NCG030212_MONITORING INFO_20190808

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
�v �� v 30� 1 a
DOC TYPE.
❑ HISTORICAL FILE
Cj>�MONITORING REPORTS
DOC DATE
go
YYYYMMDD

Pry smianPRYSMIAN
Group Draka
August 6, 2019
CERTIFIED MAIL
ItE TURN RECEAPT REQUISTEA)
7017 1450 0002 0519 5027
NCDEQ — Division of Water Quality
Alto: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: Ccneral Permit No. NCG0311000
Certificate of Coverage NO. NCC030212
June 2019 Sturmwater Sample Results
Prysntion Cables and Systems USA, LLC.
�/ li
E0
A(/G s 20,9
Claremont, North Carolina 29610 'tt'>1 %i r
GyR A,.
1 have also enclosed a signed Discharge Monitoring Reports (DENR Fonn SWU-245-11/1/2019 revision) for June 7, 2019,sonpl g. Results were
received 7/9/19. Accompanying the discharge monitoring reports are copies of-
• laboratory analytical reports
• stonmvater data summary with Row calculations
• Site map documenting slornnvamr oulfall locations, drainage areas- and nmoff factors.
The sanple event satisfies analytical monitoring requirements in accordance with Part II. Section B of the General Permit effective I November 2019.
Results: June sampling results for zinc were not within permit threshold limits on 5 of 5 outfalls. A rainwater sample was also collected during this
sampling event and it did not meet the threshold limits for zinc either. All other Discharge Characteristics were within threshold limits.
I'rysmia's manufacturing activities do not fall in categories that required'I'mal Toxic Organic (I70) monitoring. No electroplating, metal finishing or
ldcaronic/Llectric components made onsile. No 170 results are submitted.
The stornnvater data sununary sheet included with the enclosures- summarizes flow and analytical results for all storms previously sampledat the
Prysntian Claremont site.
Please contact ore if you have questions concerning this submittal.
Very truly yours —
Rick Miller
Environmenud/Salely Manager
929-459-9668
rick. mi I Ieroprysmi:mgroup. com
Prysmian Cables and Systems USA, LLC.
PO Box 39, 2512 Penny Road, Claremont, NC 28610
Tel: [phone] Fax [phone]

Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted 8/6/2019
CERTIFICATE OF COVERAGE NO. NCG03 0 2 1 2
FACILITY NAME Prysmian Cables and Systems USA, LLC
COUNTY Catawba
PERSON COLLECTING SAMPLES Rick Miller
LABORATORY Prism Labs
Lab Cert. q 402
Comments on sample collection or analysis:
June 7 2019 samples - TTO not appirme a (no Elec(roplauig. Meld finishing or Ele caVBl omc components done onsne)
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD Q Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑Hctw ❑Trout ❑PNA
❑Zero -flow [-]Water Supply ❑SA
OOtherNPDES
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
n No discharge this period22
Non -Polar O&G/
Outfall No.
Date Sample
24-hour rainfall
Total Suspended Solids
PH.
Total Copper
Total Lead
_
Total Zinc
Total Petroleum
Total Toxic
Organicss
Collected'
amount,
Standard units
Hydrocarbons
(mo/dd/yr)
Inches3
Benchmarks
-
-
100 mg/L or 50 mg/ L°
6.0 - 9.0
(510 mg/L
0.075 mg/L
0.126 mg/L
15 mg/L
1 mg/L
Parameter Code
-
46529
C0530
00400
01119
01051
01094
00552
78141
SDO-001
6/7/19
1.5
3.1
6.77
<.010
<.075
.26
<15
NA
SDO-002
6/7/19
1.5
7.6
7.44
<.010
<.075
.40
<15
NA
SDO-002D
6/7/19
1.5
25.0
7.35
<.010
<.075
.086
<15
NA
SDO-003A
6/7/19
1.5
5.0
6.95
<.010
<.075
.37
<15
NA
SDO-005
6/7/19
1.5
2.9
7.2
<.010
<.075
.11
<15
NA
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceeaance Tor the same pafameter at the same uuuan.
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
' See General Permit, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/i/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
R;,z A; jl fe-
Name (Print na�m�e)
l45/
C +�Ct^,.qc�
Title (Print title)
g� B G iq
Signature Date
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L" where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches3
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/ Total
Petroleum Hydrocarbons
Total Suspended
Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/L'
Parameter Code
-
46529
NCOIL
00552
CO530
Footnotes from Part A also apply to Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 2 of 3

FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ®NO Q
REGIONAL OFFICE CONTACT NAME:
Mail an original coov of this DMR, including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period in the
case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
1:.4L-SIA1 -
Signature of Permittee
Permit Date: 11/1/2018-05/31/2021
g
Date
SWU-245, last revised 11/1/2018
Page 3 of 3

RAM M
SMW M10V ESTIMATES BY RRTNBK WFMI➢ MrAL TL➢V • C 1ACM- R RAINFALL B AREA
SW IRS MWTN PAW AU CAKE, ESB 6 FIBER RDDEA CABLE RECEIVING L RaMLING ➢RRL SU➢STPTNN - 2]11 ACRES, C EPCIUR • OIO
SW M. FIBER RECEIVING FIB" Fl]FI ARC, BULKWS S SCR TAR➢S - IM ACRES. C EACTCR • ➢60
SOIM. EAST PAWIN61 OVERiL➢V REEL YARDS - S. ACREA C RACTSA • an
SO 1005 S00 #aaBA PLUS SWTH PARNMO, C➢NSC UCTIM FAR➢ L SWM P'CLD - 200 ACRES, C PAC MR • 026
SDD 900]A WCEC L FIBER R➢➢L FIBER RECEIVING. VEST LAWM DECCC CABLE SMRASE L TEST R AREA - 1I2 A[RES. C EA[i1MR • OA3
S 0 BSO OAR SOINP�R PLUS
RAI VICM ALUM PENN'fRAB O.6BST LAVA. NVISM PARRIML. UFCCC REEL S16PAGE - B.56 ACRES, C EAE1➢R • R36
SO
B00S SO 000A PLUS MAIN ENTRANCE ROAD - 7.82 ACRES. C PACM? 06]
SO
/MSA CABLE EHIMM B REEL FAA , CABLE ROT - 61B ACRES, C EACTDR • 675
SO SW BOI D;MH
ALSO G PRE ERRDRIV DWISIWN LAVNU➢IB ACRES. C29 ACCRES'COSBCm OAB
SW .1 , .1, an B 037 DISCIARLE 10 Cf"Y "`ER EMMA DUP"S
Kelly Blvd.
SW BW]
IEIIF DUAN,
�A
F n CABLE MILLER RON
e
B - BLLR SICA
C ' FSER VASTC STORAGE
RAM [9l[. d 11 i 11
➢ - L—FEE./ BApdISE [dRDL
E - LINE SMWaC
! - FIRE PURP MNIISE
fYm 4Y 1bu
by F EI NN'm A GA1
G - MA SCR CUNCAUL
N- VAS FE LINE STMASE
o-p
11 Atm• mw •m
1 - CMLINu M➢
^m
II - pAR➢ NWSC / MAIN ENTRN F
- 6UW0 MOM / FIBER RECEIVLW ENTRACE
2
FIGURE
NNtMING ETl • 7I3.86169 A
,.rSNS ITTI I,354,A210
MAX CdVERSICU ER CR • •I- 6SE Ei
SS - Sailtwy u•m
G - Cale
Lw IFINN.
SYW FIN.

/6
PRISM
QIABMATOP ES C
Full -Service Analytical d
Environmental Solutions
Prysmian Cables and Systems USA, LLC
Rick Miller
2512 Penny Rd.
Claremont, NC 28610
NC Certification No. 402
NC Drinking Water Can No. 37735
SC Certification No. 99012
Project: Stormwaler
Lab Submittal Date: 06/07/2019
Prism Work Order: 9060118
Case Narrative
6/19/19 11:28
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Terri W. Cole
Project Manager
Reviewed By Jackie Ziner For Terri W. Cole
Project Manager
Data Qualifiers Key Reference:
OG HEM 08G is less than the reporting limit, therefore TPH (SGT-HEM) is less than the reporting limit. Sample not
extracted for TPH (SGT-HEM).
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written Consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, INC 28224-0543
Phone: [phone] - Toll Free Number: l-8001529-6364-Fax: [phone] Page 1 of 11

�PR�SM
,01P,
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Full -Service PnSolutio s
en��,onmenmi snwro"s
Sample Receipt Summary
06/19/2019
Prism Work Order: 9060118
Client Sample ID
Lab Sample ID
Matrix
Date/Time Sampled Date/Time Received
SDO-001
9060118-01
Water
06/07/19 13:10 06/07/19 16:49
SOO-002
9060118-02
Water
06/07/19 13:00 06/07/19 16:49
SDO-002D
9060118-03
Water
06/07/19 13:05 06/07/19 16:49
SDO-003A
9060118-04
Water
06/07/19 12:55 06/07/19 16:49
SDO-005
9060118-05
Water
06/07/19 12:50 06/07/19 16:49
Rainwater
9060118-06
Water
06/07/19 13:15 06/07/19 16:49
Samples were received in good condition at 2.2 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirely, without the written consent of Pnsm Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, INC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 2 of 11

