NCG060208_MONITORING INFO_20180724

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑HISTORICAL FILE
C� MONITORING REPORTS
DOC DATE
❑ aa)s 0 �a y
YYYYMMDD

OFWATF9
r
o -c
Stormwater Discharge Outfall (SDO)G�� 4 a p
Qualitative Monitoring Report
For guidance on filling out this form, please visit hn://portal.ncdenr.org/web/wq//ws/su/npdessw#tab-4
Permit No.: N/C or Certificate of Coverage No.: N/C/G060000
Facility Name: Pepsi Battling Ventures LLC
County: Forsyth Phone No.
Inspector: Glenn Price (RAL)
Date of Inspection: 06/22/18
Time of Inspection: 0121
Total Event Precipitation (inches): 2.1
REGHVED
Was this a "Representative Storm Event" as defined by the permit?
(See information below.) JUL 2 4 2016
CVYes ❑ No CENTRAL FILES
DWR SECTION
Please verb whether Qualitative Honitoring must he performed during a "representative storm event or "measureahle 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 "measurable 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.
"measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous
:asurable storm event must h
le to document that a shorter
proval from the local DWQ Regional Office.
fay this gnatur , I certify that this r
(Signature o ermitee or Designee)
d complete to the best of my knowledge:
swv-242-020705

1. Outfall Description
Outfal No. 001 Structure (pipe, ditch, etc.) Pond
Receov' ing Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. 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 colors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,etc.)
None
4: Clarity: Chose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of foating solids in the stormwater discharge, where
I is no solids and 5 is the surface covered with floating solids:
1 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:
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 any evidence of errosion 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 errosion/deposition may be indicative of pollutant exposure.
"These conditions warrant further investigation.
SWU-242-020705

IVC G- (366 a 0Y
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit http://portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4
Permit No.: N/C or Certificate of Coverage No.: N/C/G060000
Facility Name: Pepsi Bottling Ventures LLC
County: Forsyth Phone No.
Inspector: Glenn Price (RAL)
Date of Inspection: 12/05/17
Time of Inspection: 2110
Total Event Precipitation (inches): 0.40
Was this a "Representative Storm Event" as defined by the permit? RFrFIVED
(See nfarmation below.)
Jar'23H18
Yes ❑ No DWR SECTION
INFORMATION PROCESSING UNIT
Please ver fv 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 "measurable storm event." However. some permits do not have this requirement.
Please refer to these definitions, it'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 Irom the permitted site outfall. The previous
measurable storm event must h
able to document that a shorter
approval from the local DWQ Regional Oft -ice.
By this s natur4 I certify that tlu�pCis accurate and complete to the best of my knowledge:
(Signjture ol;Permitee or
S W U-24 2-020705

1. Outfall Description
Outfall No' 001 Structure (pipe, ditch, etc.) Pond
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Light Green
3. Odor: Describe any distinct colors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,etc.)
None
4: Clarity: Chose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of foating 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 1 3 4 5
T. 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 any evidence of errosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe: Floating solids in the form of duckweed and light grass debris.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or errosionldeposition may be indicative of pollutant exposure.
These conditions warrant further investigation.
$ W U-242-020705

FORM 1.1
STORMWATER S MMUNG RECORD
PEPS! BOWLING VENTURES, LLC
VANSTON-SALEN! FACILITY, NORTH CAROLINA
Sampler's Name: Al " �,, �,--
Date: 1 Z"5'/OuftU Number.__jQD / Storm Begin Time: aO-3 amCMD
l have verified that no storm event measuring greater than 0.1 inch has occurred in
the 72 hours prlor to this storm event and that all kdbm=don recorded hereto is
accurate and true to the beat of my knowledge.
Signature:
Flaw Begin Time: a 10 D aff pm
1 pH Test Method: paper meter
Stm End Time:11. 5
Grab Sample Tune: a) 0 aMCM
pH: l�
Storm Duration: hours
Total Precipitation: o , t o inches

