NCG140102_MONITORING INFO_20190318

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. IV C� lqol D 9
DOC TYPE ❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE ❑ d
YYYYMMDD

409 Rogers View Court
Mid Atlantic
Raleigh, NC 210
office 919.2.250.999918
Engineering & Environmental Solutions
facsimile 919.250.9950
MAAONLINE.COM
February 27, 2019
N.C. Department of Environmental Quality
Division of Water Resources MAR 1
Attn: DWR Central Files CENTRAL FILES
1617 Mail Service Center DIPJR SECT10111
Raleigh, North Carolina 27699-1617
Subject: STORMWATER SAMPLING RESULTS
COMMERCIAL READY MIX PRODUCTS, INC.
100 HAYES STREET, AHOSKIE, NORTH CAROLINA
PERMIT NO. NCG140102
MID -ATLANTIC JOB NO. 000R1814.06
To Whom It May Concern:
On behalf of Commercial Ready Mix Products, Inc., attached please find the Annual
Stormwater Discharge Monitoring Report (DMR) and associated laboratory analytical
reports for the sampling conducted in 2018 at the above -referenced site. As summarized,
stormwater samples were collected on an approximate quarterly basis from Outfall 001
and analyzed for total suspended solids (TSS) and pH in accordance with General Permit
NCG140000. Please note that the outfall is not associated with a vehicle maintenance
area and does not discharge to waters classified as HQW, ORW, SA, SB, Tr or PN. As
such, the facility is not required to monitor for total petroleum hydrocarbons (TPH) or
settleable solids. If you have any questions or need additional information, please contact
me at 919-250-9918
Sincerely,
MID -ATLANTIC ASSOCIATES, INC.
Charles B. Hoffman, PG
Principal Geologist
Attachments: Stormwater Discharge Monitoring Report
Laboratory Analytical Report
EXPERIENCED CUSTOMER FOCUSED INNOVATIVE

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMRI — WASTEWATER
II SUBMIT TO CENTRAL OFFICE* II
General Permit No. NCG140000
Calendar Year 2018
"Report ALL WASTEWATER monitoring data on this form (include "No Flow" 1" No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14
Facility Name: Commercial Ready Mix Products - Ahoskie Plant
County: Hertford County
Phone Number: (252 ) 332-3590
Certified Laboratory Pace Analytical
Lab # 12
Lab #
Total no. of outfalls monitored 001
Wastewater (WW) Discharge Outfall No. 001
Does this outfalI discharge WW to SA waters? Yes ❑ No ❑�
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No ❑�
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ✓❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ❑✓
Were there any limit violations in the calendar year? Yes ❑ No❑
Permit Date 8/1/2017 - 6/30/2022
Last Revised 8-22-2017

Certificate of Coverage No. NCG14 ©[]Q 2❑
CERTIFICATION
"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."
[Required by 40 CFR §122.22]
Signature
Date 3166-19
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct— Central Files is housed in DWR (no DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
tA: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 811/2017 — 6/3012022
Last Revised 8-22-2017

aceAnalytical.
www.pecelebs.com
Pace Analytical Services, L4C
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
May 02, 2018
Chuck Hoffman
Mid -Atlantic Associates, Inc
409 Rogers View Court
Raleigh, NC 27610
RE: Project: CRMP Ahoskie Plant
Pace Project No.: 92382597
Dear Chuck Hoffman:
Enclosed are the analytical results for sample(s) received by the laboratory on April 27, 2018. The
results relate only to the samples included in this report. Results reported herein conform to the most
current, applicable TNIINEL.AC standards and the laboratory's Quality Assurance Manual, where
applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Nicole Gasiorowski
[e-mail]
[phone]
Project Manager
Enclosures
cc: Ron Davis, Mid AtlankAssociatees, Inc.
Kc
2 �G
`gQORAro�
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 11

ace Analytical
wmpacelabs.aom
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: CRMP Ahoskie Plant
Pace Project No.: 92382597
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
North Carolina Wastewater Certification M 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 11

aceAnalyfical.
WW.paaeVbs.com
Pace Analytical Services, Ll C
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
SAMPLE ANALYTE COUNT
Project: CRMP Ahoskie Plant
Pace Project No.: 92382597
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92382597001 Outfall No. 1 SM 2540D MVC 1 PASI-A
EPA 9040 RLO 1 PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 11

aceAnalytical
*"..paoelab&c"
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
HuntersWile, NC 28078
(704 )875-9092
ANALYTICAL RESULTS
Project: CRMP Ahoskie Plant
Pace Project No.: 92382597
Sample: Outfall No. 1 Lab ID: 92382597001 Collected: 04/25/18 09:45 Received: 04/27/18 10:13 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua]
2540D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids 24.8 - mg1L 6.2 1 05/01/18 23:53
9040 pH Analytical Method: EPA9040
pH 7.6 Std. Units 0.10 1 04/28/18 03:13 H3,H6
Date: 05/02/2018 03:20 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page4of11

aceAnalytical*
www.paceids.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: C R M P Ahoskie Plant
Pace Project No.: 92382597
QC Batch: 408616 Analysis Method: SM 2540D
QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92382597001
METHOD BLANK: 2267201 Matrix: Water
Associated Lab Samples: 92382597001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L NO 2.5 05/01/18 23:49
LABORATORY CONTROL SAMPLE: 2267202
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Suspended Solids mg1L 250 272 109 90-110
SAMPLE DUPLICATE: 2267203
92382467002 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg1L NO NO
SAMPLE DUPLICATE: 2267204
92382595001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mglL 23.3 24.8 6 D6
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/02/2018 03:20 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 11

aceAnalytrca!®
www.pacefabs.corn
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersvilie, NC 28078
[phone]
QUALITY CONTROL DATA
Project: CRMP Ahoskie Plant
Pace Project No.: 92382597
QC Batch: 408354 Analysis Method: EPA9040
QC Batch Method: EPA 9040 Analysis Description: 9040 pH
Associated Lab Samples: 92382597001
SAMPLE DUPLICATE: 2265953
Parameter
pH
92382647001 Dup
Units Result Result RPD Qualifiers
Std. Units 7.2 7.2 0 H3,H6
Results presented on this page are in the units indicated by the "units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/02/2018 03:20 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 11

ace Analytical
uww.pacelabs.wm
Pace Analytical Services, L4C
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
QUALIFIERS
Project: CRMP Ahoskie Plant
Pace Project No.: 92382597
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL-Adjusted Method Detection Limit.
PQL- Practical Quantitation Limit.
RL- Reporting Limit.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited anaiytes.
TNI -The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
H3 Sample was received or analysis requested beyond the recognized method holding time.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/02/2018 03:20 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 11

ace Analytical
WW-paoelahxarom
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: CRMP Ahoskie Plant
Pace Project No.: 92382597
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92382597001 Outfall No. 1 SM 2540D 408616
92382597001 Outfall No. 1 EPA9040 408354
Date: 05/02/2018 03:20 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 8 of 11

Document Name: Document Revised: February 7, 2018
Sample Condition Upon Recelpt(SCUR) Page 1 of 2
aceAnalytiol v Document No.: Issuing Authority:
F-CAR-CS-033-Rev.06 Pace Carolinas Quality Office
Laboratory receiving samples:
Asheville ❑ Eden[_] -Greenwood ❑ Huntersvilk� Raleigh[] Mechanicsville[]
�T Client Name:
1 ( kkl, s Project #;
Courier: ad Ex ❑UPS U5 S -[]Client
❑ Commercial ❑Pare "❑Qther:
Custody Seal Present? [-]Yes TJgo Seals nl gct? [—]Yes �Jtvo
Packing Material; ❑Bubble Wrap ❑Bubble Bags ❑None Other
Thermometer: Type of Ice: Blue
gzT036
R Gun ID: et ❑
Cooler Temp ('C): Correction factor: Add/Subtract ('C) +0,1
Cooler Terrrp Corrected ('C):
USDA Regulated Sol]. NIA, water sample)
Did samples Drig'i at a quararitine zone within the United States: CA, NY, or SC (check maps)?
myes
WOa:92382597,92382597
..:-
IIIIIB'11191111f1111lII
Date/Initials Person EKamining Cantents:_'M2-q_—J_7-65
Biological Tissue Frozen?
❑None
❑Yes ❑NO t§f
Temp ufd be above freezing to VC
(IoSamples out of temp criteria. Samples on ice, cooling process
has begun
Oldsamples originate from a foreign source linternatla
indading Hawaii and Puerto Rico17 []Yes o
Comm ents/Disc re panty:
Chain of Custody Present?
es
❑No
N/A
1.
Samples Arrived within Hold Time?
Yes
No
N/A
2,
Short Hold Time Analysts (<72 hr.)?
❑Yes
O
❑NIA
3.
.Rush Turn Around Time Requested?
[Yes
o
[]NIA
4.
Sufficient Volume?
Yes
[]NO
❑NIA
5.
Correct Containers Used?
-Pace Containers Used?
YES
es
❑N❑
❑No
❑N/A
N/A
6.
Containers Intact?
Yes
Na
N/A
7.
Dissolved analysis: Samples Field Filtered?
[:]Yes_-
ONO
/a
B.
Sample Labels Match COC7
-Includes Da te/Ti m ell D/Ana lys is Matrix:
f�--Y_ee/sue
f
❑No
❑N/A
9.
Headspace in VOA Vials (>S•6mm)?
❑Yes
ONO
N/A
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
Des
❑Yes
ONO
[:]No.
11.
'
COMMENTS/SAMPLE DISCREPANCY Field Data Required?. []Yes ONO
S 104D °C,
Lot1D
CLIENT NOTIFICATION/RESOLUTION i
'Pro 5� S.
Person contacted: C�v�L��_-n1�+� _ • Date/Time: _ kv c�'Z1
Project Manager SCURF Ravi ew:VI` Date: 0
Project Manager SRF Review: 1 Date: j.
Page 9 of 11

