NCG060095_Monitoring Report_20200116

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Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: littp://port tl.ncdenr.org/web/wghWS/su/npdessw#tab-4
Permit No.: N/C/G / 0 / 6 / 0 / 0 / 0 / 0 / or Certificate of Coverage No.: N/C/G/ 0/ 6/ 0/ 0/ 9/ 5/
Facility Name: Goulston Technologies, Inc.
County: Union Phone No. 704-296-6427
Inspector: 406,s MMI—"T-Q. g x +-
Date of Inspection: 1 a - Q 3 - Q01�
Time of Inspection: 3 t 3s
Total Event Precipitation (inches): I.1-1 . n
Was this a Representative Storm Event? (See information below) es ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
..............-................................ ............................................
By this signatu3;4 certify that this report is accurate and complete to the best of my knowledge:
(Signature o/Permittee or Desf6ee)
1. Dut€ A-D"Griptiem: 3 w lzoop- Ra, «, t� �+e r •�
Omf-&�. _L Structure (pipe, ditch, etc.) _ pipe
Receiving Stream: Bearskin Creek
Describe the industrial activities that occur within the outfall drainage area:
sA•r++7 t� i-S.t�..6., �'1��,,.. VV k ` 1 6 C061.
J
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: el.a.ar
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): vier.,,`
Page 1 of 2
SWU-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: _
U2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is nob
solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 isnosolids and 5 is extremely muddy:
0j 2 3 4 5
7. Is there any foam in the stormwater discharge?
Yes EO
8. Is there an oil sheen in the stormwater discharge?
Yes No
9. Is there evidence of erosion or deposition at the outfall?
Yes No
c¢
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W U-242-20120613

�NCDNR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: littu://L)ortal.ncclenr.org/web/wq/ws/ku/npdessw#tab-4
Permit No.: N/C/G / 0 / 6 / 0 / 0 / 0 / 0 / or Certificate of Coverage No.: N/C/G/ 0/ 6/ 0/ 0/ 9/ 5/
Facility Name: _Goulston Technologies, Inc
County: Union Phone No. 704-296-6427
Inspector: rn --ma"
Date of Inspection: _ 10 3
Time of Inspection: 3! 35 e►ry.
Total Event Precipitation (inches): I . `)
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
......... ..................... ...... ........................... .......... ........ .................................. ..... ................ ............... _._............
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
........... ................ ..... .............................................................................................................................-........................................ .............................. ......._.................... ...... ................_....................................... ... ............ .................... ... ....... ............. ..._... ...... ...... ......................... ..... .................
By this si nature, I certify
that this report is accurate and complete to the best of my knowledge:
� 2-Y � Z ,... _ _ -�7—
(Signature of Permittee or 6esignee)
1. <: -,-f 1n/ R00 R tea �n S c I-►z �� -�
dale, .era Structure (pipe, ditch, etc.) pipe
Receiving Stream: Bearskin Creek
Describe the industrial activities that occur within the outfall drainage area:
WH '- A
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): non .e-
Page 1 of 2
SWU-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
P2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
b 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
D 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes 10
8. Is there an oil sheen in the stormwater discharge? Yesio�
9. Is there evidence of erosion or deposition at the outfall? Yes Ko�
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W U-242-20120613

( n �� ij I [ C �� - -)I
Surfmc, Moolificotion Tochnolocgios
January 13, 2020
Attention: Lily Kay
North Carolina Department of Environmental Quality
Division of Energy, Mineral & Land Resources
Mooresville Regional Office
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Dear Lily,
RECEIVED
JAN 16 RECD
DENR-DEMLk
Land Quality Section
Mooresville Regional Office
Results from the roof run off stormwater sampling requested during our October 22, 2019
Compliance Evaluation Inspection are attached. The pH for both samples was 6.9.
Please feel free to contact me at [e-mail] or 704-296-6427 if there are
any questions or if additional information is needed.
Regards,
��..(", \
Veronica McKinney
Human Resources Ma ager
700 N. Johnson St. I Monroe, NC 28110, USA
P.O. Box 5025 1 Monroe, NC 28111-5025, USA
PHONE [phone] FAx [phone] www.gouiston.com

1�;a'ce A nalXical
/ www.pacelabs.com
January 07, 2020
John McTaggart
Goulston Technologies
700 N. Johnson Street
Monroe, NC 28110
RE: Project: RAIN WATER ROOF DISCHARGE
Pace Project No.: 92458747
Dear John McTaggart:
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on December 26, 2019.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNI/NELAC 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,
I-foo5ka
Tyriek Hooks
[e-mail]
[phone]
Project Manager
Enclosures
cc: Ms. Sally Duncan, Goulston Technologies
Veronica McKinney, Goulston Technologies
John McTaggart
pCCRF\�\\
�lgeORAtQQy/
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 12

�paceAnalytical'
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Project: RAIN WATER ROOF DISCHARGE
Pace Project No.: 92458747
Pace Analytical Services Charlotte
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Louisiana/NELAP Certification # LA170028
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
South Carolina Certification #: 99006001
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
Virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification It: 99030001
Virginia/VELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Paco Analytical Services, LLC.
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Page 2 of 12

