NCG190054_MONITORING INFO_20171130

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. I Iv CC, 1060S
DOC TYPE ❑ HISTORICAL FILE
MONITORING REPORTS
ig
DOC,DATE ❑ Ui� Ir �n
YYYYM M DD

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG190000
DISCHARGE MONITORING REPORT (DMR)
N [,(.r,_q 00 �Y
CERTIFICATE OF COVERAGE NO. NCG190E0®
FACILITY NAME C ;
PERSON COLLECTING SAMPLE C e-
CERTIFIED LABORATORY t,i �GY_mrrLi Lab #
r Ie C Lab #
Part A: S ecinc Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: a�
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the saippling results from the laboratory.)
COUNTY -d C a
PHONE NO. —1CChnO
44 L Lz-
Outfall
No.
Date
Sample Collected.
moldd/ r
Total Rainfall,
Inches.
00530
00400
00556
011I
01104
01 94
0..14
Total Suspended
Solids
pH,
Standard units
Oil & Grease,
Copper".
Aluminum
.0.75
Zinc ,
Lead",
m Benchark
-
100
Within 6.0 — 9.0
30
0.007
0.067
0.03
Yt VIE
' If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit.
Z Total recoverable.
3 These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L.
Solvent Management Plan Certification:
Mail original and one copy to: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement
Division of Water Quality for managing solvents, I certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated
Attn: Central Files solvents into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the
1617 Mail Service Center last discharge monitoring report. I further certify that this facility is implementing all the provisions of the Solvent
Raleigh, North Carolina 27699-1617 Management Plan included in the Stormw er- llution Prevention Plan."
(Signature of Permittee (Date)
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 anAimprisomment for knowing violations."
rellll��� lr 30.19
(Signature of Permittee)
(Date)
Permit Date: 101112009-913072014 SWU-253-092309
Page 1 of 1

r(q @ o
EENV ILLE 11f C':27835
H C COMPOSITES
ATTNi FORREST SMITH
1090 WEST SAINT JAMES ST.
TARBORO ,NC 27886
Stormwater
Analysis
Method
PARAMETERS
(#1, Gran)
Date Analyst
Code
PH (not to be used For reporting)
6.5
11/09/17
KDS
450OUB-11
Total Suspended Residue, nugh
<2.8
11/10/17
KAC
2540D-11
Oil & Grease (HEN1), rngll
<6
11/13/17
SEJ
1664B
Aluminum, ng/I
475
11/20/17
LFJ
1:PA200.7
Copper, ug/l
<10
11/20/17
LFJ
F.PA200.7
Lead, ugli
<5.0
11/17/17
i41Tti•1
311311-04
Zinc, ug/1
102
11/20/17
LFJ
FPA200.7
ID#: 398
DATE COLLECTED: 11/09/17
DATE REPORTED : 11/29/17
REVXXWED BY:

t',IM1,u11111Cril l., 11ic, CUA1.N 01" C"US'1`01)y K ECC)RD
tllzc114'll]L, `TC 27858
Cll�'11'f111111C"r�'��-• tz1 �71�1r�r•I_.(..r.IS11';J
C,HLORINENEUTRAU"7-EDATCOLLECTION
l'}Ilillli' (?>>'17ti - '2(l - f_til l`_'S2'17r+fi l:Ili ;i
.
� CHLORINE
393 Week:20
HCHECK (L
p46)
lit" 1'
P
P
G
P
COt-flAINERTYPE. PIG
i C COMPOSITES ""ON 1=
TIN: FORREST SMCTH
.090 WEST SAINT JAMES ST.
CHEMICAL PRESERVAI"ION
CARBORO NC 27886 --- --- ••
A
A
C
A
A - NONE D • NAOH
c l--
Li
—
752)641-8000 LU
ul
w
B-HNO. E -HCL
v;
�w�.v
k,
O
C
ce
COLLECTION `�' : u
G NA 1 F i45t1LFATE
is
SAMPLE LOCATION GATE T%'IE r w
x
G
�!!/+'
30
CLAS5IFlCATI4N:
St rmwater r`f ra
4#
WASTEWATER (NPDES)
l DRINKING YVATEn
❑ aC Gvv
SOLID WASTE SECTION
CFIAlN OF- CUSTODY (SF.AI-.) MAINTAINED
DURING SHlPMFNT,NL)VetiY
-
f�
w
SAMPLES C 0LLCC7ED 3Y,
(Ploas; Plinl)
Srn1 `
SAMPI.ES RECEIVED IN LAB AT.-r .-:.3 ...°C
ELIN C UU!i'HED SY (S I GAI IS/P R_l
G TETIME RECEIVED C5Y (SIC.)
DATL-lME
COMMENTS:lril;'urjo
G
�--�•�mm.�•
i"JAI ErflhfE
aTE� TAM£
QjED 8Y (SIG.'
RE -1 u>aY iSu' ,
tf
j 1
I
ql)?
RELINQUISHED BY (SIG I.
DATETIME RE JVED P {SIC ;
1_ ___
DATE�TIME
PLEASE READ Ifistnactionl for coIn 0etilly 0'Iis lol o ran Ill[; I ove3'7sirll,. Simpler rr1USt "C" for COITiposite sample or a''G• for N° 3 3 0 4 1 1
I:C)I<<vi vf; Gran sample ir1 the blocks above for eich paiarneter iequesletl,