Sample Conditfon Llpori Receipt{SCl1R) Page 1 of 2
Analytical Y Document No.: Issuing Authority:
f-CAR-CS-033-Rev.06 Pace Carolinas Quality Office
°Checlt mark top half of bon if pH and/or dechlorination is Projects WRI-1.,
verified and within the acceptance range For preservation 9238"2597
samples. PM NMG Due Date 05/08/18.
Exceptlons: VOA, Callform, TOC, Oil and Grease, DRO/8015 (water) DOC, LLHS CLIENT; 92—MID" ATLAN s
"Bottom half of box Is to list number of bottle
L
c
u
o
J
E
>
Q,
m
W
c
7
u
J
E
>
a
m
d
c
7
u
J
E
T
a
m
N
v
C
—
`m
7
a
m
O
N
1
E
a
m
T
O
T
ro
J
E
2
a
m
ro
a
u
Q
Y
N
.}2
_�
0.
N
m
yy
v
x
O
ro
=°
1
E
u
m
a
va'
C
°O
E
3
w
w
2.
a
c
a
a
`v
,�.,
Q
y
i
8
_
U
a
Q
m
,x.,
a
9
n
a
E
J
E
'+rN+
Q
4
O
d
N
y
Q
m
,',
Q
N
Q0.
1[
�V{4
=
E
J
E
m
a
Z
A
o
J,
m
a
d
`
Z
`..
¢
>
E
$
pS'
O
z
I�l
t]
VI
Q
D
J
q
7
Q
Z,
4
O
E
9
m
>
=
Z
v
'2�']
m
Q
O
E
Y
a0.i
O
Q
Z
Y
VI
,n�
O
N
`y
N CL
6
}
....
Y
10
a
>
f1
Ta
lY7
>
.�
Q
Z
u
M
A
`y
J
E
'~/1
a
'n
r
=
u
^
J
E
N
a
v,
v
C
a
N
nr
=
2
J
E
2
A.
m
L
vi
ydj
a
c
a
E
`J
E
S
7
4
?
j
c
J
E
N
7
>
2
10
a
G
U
n
C
E
J
E
q
a
cm
o
\N\\
2
4
S
6
7
N\N9
10
NN\\�
I
N\\�
11
12
pH Adjustment Log for Preserved Samples
Sample to
'type of Preservative
pH upon recelpt
Date preservation adjusted
Time preservatlon
adjusted
Amount of PreSerV9tlVe
added
Lot 0
pies, a copy or this rarm ytin ne sent to me NGFTM Laramu urn_ '.n Lm uuLeiw16 .,. -Q r'.c.
Out of hold, incorrect preservative, out of temp, incorrect containers.
Page 10 of 11

CHAIN -OF -CUSTODY ! Analytical Request Document
!mod
ace Analytical - The Chain-of-Cuslody is a LEGAL DOCUMENT, Au relevant fields must be completed accurately.
w
!
O
Section A Section B Section C
ED
Page_ : of CG
Required Client Information: Required Project Information: Invoice Information:
:ompany Mid -Atlantic Associates, Inc.
Report To: Chuck Holtman ([e-mail])
Altenlion: Chuck Hoffman
\ddress: 409 Rogers View Court
copy To:
Company Name: Mid -Atlantic Associates, inC.
REGULATO
1 tY AGENCY
Raleigh,.NC 27610
Address: 409 Rogers View Court, Raleigh, NC
F NPDEs
r-- UST
r
F
GROUNDWATER f— DRINKING WATER
RCRA r OTHER
cmad To: [e-mail]
Purchaso Order No.: R1814.06
Pace Quate _
Reference:
'hero: 919-250-9918
Fax: [phone]
Project Name: CRIMP Ahoskie Plant
Paw Project Nicole Gasiorowski
Site Locatichi
Maruger.
STATE
NC
Requested Due Oate1TAT: Standard
Project Number. R1814.6g
Pam Profile a: _
Requested
Analysis
Filt
red
(Y/N)
Section D Valid Matrix Codes
2
a
z
Required Client Information MATRIX C2DE
COLLECTED
Preservatives
%
N
N
ORINM WATCR LOW
OV
2
WATER WT
n
II
(.7
0
to
WASTEWATER WVV
8
comporITE
Cjc PO TE
1—
t7
"—
PROOVCT P
4m
START
ENOrGRAa
w
z-
sousoUo SL
O'
oa OL
SAMPLE ID WP
«
u
�?
0
o
to
Of
W
+
m
-p
a)
W
AJR AR
tA-z. 0-91 ,-} OTHER OT
Cl
W
d
Z
C
///'}}l
lr
Sample IDS MUST BE UNIQUE TISSUE Ts
U
EL
Z
N
N
L)
!!/,f�✓,(�
q
x
w
O
m
o
T
2
C1.
p
to
r
6
v
t=
DATE
TIME
DATE
TIME
y
�
2
s
2
Z
Z
O
n
IX
Pace Project Nol Laic I.D.
1
Outfall No. 1
wr
G
'
x
x
Rainfall (inches):
'I
pH:
3
4
5
6
7
B
9
14
11
12
. , ADDITIONAL COMMENTS
RELIN13UISHED BY I AFFILIATION
DATE
TIME -
9CCEPTED BY 1 AFFiuA11 N
n
DATE
TIME'
SAMPLE CONDITIONS
f
t
SAMPLER NAME AND SIGNATURE
PRINT Name of SAMPLER:
SIGNATURE of SAMPLER: DATE Signed
Zs--
rMWDDrfYf:
[
vi
'Important Note: By slgrwg this form you are accepting Pace's NET 30 day payment terns and agreeing to late charges or 1.6% per month for arty Invoices not paw vAhin 3g days.
F-ALL-Q-02Drev.Q6, 12-a�-2a07

aceAnalytical o
~pacelabs.corn
Pace Analytical Services, LLC
9600 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
July 26, 2018
Chuck Hoffman
Mid -Atlantic Associates, Inc
409 Rogers View Court
Raleigh, NC 27610
RE: Project: Commercial Ready Mix Products
Pace Project No.: 92392966
Dear Chuck Hoffman:
Enclosed are the analytical results for sample(s) received by the laboratory on July 24, 2018. The
results relate only to the samples included in this report. Results reported herein conform to the most
current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual, where
applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Tyriek Hooks
[e-mail]
[phone]
Project Manager
Enclosures
cc: Ron Davis, Mid Atlantic Associatees, Inc.
NCCR
s
`4eOR A�
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 13

Pace Analytical Services, LLC
9800 Kincey Ave. cemap cal Hunte svlle, NC10 2807t3
wwwpecelab&wn (704 )875-9092
CERTIFICATIONS
Project: Commercial Ready Mix Products
Pace Project No.: 92392966
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40
Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030 VirginiaNELAP Certification #: 460222
North Carolina Drinking Water Certification #: 37712
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 13

aceAnalyfical
ww .pacalaba.c=
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
SAMPLE ANALYTE COUNT
Project: Commercial Ready Mix Products
Pace Project No.: 92392966
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92392966001
#320238/441022 Moyock
SM 2540D-2011
CEH
1
PASI-A
EPA 9040C
MDW
1
PASI-A
92392966002
#3202811441952 Edenton
SM 2540D-2011
CEH
1
PASI-A
EPA 9040C
MDW
1
PASI-A
92392966003
#3202441441030 Ahoskie
SM 2540D-2011
CEH
1
PASI-A
EPA 9040C
MDW
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in Full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 13

aceAnalyiical "
wmttpacelabs.="
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: Commercial Ready Mix Products
Pace Project No.: 92392966
Sample: #320238/441022 Moyock Lab ID: 92392966001 Collected: 07/23/18 09:15 Received: 07/24/18 09:42 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 254OD-2011
Total Suspended Solids 28.1 mg1L 13.5 1 07/26/18 05:27
9040 pH Analytical Method: EPA 9040C
pH at 25 Degrees C 9.1 Std. Units 0.10 1 07/25/18 01:32 H6
Date: 07/26/2018 05:54 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 4 of 13

