NCG030465_MONITORING INFO_20200108

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV U& C) 3 b Yb
DOC TYPE
❑ HISTORICAL FILE
C MONITORING REPORTS
DOC DATE
❑
YYYYM M DD

DOC TYPE ❑ HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE 1 ❑
YYYYM M DD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Resources General Permit No. NCG030000
Date submitted �P i 2-02--0
CERTIFICATE OF COVERAGE NO. NCG030 4 t0
FACILITY NAME D M M C` G (-eay\V, l(a I
COUNTY P; t _
PERSON COLLECTING SAMPLES t'a v✓t _,a�-MO-re -
LABORATORY 11 LabCerClit 3177) H
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 7 -6i9
EF,\1VSrMPLEPERIOD ❑Jan -June July -Dec CG or ❑ Monthly' fmonthl
lAN o a 2ODnISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
❑Zero -flow [:]Water Supply _]SAG't4TYtAL���'ES other r 3 0SvJ
PLEASE REMEMBER TO SIGN ON PAGES.2 AND/OR 3 4
n No discharge this period?'
'.
Outfall No. '
Date Sample
,
Collected
_(mo/dd/yr)
;24-hour rainfall
amount,
Inches'
Total Suspended Solids
pH,
Standard units
Copper
.
Lead
_
-
Zinc
_
Non-Polar�O&G/ :
Total Petroleum
Hydrocarbons
Total Toxic
Organics s
Benchmarks =---_>
-
-
100 mg/L or 50 mg/0
6.0 —9.0
-i�.OI 0
.� O.O�7S
>t O 1—
L15 mg/L
1 mg/L
DF-(
zll
I lci
0,s.,
�L(,1.7
(o.(o
D.ote&)
<o.ol0
o-Lcis
�S•UO
NA
DF-a
tz n
®.S:.
< LL r
7.D
<o.vosov
Lo.olu
D,UZ
cs.00
NA
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same -parameter at the same outtau.
' 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, Table 3 identifying the especially sensitive receiving,waterdassifications 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
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."
Lea1N.e
Name (Print name)
Title (Print title),
03 J;u, 2—Zo
(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 me/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 Aln *A;,
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 Su
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 2 of 3
110

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
See General Permit text.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART If SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES x NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ZNO ❑
REGIONAL OFFICE CONTACT NAME: `BM I Ail OO Q-Q—
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end
in the case of "No Discharge" reports) to:
Attn: DWR 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)
01 5�Zm
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

i
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0267
Project Description
Stormwater Sample - Mthly, Outfall 1
For:
Ms. Pam Savage
DENSO Manufacturing NC
1125 Sugg Parkway
Greenville, NC 27834
Administration
Brittany Smith
Wednesday, December 25, 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 Analytical results are
reported on a'as received' basis unless specified otherwise. Analytical results for solids with units ending in (dry) are reported
on a dry weight basis. 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.
1 Microbac Laboratories, Inc.
`i
2592 Hope Mills Rd i Fayetteville, NC 28306 1910.864.1920 p i www.microbac.com
Page 1 of 8

(VMICROBAC°
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0267
DENSO Manufacturing NC Project Name: Stormwater Sample
1
Ms. Pam Savage Project / PO Number: N/A
1125 Sugg Parkway Received: 12/13/2019
Greenville, NC 27834 Reported: 12/25/2019
Sample Summary Report
Mthly, Outfall
Sample Name Laboratory ID Client Matrix Sample Type Sample Begin Sample Taken Lab Received
OF #1, grab K91-0267-01 Stormwater Grab 12/11/19 14:30 12/13/19 10:02
Page 2 of 8

&)MICROBAC'"
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0267
Analytical Testing Parameters
Client Sample ID: OF #1, grab
Sample Matrix: Stormwater Collected By: Savage
Lab Sample ID: K9L0267-01 Collection Date: 12111/2019 14:30
EPA 1664 Rev. B
Oil & Grease (SGT-HEM)
<5.00
5.00
mg/L
1
12/17/19 1102
TBM
SM 2640 D-2011
'Total Suspended Solids
<4.17
4.17
mg/L
1
12/18/19 1309
CLB
SM 4500 H+13.2011
pH at 25 °C
6.6
1.0
S.U.
1
H
12/16/19 1551
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
12/19/19 1631
12J19/19 1631
TBM
'Zinc
0.475
0.005
mg/L
1
12/19/19 1631
12/19/19 1631
TBM
Analyses Subcontracted to: Microbac Laboratories Inc., - Marietta, OH
f
Total Metals -ICP
Result
RL
Units
Dilution
Note
Prepared
Analyzed
Analyst
EPA 200.7, Rv. 4.4
i
Copper
<0.00800
0.00800
mg/L
1
y
12/19/19 0701
12/19/19 1952
LSJ
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 3 of 8