1 FORMA M
VISUAL MONITORIKG RECORD
'( PEPSI BOTTLING VENTURES, LLC
J VANSTOWSALEM FACILITY, NORTH CAROLINA
Sampler`s Name: r.9r�1 911-42
Outfall Designation. 661_ .
Vial Monies Resub: ��� /1` k
s' ern ace 5 — 5 `GKs
Ckwfbe the presence of any of the following parameters in the stomnNater dbdmW.
Color: k 'f ,ems
1 Odor:_ ri.o in
Clarity: I 1� fILVl�
Floating Solids t t- s s
Lj
Suspended Solids:
Foam:-
J Oil Sheer,: ALL
Other• Obvious Indicators of Pollution:
1

RESEARCh & ANA[yTiCAL
LAbORATWES, INC.
Analytical;Process Consultations
12 January 2018
Division of Water Quality
Attention: Central Piles
1617 Mail Service Center
Raleigh, NC 27699-1617
To Central Files:
In accordance with the Stormwater Discharge Sampling Plan for Pepsi Bottling
Ventures, LLC, Research & Analytical Laboratories, Inc. (RAL) has included duplicate
signed copies of the required stormwater monitoring reports for the above facility.
If you have any questions or concerns regarding this or need any additional
information please feel free to contact myself at 336-908-3722 or Tim Gartely at 336-724-
4893.
Best Regards,
--' ��
James M. Cheshire
President/CEO
P.O. Box 473 • 106 Short Street • Kernersville. North Carolina 27284 • 336-996-2841 • Fax [phone]
www.randalabs.com

`O�pP vaArEHpG
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit htip://Vortal.ncdenr.orWweb/wq/ws/su/npdessw#tab-4
Permit No.: N/C or Certificate of Coverage No.: N/C/G060000
Facility Name: Pepsi Bottling Ventures LLC
County: Forsyth Phone No.
Inspector: Glenn Price (RAL)
Date of Inspection: 05/23/17
Time of Inspection: 0750 � �
i LE C-4 LE If
Total Event Precipitation (inches): 5.58 JUN 21 nil
Was this a "Representative Storm Event" as defined by the permit? CENTRAL FILES
(See information below.) DWR SECTION
1/Yes ❑ No
Please ver fi, whether Qualitative ,Monitoring must he 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 "measurable 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.
"measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. ]'he previous
:asurable storm event must h
le to document that a shorter
proval from the local DWQ Regional Office.
I certi
of Permitee
is accurate and complete to the best of my knowledge:
5 W U-242.02070 5

1. Outfall Description
Outfall No. 001 Structure (pipe, ditch, etc.) Pond
v
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. 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 colors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,etc.)
None
4: Clarity: Chose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy:
I 1 1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of foating solids in the stormwater discharge, where
1 is no solids and 5 is the surface covered with floating solids:
1 2 1 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater
discharge, where I is no solids and 5 is extremely muddy:
1 2 3 4 5
7_ Is there any foam in the stormwater discharge? Yes Igo
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there any evidence of errosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe: floating solids in the form of grass seeds and light floating vegetation only.
Note: Low.clarity, high solids, and/or the presence of foam, oil sheen, or errosionldeposition may be indicative of pollutant exposure.
These conditions warrant further investigation.
swU-242-020705

RESEARCh & ANALyTICA1
K3 LABORATORIES, INC.
Analytical/Process Consultations
06 June 2017
Division of Water Quality
Attention: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
To Central Files:
In accordance with the Stormwater Discharge Sampling Plan for Pepsi Bottling
Ventures, LLC, Research & Analytical Laboratories, Inc. (RAL) has included duplicate
signed copies of the required stormwater monitoring reports for the above facility.
If you have any questions or concerns regarding this or need any additional
information please feel free to contact myself at 336-908-3722 or Tim Garteiy at 336-724-
4893.
Best Regards,
�9' -;-% �;�.
James M. Cheshire
President/CEO
P.O. Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2841 • Fax [phone]
www.randalabs.com