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SAMPLE ANALYTE COUNT
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project:
Pace Project No.:
RAIN WATER ROOF DISCHARGE
92458747
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92458747001
RAIN WATER ROOF DISCHARGE A
EPA 1664B
HH
1
PASI-C
SM 254OD-2011
CJL
1
PASI-A
SM 5220D-2011
LEF
1
PASI-A
92458747002
RAIN WATER ROOF DISCHARGE B
EPA 1664E
HH
1
PASI-C
SM 2540D-2011
CJL
1
PASI-A
SM 5220D-2011
LEF
1
PASI-A
REPORT OF LABORATORY ANALYSIS
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without the written consent of Pace Analytical Services, LLC.
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ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: RAIN WATER ROOF DISCHARGE
Pace Project No.: 92458747
Sample: RAINWATER ROOF Lab ID: 92458747001 Collected: 12/23/19 15:35 Received: 12/26/19 11:45 Matrix: Water
DISCHARGE A
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 1664E
Oil and Grease ND mg/L 5.0 1 01/06/20 13:30
2540D Total Suspended Solids Analytical Method: SM 2540D-2011
Total Suspended Solids ND mg/L 2.5 1 12/27/19 15:52
5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand ND mg/L 25.0 1 12/31/19 12:01 12/31/19 15:48
Sample: RAINWATER ROOF Lab ID: 92458747002 Collected: 12/23/19 15:35 Received: 12/26/19 11:45 Matrix: Water
DISCHARGE B
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 1664E
Oil and Grease ND mg/L 5.0 1 01/06/20 13:35
2540D Total Suspended Solids Analytical Method: SM 2540D-2011
Total Suspended Solids ND mg/L 2.5 1 12/27/19 15:53
5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand ND mg/L 25.0 1 12/31/19 12:01 12/31/19 15:49
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 01/07/2020 03:58 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 12

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QUALITY CONTROL DATA
Project: RAIN WATER ROOF DISCHARGE
Pace Project No.: 92458747
UU Batch: 517897 Analysis Method: EPA 1664B
QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease
Associated Lab Samples: 92458747001, 92458747002
METHOD BLANK: 2772436 Matrix: Water
Associated Lab Samples: 92458747001, 92458747002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Oil and Grease mg/L ND 5.0 01/06/20 13:24
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE:
2772437
Spike LCS
LCS
% Rec
Parameter
Units
Conc. Result
% Rec
Limits
Qualifiers
Oil and Grease
mg/L
40 37.6
94
78-114
MATRIX SPIKE SAMPLE:
2772438
92458866001 Spike
MS
MS
% Rec
Parameter
Units
Result Conc.
Result
% Rec
Limits Qualifiers
Oil and Grease
mg/L
5.3 40
44.9
99
78-114
Results presented on this page are in the units indicated by the "Units" column except whore 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: 01/07/2020 03:58 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 12

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QUALITY CONTROL DATA
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: RAIN WATER ROOF DISCHARGE
Pace Project No.: 92458747
QC Batch: 517022
Analysis Method:
SM 2540D-2011
QC Batch Method: SM 2540D-2011
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92458747001, 92458747002
METHOD BLANK: 2769232
Matrix: Water
Associated Lab Samples: 92458747001,
92458747002
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
ND 2.5 12/27/19 15:49
LABORATORY CONTROL SAMPLE:
2769233
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250 254
102 90-110
SAMPLE DUPLICATE: 2769234
92458634003 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
830 1070
25
SAMPLE DUPLICATE: 2769235
92458746001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
69.0 70.0
1
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: 01 /07/2020 03:58 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 12

Oro
.---!;aceAnalytical
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QUALITY CONTROL DATA
Project: RAIN WATER ROOF DISCHARGE
Pace Project No.: 92458747
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QC Batch: 517274
Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011
Analysis Description: 5220D COD
Associated Lab Samples: 92458747001, 92458747002
METHOD BLANK: 2770044
Matrix: Water
Associated Lab Samples: 92458747001, 92458747002
Blank Reporting
Parameter Units
Result Limit
Analyzed
Qualifiers
Chemical Oxygen Demand mg/L
ND 25.0
12/31/19 15:42
LABORATORY CONTROL SAMPLE: 2770045
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits
Qualifiers
Chemical Oxygen Demand mg/L
750 744
99 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2770046
2770047
MS MSD
92458595001
Spike Spike MS
MSD MS
MSD
% Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec
% Rec
Limits RPD Qual
Chemical Oxygen Demand mg/L 138
100 100 234
238 96
101
90-110 2
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2770048
2770049
MS MSD
2626933001
Spike Spike MS
MSD MS
MSD
% Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec
% Rec
Limits RPD Qual
Chemical Oxygen Demand mg/L 28.2
100 100 138
122 109
94
90-110 12 R1
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: 01/07/2020 03:58 PM without the written consent of Pace Analytical Services, LLC.
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QUALIFIERS
Project: RAIN WATER ROOF DISCHARGE
Pace Project No.: 92458747
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.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
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
PASI-A Pace Analytical Services - Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
R1 RPD value was outside control limits.
Date: 01/07/2020 03:58 PM
REPORT OF LABORATORY ANALYSIS
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without the written consent of Pace Analytical Services, LLC,
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QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: RAIN WATER ROOF DISCHARGE
Pace Project No.: 92458747
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Lab ID
Sample ID
QC Batch Method
QC Batch Analytical Method
Analytical
Batch
92458747001
RAIN WATER ROOF DISCHARGE
EPA 1664B
517897
A
92458747002
RAIN WATER ROOF DISCHARGE
EPA 1664B
517897
B
92458747001
RAIN WATER ROOF DISCHARGE
SM 2540D-2011
517022
A
92458747002
RAIN WATER ROOF DISCHARGE
SM 2540D-2011
517022
B
92458747001
RAIN WATER ROOF DISCHARGE
SM 5220D-2011
517274 SM 5220D-2011
517467
A
92458747002
RAIN WATER ROOF DISCHARGE
SM 5220D-2011
517274 SM 5220D-2011
517467
B
Date: 01/07/2020 03:58 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 9 of 12