�VMICROBAC-
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0267
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 KL91811 - Wet Chem Aqueous - SM 2540 D-2011
Blank (KL91811-BLK1)
Prepared & Analyzed: 12/18/2019
Total Suspended Solids
<2.50
2.50
mg/L
Blank (KL91811-BLK2)
Prepared & Analyzed: 12/18/2019
Total Suspended Solids
<2.50
2.50
mglL
Blank (KL91811-8LK3)
Prepared & Analyzed: 12/18/2019
Total Suspended Solids
<2.50
2.50
mg/L
Blank (KL91811-BLK4)
Prepared & Analyzed: 12/18/2019
Total Suspended Solids
<2.50
2.50
mg/L
LCS (KL91811-BSJ)
Prepared & Analyzed: 12/18/2019
Total Suspended Solids
33.5
2.50
mg/L 34.6 97
94.5-105.4
Duplicate (KL91811-DUPI)
Source: K91-0256-01
Prepared &Analyzed: 12/18/2019
Total Suspended Solids
59.0
2.50
mg/L 56.5
4 10
Duplicate (KL91811-DUP2)
Source: K91-0320-01
Prepared & Analyzed: 1211812019
Total Suspended Solids
164
2.50
mg/L 162
1 10
Duplicate IKL91811-DUP3)
Source: 1<91-0342-01
Prepared & Analyzed: 12/18/2019
Total Suspended Solids
514
2.50
mg/L 543
5 10
Batch KL91931 - Wet Chem Aqueous - EPA 1664 Rev. B
Blank (KL91931-BLK7)
Prepared & Analyzed: 12/17/2019
Oil & Grease (SGT-HEM)
<5.00
5.00
mg/L
LCS (KL91931-BS1)
Prepared & Analyzed: 12/17/2019
Oil & Grease (SGT-HEM)
19.7
5.00
mg/L 20.4 97
64-116
Matrix Spike (KL91931-MS1)
Source: K91-0268-01
Prepared & Analyzed: 12/1712019
Oil & Grease (SGT-HEM)
10.6
5.00
mg/L 19.9 ND 53
64-132
Spike Source
%REC RPD
Metals
Result
RL
Units Level Result %REC
Limits RPD Limit Notes
Batch KL92304 - Metals Aqueous
- EPA 200.7 Rev 4.4 1994
Blank(KL92304-BLK1)
Prepared &Analyzed: 12/19/2019
Lead
<0.020
0.020
mg/L
Zinc
<0.010
0.010
mg/L
LCS (KL92304-BSI)
Prepared & Analyzed: 12/19/2019
Lead
0.249
0.020
mg/L 0.250 100
85-115
Zinc
0.260
0.010
mg/L 0.250 104
85-115
LCS (KL92304-BS2)
Prepared & Analyzed: 12119/2019
Lead
0.249
0.020
mg/L 0.250 100
85-115
Zinc
0.257
0.010
mg/L 0.250 103
85-115
LCS (KL92304-BS3)
Prepared &Analyzed: 12/19/2019
Lead
0.264
0.020
mg/L 0.250 105
85-115
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I W .microbac.com
Page 4 of 8

(�)MICROBAC`
( Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0267
I Spike Source %REC RPD
Metals Result RL Units Level Result %REC Limits RPD Limit Notes
Batch KL92304 - Metals Aqueous - EPA 200.7 Rev 4.4 1994
LCS (KL92304-BS3)
Prepared &Analyzed: 12/19/2019
,Zinc
0.275
0.010
mg/L 0.250 110
85-115
LCS (KL92304-BS4)
Prepared & Analyzed: 12/19/2019
Lead
0.255
0.020
mg/L 0.250 102
85-115
'Zinc
0.265
0.010
mg/L 0.250 106
85-115
D_uplicate(KL9230443UP1)
Source:_K_9_L0255-01
Prepared &Analyzed: 12/1912019
'Lead
<0.010
0.010
mg/L NO
10
Duplicate (KL92304-DUP2)
Sou_rce: K91-03_36-02
Prepared &A_n_alyzed: 12/19/2019
_
Lead
11
_
<0.010
0.010
mg/L NO
10
Zinc
0.011
0.005
mg/L 0.012
3
10
Duplicate (KL92304-DUP3)
Source: K91.0337-01
Prepared & Analyzed: 12/1912019
Lead
<0.010
0.010
mg/L NO
10
Zinc
0.017
0.005
mg/L 0.017
0.9
10
Matrix Spike (KL92104-MS1)
Source: K91-0266-01
Prepared &Analyzed: 12/1912019
Lead
0.233
0.010
m /L 0.250 NO 93
70-130
Zinc
0.288
0.005
mg/L 0.250 0.064 90
70-130
C'trix Spike (KL92304-MS2)
Source_ K9L0336-02
& Analyzed: 1211912019
_
_ead
_
0.233
0.010
_Prepared
mg1L 0.250 NO 93
70-130
Zinc
0.256
0.005
mg/L 0.250 0.012 98
70-130
Matrix Spike (KL92304.MS3)
Source: K91-0337-01
Prepared & Analyzed: 12/19/2019
Lead
0.223
0.010
mg/L 0.250 ND 89
70-130
Zinc
0.295
0.005
mg/L 0.250 0.017 ill
70-130
Matrix Spike Dup (KL92304-MSD1)
Source: K91-0255-01
Prepared & Analyzed: 12/19/2019
Lead
0.232
0.010
mg/L 0.250 NO 93
70-130
0.4
30
Zinc
0.292
0.005
mg/L 0.250 0.064 91
70-130
1
30
Matrix Spike Dup (KL92304-MSD2)
Source: K9L0336-02
Prepared & Analyzed: 1211912019
Lead
0.238
0.010
mg/L 0.250 ND 95
70-130
2
30
Zinc
0.261
0.005
mg/L 0.250 0.012 100
70-130
2
30
Matrix Spike Dup_(KL92304-MSD3)_
Source: 1<91.0337-01
Prepared & Analyzed: 12/19/2019
`lead
0.233
_
0.010
mg/L 0.250 NO 93
70-130
5
30
Zinc
0.258
0.005
mg/L 0.250 0.017 96
70-130
13
30
Reference (1<1-92304SRM1)
Prepared & Analyzed: 12/19/2019
Lead
1.91
0.020
mg/L 2.00 96
95105
Zinc
1.93
0.010
mg/L 2.00 96
95-105
i
Batch Quality Control Summary: Microbac Laboratories Inc., - Marietta, OH
i
Spike Source %REC RPD
jotal Metals - ICP Result RL Units Level Result %REC Limits RPD Limit Notes
atch B91-1169 - 200.7 - EPA 200.7, Rv. 4.4
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com F Page 5 of 8

(�>MICROBAC
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0267
Spike
Source
%REC
RPD
Total Metals - ICP Result
RL Units Level
Result %REC
Limits
RPD Limit Notes
Batch 89L1169 - 200.7 - EPA 200.7, Rv. 4.4
Blank (89L1169-BLK1)
Prepared & Analyzed:
12/19/2019
Copper
<0.00800
0.00800
mg/L
LCS (B91-1169-BS1)
Prepared & Analyzed:
1211912019
Copper
0.256
0.00800
mg/L 0.250
102
85-115
Duplicate (139L1169-DUP1)
Source:
M91-1182-01
Prepared & Analyzed:
12/19/2019
Copper
<0.00800-
0.00800
mg/L
ND
20
Matrix Spike (B9L1169-MS1)
Source:
M91-1182-01
Prepared & Analyzed:
1211912019
Copper
0.262
0.00800
mg/L 0.250
ND 105
70-130
Matrix Spike (139L1169-MS2)
Source:
M9L1189-01
Prepared & Analyzed:
12/19/2019
Copper
0.257
0.00800
mg/L 0.250
ND 103
70-130
Post Spike(B9L1169-PS1)
Source:
M91-1182-02
Prepared & Analyzed:
12/19/2019
Copper
— 0.254 - -
mg/L 0.250 0.00124
101
75-125
Microbac Laboratories, Inc.
2592 Hope Mills Rd i Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 6 of 8

�MICROBAC'
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0267
'IDefinitions
H: Analyze was prepared and/or analyzed outside of the analytical method holding time
mglL: Milligrams per Liter
RL: Reporting Limit
RPD: Relative Percent Difference
S.U.: Standard Units
Y: This analyle is not on the laboratory's current scope of accreditation.
Cooler Receipt Log
Cooler ID: Default Cooler Temp:
6.1"C
I,
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
j COC includes customer information?
Yes
Relinquished and received signature on COC?
Yes
Sample collector identified on COC?
Yes
Sample type identified on COC?
Yes
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
/ �I, VOA vials have zero headspace, or not reod.?
Yes
Project Requested Certification(s)
i Microbac Laboratories Inc., - Marietta, OH
583
NC
Dept. of the Environment and Natural Resources
b Microbac Laboratories, Inc. - Fayetteville
11
North Carolina DENR NPDES
Report Comments
I
Samples were received in proper condition and the reported results conform to
applicable accreditation standard unless otherwise noted.
The data and information on this, and other accompanying documents, represents
only the sample(s) analyzed. This report is incomplete unless all pages indicated
in the footnote are present and an authorized signature is included.
U
Reviewed and Approved By:
Brittany Smith
Administration
Reported: 12/25/2019 23:52
Microbac Laboratories, Inc.
2692 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 7 of 8

OMICR06AC
Lab Report Address
Client Name: �m
Address:
City, State, Zip: CQ.LVvxft(,/
Contact:
Telephone No.: .Q Sc;?.-3 `{ (
Send Report via: [ ] Mail [ I Fax
Project j7Z`,R-WL WAT
Microbac-Fayetteville SHORT HOLDS ACCEPTED MONDAY. THURSDAY U"L 1600
Faye Hope , ifeNC 83 CHAIN OF CUSTODY RECORD
Fayetteville, NC 2B3g6
Number
Invoice Address
Client Name:
Adtlress:—�
State, Zip:
Invoice via:
Mslmcdons on back
Turnaround Time TO BE COMPLETED BYMICROBAC
Routine (5 to 7 business days) Temp. Upon Receipt (°C) .J O LThe" IO
[] RUSH- (notify lab) Holding Time
(needed by) Samples Received on Ice? Yes No NIA
Report Type Custody Seals Intact? Yes No WA
Results Only [ ) Level 1 [ [ Level 2 [ ] Levela [ ) Level 4 [ ] EDD
( I Mail [ )Fax X.-mail er'.
Sampled by (PRINT): Sampler Signature No_ -2 `ho
y Sampler Phone c— Z> Y
Matrix Types: Soil/Solid (S), Sludge. 011, Wipe. Drinking Water (D -. GmundvreterGW), Surface Water (SW), Waste Water (W W), Other (specify)
•• Preservative Types: (1) HNO3, (2) H2SO4. 13) MCI, (4) Na0H, (5) Zinc Acetate, (6) Methanol, (7) Sodium Bisulfate, (8) Sodium Thiosulfate, (9) Hexane, (U) Unpreserveo
``III`K91 L026{I7* lflpl
�MF
Client Sample ID
ital:311 111111;;;
/�■1��■��<�G�O®■■MEN
lei■■■■■■■■■
WAM■
iER■■,■0RE0■R—■■MIME
■■6i■■■■■■■■■
MEN
MENOMMINSIMMIN
���■�■■�■■■■■■■■■■■■■■■
�■■i■■■■■�■�■■■■■■■■■■■■■■■■■■

1
)MICROBAC°
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0268
Project Description
I;
Stormwater Sample - Mthly, Outfall 2
For:
Ms. Pam Savage
DENSO Manufacturing NC
1125 Sugg Parkway
,. Greenville, NC 27834
Administration
Brittany Smith
Wednesday, December 25, 2019
I
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. Analytical results are
reported on a'as received' basis unless specified otherwise. Analytical results for solids with units ending in (dry) are reported
on a dry weight basis. 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.
'I Microbac Laboratories, Inc.
lip 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.11920 p I www.microbac.com
Page 1 of 8

(!�iNiICROBA+C`
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0268
DENSO Manufacturing NC
Project Name: Stormwater Sample - Mthly, Outfall
Ms. Pam Savage
2
Project / PO Number: N/A
1125 Sugg Parkway
Received: 12/13/2019
Greenville, NC 27834
Reported: 12/25/2019
Sample Summary Report
Sample Name
OF #2, grab
Laboratory ID Client Matrix Sample Type Sample Begin Sample Taken Lab Received
K91-0268-01 Stormwater Grab 12/11/19 14:20 12/13/19 10:06
Page 2 of 8