YacieAnalytical
"W..pacwabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: Commercial Ready Mix Products
Pace Project No.: 92392966
Sample: #3202811441952 Edenton Lab ID: 92392966002 Collected: 07/23/18 10:45 Received: 07/24/18 09:42 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D-2011
Total Suspended Solids 26.5 mg/L 10.0 1 07/26/18 05:27
9040 pH Analytical Method: EPA 9040C
pH at 25 Degrees C 8.7 Std. Units 0.10 1 07/25/18 02:08 H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 07/26/2018 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 13

aceAnalytical
wwwpacelabs.com
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: Commercial Ready Mix Products
Pace Project No.: 92392966
Sample: #3202441441030 Ahoskie Lab ID: 92392966003 Collected: 07/23/18 11:45 Received: 07/24/18 09:42 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 254OD-2011
Total Suspended Solids 28.3 mg/L 8.3 1 07/26/18 05:27
9040 pH
pH at 25 Degrees C
Date: 07/26/2018 05:54 PM
Analytical Method: EPA 9040C
8.0 Std. Units 0.10 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
07/25/18 02:14
H6
Page 6 of 13

aceAnalytical
nww.pa6918b&WM
Pace Analytical Services, LLC
9800 Kincey Ave, Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: Commercial Ready Mix Products
Pace Project No.: 92392966
QC Batch: 421185
Analysis Method:
SM 254OD-2011
QC Batch Method: SM 2540D-2011
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92392966001, 92392966002, 92392966003
METHOD BLANK: 2332716
Matrix: Water
Associated Lab Samples: 92392966001, 92392966002, 92392966003
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
ND
2.5 07/26/18 05:24
LABORATORY CONTROL SAMPLE:
2332717
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250 240
96 90-110
SAMPLE DUPLICATE: 2332718
92393155001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mgtL
286
308 7 D6
Results presented on this page are In the units Indlcalod by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 07/26/2018 05:54 PM without the written consent of Pace Analytical Services, LLC.
Page 7 of 13

aceAna1j6ra1
www.pacefeb& WM
Pace Analytical Services, LLC
9800 KinceyAve. Suite 1t]0
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: Commercial Ready Mix Products
Pace Project No.: 92392966
QC Batch: 420875 Analysis Method: EPA 9040C
QC Batch Method: EPA 9040C Analysis Description: 9040 pH
Associated Lab Samples: 92392966001, 92392966002, 92392966003
SAMPLE DUPLICATE: 2331458
92393132004 Dup
Parameter Units Result Result RPD Qualifiers
pH at 25 Degrees C Std. Units 7.4 7.1 4 H6
SAMPLE DUPLICATE: 2331459
92393132002 Dup
Parameter Units Result Result RPD Qualifiers
pH at 25 Degrees C Std. Units 7.2 6.5 10 D6,H6
Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 07/26/2018 05:54 PM without the written consent of Pace Analytical Services, LLC.
Page 8 of 13

aceAnalytical
www.paaelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALIFIERS
Project: Commercial Ready Mix Products
Pace Project No.: 92392966
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270, The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.,
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI -The NELAC Institute.
LABORATORIES
PAS I -A Pace Analytical Services -Asheville
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 07/26/2018 05:54 PM without the written consent of Pace Analytical Services, LLC. page 9 of 13

aceAnalytical
wwpacefabs.=n
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Commercial Ready Mix Products
Pace Project No.: 92392966
Lab ID Sample ID
92392966001
#3202381441022
Moyock
92392966002
#3202811441952
Edenton
92392966003
#320244/441030
Ahoskie
92392966001
#320238/441022
Moyock
92392966002
#320281/441952
Edenton
92392966003
#3202441441030
Ahoskie
Date: 07/26/2018 05:54 PM
QC Batch Method
SM 2540D-2011
SM 2540D-2011
SM 2540D-2011
EPA 9040C
EPA 9040C
EPA 9040C
QC Batch Analytical Method
421185
421185
421185
420875
420875
420875
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Analytical
Batch
Page 10 of 13

Document Name:
Document Revised: February 7, 2018
aceArralytical a
Sample Condition Upon Recelpt(SCUR)
Page 1 of 2
Document No.:
Issuing Authority:
F-CAR-CS-033-Rev,06
Pace Carolinas Quality Office
Laboratory receiving samples:
Asheville ❑ Eden❑ Greenwood ❑ 3 untersvillbq Ralelgh❑ Mechanicsville[]
' Client Name: ProJt:�ct W04 : 92392966
" #;
Courier: ` Pace Ix ❑UPS U5 { ^ ❑Client NO IIIHill 11111[1111
mercial
❑other: 2966
Custody Seal Present? Des o Seals intact? []Yes 1492 i �1� 7i 1
Date/Initials Person Framinl Can�g1
Packing Material: ❑Bubble Wrap ❑Bubble Bags ON one ❑ Other Blo glc 1 issue Frozen?
m
Thermo�t n 1 ❑Yes ?o ❑N/A
lSI1R'Gun ID; 92TO40 Type of ice: wet []Blue ❑Kane
Cooler Temp ('C)-. (Correction Factor: Add/Subtract ('C) +0.4
Cooler Temp Corrected ('C): �•! Temp should be above freezing to VC
[]Samples out of temp criteria. Samples an Ice, cooling process
USDA Regulated 5o11 �LfN/A, water sample] has begun
Did samples originate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source me as-'lonally,
❑Yes f EUNlo „{;ne L2ousii end P �PRn R1rn17 riYPt n
!,
Comments/Discrepancy;
Chain of Custody Present?
ONO
(]N/A
1.
Samples Arrived within Hold Time?
es
[]NO
❑N/A
2.
Short Hold Time Analysis (<72 hr.)?
❑Yes
M
N/A
3.
Rush Turn Around•TimeRequested?
❑Yes
❑N/A
4.
Sufficient Volume?
v s
❑Nq
❑N/A
5.
Correct Containers Used?
Yes
AYes
❑Nq
❑N/A
6.
-Pace Containers Used?
❑No
❑N/A
Containers'lntact?
]Yes
❑No
❑N/A
7,
Dissolved analysis: Samples Field Filtered?
❑Ycs
❑No
Sample Labels Match COC?
, /�]7es
ONO
❑N/A
� M 0-1
l--
-Includes Date/Time/ID/Analysis Matrix:
10.
Headspace in VOA Vials (>S-6mml7 ❑Yes QNo 61
Trip Blank Present?
Oyes
Wo
'VIA
11.
Trip Blank Custody Seals Present?
Yes
No
COMMENTS/]AMPLE DISCREPANCY
Field Data Required? Oyes ❑No
---��_�---.�—_— -_ ---- lot IDof split containers:
CLIENT NOTIFICAI1CINfRE50LUTIDN
Person contacted:
Date/Time:
Project (Manager SCURF Review: Date:
Project Manager 5Rf Review: Date:
Page 11 of 13

Document Name`.
Document Revised: February 7, 2018
aceArralytrcalJ
Sample Conciftlon Upon Recelpt(SCUR)
Page I of 2
Document No.:
Issuing Authority:
F-CAR-CS.033•Rev.06
Pace Carolinas Quality Office
*Check mark top half of box if pH and/or dechiorination is Project 9
verified and within the acceptance range for preservation
samples.
Exceptions: VOA, Coliform, TOE, Oil and Grease, DRO/80I5 (water) DOC, LLHg
**Bottom half of box is to list number of bottle
W0#:92392966
PM: TIH Due Date: 08/02/18
CLIENT: 92—MID ATLAN
�r
z
W
`
5
a
rn
N
tl
a
ra
z
G
a
U
n
a
o
N
7
6
m
z
13
Q!
m
j
4
m
i
o
C
yr
a
d
m
Z
Z
m
a
C
M
N
m
-
al
4
m
N
Y
N
=
u
m
a
J
e
N
",
6
m
V
z
=
U
a
J
o
In
N
Z
d
ra
0
M
Z
z
N
u
m
Q
J
E
N
.'.�
N
06
m
w
N
n
O
z
UQJ
Q-
i
J
E
N
••1
V
4
eo
"
°�
4
C
:
%D
p
e
E
V
7
LL
L7
3
Y
Z
v
e
7
4
a
E
¢
-
i
ti
L?
a
u
Y
a
E
a
u
-
"�
.x-1
l7
a
z
v
y
ti
L
E
¢
J
Ln
N
17
t7
a
N
a
$
N
=
>=
4
`m
"+
M
t7
a
N
v
'�
2
E
a
J
E,
in
tY
Lh
L7
a
z
Q
z
E
Q
J
o
N
I
„.
+,
Q
ag
t
r�
a
?
U
4
O
7
E
O
q
C1
C7
�+
z
O
N
A
4
0
E
p
'q
tl~i
l7
>>
z
G
C
4
0
7
E
O
0r
l7
`
Q
6
fY7
¢
O
>
F
O
M
Li
o
Z
•�
.S:
u
a
.0
%a
a
O
>
Z
'-'
L1
a
'!
w
a
M
A
y
.2
ke
17
\
>
S
T
m
a
m
H
a
E
N
.•+
0.
vti
A
I
Q
�,
A
1
d
v
n
1
E
G
N
N
6
v,
4'
en
ry
r
Z
U
b
4.
J
E
N
N
T
6
do
?
S
d
a�i
c
y
E
a
..�
o
tl
e+
O
L7
a
Q
z
R
o
q
c
u
Vt
e
d
N
N
>
z
;
5
uui
c
E
¢
J
E
C
(C
6
1
N
I
1
1
\N
4
6
I
\N
7
g
L
N\\
I
9
10
11
I
N
\NN
1Z
N'\-
pH Adjustment Log for Preserved Samples
Sample ID
Type of preservative
pH upon receipt
Date preservation adjusted
lime preservation
adjusted
Amount of Preservative
added
tot d
Note; Wheneverthere is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina 0EHNR Certification Office (i.e.
Out of hold, incorrect preservative, out of temp, Incorrect containers.
Page 12 of 13

y a1CeAnalytKaF
iection A
iecrulred Client Information:
Section B
Required Project Information:
CHAIN -OF -CUSTODY 1 Analytical Request Document
The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately.
Scatlon C
Invoice Information:
Pace • t Of
'ompany: Commercial Ready Mix Products
Report To: Tim Curly
Attention:
4ddress: 11S US 158 West
Copy To:
Company Name:
Nirrion. NC 17986
Address:
-
-matt
Purchase Order #:
Pace Otrote:
PhDne: Fau
Project Name: Stock
Pace Project Manager: nicole.gasiorawski celabs.com,
-State 1 Uocation
Requested Due Date:
Project #:
Pace Profile #:
NC
-R
uested
Anal
z
-FlltGred
1N
- - - - -
F
n
z,
µ,TR LX cow
=
0
COLLECTED
Z
Preservatives
>'
a-Ww Water OW-
~
Watm V/r
.i
pq
U
Waste warn WW
n_
�
Product P
SAMPLE ID 00i5o1"
i
t7
START
END
N
1�-
}
One Character per box. VOW WP
w
ur
n
i
q'
•o
a
AN AR
to 2 as r. -j onm oT
P
0
s=
Z
z
a
Sample Ids must tM Unique Ttaue Ts
x
¢
w
a
cu
a
O
t)
n
o
v
O
e�f
x
O
N_
i�
C
a
if
Z�t�b
r�
1
DATE
TIME
DATE
TIME
4o�Hz���m�ayx
w
x
x
x
z
z
2
O
-
H
n
m
Cc
= 2.
2 z e as e
7Z3
.�
�—
4 `_
4' 4T Z
743 1
fad
1,%3
1x
-.Vc w`
--�-
5
�- �o
W 3a
Za3
11
- <t`
Z3
.Aqf
6
at
7'
.1pr:
-12
JiL
1, Al'1C)mpTIAL'COM1i[F�ITS �,t' _c7
�; - R£LINgU15HE0 BYfAFF[Iyc1TON'- ?
�c',DATE --TIME^
�ACCEPTEO BYIAFFILIATE_ -
�I
t7A
.'
-'TINE-
-:-SAMPLECONWTIO
N
ATllRE
SAMPLER NAME AND SIGNCD
0
m
m
PRINT Narne of SAMPLER: r
w
r
Z
rr o�
g z
�U}
E m z
cn c
SIGNATURE of SAMPLER: DATE Signed: • �7
!1
�- ✓

aceAnalytical
"W..pecelahxwm
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
December 16, 2018
Chuck Hoffman
Mid -Atlantic Associates, Inc
409 Rogers View Court
Raleigh, NC 27610
RE: Project: CRMP AHOSKIE PLANT
Pace Project No.: 92410508
Dear Chuck Hoffman:
Enclosed are the analytical results for sample(s) received by the laboratory on December 12, 2018.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual,
where applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Nr—
Tyriek Hooks
[e-mail]
[phone]
Project Manager
Enclosures
cc: Ron Davis, Mid Atlan6cAssociatees, Inc.
REPORT OF LABORATORY ANALYSIS
This report shalt not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Pagel of 11

aceAnalyfrcal
www,pscfti c"
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huniersville, NC 28078
[phone]
Project: CRIMP AHOSKIE PLANT
Pace Project No.: 92410508
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 11

aceAnalytical
wwx!pacela6ACom
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
SAMPLE ANALYTE COUNT
Project: CRMP AHOSKIE PLANT
Pace Project No.: 92410508
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92410508001 OUTFALL NO. 1 SM 254OD-2011 CRV 1 PASI-A
EPA 9040C SMK 1 PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 11

aceAnalytical o
w w.pm)ab&wm
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704 )875-9092
ANALYTICAL RESULTS
Project: CRMPAHOSKIE PLANT
Pace Project No.: 92410508
Sample: OUTFALL NO. 1 Lab ID: 92410508001 Collected: 12/10/18 09:05 Received: 12/12/18 10:42 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D-2011
Total Suspended Solids 39.6 mg/L 3.0 1 12/14/18 12:45
9040 pH Analytical Method: EPA 9040C
pH at 25 Degrees C 7.5 Std. Units 0.10 1 12/16/18 14:13 H3
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/16/2018 0534 PM without the written consent of Pace Analytical Services, LLC, Page 4 of 11

aceAnalytical
www.pacefabs.Dom
Pace Analytical Services, LL1. C
9800 KinceyAve. Suite 100
Huntersvide, NC 28078
[phone]
QUALITY CONTROL DATA
Project: CRMP AHOSKIE PLANT
Pace Project No.: 92410508
QC Batch: 447496
Analysis Method:
SM 2540D-2011
QC Batch Method: SM 2540D-2011
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92410508001
METHOD BLANK: 2452059
Matrix:
Water
Associated Lab Samples: 92410508001
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
ND
2.5 12/14/18 12:44
LABORATORY CONTROL SAMPLE: 2452060
Spike
LCS
LCS % Rec
Parameter
Units
Conc.
Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
251
258
103 90-110
SAMPLE DUPLICATE: 2452061
92410383001
Dup
Parameter
Units
Result
Result
RPD Qualifiers
Total Suspended Solids
mg/L
<5.0
ND
SAMPLE DUPLICATE: 2452062
92410556002
Dup
Parameter
Units
Result
Result
RPD Qualifiers
Total Suspended Solids
mg/L
15.2
14.5 5
Results presented on this page are in the units Indicated by the -Units' column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/16/2018 05:34 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 11

aceAnalytical
xnvx:paca✓abs.�om
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: CRMPAHOSKIE PLANT
Pace Project No.: 92410508
QC Batch: 447911 Analysis Method: EPA 9040C
QC Batch Method: EPA 9040C Analysis Description: 9040 pH
Associated Lab Samples: 92410508001
SAMPLE DUPLICATE: 2453924
Parameter
pH at 25 Degrees C
SAMPLE DUPLICATE: 2453925
Parameter
pH at 25 Degrees C
92409429005 Dup
Units Result Result
Std. Units 7.0 7.0
92410298004 Dup
Units Result Result
Std. Units 6.8 6.8
RPD Qualifiers
0 H3
RPD Qualifiers
0 H3
Results presented on this page are in the units indicated by the "units- column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/16/2018 05:34 PM without the written consent of Pace Analytical services, LLC. Page 6 of 11

ace Analytical
WWW.P Iab3.COM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALIFIERS
Project: CRMP AHOSKIE PLANT
Pace Project No.: 92410508
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270, The result for each analyte is
a combined concentration.
Consistent with EPAguidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis ofAcrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI -The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
ANALYTE QUALIFIERS
H3 Sample was received or analysis requested beyond the recognized method holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/16/2018 05:34 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 11

aceftlyircal.
wwwpace1ab3.=n
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: CRMP AHOSKIE PLANT
Pace Project No.: 92410508
Lab ID
Sample ID
QC Batch Method
QC Batch
92410508001
92410508001
OUTFALL NO. 1
OUTFALL NO. 1
SM 2540D-2011
EPA 9040C
447496
447911
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/16/2018 05:34 PM without the written consent of Pace Analytical Services, LLC.
Analytical
Analytical Method Batch
Page 8 of 11