of wA r�R
O�
> ,rt
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit hitp:Hportal.ncdenr.org/web/wg/ws/su/npdessw##tab-4
Permit No.: N/C
Facility Name: Pepsi Bottling Ventures LLC
or Certificate of Coverage No.: N/C/G060000
06aaa45r;
County: Forsyth Phone No.
Inspector: Glenn Price (RAL)
Date of Inspection: 11/29/16 �11gM-F%
I
Time of Inspection: 1338 EG- bm 1 v i— w
Total Event Precipitation (inches):
2.7
DEC 21 2016
CENTRAL FILES
Was this a "Representative Storm Event" as defined by the permit? DWR SECTION
(See ' formation below.)
Yes o No
Please verify whether Qualitative Monitoring must he 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 "measurable 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 h
able to document that a shorter
from the local DWQ Regional Office.
By Iis signa�itire, I cen�f I� of T T is accurate and complete to the best of my knowledge:
of
S W U-2a2-o20705

1. Outfall Description
Outfall No, 001 Structure (pipe, ditch, etc.) Pond Outfall
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Light Brown
3. Odor: Describe any distinct colors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,etc.)
None
4: Clarity: Chose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy:
1 1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of foating solids in the stormwater discharge, where
is no solids and 5 is the surface covered with floating solids:
1 2 3 1 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater
discharge, where I is no solids and 5 is extremely muddy:
1 0 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 any evidence of errosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe: Floating solids in the form of duckweek leaf and grass debris.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or errosion/deposition may be indicative of pollutant exposure.
These conditions warrant further investigation.
SWU-242-020705

a
FORM 1.1
STORMWATER SAILING RECORD
PEPSI SoTTLll1IG vENTuRES, LLC
VANSTON-SAI.EIb FACII..I M NORTH CAROUNA
I
SampWs Name:
Date: �2 y /G Ouft l Number. 44 / Storm. Begin Time: 130Yam/pm
I have verified that no storm event measuring greater than 0.1 inch has occurred in
the 72 haws prior to this storm event and that all Information recorded herein is
accurate and true to the best of my knowledge.
Signature:
Flow Begin Time: l - 2 o am/pm
PH Test Allethod: paper meter
SWffn Enid Time: Z .' 5 am/pm
Grab Sample Tune: am/pm
PH: �? 4 ,T
Storm Duration: � - S hours
Total Precipitation: Inches

FORMA M
VISUAL. MONITORING RECORD
PEPSI BOTTLING VENTURES, LLC
WLNSTON-SALEM FACILITY, NORTH CAROLINA
Samples Name: //'1-
Dade: ��. � . /G OutM oeskjttaxon- �Q �
Visual Monit nng Results: T oe,�,'A
Gk w S ri'
gibe the presence of of folparametersI I any of
the g parameters in the stortt�water dWdharge.
Color: l (46 k 'F' //ii W
Odor._
Fkm tg Sollds• APj-yy Llgla.{�•�„ s��,c�S are du cit wet(A,sk a-%ves
Sided Sous: " A f- L r-J S /� S-
Foaun:_ . wide .. _
Oil Sheen: d mg- - - - -
Other Obvious Indicators of Pollution: �/�-

of IN A TAR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit hqp://i)ortal.ncdenr.orglweb/wq/ws/su/nladessw#tab-4
Permit No.: N/C
or Certificate of Coverage No.: N/C/6060000
Facility Name: Pepsi Bottling Ventures LLC
County: Forsyth Phone No.
Inspector: Glenn Price (RAL)
Date of Inspection: 11/29/16
Time of Inspection:
1338
Total Event Precipitation (inches): 2.7
Was this a "Representative Storm Event" as defined by the permit?
�Ye�es
formation below.)
❑ No
Please verb 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 "measurable 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.
"measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous
:asurable storm event must h
able to document that a shorter
approval from the local DWQ Regional Office.
By Vs signa fttfre, 1 cert�€y�t�a4 tt is accurate and complete to the best of my knowledge:
of
swu-242-020705