STOWNINVATER DISCHARGE OUTFALL (SDO)
GENERAL PERNIIT NO. NCG190000
DISCHA GE MONITORING REPORT (I)MR) `� 1
CERTIFICATE OF COVERAGE (COC) NO.: NCGI19 ,z, .-, SAMPLE COLLECTION CALF NDAR YEAR;
r RE—C 0 q 1 f ,hraonitoring report is due at the Division no later than 30 days From
FACILITY NAME: Re— (/Nti�CtS'r• the date the facility receives the sampling results from the laboratory.)
SAti9 PLE COLLEC"€'ION NAi11 E: _ 2 t a APB 2 $ 2011
FACILITY COU,NTV:_ _ [ -P lbm 10
PHONE NO.: c 6 g l J 2000
CER"I'I1 I ED LAE3ORA"1'ORY i�n I/,'�nn firn7 �-- Lab # CENTRAL FILES
.�rtPn v,'lf r �1/C Lab#BWR SECTION
Part A: Specific Monitoring Requirements
Outfall
No.
Ssunple
Collection hate,
utio/ddlv►•
'Total Rainfall,
inches
00530
TPII by method
1664 (SGT-IIEN1)
01119
01104
01094
01114
Total Suspended
Solids, to /l,
Non -Polar Oil &
Grease, nip/L
Copper"' , nrg/L
Alunrinuntz, mg/l,
'zinc'',, mg/L
Leadw,­" ntglL
Freshwater
(5akwater)
Benchmarks
_
_
100
15
0.010
{I}.I}I15)
0.75
0.12E
(0.095)
0.075
(0.220)
d
'If a value is in excess of the benchmark, you must implement the Tier I or Tier 2 responses in the General Permit.
Total recoverable natal.
3 These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L.
Solvent Management Plan Certification:
,Mail original and one copy to: 'Based upon my inquiry ofthe person or persons directly responsible for managing compliance with the permit requirement for
Division of Water Resources managing solvents, I certify that to the best of my knowledge and belief. no leak. spill. or dumping ofconcentrated solvents
Attn: Central I-iles into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge
1617 Mail Service Center monitoring report. I further certify that this facility is implementing all the provisions of the Solvent Management Plan
Raleigh. North Carolina 27699-1617 included in the Storm4vater Pollution Prevention Plan."
(Signature ofpermittee) (Date)
YOU NI UST SIGN TIIIS CERTIFICATION FOR ANN' 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 (lie 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 im tprisonment for knowing violations."
(Signature of Permittec)
Permit Daic: 6/02/2015-5/31/2020
(Date)
SWU-25 060515
Page I of I

EWOmmmid t kgommUd
WastematOr ID: 10
P.O. BOX 7085, 114 0 kK -M0 Fq f C7RIVE PHONE [phone]
GREENVILLE, N.C. 27835-7085 _ _ FAX [phone]
H C COMPOSITES
ATTN: FORREST SMITH
1090 WEST SAINT JAMES ST.
TARBORO ,NC 27886
Stormwater
Analysis
Method
PARAMETERS
(#1, Grab)
Date
Analyst
Code
PH (not to be used for reporting)
6.8
03/31/17
KKM
450OH13-00
Total Suspended Residue, mg/l
22
04/03/17
KA C
2540D-97
Oil & Grease (HEM), mg/1
10
04/06/17
SEJ
1664E
Aluminum, ug/1
138
04/10/17
LFJ
EPA200.7
Copper, ug/l
< 10
04/10/17
LFJ
EPA200.7
Lead, ug/l
<5.0
04/18/17
MTM
311313-04
Zinc, ug/l
307
04/10/17
LFJ
EPA200.7
ID#: 398
DATE COLLECTED: 03/31/17
DATE REPORTED : 04/19/17
REVIEWED BY:

EIMUTMH(12 % DIMCW
H C COMPOSITES
ATTN: FORREST SMITH
1090 WEST SAINT JAMES ST.
TARBORO ,NC 27886
Stormwater
PARAMETERS (#I, Grab)
Mod
Analysis Method
Date Analyst Code
PH (not to be used for reporting)
6.8
03/31/17
KKM
4500HB-00
Total Suspended Residue, mgll
22
04/03/17
KAC
2540D-97
Oil & Grease (HEM?), mg/l
10
04/06/17
SEJ
I664B
Aluminum, ugll
138
04/10/17
LFJ
EPA200.7
Copper, ug/l
< 10
04/10/17
LFJ
EPA200.7
Lead, ugll
<5.0
04/18/17
MTM
311313-04
Zinc, ug/l
307
04/101I7
LFJ
EPA200.7
ID#: 398
DATE COLLECTED: 03/31/17
DATE REPORTED : 04/19/17
REVIEWED BY:

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG190000
DISCHARGE MONITORING REPORT (DMR)
SAMPLES COLLECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE NO. NCG19� � (This monitoring report is due at the Division no later than 30 days from
the dat the -facility receives the sam ling results from the laboratory.)
FACILITY NAME -6 O 0-ci - EC E I COUNTY _� r o vr\ � -e
PERSON COLLECTING SAMPLES S PHONE NO. (sue fl41 ,Oe2oo
CERTIFIED LABORATORY �' rgm r Lab # S E P 2 l 2 U 16
Lab #
Part A: Suedfle Monitoring Requirements
CENTRAL FILES
DWR 1;Fr'T10N
Outfall
No.
Date
Sample Collected.
mo/dd/vr
Total Rainfall,
inches
00530
00400
00556
01119
01104
01094
01114
Total Suspended
Solid§. nMtL
pH.
Standard units
Oil & Grease.
Copper".
Aluminum
Zinc:".
Benchmark
-
-
100
Within 6.0 — 9.0
30
0.007
0.75
0.067
0.03
a 6
3. D
r
L 10
Jigi
.C�
If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit.
2 Total recoverable,
3 These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg1I—
Solvent Management Plan Certification:
Mail original and one copy to: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement
Division of Water Quality for managing solvents, I certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated
Attn: Central Files solvents into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the
1617 Mail Service Center last discharge monitoring report. I further certify that this facility is implementing all the provisions of the Solvent
Raleigh, North Carolina 27699-1617 Management Plan included' the Stormwater Pollu ' n Prevention Plan."
(Signature of Permittee) ( at
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
possibWq of figes-and-hpprisonment for knowing violations."
(Signature of Permittee)
(Date)
SWU-253-092309
Page 1 of 1
Permit Date: 10/112009-9/30/2014

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG190000
DISCHARGE MONITORING REPORT (DMR)
� �G b S SAMPLES COLLECTED DURING CALENDAR YEAR: D L�
CERTIFICATE OF COVERAGE NO. NCGI9jDRA[[ [(This m°�init r i Tort is due at the Division no later than 30 days from
Et>Z d to 717 E y receives the sang$ling results from the laboratory.)
FACILITY NAME ©i<h aSi I e-S COUNTY 7 S-el C�"n 6•---
PERSON COLLECTING SAMPLES , r s"7- 57Wr-T DEC 2 9 2015 PHONE NO. *q4—Y — c<D
CERTIFIED LABORATORY C-v1 t'rOnrneN Lab # 3, I �- PlKdi-It
Lab # �� OCENTRAL FILES
DWR SECTION
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample Collected,
mofdd/
Total Rainfall.
inches
00530
00400
00556
01.119
01104
01094
01114
Total Suspended
Solids
pH,
Standard units
Oil & Grease.
m9im
Copper":-.
Aluminum"
.
Zinc
Lead ',
m
Benchmark
100
Within 6.0 — 9.0
30
0.007
0.75
0.067
0.03
3,
57,3
CS
o
i If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit.
2 Total recoverable.
These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L.
Solvent Manat=.ement Plan Certification:
Mail original and one copy to: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement
Division of Water Quality for managing solvents, I certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated.
Attn: Central Files solvents into'the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the
1617 Mail Service Center last discharge monitoring report. I further certify that this facility is implementing all the provisions of the Solvent
Rale h, North Carolina 27699-1617 Management Plan included in the Stormwate Pollution Prevention Plan."
(Signature of Permittee) (Date)
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 1ppr for knowing violations."
/Z 2Z •��
(Signature of Perinittee) (Date)
Permit Date: 101112009-913012014
SWU-253-092309
Page 1 of 1

REI.1 V D
MAY 142014
,ENTRAL FILES
STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG190000
�VVQIB�G DISCHARGEE MONITORING REPORT (DMR)
1 V) 6 19 V bsy SAMPLES COLLECTED DURING CALENDAR YEAR Ol
CERTIFICATE OF COVERAGE NO. NCG19❑❑ ❑ (This monitoring report is due at the Division no later than 30 days from
II the date the facility receives the sampling results from the laboratory.)
FACILITY NAME �, 1`"TES COUNTY _ 1' � C,- tem C _
PERSON COLLECTING SAMPLES PHONE NO. O-Stj,Ca�f Qoc�!�
CERTIFIED LABORATORY En iA'Yo+? rnrnt— Lab #_
Lab #
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample Collected,
mo/dd/ r
Total Rainfall,
inches
.00530
00400
00556
01119
01104
01094
01114
Total Suspended
Solids.
pH.
Standard units
Oil & Grease.
Coppe ,
Aiuminum
Zin .•
Lead 1.
Benchmark
too
Within 6.0 — 9.0
30
0.007
0.75
0.067
0.03
l�l
b y
' If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit.
2 Total recoverable.
J These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg(L.
Solvent Management Plan Certification:
Mail original and one copy to: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement
Division of Water Quality for managing solvents, 1 certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated
Attn: Central Files solvents into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the
1617 Mail Service Center last discharge monitoring report. 1 further certify that this facility is implementing all the provisions of the Solvent
Raleigh, North Carolina 27699-1617 Management Plan included the Stormwater Pollution Prevention Plan."
Imo- a- 1 V
(Signature of Permittee) (Date)
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
poss'bility of fines and imprisonment for knowing violations."
n
(Signaturere o�� ittee) (Date)
t0/t/2009-9/30/2014 SWU-253-092309
Page 1 of 1

Emwohmmid Ala hmpumbd
A
wastewater ID: 10
P.O. BOX 7Ej85,1114 OAKMONT DRIVE _ - - - - - - - PHONE [phone]
GREENVILLE, N.C. 27835-7085 , FAX [phone]
H C COMPOSITES
ATTN: RON TRAINOR
1090 WEST SAINT JAMES ST.
TARBORO ,NC 27886
PARAMETERS
PH (not to be used for reporting)
Total Suspended Residue, mg/l
Oil & Grease (HEM), mg/I
Aluminum, ug/l
Copper, ug/l
Lead, ug/l
Zinc, ug/l
Stormwater
Analysis
Method
(#1, Grab)
Date Analyst
Code
6.8
04/29/14 TRB
4500HB-00
45
04/30/14 MDD
2540D-97
12
04/30/14 SEJ
1664B
1043
05/02/14 LFJ
EPA200.7
31
05/02/14 LFJ
FPA200.7
10
05/06/14 ,MEL
31138-04
344
05/01/14 ,NIT\1
3111B-99
ID#: 398
DATE COLLECTED: 04/28/14
DATE REPORTED : 05/08/14
REVIEWED BY:

Environment 1�_In_cc..
P.O. Box 7085. 114 Oakmont Dr.
Greenville, NC 27858
CHAIN OF CUSTODY RECORD
Page I of I
Phone [phone] • Fax [phone]
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
CHLORINE
Ij
CLIENT: 398 Week:19
rpH
CHECK (LAB)
UV
P
P
G
P
CONTAINER TYPE, PIG
Il C COD9POSITES
❑ NONE
ATTN: RON TRAI,NOR
CHEMICAL PRESERVATION
1090 WEST SAINT JAMES ST.
❑
TARBORO NC 27886
A
A
C
A
A -NONE D-NAOH
o
[phone]
z w
w z
Cr
B- HNO, E• HCL
op
_Cr
�
a:O
U
z
O
o
w
L C - HzSO, F - ZINC ACETATE/NAOH
COLLECTION
a
a ¢o
i=" a
o
c
O
t.
G- NATHIOSULFATE
a
SAMPLE LOCATION
DATE
71ME
Stormwater (lil, Crab)
4
CLASSIFICATION:
WASTEWATER (NPDES)
DRINKINGWATER
DWQ1GW
SOLID WASTE SECTION
CHAIN OF CUSTODY MAINTAINED
DURING S MENTIDELIVERY
Y N
SAMPLES COLLECTED BY:
(Please Print)
SAMPLES RECEIVED 1N LAB AT °C
RELINQUISHED Y (SIG.) [5 MPLER)
DATEITIME
RECEIVED BY (SIG.)
DATEITIME
COMMENTS:
zQ�
RELINQUISHED (51G.)
DATEITIME
RE ED Y ( G.)
D ME
R LWQUISHED BY (SIG.)
D ME
RECEIVED IG.)
A ME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for No- 269429
FORM #5 Grab sample in the blocks above for each parameter requested.

SAMPLING INSTRUCTIONS AND FORM COMPLETION
FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLE, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not falling within the established guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2)Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is not
permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements ofthe regulation ifthere
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of40 mi. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and them the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection" on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Col iform and Enterococci samples have a holding time of 6 hours from time of collection to arrival at the lab. Therefore, samples
should be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD samples have a 48 hour holding time and are set in the lab Monday through Friday.
Other samples such as Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and MBAS also have a 48 hour holding time. The
lab reserves the right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
These sample bottles may contain acid or other corrosive and potentially harmful chemicals. Laboratories are required to add these
chemicals for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling
the bottles. if any chemical should get on your skin or clothes, flush liberally with water and seek medical attention.

o Q
Vccv.-
Wastewater ID: 10
---
GREENVILLE, N.C. 27835-7085 FAX {252} 756-0633
Receiver) ID# : 398
H C COMPOSITES NOV 2 U 2014
ATTN: RON TRAINOR
1090 WEST SAINT DAMES ST. C6NT DATE COLLECTED: 10/15/14
TARBORO ,NC 27886 OWR SEr- nES DATE REPORTED : 10/30/14
PARAMETERS
PH (not to be used for reporting)
Total Suspended Residue, mg/1
Oil & Grease (HEM), mg/1
Aluminum, ug/l
Copper, ug/l
Lead, ug/1
Zinc, ug/1
Stormwater Analysis Method
(#1, Grab) Date Analyst Code
5.1 10/15/14 TRB 4500HB-00
19
10/16/14
LW
254OD-97
<5.0
10/17/I4
SF.J
1664E
10102
10/20/14
LFJ
EPA200.7
< 10
10/20/14
LFJ
EPA200.7
<5.0
10/21/14
MEL
3113E-04
320
10/20/14
MTNI
3111B-99
REVIEWED BY:

>H nv;ironmcu— , Zne. CHAIN OF CUSTODY RECORD
P-0, ",jx "TO$5, 114 Oakmont Dr,
Greenville, NC 27858 t Page 1 of 1
environmenri rnc.com IDISINFECTION
Phone [phone] • Fax [phone]
CHLORINE NEUTRALIZED AT COLLECTION
CHI.ORWI;
CLIENT: 398 Week: 45
UVpH
t/
CHECK (LAB)
P
P
G
P
CONTAINER TYPE, PIG
C COMPOSITES
❑ NONE
.TTN: RON TRAINOR
CHEMICAL PRESERVATION
D90 WEST SAINT .LAMES ST.
❑
'ARBORO NC 27886
A
A
C
A
u, A -NONE D-NAOH
�o
152) 641-8000
z J
Z
w
- B- HNO3 E HCL
op
F
tro
v
z
¢
8
p
o
z
Lo
LU C- HZSO, F- ZINC ACETATE/NAOH
COLLECTION
0 '
z
a o
w
w. J
C
a
�
a
C
a.
F
C7
O
Uj
2
a G- NA THIOSULFATE
CC
a
SAMPLE LOCATION
DATE
TIME
Stormwater (#1, Grab)
Ar)_' �
1� MI\
4
„`
''
CLASSIFICATION:
WASTEWATER (NPDES)
DRINKING WATER
DWQIGW
SOLID WASTE SECTION
CHAIN OF CUSTODY MAINTAINED
DURING S IPMENTIDELIVERY
N
SAMPLES COLLECTED BY:
(Please Print)
SAMPLES RECEIVED IN LAB ATS 9 _°C
RELIN,QUISHED BY (SIG.) (SAMPLER)
DATEMME
RECEIVED (SIG.)
� DATEMME COMMENTS:
101
Z 3'?
DATEMME
RELINQUISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
r
/0 -15-
DATEMME
ELINO I ED BY SIG.
DATEMME
RECEIVED BY (SIG.)
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a T" for composite sample or a "G for ,T p 285948
FORM its , Grab sample in the blocks above for each parameter requested. L�

EMWO'NERM % hCOMMUd
P.O. BOX 7085, 114
GREENVILLE, N.C.
H C COMPOSITES
ATTN: RON TRAINOR
1090 WEST SAINT JAMES ST.
TARBORO ,NC 27886
PARAMETERS
PH (not to be used for reporting)
Total Suspended Residue, mg/l
Oil & Grease (HEM), mgll
Aluminum, ug/i
Copper, ug/l
Lead, ug/l
Zinc, ug/I
Stormwater Analysis Method
(#1, Grab) Date Analyst Code
5.1 10/15/14 TRB 4500HB-00
19
10/16/14
LW
2540D-97
<5.0
10/17/14
SEJ
1664E
10102
10/20/14
LFJ
EPA200.7
< 10
10/20/14
LFJ
EPA200.7
<5.0
10/21/14
MEL
311311-04
320
10/20/14
MTM
3111B-99
ID#: 398
DATE COLLECTED: 10/15/14
DATE REPORTED : 10/30/14
REVIEWED BY:

Environme` l"I, ne. CHAIN OF CUSTODY RECORD
P.O. Box 7085, 114 Oakmont Dr.
Greenville, NC 27858 Page of I 1
environment I inc.com
DISINFECTION
Phone [phone] • Fax [phone]
CHLORINE NEUTRALIZED AT COLLECTION
Ij CHLORINE
CLIENT:398 Week:45
l/
pHCHECK (LAB)
uv
Ij
P
P
G
P
CONTAINER TYPE, PIG
I C COMPOSITES
NONE
,T'IN: RON TRAINOR
CHEMICAL PRESERVATION
090 WEST' SAINT JAMES ST.
❑
'ARRORO NC 27886
A
A
C
A
A - NONE D - NAOH
E a
d52) 641-8000
E �
0 0
¢
z
F-
t- B HNO3 E- HCL
o
M C - H,SO, IF ZINC ACETATE/NAOH
COLLECTION
J a
o
LU �
CL CL 8
iL a
O
r
G
a
Ems-
O
Cd u
< G- NATHIOSULFATE
a
SAMPLE LOCATION
DATE
TIME
Stormwater (#I, Crab)
A
_.
':
CLASSIFICATION:
WASTEWATER(NPDES)
DRiNKINGWATER
DWOIGW
SOLID WASTE SECTION
CHAIN OF CUSTODY MAINTAINED
DURING S IPMENTIDELIVERY
Y N
SAMPLES COLLECTED BY:
(Please Print)
4.0lLLkiRM
SAMPLES RECEIVED IN LAB ATS• 7 °C
RELI UISHED BY (SIG.) (SAMPLER)
DATEIIIME
RECEIVED (SIG.)
�- DATEIIIME
COMMENTS:
v 9;
/Ol za'J
RELINQUISHED BY (SIG.)
DATERIME
RECEIVED BY (SIG,)
DATEITIME
h-1S ��
ELINQPI ED BY SIG.
DATE/IIME
RECEIVED BY (51G.)
DATETiME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for N 0 2 8 5 9 8
FORM #5 Grab sample in the blocks above for each parameter requested.

SAMPLING INSTRUCTIONS AND FORM COMPLETION
FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE'
` TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE,
1) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 40 mt. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. [t is also required that you
note the "Total Chlorine at Collection" on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments" section.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section ,
CONSIDERATIONS:
Coliform and Enterococci samples have a holding time of 6 hours from time of collection to time of analysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the tab and analysis.
BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and MBAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping
container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.