Document Name:
Document Revised: February 7, 2018
r �-aceAnayica(
Sample Condition Upon Receipt(SCUR)
Page 1 of 2
Document No.:
Issuing Authority:
r
F-CAR-CS-033-Rev.06
Pace Carolinas Quality Office
Laboratory receiving samples -
Asheville ❑ Eden[:] Greenwood ❑ Huntersville Raleigh[] Mechanicsville[]
_� ClieritName: ��--ll� �92410508
_IfN .. _ ^ �: _I _ l�l . " -s_ - Project q — ---
I � a i
Courier:� UPS ❑Other: ❑CNent
Commercial []Pace
[:]Other:—
i92410508 YYY111iii
Custody Seal Present? [Dyes ON6-- seals Intact? []Yes QNo' /T Contents'`}'
• Dateinitials Person Examining Conten
Packing Material: ❑Bubble Wrap ❑Bubble Bags ❑None ❑ Other Biological Tissue Frozen?.
Thermometer: []Yes (rNo (]N/A❑/ pia Gun I/D:, 92TO46 Type of Ice: ❑�et ❑slue []None
Cooler Temp ('C): V j Correction Factor: Add/Subtract ('C) �0,0
(�� � Temp should be above freezing to 6'C
Cooler TempCorrected C : VVV ❑Samples out of temp criteria. Samples on ice, cooling process
has begun
USDA Regulated Soil ([� N/A, water sample)
Did samples originate In a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (internationally,
❑Yes ONO including Hawaii and Puerto Rico)? ❑Yes ❑No
Comments/Discrepancy:
Chain of Custody Present?
I
❑No
❑N/A
I.
Samples Arrived within Hold Time?
61
[IN.
❑N/A
2.
Short Hold Time Analysis <72 hr. ?
❑Yes
a6
❑N/A
3.
Rush Turn Around Time Requested?
Dyes
[09 o
❑N/A
4.
Sufficient volume?
giis
[]NO
❑NIA
S.
Correct Containers Used?
2�
❑Np
[]NIA
6.
-Pace Containers Used?
es
[]NO
❑N/A
Containers Intact?
2V/es
❑No
❑N/A.
7.
Dissolved analysis: Samples Field Filtered?
❑Yes
©No
[]N/A
S.
Sample Labels Match COC?
❑Yes
DNr
❑N/A
9.
-Includes Date/Time/ID/Analysis Matrix:
Headspace in VOA Vials (>5 6mm)?
❑Yes.
QN0,
N/A
10,
Trip Blank Present?
❑Yes
o
❑N/A
11.
Trip Blank Custody Seals Present?
Dyes
No
❑N/A
COMMENTS/SAMPLE DISCREPANCY
r—4 n i —.! 1%
Lot ID of split contairiers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
Project Manager SCURF Review:
Project Manager SRF Review:
Date%Time:
Field Data Required? ❑Yes []No
Date:
Date:
Page 9 of 11

N
CD
m
0
0
o .`p
o m
n m
ro
a
G
3
z
a
d
0
a
0
2
2
["1
R
O
m
(A
3
v
0
�e
m
o,
c
m
S
R
2
0
a
n
-a
R
S
�y
Q-
an
0
m
v
3
m
m
n
�
2
�
O
a
c
O
�
n
�
a
(D
Ln
fD
i
3
M
m /9
0'
N
N H
Cu
6
-0n
a
a
rp
�
3
0
e.
N
m o
a v
1° n
a
R
S
K
n
0
s
of
[n
a
w
ni
Item#
BP4U-125 ML Plastic Unpreserved INN (CI-)
BP3U-250 mL Plastic Unpreserved IN/A)
BP2U-S00 mL Plastic Unpreserved IN/A)
BP1U-1 liter Plastic Unpreserved (N/A)
BP4S-125 mL Plastic H2SO4 (pH < 2) (CI-)
BP3N-2SD mL plastic HNO3 (pH < 2)
BP4Z-12S mL Plastic ZN Acetate & NaOH (>9)
zzzzzzzzzxBP4C-12S
mL Plastic NaOH (pH > 12) (CI-)
WGFU-Wide-mouthed Glass jar Unpreserved
AG1U-1 liter Amber Unpreserved (N/A) (Cl-)
AG1H-1 liter Amber HCI (pH < 2)
AG3U-2SO mt.Amber Unpreserved IN/A) (C1-)
AG15-1 liter Amber H2SO4 (pH < 2)
AG3S-2SO mL Amber H2SO4 (pH < 2)
AG3A(DG3A)-250 mL Amber NH4CI (N/A)(CI-)
DG9H-40 mL VOA HCI (N/A)
VG9T-40 mt VOA Na2S203 (N/A)
V03U-00 mL VOA Unp (N/A)
DG9P-40 mL VOA 1-131304 (N/A)
VOAK (6 vials per kit)-SO35 kit (N/A)
V/GK (3 vials per kit)-VPH/Gas kit (N/A)
SPST-125 mL Sterile Plastic (N/A — lab)
SPIT-25O mL Sterile Plastic (N/A —lab)
BP3A-250 mL Plastic (NH2)2SO4 (9.3-9.7)
AGOU-10D mL Amber Unpreserved vials (N/A)
VSGU-20 mL Scintillation vials (N/A)
DG9U-40 mL Amber Unpreserved vials (N/A)
m
O
O
B}
O
Cr.
0
X
N
0
N
7
C
Cr
rA
O,
tS
0
rx
m

ceAflatyruaf'
CHAIN -OF -CUSTODY I Analytical Request Document
The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accur
i
Section A Section B Section C
Rendred Client Information: Required Protect Information: Invoice Information:
Company'• Mid Ailantic Ass=ates. Inc.
Report To, Chuck Hoffman
Altenliorl:
Address: 409 Rogers Vew Court
Copy To:
Company Name:
Raleigh • NC 27610
Address:
Reg�ilal6ry Agency _
Email:
Purchase Order #:
Pace Quote:
I
Phone; Fax
Project Name: CRMP Ahoskie Plant
Pace Project Manager: tyriek.hooks .pacelabs.com,
'' State? Location.
Requested Due Date.
Project a;
Pace Profile #: 5921-3
INC
—Ricluestad
Analysis
Fit
and
(YIN).
uxTrnx cone
000LLECTED
Z
Preservatives
pr'mt.q water ow
o
i1
Q
veneer w1
m
wxtewmer ww
_
Preeue P
SAMPLE ID 5°"So°d sL
n
c7
START
O
M
H
Y
oa of
..,
t�
END
O
e
One Character per box. wipe wP
w
a
a
z
in
g
(A-Z. 0.9 f, AR
0'", oT -
o3
a
w
F
c
n
y+
U
Sample Ids must be unique T— TS
x
to
w
Z
p
v
0
c
A
W
¢
a
a
o
p
Q
DATE
T/IME
TIME
N
a
_
=
x
z
z
i
r
O
a
a
1
Ou%ialt No. 1
"TIf/to
r'06
JDATE
! 1
I
X
X
rr ,
Z'
3:
`d: ri
7,
r 10s
r
•».12�:
,f4 v+--}`-�ADDrTfONAL COMFRENTSr}r;
�?T'4x REi1NQU151iF�BYIAFFLW fTIDN3DATE'..
Y, TIME'
•-'-_ a ACCEP7Fp 61'IAFFiLU1T1flN ,- -
T .DATE, `.
S`— TIME
-'ISAMPLE
CONDITIl7N5_�
-
0.
E
MPLER NAME SAAND SIGNATURE
.S
m
m
PRINT Name of SAMPLER:
fl
w
N
�
m en?
[C u }L3
= n o z
V
W u z
SIGNATURE of SAMPLE
DATE Signed: Q

-v
cr+
PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140102
FACILITY NAME: _Commercial Ready Mix Products Ahoskie Facility_
PERSON COLLECTING SAMPLES: —Tim Curley
CERTIFIED LABORATORY: —Pace Analytical Lab # _12
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2015
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec
COUNTY: Hertford
PHONE NO. (252)_358-5461
ADD TO LISTSERVE? DYES ®NO EMAIL:
DISCHARGING TO CLASS: [:]SA❑HQW ❑PNA [:]Trout ®Other[; NSW
OPTIONAL INFO:
0
TPH u in
!+
®Jan -March
❑April -June
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)z
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
s g
method 1664A
SGT-HEM6
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)'
-
-
-
6_93,4
303.5
53
(15)6
-
-
Outfall No. 1
3/27/2015
RM
r],
24.7
<0.10
NA
540
7,700
1 If wastewater systems have not discharged in this quarter- report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TS5 limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
N
a Permit Date: 7/1/2010-06/30/2015
cZA
Last Revised 07/13/11
Page 1 of 2

CJ+
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action,
7 Flow rate can b6 measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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)
Permit Date: 7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

mold Atlantic
Engineering & Environmental Solutions
April 13, 2015
RECEIVED
NCDENR/DWQ APR 2 0 2015
Attention: Central Files CENTRAL FILES
1617 Mail Service Center DWR SECTION
Raleigh, North Carolina 27699-1617
Subject: STORMWATER SAMPLING RESULTS
COMMERCIAL READY MIX PRODUCTS, INC.
100 HAYES STREET, AHOSKIE, NORTH CAROLINA
PERMIT NO. NCG140102
MID -ATLANTIC JOB NO. 000R1814.06
To Whom It May Concern:
409 Rogers View Court
Raleigh, NC 27610
office 919.250,9918
facsimile 919.250.9950
MAAONLINE.COM
Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for
the sampling conducted at the above -referenced site. A stormwater sample was collected from
Outfall 001 on March 27, 2014 and analyzed for total suspended solids (TSS), settleable solids
and pH. The discharge is not associated with a vehicle maintenance area and, therefore, was not
monitored for total petroleum hydrocarbons (TPH).
As indicated on the attached DMR, all parameters were reported below or within their respective
benchmark values. The total flow for this storm event was calculated using the Modified Rational
Method and the estimated area of impervious surfaces within the drainage area (0.60 acres),
event duration (9 hours) and rainfall intensity (0.61 inches for the event, or 0.068 inches per hour).
Please note that the total flow reported on the attached DMR was calculated using variables
associated with the current storm event only, and does not reflect flow volumes associated with a
dedicated wastewater system (Note: discharges from Outfall 001 are considered comingled due
to periodic aggregate wetting operations, which were not conducted during this sampling event). If
you have any questions or need additional information, please contact me at 919-250-9918.
Sincerely,
MID -ATLANTIC ASSOCIATES, INC.
Charles B. Hoffman, PG
Project Geologist
Attachments: Stormwater Discharge Monitoring Report
Laboratory Analytical Report
EXPERIENCED CUSTOMER FOCUSED INNOVATIVE
RECiEIVIED APR 7 r

•
aceAnalyflcal
.pacelatimmn
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
April 02, 2015
Darin McClure
Mid Atlantic Associates, Inc.
RE: Project: TSSISettleable Solids
Pace Project No.: 92243150
Dear Darin McClure:
Enclosed are the analytical results for sample(s) received by the laboratory on March 28, 2015, The
results relate only to the samples included in this report. Results reported herein conform to the
most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless
otherwise noted in the body of the report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Nicole Gasiorowski
[e-mail]
Project Manager
Enclosures
cc: Joanna Crow, Mid Atlantic Associates, Inc.
Chuck Hoffman, Mid Atlantic Associates
Beverly Oglesby, Mid Atlantic Associates, Inc.
pCCR&
� TNI
�9e R
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. a:.y.,
RECE IV1�D APR �.5 P�15of 12

Pace Analytical Services, Inc.
9800
areAnalXi�cal� Hunte svlle, NC1280778
wwwpacelabs.cam [phone]
CERTIFICATIONS
Project: TSS/Settleable Solids
Pace Project No.: 92243150
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40
Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030 West Virginia Certification #: 356
North Carolina Drinking Water Certification #: 37712 Virginia/VELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page 2 of 12
IRECERW ED ,APR 15 2015

aceAnalytrcal
..pamlabs.com
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NG 26076
[phone]
SAMPLE ANALYTE COUNT
Project! TSS]Settleable Solids
Pace Project No.: 92243150
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92243150001 Sample 3/27 SM 2540D WRC 1 PASI-A
SM 2540F WRC 1 PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full, �pR
without the written consent of Pace Analytical Services, Inc,. R+' �, J Page 3 of 12

ale Analytical
www.pecelahs.com
Pace Analytical Services, Inc.
9B00 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
PROJECT NARRATIVE
Project: TSS1Settleable Solids
Pace Project No.: 92243150
Method: SM 2540D
Description: 2540D Total Suspended Solids
Client: Mid Atlantic Associates, Inc.
Date: April 02, 2015
General Information:
1 sample was analyzed for SM 2540D. Alt samples were received in acceptable condition with any exceptions noted below.
Hold Time:
The samples were analyzed within the method required hold times with any exceptions noted below.
Method Blank:
All analytes were below the report limit in the method blank, where applicable, with any exceptions noted below.
Laboratory Control Spike:
All laboratory control spike compounds were within QC limits with any exceptions noted below.
Matrix Spikes:
All percent recoveries and relative percent differences (RPDs) were within acceptance criteria with any exceptions noted below.
Duplicate Sample:
All duplicate sample results were within method acceptance criteria with any exceptions noted below.
QC Batch: WET136542
D6: The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits.
• DUP (Lab ID: 1423831)
• Total Suspended Solids
Additional Comments:
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page 4 of 12
'RIECIRFYIED APR 15 mill;

areAnalytical
wwwpacelabs.coro
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
PROJECT NARRATIVE
Project: TSSISettleable Solids
Pace Project No.: 92243150
Method: SM 254OF
Description: 2540F Total Settleable Solids
Client: Mid Atlantic Associates, Inc.
Date: April 02, 2015
General Information:
1 sample was analyzed for SM 2540F. All samples were received in acceptable condition with any exceptions noted below.
Hold Time-
The samples were analyzed within the method required hold times with any exceptions noted below.
H1: Analysis conducted outside the EPA method holding time.
• Sample 3/27 (Lab ID: 92243150001)
Method Blank:
All analytes were below the report limit in the method blank, where applicable, with any exceptions noted below.
Laboratory Control Spike:
All laboratory control spike compounds were within QC limits with any exceptions noted below.
Matrix Spikes:
All percent recoveries and relative percent differences (RPDs) were within acceptance criteria with any exceptions noted below.
Additional Comments:
This data package has been reviewed for quality and completeness and is approved for release.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 5 of 12
RECEIVED APR 1 5 Ini

aoeAnalytical
www.pacelahs.com
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: TSSISettleabte Solids
Pace Project No.: 92243150
Sample: Sample 3127 Lab ID: 92243150001 Collected: 03/27/15 09:05 Received: 03/28/15 09:00 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No, Qual
2540D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids 24.7 mg1L 4.5 1 03/31/15 18:58
254OF Total Settleable Solids Analytical Method: SM 254OF
Total Settleable Solids ND mLlLlhr 0.10 1 03/30/15 22:05 H1
Date: 04/02/2015 05:57 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 6 of 12
IRECIRFUIRD APR 15 Milit

acmnalytical
",wpacelabs.c"
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 2807B
(704 )875-9092
QUALITY CONTROL DATA
Project: TSS/Settleable Solids
Pace Project No.: 92243150
QC Batch: WET/36542 Analysis Method: SM 2540D
QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92243150001
METHOD BLANK: 1423828
Associated Lab Samples: 92243150001
Parameter Units
Total Suspended Solids mg/L
LABORATORY CONTROL SAMPLE:
1423829
Parameter
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 1423830
Parameter
Units
Total Suspended Solids
mg1L
SAMPLE DUPLICATE: 1423831
Parameter
Units
Total Suspended Solids
mg1L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 03/31/15 18:56
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 250 100 90-110
92242659001 Dup
Result Result
ND ND
92243266001 Dup
Result Result
25.8 28.2
RPD Qualifiers
RPD Qualifiers
9 D6
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/02/2015 05:57 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12
VV 4' lr1r 3 Pl M TM ADO pi I(t4el

ace Analytical
wwwpacefabs.com
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: TSS1Settleable Solids
Pace Project No.: 92243150
QC Batch: WET136521 Analysis Method: SM 254OF
QC Batch Method: SM 254OF Analysis Description: 254OF Total Settable Solids
Associated Lab Samples: 92243150001
METHOD BLANK: 1422861
Associated Lab Samples: 92243150001
Parameter Units
Total Settleable Solids mUUhr
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.10 03/30/15 22:05
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/02/2015 05:57 PM without the written consent of Pace Analytical Services, Inc.. 1T+� ) ;1 H� I r'Pa$6irf 12

Pace Analytical Services, Inc.
aceAnalytrea!® 9800 KinceyAve. Suite 100
Huntersville, NG 28078
www.pacelabs.com [phone]
QUALIFIERS
Project: TSSISettleable Solids
Pace Project No.: 92243150
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether, Styrene, and Vinyl chloride.
A separate vial preserved to a pH of 4-5 is recommended in SVV846 Chapter 4 for the analysis of Acroiein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI -The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services - Asheville
ANALYTE QUALIFIERS
D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits.
H1 Analysis conducted outside the EPA method holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/02/2015 05:57 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12
RECEIVED APR 15 2015'

aceAnalytical
www,pacelabs.cam
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704 )875-9092
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project:
Pace Project No.:
TSSISettleable Solids
92243150
Analytical
Lab ID
Sample ID
QC Batch Method QC Batch Analytical Method
Batch
92243150001
Sample 3127
SM 2540D WET136542
92243150001
Sample 3127
SM 2540F WET136521
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/02/2015 05:57 PM
without the written consent of Pace Analytical Services, Inc..
Page 10 of 12
RECEIVED APR
15 2015

(----
1aceArtalyticd
Q 43i 11
Client Name: GIV" V"-,R Ic'�
%'U11VI11V11 U Ull mvt;trl
Document Number:
F-CHR-CS-003-r v.15
I
4kM1'y N
JtrUr[ I a c , W, �
Issuing Authority:
Pace Huntersville Quality Office
I
1
,
❑ ❑ ❑ S❑ Client[] ommercial Pace Other Courier: etf x UPS USP ❑
Custody Seal on CoolerlBox Present: ❑ yes n tat ❑ es ❑'?,Q�i�€,te,,�y
o Sealsintact: l: y no
Packing Material: ❑ Bubble VDp ❑ Bubble Bags ❑ on Other
Thermometer Used: IR Gun T1401 Type of lee: 6e Blue None Samples on Ice, tooting process has begun
Temp Correction Factor T1401 No Correction
Corrected Cooler Temp.: 1 • •C
Temp should be above freezing to 6"C
Biological Tissue is Frozen Yes No �3
Comments:
Date and Initia s o(,per a ar I ng
contents: �`
Chain of Custody Present:
Yes ONO,
❑NIA
1.
Chain of Custody Filled Out:
Dyes No
0111A
2. Avtsksa or 1 Qr
Chain of Custody Relinquished:
DYeyGWo
❑NIA
3.
Sampler Name & Signature on COC:
Yes No
❑NIA
4.
Samples Arrived within Hold Time:
❑No
❑NIA
5.
Short Hold Time Analysis (<72hr):
Yes ❑No
❑NIA
6.
Rush Turn Around Time Requested:
Dyes KNOV
❑NIA
7.
Sufficient Volume:
❑Ye No
❑NIA
8.
Correct Containers Used:
-Pace Containers Used:
eess ONO
; e ONO
❑NIA
❑NIA
g.
Containers Intact:
ffYes ONO
❑NIA
10.
Filtered volume received for Dissolved tests
Dyes ONO
IA
11.
Sample Labels match COC:
-Includes date/time/lDlAnal sis Matrix:
Dyes
❑N1A
oe
12, No A eit
All containers needing preservation have been checked.
All containers needing preservation are found to be in
compliance with EPA recommendation.
exceptions: VOA, coliform, TOC. O&G, W -DRO (water)
Dyes ❑No fA
Dyes ZONIA
❑Yes
13.
Samples checked for dechlorination:
Dyes ONO
(!(N!K
14.
Headspace in VOA Vials >6mm :
Dyes ONO
WNIA
15.
Trip Blank Present:
Trip Blank Custody Seals Present
Pace Trip Blank Lot # ifpurchased):
Dyes ONO
Dyes ONO
&4x
E441A
16.
Client Notification/ Resolution: Field Data Required? Y 1 N
Person Contacted: Date/Time:
Comments/ Resolution:
SCURF Review: .T � Date: '�� ��is �- s wo#' 224315® �
SRF Review: �- Date:
Note: Whenever there is a discrepancy affecting North Carolina compliance
samples, a copy of this form will be sent to the North Carolina DEHNR 9tD 1 111111
Certification Office ( I.e out of hold, incorrect preservative, out of temp, 922431
incorrect containers} aaaudole}
GRIEVE E t IE D APR 11"PagaRC 12

4tW' CHAIN -OF -CUSTODY 1 Analytical Request Document
The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately.
oction A Section B Section C
equired Client Information: Required Project Information: Invoice Informtion: Page: t Of t
ompany: Commercial Read Mix Products, Inc. Report To: Attn: Bill Balance Attention:
ddress: 100 Ha es Street Copy To: Company Name:
hoskie, NC 27910
Address:
ztail To:
Purchase Order a:
Pace Ouote:
lone: Fax
Project Name: TSSISettleable Solids
Pace Project Manager. nicole. asiorowski acelab
• _a "" "state l Location --C— L2F.:,:' =
aquested Due Date:
Project 9:
Pace Pro` la #;
R
ucstod
Ana
is
Fltered
1N
_ _
"�;;-� -
rinsauc cool
s
0
COLLECTED
z
Preservatives
cimwnw� ow
Wa WT
3
~
U
Waste Ww. WW
P.duq P
SAMPLE ID
F
ood o
START
END
a
a
c
One Character per boat. Wax 'pip
w
w
Sample Ids must be unique Tnwe Ts
-
io
0
w
~
s
i
to
o
ago
°
n
S
o
H
=,ate
c
ar
e
4- 5->
hTDATETIME
DATE
TIME
in:
7
2
x
x
z
z
O
in
Cr
3-
`T•cn
-Z7
t
'z
ld
'S
8V
la'
2 -.
'-ADDITIONAL COMMENT53�RELPICURSHED
8Y,1 AFFlIJATiON
DATE-°'TIdSEy
'- ACC TED �! AF- Ni
_TIME
=s' SAMPLE CONDITIONS_
_DATEY��
SAMPLER NAME AND SIGNATURE-
_ - -
y .•r•
- --
U
S
o
�,
PRINT Name of SAMPLER: r //'� J
IYl Cvtc I
d-
w
z
E z
e $
m ?
SIGNATURE of SAMPLER:
DATE Signed:

r"!
C�J
M4
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14O1O2
FACILITY NAME: Commercial Ready Mix Products, Inc.
PERSON COLLECTING SAMPLES: Tim Curley
CERTIFIED LABORATORY:_Pace Analytical Lab # 12
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
1__"
SAMPLE COLLECTION YEAR: _2014
SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec ❑Jan -March []April -June
COUNTY: Hertford
PHONE NO. (_252_)_358-5461
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other °`c
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr}
Type of Wastewater
(VE, RM, MD)z
pH
(standard)
Total Suspended
Solids
(mg/L}
Settleable
Solids
[mL/L}
TPH using
method 1664A
SGT-HEM6
(mg/L)
Discharge
Duration
(minutes]
Total Flow
(gallons/day)'
6-93,4
303,5
53
(15)6
Outfall No. 1
12/17/14
RM
8.8
17.6
<0.12
NA
120
4,150
' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
' if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
0 [phone]
Ft3
t�
C-
cfl
r
a
j
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." C--
of
Permit Date:7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

Mid Atlantic
Engineering & Environmental Solutions
January 26, 2015
NCDENRIDWQ
Attention: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RECEIVED
FEB 16 2015
CENTRAJ ris w_
rron
Subject: STORMWATER SAMPLING RESULTS
COMMERCIAL READY MIX PRODUCTS, INC.
100 HAYES STREET, AHOSKIE, NORTH CAROLINA
PERMIT NO. NCG140102
MID -ATLANTIC JOB NO. 000R1814.06
To Whom It May Concern:
409 Rogers View Court
Raleigh. NC 27610
office 919.250.9918
facsimile 919.250.9950
MAAONLINE.COM
Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for
the sampling conducted at the above -referenced site. A stormwater sample was collected from
Outfall 001 on December 17, 2014 and analyzed for total suspended solids (TSS), settleable
solids and pH. The discharge is not associated with a vehicle maintenance area and, therefore,
was not monitored for total petroleum hydrocarbons (TPH).
As indicated on the attached DMR, all parameters were reported below or within their respective
benchmark values. The total flow for this storm event was calculated using the Modified Rational
Method and the estimated area of impervious surfaces within the drainage area (0.60 acres),
event duration (2 hours) and rainfall intensity (0.33 inches for the event, or 0.165 inches per hour).
Please note that the total flow reported on the attached DMR was calculated using variables
associated with the current storm event only, and does not reflect flow volumes associated with a
dedicated wastewater system (Note: discharges from Outfall 001 are considered comingled due
to periodic aggregate wetting operations, which were not conducted during this sampling event). If
you have any questions or need additional information, please contact me at 919-250-9918.
Sincerely,
MID -ATLANTIC ASSOCIATES, INC.
C
Charles B. Hoffman, PG
Project Geologist
Attachments: Stormwater Discharge Monitoring Report
Laboratory Analytical Report
EXPERIENCED CUSTOMER FOCUSED INNOVATIVE
]RECEIVED JAN 2 9 2015

aCMnal ical®
."..pacdab&mn
Pace Analytical Services, Inc.
9B00 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
December 31, 2014
Darin McClure
Mid Atlantic Associates, Inc.
RE: Project: CRMP AHOSKIE PLANT
Pace Project No.: 92230273
Dear Darin McClure:
Enclosed are the analytical results for sample(s) received by'the laboratory on December 18, 2014,
The results relate only to the samples included in this report. Results reported herein conform to the
most current TN standards and the laboratory's Quality Assurance Manual, where applicable, unless
otherwise noted in the body of the report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Angela Baioni for
Nicole Gasiorowski
[e-mail]
Project Manager
Enclosures
cc: Joanna Crow, Mid Atlantic Associates, Inc.
Chuck Hoffman, Mid Atlantic Associates
Beverly Oglesby, Mid Atlantic Associates, Inc.
Q NCCRFO
�9BOR A'��T
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
RECEIVED JAN 9 20
Page 1 of 10

a"Mnalytical
www.pacWabs.com
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: CRMP AHOSKIE PLANT
Pace Project No.: 92230273
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
FloridalNELAP Certification #: E87648
Massachusetts Certification #: M-NCO30
North Carolina Drinking Water Certification 4: 37712
CERTIFICATIONS
North Carolina Wastewater Certification #: 40
South Carolina Certification M 99030001
West Virginia Certification #: 356
VirginieNELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not 4e reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 2 of 10

acMnalytical
www.pacefabs.m n
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
HuntersvWe, NC 28078
[phone]
SAMPLE ANALYTE COUNT
Project: CRMPAHOSKIE PLANT
Pace Project No.: 92230273
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92230273001 OUTFALL NO 1 SM 2540D TEP 1 PASI-A
SM 2540F WRC 1 PASI-A
REPORT OF LABORATORY ANALYSIS iC
g TO
This report shall not be reproduced, except in full, ID
without the written consent of Pace Analytical Services, Inc- ���� Page 3 of 10

ca Mnal ical�
.paWab&=n
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CRMPANOSKIE PLANT
Pace Project No.: 92230273
Sample: OUTFALL NO 1 Lab ID: 92230273001 Collected: 12/17/14 10:05 Received: 12/18/14 10:35 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids 17.6 mg1L 2.9 1 12/24/14 05:16
254OF Total Settleable Solids Analytical Method: SM 254OF
Total Settleable Solids ND mLlLlhr 0.12 1 12/19/14 13:45 H1
Date: 12/31/2014 11:47 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full, T
without the written consent of Pace Analytical Services, Inc.. t1���� Page 4 of 10

aceAnal ical
..pacelabs.=n
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: CRMPAHOSKIE PLANT
Pace Project No.: 92230273
QC Batch: WET134953
Analysis Method:
SM 2540D
QC Batch Method: SM 2540D
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92230273001
METHOD BLANK: 1359424
Matrix: Water
Associated Lab Samples: 92230273001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids mg/L
ND
2.5 12/24/14 05:10
LABORATORY CONTROL SAMPLE: 1359425
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids mg/L
250 256
102 90-110
SAMPLE DUPLICATE: 1359426
92230166001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids mg1L
<5.0
ND
SAMPLE DUPLICATE: 1359427
92230195001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids mg/L
10
9.4 6
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/31/2014 11:47 AM without the written consent of Pace Analytical Services, Inc.. Page 5 of 10

�PaceAnalytical
..pacelahs.com
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: CRMP AHOSKIE PLANT
Pace Project No.: 92230273
QC Batch: WET134883
QC Batch Method: SM 2540F
Associated Lab Samples: 92230273001
METHOD BLANK: 1356420
Associated Lab Samples: 92230273001
Parameter Units
Total Settleable Solids mUUhr
QUALITY CONTROL DATA
Analysis Method: SM 2540F
Analysis Description: 2540E Total Settable Solids
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.10 12/19/1413:45
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS fiq
This report shall not be reproduced, except in full, ��� 0�U 1�
Date: 12131 /2014 11:47 AM without the written consent of Pace Analytical Services, Inc.. all ��Page 6 of 10

aceAnalyticalo
www.pawlabs.com
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALIFIERS
Project: CRMP AHOSKIE PLANT
Pace Project No.: 92230273
i��a�I.Irrr•.�.r!.-1
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture content.
ND - Not Detected at or above adjusted reporting limit.
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit.
S - Surrogate
1,2-Diphenylhydrazine (8270 listed analyte) decomposes toAzobenzene.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270
each analyte is a combined concentration.
Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI -The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
ANALYTE QUALIFIERS
H1 Analysis conducted outside the EPA method holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/31/2014 11:47 AM without the written consent of Pace Analytical Services, Inc..
The result reported for
Page 7 of 10

ca Mnal ical
wmpacelahs.mn
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: CRMPAHOSKIE PLANT
Pace Project No.: 92230273
Analytical
Lab ID Sampie ID QC Batch Method QC Batch Analytical Method Batch
92230273001 OUTFALL NO 1 SM 2540D WET134953
92230273001 OUTFALL NO 1 SM 254OF WET134883
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full, g 2o�K
Date: 12/31/2014 11:47 AM without the written consent of Pace Analytical Services, Inc.. #*1 ba e 8 of 10

F /�,P��caak7lyrica��
Ic VVIiu1L1 VII V Vkl r�CVtil l J
Document Number:
F-CHR-CS-003-rev.15
u - , v,
Issuing Authority:
Pace Huntersville Quality Office
Client Name:
Courier: ed Ex ❑ UPC] USPS❑ Client[]�nom
erdiai❑ Pace Other
y`
j { !3Y¢if� 1,
Custody Seal on CoolerlBox Present: ❑ yes Sealsintact: ❑ yes ❑ no p`�r.1 a , a 8i1 '' ' 'r
yn�r(��1 tit ��;
3'"FsFJ'l
Packing Material: ❑ Bubble VDp ❑ Bubble Bags ❑ None ❑ Other
Therm"" u Thermometer Used: IR Gun21�4;� Type of Ice• Wit Blue None ❑ Samples on ice, cooling process has begun
Temp Correction Factor T1401 No Correction
�_ o
Corrected Cooler Temp.: 'C
Temp should be above freezing to VC
Biolo ical Tissue Is Frozen: Yes No 1A
g
omments:
Date and Inif} Is,Qf per o Vaml ing
contents!' f •1 � 1' r
Chain of Custody Present:
es ❑
N!A
1.
Chain of Custody Filled Out:
es ❑No -2LK
2.
Chain of Custody Relinquished:
❑Yes No
NIA
3.
Sampler Name & Signature on COC:
s
ON1A
4.
Samples Arrived within Hold Time:
bles ❑Na
N/A
5.
Short Hold Time Analysis <72hr :
❑Yes o
N1A
6.
Rush Turn Around Time Requested:
❑Yes 01 o'❑NIA
7.
Sufficient Volume:
es ❑,W
❑N!A
S.
Correct Containers Used:
-Pace Containers Used:
Yes ❑No
�
❑NIA
N1A
9.
Containers Intact:
aYlrNo
❑N1A
10.
Filtered volume received for Dissolved tests
❑Yes o
N/A
11.
Sample Labels match COC:
-Includes dateltime/lDlAnal sis Matrix:
es ❑No
❑NIA
12.
All containers needing preservation have been checked.
All containers needing preservation are found to be in
compliance with EPA recommendation.
exceptions: VOA, coliform, TOC, O&G, W-0RO (water)
[]Yes ❑No
❑Yes DNo
❑Yes o
6 1A
9 r
13.
Samples checked for dechlorination:
❑Yes ❑No
13N
4
Heads ace in VOA Vials >6mm):
❑Yes ❑No
tNA
Trip Blank Present:
Trip Blank Custody Seals Present
Pace Trip Blank Lot # if purchased):
❑Yes ❑No
❑Yes ❑No
❑NIA
Client Notification/ Resolution: Field Data Required? Y / N
Person Contacted: Date/Time:
Comments/ Resolution:
SCURF Review: Data: ' 1r
SRF Review: WLDate: k2ail
Note: ' Whenever there is a discrepancy affecting North Carolina complian
samples, a copy of this form will be sent to the North Carolina DEHNR
Certification Office ( Le out of hold, incorrect preservative, out of temp,
Incorrect containers)
WO#:92230273
lltEIltR
RECEIVE® Page 9of10
JAN 2 9 2015

CHAIN -OF -CUSTODY I Analytical Request Document
2ace/inalytical The Chain -of -Custody is a REGAL DOCUMENT. AD relevant fields must be completed accurately.
N
action A Section B Section C d
Pagel: of
equ[red Gtient Information: Required Ptpjed infamwtton: Invoice ]nformafidn;
ompany. Mid-Abanbc Associates, Inc. Repon To: Chuck Hoffman ([e-mail]) Attention: Chuck Hoffman
sdress: 409 Rogers View Court COPY To: Joanna Crow Ocrow( rnataonline.com) C-V-y Name; Mid -Atlantic Associates. inc. REGULATORY AGENCY
Raleigh, NC 27610 Address: 409 Rogers view Court, Raleigh, NC r NPOES r- GROUND WATER t DRINYJNG WATER
Tad To: [e-mail] Purchase order No.: R1946.00 Pnee Q10ta — r UST r- RCRA f- OTHER
Rafaronu:
919-250.9918 F- 919-250-9950 Proled Name; CRMP Ahoskie Plant lm
Pace P'ol*0 Kevin Herring Site Location
vested DueDatarrAT: standard paeegar. ace prarge a• , NC
Requested
Analysis
Filtered
(YIN)
Valid Mabix Codes
Required Client Wonration IAATR1
0R1NMGWATtR OW
WATER WT
OIL OL
SAMPLE ID WIPE Wp
AIR AR
Pace Project NoJ Lab I.D.
RELINQUISHED BY AFFILIATION
Fly,OQ�■IJ�lJ�O��
SAMPLER NAME AND SIGNATURE
C—
PRINT Name of SAMPLER: ��
r'vvk Cw
SIGNATURE of SAMPLER:
-Important Noe: By Signing Mis form you are accepLng Para's NET 30 day payment terns and agreeing to late charges of 1.5% per month for any invoites not paid nehin
t�
Signed
m �
�
E
o
$
e
a Z
E
F-
a V
y
c�
F-ALL-0420rev.08. 12-Oct-2007