1. Outfall Description
Outfall No. 001 Structure (pipe, ditch, etc.) Pond Outfall
Receiving Stream: _
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Light Brown
3. Odor: Describe any distinct colors that the discharge may have (i.e., smells strongly of oil; weak chlorine odor,etc.)
None
4: Clarity: Chose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy:
1 �.J 3 4 5
5. Floating Solids: Choose the number which best describes the amount of foating solids in the stormwater discharge, where
1 is no solids and 5 is the surface covered with floating solids:
1 2 3 1 4 5
G. 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 I,J 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 any evidence of errosion or deposition at the outfali? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe: Floating solids in the form of duck -week leaf and grass debris.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or errosion/deposition may be indicative of pollutant exposure.
These conditions warrant further investigation.
S WU-242-0207a5

FORM 1.1
STORIAWATER SAMPLING RECORD
PEPSI BOTTLING VENTURES, LLC
VANSTON-SALEM FACILITY NORTH CAROLINA
Sampler's Name:
Date: LO y iG Outfall Number: 40 1 Stone Begin Time: 13®yam/Pm
I have verified that no stone event gyring greater than 0.1 loch has occurred in
the 72 hows prior to this storm event and that all ikon recorded herein Is
accurate and true to the beat of my knowledge.
Signature:
Flow Begin Time: r 3 z o amlpm
pH Test Melt & paper ter
Storm End Tlme: 2 ' S am/pm
Grady Sample Time: am/pm
pH: �? d ?
Storm Dunn: ' S hours
Total Preapitatlon: a , _ inches
13

ft
FORM M
VISUAL MONITORRIG RECORD
PEPSI ®OTTLIKG VENTURES, LLC
WINSToiI-SALEFA FACUN, NORTH CAROLINA
Samplers Nance: /
Datw ouft Win: Do l
VisuW Monift ResuHs: T vu-�►�` �l c�S ,&
t, Gk
Describe the presence of any/ of the folWng parameters in the skam ater dbhatge.
Color: 4' �cJrt3 W -
Odor: jaog
G
Fbating Solids_ P-T, 7' a %fie, sd, 66
Suspended Solids:_S�slJth d f-d
Foam:.,, e-10
on sin:
Other Obvicus Ind'lcators of Pollution: fl o/y-

OE ViA TEA
a-
A
Stormwater Discharge Out all ('
Qualitative Monitoring Repo
P"or guidance on filling out this form, please visit
Permit No.: N/C or Certificate of Coverage No.:
Facility Name: Pepsi Bottling Ventures LLC
County: Forsyth
Inspector: Glenn Price (RAL)
Date of Inspection: 06/24/16
Time of Inspection: 0005
Total Event Precipitation (inches):
0.5
Phone No.
Was this a "Representative Storm Event" as defined by the permit?
(See information below.)
DJYes ❑ No
RECEIVED
JUL 2 1 2Ulb
CEN7F�gL FILES
I
�wR SECTpN
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 "measurable 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 h
able to document that a shorter
approval from the local DWQ Regional Office.
By
(5iggatur%f Perniiitee
ig accurate and complete to the best of my knowledge:
S W U-242-020705

1. Outfall Description
Outfall No. 001 Structure (pipe, ditch, etc.) Pond
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Light Tan
3. Odor: Describe any distinct colors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,etc.)
None
4: Clarity: Chose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy:
1 1 2 ::] 3 4 5
5. Floating Solids: Choose the number which best describes the amount of foating solids in the stormwater discharge, where
1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater
discharge, where I is no solids and 5 is extremely muddy:
1 I 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 any evidence of errosion or deposition at the outfall? Yes No
10, Other Obvious Indicators of Stormwater Pollution:
List and describe: *Very light floating solids in the form of algae and duckweed only.
Note; Low clarity, high solids, and/or the presence of foam, oil sheen, or errosion/deposition may be indicative of pollutant exposure.
These conditions warrant further investigation.
5WU-242-020705

