior to submitting samples.
Relln I ed by: Date: Time:
Received by: Date: Time:
Relinquished by: Date: Time:
Received by: Date: Time:
Relinquished by: Date: Time:
_
Received N b b I J oat g: Time;

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 11/17/2017
CERTIFICATE OF COVERAGE NO. NCG06 0098
FACILITY NAME Vertellus Greensboro LLC
COUNTY Guilford
PERSON COLLECTING SAMPLES Ben Stewart
LABORATORY Meritech Lab Cert. d 165
Part A: Stormwater Benchmarks and Monitoring Results
Totol event rainfall a 1.53" or ❑ No discharge this period
Outfall No.'
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD, . • .
mg/L,
Oil and Grease,
. ,tng/L_
Fecal Coliform;, '
Colonies per 100 ml
...Enterococcil,*
Colonies per 100 m!
Benchmark'
100 or 504
•Within 6.0 — 9.0
120
30
11DO
S00 ;
01
10/23/2017
105
---
40
<5
n/a
n/a
02
10/23/2017
90
--
<15
<5
n/a
n/a
03
Representative
---
---
---
---
n/a
n/a
04
Representative
- -
-
- -
n/a
n/a
05
Representative
--
---
---
---
n/a
n/a
06
10/23/2017
14
---
17
<5
n/a
n/a
' Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any. outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [] yes Z no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or SW
6.0 — 9.0
-
Only applies to facilities that use/process meats,
xThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at i a outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(ifyes, complete Part B)
S"'U-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART 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 II SECTION B.
* TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES 0 NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME: _Winston Salem Regional Office_
Mail an original and one copy of this OMR, including all "No Discharge" reports, within 30 days of receipt of the lob results !or at end of
monitorina period in the case of "No_Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
IL Raleigh, NC 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."
(Signatutle' of Permittee)
11/17/2017
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wqLws/su/npdessw#ttab-4
SW U-249
Last Revised: October 18.2012
Page 2 of 2

Meritech, Inc.
Environmental Laboratory
- Laboratory Certification No. 165
Contact: Ben Stewart Report Date: 1 l/1/2017
Client: Vertellus Performance
2110 High Point Rd. Project:1 1-12015 Stormwater
Greensboro, NC 27403 Date Sample Rcvd: 10/26/2017
Meritech Work Order # 10261701 Sample: Outfall #1 Grab
10/23/17
Parameters
Result
Analysis Date
Reporting Limit
Method
COD
40 mg/L
10/30/17
15 mg/L
EPA 410.4
Total Suspended Solids
105 mg/L
10/30/17
2.5 mg/L
SM 254.0 D
Oil & Grease (HEM)
<5 nag/L
10/30/17
S nig/L
EPA 1664-B
Meritech Work Order # 10261702 Sample:
Outfrtll #2 Grab
1D/23/17
Parameters
Re ul
Analysis Date
Reporting Limit
Method
COD
<15 mg/L
10/30/17
15 mg/L
EPA 410.4
Total Suspended Solids
90 mg/L
10/30/17
2.5 mg/L
SM 2540 D
Oil & Grease {HEM)
<5 mg/L
10/30/17
5 mg/L
EPA 1664B
Meritech Work Order # 10261703 Sample: Outfall #6 Grab 10/23/17
Parameters
Result
Analysis Date
Reporting Litnit Method
COD
17 ing/L
10/30/17
15 mg/L EPA 410.4
Total Suspended Solids
14 mg/L
10/30/17
2.5 rng/L SM 2540 l)
Oil & Grease (HEM)
<5 mg/L
10/30/17
5 ntg/L EPA 1664B
1 hereby certify that i have reviewed and approve these data. G.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax[phone]

Chain of Custody Record (COC
Client: Vertellus
Address: Verteilus
2110 High Point Road
Greensboro, NC 27403
Attention: Ben Stewart
email: [e-mail]
NPDES At:1
Phone:
Fax:
Email:
Project:
Po #:
336-834-4957
bstewa_rt ct�i vertellus.com
1H2O15 Stormwater
ERI l ECH INC.
-" Environmental Laboratories
A Division of Water Technology and Control, Inc.
642 Tamco Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: wtclab(&bel lsauth.net
Web Site: www.meritech-labs.com
Turn Around Time*
Std (10 d
s)
3 - 5 Day
©
24 - 48 Hr
[�
Sample
LocationllD #
Sampling Dates & Times
Person Taking Sample (Signature):
Lab Use Only
START
FND
comp?
Grab?
#et
Cents,
Tests Required
on
Ice—?ry
pHOtc?
C12 0K?
Date
Time
Date
Time
Outfall #1
10/2312017
8:00 PM
Grab
1
Oil and Grease, TSS, COD
yes
Outfall #2
1012312017
8:00 PM
Grab
1
Oil and Grease, TSS, COD
yes
Outfall #6
10/23/2017
8:00 PM
Grab
1
Oil and Grease, TSS, COD
i73
yes
Method of Shipment:
Comments:
UPS
Fed Ex
Haled Delivery
❑Other
Will these results be used for regulatory purposes?
Yes xx / No
*RUSH work must be approved prior to submitting samples.
Relinquished by: Date: Time:
�'� / 1 _.. 1012 5
Rece b Date: Time:
0�1�
R linqui h by: Date: r e:
V
Received by: Date: Time:
Relinquished by: Date:
Time:
Receiv a b L�
tg: I
T*

September 6, 2017
Page I 1
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: No Flow Report — August 2017
Tier II Stormwater Monitoring
N--d6oag9
�V'Vertellus•
Smart Chemistry. Our Specialty. -
RECEIVED
OCT 03 2017
CENTRAL FILES
DWR SECTION
On October 26, 2016, Vertellus Performance Materials Inc. (now Vertellus Greensboro LLC)
submitted notification that the site falls under Tier II stormwater notification requirements for
COD and TSS on Outfall #6.
This is to report that there was no measurable flow from Outfall #6 on site during a time when
sampling was possible for the month of August 2017.
Please contact me at 336-834-4903 if you require additional information.
L'."aatz�o e�—
Michelle Kareis
EHS Manager
Vertellus Greensboro LLC
Vertellus Greensboro LLC
2110 W. Gate City Blvd.
Greensboro, NC 27403
Phone. [phone] Fax. [phone] w w ,vertetlus.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 9/27/2017
CERTIFICATE OF COVERAGE NO. NCG06 0098
FACILITY NAME Vertellus Performance Materials Inc.
COUNTY Guilford
PERSON COLLECTING SAMPLES Michelle Kareis
LABORATORY Meritech Lab Cert. # 165
. Part A: 5tormwater Benchmarks and Monitoring Results
1/20/2017
Total event rainfoll 2 .34" or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 501
Within 6.0 — 9.0
120
30
1000
500
01
9/1/2017
21
6.71
45
<5
n/a
n/a
02
Representative
---
- -
---
-
n/a
n/a
03
Re resentative
---
--
---
-
n/a
n/a
04
Representative
---
---
--
n/a
n/a'
05
9/ 1 /2017
9
7.05
17
5
n/a
n/a
06
9/1/2017
557
7.09
153
<5
n/a
n/a
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
QSee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies,
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gaVmo
Benchmark
-
30
100 or 504
6.0 - 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site. rain gauge.
s For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
(if ves, complete Part B)
S W U-249 Last Revised: October 18, 2012
Page 1 of 2

°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
*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 ATTHE 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: _Winston Salem Regional Office_
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
monitoring period in the case of "No Discharge"ports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
JL_
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
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)
9/27/2017
(Date)
Additional copies of this form may be downloaded at: http://portal,ncdenr.org/web/wg/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Revised Dab 912712017
Contact: Ben Stewart Report Date: 9/7/2017
Client: Vertellus Performance
2110 High Point Rd. Project: IY12015 Stormwater
Greensboro, NC 27403 Date Sample Rcvd: 9/6/2017
Meritech Work Order h 09061701 Semple: OMNI #1 Grab
9/1/17
Parameters
Result
Analysis Date
Reporting Limit
Method
COD
45 mg/L
9/6/17
15 ma/L
EPA 410.4
Total Suspended Solids
21 ma/L
9/6/17
2.5 nig/L
SM 2540 D
Oil & Grease (HE,IM)
<5 mg/L
9/7/17
5 mo/L
EPA 1664E
pH
6.71 S.U.
9/1/17
1.0 - 14.0 S.U.
SM 4500-HB
Meritech Work Order # 09061702 Sample: Outfall #5 Grab
9/1/17
(
Parameters
Result Analysis Date Reporting Limit Method
COD
17 mg/L
9/6/17
15 mg/L EPA 410.4
Total Suspended Solids
9 mg/L
9/6/17
2.5 mg/L SM 2540 D
Oil & Grease (HEM)
5 mg/L
9/7/17
5 mg/L EPA 1664B
PH
7.05 S.U.
9/1/17
1.0 - 14.0 S.U. SM 4500-H3
Meritech Work Order # 09061703 Sample: Outfall 46 Grab
Parameters Result Analvsis Date
COD 153 mg/L 9/6/17
Total Suspended Solids 557 mg/L 9/6/17
Oil & Grease (FIMM) 5 mg/L 9/7/17
PH 7.09 S.U. 9/1/17
9/1/17
Reporting Limit
Method
15 mg/L
EPA 410.4
2.5 mg/L
SM 2540 D
5 mg/L
EPA 1664B
1.0 - 14.0 S.U.
SM 4500-HB
I hereby certify that 1 have reviewed and approve these data. �-' 4V
Laboratory Representative
A
642'ramco Road, Reidsville, North Carolina 27320
tel.1`3361 342-4748 faxf3361 342-1522

Chain of Custody Record COC
Client:
Vertellus
NPDES #:
Phone:
336-834-4903
MERITECH INC.
Environmental Laboratories
- -
Fax:
---
�y r.=
tG'°y
A Division of Water Technology and Control, Inc.
Address:
Vertellus
Email:
_
t,rr :iiois VMl<_�lik1`J'0(n
2110 High Point Road
Project:
IH2015 Storniv'JateT
642 Tamco Rd
Phone [phone]
Greensboro_, NC 27403
Po #:
Reidsville, NC
Fax: [phone]
l�x:� S�c°c-=cuff
Turn Around Tirne"
Std (10 days)
3 - 5 Day
24 - 48 Hr
27320 Email: wtclab a bellsouth.net
Attention: il+'illu"lle_-Ka-reis
Web Site: www.meritech-labs.com
rm10:.m"T4ik �=vPrtPll r�,,, �•,-,� ��.�r�< <3
F=-�
--- -1
Sample
Sampling Dates & Times
p g
�'�'
Person Taking Sample (Sic3nahrrel
Lab Use only
START
END
Comp?
#nf
Tests Required
On
pH OK?
LocationllD #
Date
Time
Dale
line
Grah?
Cnn1s
ice?
C120K?
�
Outfall #1
91112017
8:35 AM
Grab
1
Oil and Greasy
Yes ll
Outfall #1
91112017
8:35 AM
I
Grab
1
Total Suspended Solids
yes
Outfall #1
9/112017
8:35 AM
Grab
1
COD pH = 6.71
yes
Outfall #5
911/2017
8:45 AM
R
r, ;
Grab
1
Oil and Grease
0 -�
Outfall #5
9/1/2017
8:45 AM
Grab
1
Total Suspended Solids
Outfall 45
911/2017
8:4.r AM
I •'' .4 ' ''�"
-
Grab
1
COD pH=7.05
Outfall #6
911/2017
8:20 AM
Grab
1
Oil and Grease
�' >
Outfall #6
9/112017
8:20 AM
Grab
1
Total Suspended Solids
Outfall #6
9/1/2017
8:20 AM
Grab
1
COD pH=7.09
Comments:
Method of Shipment:
EJ UPS
Will these results be used for regulatory purposes?
`RUSH work must be approved prior to submitting samples.
Ex
Fed
Yes rx No
Rehm Uiaped by: ale:
�/
Time;
RC ,verl t _
nar
Tirne:
Hand Delivery
- j' ! �}X
(�
Reli sh d
% iv
Time;
1 I.; I."f
Re.reived by:
Dale:
Tirne:
Other
_
Rerinq shed key; Date:
Time:
Reee+ved.al. 1ati LY:� p. e:
Tirne:

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 2/1/2017 RECEIVED
CERTIFICATE OF COVERAGE NO. NCG06 0098
FACILITY NAME Vertellus Performance Materials Inc.
COUNTY Guilford
PERSON COLLECTING SAMPLES Michelle Kareis
LABORATORY Meritech Lab Cert. # 165
Part A: Stormwater Benchmarks and Monitoring Results
FEB 07 n i/-
CENTRAL FILES
DWR SECTIOnj
1/20/2017
Total event rainfall 2 .34 " orE] No discharge this period'
0 U tf U_�'
all No. -
.1_i�airv?_Pli'Colleited;,��
mo/dd/yrr
p H
—Standard unit
Cow
rng/L`V-
Oil and Grease,' ',i
n
'I
ecal Colifo
Colonles7per 100 mil.j..
es per 100 ml Colonies
Co on
Benchmarks;
100 or 504
Within 6.0 r 9&-`
­120,-_tt,-
.,30
1000_ ,,:
4
01
1/20/2017
64
6.43
354
<5
n/a
n/a
02
Represmitatwe
---
---
n/a
n/a
03
Representative
---
---
n1a
n/a
04
Representative
---
---
n/a
n/a
05
1/20/2017
3
6,05
41
<5
n/a
n/a
06
1/20/2017
96
8.66
79
<5
n/a
n/a
Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [:] yes E no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new motor oil/month.
Ou IN
siftipli e ­o�
-6114-d _d;
rno/dd/yr_,�-
- 4-
,,oil and Grease,-.
2, SS - e"pH,"A
T
Mg/L,-
units,
Hew
*Woto-r-bil Usage,­4
Annual iveriage ial/rno�.
senchrnarWt� f,,­
00 or SWt,
16.0 9.0
I Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
I For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page I of 2

'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
*FOR PART A AND PART 8 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 EXCEEDANCES 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, NC 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; jncluding the possibility of fines and imprisonment for knowing violations."
ure of Perrnittee)
2/1/2017
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249
Last Revised: October 1 R, 2012
Page 2 of 2

600
rte I I u s®
C
C
December 1, 2016
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: No Plow Report — November 2016
Tier Il Stormwater MonitoringFit.
ipt�
2--
On October 26, 2016, Vertellus Performance Materials Inc. (now Vertellus Greensboro LLC)
submitted notification that the site falls under Tier 1I stormwater notification requirements for
COD and TSS on Outfali #6.
This is to report that there was no measurable flow from Outfall #6 on site for the month of
November, 2016.
Please contact me at 336-834-4903 if you require additional information.
`-" RECEIVFr %
Michelle Kareis JAN 1.2 20
EHS Manager
Vertellus Greensboro LLC DENR-LAND QUP'.
STORMWATERPER.,,,,
RECEIVED
JAN 12 2017
DENR-LAND QUALITY
STORM%tiIATER PERMITTING
Vertellus Greensboro LLC
2110 W. Gate City Blvd.
Greensboro, NC 27403
Phone. [phone] Fax. [phone] www.vertellus.com