PRISM E lr orvice ai Solutiol s
�FlEnvlranmenlnl Solutions
p7,.xon..wres ixc
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, NC 28610 Sample Matrix: Water
Laboratory Report
06/19/2019
Client Sample ID: SDO-001
Prism Sample ID: 9060118-01
Prism Work Order: 9060118
Time Collected: 06/07/19 13:10
Time Submitted: 06/07/19 16:49
Parameter
Result
Units
Report
Limit
MOIL Dilution
Factor
Method
Analysis Analyst
Date/Tme
Batch
ID
General Chemistry Parameters
Oil & Grease (SGT-HEM)
BRLOG
mg/L
5.0
1.6 1
'1664B
6/13/19 8:17 SLS
P91`0209
Total Suspended Solids
3A
mglL
2.6
0.70 1
'SM2540 D
6112119 9:45 SLS
PSF0169
Total Metals
Capper BRL
Lead BRL
Zinc 0.26
mg/L
0.020
0.0051 1
'200.7
6/11/19
15:19
JAB
P91`0131
mg/L
0.010
0.0030 1
'200.7
6111/19
15:19
JAB
P91`0131
or lL
0.050
0.027 1
'200.7
6/11119
15:19
JAB
P91`0131
This report should not be reproduced, except in its entirely, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, INC 28224-0543
Phone: [phone] -Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 3 of 11

.UIRRISM
Eull.Sorvice Analytical 8
Environmental Solutions
r/�+eon�rwies n,c
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, NC 28610 Sample Matrix: Water
Laboratory Report
06/19/2019
Client Sample ID: SDO-002
Prism Sample ID: 9060118-02
Prism Work Order: 9060118
Time Collected: 06/07/19 13:00
Time Submitted: 06/07/19 16:49
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
General Chemistry Parameters
Oil & Grease (SGT-HEM) BRLOG ni 5.0 1.6 1 *16648 6113119 8:17 SLS P91`0209
Total Suspended Solids 7.6 mg/L 2.6 0.70 1 •SM2540 D 6/12119 9:45 SLS P91`0169
Total Metals
Copper BRL
Lead BRL
Zinc 0.40
mg/L
0.020
0e051 1
'200.7
6/11/19
15:26
JAB
P9F0131
mg/L
0.010
0.0030 1
`200.7
6/11/19
1526
JAB
P9F0131
mglL
0.050
0.027 1
•200.7
6111119
15:26
JAB
P9F0131
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529.6364 - Fax: [phone] Page 4 of 11

R
S M rmen nuaiydcai 4
�('P
El Soludons
I E nviroro nmenta
,7,.e�..ox,cs
inc
Laboratory Report
06/19/2019
Prysmian Cables and Systems USA, LLC Project: Stormwater
Client Sample ID: SDO-002D
Attn: Rick Miller
Prism Sample ID: 9060118-03
2512 Penny Rd.
Prism Work Order: 9060118
Claremont, NC 28610
Sample Matrix: Water
Time Collected: 06/07/19 13:05
Time Submitted: 06/07/19 16:49
Parameter
Result Units
Report
MDL
Dilution Method Analysis Analyst
Batch
Limit
Factor Date/Tme
ID
General Chemistry Parameters
Oil 8 Grease (SGT-HEM)
BRLOG mg/L
5.0
1,6
1 '1664B 6113119 8:17
SLS
P91=0209
Total Suspended Solids
25 mglL
5.0
0.70
1 'SM2540 D 6112/19 9:45
SLS
P91`0169
Total Metals
Copper
BRL mg/L
0.020
0.0051
1 '200.7 6111/19 15:32
JAB
P91`0131
Lead
BRL mg/L
0.010
0.0030
1 '200.7 6/11119 15:32
JAB
P91=0131
Zinc
0.086 mg/L
0.050
0.027
1 '200.7 6111119 15:32
JAB
P9F0131
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] -Toll Free Number: 1.8001529-6364 - Fax: [phone] Page 5 of 11

