NCG030450_MONITORING INFO_20191105

STORMWATER DIPIERMITS
SION CODING SHEET:
NCG
PERMIT NO. IV C,& b�)10950
DOC TYPE. ❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE ❑
YYYYMMDD

® Electrolux
October 29, 2019
Attn: Central Files 1 ,
Division of Water Resources (DAQ)
1617 Mail Service Center N11 Os
Raleigh, NC 27699-1617 C 2019
�WR EC-r DES
RE: Electrolux Storm Water Sampling Event (Year 1 -Period 2) jON
'ro Whom It May Concern:
Attached to this cover letter please find the analytical results of sampling from a storm event on
10/16/2019 to comply with our NPD> S General Permit No. NCG030000.
As you will see, the results from our storm water outfall #1 (Outlet) indicate compliance with our
NPDES General Permit NCG030000 and Certificate of Coverage NCG030450 for I3lectrolux
Home Products, Kinston, NC.
By submitting this data we have met the monitoring requirements for Year 1 (2019) Period 2 of
our permit.
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.
If you have any questions or require additional information feel free to call me at [phone].
Sincerely,
1 4 /:Z J
wn
Manufacturing Engineering/Maintenance Manager/
Environmental Coordinator
Glenda Lynch
Plant Manager
ELECTROLUX HOME PRODUCTS NORTH AMERICA
MAILING ADDRESS TELEPHONE SITE
4850 W. Vemon Avenue 252 527 5100 _ vmv,frigidaire.com
Kinston, NC 28504-7544 vmv.electrolux.com
USA
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Electrolux
h STORMWATGR DISCHARGE MONITORING REPORT & RESULTS
ELECTROLUX HOME PRODUCTS NORTH AMERICA
MAILING ADDRESS TELEPHONE SITE
4850 W. Vemon Avenue 252 527 5100 vmv.frigoaire.com
Kinston, NC 28504-7544 w .electrolux.com
USA
i
c�-..._g-a :•� rwPvwn yywu..wmu�y,o,.. Gihsan .rt..a....:o�� �"� ®rnoeiwnmw cm�p. me wone: Na.i cwrce

Stormwater Discharge Monitoring Report
-
for. North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted
CERTIFICATE OF COVERAGE NO. N/ICG03 D
FACILITY NAME
COUNTY L4N "
PERSON COLLECTING SAMPLES sV1A2k l�o� nassC,r�`,^G� 1A6s)
LABORATORY yntc.10 6, - LA,6s Lab Cert. q mr n .,?' $k- 11
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
[_]Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -91
❑ No discharge this period?z
Outfall No.
Date Sample
P
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
P H
Standard units
Total Copper
Total Lead
Total Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks
_
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.010 mg/L
0.075 mg/L
0.126 mg/L
15 mg/L
1 mg/L
Parameter Lode
-
46529
C0530
00400
01119
01051
01094
00552
78141
�oµ�l0
to IG 11
0.11
< ,I%
6.3
<0.009
<0.0t0
I 6.01(Z
<5,00
F}
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z 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.
4 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 fo.und in 40 CFR 469.31).
Permit Date: 11/1/2018-05/31/2021 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
(TT0), 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."
/Y1 Ike $rvwn
Name (Print name)
%11RY1N tCLr1rN L/HS rL�r `In�Cfi'/HC MAARs gt_
Title(Print �i 7
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.
n No discharge this period?2
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches'
New Motor Oil or
Hydraulic Oil Usage
Non -Polar 0&G/ Total
Petroleum Hydrocarbons
Total Suspended
Solids
Benchmarks
- -
-
-
15 mg/L
100 mg/L or 50 mg/L4
Parameter Code
-
46529
NCOIL
00552
C0530
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 A 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 DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for 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."
Signature of Permittee
/v a
Da
Permit Date:11/1/2018-05/31/2021
SWU-245, last revised 11/1/2018
Page 3 of 3