6)MICROBAC`0.'
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0268
Analytical Testing Parameters
Client Sample ID: OF #2, grab
Sample Matrix: Stormwater Collected By: Savage
Lab Sample ID: KgL0268-01 Collection Date: 12/11/2019 14:20
Wet Chemistry Result RL Units Dilution Note Prenared Analvzed Analvst
EPA 1664 Rev. B
Oil B Grease (SGT-HEM)
<5.00
5.00
mg/L
1
Al2
12/17/19 1102
TOM
ISM 2640 0.2011
r
Total Suspended Solids
<4.17
4.17
mg/L
1
12/16/19 1231
CLB
SM 4600 H+B-2011
(pH at 25 `C
7.0
1.0
S.U.
1
H
12/16/19 1551
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
12/19/19 1635
12/19/19 1635
TOM
Zinc
0.024
0.005
mg/L
1
12/19/19 1635
12/19/19 1635
TOM
(/
Analyses Subcontracted
to: Microbac Laboratories Inc., -Marietta, OH
Total Metals -ICP
Result
RL
Units
0llution
Note
Prepared
Analyzed
Analyst
EPA 200.7, Rv. 4.4
Copper
<0.00800
0.00800
mg/L
1
y
12/19/19 0701
12/19/19 1949
LSJ
II
Microbac Laboratories, Inc.
2692 Hope Mills Rd i Fayetteville, NC 28306 1910.864.1920 p I w .microbac.com Page 3 of 8

(WMICROBAC"
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0268
Batch Quality Control Summary: Microbac Laboratories, Inc. - Fayetteville
Wet Chemistry
Batch KL91621 - Wet Chem
Blank(KL91621-BLK1)
Total Suspended Solids
Blank (KL91621-BLK2)
Total Suspended Solids
Blank (KL91621-BLK3)
Total Suspended Solids
Blank(KL91621-BLK4)
Total Suspended Solids
LCS (KL91621-BSI)
Total Suspended Solids
Duplicate (KL91621-DUPl)
Total Suspended Solids
Duplicate (KL91621-DUP2)
Total Suspended Solids
Batch KL91931 - Wet Chem
Blank (KL91931-BLK1)
Oil & Grease (SGT-HEM)
LCS(KL91931-BS1)
Oil & Grease (SGT-HEM)
Matrix Spike (KL91931-MS1)
Oil & Grease (SGT-HEM)
Metals
Batch KL92304 - Metals
Blank(KL92304-BLK1)
Lead
Zinc
LCS(KL92304-BSI)
Lead
Zinc
LCS (KL92304.BS2)
Lead
Zinc
LCS (KL92304-BS3)
Lead
Zinc
LCS (KL92304-BS4)
Result RL
SM 2540 D-2011
<2.50 2.50
<2.50 2.50
<2.50 2.50
<2.50 2.50
33.0 2.50
Source: K91-0246-01
142 2.50
Source: K91-0260-01
78.0 2.50
- EPA 1664 Rev. B
Spike Source %REC RPD
Units Level Result %REC Limits RPD Limit Notes
Prepared & Analyzed: 12/16/2019
mg/L
Prepared & Analyzed: 12/16/2019
mg/L
Prepared & Analyzed: 12/16/2019
mg/L
Prepared & Analyzed: 12/16/2019
mg/L
Prepared & Analyzed: 12/16/2019
mg/L 34.2 96 94.5-105.4
Prepared & Analyzed: 12/16/2019
mg/L 146
Prepared & Analyzed: 12/16/2019
mg/L 81.0
Prepared & Analyzed: 12/17/2019
<5.00
5.00
mg/L
Prepared & Analyzed: 12/1712019
19.7
5.00
mg/1- 20.4 97
64-116
Source: K9L0268-01
Prepared & Analyzed: 1211712019
10.6
5.00
mg/L 19.9 ND 53
64-132
Spike Source
%REC
Result
RL
Units Level Result %REC
Limits
Sous - EPA 200.7 Rev 4.4 1994
Prepared & Analyzed: 12/19/2019
<0.020
0.020
mglL
<0.010
0.010
mglL
Prepared & Analyzed: 12/19/2019
0.249
0.020
mg/L 0.250 100
85-115
0.260
0.010
mg/L 0.250 104
85-115
Prepared & Analyzed: 12/19/2019
0.249
0.020
mg/L 0.250 100
85-115
0.257
0.010
mg/L 0.250 103
85-115
Prepared & Analyzed: 12/19/2019
0.264
0.020
mg/L 0.250 105
85-115
0.275
0.010
mg/1- 0.250 110
85-115
Prepared & Analyzed: 12/19/2019
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306
1910.864.1920 p I www.microbac.com
3 10
4 10
RPD
RPD Limit Notes
Page 4 of 8