P R I S M I F�l'-iroo en al Solutions
s
e„��So„mrmoi sour &
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, INC 28610 Sample Matrix: Water
Laboratory Report
06/19/2019
Client Sample ID: SDO-003A
Prism Sample ID: 9060118-04
Prism Work Order: 9060118
Time Collected: 06/07/19 12:55
Time Submitted: 06/07/19 16:49
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Dalerhme ID
General Chemistry Parameters
Oil & Grease (SGT-HEM)
BRLOG
mg/L
5.0
1.6 1
'1664B
6/18119 8:20
SLS
P91`0269
Total Suspended Solids
5.0
or lL
2.8
0.70 1
'SM2540 D
6112119 9:45
SLS
P91`0169
Total Metals
Copper
BRL
mg/L
0.020
0.0051 1
'200.7
6111/19 15:47
JAB
P9F0131
Lead
BRL
mg/L
0.010
0.0030 1
'200.7
6111/19 1547
JAB
P9F0131
Zinc
0.37
ni
0.050
0.027 1
'200.7
6111/19 15:47
JAB
P91`0131
This report should not be reproduced, except in its entirely, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, INC 28224-0543
Phone: [phone] -Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 6 of 11

MService Analytical 4gIPR I S M I 1lronrnemAi
p7LAD—ATOHrec
lug
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, NC 28610 Sample Matrix: Water
Laboratory Report
06/19/2019
Client Sample ID: SDO-005
Prism Sample ID: 9060118-05
Prism Work Order: 9060118
Time Collected: 06/07/19 12:50
Time Submitted: 06/07/19 16:49
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DateRme ID
General Chemistry Parameters
Oil & Grease (SGT-HEM) BRLOG mglL 5.0 1.6 1 -16640 6/18119 8:20 SLS P91`0269
Total Suspended Solids 2.9 man- 2.8 0.70 1 'SM2540 D 6/12/19 9:45 SLS PSF0169
Total Metals
Copper BRL
Lead BRL
Zinc 0.11
mg/L
0.020
0.0051 1
'200.7
6111119
15:53
JAB
P91`0131
mg/L
0.010
0.0030 1
'200.7
6/11/19
15 53
JAB
P91`0131
mglL
0.050
0.027 1
'200.7
6/11119
15:53
JAB
P9F0131
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
"a Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224.0543
Phone: [phone]- Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 7 of 11

01P R I S M I FWnrvI-9¢e Analytical 8
.
envU rviCe Al solutions
Ji nnonmwr_v ixc
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, NC 28610 Sample Matrix: Water
Laboratory Report
06/1912019
Client Sample ID: Rainwater
Prism Sample ID: 9060118-06
Prism Work Order: 9060118
Time Collected: 06/07/19 13:15
Time Submitted: 06/07/19 16:49
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Datei ID
Total Metals
Copper
BRL
ni
0.020
0.0051 1
'200.7
6/11/19
16:00
JAB
P91`0131
Lead
BRL
ni
0,010
0,0030 1
'200.7
6/11/19
16:00
JAB
P9F0131
Zinc
0.16
ni
0.050
0.027 1
•200.7
6111119
16:00
JAB
1`91`0131
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/52M364-Fax: [phone] Page 8 of 11

P�Service
nAnalytical 8
Emunorenertal Solutons
A.um.l.s-em.IFnl
Prysmian
Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, NC 28610
Total Metals - Quality Control
Reporting
Result Limit Units
Level II QC Report
6119/19
Prism Work Order: 9060118
Time Submitted: 6/7/2019 4:49:OOPM
Spike Source % REC RPD
Level Result %REC Limits RPD Limit Notes
Batch P9F0131 - 200.7
Blank (P9F0131-BLKI)
Prepared & Analyzed: 06/11 /19
Copper
BRL
0,020
mg/L
Lead
BRL
0.010
mg/L
Zinc
BRL
0.050
mi
LCS (P9F0131-BSI)
Prepared & Analyzed: 06/11 /19
Copper
0.494
0.020
mg/L
0.5001 99
85-115
Lead
0.503
0.010
mg/L
0.5001 101
85-115
Zinc
0.511
0.050
mg/L
0.5001 102
85-115
Matrix Spike (P9F01 31 -MS2)
Source: 9060118-03
Prepared & Analyzed: 06/11/19
Copper
0.511
0.020
mg/L
0.5001 0.00958 100
70-130
Lead
0.503
0.010
mglL
0.5001 BRL 101
70-130
Zinc
0.595
0.050
mg/L
0.5001 0.0861 102
70-130
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] -Toll Free Number: l-8001529-6364- Fax: [phone] Page 9 of 11