® Electrolux
STORMWATER QUALITATIVE MONITORING REPORTS
(Upstream and Downstream)
ELECTROLUX HOME PRODUCTS NORTH AMERICA
MAILING ADDRESS TELEPHONE SITE
4850 W. Vernon Avenue 252 527 5100 www.fdgidaire.00m
Kinston, NC 28504-7544 www.electrolux.com
USA
�F-"B'"'":." rwrPwrs Wvm.wearo�.. Gihsan ,,:.,,r,.......� �uia ®rne rie«�iw cm�o-'ma,wnes nai cmice

i III
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https:Hdeq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-s totmwater-gp s
Permit No.: N/C/ 6/ o /3 / O / o/o /o / or Certificate of Coverage No.: N/C/G/ o / 3 / o / ft /5 /,o l
Facility Name: C1ee4R.oiwe ffzi��rooiw s
County: Lpnotrl_ Phone No. 25z—
Inspector:
Date of Ins
Time of Inspection: / O : / 5 9n
Total Event Precipitation (inches):
0.19
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permiace is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DLMLR
Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 1 Structure (pipe, ditch, etc.): D,
Receiving Stream: /
'P1+c1, or
Describe the industrial activities that occur within the outfall drainage area:
I�1q»aF.u�....r.% J ef= drs�w�s/fet s
Page I of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): /I oit r-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
0 2 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:
' 11 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:
n 2 3 4 5
7. is there any foam in the stormwater discharge? Q Yes 4D No.
8. Is there an oil sheen in the stormwater discharge? QYes o No.
9. Is there evidence of erosion or deposition at the outfall? Q Yes 4*No. N O
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
SWU-242, Last modified 06/O1/2018

® Electrolux
LABORATORY ANALYTICAL RESULTs
(with Chain of Custody)
ELECTROLUX HOME PRODUCTS NORTH AMERICA
MAILING ADDRESS TELEPHONE SITE
4850 W. Vernon Avenue 252 527 5100 mmv.fdgidaire.com
Kinston, NC 28504-7544 mmv.electrolux.com
USA
TNPYNII WWNYwmuipnmiu Gibson ✓+m:..o �ulw ® no Elmrmlw Group. Pwwotlds No. 1 choce

& 1M ICROBAC°
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9J0254
Project Description
No Project
For:
Mr. Mike Brown
Electrolux Home Products North
4850 W. Vernon Avenue
Kinston, NC 28504
Administration
Brittany Smith
Monday, October 28, 2019
Please find enclosed the analytical results for the samples you submitted to Microbac Laboratories. Review and compilation of
,your report was completed by Microbac Laboratories, Inc. - Fayetteville. If you have any questions, comments, or require
further assistance regarding this report, please contact your service representative listed above.
I certify that all test results meet all of the requirements of the accrediting authority listed within this report. All results for soil
"samples are reported on a'dry-weight' basis unless specified otherwise. Analytical results for water and wastes are reported on
a'as received' basis unless specified otherwise. A statement of uncertainty for each analysis is available upon request. This
laboratory report shall not be reproduced, except in full, without the written approval of Microbac Laboratories. The reported
results are related only to the samples analyzed as received.
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 i 910.864.1920 p i www.microbac.com
Page 1 of 10

6>MICROBACS,
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9J0254
Electrolux Home Products North
Mr. Mike Brown
4850 W.Vernon Avenue
I, Kinston, NC 28504
Sample Summary Report
Sample Name Laboratory ID
Client Matrix
Outfall 1 Inlet, grab K9J0254-01
Stormwater
Outfall 2 Outlet, grab K9J0254-02
Aqueous
Project Name: No Project
Project / PO Number: N/A
Received: 10/16/2019
Reported: 10/28/2019
Sample Type Sample Begin Sample Taken Lab Received
Grab 10/16/19 09:52 10/16/19 14:20
Grab 10/16/19 10:15 10/16/19 14:20
Page 2 of 10

6)MICROBAC®
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9J0254
Analytical Testing Parameters
Client Sample ID: Outfall 1 Inlet, grab
Sample Matrix: Stormwater Collected By: Poythress
Lab Sample ID: K9J0254-01 Collection Date: 10/16/2019 9:52
Wet Chemistry
Result
RL
Units
Dilution Note
Prepared
Analyzed
Analyst
EPA 1664 Rev. B
Oil & Grease (SGT-HEM)
<5.00
5.00
mg/L
1
10/24/19 1141
Tam
SM 2540 D-2011
Total Suspended Solids
<4.17
4.17
mg/L
1
10/17/19 1005
CLB
Metals
Result
RL
Units
Dilution Note
Prepared
Analyzed
Analyst
:'Metals Aqueous/EPA 200.7 Rev 4.4 1994
Lead
<0.010
0.010
mg/L
1
10/17/19 1351
10/17/19 1351
TAB
Zino
0.007
0,005
mg/L
1
10/17/19 1351
10/17/19 1351
TAB
I
Field Sampling/Testing
Result
RL
Units
Dilution Note
Prepared
Analyzed
Analyst
Rainfall
Field Observation
Color
Odor
Clarity
Floating Solids
Suspended Solids (Residue,
Non -Filterable)
Foam
ilOil Sheen
Erosion Evidence
Other Pollution Indicators
SM 2550 B-2010
,Temperature, Field
SM 4500 H+B-2011
1
pH, Field Test
Total Metals - ICP
EPA 200.7, Rv. 4.4
Copper
0.19
inches 1
10/24/19 2043
10/24/19 2105
BNS
Clear
1
10/24/19 2043
10/24/19 2105
BNS
None
1
10/24/19 2043
10/24/19 2105
BNS
Yes
1
10/24/19 2043
10/24/19 2105
BNS
None
1
10/24/19 2043
10/24/19 2105
BNS
None
1
10/24/19 2043
10/24/19 2105
BNS
None
1
10/24/19 2043
10/24/19 2105
BNS
None
1
10/24/19 2043
10/24/19 2105
BNS
None
1
10/24/19 2043
10/24/19 2105
BNS
None
1
10/24/19 2043
10/24M9 2105
BNS
22 0.1 C 1
6.1 1.0 pH Units 1
Analyses Subcontracted to: Microbac Laboratories Inc., - Marietta, OH
Result RL Units Dilution Note
10/16/19 0952 JMP
10/16/19 0952 JMP
Analyst
<0.00800 0.00800 mg/L 1 Y 10/22/19 0604 10/22/19 1411 LSJ
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 la1 wv✓w.microbac.com Page 3 0f 10

�VMICROBACS
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9J0254
Client Sample ID: Outfall2 Outlet, grab
Sample Matrix: Aqueous Collected By: Poythress
Lab Sample ID: K9J0254-02 Collection Date: 10/16/2019 10:15
Wet Chemistry Result RL Units Dilution Note Prepared Analyzed Analyst
EPA 1664 Rev. B
„Oil & Grease (SGT-HEM)
'SM 2540 D-2011
Total Suspended Solids
<5.00 5.00 rrg/L
<4.17 4.17 mg/L
1 10/24/19 1141 TBM
1 10/17/19 1005 CUB
Metals
Result
RL
Units
Dilution
Note
Prepared
Analyzed
Analyst
Metals Aqueous/EPA 200.7 Rev 4.4 1994
Lead
<0.010
0.010
mg/L
1
10/17/19 1355
10/17/19 1355
TAB
Zinc
0.014
0.005
mg/L
1
10/17/19 1355
10/17/19 1355
TAB
n
Field Sampling/Testing
Result
RL
Units
Dilution
Note
Prepared
Analyzed
Analyst
Field
Rainfall
0.19
inches
1
10/24/19 2043
10/24/19 2105
BNS
Field Observation
Color
Clear
1
10/24/19 2043
10/24/19 2105
BNS
Odor
None
1
10/24/19 2043
10/24/19 2105
BNS
. Clarity
Yes
1
-
10/24/19 2043
10/24/19 2105
BNS
Floating Solids
None
1
10/24/19 2043
10/24/19 2105
BNS
Suspended Solids (Residue,
None
1
10/24/19 2043
10/24/19 2105
BNS
Non -Filterable)
' Foam
None
1
10/24/19 2043
10/24/19 2105
BNS
Oil Sheen
None
1
10/24/19 2043
10/24/19 2105
BNS
Erosion Evidence
None
1
10/24/19 2043
10/24/19 2105
BNS
Other Pollution Indicators
None
1
10/24/19 2043
10/24/19 2105
BNS
SM 2550 B-2010
Temperature, Field
20
0.1
°C
1
10/16/19 1015
JMP
SM 4500 H+13-2011
I 'pH, Field Test
6.3
1.0
pH Units
1
10/16/19 1015
JMP
Analyses Subcontracted
to: Microbac Laboratories Inc., - Marietta,
OH
Total Metals - ICP
Result
RL
Units
Dilution
Note
Prepared
Analyzed
Analyst
EPA 200.7, Rv. 4.4
'Copper
<0.00800
0.00800
mg/L
1
y
10/22/19 0604
10/22/19 1420
LSJ
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 in I wviw.microbac.com Page 4 of 10

OMICROBACs
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9JO254
'Batch Quality Control Summary: Microbac Laboratories, Inc. - Fayetteville
Spike Source
%REC RPD
Wet Chemistry
Result
RL
Units Level Result %REC
Limits RPD Limit Notes
Batch KJ90148 - Wet Chem
Aqueous - SM 2540 D-2011
Blank (KJ90148-BLKt)
Prepared & Analyzed: 10/17/2019
;Total Suspended Solids
<2.50
2.50
mg/L
Blank (KJ90148-BLK2)
Prepared & Analyzed: 10/17/2019
Total Suspended Solids
<2.50
2.50
mg/L
Blank (KJ90148-BLK3)
Prepared & Analyzed: 10/17/2019
Total Suspended Solids
<2.50
2.50
mg/L
Blank (KJ90148-BLK4)
Prepared & Analyzed: 10/17/2019
Total Suspended Solids
<2.50
2.50
mg/L
Blank (KJ9014&I3LK5)
Prepared & Analyzed: 10/17/2019
,Total Suspended Solids
<2.50
2.50
mg/L
LCS Dup (KJ90148-BSD1)
Prepared &Analyzed: 10/17/2019
Total Suspended Solids
30.7
2.50
mg/L 31.6 97
94.5-105.4 200 200
Batch KJ92426 -Wet Chem
Aqueous •EPA 1664 Rev. B
Blank (KJ92426-BLK1)
Prepared & Analyzed: 10124/2019
Oil & Grease (SGT-HEM)
<5.00
5.00
mg/L
LCS (KJ92426-BS1)
Prepared & Analyzed: 10/24/2019
Oil & Grease (SGT-HEM)
19.6
5.00
mg/L 20.4 96
64-114
Matrix Spike (KJ92426.MSt)
Source: K9J0311-01
Prepared & Analyzed: 10/2412019
,Oil & Grease (SGT-HEM)
28.7
5.00
mg/L 21.7 1.47 125
78-132
1
Spike Source
%REC RPD
Metals
Result
RL
Units Level Result %REC
Limits RPD Limit Notes
Batch KJ90158 - Metals Aqueous
- EPA 200.7 Rev 4.4 1994
Blank (KJ90158-BLK1)
Prepared & Analyzed: 10/17/2019
Lead
<0.020
0.020
mg/L
Zinc
<0.010
0.010
mg/L
Blank (KJ90158-BLK2)
Prepared & Analyzed: 10/17/2019
Lead
<0.020
0.020
mg/L
Zinc
<0.010
0.010
mg/L
LCS (KJ90158-BS1)
Prepared & Analyzed: 10/17/2019
Lead
0.245
0.020
mg/L 0.248 99
85-115
Zinc
0.247
0.010
mg/L 0.250 99
85-115
LCS (KJ90158-BS2)
Prepared & Analyzed: 10/1712019
Lead
0.258
0.020
mg/L 0.248 104
85-115
Zinc
0.260
0.010
mg/L 0.250 104
85-115
LCS (KJ90158-BS3)
Prepared & Analyzed: 10/17/2019
Lead
0.252
0.020
mg/L 0.248 101
85-115
Zinc
0.251
0.010
mg/L 0.250 101
85-115
Microbac Laboratories, Inc.
,I
2592 Hope Mills Rd i Fayetteville,
NC 28306 1910.864.1920 p i www.microbac.com Page 5 of 10

VMICROBACO
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9J0254
Spike Source %REC RPD
Metals Result RL Units Level Result %REC Limits RPD Limit Notes
latch KJ90158 - Metals Aqueous - EPA 200.7 Rev 4.4 1994
LCS (KJ90158-BS4)
Prepared & Analyzed: 10/17/2019
.Lead
0.241
0.020
mg/L 0.248 97
85-115
'Zinc
0.241
0.010
mg/L 0.250 96
85-115
Duplicate (KJ90158-DUP1)
Source: K9J0175-01
Prepared &Analyzed: 10/17/2019
'Lead
<0.010
0.010
mg/L ND
10
Zinc
0.013
0.005
mg/L 0.015
17
10
Duplicate (KJ90158-DUP2)
Source: K9J0207-01
Prepared & Analyzed: 10/17/2019
Lead
0.021
0.010
mg/L 0.022
4
10
Zinc
0.955
0.005
mg/L 1.01
6
10
Duplicate (KJ90158-DUP3)
Source: K9J0252-01
Prepared & Analyzed: 10/17/2019
Lead
<0.010
0.010
mg/L ND
10
Zinc -
0.006
0.005
mg/L 0.006
9
10
Matrix Spike (KJ90158-MS1)
Source: K9J0175-01
Prepared &Analyzed: 10/17/2019
Lead
0.226
0.010
mg/L 0.248 ND 91
70-130
Zinc
0.244
0.005
mg/L 0.250 0.015 91
70-130
Matrix Spike (KJ90158-MS2)
Source: K9J0207-01
Prepared & Analyzed: 10/17/2019
Lead
0.257
0.010
mg/L 0.248 0.022 94
70-130
Zinc
1.16
0.005
mg/L 0.250 1.01 58
70-130
Matrix Spike (KJ90158-MS3)
Source: K9J0252-01
Prepared & Analyzed: 10/17/2019
Lead
0.251
0.010
mg/L 0.248 ND 101
70-130
Zinc
0.253
0.005
mg/L 0.250 0.006 99
70-130
Matrix Spike Dup (KJ90158-MSD1)
Source: K9J0175-01
Prepared &Analyzed: 10/17/2019
Lead
0.230
0.010
mg/L 0.248 ND 93
70-130
2
30
Zinc
0.247
0.005
mg/L 0.250 0.015 93
70-130
1
30
Matrix Spike Dup (KJ90158-MSD2)
Source: K9J0207-01
Prepared &Analyzed: 10/17/2019
Lead
0.259
0.010
mg/L 0.248 0.022 96
70-130
1
30
Zinc
1.18
0.005
mg/L 0.250 1.01 67
70-130
2
30
Matrix Spike Dup (KJ90158-MSD3)
Source: K9J0252-01
Prepared & Analyzed: 10/17/2019
Lead
0.242
0.010
mg/L 0.248 ND 98
70-130
4
30
Zinc
0.244
0.005
mg/L 0.250 0.006 95
70-130
4
30
Reference (KJ90158-SRMt)
Prepared &Analyzed: 10/17/2019
--.
Zinc
1.93 0.020 mg/L
1.92 0.010 mg/L
Batch Quality Control Summary: Microbac Laboratories Inc., - Marietta, OH
2.00 96 95-105
2.00 96 95-105
Spike Source %REC RPD
Total Metals - ICP Result MDL RL Units Level Result %REC Limits RPD Limit Notes
Batch B9J1289 - 200.7 - EPA 200.7, Rv. 4.4
Blank (B9J1289-BLK1) Prepared &Analyzed: 10/2212019
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 6 of 10

OMICROBACS
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9J0254
Spike Source
%REC RPD
Total Metals - ICP
Result
MDL RL
Units Level Result %REC
Limits RPD Limit Notes
Batch B9J1289 - 200.7 - EPA 200.7, Rv. 4.4
Blank (B9.11289-BLK1)
Prepared & Analyzed: 10/2212019
Copper
<0.00400
0.00400 0.00800
mg/L
LCS (89J1289-13SI)
Prepared &Analyzed: 10/22/2019
Copper
0.262
0.00400 0.00800
mg/L 0.250 105
85-115
Duplicate (89.11289-DUPI)
Source: M9J1404-01
Prepared &Analyzed: 10/22/2019
'Copper
<0.00400
0.00400 0.00800
mg/L ND
20
Matrix Spike (B9J1289-MS1)
Source: M9J1404-01
Prepared &Analyzed: 10/2212019
Copper
0.258
0.00400 0.00800
mg/L 0.250 ND 103
70-130
Matrix Spike (B9J1289-MS2)
Source: M9J1441-02
Prepared & Analyzed: 10/22/2019
Copper
0,259
0,00400 0.00800
mg/L 0.250 ND 104
70-130
Post Spike (B9J1289-PS1)
Source: M9J1404-03
Prepared & Analyzed: 10/22/2019
Copper
0.245
mg/L 0.250 0.00527 95.9
75-125
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.nricrobac.conn Page 7 of 10

OMIC.ROBAC®
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9J0254
Definitions
MDL: Minimum Detection Limit
RL: Reporting Limit
RPD: Relative Percent Difference
Y: This analyte is not on the laboratory's current scope of accreditation.
Cooler Receipt Log
Cooler ID: Default Cooler Temp: 3.2°C
Cooler Inspection Checklist
Ice Present or not required?
Yes
Shipping containers sealed or not required?
Yes
Custody seals intact or not required? -
Yes
Chain of Custody (COC) Present?
Yes
COC includes customer information?
Yes
Relinquished and received signature on COC?
Yes
Sample collector identified on COC?
Yes
Sample type identified on COC?
Yes
i Correct type of Containers Received
Yes
Correct number of containers listed on COC?
Yes
Containers Intact?
Yes
COC includes requested analyses?
Yes
Enough sample volume for indicated tests received?
Yes
Sample labels match COC (Name, Date & Time?)
Yes
Samples arrived within hold time?
Yes
Correct preservatives on COC or not required?
Yes
Chemical preservations checked or not required?
Yes
Preservation checks meet method requirements?
Yes
VOA vials have zero headspace, or not reed.?
Yes
Project Requested Certification(s)
Microbac Laboratories Inc., - Marietta, OH
583
Microbac Laboratories, Inc. - Fayetteville
11
Report Comments
NC Dept. of the Environment and Natural Resources
III ii1111l. 8iFL]1:1J:410WRIC&I
Reviewed and Approved By:
Samples were received in proper condition and the reported results conform to 1
applicable accreditation standard unless otherwise noted.Y
The data and information on this, and other accompanying documents, represents
only the sample(s) analyzed. This report is incomplete unless all pages indicated Brittany Smith
in the footnote are present and an authorized signature is included. Administration
Reported: 10/28/2019 17:25
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, INC 28306 1910.864.1920 p I yr w.microbac.com Page 8 of 10

Fayetteville Division 2592 Hope Mills Road - Fayetteville, NC 28306 (916) 86419201884•8774 faX
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STORM WATER - QUALITATIVE MONITORING
tK9J0254`
OTHER OBVIOUS
I
EROSION OR
INDICATORS OF
STORM
SITE #
DATE
SAMPLED
COLOR
ODOR
CLARITY
FLOATING
SOLIDS
SUSPENDED
SOLIDS
FOAM
OIL SHEEN
DEPOSITION AT
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POLLUTION
J
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/ (d.G
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TOTAL RAINFALL (inches): • 1 4