November 2, 2016
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: No Flow Report — October 2016
Tier II Stormwater Monitoring
P
Vertellus$§
N e &-o 46 6 -a-9' Y
RECEIVED
NOV 0 9 2016
CENTRAL FILES
DWR SECTION
On October 26, 2016, Vertellus Performance Materials Inc. (now Vertellus Greensboro LLC)
submitted notification that the site falls under Tier II stormwater notification requirements for
COD and TSS on Outfall 96.
This is to report that, from the time the results were received until the end of the month, there
was no measurable flow from Outfall 96 on site.
Please contact me at 336-834-4903 if you require additional information.
i af.(-��l
F-a"
Michelle Kareis
EHS Manager
Vertellus Greensboro LLC
Vertellus Greensboro LLC
2110 W. Gate City Blvd.
Greensboro, NC 27403
Phone. [phone] Fax. [phone] www.vertellus.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 1OL24/2016_
CERTIFICATE OF COVERAGE NO. NCG06 0098
FACILITY NAME Vertellus Performance Materials Inc.
COUNTY Guilford
PERSON COLLECTING SAMPLES Michelle Kareis
LABORATORY Meritech Lab Cert. # 165
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
OCT 31 2016
CENTRAL FILES
DWR SECTION
9/19/2016: .32"
Total event rainfall' .32" or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliformx,
Colonies per 100 ml
Enterococcil,
Colonies pei 100 nil
Benchmark
-
100 or 504
Within 6.0 — 9.0
120 .
30
1000
500
01
9/19/2016
6
6.87
47
17
n/a
n/a
02
Representative
---
---
---
---
n/a
n/a
03
Representative
---
---
---
n/a
n/a
04
Representative
---
---
---
n/a
n/a
05
9/19/2016
<2.5
7.2
20
<5
n/a
n/a
06
9/19/2016
932
8.5
137
<5
n/a
n/a
1 Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
s For sampling periods with no discharge at � outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 504
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at ate( outfalls, you must still submit this discharge monitoring report with a checkmark here.
(if yes, complete Part Bj
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
*FOR PART 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 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 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
it Raleigh, NC 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 m knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, iouding the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
10/26/2016
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw##tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

Tier 1
Stormwater Management Inspection
Date: Thursday, October 20, 2016
Conducted by: Michelle Kareis
Weather: Partly Cloudy, 82°F
Sample Results Leading to Inspection:
Outfall
COD
TSS
O/G
PH (std.
Monitoring
#
(mg/1)
(mg/i)
(mg/I)
units)
Date
period
120
100
30
6.0 - 9.0
9/19/2016
21-12O16
6
137
j 932
j <5
8.50
4/22/2016
11-12O16
6
897
1 2130
1 38
7.60
Outfall #6: Drain clear. No drainage present. No evidence of spills or other materials on ground near
drain or in drum/tote storage area adjacent to Bldg. 14.
Identified cause of benchmark exceedences: No specific causes were identified to contribute to
identified exceedences. Area in front of drain is clean and there does not appear to be any
contamination.
Methods to reduce concentrations of parameters of concern:
• Source Controls: None identified
• Operational Controls: None identified
• Physical improvements: Concrete containment wall installed around cooling towers.
Action items to reduce or eliminate exceedences: None identified

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 11/19/2015
CERTIFICATE OF COVERAGE NO. NCG06 0098 i
FACILITY NAME Vertellus Performance Materials Inc.
COUNTY Guilford RECE-IVIED
PERSON COLLECTING SAMPLES Michelle Kareis JAN 1 I
LABORATORY Meritech Lab Cert. # 165 ZD16
CEf�lifiRl ��
[11'/29:,1.21t LEA
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z " i 1bor� A No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococcl','4%
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
01
02
03
11/19/2025
3
7.0
55
<5
04
05
06
1 1 / 19/2015
4
17.14
43
<4
' Only applies to Facilities that use/process meats.
"The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50'
6.0 — 9.0
-
I Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls; you must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S WU-249
(if yes, complete Part B)
Last Revised; October 18_ 2012
Pave 4 of 2

*FOR F4tRT 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 It SECTION B_
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARKS 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 lob 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, NC 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
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)
_ 1/5/2016
(Date)
Additional copies of this form may be downloaded at: http:Z/portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

Chain of Custody Record COC
Client: Vertellus
Address: Vertellus
2110 High Point Road
Greensboro, NC 27403
Attention: Michelle Kareis
email: [e-mail]
NPDES#:
Phone: [phone]
Fax:
Email: [e-mail]
Project: 1 H201 5 Stormwater
Po #:
_MERITECH INC.
Environmental Laboratories
A Division of Water Technology and Control, Inc.
642 Tamco Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: [e-mail]
Web Site: www.meritech-labs.com
Turn Around Time*
Std (10 days)
3 - 5 Day
©
24 - 48 Hr
t�
Sample
Location/ID #
Sampling Dates & Times
Person Taking Sample (Signature):
Lab Use Only
START
END
Comp?
Grab?
#of
Conts.
Tests Required
On
Ice?
pH OK?
C120K7
Date
Time
Date
Time
©utfall #3
1111912015
7:15 AM
Grab
COD
yes
Method of Shipment:
Comments: Composite 624 vials prior to analysis. Please perform clean up procedures on
organics to obtain lowest possible reporting limit.
❑ UPS
❑ Fed Ex
❑ Hand Delivery
❑Other
Will these results be used for regulatory purposes?
Yes JXX No
*RUSH work must be approved prior to submitting samples.
Relin is ad by: Date: T e:
/ L2. l�
Receiv y Dittet Time:
— U
Relinquished by: Date: Time:
Received by: Date: Time:
Relinquished by: Date: Time:
Received at lab by: Date: Time:

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 10/22/2015
ECC I Vim'
CERTIFICATE OF COVERAGE NO. NCG06 0098 OCT 3 0 2015
FACILITY NAME Vertellus Performance Materials Inc.
COUNTY Guilford CENTRAL FILES
PERSON COLLECTING SAMPLES Michelle Kareis DWR SECTION
LABORATORY Meritech Lab Cert. # 165
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall'.
I
10/2: .93"
or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 50'
Within 6.0 — 9.0
120
30
1000
500
01
10/2/2015
3
6.75
34
<5
02
10/2/2015
4
7.32
32
<5
03
10/2/2015
14
6.45
147
<5
04
10/2/2015
3
7.68
48
7
05
10/2/2015
<2.5
6.58
146
1 7
06
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50'
6.0 — 9.0
-
1 Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at anv outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ice complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*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 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, NC 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)
10/23/2015
(Date)
Additional copies of this form may be downloaded at: htto://portal.ncdenr.orR/web/wq/ws/su/npdessw##tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Contact: Michelle Kareis
Client: Vertellus Performance
2110 High Point Rd.
Greensboro, NC 27403
Meritech Work Order # 10051506 Sample: Outfall #1 Grab
Report Date: 10/13/2015
Project:1H2O15 Stormwater
Date Sample Rcvd: 10/5/2015
10/2/15
Parameters Result Analysis Date Reporting Limit Method
COD 34 mg/L 10/6/15 15 mg/L EPA 410.4
Total Suspended Solids 3 mg/L 10/6/15 2.5 mg/L SM 2540 D
Oil & Grease (HEM) <5 mg/L 10/12/15 5 mg/L EPA 1664A
Meritech Work Order # 10051507 Sample: Outfall #2 Grab 10/2/15
Parameters Result Analysis Date Reporting Limit Method
COD
32 mg/L
10/6/15
15 mg/L EPA 410.4
Total Suspended Solids
4 mg/L
10/6/15
2.5 mg/L SM 2540 D
Oil & Grease (HEM)
<5 mg/L
10/12/15
5 mg/L EPA 1664A
I hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone]B fax[phone]

Chain of Custody Record COC
Client: Vertellus
Address: Vertellus
2110 High Point Road
Greensboro, NC 27403
Attention: Michelle Kareis
email: [e-mail]
NPDES#:
Phone: [phone]
Fax:
Email: [e-mail]
Project: 1H2015 Stormwater
Po #:
MERIT CH INC.
Environmental Laboratories
A Division of Water Technology and Control, Inc.
642 Tamco Rd Phone [phone]
Reidsville, NC Pax: 1-336-342-1522
27320 Email: wtclab(a)bellsouth.net
Web Site: www.meri•tech-labs.com
Turn Around Time*
Std V6 days)
3 - 5 Day
o
24 - 48 Hr
0
Sample
LoeationllD #
Sampling Dates & Times'
person Taking Sample (Signature):
Lab Use Only
START
END
Comp?
Grab?
# of
cents.
Tests Required
On
Ice?
pH OK?
C12OK?
Date
Time
Date
Time
Outfall #1
1012/2012
12:05 AM
Grab
1
Oil and Grease b
yes ':7) tLrL €-
r_ ,a
Outfall #1
10/2/2012
12:05 AM
Grab
1
Total Suspended Solids
yes
Outfall #1
10/2/2012
12:06 AM
Grab
1
COD
yes
y J
c-0 ` S• �
Outfall #2
10/2/2012
12:13 AM
Grab
1
Oil and Grease
yes
�-
Outfall #2
10/2/2012
12:13 AM
Grab
1
Total Suspended Solids
yes
Outfall #2
10/2/2012
12:13 AM
Grab
1
COD
yes
Method of Shipment:
Comments: Composite 624 vials prior to analysis. Please perform clean up procedures on
organics to obtain lowest possible reporting limit.
UPS
❑ Fed Ex
Hand Delivery
Other
Will these results be used for regulatory purposes?
Yes roc No
*RUSH work must be approved prior to submitting samples.
RelinJ%Date-_
%(� ��_ / �� J7 '��
R�Da Is Time:
Re ' i ed b Dat Time:
la '� t o
Received by: Date: Time:
Relinquished by: Date: Time: _
Receive t I b by: Dat Time:
�� 1

Meritech, Inc.
Environmental Laboratory
r -
Laboratory Certification No. 165
r
Contact: Michelle Kareis Report Date: 10/14/2015
Client: Vertellus Performance
2110 High Point Rd. Project:1H2O15 Stormwater
Greensboro, NC 27403 Date Sample Rcvd: 10/5/2015
Meritech Work Order # 10051508 Sample: Outfall #3 Grab 10/2/15
Parameters Result Analysis Date Reporting Limit Method
COD
Total Suspended Solids
Oil & Grease [HEM)
147 mg/L
14 mg/L
<5 mg/L
10/6/15
10/6/15
10/12/15
15 mg/L
2.5 mg/L
5 mg/L
EPA 410.4
SM 2540 D
EPA 1664A
Meritech Work Order # 10051509 Sample: Outfall #4 Grab
10/2/15
Parameters
Result
Analysis Date
Reporting Limit
Method
COD
48 mg/L
10/6/15
15 mg/L
EPA 410.4
Total Suspended Solids
3 mg/L
10/6/15
2.5 mg/L
SM 2540 D
Oil & Grease (HEM)
7 mg/L
10/13/15
5 mg/L
EPA 1664A
I hereby certify that I have reviewed and approve these data. �' 4'�'
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax[phone]

sl1tto�od Record COC
Chain of CCu��ERI
Client: Vertellus
Address. Vertellus
2110 High Point Road
Greensboro, NC 27403
Attention: Michelle Kareis
email: [e-mail]
NPDES #:
Phone: [phone]
Fax.
Email: mkareis a.vertellus.com
Project: 1H2015 Stormwater
Po #:
���I ECH INC.1�
�i,
N't
Environmental Laboratories
A Division of Water Technology and Control, Inc.
642 Tamco Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: [e-mail]
Web Site: www.meritech-labs.com
Turn Around Time
Std P-days)
3 - 5 Day
24 - 48 Hr
0
Sample
LocatlonllD #
Sampling Dates & Times
Person Taking Sample (Signature):
Lab Use Only
START
END
Comp?
Grab?
#af
Conts.
Tests Required
On
Ice?
pH OK?
C 2OK?
Date
Time
Date
Time
Outfall #3
101212012
12:21 AM
Grab
1
Oil and Grease � �
yes '� •
�
Outfall #3
10/212012
12:21 AM
Grab
1
Total Suspended Solids
yes
Outfall #3
10/2/2012
12:21 AM
--
Grab
1
COD
yes
Outfall #4
10/2/2012
12:34 ANI
Grab
1
Oil and Grease
yes
='
Outfall #4
10/2/2012
12:34 AM
Grab
i
Total Suspended Solids
yes
Outfall #4
1012/2012
12:34 AM
Grab
1
COD
yes
Method of Shipment:
Comments: Composite 624 vials prior to analysis. Please perform clean up procedures on
organics to obtain lowest possible reporting limit.
UPS
Fed Ex
Hand Delivery
OC?ther
Will these results be used for regulatory purposes?
Yes )oc No
*RUSH work must be approved prior to submitting samples.
Relin ui hed by: Date', Time:
�/I %U�5 /� t��(�
Rff a ved y: Dale Time:
!i / �[ �~ / (��,3C/
Re nq Xhb y: D e: Time:
Received by: Date: Time:
Relinquished by: Date: Tlme:
Receiveb by: DatTime:
d a ae'

Meritech, Inc,
Environmental Laboratory
Laboratory Certification No. 165
Contact: Michelle Kareis
Report Date:
10/14/2015
Client: Vertellus Performance
2110 High Point Rd,
Project:1H2015 Stormwater
Greensboro, NC 27403
Date Sample Rcvd:
10/5/2015
Meritech Work Order # 10051510 Sample: Outfall #5 Grab
10/2/15
Parameters Result
Analysis Date
Reporting -Lim t
Method
COD 46 mg/L
10/6/15
15 mg/L
EPA 410.4
Total Suspended Solids <2.5 mg/L
10/6/15
2.5 mg/L
SM 2540 D
Oil & Grease (HEM) 7 mg/L
10/13/15
5 mg/L
EPA'1664A
! hereby certify that 1 have reviewed and approve these data. I,. 4U 9C
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax[phone]

Chain of CCul1s�stod Record COC
Client: Vertellus
Address. Vertellus
2110 High Point Road
Greensboro, NC 27403
Attention: Michelle Kareis
email: mkareis@vertellus,com
NPDES #:
Phone: [phone]
Fax:
Email: mkareis0vertellus.com
Project: 1H2015 Stormwater
Po #:
MERITECH INC.
Environmental Laboratories
f� A Division of Water Technology and Control, Inc.
642 Tamco Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: wtclab(&bellsouth.net
Web Site: www.meritech-labs.com
Turn Around Time*
Stq (10 days)
3 - 5 Day
©
24 - 48 Hr
l�
Sample
Locationll©#
Sampling Dates & Times
Person Taking Sample (Signature):
Lab Use Only
START
END
Comp?
Grab?
#of
Cents.
Tests Required
On
Ice?
pH OK?
C12OK?
Date
Time
Date
Time
Outfall #5
10/2/2012
12:37 AM
Grab
1
Oil and Grease U
yes
Outfall #5
1012/2012
12:37 AM
Grab
1
Total Suspended Solids
yes
Outfall #5 1
1012/2012
12:37 AM
Grab
1
COD
yes
Outfall #6
Gr
I--
Oil and Grease
yes
Outfall #6
Grab—
1
Total Suspended Solids
yes
Outfall #6
Grab
—1
COD
yes
Method of Shipment:
Comments: Composite 624 vials prior to analysis. Please perform clean up procedures on
organics to obtain lowest possible reporting limit.
UPS
Fed Ex
�] Hand Delivery
'
[]Other
Will these results be used for regulatory purposes?
Yes JXX No
*RUSH work must be approved prior to submitting samples.
ter,
Relinqu�iiis d by: ate: Time:
Repe d J pat Time:
kep qu sh by: ate: Time:
cJ 1!5 (�
Received by: ate: Time:
Relinquished by: Date: Time:
Received at by: jam— Date: 1 Time:,
c/ l � ! 11 S e- I I

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit. http://portal,ncdenr.org/web/wq/ws/su/npdessw#tab-4
Permit No.: N/C/_/�/_/_/_/_/_/ or Certificate of Coverage No.:
Facility Name: Vertellus Performance Materials
County: Guilford Phone No. 336-834-4903
Inspector: Michelle Kareis
Date of Inspection: 10 2 2015
Time of Inspection: 12:00 am
Total Event Precipitation (inches]: .93"
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
® Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to he
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 7
5WU-242, Last modified 10/25/2012

1.Outfall Description:
Outfail No. 01 Structure (pipe, ditch, etc.) pine
Receiving Stream: North Buffalo Creek
Describe the industrial activities that occur within the outfall drainage area: Maintenance shop
driveway, manufacturing building.
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: clear - light tan
Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): none noticeable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe None
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 7
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. 02 Structure (pipe, ditch, etc.) nine
Receiving Stream: North Buffalo Creek
Describe the industrial activities that occur within the outfail drainage area. Stormwater
discharge from driveway areas
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: light tan to light beige
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): none noticeable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe NONE.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
1. Outfall Description:
Page 3 of 7
SWU-242, Last modified 10/25/2012

Outfall No. 03 Structure (pipe, ditch, etc.) pipe
Receiving Stream: North Buffalo Creek
Describe the industrial activities that occur within the outfall drainage area: Sheet runoff,
driveways, areas without secondary containment.
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: light tan to light brown _
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): none detectable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe NONE.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 4 of 7
SWU-242, Last modified 10/75/2012

1. Outfall Description:
Outfall No. 04 Structure (pipe, ditch, etc.) pipe
Receiving Stream: South Buffalo Creek
Describe the industrial activities that occur within the outfall drainage area: Parking Lots.
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: clear to light tan_
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): none noticeable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and S is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 S
7. is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe None.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 5 of 7
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. OS Structure (pipe, ditch, etc.) pipe
Receiving Stream: South Buffalo Creek
Describe the industrial activities that occur within the outfall drainage area: Driveways,
walkways, sheet runoff from roofs.
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: clear to light tan
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): None detectable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe NONE.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 6 of 7
SWU-242, last modified 10/25/2012

1. Outfall Description:
Outfall No. 06 Structure (pipe, ditch, etc.) pipe
Receiving Stream: South Buffalo Creek
Describe the industrial activities that occur within the outfall drainage area: Driveways,
walkways, Roof runoff.
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: no discharge observed at time of inspection
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): None detectable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 7 of 7
SWU-242, Last modified 10/25/2012

� cfq- d (,00g 9
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 10 22 2015
CERTIFICATE OF COVERAGE NO. NCG06 0098
FACILITY NAME Vertellus Performance Materials Inc.
COUNTY Guilford
PERSON COLLECTING SAMPLES Michelle Kareis
LABORATORY Meritech Lab Cert. # 165
Part A: Stormwater Benchmarks and Monitoring Results
4/22/2016: .4"
Total event rainfall ' .4" or ❑ No discharge this period'
Outfall No:
-_-,.
Sample Collected,,,
mo/dd/yr ,
.TS5, -
mg/L....
pH, - _
'-Standard unitsi.-
COD;
_ ' mg/L
Oil and Grease,,
mg/L
Fecal Coliforml,
Colonies- er 1b0 ml -':
Enterococci=,
'Colonies er 100 ml .-
:.100 ar s04
-within 6.0 — 9.0v
: _ 120 ,
30
01
4/22/2016
22
615
30
<S
02
4/22/2026
77
7.4
27
17
03
4/22/2016
24
6.7
3$5
36
04
4/22/2016
11
7.8
50
46
05
4/22/2016
10
7.2
46
16
06
4/22/2016
13
7.6
873
38
' Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at gny outfalls. You must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > S5 gal of new motor oil/month.
Outfall iVo:'•
- 5ampl Collected; '-
mo/ddJyr.rsig/L-..
#. -- OII and Grease;,
„ -> .; TSS,
~
ApN;
Standard units•
..-New Motor Oil usage,-
_Annuil'average gal/mo
Benchmark.. �..
:: t_:r _
30 `'_
f. : •100 or 504 -
6.0 — 9.0
i
' only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For -sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: oct� 18, 2012
Page t of 2

*FOR PART 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 II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES N NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO
REGIONAL OFFICE CONTACT NAME. Glen White
*4 COD exceedences from Outfall #3 —n side of plant along W. Lee Street Extension. This outfall comingles water from
the road with plant discharge. There has been significant road repair activity upstream of this location on W. Cate
City Blvd. Mr. White from NCDENR will be on site 6/2016 to review outfall location and possible changes to ensure
water from roadways is not comingled with stormwater samples.
Mail an original and one copy of this DMR, including a# "No Discharge" reports, within 30 d*Ks of receipt of the fob 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, NC 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)
5/12/2016
(Date)
Additional , -es of this form may be downloaded at: http://oortal.ncdenr.org/ '1wq/ws/su/npdesswtttab-4
SWU-249 Last Reviscd: Oct 18, 2012
Page 2 of 2

I
Contact: Michelle Kareis
Client: Vertellus Performance
2110 High Point Rd.
Greensboro, NC 27403
Meritech Work Order # 04221657
Meritech, Inc,
Environmental Laboratory
Laboratory Certification No. 165
Sample: Outfall #4 Grab
Parameters Result Analysis Date
COD 50 mg/L 4/25/16
Total Suspended Solids 11 mg/L 4/26/16
Oil & Grease (HEM) 46 mg/L 4/26/16
Meritech Work Order # 04221658 Sample: Outfall #5 Grab
Parameters Re-sult Analysis Date
COD 46 mg/L 4/25/16
Total Suspended Solids 10 mg/L 4/26/16
Oil & Grease (HEM) 16 mg/L 4/26/16
Report Date: 5/2/2016
Project:1H2O15 Stormwater
Date Sample Rcvd: 4/22/2016
4/22/16
Reporting Limit Method
15 mg/L EPA 410.4
2.5 mg/L SM 2540 D
5 mg/L EPA 1664A
4/22/16
Reporting Limit
Method
15 mg/L
EPA 410.4
2.5 mg/L
SM 2540 D
5 mg/L
EPA 1664A
Meritech Work Order # 04221659 Sample: Outfall #6 Grab
4/22/16
Parameters
Result Analysis Date
Reporting Limit
Method
COD
873 mg/L 4/25/16
15 mg/L
EPA 410.4
Total Suspended Solids
2,130 mg/L 4/26/16
2.5 mg/L
SM 2540 D
Oil & Grease (HEM)
38 mg/L 4/26/16
5 mg/L
EPA 1664A
1 hereby certify that I have reviewed and approve these data. k .
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax[phone]

lain of Record CO
Client: Vertellus
Address: Vertellus
2110 High Point Road
Greensboro, NC 27403
Attention: Michelle Kareis
email: [e-mail]
NPDE5 #:
Phone; 336-834-4903
Fax:
Email: mkareis(c7vertellus.com
Project: 1H2O15 Stormwater
Po #:
��Cu��stod
iil
INC.
` 1 ERI R ECH I
-ANQ
Environmental Laboratories
}
�_..- A Division of Water Technology and Control, Inc.
642 Tamco Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: wtclab(abellsouth.net
Web Ske: www.meritech-iabs.com
Turn Around Time*
Sid ( 0 days)
3. 5 Day
24 - 48 Hr
Sample
Location/lD #
Sampling Dates & Times
Person Taking Sample (Signature):
Lab Use Only
START
END
comp?
Grab?
#of
conts.
Tests Required
On
1ce7 i •
pH OK?
C12 OK7
Date
Time
Date
Ttme
Outfall #4
4/22/2016
10:20 AM
Grab
1
Oil and Grease
'737
yes
� �-
Outfall #4
4/22/2016
10:20 AM
Grab
1
Total Suspended Solids
yes
Outfall #4
4/22/2016
10:20 AM
Grab
1
COD
yes
Outfall #5
4/22/2016
9:45 AM
Grab
1
Oil and Grease
j
�J``y
yes
:>
Outfall #5
4/22/2016
9:45 AM
Grab
1
Total Suspender! Solids
yes
Outfall #5
4/22/2016
9:45 AM
Grab
1
COD
yes
L"
Outfall #6
4/22/2016
10.30 AM
Grata
1
Oil and Grease
��
yes
L._),
Outfall #6
4/2212616
10:30 AM
Grab
1
JTotal Suspended Solids
yes
Outfall #6
4/22/2016 f
10:30 AM
Grab
1
COD
yes
Method of Shipment:
Comments. -
[] UPS
El Fed Ex
Hand Delivery
[Other
Will these results be used for regulatory purposes?
Yes 1xx No
*RUSH work must be approved prior to submitting samples.
Rellnq Is d by: Date: Time:
RerfelvejPbyl .', Dole: Time;
.✓�•^ FCi ilT�
Relinquish d by: Data: Time:
��,rta �7 ,�,�---� �'�•J'-d - 't` "a
Received by: � Data: Time:
Relinquished by; Rate:
Time:
(
Recelv4d-at-Ipt�� y: ]� l ��
Date:
�
Tlme:

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Contact: Michelle Kareis Report Date: 5/2/2016
Client: Vertellus Performance
2110 High Point Rd. Project:1H2O15 Stormwater
Greensboro, NC 27403 Date Sample Rcvd: 4/22/2016
Meritech Work Order # 04221654 Sample: Outfall #1 Grab
4/22/16
Parameters Result Analysis Date Reporting Limit Method
COD 30 mg/L 4/25/16 15 mg/L EPA410.4
Total Suspended Solids 122 mg/L 4/26/16 2.5 mg/L SM 2540 D
Oil & Grease (HEM) <5 mg/L 4/26/16 5 mg/L EPA 1664A
Meritech Work Order # 04221655 Sample: Outfall #2 Grab 4/22/16
Parameters Result Analysis Date Reporting Limit Method
COD
27 mg/L
4/25/16
15 mg/L EPA 410.4
Total Suspended Solids
77 mg/L
4/26/16
2.5 rng/L SM 2540 D
Oil & Grease (HEM)
17 mg/L
4/26/16
5 mg/L EPA 1664A
Meritech Work Order # 04221656 Sample: Outfall #3 Grab
4/22/16
Parameters Result Analysis Date Reporting Limit Method
COD
385 mg/L
4/25/16
15 mg/L EPA 410.4
Total Suspended Solids
724 mg/L
4/26/16
2.5 mg/L SM 2540 D
Oil & Grease (HEM)
36 mg/L
4/26/16
5 mg/L EPA 1664A
I hereby certify that I have reviewed and approve these data. � . &a�z
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax(336)'342-1522

lain of Record(COC
Client: Vertelius
Address: Vertellus
2110 High Point Road
Greensboro, NC 27403
Attention: Michelle Kareis _
vertellus.com
email: [e-mail]
Phone: [phone]
Fax;
Email, mkareis"verteitus.mm
Project: 1H2015Slormwater
Po #:
��Clu��sttod
INC.NPDES#:
1� ERITEC H N
Environmental Laboratories
I A Divialon of Water Technology and Control. Inc.
642 Tamco Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: wtclabCEDbellsouth.net
Web Site: www.meritech-labs.com
Turn Around Time*
Std ( 0 days)
3. 5 Day
24 - 48 Hr
Sample
Location/lD #
Sampling Bates & Times
Person Taking Sample {Signature}:
Lab use only
START
END
comp?
Grab?
#ot
Conte.
Tests Required
On
ice?,.,.).! —
pH OK?
C120K?
Bate
Time
Date
Time
Outfall #1
4/22/2016
10:10 AM
Grab
1
Oil and Grease
�t
yes
,• -,
Outfall #1
4/22/2016
10:10 AM
Grab
1
Total Suspended Solids
yes
Outfall #1
4/22/2016
10:10 AM,
Grab
1
COD
yes
4)
Z—Viin,.
Outfall #2
4/22/2016
10:05 AM
Grab
1
Oil and Grease
5tj
yes
Outfall #2
4/2212016
10:05 AM
Grab
1
Total Suspended Solids
yes
Outfall #2
4/22/2016
10:05 AM
Grab
1
COD
yes
ca
605tt
Outfall #3
412212016
10:15 AM
Grab
Grab
Grab
1
Oil and Grease
yes
e—
Outfall #3
4/22/2016
10:15 AM
1
Total Suspended Solids k
yes
Outfall #3
4/22/2016
10:15 AM
1
ICOD
yes
Method of Shipment:
Comments: Composite 624 vials prior
organics to obtain lowest
to analysis.
possible reporting
Please perform clean up procedures
limit.
on
UPS
Fed Ex
❑No
❑ Hand Delivery
QOther
Will these results be used for regulatory purposes?
Yes fTx
*RUSH work must be approved prior to submitting samples.
ReEln uls red by: Date: Time:
41 ,• .r �7 , `r%t,} ,/i��.-{�c.i,
Re el d by: Date: Time:
;.Z•
Rell� qulI ed by: ` Data: Time:
l �l r%
Received by: Date: Time:
Relinquished bDate:
Time:
Received at labs y: 1n• t
Date:
Time:

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 6/15/ 015
CERTIFICATE OF COVERAGE NO. NCG06 0098
FACILITY NAME Vertellus Performance Materials Inc.
COUNTY Guilford
PERSON COLLECTING SAMPLES Michelle Kareis RECEIVED
LABORATORY Meritech Lab Cert. # 165
JUN 19 2015
Part A: Stormwater Benchmarks and Monitoring Results
5121: .89" CENTRAL FILES
Total event rainfall s S 2:.74" 0%044harge this period3-
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 50"
Within 6.0 — 9.0
120
30
1000
Soo*
01
5/21/2015
13
5.89
39
12
02
6/2/2015
320
6.54
711
27
03
6/2/2015
296
6.45
3160
8
04
5/21/2015
42
7.69
131
<5
05
6/2/2015
6
7.08
117
<5
06
6/2/2015
11576
9.16
7110
8
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage;
Annual average gal/mo
Benchmark
-
30
100 or 50"
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*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, NC 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)
6 15 2015
(Date)
Additional copies of this form may be downloaded at: htt : j rtal.ncdenr.org[weblwg/ws/su/npdessw#tab-4
S WU-249
Last Revised: October 18, 2012
Page 2 of 2

Tier 1
Stormwater Management Inspection
Date: Monday, June 15, 2015 11:15 am
Conducted by: Michelle Kareis
Weather: Clear, 940 F
Sample Results Leading to Inspection:
Date
Monitoring
period
Outfall
#
COD
(mg/I)
T55
(mg/1)
O/G
(mg/1)
PH (std.
units)
120
100
30
6.0 - 9.0
6/2/2015
1H2O15
2
711
320
27
6.54
3
3160
296
8
6.45
5
117
6
<5
7.08
6
7110
1576
8
9.16
5/21/2015
1H 2O15
1
39
13
12
5.89
4
131
42
<5
7.69
Outfall #1: Drain clear. No drainage present. No evidence of spills or other materials on asphalt in
area of drain.
Outfall #2: Drain clear. No drainage present. No evidence of spills or other materials on ground near
drain, or in drain areas.
Outfall #3: Drain clear. No drainage present. No evidence of spills or other materials on grass or
areas upstream of drain in plant.
Outfall #4: Drain clear. No drainage present. No evidence of spills or other materials on ground near
drain, or in drain areas.
Outfall #5: Drain clear. No drainage present. No drainage from roof. No evidence of spills or other
materials in trench area or on ground outside lab door.
Outfall #6: Drain clear. No drainage present. No evidence of spills or other materials on ground near
drain or in drum/tote storage area adjacent to Bldg.14.
Identified cause of benchmark exceedences: Outfall #4 City of Greensboro crews rebuilt and applied
new asphalt to the front parking lot (affecting Outfall #4) immediately prior to the 5/21 sample date.
No other specific causes were identified to contribute to identified exceedences.

Methods to reduce concentrations of parameters of concern:
• Source Controls: None identified
• Operational Controls: None identified
• Physical Improvements: None identified
Action items to reduce or eliminate exceedences: None identified

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.:
Facility Name: Vertellus Performance Materials
County: Guilford Phone No. 336-834-4903
Inspector: Michelle Kareis
Date of Inspection: 5/21/2015
Time of Inspection: 9:48 am —
Total Event Precipitation (inches): i
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
® Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 7
SWU-242, Last modified 10/25/2012

1.Outfall Description:
Outfall No. 01 Structure (pipe, ditch, etc.) pipe
Receiving Stream: North Buffalo
Creek
Describe the industrial activities that occur within the outfall drainage area: Maintenance shop
driveway, manufacturing building.
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: light tan - light brown
Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): none noticeable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe None
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 7
5WU•242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. 02 Structure (pipe, ditch, etc.) pipe
Receiving Stream: North Buffalo
Creek
Describe the industrial activities that occur within the outfall drainage area. Stormwater
discharge from driveway areas
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: light tan - light brown
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): none noticeable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number'which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe NONE. Not enough rainfall to collect sample of outfall.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 3 of 7
SWU-242, Ust modified 10/25/2012

1. Outfall Description:
Outfall No. 03 Structure (pipe, ditch, etc.) pipe
Receiving Stream: North Buffalo
Creek
Describe the industrial activities that occur within the outfall drainage area: Sheet runoff,
driveways, areas without secondary containment.
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: light tan to light brown
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): none detectable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe NONE. Not enough rainfall to collect sample of outfall.
Page 4 of 7
SWU-242, Last modified 10/25/2012

Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
1. Outfall Description:
Outfall No. 04 Structure (pipe, ditch, etc.) pipe
Receiving Stream: South Buffalo
Creek
Describe the industrial activities that occur within the outfall drainage area: Parking Lots.
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: light tan to light brown
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): none noticeable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe None.
Page 5 of 7
SWU-242, Last modified 10/25/2012

Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
I. Outfall Description:
Outfall No. 05 Structure (pipe, ditch, etc.) pipe
Receiving Stream: South Buffalo
Creek
Describe the industrial activities that occur within the outfall drainage area: Driveways,
walkways, sheet runoff from roofs.
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: Light tank to light brown
3. Odor: Describe any distinct odors that the discharge may have (Le_, smells strongly of oil,
weak chlorine odor, etc.): None detectable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and S is very cloudy:
1 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe NONE. Not enough rainfall to collect sample of outfall.
Page 6 of 7
5WU•242, Last modified 10/25/2012

Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
1. Outfall Description:
Outfall No. 06 Structure (pipe, ditch, etc.) pipe
Receiving Stream: South Buffalo
Creels
Describe the industrial activities that occur within the outfall drainage area: Driveways,
walkways, Roof runoff.
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: light tan to brown
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): None detectable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe NONE. Not enough rainfall to collect sample of outfall.
Page 7 of 7
5WU•242, last modified 10/25/2012

Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 8 of 7
SWU-242, Last modified 10/25/2012

A�
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http://portal.ncdennorg/web/wq/ws/suJnpdessw#tab-4
Permit No.: N/C/_/�// _/T/�/`/ or Certificate of Coverage No.:
Facility Name. Vertellus Performance Materials
County: Guilford Phone No. 336-834-4903
Inspector: Michelle Kareis
Date of Inspection: 6/2/2015
Time of Inspection: 6:15 pm
Total Event Precipitation (inches): .74"
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
® Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall, The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 7
SWU-242, Last modified 10/25/2012

1.Outfall Description:
Outfall No. 01 Structure (pipe, ditch, etc.) pipe
Receiving Stream: North Buffalo
Creek
Describe the industrial activities that occur within the outfall drainage area: Maintenance shop
driveway, manufacturing building.
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: light tan - light brown
Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): none noticeable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe None
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 7
5WU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. 02 Structure (pipe, ditch, etc.) pipe
Receiving Stream: North Buffalo
Creek
Describe the industrial activities that occur within the outfall drainage area. Stormwater
discharge from driveway areas
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: clear to light tan
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): none noticeable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the Stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the Stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe NONE.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 3 of 7
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. 03 Structure (pipe, ditch, etc.) pipe
Receiving Stream: North Buffalo
Creek
Describe the industrial activities that occur within the outfall drainage area: Sheet runoff,
driveways, areas without secondary containment.
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: light tan to light brown
3, Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): none detectable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and S is extremely muddy:
1 2. 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe NONE.
Nate: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 4 of 7
5WU•242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. 04 Structure (pipe, ditch, etc.) pipe
Receiving Stream: South Buffalo .
Creek
Describe the industrial activities that occur within the outfali drainage area: Parking Lots.
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: light tan to light brown
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): none noticeable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfali? Yes la
10. Other Obvious Indicators of Stormwater Pollution:
List and describe None.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 5 of 7
SWU•242, Last modified 10/25/2012

1. Outfall Description:
©utfall No. fly Structure (pipe, ditch, etc.) pipe
Receiving Stream: South Buffalo
Creek
Describe the industrial activities that occur within the outfali drainage area: Driveways,
walkways, sheet runoff from roofs.
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: clear
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): None detectable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2. 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 z 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes
10, Other Obvious Indicators of stormwater Pollution:
List and describe NONE.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 6 of 7
SWU•242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. 06 Structure (pipe, ditch, etc.) pipe
Receiving Stream: South Buffalo
Creek
Describe the industrial activities that occur within the outfall drainage area: Driveways,
walkways, Roof runoff.
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: dark tan to -dark brown
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): None detectable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of Floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. is there evidence of erosion or deposition at the outfall? Yes No
1.0. Other Obvious Indicators of Stormwater Pollution:
List and describe NONE.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 7 of 7
5WU•242, last modified 10/25/2012

N eritec i, nc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Michelle Kareis Report Date: 6/2/2015
Client: Vertellus Performance
2110 High Point Rd. Project:1H2O15 Stormwater
Greensboro, NC 27403 Date Sample Rcvd: 5/29/2015
Meritech Work Order # 05291502 Sample: Outfall #1 Grab 5/21/15
Parameters
COD
Total Suspended Solids
Oil & Grease (HEM)
Result Analysis Date Reporting Limit Meth ualifier
39 mg/L 5/29/15 15 mg/L EPA 410.4
13 mg/L 5/29/15 2.5 mg/L SM 2540 D Q1
12 mg/L 6/1/15 5 mg/L EPA 1664A
Meritech Work Order # 05291503 Sample: Outfall #4 Grab
Parameters Result Analysis Date Reporting Limit
5/21/15
Methgd Qualifier
COD 131 mg/L 5/29/15 15 mg/L EPA 410.4
Total Suspended Solids 42 mg/L 5/29/15 2.5 mg/L SM 2540 D. Q1
Oil & Grease (HEM) <5 mg/L 6/1/15 5 mg/L EPA 1664A
Q1 Holding time exceeded prior to receipt by the lab.
I hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax[phone]

Chain of Custody Record COC
Client: Vertellus
Vertel lus
2110 High Point Road
Greensboro, NC 27403
Attention: Michelle Kareis
email: [e-mail]
NPDES #:
Phone: [phone]
Fax:
Email: [e-mail]
Project: 1H2015 Stormwater
Po #:
1. ERITECH RN.
,, Environmental Laboratories
"yam j A Division of water Technology and Control, Inc.Address:
�y
642 Tamco Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: wtclabobellsouth.net
Web Site: www.meritech-labs.com
Turn ArRuo Time*
Sta �I daysj�
-5 Da
24 - 48 Hr
o
Sample
LocationllD #
Sampling Dates & Times
person Taking Sample (Signature):
Lab Use Only
START
END
comp?
Grab?
#of
Conts.
Tests Required
On
Ice?
pH OK?
C12 OK?
Date
Time
Date
Time
Outfall #1
5/21/2015
9:48 AM
Grab
1
Oil and Grease
yes
Outfall #1
5/21/2015
9:48 AM
Grab
1
Total Suspended Solids
yes
5
Outfall #1
5/21/2015
9:48 AM
Grab
1
COD
yes
Outfall #1 Wk
5/21/2015
9:54 AM
Grab
1
Oil and Grease
yes
Outfall #g
5/21/2015
9:54 AM
Grab
1
Total Suspended Solids
yes
`-z
Outfall
5/21/2015
9:54 All
Grab
1
COD
yes
Cr _L ,k z4l�, r0 0 L,
Method of Shipment:
Comments: Composite 624 vials prior to analysis. Please perform clean up procedures on
organics to obtain lowest possible reporting limit.
❑ UPS
Fed Ex
Hand Delivery
Other.
Will these results be used for regulatory purposes?
Yes roc No
RUSH wort: must be approved prior to submitting samples.
Reli q -shed by: Date: Time:
Q
R eive Dale: Time:
R [nq ! ed by Date :
Ti,,,,—
Received by: Date: Time:
Relinquished by: De e: Time:
R:co at I b by./ Date, f Time:
%` '

Merxtech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Michelle Karels
Client: Vertellus Performance
2110 High Point Rd.
Report Date: 6/12/2015
Greensboro, NC 27403 Date Sample Rcvd: 6/3/2015
Meritech Work Order # 06031599 Sample: Stormwater 2 Grab 6/2/15
)Parameters Result Analysis Date Reporting L11rd melho
COD
711 mg/L
6/4/15
15 mg/L EPA 410.4
Total Suspended Solids
320 mg/L
6/5/15
2.5 mg/L SM 2540 D
Oil & Grease (HEM)
27 ing/L
6/9/15
5 ing/L EPA 1664A
I hereby certify that 1 have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax[phone]

Chain of Custody Record. (.COC)
Client: Vertellus
Address: 2110 Highpoint Rd
Greensboro, NC 27403
Attention: Michael Bowen
Phone:
cell
Email:
Project:
Po #:
MERI 1 ECH INC.
]t nvi.ronmental Laboratories
A. Division of Water Technology and Control, Inc.
$
642 Tamco Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: [e-mail]
Web Site: www.meritech4abs.corn
Tung Around Time*
Std (10 days)
©
3 -5 Ray
C�
24-48 Hr
Sample
LocationliD #
Sampling Dates & Times
Person Taking Sample (Signature):
Lab Use Only
START
END
Camp?
Grab?
!i of
conts
Tests Required -
On
1ce7
pH OK?
c,ZOK?
Time
Date
Time
Stormwater Z
//--Date
L� 4,045
zz'&S-
1
TSS E
Site #
1
COD (w/H2SO4)
c
�s
IL C7 3�
1
Oil & Grease (w[HC))
y
p H
Method of Shipment:
Comments:
El UPS
Fen Ex
Hand Delivery
Will these results be used for regulatory purposes?
YesNoRUSH
work must be approved prior to submitting samples.
Relingesishe y: ate Time:
-14219
Reee b �-. p`�;`w Tt�; ��`
Date: lime;
el'stlgulsh y: d�A- - f 5-- t�; Oil'
lRellnquxh-ed-
Receivedby: Date:Time:K/QOther
ti
by: Date: Time;
Received at tab by: � Date; Time: \

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Michelle Kareis
Client; Vertellus Performance
2110 High Point Rd.
Greensboro, NC 27403
Meritech Work Order # 060315100 Sample. Stormwater 3 Grab
Parameters Resul Analysis Date
COD 3,160 ing/L 6/4/15
Total Suspended Solids 296 rng/L 6/5/15
Oil & Grease (ITEM) 8 rng/L 6/9/15
Report Date: 6/12/2015
Hate Sample Rcvd; 6/3/2015
6/2/15
Re oorting Limit Method
15 mg/L
EPA 410.4
2.5 mg/L
SM 2540 D
5 mg/L
EPA 1664A
I Hereby certify that 1 have reviewed and approve these data.
fY
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax[phone]

..Chain. of .Custod Record..COC ..
Client: Vertellus
Address: 2110 Highpoint Rd
Greensboro, NC 27403
Attention: Michael Bowen
- -
Phone:
cell
Email:
Project:
Po M
MERITECH INC.
- Environmental Laboratories
A Division of Water Technology aad Control, Inc.
642 Tamco Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: [e-mail]
Web Site: www.meritech4abs.com
Turn Around Time"
5td (10 days)
n
3 -5 Day
EZ=
24-48 Hr
Sample
LocationllD #
Sampling Dates & Times
Person Taking Sample (Signature)_
Lab Use Only
START
END
Comp?
Grab?
# of
Cvrrts.
Tests Required -
Q
On
lct?
PH DK?
C'i20K7
Date
Time
Date
Time
Stormwater
s
1
TSS
Site #
f2
1
COD twIH2SO4
r-p
Z y=
0
1
Oil & Grease (w/HCI)
C_
Method of Shipment:
Comments:
❑ UPS
❑ Fed Ex
❑ Hand Delivery
Pother
Will these results be used for regulatory purposes?
Yes No
*RUSH work must be approved prior to submitting samples.
Relinquished by; Date: j' IQ � Time:
� �
Rece by' Date:.
�
Relinquished / f Dat : f Time;
b
d f/+cam ((�2 Jz- �-
Received by: Date: Time:
Relinqulsh by: Date: Time:
Received at lab by: Date: Time: y

Meritech, InC.
Environmental Laboratory
Laboratory Certification No.165
Contact: Michelle Kareis Report Date: 6/12/201S
Ciient: Vertellus Performance
2110 High Point Rd.
Greensboro, NC 27403 Date Sample Rcvd: 6/3/2015
Meritech Work Order # a60315101 Sample: Stormwater 5 Grab 6/2/15
Parameters Result Analysis Date Reportlue Lunt Method
COD
117 nig/L
6/4/15
15 mg/L EPA 410.4
Total Suspended Solids
6 mg/L
6/5/15
2.5 mg/L SM 2540 D
Oil & Grease (HEM)
<5 Eng/L
6/9/15
5 mg/L EPA 1664A
I hereby certify that I have reviewed and approve these data.P/;�/
Laboratory Representative
642 Tanico Road, Reidsville, North Carolina 27320
tel.[phone] fax[phone]

Chain of Custody. Record .(COC)
_ ..
Client: Vertellus
Address. 2110 Highpoint Rd
Greensboro, NC 27403
Attention: Michael Bowen
-
iVPQES ji:
Phone:
cell
Email:
Project.
Po #:
MERITECH INC.
EnvironmeloW Laboratories
�4. A Division of water Technology and Control, Inc.
642 Tamco Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: [e-mail]
Web Site: www.meritach4abs.com
Turn Around Time*
Std (10 days)
©
3 - 5 Day
r--=
24 -48 Hr
0
Sample
LocationilD#
Sampling Dates & Times
Person Taking Sample (Signature):
Lab Use Only
sraxr
Ufa
Comp?
Grab?
gat
cons
Tests Re�t uired -
`t
On
ltn? _�'
pHCKT
C120K?
Date
Time
Date
Timt
Stormwater �,�
Z,3 = Cg-0
1
TSS
Site
1
COD (wlH2SO4)
i
Oil & Grease (wJHCl)
{.2
pti
Z
Method of Shipment:
Comments:
UPS
Fed Ex
Q Hand Delivery
�Qther
Will these results be used for regulatory purposes?
Yes I I No
*RUSH work must be approved prior to submitting samples.
Relinquished by Datei Time:
raj%
Received ij Pe Time:
Da
Relinquished b 4 `�ty.� �� � �"dTim�
4ag zfo-1�&Relinquished
Retn[ved by. Date; Time:
by: Hate: Time:
Received at lab by Date: Time:

Mexitech, Ins.
Environmental Laboratory
AP
,.
Laboratory Cea•tilication No.16S
Contact, Michelle Karels Report Date: 6/12/2015
Client: Vertellus Performance
2110 High Point Rd.
Greensboro, NC 27403 Date Sample lRcvd: 6/3/2015
Meritech Work Order # 060315102 Sample: Stormwater 6 Grab 6/2/15
Parameters $esU Analysls Date Re ortf g U1111 Method
COD
7,110 mg/L
6/4/15
15 mg/L EPA 410.4
Total Suspended Solids
1,576 mg/L
6/5/15
2.5 mg/L SM 2540 D
Oil & Grease (HEM)
8 mg/L
6/9/15
5 mg/L EPA 1664A
I hereby certify that I have reviewed and approve these data. ,6 . X
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax[phone]

Chain of Custody Record (COC)
VertelluS
Address: 2110 Highpoint Rd
Greensboro, NC 27403
Attention: Michael Bowen
NPDES#:
S
Phone:
cell
Email:
Project:
PO #:
MERI ECH INC.'Client:
]Environmental Laboratories
A Division of Water Technology and Control, Ino.
642 Tarneo Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: wtclab(&_belisouth.net
Web Site: www.meritech4abs_com
Tura Around Time"
Std (10 days)
3 - 5 Day 24 -48 Hr
Sample
LocationIlD #
Sampling Dates & Times
person Tatting Sample (Signature):
Lab Use Only
START
END
comp?
Grab?
it of
coats.
Tests Required -
r�
On
Ice? �p
pH OK?
C12 OK?
Date
Time
Date
Time
Stormwater
�jr Z fr
5 %
1
TSS
!�
Site f#
s�7
1
COD (wIH2SO4)
Ce
Oil & Grease (wIHCI)
�—
pH
(Y
Method of Shipment.,
Comments:
UPS
O Fed Ex
❑Relinquished
Hand Delivery
Other
Will these results be used for regulatory purposes?
YesNo
*RUSH work must be approved prior to sulsmitting samples.
by: Date: Time:
a
Recelved / [/'�/ / Dater Time:
Relinquished b /� �4 ` J`5 +me
0
eceivtd by: Date: Time:
Relinquished by: Date: Time:
Received at lab by: Date: rime:
- 1 }�,

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 7/14/2014
CERTIFICATE OF COVERAGE NO. NCG060098_
FACILITY NAME—Vertellus Specialty Materials
COUNTY Guilford
PERSON COLLECTING SAMPLES _Todd Yarborough _
LABORATORY _ Lab Cert. #
Part A. Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014
e FACILITY -ACTIVITIES INCLUDE (check all that apply):
RECEI
VED \IVED ❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ®NO
JUL 17 2014
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWO/BOG Total event roinfall 2 or ® No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
Soo
1
N/A
N/A
N/A
N/A
N/A
N/A
N/A
2
N/A
N/A
N/A
N/A
N/A
N/A
N/A
3
N/A
N/A
N/A
N/A
N/A
N/A
N/A
4
N/A
N/A
N/A
N/A
N/A
N/A
N/A
5
N/A
N/A
N/A
N/A
N/A
N/A
N/A
6
N/A
N/A
N/A
N/A
N/A
N/A
N/A
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at anyoutfalls.,You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes. complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*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 DAME:
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
monitorinel Period in the case, of "No Discharge" reports to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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 inqui ry 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, incl_ ding the possibility of fines and imprisonment for knowing violations,"
(Signature of Permittee)
-71W;&�?lq
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

Lr`7
V Vertellus-
July 14, 2014
Central Files
Division of Water Quality, DENR
1617 Mail Service Center
Raleigh, NC 27699-1617
Attention - Central Files:
Enclosed you will find one original and one copy of our Year 2 — Period 1 (2014) Stormwater
Discharge Outfall (SDO) Monitoring Report. This report is for Vertellus Performance Materials
Inc. permit No.NCG060098 effective date December 4, 2012. Please contact me at 336-834-
4915 with any questions.
Sincerely,
Todd Yarborough
Engineering Manager
cc: Vertellus Specialties Inc.
Vertellus Specialty Materials
2110 High Point Road
Greensboro, NC 27403
4Wc-on
hli'twi Phone.[phone] Fax.[phone] www.vertellus.com
■■ Gooc ch�m��iryoi wwk