VMICROBAC"
'. Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0268
Spike Source %REC RPD
Metals Result RL Units Level Result %REC Limits RPD Limit Notes
Batch KL92304 - Metals Aqueous - EPA 200.7 Rev 4.4 1994
LCS (KL92304-BS4)
Prepared & Analyzed: 12/19/2019
Lead
0.255
0.020
mg/L
0.250 102
85-115
Zinc
0.265
0.010
mg/L
0.250 106
85-115
Duplicate (KL92304-DUP1)
_ ----------
Source:
K9L0265_-01
Prepared
&Analyzed: 12/19/2019
I'ead
i
<0.010
-
---0.010
mg/L
ND ---------_10_.__...---
Duplicate (KL92304-0UP2)
Source
_K9L0336-02 _
Prepared
&Malyzed_12/19/2019
Lead
<0.010
0.010
mg/L
ND
10
Zinc
0.011
0.005
mg/L
0.012
3
10
Duplicate (KL92304-DUP3)
Source:
K91.0337-01
Prepared
&Analyzed: 12/19/2019
Lead
<0.010
0.010
mg/L
ND
10
Zinc
0.017
0.005
mg/L
0.017
0.9
10
Matrix Spike (KL92304-MS1)
Source:
K9L0255-01
Prepared
& Analyzed: 12119/2019
Lead
0.233
0.010
mg/L
0.250 ND 93
70-130
Zinc
0.288
0.005
mg/L
0.250 0.064 90
70-130
Matrix Spike (KL92304-MS2)
Source:
K91.0336-02
Prepared
&Analyzed: 12/19/2019
Lead
0.233
0.010
mg/L
0.250 ND 93
70-130
zinc
0.256
0.005
mg/L
0.250 0.012 98
70-130
( _etrix Spike (KL92304.14S3) _
Source:
K91-0337-01
Prepared
&Analyzed: 12/19/2019
Lead
0.223
0.010
mg/L
0.250 ND 89
70-130
Zinc
0.295
0.005
mg/L
0.250 0.017 111
70-130
Matrix Spike Dup (KL92304-MSD1)
Source:
K9L0255-01
Prepared
& Analyzed: 12119/2019
.-.._.___..___._____-__
Lead
0.232
0.010
mg/L
0.250 ND 93
70-130
0.4
30
Zinc
0.292
0.005
mg/L
0.250 0.064 91
70-130
1
30
Matrix Spike Dup (KL92304-MSD2)
Source:
K91-0336-02
Prepared
&Analyzed: 12/19/2019
Lead
0.238
0.010
mg/L
0.250 ND 95
70-130
2
30
Zinc
0.261
0.005
mg/L
0.250 0.012 100
70-130
2
30
Matrix Spike Dup (KL92304-MSD3)
Source:
K91-0337-01
Prepared
& Analyzed: 12/19/2019
Lead
0.233
0.010
mg/L
0.250 ND 93
70-130
5
30
Zinc -
0.258
0.005
mg/L
0.250 - 0.017 96
70-130
13
30
Reference (KL92304SRM1)
Prepared
& Analyzed: 12/19/2019
Lead
1.91
0.020
mg/L
2.00 96
95-105
Zinc
1.93
0.010
mglL
2.00 96
95-105
Batch Quality Control Summary: Microbac Laboratories Inc., - Marietta, OH
Spike Source %REC RPD
Total Metals - ICP Result RL Units Level Result %REC Limits RPD Limit Notes
Batch B91_1169 - 200.7 - EPA 200.7, Rv. 4.4
ink (B9L1169-BLKt)_ .__ Prepared & Analyzed_ 12/19/2019
'Copper <0.00800 0.00800 mg/L
Microbac Laboratories, Inc.
2692 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 5 Of 8
rt

(�)MICROBAC'
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0268
Spike
Source
%REC RPD
Total Metals - ICP Result
RL Units Level
Result % REC
Limits RPD Limit Notes
Batch 1391-1169 - 200.7 - EPA 200.7, Rv. 4.4
LCS (B91-1169-BS1)
Prepared & Analyzed:
12/19/2019
Copper
0.256
0.00800
mg/L 0.250
102
85-115
Duplicate (891-1169-DUP1)
Source:
M91-1182-01
Prepared & Analyzed:
12/19/2019
Copper
<0.00800
0,00800
mg/L
ND
20
Matrix Spike (B91-1169-NISI)
Source:
M91-1182-01
Prepared & Analyzed:
1211912019
Copper
0.262
0.00800
mg/L 0.250
ND 105
70-130
Matrix Spike (B91-1169-MS2)
Source:
M91-1189-01
Prepared & Analyzed:
12/19/2019
Copper
0.257
0.00800
mg/L 0.250
ND 103
70-130
Post Spike (B91-1169-PS1)
Source:
M91-1182-02
Prepared & Analyzed:
12/19/2019
Copper
0.254
mg/L 0.250 0.00124
101
75-125
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.conn F Page 6 of 8