L7
FORM 2.1
VISUAL MONITORING RECORD
PEPSI BOTTLING VENTURES, LLC
VANSTON-SALEM FACILITY, NORTH CAROLINA
Sampler's Name:
Date: �4 - /J(d _ Outfall Designatlon: _ . 0-0 1 ...
Descibe the presence of any of the following parameters in the stormwater disdarge.
Color,
Clarity: i�-� dll%4 rye
1 Fkxding So[Ids
Suspended Solids:
Foam:D�_
OR Sheen:
Other Obvious Irtdicators of PaAution: _ AAie-
_ --

FORM 1.1
STORMWATER &AMPLING RECORD
PEPSI BOTTLING VENTURES, LLC
WINSTON-SALEM FACILITY, NORTH CAROLINA
I
Samplers Name:
Date:-(012AIII&Ouf Q Number. 4 t Storm Begin Mme: Z3'fKamlpm
I have verified that no storm event measuring greater than 0.1 Inch has occurred in
the 72 hours prior to this storm event and that all Infbmwilan recorded herein is
accurate and true to the best of my knowledge.
Signature:
Flow Begin Time:_O�a pm
pH Test Niethad: Pa meter
Storm End Time: 00_3 d amfpm
Grab Sample Tffne: U�-5"pm
pH:�
Storm Duration: 0, %�- hours
Tots! Precipitation: D. 5y Indus

Research & Analytical
Laboratories, Inc.
Analytical 1 Process Consultations
Phone [phone]
CHAIN OF CUS TOD Y RECORD
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City, State, Zip
Sampler Name (Please Print
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Contact Phone
Sampler Signature
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Sample Number
(Lab Use Only)
Date
Time
Comp.
Crah
Temp
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Res.
Cl.
Chlorine
Removed
Y or N
Sample
Matrix
(S or W)
Sample Location I I.D.
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Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit hiip://yortal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
Permit No.: N/C
or Ccrtificate of Coverage No.: N/C/G060000
Facility Name: Pepsi Bottling Ventures LLC
County: Forsyth Phone No.
Inspector: Glenn Price (RAL)
Date of Inspection: 06/19/15
Time of Inspection:
1839
Total Event Precipitation (inches): 0.1 R EG C I V L L)
Was this a "Representative Storm Event" as defined by the permit? JUL d 6 2015
(See information below.) CENTRAL FILES
DWR SECTION
❑ 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 "measurable storm event." However, some permits do not have this requirement.
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.
"measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous
measurable storm event must h
able to document that a shorter
approval from the local DWQ Regional Office.
By
Pennitee
that ffi-1s­r0oqj/,a5curate and complete to the best of my knowledge:
5 W U-242-020705

J. Outfall Description
. futfall No. 001 Structure (pipe, ditch, etc.) Retention Pond
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Light Brown
3. Odor: Describe any distinct colors that the discharge may have (i.e., smells strongly of nil, weak chlorine odor,etc.)
None
4: Clarity: Chose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of foating solids in the stormwater discharge, where
1 is no solids and 5 is the surface covered with floating solids:
1 2 1 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 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 any evidence of errosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe: Floating solids in the form of light algae and duckweed. Very light suspended solids.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or errosion/deposition may be indicative of pollutant exposure.
These conditions warrant further investigation.
S WU-242-020705

,ESEARCh & ANA ,y' "'CA.
F,P:F
3",
LAbORATORiES, INC.
Analytical/Process Consultations
June 26, 2015
Pepsi Bottling Ventures LLC
3425 Myer Lee Drive
Winston-Salem, NC 27101
Attention: Tim Gartley
Chemical Analysis for Stormwater Sampling identified as Pepsi Bottling Ventures LLC
A)W
NC z'
1.
Project Number: N/A
NPDES#: NCG060000
Sample
1iA1:
Sampling
Sampling
"
'Total"
Oil'& Grease
COD
pH
Temperature
Dates
Identificahou
Sam le ;
Date
Time
Sus ended
Anal ed
III
I, III
Number:.:
hl:
li
Solids'
'L
rn P:
m
m 1
SU
°C
(1 )
001
5639-01
06/19/15
1839
1 26
<5
95
7.06
24.7
1 06/19-06/24/15
Analysts: GP, KN, JB & YJ
mg/L = milligrams per liter — parts per million (PPM) < = less than or Below Quantitation Limit (BQL)
SU = Standard Units