2aceAnalytieal
Document Name:
Document Revised: February 7, 2018
d
i
Sample Condition Upon Receipt(SCUR)
Page 1 of 2
Document No.:
Issuing Authority:
1
F-CAR-CS-033-Rev.06
Pace Carolinas Quality Office
Laboratory receiving samples:
Asheville ❑ Eden❑ Greenwood I•)untersville-Q Raleigh❑ Mechanicsville❑
y � Client Name: O V 7
Project is.:
��jj
hat;- %.S(t)�
Courier: ❑Fed Ex ❑UPS QUSPS ❑Client Il ll l I Il I'll" l 111 ❑ Commercial QPace ❑Other:
�92455747
Custody Seal Present? ❑Yes QNo Seals Intact? ❑Yes „QNo
Date/InitialsPerson ExaminingContents:
Hacking Material: ❑Bubble Wrap /�r[]8ubble Bags []'None ❑ Other Biological Tissue Fyozen?
Thermometer,,` (❑Yes ❑No .QN/A
`p.IR Gun ID: 92T058 Type of Ice: []Wet ❑Blue ❑None
Cooler Temp (°C): _ r� Correction Factor: Add/Subtract ('Cl O.00C
3 Temp should be above freezing to VC
Cooler Temp Corrected ('C): [)Samples out of temp criteria. Samples on ice, cooling process
USDA Regulated Soil _(Ja1N/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 (internationally,
nYes 17Nn
uiuuumg ndvidn dna F'ueri0 niCO)r LJYeS LJNO
Comments/Discrepancy:
I Chair, of Custody Present?
f�JYes
ONO
N; A
1.
Samples Arrived within Hold Time?
QYes
ONO
❑N/A
2.
Short Hold Time Analysis (<72 hr.)?
❑Yes
o
❑N/A
3. -i
Rush Turn Around Time Requested?
❑Yes
(26
[:]N/A
4.
I
Sufficient Volume?LDyeS
(-'f,n-
..
(_f N/A
S. -
6.
_
Correct Containers Used? i Yes ; jNo ❑N/A
-Pace Containers Used? 0%s �No ❑N/A
Containers Intact?
0e,s
ONO
❑N/A
7. r
Dissolved analysis: Samples Field Filtered?
_ []Yes
[]No~
❑N/A
B. T
Sample Labels Match COO
-includes Date/Time/ID/Analysia_ Matrix:
Headspace in VOA Vials (>5-6mm)?
,•❑Q yes
Oyes
❑No
[lr•:o
[]N/A
6
g.
10.
Trip Blank Present? Oyes ONO ' ❑Q N/gi
Trip Blank Custody Seals Present? ❑Yes ❑No , 7
COMMENTS/SAMPLE DISCREPANCY
Lot ID of split containers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted.
Project Manager SCURF Review: f
stf r
Project Manager SRF Review:
Date/Time:
Field DataRequlred? []Yes ONO
Date:
Date: i;V
Page 10 of 12

Document Name: Document Revised: February 7, 2018
�AceAflalyfidal-" Sample Condition Upon Receipt(SCUR) Page 1 of 2
Document No.: Issuing Authority:
f-CAR•CS-033-Rev.06 Pace Carolinas Quality Office
*Checi( mark top half of box if pH and/or dechiorination is
verified and within the acceptance range for preservation
samples.
Exceptions: VOA, Coliform, TOC, Oil and Grease, DRO/8015 (water) DOC, LLHg
**Bottom half of box is to list number of bottle
Project f: 5 7 7
PM: TIH Due Date: 01/07/20
CLIENT: 92-Goulsten
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H Ad'ustment Log for Preserved Samples
Sample tU
Type of Preservative
pH upon receipt
Dote preservation adjusted
Time preservation
adjusted
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added
tot JI
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Out of hold, incorrect preservative, out of temp, incorrect containers.
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