(WMICROBAC"
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0268
Definitions
Al2:
MS/MSD fail recovery, but the 1-CS passes criteria.
�I
H:
Anatyle was prepared and/or analyzed outside of the analytical method holding time
mg/L:
Milligrams per Liter
RL:
Reporting Limit
'j
RPD:
Relative Percent Difference
�I
S.U.:
Standard Units
Y:
This analyte is not on the laboratory's current scope of accreditation.
Receipt Log
Cooler ID: Default Cooler Temp: 6.1°C
Inspection Checklist
Ice Present or not required?
Yes
Shipping containers sealed or not required?
Yes
II
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
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 8 Time?)
Yes
Samples arrived within hold lime?
Yes
Correct preservatives on COC or not required?
Yes
Chemical preservations checked or not required?
(
Yes
Preservation checks meet method requirements?
Yes
I. VOA vials have zero headspace, or not reod.?
Yes
i
Project Requested Certification(s)
Microbac Laboratories Inc., - Marietta, OH
583
NC Dept. of the Environment and Natural Resources
Microbac Laboratories, Inc. - Fayetteville
'I 11
North Carolina DENR NPDES
m
Report Comments
i
Samples were received in proper condition and the reported results conform to
applicable accreditation standard unless otherwise noted.
The data and information on this, and other accompanying documents, represents
only the sample(s) analyzed. This report is incomplete unless all pages indicated
1 in the footnote are present and an authorized signature is included.
Reviewed and Approved By:
Brittany Smith
Administration
Reported: 12/25/2019 23:51
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com F Page 7 of 8

6)MICROBAC
Lab Report Address
Client Name:
Address:
City, State, Z(�ip:,,�. S`P1LS'LJL `
Contact 'P LhxA' .�Y.LA�jIL
Telephone No.:
Send Report via: [ ) Mail ( ] Fax
Project: ,-5-pQ,WLW.6,-1
SHORT HOLDS ACCEPTED MONDAY- THURSDAY UNTIL 1600
CHAIN OF CUSTODY RECORD
Number
Instructions on back
Turnaround Time TO BE COMPLETED BY MICROBAC
c7G-�V✓�Y. XRoutine (5 to 7 business days) Temp. Upon Receipt (°C) �g !Them ID
[J RUSH" (notify lab) Holding Time
(needed by) Samples Received on Ice? Yes No N/A
Report Type Custody Seals intact? Yes No WA
Results Only [�,,""�J�//Level 1 [ ] Level [ ] Levels [ ] Level 4 [ ] EDD
lend Iwo].. via: [ ]Mail [) Fex `yeynail 12:cL ye:z 6D
PO No.: �— ,, \\ Compliance Monitoring? Yes [ ] No ' r Agent/Prag2m
Sampled by [PRINT): is Sampler Signature Sampler Phone No.:-2 �-6LA
- Matrix Types: SoiVSolid (S), Sludge. Oil, Wipe, Drinking Water D Gmund—ter GW), Surface Water (SW), Waste Water (WW), Other (specify)
Preservative Types[ (1) HNO3. (2) H2SO4. (3) HCI. (4) NaCH, (5) Zinc Acetate. (5) McLhanol. (7) Sodium 6isul/ate. (8) Sodium Thlosulfale, (9) Hexane, W) Unpreserved
Miambac-Fayetteville
2592 Hope Mills Rd.
Fayetteville, NC 29306
Invoice Address
Q����iV— Client Name:
Address:
-'1
l'3�Ity, State, Zip:
rs�, eaG--tact:
Telephone No.:
Location: tali I' r—
k9<0 8
NOWUMMUMMMUMMMI
MINE
MUMiNEMEM
IMEMENME
■�n���n���n
mum
M
MEMEMMMUmMEMMM
0
MMMMMM��
r��►�va►,�.��7r�©ME�t�un����n�
i
MOMMIMsIM
0������������

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2-015 CEwED
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or JAN p 8 ZZ
Certificate of Coverage (COC) No. NCGUMMKO© L FILES
GENTRA CjIODI
This monitoring report summary of the calendar year should be kept on file on -site wri r hAaccVity SPPP.
Facility Name: t7 1?AA-n)U_Fr C_--tV 4nl G /�oQTlk C+t-)O-I rJA 1A30-- CGrelLnvi((z ���)
County: AI
Phone Number: 7S14- IovO�esc!*-vs,31�0(o Total no. of SDOs monitored
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes 9 No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes( No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Parameter, (units)
Total
Rainfall,
inches
n (} ���
G
S
�G
C6we'rL
(I
l--e6j
Benchmark
N/A
- q
I00 mlr L
I
D.01 D L
O,o iS"5
O" I zto
1 ^ 3 L
Date Sample
Collected,
mm/dd/yy
■-��=--_-
<O.00Soo
Lo•oos
0.a7a-
oa II hel
0 29 It
No
LvJ_
A Q
DY 09
b.3
1?.8-0
00
o.00iv
<o.ovS
D.a`74
LO
ob zr
P o
D
Ltu
I,oi,J
07 a3 71 q
OD
-LVW
- - -- -- -- ---_-==-SWU-264=Generic-13Dec2012 -
ti

r'rA
Additional Out -fall Attachment
Outfall No. I
Is this outfall currently in Tier 2 (monitored monthly)? Yes No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
----------
----------
----------
----------
----------
----------
----------
1yU-264-Generic-13Dec2012

Facility Name
: �-
County: r+
Phone Number:
Individual NPDES Permit No.
Certificate of Coverage (COC) No.
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year .ZO1 c
or
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
6re,0_Avt,l(e -PLIZ)
FACT JCi rJ (..
a
- ) CEO p s is v 3 (o 0 (o Total no. of SDOs monitored
Outfall No. 2
Is this outfall currently in Tier 2 (monitored monthly)? Yes No ❑
Was this outfall ever In Tier 2 (monitored monthly) during the past year? Yes 9 No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ Nok
Par ameter,. (units): 4
Total
/l
I_2C�
Rainfall,.
dlNL
p
I C7
inches
s
Benchmark
N/A
100 r-OJ L-
l S tv,,� L-
D.Ol0 WS L-
o . 0 j5
0.126
late
Sample`_
collected,
M
*
mm/dd/yy
D fl I
(or]
LS•'O
[fLOosoo
/-0.005
o.o?Do
f,
No
6vZ
S
< .00
L
<o•cwsvo
/- o-ooS
D.oa
z o
tJ
P
to a
N D
l ch 1
2S�A I A: I.n
n1 a3 1
I
-
-- - — D 'SWU-264-Generic-13ec2012

Additional Outfall Attachment
Outfall No. Z
Is this outfall currently in Tier 2 (monitored monthly)? Yes No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total
Rainfall,
Inches.
Parameter,
-(units) .
�tfl D�
IJS
��G 3
�Op�Q(�
;�2Gal�J�
T(_D.
Benchmark
N/A
t C)n `" L
Sr S L
O•L-40L
O.0q(
O, taCP-5 L
j L
Date Sample
Collected,
mm/dd/YY�,,.
�a_
`s, ' `
(r� . �.�sn . �
a�n-
ems•
x�x
.A�»* l..
� .:-�.
i9.
a
0819
D16111
fo•s
ts.33
45--60
a.00b
40,ol0
0 130
Oq 0
&,G'
-11
LS •OD
-e-,0.0 0o
G0.010
D, Ol8
o 1 n 19
v, o
s
(R-
0—CV,
r7. 1
G , t
/.S•00
40,0088U
LO.Ofo
D. OOq
IZ
D.S"
r1. 0
G �I. 1�
LS.Oc�
GO,00�00
<o.0\a
D Oa`t
SWU-264-Generic-13Dec2012

" 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."
I
Signature \ J/o�.rJl
Date 2 t l&—, ZJQZo
For questions, contact your local Regional Office:
DWO Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
FAYETTEVILLE REGIONAL OFFICE
MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
iWASHINGTON REGIONAL OFFICE
iWILMINGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON-SALEM REGIONAL OFFICE
CENTRAL OFFICE
1617 Mail Service Center
'To preserve, protect
585 Waughtown Street
Winston-Salem, NC 27107
Raleigh, NC 27699-1617
and enhance
140
[phone]
[phone]
North Carolina's water.."
SW U-264-Generic-13Dec2012