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000 G SAMPLES COLLECTED DURING CALENDAR YEAR: c�d9
CERTIFICATE OF CQV"ERAGE NO. NCG06 no 9 b __ _ _ (This monitoring report is due at the Division no later than 30 days from
_ the date the facility receives the sa piing results from the laboratory.)
FACILITY NAME -\LE 1-l—Uls?C—FIBA��Zlj\f� Zl�t 4S COUNTY t L.Fpf212
PERSON COLLECTING SAMPLES t"AE PHONE NO. (e-�36) ai
CERTIFIED LABORATORY ME:(Li 'T # , --:TZ c— Lab # I -S
Lab # PLEASE SIGN ON THE REVERSE -i
Part A: Specific Monitoring Requirements
OuffalC
No.
Date
Sample
Collected,
molddb:r
00530
Q0400:.
40:I,:..::;,
- .00556
31616
Total Suspended
Solids,
m IL
pFI,.
Standard units
Chei�oiea� Oarygen'`
Demand,
' Oil and Grease; .
mglL
XFeColifor ,
s per 0 mI
Bencliimark=: .
>.. -
100
Within'6:0;_ :9:0
:' r:.120. ;:
30
0
I
_ 6 _ (W
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement T er 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes )ao
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
..OhtfaIl.. „
No
`Date
- ected,
mb/dtI/
00556. _
.«:a053.0 ....v `...
' . u 00400 .
Oil and Grease, ::
TotaLSitspendedsSol�ds,
_ ;.
,
..Skandard iinits
New.Mator.0il Usage,
Annual ave a aymo
Benehmark
-
30, :;
# ;` ` ,
``` :6:0'"� 9:0
-
Note: u report a sampled value in excess of the benclunark value, or outsid6the bench range for pH, you must implement Tier i or Tier 2 responses.
See General Permit text.='
'
Lp
STORIM EVENT CHARACTERISTICS:
ry�
Mail Original and one copy to:
a
��
N
Division of Water Quality
Date (firsk event sampled} /
''� Wit:
Attn: DWQ Central Files
Total Event Precipitation (inches): �,l��L�
-=
1617 Mail Service Center
�7
Raleigh, North Carolina 27699-1617
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
S WU-249- I 02107
Pape 1 of2

t
"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 lines and imprisonment for knowing violations."
j—.
(Date)
SN U-249-102107
rage 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06 ooG�
FACILITY NAME A -_R 1AL5
PERSON COLLECTING SAMPLES t "L- bow0tj
CERTIFIED LABORATORY JMtr 1' %-rEC+1 . _W t= Lab # ILS
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: [9 X
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY lt,bt2Y)
PHONE NO. M61
PLEASE SIGN ON THE REVERSE �
Out fall
No.
Date
Sample
Collected,
and/dd/ yr
00530
00�00`.. ..
; ,'00340 ,., .:
.00556
.31616
Total Suspended
Solids,
mg/L.
.: pH;
Standard:unrts'
Cfiemieal'Oxygeq =
: Demand,
COil:nd Grease;
L mg/L�'
ecal'Califor ,
Colo ` s per 0 ml
Benchmark
-
100
With iii':6.0_ : 9 0,- " .
::` 120`- r ;
_ .. '30:
0
6
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.b T
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? w yes _io
(if yes, complete Part B)
Part i3t.Lr_hicle Maintenance Activitv Monitorinty Requirements
Oi;tfall0040
No.::
Sample Collecte ,
mtr/ad/ r.
,
ease, f'
m /L'....Star►dard'tinits
Total Sspeudedt
,:
New Motor:Qil Usage,
Aaittial ay.'e'ra a aVmo
=Beniasii'irk
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT
CHARACTERISTICS-6 -.Xf ?rst e11
vent sampled)
Total Event Precipitation (inches): n
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
SWU-249-102107
Page I of 2

t
"T 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."
(Signatu�e of Permittee
7 17
(Date)
Svav-249-102107
Page 2 of 2

q $
Vertellus Specialties Inc.
Incident Investigation Draft Report
Plant Greensboro, NC
Location Greensboro, NC
Incident Date: September 15, 2008
IRIS # 10356
Investigation Period: 9/15/08 — 9/16/08
Investigation Team:
Michelle Kareis, Leader
EHS Manager
Bryan Sepessy
Operations Manager
Amy Young
(duality Team Leader
Investigation Report Issue Date 1017108

Purpose
The investigation of the effluent release was conducted to meet the requirements of the Vertellus
Incident Investigation policy and to gather lessons learned to prevent recurrence. The processes
involved in the incident are not regulated under the OSHA PSM or EPA RMP standard.
Incident Description
At approximately 1800 9/15/08, an individual near the intersection of Watts and Husband Street
near the Greensboro facility noti fled the Greensboro Fire Department through Guilford Metro
911 of an odor in the storm drain across the street from his house_ Through a process of
elimination, Gl~D and Greensboro Stormwater Management staff identified the material as
coming from the Vertellus location. The release was identified as effluent from the plant effluent
system. A contractor was called in to remove the material from the downstream storm drain and
flush the storm drain system. The material was then returned to the effluent system on site.
Background
As a byproduct of the chemical manufacturing process, the Greensboro facility generates
effluent/wastewater. Eflluent is managed on site through a series of tanks, wastewater stripper
towers, pH monitoring, and finally discharged to the City of Greensboro POTW (Publicly
Owned Treatment Works) TZ Osborne Wastewater Treatment Plant under a City of Greensboro
Significant Industrial User Permit. The facility also has an NPDES permit for stormwater runoff.
Water from process operations is collected through concrete floor drains located around the
facility and pumped to the effluent tank system. Additionally, in the concrete in front of Gate #2
on the inside of the plant is a sump designed to collect any runoff and/or incidental releases and
return this material to the facility's effluent system.
Brief Process Description: Effluent Towers and Sump
Plant effluent (reactor cleanouts, floor cleaning, splits, water washes, etc.) is discharged through
floor sumps to wastewater tanks, and eventually to Tanks 351, 352, 353 and 354. T351 and
T354 are holding tanks; T354 is an equalization tank for 351. In general, water flows from 351
to the stripping towers. Although it is possible to route 354 contents to the stripping towers, this
is done on a very infrequent basis. From the stripping towers, water is pumped to 352 and 353.
T352 and 353 are discharge tanks to City of Greensboro POTW_ Prior to discharge, the QC shift
chemist verifies pH of effluent in tank to be discharged, records this in Effluent Log Book,
verifies volume that has been/is to be discharged, and discharges to City POTW as appropriate.
There is concrete containment around the tank farm and the stripper towers. Tank farm
containment is adequate to contain at least 100% of volume of largest tank. Volume in
containment immediately surrounding stripping towers is lower, though this area is gravity fed to
sewer sump adjacent to laboratory building. The combined volume of the stripper tower
containment and the sewer sump containment is adequate to contain at least 100% of the volume
-2-

of the stripper towers.
The sewer sump contains a pump with a float valve that transfers material from the sump back
into the wastewater effluent tanks upstream of 351, 354 and the stripper towers. There is an
audible high level alarm for this sump in the QC laboratory hallway.
Sequence of Events
Note: All times are approximate
1730: Operator notifies PTL on duty that wastewater stripping towers were foaming over, Foam
from the towers contained in the containment area for the towers and gravity fed to the sewer
sump. The PTL went to the area to investigate, noted no foam or water outside the stripper
containment, and turned off the pump to Tank 351.
1800: QC analyst on duty notified the PTL that the stripping towers were foaming again and
that the foam was outside the containment walls. PTL investigated, identified small amount of
foam immediately outside of containment wall but within property, and noted that the pump to
Tank 354 was on and pumping. The pump was turned off and flow stopped to the towers.
1800: Odoi complaint called into Guilford Metro 91 1/Greensboro Fire Department (GFD)
1815: GFD arrives on site and asks the PTL on duty if anything unusual was occurring or if
there had been any releases from the facility. PTL checks sump area in front of gate #2 and
does not note any spill, release, or other material in the area. Reports to Fire Department that
nothing unusual is occurring on site.
Between 1815 and 2030: GFD personnel collect a sample of the stormwater in the storm drain in
and sampled for pH using litmus paper. Reported pH 11 — 12.
2030: Greensboro Fire Department Hazardous Materials Unit and Greensboro Stormwater
Management Division (GSM) arrive; on site and report to the Lead Operator on duty that release
source is Vertellus. Release location was identified as the stormwater discharge pipe at the
northeast corner of gate #2.
2115: Vertellus, GFD and GSM staff sample stormwater at stormwater drainage point
immediately outside Gate #2 and the stormwater drainage ditch. Samples were collected in glass
jars and returned the sample to the Vertellus laboratory to be run on a pH meter calibrated daily.
Further downstream drainage location on Immanuel evaluated for odor to determine potential
presence of effluent. None detected. GSM staff contact Guilford County Environmental Health
(GCEH) for guidance on cleanup method/location. GSM/GFD/GCEH identify location for
cleanup effort to be stormwater drain at Watts and Husbands. Determined best practice would be
use of vacuum truck to remove material from existing drain, then flush fresh water from
Vertellus through storm line to Watts/Husbands location and remove this water as well.
2330: Shamrock Environmental Services not] Pied.
-3-

0100 (9/1 b/08): Cleanup of the drainage ditch begins. Material from ditch is removed via
vacuum truck and approximately 1000 gallons fresh water flushed through stormwater system
from Vertellus. PH sample collected approximately 10 minutes before pumping ended indicated
pH of 7.51.
0230: Shamrock and Vertellus personnel departed the Watts and Husband location
0300: Shamrock unloads effluent/water from vacuum truck to Vertellus effluent system (approx.
2200 gallons)
Additional Information
• It appears that the float valve to actuate the pump in the sewer sump did not work
properly. This would have allowed the sump to overflow and effluent to reach the city
stormwater ditch.
• It appears that the Sewer Sump Flooding alarm sounded in the QC laboratory, however
notification was not made or not received by the PTL of the condition. Standard practice
is for QC shift chemist to silence alarm and notify maintenance or PTL of alarm.
• The normal maintenance shift is from 7 am — 3 pm. An additional maintenance person is
on shift from 7 pm — 3 am. Maintenance staff is available for callout during off hours
when there is no coverage.
Causal Factors, Root Causes & Recommendations
NOTE: This investigative report only investigates potential equipment failures or human errors
which may have caused or contributed to the incident, allowed the incident to occur, or make
incident consequences worse. The investigators have not attempted to identify or include any
other potential causes such as equipment design, manufacturing and/or warning defects. Root
cause information taken from ABS Root Cause Map Version 10.
W

Causal Factor
Root Cause
Recommendation
Resolution
Float valve for sewer sump
Problem Reporting
Repair float valve and
Float valve repaired
pump did not work properly
LTA
lower float.
and longer arm
attached 9/24/08
Sewer sump high level alarm
Event based
Lower alarm set point
Transmitter ordered
sounds without giving adequate
maintenance — event
on high level alarm in
and will be installed
time to correct problem prior to
specification LTA
sewer sump.
when received.
sump overflow
QC Analyst silenced alarm, did
Problem reporting
Re-train all
Scheduled for
not verify sump level or notify
LTA
laboratory/rear office
discussion in site
PTL/Maintenance
personnel on
safety meetings 10/15
importance of
and 16/08.
investigating and
reporting sewer sump
hooding alarm
immediately to PTL on
shift and/or
maintenance
supervisor.
-5-

a
ro

Photo 2: Removing effluent from stormwater ditch: Watts @ Husbands
-7-

-8-

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Eh-v;i'fO.tiffiO.ntal,L.abo.ritor'ies_
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samp! let O'licei'lon. ..6ksi6t .20
1C ZM PA.624'VOLATIOAGAN-S
Parameter
:Result.
20;0,ug/L
io —0 t ugh,.,
,
ua L
Carbon Tetraofilor'ide
0 -.' L
Chlorobenzene
Cki.o.rodhare:
• Wo .4jiL
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em
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TO
Aj -Tdchlorocthane
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0,61 4L
ata.
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1336 )L q42-4148:
--,.!-2732 .
P..h. *",(Sq6)442-;1 522 Fa)(

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Shmpleico'lledion.
Param etef
Accnaphibenc
Acenaphihylcne:
ajanthracene
W'enzo. , (a)'pyrene
)Bini6(k)puoranthenq.
Benzo(gh.f}per;lencm
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y .-XY.. 1)0 _Aqfajaidl
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'ChrysObi&
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1, +race=! FiibenzO4-,'h)an
lChl -'A
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ble
;I A hloro'benzene,
Malatc
Dime i[phihalgite.
2,4�6100*luene
lll���l-��`CfI ll
Environnionfal "t abdtjibfidr�
.. - .. - -- — i .- .. -
A_MVi_sidn'df Wk& T66hnology andtonls:,Jnc;
625, , Analysis:
:Composite TAr aceion:
Analyst:
Dilution Vaefoc:
ILY _ FtAb. . 2_S,_.SEMIVOL"-_&T 'OkC A .CS
:Parameter
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Fl uprene.
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Hexa6filorobenzene;
< �250000 !UglL.
f!exaAlOr. . -Mcne!
. IL
-4'50000 -6sUL
'Hex Woroefhani
-0.0000 U&t
UgIL,
**t
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- ',?"500Wuk7L
- -----------
N-Nitmsodi7n=propyl . amine
45a66
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5060 4t-
<
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0.4pro!p-cresol
z�56600,ug/L
2,
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;QSOOoo, uO"
2.' . I '4-binifrophenol
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00 /,L-.
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4L
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-
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00006 UjIL
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l'JaboraCofy Representative
642 Tamdb Road,* Reid.§,vWbl;,'K._27A2Q,
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-
Yes hia
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Rc rshed b --
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TIAFpTPllftk
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Parameters;
Ae5U-1f,
-Arai y �itia
4qacu. fotal
'<9 %,610
MiAIW
Minc, fO&II
0 653 Tzig VM
-
3/5/00
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6127*081
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Division, of Wat6r Tethqo]bgy'grfq Controls, Inc.
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;Result
!,'&nzene
2�
if)OA ro
Z ­b
-2 ugi
;Z 100 -497L
Qro.benze.ne
tWo'loeffianp.
< 1,00 ul%L
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!42"t-016 bromodhanc'
0 -Uw�
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<; 0`0.00,
c oroct afe
J11,4orb 1c�i` e=ne
20 Q 'uglL
T17,-
20.9 Cg[L-
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c-�20.,O mgll.
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AMMO.'
Ethj 1,;bdini zc-nio'
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McihyIene-,chIbiid6
ugfL
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gf
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Sum'lc.:(6)Lecq#;
.
q2/2WQS
tc N
tlut0nrF;ktof:',50Q0AN' z.,.-
'E'M 612 "SEMNOL fILUORGANICS.
Parametee
RSulf
Param6ier.
,Rcstilt�
fluorenc
WL
,Anthmcene..
!<MQPIWL
kiexachlorobenz'cne�
- -
_'4U
,
. 50000.,u
He xachlor6butadl&i6:
<
.'.36fiij(4-)a,nth,ra' ceim
<,Sdobdug/L
li �kalbfddydi6&6fedl mp
< A
-
nr
Hixa6hloroethanC
4 iBinzotlutirngntheric
OQOOO ugiL,
%lnden6(1,2,3-cd)Oy�e
Z-'.50000 ug(L.
.A�W(Wuoraai hent
:06666 ug!L.
6666 4L
`genzo(8,6 i)pcfylciie
<5009q.iiWG-7
AR i�y!napliifialcne:
000 Otte
4sutyNCf'2yl ONIfilif
450060 ug/.L,
:Naphthalene
z{ Wii(2-chloroeihoxy
Bls(24chlorocihy6ed6*i'
<50000AV
amIRID *Nitrosodiincihyl "
-<,
r-o,*P YlWitfc-
Big(N-c - tfiyIh'oxyI)phihalkc:
NNitrosod "' h"
qlL
4:-,!Broniop'heriy-l'pfienyl':ethet
0 0 0 0 qg/4
Fl ddiih6rene,
�5 0 0 0 0 �qklL
Pyrencz
:;c 50OW4WE,
. '6 �� '--
.4 qlqpjl(�fi�
-�5666�1, ug�L
-
'TF
no
. Qo:ug/L
qfy-� ins
-� 0 6670 � 4L
,'Dibcnz6(�-'fi)adhraccne,
5­6_66b.:Uw1:_
n=clildru=iii=crs l
<2006")
I )bCTjZt7rj6
< 50000 ,4L-
2=ChloroAcndl, -
iZ2000o,
1 3-Di Ohl'---b--­-
I- '-
50QOO!ugIL
2,4-Nchibrophch6l.
t720000 ugn.
1,'4Didhlordbcnzcnc.
<20666 U
1.
d
orobqmeine'
-<250000:U�-24:Htro6henol
.
qOOQQ 6AWL3,j,6
Diethyl pjt4ilite
Alg/L
- I
I00066 ogle
;Dimetfiyj-phtbalate
-<50.000 pgtL,
2-NjtC6pieribI.
ogle
bk;ib tqy"i ihalm��r
4NitrQptiencf
=_
4V
2j4- fliq*W66
;i�;5066 U'WL ,
kpcntq6Wl I
1000,00! ugll,
: ,6__D4niir.ot6l6cnc
1
;.2000 lug/L
Di.n- t6itte
�otykph
<"506 . 00.
2,*,6-Tiizjilorop'henbl
me..
A
ug
hereby: cerii£ytliaC l.tlavc.reviewed and -approve these davi;
taffi'dd.R6Adk RLWtvillip, NO-27-120
..(336.).3.42--4748 51 .Fox
t: t.
Mpl
V taboratot7SeO(MtMi
. � _

m
t .--.
:Chain ;of -C-U-!§ ody" RecordjC00)�-
NPDES;,#,
EC
;tUvjLr.&iiAi6iitaI Sabo'raipifes,.'
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Fax:
9b lhr
WvDfioi"dr.'Mit IcchnaI6 n
g
—77-
i1. 642:Thmco. ..Rd Phone- 8
-
ke'idsvJIIe;,'NC F.4x: 1':�SU-.342-1522
­rh,'. roWid jrne
—T u A_
27320' M�61ab'ft
'VV6b
.:Std flSdo-or
.48 Rr
:Site: : twww,,mentech-:IAbt'.'6d-di
.SaMple,
i d Times turey',
0 1'.
tah.;Use n .
Y
"START
Date Time_
ENO
Time
Dat!r� Grab?
__r
T&��fi�' qUired
T�
_.On
n
IC.0
i
C12 OKI—
t I
v�
r
fib. -vo
A-1
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-*"DechlorIrnation'(<-'0",5*7 .O.pT) dfAffinoniaiCyanide PhOrioll
or'-TKN!;'-z4q0Ids� Y*iustbeldond-irtth6-.-rfieid='P'tibe.td�
pres'ervp3fionF"''
Meffibd bUShipment, i
F _.0 S_
I P..
I
Med tx.
Will tfilas4 results N-.,Lfs_edI'(qT­ regulatory -purposes
No
RUS 1w.qrk,tnqS.'t-4g #j5p PrioIrIo--subr'm'iffinq'
Y� R.-
,F:
"10)
Ftell
_414-nq Ivery.
j Ren
,Date. Tlmie-!
S
m
Re jig,
ZR
'pate" Tim ' e "

entik ,
_Laboratory
:Convict:
.211 i 0,'r1
Pate�sam le�Rcva'-: V
29/08
-A Result- nalXsis.Daf R eff? t ih g� Li r3i i Nleihad
. ., .,-, -
7rip'Mpk;
S pie. P�fils Or& am
7'arAhieL I
'Methatl
0.010 mg/m,
'Grab
-ResultL
Jda
t�.465xpKIL-
335.
ZPA,, -4
-Nicrel6y°cerii - - '!�— �Lejdqtq,
6 ed d4d PPF qlk
L4�2'Ti�icq Road:

[ -E Tu �W 1MCM
Environmi-e-hial Ldb6f4tpr .1'es
Rhnolcgy and Gontroisiiqp�
'.YbAdiius Vcrf&rnanaWi�teriaas Nier,iie , 0229U67'
Project: `624 03/1 0/,G8
0mv
11c'm �A'm-Analyst:;� ID: C66io&ite 3S1.-AS -3-S�-'K -Analyi
'Samole t6fi&ifofi-62i27JQ$ Olution -Factor: :j
'-E,PA'624 VOIATH11'ORGANICS
j1d ' 7ffit� ' fie
ug/L.
bromom lfhane
'D-i&hl6ro e
�<:20.0 , 4L,
Bromciform-7
�ua
lvfeihyl'B'romjde,-.
"160, ug
uW
IQ 0. 9/L.
CM6 ro-i 0 i yj vinyl ether. ther.
A: 106 UjL
-CHI-6rof6rm.
;�120. , 0 .4L
Methy, ' I ChJOA�.jp'
7..
�;100, U95
Chlbro'di-b- 5U;
,I i?-1Dkhioroethafte-,
T,41'06hlordbenze6e
,2rbi6hl6r6benzen : e.
Z7
enzenc,
or ethylene
A 6h1bropropane
`�20.0 ug/L
:Cis=,439.Mlilbroprqp
--�BOA` UR/L
u
TOri6hloroclb lene;
Tpluene
20",'0 ;ug/L
20f6
Tric'hl6ff&0Wa&
�T- clil&ffi o6rorn ethane:
< P.
'Vin_:I ph lori de;
Y
I yi)L.
�1',her64y certifyAhat,]. hdv&.;f.eV.i-6*0%n�d-. approvwthes6. data,;;
"I TAiii66ROd *'RO)dsOfk- NC ­ 773 26,

MERIT,F', H, INC.-.-m
:Er vironment.di.'L.4b.prato.ries,-
A DA16n:of Water Technblo,gy add- lhd:
­­­­ -- ..
MAterials
'Protect: (62.5
-,.Cbeni Sample- febrnoo§ite:
Samp feCollection:; .62/ 2 8 Mg
02297f
Atralysi�.' 03/25/08
kjaeattiow. -03/068
-Aiialysf: 'mc:
W "E'ORGANICS d EVA, 62e S-C-MM iL
h h.
c e
--,<26060 ug(i
;Flitoranthene:
;4� O000. ug/L
cen
; A aphthylene
< L
.1borene
T
u
.Anthracene
-<200QQ, uk&,
- -1 . -
Nexachforobenzene
ug/L.
-&nz_id'i'nc
i.00coo
4icxacRfdfb&tItddIe- 'a' i
W.
u
-dopentadicne
!:<100000'.;ug/i.
-ainzo(4)pyrcne,,
4 _WL
-o
.i;xachloi eihan'e
3,; 4-;B enzoht, p roagth q*
I'k.200004L
411deno 2 3 cdj yrgria
:5 Mbbo: uv
OCT, )f*.�f*ho
<:20006, ui/L
-kopkotofid,
< 20000!41�1
gQ000,u9/L
'B�ufyl 6nzylphthalatv
�a ne
—
L �:20000 , ug/L.
(2 chlQroatoicy)tilut440
-5200.Q0 u_WL
Nitfobt�qdlie
_L
Oither
<
iffi thylamine
--<200 O'UkIL
0
yl}iiher
00
1,Nzi4itrosodin;,pr-opy'l-am-ine:
"�-70906. ug/L
I tO
F;c--20000. uA-
!!1o4 1 fro:$ o diA"eny fE�h i a
11
ether.
pj��ffy��:Obdfi�I ,
­200'00"u­
WL
Lfaq tl��46
<_�660W'd
4&
rke
ArChlorop6n 6r,
'Y1 phenyl ether
IQ: 2000,0i4jIL
I.; QiChforobunzenp
!:2QQ0QIUgIL
i--Chloropoicn4,
70
000,rUg/L-
2,4-�Dlchlotophd0i'
206RD i�
'I'i -;Kq qyeaw
-.?1oodo 4L
;A .16-
;3�3' Drchiarobenzidine.
100000 ug/.L-.
2,4-Diftitrop enal
'�IQQQOO :irgJL
?Dicihyf phihilaie
kiZOOPP
<
-100000.0 9/L
bimcthyi phthalate
-<'..ZOOOO ug/L.
121M tropherzdl
x2000 upjL-'
:-,100000 #gl
7.2,4-
;--2000
C11616hiorophartol
e100600 ug/L
2,6-6inj"tbItierfd
m `IoQoa uit-L
I I en 6 1
6,g,/L-,-
y htbhtatc
-s,200 (Y: u9/L
.
TX6-dZh(idohenol
�*2000. b L
tI-,2'QiohenyIhydiaiIne
,<20000'f 4WL
I kreby.
Laboratory
I-Ta"336�,_mca.KoAd'*­Ft61d` S "Vi lik ij NC27
_42-47'. 8 Ph t.(336) 34Z!IPfax;

Y.
Chain of Custody Record
�iBf1t"
Npbus
C.H.-
'1 N-C.
E Vifonxrx'ent; Laborataii�s
A-brvisec'n"n[lVatarInchsiaSogp'a dControl,rinc.Y
aAdde6§s
642 Tainc.o Rd il'hnrte 1 33fi-34Z=4748
0
Reidsuille, NC Fax:: [phone]-'4522
- "_
Turn-Arounif Tim&
z73ZtJ Email' vvtcl'a1a( biillsouth,net: 1
At�'6 tibm-. rt! 'l(
•(:9n cl24iWeb
Ftq
Site: wvnrv.mer'iiechAaibs:corn
_
Sample
_ .
Samplih Qates:8r, irnes. 'j
r
r,
s
rsorr ; along 5amp3e ( igriature}'` :
:s';ari use flniy'
--_
'Locatloill,l4:#
r -' START
i
- Date 1
1116e _.• °
;� Dale"
Time.
;Grab?
Conti:
JJR'C�U�f�d
Ice?. i
C120}CT I
55-
-Qtle
-
CIA
-
17
" tD6chl'oeination 0:5•pprnp of Anrt'F ohia,,C,yanicie, Ptteno!
_-.
orTK
sainpfes;must kie done in th�:fielil pcion'to reservation ��`"
Method:of'5hiprrient:;
Coimmet�ts: _
4 r
.y. f µ
,I •• �I L.J
Will these tesuits-be used for regulatory pUrpo'•ses .
y . -
5 ` Na
-
y. tR a racer, o, l! U5H vsrork must he approv d p' f .s 5mattrng samples;,
Fed ix`
Deiivor
,
Fieiin Sher! by ° - ate_. x _ `� Time;.
. g ��
R ceived tiy:' --• _ - - - Date: �Tlrrie: r
1 f:;
acid
"' I
Rellnqu}}s ' 'by: -'jrV.,Date ` z zvme;.` -
�. i ,.%— i1 , .lit `l. ✓ N/ i
ReCe d,db}: Date! Tfine
�1--Y M• '„1 �. ;�� %Cl' _ ry
J
.❑Othet
i2eilr si rids _ Q41 - T e i
p _,r•,-
ReGeiVedai p, yUt
• ;

Environmenfal, Lefboritory:
Ubdfati#y i6n,46.,165
Client: "Vertd�f� P&16"ehiiinei
'gi.ir�6ps6oro,' C 27403
DiFe Sample_gc�yo.
2%19/,09
3q3e MR
2§f
Aniiiis bail
Regoifinj % ljmiE
Wth6d
A-ttachtdg;
W �Wrcrerh- -Vff�6977'
Merifedi, or
Illp1q: `�QWS:Gris<
Para Fern -&—sulb,
knalysiWbAle.
L60iiig-Liffift
Nkhod
EPA 200.,7..
k 6i�:.BNA-i Attat
cig
1�4
006b Wprk"Order. W M!4GVS
fsiffip iG
08;
Tarametem. fjtjs`jjjt.
-An&sTs b5-(q
'Agp9gin-tim'i
-Wth6d
-R
!6A2'7'17-3'k
Wl;;4 74 '(336) 3427Va' x 3'e- 'I 5k 2
z ..(336

ME , I TE INC,
•
•
EnvIIr6hfkFhtqI LAboratb hj&
r
A Dlvisfbh of Water
t6c'hno�fogy,
lie -]it.
e us'
-Vqrt 11' _#e&;ftdn-eoMafteHa)s-
e e -6220873
Troject."
':624
101116169
,Cjien I Sathp ;e UW
Composite35" -3 -j! G 2
Siknple- C oiled"oh- 62/2 FV.Oa
-.Jsiiutldn'FaUdi.20
'624-'V--6"fA.TI.LF---'ORGk.,Ni(7'8.
.EPA
Parameter
20'0 -to,
BrOmOfbrrn
< 2 0."0 uW', L
-Meihil Bromide
6tt_Wcbl,5Hd&-:
IN—
<
.'�20.0 '�t:
1160 ua
onn
_Chlbrof
Ai -�qgq;-
Mekhy,
_ZO.'O iugIL
A �7!!Dibf&noethaae
uo�
I,I.Ochloroetban6
I '2-Dic@oroeihqd&
<,20 0.
. clilorob-diiie6d
,24�zene5i6lp 6�
20
t,7DicMioethylcne
--�-20.0.�L
!A�§J,.%2.;DJbhIO . rOefhyf,eP0-e.
< 20.16,ug/L
11;2=Dichloroproparzc1
C
iransi .37 _--kr9p,
.26b -U.
Pylene
!by] 'JivIlOctf-C
4L
chloride
u__ -
I T 2- 2-Tetrad[brot-kh*tq
UWL
Nuen-e
0.-
f
k!20;.O �.Uj/
r!Qp- fliane,
S 20`0 -6ivL
V. Vinyl': chloride,
T:Kt rcbyccftifyih xe mvg--an 'approve,ftCTO#,-�,
;Ub6ralory- R' p?isqqUfiv
k 11
.642 Tabico 7,-iROiftViII&,- NC,273-2 Ot
36).342-748'_ 342-1522'Fax

INCI ME C
Environmental Lei bb f6t6tibt.
A oMsjon,of.-Wafer Techn6logy and Controls,.In
—C
bkfit.' VdifOl'" Pc-'ffbrffafide'Nfaiterials- Miriiech IDO: '622077-
-Analysis: :03/25/0§
on: '090 9 om ost e: E IIracdI jj6fmt'Sddfjj1c JD-
-P
Sa�riple Collection;:" 02/29/08: Analyst.- -mc-
Dilution
f1p
actor. 2000,
,m,;r625;SE M41"VOLAT ILE 'ORGAN TO.,
aramcter,
-Result
•.Parameter'
Result
;<46'bbu
060 4L:
T uorene!
gg1j,
<<20000 UEVL:
'.HekachJoro'benzene
r C2000O
'Bcniidinc
-51000o0' ug/L
Tldkzch60htga,
-oik 20 00'
-
Ocfkz�(i);ini�roocnc
<`,W66 U94-11
W4
;,�WOOO� 6j/L
'� ' '
-4j�L
jj exa .0 hloro6thane
'bd6o: U�L
-6�f'hfotdii-nth-cnt;
il'W--,- "' - ' --" '
'
-;�-20006 uj/L
ihi4eno(I
.
06uzo(k)ftovaathen'6�
�16066-'ujlL
�1 -
SOPhYQM!
-�RGQCQUOl
.5 WQ 5,WL,
Nqpfit6ahne--
<46660 oFA
!17*1- Bii(2'--61j6r6khox0mcihang,
E 0666 U'jC
Nifto benftne.
--c-20 00
26000, -uglL
< 2QoQo:'WL-
K�-Njiroso&-n=propylarnine
520GOVd)#L
p
' =& 'hie;
,4L
4 er
:'gromop'hienyt.phen�11eth
46obo: ug(L
�fitnpht�
SNOW U91LI:
F'Itfilbro ap Alehq
-<20000
PM66
-4'Ch114- - "
-<,20000.ug/L .
-
.1 ' 4,--Trijhior66tL-,ene.
< 20000 tjg/L.;
'Chrysenc.,
uwf-
4h-
Z;ne'
K10 Ob 0 uj/1,
�2 j4,zbii�ioro�6enoll
1. , 4!!D . ichlorobenzone7.
-<N6k 4L
-24-*1j-
lig/L.-
,2" -DihWiY6hcri61
4
u
-100- �L:
660
Aom. ohtFawt.'
'k2000Y UgVL-'
4, 6-1) ib ito-io-cresol';
<Wbbdo'
u L
5; -m -9/
2-Nitro hchol.
[a'
phthalate".
Z<--2- 66* 4L
N 06:p
<.10.00901 ugI.L
2.;q- (�pl6d
,
Thenof
yl phthalate
<20000 U
6;yaliopheital
6611;
-bi ­C��ifiy� P:
.1,11 oh In
I-
# U
i hereby
Cekif these dat�- G—
k
at f h5i'&
rawpm-sdn dtiqc-.
T 646idsv-- 2L Nd 27320
4
'(336) :34�2414.6. Ph 022' 'Faix

- -- --- -----
N PDES W,
Phone:
1V,=EII;TI^
Jd
U7
f Watbr Tdctniola
fil d ro
Af
T
6TamRd -336.;342-4 4& 42 .ca .'Ph"qpq�
PA#.
Pel.d, jlie, NC. Fax:; I-P_q6r342'nJ522
Tu 01-�t6u-nd Time
*I
2-71
.0 I wtclabpbel JtLdUtjj.'jjdt..�
-on
Aftenii Ac_ _I-r
-S ta . - 10 d �P;­%
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LocatJbnP
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Q7
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J0,
D6chIbrihPt_VOn'( ...O.S'pprri):of Ammo6ia, -pyahidd,-Ph
6 hbl', .or; M'sampiCsfmust be.don eln' e field, ior c preOn*iq.n...­-
I
:PP!b-od. of 5
Dups
these restiltSbe' __�;ed fbf -.tO,IY p kqposes
- , -_ —_ I— —
RVSH warkmvv,.,4e ppprqypd- rjpr- tostibm'itting samples;
_...P
j,WiII
I
.f,.9d E�
YO 4 1 , Wo�
T 7�-
nd DOW6N
rIVIL
Dal '`Elms:
vv'L Ir\
ReC ved_i:y:,Time::
Iu 'i- •Time-
.2z
at wtaj- f: JiT!
7."

A offl, M2 MORFLEX, INC. 2110 High Point Road
Greensboro, NC 27403
q"W 1-336-292-1781
MATERIAL SAFETY DATA SHEET
DEFT
1. CHEMICAL PRODUCT AND COMPANY IDENTIFICATION
PRODUCT
DEET
:CAS #{.� '7
�-
134-62-3
{NAME
�y
.S:�Y.�. i! �A Y.�-IR. k �J.'y �..'i5�'k( ^i
�F� 4.�i, II. H� • +
CH»EMICAL NAME , r '
Benzamide,
KCHEMlGALtFAMlLY'
alkyl amide
fi
N=N-diethyl-3-methyl
N f
.„i&'rR
v
s,WOLECUE WEIGFiT'�
191.3
MOLECULAR FORMULA"
C12H17N0
yyEF,FECT1yED�-ATE��'A:�
February 2004
:`SUPERSEDESJ•
December 1999
i' '..,K y YA"ii"ry.liK1'�k:. �- '^S. .a _iSl
4. f
y ±�y[�!! rw
�' U'_ �w'•.T' f.n'-Fa!_'_.•'S ..+r^. ,i.%/d��..�i.� ;y5•
EMERGENCY NUMBER: CHEMTREC 9-800-424-9300
2. COMPOSITION 1 INFORMATION ON INGREDIENTS
COMPONENTS
CAS # m
% by wt ..
'.EXPOSURE LIMITS
N,N-Diethyl-m-toluamide (DEET)
134-62-3
approx. 100
Not established
3. HAZARDOUS IDENTIFICATION
***** EMERGENCY OVERVIEW *****
An oily liquid with a mild odor. This product does not present
an immediate concern for emergency personnel.
POTENTIAL HEALTH EFFECTS
EYES��
May cause moderate irritation.
,SKIN ,
Non -irritating to intact skin; keep away
•Ix tl
s.. " �'
from mucous membranes and abraded
sN�t�
=:
skin.
INGESTION'
May be harmful if ingested in sufficient quantities.
INHALATION;;
High gas, vapor, or mist concentrations may be harmful if inhaled.

Morflex, Inc.
DEET
EFFECTIVE DATE: February 2004
PAGE 2OF6
CHRONIC (CARCINOGEN)" �,f
Mice and rabbits exposed dermally to 0.02 mL of 10, 50 and 100%
concentrations of DEFT twice a week for 160 weeks had no significant
differences in the number of tumors compared to controls.
JERATOGENICITY1.
No significant reproductive or developmental effects were observed in
=
the fetuses of female and male rats or rabbits given DEET. In female
rats given 125 - 750 mg/kg/day orally on gestational days 6-15, no
r''•
external, visceral, or skeletal malformations were observed in fetuses;
however, reduced fetal weight gain was noted at 750 mg/kg. In a
chronic two generation reproduction study, the F2 offspring of CD rats
given 500 - 5000 ppm showed a slight increase in explQratory
locomotor activity at the high dose level.
' MUTAGEN'ICITY e
DEET was not mutagenic in Satmoneiia typhimurium strains TA100,
TA1535, TA97 or TA98 with or without metabolic activation when
tested in a preincubation assay. Exposure to Tradescantia paludose
pollen mother cells in early prophase I to 1-3 spray of a commercial
insect repellent containing DEET did not induce micronuclei in later
1 .,. . , _.
stages of pollen maturation.
4,
4. FIRST AID MEASURES
'EYES ''
Immediately flush the eyes with plenty of water for at least 15 minutes. Call a physician.
SKIN s--::
Wash thoroughly after skin contact.
INGESTION ' y
Drink 1 or 2 glasses of water and induce vomiting by touching back of throat with finger.
Do not induce vomiting or give anything by mouth to an unconscious person. Get
medical attention.
=IINWALATION'
Remove from exposure. If not breathing, give artificial respiration and call a physician.
Seek medical advice if symptoms persist
5. FIREFIGHTING MEASURES
:FLAMMABLE PR©PI=RTIES ``
FLASHPOINT
311°F (155°C) METHOD: COC
FLAMMABLE LIMITS ,
LEL
Not available
=fJEL
Not available
A
. AUTOIGNITION.
Not available.
COMBUSTION PRODUCTS,,,,'
Combustion will produce carbon monoxide, carbon dioxide and
oxides of nitrogen.
'. EXTINGUISHING°MEDIA,,' :; `' „`:"
Foam, dry chemical, carbon dioxide, water spray
FIREFIGFiT,ING INSTRUCTIONS,r
Wear self-contained breathing apparatus and protective clothing.
: '
!Normal firefighting procedures may be used.

Morflex, Inc.
DEET
EFFECTIVE DATE: February 2004
PAGE 3OF6
6. ACCIDENTAL RELEASE MEASURES
Contain spilled liquid with sand or vermiculite and place in chemical waste container. Prevent runoff from
entering drains, sewers, and streams.
7. HANDLING AND STORAGE
.HANDLING
Avoid contact with eyes, skin, and clothing. Use with adequate ventilation. Wash
thoroughly after handling.
STORAGE;• `;
This product should be stored at ambient temperature in a dry, well -ventilated location.
Keep container closed when not in use.
8. EXPOSURE CONTROLS 1 PERSONAL PROTECTION
ENGINEERINGCUN711
ROLS ,i'
Use with adequate ventilation. The use of local mechanical ventilation is
recommended whenever this product is used in a confined space or
heated above ambient temperature.
PERSQNAUhP OTECTIVE EQUIPMENT PPPE'
.;EYES 1 FACE' :•.
Goggles or glasses with side shields.
,SKIN • .*`
Clothing should be sufficient to minimize physical contact. Impermeable
gloves recommended (i.e., neoprene).
RESPIRATORY.,;
The use of a NIOSH-approved organic vapor respirator is recommended
=•"`
whenever this product is used in a confined space or heated above
ambient temperature. Air -purifying respirators must not be used in
oxygen -deficient atmospheres.
9. PHYSICAL AND CHEMICAL PROPERTIES
-APPEARANCE
Clear, oily liquid
ODOR.' F °� ,r `
Mild, characteristic
,
"pH
Not available
-PHYSICAL STATE' .,"
Liquid
NAPOR;PRESSURE °°:
0,0017 mm Hg @ 250C .
' VAPOR DENSITY : r';;
6.7
801LING`POINT_
291.7°C at 760 mm Hg
FREEZING/MELTING ::-•"
-43°C (-45°F)
F
:POINT
(Pour point)
SOLUBILITY (WATER) .;
9.04 mglmL
;SPECIFIC GRAVITwYTx;:`
0.996 @ 25125°C
EVAP.,ORA7ION'RATE
1 (Butyl Acetate = 1 }
;OTHER
nla

Morflex, Inc.
DEET
EFFECTIVE DATE: February 2004
PAGE 4 OF 6
10. STABILITY AND REACTIVITY
STABILITY _
;,
Stable
INCOMP,4TEB1L'-'ITY' °'
r
Incompatible with oxidizing materials.
, HAZARDOUS'DECOMPOSITION .
Combustion will produce carbon monoxide, carbon dioxide and
PRODUCTS
oxides of nitrogen.
POLYMERIZATION'.', '..i•i,' ',_ ,:`=s=
Will not occur.
11. TOXICOLOGICAL INFORMATION
,'Acute toxicity
Irritation
Non -irritating to intact skin; keep away from mucous membranes and abraded skin.
• May cause moderate irritation to eyes.
Oral
Oral LD50 (mouse) = 1170 mg/kg
• Oral LD50 (rat) = 667 - 891 mg/kg
• Oral LD50 (rat) = 1950 mg/kg
+ Oral LD50 (rabbit) = 1584 mg/kg
* Oral LD50 (rat) = 1892 mg/kg
Dermal
, Dermal LD50 (mouse) = 3170 mg/kg
* Dermal LD50 (rat) = 5000 mg/kg
• Dermal LDSo (rabbit) = 3180 mg/kg
Inhalation
. Inhalation LC50 (rat) = 760 ppm
1r •, '• n .,k. r Ww '. i } _1 ,„. 5 •1 y ��..r �, �^:e S P-:..� ,,;�t•T
�Wtipleydose effects'r
• Mice and rabbits exposed dermally to 0.02 mL of 10, 50 and 100% concentrations of
DEFT twice a week for 160 weeks had no significant differences in the number of
tumors compared to controls.
• DEET was not mutagenic in Salmonella typhimurium strains TA100, TA1535, TA97 or
TA98 with or without metabolic activation when tested in a preincubation assay.
Exposure to Tradescantia paludosa pollen'mother cells in early prophase I to 1-3 spray
of a commercial insect repellent containing DEET did not induce micronuclei in later
stages of pollen maturation.

Morflex, Inc
DEFT
EFFECTIVE DATE- February 2004
PAGE 5OF6
:Repreductrve effects ? •.%, rr r,sl tel�S s pt f�rr�t k i'k Y •.a `
�5
i'h .*lv::-t it a, .ram w, '• . ° {Y,A �'��'"'i.�r. . -'!•i r ��k�`
• No significant reproductive or developmental effects were observed in the fetuses of
female and male rats or rabbits given DEET. In female rats given 125 - 750 mg/kg/day
orally on gestational days 6-15, no external, visceral, or skeletal malformations were
observed in fetuses; however, reduced fetal weight gain was noted at 750 mg/kg. In a
chronic two generation reproduction study, the F2 offspring of CD rats given 500 - 5000
ppm showed a slight increase in exploratory locomotor activity at the high dose level.
12. ECOLOGICAL INFORMATION
• EC50 (48h, daphnia) = 56 - 100 ppm
• LC&O(96h, rainbow trout) = 71.25 ppm
• LC50 (96h, Pimephales promelas - fathead minnow) = 110 mglL
• LC50 (Colinus virginianus - Northern bobwhite quail) = 1375 mglkg
Not predicted to exhibit significant toxicity to fish. Not expected to bioaccumulate. Modeling suggests
rapid degradation in the atmosphere; biodegradation data suggests moderate rate of biodegradation.
13. DISPOSAL CONSIDERATIONS
Disposal must be in accordance with Federal, State, and Local regulations.
14. TRANSPORT INFORMATION
DOT SHIPPING`CLASSIFICA�TION s
insect repellent other than agricultural
IIA :DOT A�.ZR.yyQAS
Non hazardous
s.1�CLyS
lJN iVUMgfrR '.F
Not applicable.
DOHRD4L`Ay;}
Not applicable.
i 4t
Not listed.
15. REGULATORY INFORMATION
OSHA STATUS-'
Irritant (eye).
SARA TITLE.III
Not listed. CERCI.A , ;
Not applicable.
INVENTORIES 3
= TSCA
Yes
4 - CANADA ;
DSL
EINECS
205-149-7
,
JAPAN
3-1321; 3-1677
AUSTRAL'IA .`
Yes
KOREA- -.:.'
KE-10492

Morflex, Inc.
DEET
EFFECTIVE DATE: February 2004
PAGE 6 OF 6
CHINA'- Yes I-PHILIOPINES, Yes SWITZERLANDI G-2482
16. OTHER INFORMATION
v, " +
12
, %N
44€HEALN
LA 44 6 i C I YY
12,"10 Jv1T
"j
P ,E
iot6NAiV�+'
:PROTECTION,
1
0
B
-N
0
DATE GENERATED: 02-26-2004
The Information contained heroin is true and -accurate to the best of our 0ovviedge. No warranty or guarantee is expressed or implied regarding the accuracy of such data. I1 is
the user's responsibi4ty to determine the suitability for his own use of the products dosenbed heroin. Nothing heroin shall constiiuta parrniSsiun, inducement, or
recornmandation to practice any invention covered by any patent owned by Mordex. Inc or by others, nor as a moomrriandation to use wry product or to practice any process in
violation of any tow or government F89LAAW.

XXX-1111 Castor Oil
Technical Data Sheet
� V ertellus"
Product XXX-1TA° Oil is a free flowing partially dehydrated castor oil that has
Identification excellent mineral oil solubility. It is USDA accepted as a trolley
lubricant for use in meat packing houses and complies with 21 CFR
Part 178.3570 — Lubricants with Incidental Food contact. XXX-1T""
is an efficient plasticizer for PVC resins with excellent pigment
wetting properties to formulate caulks, sealants and joint
compounds.
Property Value
Physical Farm Clear, Moderately viscous liquid
Properties Acid Value 6
Color, Gardner
5
Density, Ibs.lgal, 25'C
7.84
Fire Point, COC, 'F
615
Flash Point, COC, 'F
560
Hydroxyl Value
70
Iodine Value
120
Moisture Content, %
0.1
Pour Point, 'F
-40
Refractive Index
1.480
Saponification Value
187
Specific Gravity, 25'C125'C
0.942
Viscosity, 25'C, Stokes
2.8
Volatile Matter, %
0.2
• Lubricant for use in food processing plants
Applications 0 Lubricant meeting 21 CFR Part 178.3570
• Mineral oil compatible
• Compatible with PVC and CPVC resins
Excellent for formulating joint compounds, caulks and sealants.
For toxicity or regulatory information please consult the Material Safely Data Sheet
Information contained in this technical data sheaf is believed to be accurate. Vertellus Performance Materials Inc. assumes no liability and
makes no warranty or representation that the information is correct or complete and EXPRESSLY DISCLAIMS ALL REPRESENTA TIONS OR
WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO WARRANTIES OF MERCMANTABILITYAND
FITNESS FOR A PARTICULAR PURPOSE. Final determination of suitability of any material and issues of patent infringement is the sole
responsibility of the user who alone knows the conditions of intended use. Our customers should ensure that any product incorporating a
Vertellus ingredient is safe for its intended use pursuant to applicable law and that any necessary disclosures to consumers have been made.
Vertellus Performance Materials Inc., 2110 High Point Road, Greensboro, NC 27403 USA
USA To 1: 800-227-2436 USA Fax: [phone] USA Email: VPM-TechServicos@vertellus,com
Weh, www.vertellus.com
Copyright0VartelluS Specialties Inc. 2006. All Rights Reserved. Page 1 of 1 Revised November, 2006

V Vertellus-
XXX-1
Page: 1
16 Sections Printed:08/28/06
MATERIAL SAFETY DATA SHEET
jjSECTION 1. PRODUCT IDENTIFICATION
original: 10/08/89
revised: 01/28/99
Manufacturer: Vertellus Performance Materials Inc.
2110 High Point Road
Greensboro, NC 27403
Information and Emergency Phone during business hours: 1-800CASCHEM
For use only in the event of chemical emergencies involving
a spill, leak, fire, or accident with this material:
Call CHEMTREC 800 424-9300
Trade Name..........
Chemical Name.......:
Synonyms .:...........
CAS 4................
Chemical Family......
Product Code ...........
Product Use..........
PIN## .................
WHMIS-Class..........
XXX-I
Dehydrated castor oil
none
64147-40-6
Drying oil polymer
71030
Food processing plant lubricant
crone
None
SECTION 2. COMPOSITION/INFORMATION ON COMPONENTS
,COMPONENTS CAS # WEIGHT 'k
Dehydrated Castor Oil 64147-40-6 -
ir SECTION 3. HAZARDS IDENTIFICATION
Emergency Overview:
Clear, pale yellow liquid with a characteristic odor. Presents little or
no immediate significant hazard if spilled or involved in a fire.
Breathing:
Single exposure to vapors or mist is not likely to be hazardous.
Skin Contact:
Extended/repeated contact may cause irritation in some individuals.
Eye Contact:
Contact with eyes may cause slight eye irritation.
Swallowing:
Not expected to be toxic by ingestion.
Long Term Health Effects:
Not known.
continued

XXX-1
Page: 2 original: 10/08/89
16 Sections Printed:08/28106 revised: 01/28/99
SECTION 3. HAZARDS IDENTIFICATION continued
Conditions Aggravated By Exposure:
Not known.
jI SECTION 4. FIRST AID MEASURES' . - II
Breathing:
No specific treatment is necessary since the material is not likely
to be hazardous by inhalation, If exposed to excessive levels of
vapors or mists, remove to fresh air and get medical attention if.cough
or other symptoms develop.
Skin:
Wash with soap and water. Get medical attention if irritation
develops or persists.
Eye.
Immediately flush eyes with plenty of water forat least IS.
minutes, holding eyelids apart. Get medical attention if
irritation or other symptoms occur.
Swallowing:
Get immediate -medical attention. Never give anything by mouth to
an unconscious person.
I! SECTION 5.. FIRE FIGHTING MEASURES li
Flash Point .. .... .. ... .. .. .. . 400 deg F 204 deg C
Method ...... .... ........... pmcc
Lower Explosive Limit........ N/A
Upper Explosive Limit........ N/A
Auto Ignition Temperature ... 840 deg. F
Extinguishing Media.......... cot, dry chemical, alcohol foam, water spray
Firefighting Procedure. —
Evacuate area and fight fire from safe distance. Wear pressure -
demand self-contained breathing apparatus (MSHA/NIOSH-approved or
equivalent) and full protective gear.
Special Firefighting Procedure:
As with any fire, toxic gases, vapors, and fumes can be generated.
Use pressure -demand self-contained breathing apparatus (MSHA/NIOSH
approved or equivalent) and full protective gear. Lasing water can
cause frothing with increasing fire intensity.
Unusual Fire and Explosion Hazards:
None known.
continued ...
N/A = Not Available

Page: 3 XXX-1 original: lo/08/89
16 Sections Printed:08/28/06 revised: 01/28/99
SECTION 5. FIRE FIGHTING MEASURES continued
Sensitivity To Explosion:
None expected by mechanical impact or static discharge
Conditions Of Flammability:
Material may burn, but does not ignite readily. Avoid high temperatures.
11 SECTION 6. ACCIDENTAL RELEASE MEASURES 11
General:
minimize entry of material into sewers and drainage systems. Refer
to permit discharge limitations if applicable. Isolate spill area,
preventing entry by unauthorized persons. Prevent skin/eye contact.
Small Spill:
Absorb -spill with inert material (e.g., dry sand, earth). Place in
an approved chemical waste container. -
Large Spill:
Shut off leak, if safe to do so. Clean up spills immediately,
observing precautions in Protective Equipment section. - Contain
spilled liquid with sand or earth. Retain all contaminated water
for removal and treatment.
I ..SECTION 7. HANDLING AND STORAGE;
Handling:
Although this material does not present a,significant skin or eye
concern, skin'and eye contact should be avoided as good industrial
practice. Wearing of protective gloves and eye protection is
recommended., wash hands and contaminated skin after handling.
Storage:
Store in a cool dry place away from strong oxidizers and acids.
11 SECTION 8. EXPOSURE CONTROLS/ PERSONAL PROTECTION 1
Exposure Levels:
None established.'
Engineering'Controls:
Source of fine spray, mist or vapor should be controlled with
local exhaust ventilation.
continued ...
N/A m Not Available

XXX-1
Page: 4
16 Sections Printed:08/28/06
original.: 10/08/89
revised: 01/28/99
(SECTION 8. EXPOSURE CONTROLS/.PERSONAL PROTECTION ... continued 11
Respiratory Protection:
Use a NIOSH/MSHA approved air purifying respirator as needed to
control exposure. Consult with respirator manufacturer to determine
respiratior selection,' use, and limitations. Use a positive pressure
air supplied respirator for uncontrolled releases or when air
purifying -respirator limitations may be exceeded. Follow
respiratory protection program requirements (OSHA 1910.134 and ANSI
z88.2) for all respirator use.
Eye/Face Protection:
Use safety glasses. Where contact'with the eyes is likely, use
chemical. goggles. Use a face shield as needed.
Skin Protection:
Use impervious gloves. Use clean protective body -covering clothing
as needed to minimize contact with clothing and skin.
SECTION 9. PHYSICAL AND CHEMICAL PROPERTIES
Appearance ....... ..... ........... .... ...... Clear, pale -yellow liquid
Odor ....... .......... Characteristic
Initial Boiling Point . .. ... .. .. ..... .. .. ... .. 595 deg F 313 deg C
Final Boiling Point . ........ .......... ....... 595 deg F 313 deg C
,Specific Gravity (Relative to Water) .. I ...... •0.94 B 77F
Vapor Density. (relative to air) ............... Heavier
Vapor Pressure (mm. Hg)....................... N/A
pH.......... N/A
Solubility in Water .......................... insoluble
Freezing/Melting Point ....................... _40.deg.F
Octanol/water Partition Coefficient.......... N/A
:Odor Threshold....... I ........................ 'N/A
Viscosity..:..... 3 Stokes 0 77F
Evaporation Rate (relative to n-Butylacetate) slower
II SECTION 10. STABILITY AND REACTIVITY II
Stable:
Yes.
Strong Oxidizer:
No.
Hazardous Polymerization:
Not prone to hazardous polymerization:
Incompatibility:
Can react vigorously with oxidizing materials.
continued ...
N/A = Not Available

XXX- 1
Page. 5
16 Sections Printed:08/28106
original: 10/08/89
revised: 01/28/99
SECTION 10. STABILITY AND REACTIVITY ... continued
Conditions to Avoid:
Keep from contact with oxidizing materials.
Hazardous Decomposition Products:
Products of incomplete combustion may include CO, CO2, and dense smoke.
SECTION 11_ TOXICOLOGICAL INFORMATION
Toxicology:'
Not available.
SECTION 12. ECOLOGICAL INFORMATION
Ecotoxicological Information:
Not available_
Chemical. Pate
Not available.
SECTION 13. DISPOSAL CONSIDERATIONS
Waste Disposal:
Dispose -of in accordance with all federal, state, and local regulations.
Container Disposal:
Dispose of in accordance with all federal, state, and local regulations.
SECTION 14. TRANSPORT INFORMATION
DOT Shipping Name...: Not regulated
.Hazard Class.._-....
Packing Group........
UN/NA No.
DOT Labels...,.......
Subsidiary Label....:
DOT Placards.........
IMO Shipping Name...: Not regulated
Hazard Class.........
Packing Group........
UN No.
IMO Labels...........
j Subsidiary Label....:
IATA Shipping Name- Not regulated
Hazard Class........:
Packing Group........
continued ..
N/A = Not Available

'' XXX -1
Page: 6
16 Sections Printed:08/28/06
original: 10/08/89
revised: 01/28/99
SECTION 14. TRANSPORT INFORMATION ... continued
UN No . .............:
IATA Labels ......... .
Subsidiary Label....:
SECTION 15. REGULATORY INFORMATION
SARA 311/312 Chronic Health Hazard : no
SARA 311/312 Acute Health Hazard._ : no
SARA 311/312 Fire Hazard.......... no
SARA 311/312 Sudden pressure...... no
SARA 311/312 Reactivity Hazard_... no
Section 302 Extremely Hazardous:
Ingredients CAS # weight % TPQ
** None *}
CERCLA Hazardous Substances:
Ingredients CAS # Weight w RQ,
** None **
Section 313 Toxic Chemicals:
Ingredients CAS # Weight w
** None **
NJ Environmental Hazardous Substance List:
Ingredients CAS #
** None '*
California Proposition 65 Ingredients:
Ingredients CAS # Weight 1k ,
** None **
TSCA:
This substance is listed on the TSCA inventory.
DSL/EINECS:
This substance is listed on the Canadian Domestic Substances List
& the European Inventory of Existing Commercial Chemical Substances
WHMIS:
This product is not classified as a controlled product under'
Canadian Controlled Product Regulations.
SECTION 16. OTHER INFORMATION
NFPA Hazard Ratings: HMIS Hazard Rating:
Health ............. : o Health............. o
Fire ............... : 1 Fire ............... 1
Reactivity......... : o Reactivity......... 0
Specific Hazard..-. None
continued ...
N/A = Not Available

XXX-1
Paae: 7
16 Sections Printed:08/28/06
original: 10/08/89
revised..01/28/99
SECTION 16_ OTHER'INFORMATION continued
MSDS Revisions:
1/28/99; Added regulatory.znformati.on (sect 15)
NOTE:
This information is furnished without warranty, expressed or implied, except that it is accurate to the
best knowledge of Vertellus Performance Materials Inc, The data on this sheet relates only to the
specific material designated herein. Vertellus Performance Materials Inc. assumes no legal
responsibility for use or reliance upon these data.
Printed: Aug. 28, 2006: Changed manufacturer from CasChem, a Division of Rutherford Chemicals LLC to Vertellus
Performance Materials Inc. Changed print date. Changed Section 16 note.
N/A = Not Available