41
J FORM 2.1
VISUAL MONITORING RECORD
J PEPSI BOTTLING VENTURES, LLC
.! VANSTON-SALEM FACILITY, NORTH CAROLINA
Samplers Name:
I Date: � ` j f ( �- Outfall Designation: CIO
Visual Monitoring Results:
Describe the presence of k-ow'A
any of the follovAng parameters in the stormwater discharge.
Color. f 4
Odor.
1 Clarity: _ c Ae-c�--
Floating Solids -I I,
Suspended Solids: 4P 4 l 'a 4
_ 1 %J
Oil Sheen:
Other Obvious Indicators of Pollution: d4r+e-

FORM 1.1
STORMWATER SAMPLING RECORD
PEPSI BOTTLING VENTURES, LLC
WINSTON-SALEM FACILJITY, NORTH CAROLINA
Sampler's Name:
Date: �' j� f�- Outfall Number. dU 1 Storm. Begin Time: %2"am/pm
I have verified that no storm event measuring greater than 0.1 inch has occurred in
the 72 hours prior to this storm event and that all information recorded herein is
accurate and true to the best of my knowledge.
Signature:
Flow Begin Time: � 3� �- am/pm
pH Test Method: paper meter
Storm End Time: 1 S0'7) am/pm
Grab Sample Time: 1_ 3 9 am/pm
pH: � d & e '-2y
Storm Duration: /--!;- hours
Total Precipitation: o, 1 inches

RESEARCh & ANA[yTICA1
LABORATORIES, INC.
Analytical/Process Consultations
08 December 2014
Division of Water Quality
Attention: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
To Central Files:
RECEIVED
DEC $ 2 Z014
DSWR ECFILES
ON
In accordance with the Stormwater Discharge Sampling Plan for Pepsi Bottling
Ventures, LLC, Research & Analytical Laboratories, Inc. (R.AL) has included duplicate
signed copies of the required stormwater monitoring reports for the above facility.
If you have any questions or concerns regarding this or need any additional
information please feel free to contact myself at 336-908-3722 or Tim Gartely at 336-724-
4893.
Best Regards,
)" -7�2 %;�
James M. Cheshire
President/CEO
JMC/af
P.O. Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2841 • Fax [phone]
www.randalabs.com

IN t4�R¢G
C C
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this farm, please visit httpJ/portal.ncdenr.orglweb/wq/ws/su/npdessw#tab4
Permit No.: N/C or Certificate of Coverage No.: N/C/G060000
Facility Name: Pepsi Bottling Ventures LLC C
County: Forsyth_ _ _ Phone No.
Inspector: Glenn_ Price (RAL)
Date of Inspection: 11/17/14
Time of Inspection: 1100
Total Event Precipitation (inches): 0.63 �f3
Was this a "Representative Storm Event" as defined by the permit? to
:Yee ' formation below.)
es ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm event or "measureable"3s;Orm�,
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 "measurable 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.
"measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous
3urable storm event must h
to document that a shorter
oval from thrOocal DWO Regional Office.
By this jignae,certify that 4reprt is accurate and complete to the best of my knowledge:
(Signature of Permitee or Designee)
SVM-242.020705

1. Outfall Description
Outfall No. 001 Structure (pipe, ditch, etc.) Pond Outfall
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Light Brown
3. Odor: Describe any distinct colors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,etc.)
None
4: Clarity: Chose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy:
1 3 4 . 5
5. Floating Solids: Choose the number which best describes the amount of foating solids in the stormwater discharge, where
1 is no solids and 5 is the surface covered with floating solids:
1 2 0 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater
discharge, where I is no solids and 5 is extremely muddy:
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 any evidence of errosion or deposition at the outfall? Yes No
10. Other Obvious indicators of Stormwater Pollution:
List and describe: Floating solids in the form of light vegetation and floating twigs/leaves.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or errosion/deposition may be indicative of pollutant exposure.
These conditions warrant further investigation.
SWU-242-020705

FORM 2.1
• VISUAL l WHMORING RECORD
PEPS! BOTTLM VENTURES, L +C
VANSTOW ALEM FACILITY, NORTH CAROLINA
SWnpWS Name: Glenn Price
Dift 11/17/14 Out Win; a0li
vamw Monitoring
Floating solids in the form of light vegetation 'and
floatingtwgs / leaves.
Descdte the presence of any of the folloNing parameters In the stornw raW discharge.
color. Light Brown
Odor: None
Clarity:_,,,, , Mostly clear _ �,_,
Fig Solids Light solids in the form of twigs and leaves. Light duckweed.
Suspended Solids:_ Very -right suspended solids
r - r �.r��irui ■r�...�r.r�rrr�r ���
Fosrn:,,_ None
On Shen: None
Other Obvious Indicators of PoAudw None

I FORm u
STATER SAMPLING RECORD
PEPSI NoTTi mG VENTURES, LLC
tiRiINSTC=AI4ALEM Fi#CIUTY, NORTH CAtt41.INA
Samptees Name:
Date: 11/17/14 G� Nurnber: 0 01 gegM
� �: 0 arn/prn
r
I hm v+e d t W no stoma event measuring gneaW than 0.1 Inch has occuned in
the 72 hours pry to this storm event and that A InfommudGn recorded hen is
aGM oft and true to the of my knowledge.
Sfgnainre'
Fw &Vfn Tie: 1050 aWpm
PH Test Meftd: paper / meter
Stamm End The: 1254 arn/pm
Grab Sample Tune: 1100 ainlprn
PH:
Stoma Dumbon: 5.0 hours
Total P pMon: 0.63 Inc tm

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit bttp:l/portal.ncdenr.org/we,b/wq/ws/su/nadessw#tab-4
Permit No.: N/C
or Certificate of Coverage No.: N/C/G060000 11 G r, ti- 0 c a O v
Facility Name: Pepsi Bottling Ventures LLC
County: Forsyth Phone No.
Inspector: Glenn Price (RAL)
Date of Inspection: 05/15/14
Time of Inspection:
1131
Total Event Precipitation (inches):
1.77
Was this a "Representative Storm Event" as defined by the permit?
RECEIVED
JUN 18 Z O
(See information below.)
CENTRAL FILES
a Yes o No ❑WQIBOG
Please verb 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 "measurable storm event." However, some permits do not have this requirement.
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.
"measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous
measurable storm event must h
able to document that a shorter
approval from the local DWQ Regional Office.
RECEIVED
� JUN 18 2014
By this J�gnature? 1 certify �a�rhis r io a ancomplete to the best of my knowledge: CENTRAL FILES
or
S WU442-020705

1. Outfau Description
Outfall No. 001 Structure (pipe, ditch, etc.) Retention Pond
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Light Brown
3. Odor: Describe any distinct colors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,etc.)
None
4: Clarity: Chose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy:
1 1 3 .4 5
5. Floating Solids: Choose the number which best describes the amount of foating solids in the stormwater discharge, where
1 is no solids and 5 is the surface covered with floating solids:
I� 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater
discharge, where I 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 any evidence of erroslon or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe: Floating solids in form of duckweed only.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or errosion/deposition may be indicative of pollutant exposure.
These conditions warrant further investigation.
SWU-242-020705

?1ES1EARCh&ANA[YTiCA[
LAORATORiES, INC.
Analytical/ Process Consultations
May 27,2014
Pepsi Bottling Ventures LLC
3425 Myer Lee Drive
Winston-Salem, NC 27101
Attention: Tim Gartley
Chemical Analysis for Stormwater Sampling identified as Pepsi Bottling Ventures LLC
ANk
NC #34 z
P#?,P ;�;i D !0i6v
I.
Project Number: N/A
NPDESN: NCG060000
41
Ident��catlon.
: $am le.,
Rate
.Tame
Sus ended
P
II N
IS
Anal zed
l
II
a J
5
Edl 1
Number„
A! 01
x T
. . . . . . . . . . .
LL
2LE
Q
H I.
05115, 05/18,
001
785516
05/15/14
1131
6.0
<5.0
42
7.11
20.3
05/19 & 05/21/14
Analysts: GP, YJ, SK & JB
mg1L = milligrams per Liter = parts per million (PPM) < = less than or Below Quantitation Limit (BQL)
SU = Standard Units

RESEARCIi & ANA1yTICA1
LAbORATORIES, INC.
Analytical 1 Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD .
WATER 1 WASTEWATER I misc.
COMPANY
•
• • •
REQUESTED ANALYSIS
STREETADDRESS
•SAMPLER
SIGNATURE
SAMPLE LOCATION I I.D.
001010111800011101
ONE
==NONE■■■
■■■■■■■■■■■■
■■■
MM■■■■■■i
■■■■■■■■■■■■■■■
■■■■■■■■■■■■
■■■■■■■■■■■■
NOON■■■
■■■■■■■■�■■
■■■■■■■■■■■■
NOON■■
■■m■■■■■■■
■■■■■■■■■■■■
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■■M■■■■■i■■
■■■■■■■■■■■■
■■■
■■■■■■■■■■■
■■■■■■■■■■■■
NOON
■■m■■■■■■■■
■■■■■■■■■■■■■■■
■■i■■■■■■■
■■■■■■■■■■■■
■■■
1
1•RECEIVEDVj(p
BY .
SAMPLERELINQUISHED
BY
RKEIVEDWI

RESEARCh & ANA1yTICA[
LAbORATWES, INC.
Analytical/Process Consultations
09 June 2014
Division of Water Quality
Attention: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
To Central Files:
In accordance with the Stormwater Discharge Sampling Plan for Pepsi Bottling
Ventures, LLC, Research & Analytical Laboratories, Inc. (RAL) has included duplicate
signed copies of the required stormwater monitoring reports for the above facility.
If you have any questions or concerns regarding this or need any additional
information please feel free to contact myself at 336-908-3722 or Tim Gartely at 336-724-
4893.
Best Regards,
-
James M. Cheshire
President/CEO
JMC/af
*I
P.O. Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2841 • Fax [phone]
www,randalabs.com

FORM 1.1
STORMWATER SAMPLING RECORD
PEPSI BOTTUNG VENTURES, LLC
WINSTONSALEM FACILITY, NORTH CAROLINA
Samplers Name: Tr,'c0-
Date: ����� Outfall Number: Udi Storm Begin Time: 4 lafArn
I have verified that no storm event measuring greater than 0.1 inch has occurred in
the 72 hours prior to this storm event and that all information recorded herein is
accurate and true to the best of my knowledge.
Signature:
Flow Begin Time: / / 1 S ani prn
pH Test Method: paper meter
Storm End Time: 1 r SN am/e
Grab Sample Time: 1 I3_(fan)pm
pH:
Storm Duration: hours
Total Precipitation: 1.1#7 inches

I
C.
0.

FORM 2.1
VISUAL MONITORING RECORD
PEPSI BOTTLING VENTURES, LLC
WINSTON-SALEM FACILITY, NORTH CAROLINA
Samplers Name:
Date:_ ��_ — Outfall Designation: o U / - -
Visual Monitoring Results: CO a. r v.,r - !r 4 t
Describe the presence of any of the following parameters in the stormwater discharge.
IColor:. �c•
Odor._ _ &11-e- r
Clarity: /%lesWy C i6,g-
Floating Solids �ir�c�f�-�il�c Sr%� --ii� c�n� �� c�c��.•ceo?
Suspended Solids:
Foam: /loge
Oil Sheen:
Other Obvious Indicators of Pollution: /!a
1