PRISM run-se,m,ee etynaei
en�hoomemal ai sSolutionss
%UBOaarp„fA iHc
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, NC 28610
General Chemistry Parameters - Quality Control
Analyte
Reporting
Result Limit Units
Level II QC Report
6/19/19
Prism Work Order: 9060118
Time Submitted: 6/7/2019 4:49:OOPM
Spike Source %REC RPD
Level Result %REC Limits RPD Limit Notes
Batch P9FO169 - NO PREP
Blank (PSF0169-BLKI) Prepared & Analyzed: 06/12/19
Total Suspended Solids BRL 5.0 mg/L
LCS (P9F0169-BS1) Prepared & Analyzed: 06/12/19
Total Suspended Solids 470 5.0 mg/L 477.0 99 90-110
Batch P9F0209 - NO PREP
Blank (P91i'0209-BLKi) Prepared & Analyzed: 06/13/19
Oil & Grease (SGT-HEM) BRL 5.0 mg/L
LCS (P9F0209-BSI) Prepared & Analyzed: 06/13/19
Oil & Grease (SGT-HEM) 63.2 5.0 mg/L 80.00 79 64-132
Batch P9170269 - NO PREP
Blank (P9F0269-BLK1) Prepared & Analyzed: 06/18/19
Oil & Grease (SGT-HEM) BRL 5.0 mg/L OG
Sample Extraction Data
Prep Method: 200.7
Lab Number Batch Initial Final Date rime
906011 8-0 1
P91`0131
50
mL
50
mL
06/11/19
7:35
9060118-02
P91`0131
50
mL
50
mL
06/11/19
735
9060118-03
P91`0131
50
mL
50
mL
06/11/19
7:35
9060118-04
P9F0131
50
mL
50
mL
06/11/19
7:35
9060118-05
P91`0131
50
mL
50
mL
06/11/19
7:35
9060118-06
P9F0131
50
mL
50
mL
06/11/19
735
This report should not be reproduced, except in its entirely, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] -Toll Free Number: 1-800/529-6364 - Fax: [phone]
Page 10 o1 11

/J IR ISM
n Full -Service Analytical &
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LAOOPATOPIES ING
449 Spnngbrook Road • Charlotte, NC 28217
Phone [phone]�64 Fax: [phone]
Client Company Name: l�rr / )
Report To/Contact Name: R7, h , J GtP
Reporting Address:
CHAIN (OF CUSTODY RECORD
PAGE OF J QUOTE a TO ENSURE PROPER BILLING:
Project Name: �72:30+%wou)r! Gr M rAl n w;, t0 y..
Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
*Please ATTACH any project specific reporting (OC LEVEL 111 III IV)
provisions and/or CC Requirements
Invoice To: ILY
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Samples INTACT upon artival?
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Received ON WET ICE?
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PROPER PRESERVATIVES indicated?
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Received WITHIN HOLDING TIMES?
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CUSTODY SEALS INTACT?
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VOLATILES reed W/OUT HEADSPACE?
PROPER CONTAINERS used?
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TEMP: Therm IDS - _13 Observed:
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Email Address: 1- �C. n ; I I Cr y/ A00°^
Purchase Order No./Billing Reference
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
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EDD Type: PDF_ExcelKOther
°.�'A 4, eeouesled Due Date O 1 Day ❑ 2 Days ❑ 3 Days O 4 Days ❑ 5 Days
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Certification: NELAC_ DoD
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Site Location Name: C.li1 rL/A�rr-+'
Days" O 6-9 Days O Standard 10 days rj Rush Work Must Be
Pre -Approved
SC OTHER /A
Samples received after 14:00 will be processed next business day.
Site Location Physical Address:
Turnaround time is based on business days, excluding weekends and holidays.
Water Chlorinated: YES_ NO
(SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
--
Sample Iced Upon Hectlon: YES NO
CLIENT
SAMPLE DESCRIPTION
DATE
COLLECTED
TIME
COLLECTED
I
MATRIX
(SOIL,
SAMPLE CONTAINER
PRESERVA-
ANALYSIS OU ST v
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Sampled By (Print Name) / "I r+� Affiliation
Upon relinquishing, this Chain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be
submitted in writing to the Prism Project Manager. There will be charges for any changes after analyses have been Initialized.
RcluwuGhed B):(,-x"rL vm
R.w,,ed Br.(signature) Date H. Additional Comments:
Site Arrival Time:
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Mcmod of SMnmem: NOTE: ALL SAMPLE COOLER SHOULD BE TAPED HU CUSTODY SEALS FOR TRANSPORTATION TO T11 LABORATORY. GbC pNo.
SAMPLES ARE NOTACCEPTED AND VERIFIED
AGAINST CDC UNTIL RECEIVED AT THE LABORATORY
❑ Fed Ex CUPS ❑ Hand -delivered O Prf m Fleid Sernrs D Omdr IOVO
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'CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL