NCG030531_MONITORING INFO_20200110

/ 'vl 4
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v
DOC TYPE
❑ HISTORICAL FILE
❑MONITORING REPORTS
DOC DATE
❑ ��� U
YYYYM M DD

DOC TYPE 1 ❑ HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE ❑
YYYYMMDD

KINGS �� m
Ill NVW9IANAVIr3NAL
1755 S. Battleground Avenue, Kings Mountain, NC 28086 USA
Tel: [phone] • Fax: [phone] m www.kmiinc.net • email: [e-mail]
December 31, 2019
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
�Fr,F4�1�D
3AN I 0 2az
CDE,ISECTJ(Ds
Re: Request for Metals Exemption and Submission of December 2019 Semi -Annual Stormwater
Discharge Monitoring Report Kings Mountain International, Inc.
General Permit NCG030000 - Certificate of Coverage NCG030531
Dear Stormwater Permitting Unit:
Attached please find one original and one copy of the Stormwater Discharge Monitoring Report for Kings
Mountain International, Inc., under General Permit number NCG030000. This submission is for
stormwater discharge sampling performed during the Tier 3 sample collected for the month of December
2019.
Kings Mountain International, Inc. elects to employ the TTO sampling waiver. In compliance with the
waiver, we provide the following signed certification statement on this discharge monitoring report.
"Based on 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 leak, spill, or dumping of concentrated toxic organics into the stormwater or onto areas which
are exposed to rainfall or stormwater runoff has occurred since the filing of the last discharge monitoring
report. 1 further certify that this facility is implementing all the provisions of the Solvent Management Plan
included in the Stormwater Pollution Prevention Plan."
If you have any questions regarding this Stormwater Discharge Outfall (SDO) Monitoring Report, please
contact me at your convenience.
Sincerely,
President of Operations
International, Inc.
Enclosures: Stormwater Discharge Monitoring Report, Qualitative Monitoring, Pace Analytical Report

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 12/31/19
CERTIFICATE OF COVERAGE NO. NCG030000
FACILITY NAME Kings Mountain Internaional, Inc.
COUNTY Cleveland
PERSON COLLECTING SAMPLES Bob Jafarkhani
LABORATORY Pace Labs Lab Cert. # 12 & 40 Comments on
sample collection or analysis: Don Jones
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly'
DISCHARGING TO CLASS
❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply _]SA
®Other Stormwater
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
71 No dischoroe this period?2
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
Organicss
Benchmarks ===>
-
-
100 mg/L or 50 mg/O
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
5DO #00S
12/17/19
1.5"
ND
6.9
.0031J
ND
.043
1.6J
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceeciance for the same parameter at the same ouiraii.
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 fora waiver of the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 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), 1 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."
_bON /}-L ,O
Name (Print name)
(Signatu
v�✓�s
,.9.3 I.
(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 1, 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?'
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 10/2S/2012
Page 2 of 3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
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: Zahid Khan
Mail an oriainal and one 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."
is
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

1
EXTE
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://de(i.nc.gov/about/divisions/energy-mineral-lancl-
resources /energy-minera l-la nd- perm its /stonnwater- permits/ npdes- industria l-sw#tab-4
Permit No.: N/C/ G/ 0/ 3/ 0/ 0/ 0/ 0/ or Certificate of Coverage No.:
Facility Name: Kings Mountain International, Inc
County: Cleveland Phone No. 704-739-4227
Inspector:
i Date of Inspection: 1� / 17 Z I �
Time of Inspection:? • 3d Q • m
q
u
Total Event Precipitation (inches):
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 permittee 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 DEMLR Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
re of Permittee or Designee)
1. Outfall Description:
Outfall No. 005 Structure (pipe, ditch, etc.): Ditch
Receiving Stream:
Describe the industr1al activitiesthat oc r within the outfall drainage area:
Pagel of 2
SWU-242, Last modified 07/28/2017

2. Color: Describe the color of the
(light, medium, dark) as descriptors: L
arge 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.): AL as -e-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
2 3 4 5
S. 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:
CI 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:
1 3 4 5
7. Is there any foam in the stormwater discharge? O Yes KNo.
p 8. Is there an oil sheen in the stormwater discharge? O Yes jot No.
id 9. Is there evidence of erosion or deposition at the outfall? O Yes $NO.
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
1 SWU-242, Last modified 07/28/2017

ace Analytical
www.pacNaba.com
December 27, 2019
Donna Goins
Kings Mountain International
1755 S Battleground Ave
Kings Mountain, NC 28086
RE: Project: KMI Stormwater
Pace Project No.: 92458013
Dear Donna Goins:
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntemville, NC 28078
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on December 18, 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.
A revised report is being submitted on 12/27/19 to include an additional comment about the sample
ID, per client request.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Taylor Ezell
[e-mail]
[phone]
Project Manager
Enclosures
cc: Mr Ivan Cooper, Kings Mountain International
Don Jones, Kings Mountain International
Ryan Wagenknight
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, I.L.C.
Page 1 of 13

0
aceAnalytical
wr .pccdeEs.com
[*IA11yR7_vli[Q161
Project: KMI Stormwater
Pace Project No.: 92458013
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville. NC 28078
[phone]
Pace Analytical Services Charlotte
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
South Carolina Certification #: 99006001
LouisianalNELAP Certification # LA170028
FlondalNELAP Certification #: E87627
North Carolina Drinking Water Certification #: 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification #: 5342
Virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification #: 12
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Flonda1NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
Virginia/VELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 13

e
lace Analytical
wwx.pacelaWcam
Project: KMI Stormwaler
Pace Project No.: 92458013
Lab ID Sample ID
92458013001 SDO #005
SAMPLE SUMMARY
Matrix Date Collected Date Received
Water 12/17/19 07:30 12/18/19 10:20
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 3 of 13

Pace Analytical Services, LLC
laceAnalyticale 9800 KinceyAve. Suite 100
Huntersville, NC 28078078
ww pacelebs.com [phone]
SAMPLE ANALYTE COUNT
Project:
Pace Project No.:
KMI Stormwater
92458013
Analyses
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92458013001
SDO #005
EPA 1664B
HH
1
PASI-C
EPA 200.7 Rev 4.4 1994
DS
3
PASI-A
SM 254OD-2011
CJL
1
PASI-A
REPORT OF LABORATORY ANALYSIS
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without the written consent of Pace Analytical Services, LLC. Page 4 of 13

ace Analytical
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ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: KMI Stormwater
Pace Project No.: 92458013
Sample: SOO #005 Lab ID: 92458013001 Collected: 12/17/19 07:30 Received: 12/18/19 10:20 Matrix: Water
Report
Parameters Results Units Limit MDL OF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664E
Initial VolumefWeight: 1000 mL Final VolumefWeight: 1 mL
Oil and Grease
1.6J mg/L 5.0 1.3 1
12/26/19 07:29
200.7 MET ICP
Analytical Method: EPA 200.7 Rev 4.4 1994 Preparation Method: EPA 200.7 Rev 4.4 1994
Initial Volume/Weight: 15 mL Final Volume/Weight 15 mL
Copper
0.0031J mg/L 0.0050 0.0021 1 12/20/1902:02
12/23/1917:15 7440-50-8
Lead
NO mg/L 0.0050 0.0016 1 12/20/1902:02
12/2311917:15 7439-92-1
Zinc
0.043 mg/L 0.010 0.0039 1 12/20/1902:02
12/23/1917:15 7440-66-6
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Initial Volume/Weight: 1000 mL Final Volume/Weight: 1000 mL
Total Suspended Solids
NO mg/L 2.5 2.5 1
12/23/19 18:06
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in Full,
Date: 12/2712019 03:36 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 13

ace Analytical
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QUALITY CONTROL DATA
Project: KMI Stormwater
Pace Project No.: 92458013
QC Batch: 516669 Analysis Method: EPA 1664E
OC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease
Associated Lab Samples: 92458013001
METHOD BLANK: 2768017 Matrix: Water
Associated Lab Samples: 92458013001
Blank Reporting
Parameter Units Result Limit MDL Analyzed
Oil and Grease mg/L ND 5.0 1.3 12/26/19 07:24
LABORATORY CONTROL SAMPLE:
2768018
Parameter
I
Units
Oil and Grease
mg/L
MATRIX SPIKE SAMPLE:
2768019
Parameter
Units
Oil and Grease
mg/L
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Qualifiers
Spike LCS LCS % Rec
Conc. Result %Rec Limits Qualifiers
40 37.1 93 78-114
92457268001 Spike ME MS %Rec
Result Conc. Result %Rec Limits Qualifiers
NO 40 38.3 90 78-114
Results presented on this page are In the units Indicated by the "Uhns" column exceptwhere an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/27/2019 03:36 PM without the written consent of Pace Analytical Services, LLC.
Page 6 of 13

(�IaceAnalytical'
www.paelebs.com
QUALITY CONTROL DATA
Project: KMI Stormwater
Pace Project No.: 92458013
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QC Batch: 515915
Analysis Method: EPA 200.7 Rev 4.4 1994
QC Batch Method: EPA 200.7 Rev 4.4 1994
Analysis Description: 200.7 MET
Associated Lab Samples: 92458013001
METHOD BLANK: 2764607
Matrix: Water
Associated Lab Samples: 92458013001
Blank Reporting
Parameter
Units
Result Limit MDL
Analyzed Qualifiers
Copper
mg/L
ND 0.0050 0.0021
12/23/1915:56
Lead
mg/L
ND 0.0050 0.0016
12/23/1915:56
Zinc
mg/L
ND 0.010 0.0039
12/23/1915:56
LABORATORY CONTROL SAMPLE:
2764608
Spike
LCS LCS e/ Rec
Parameter
Units
Conc.
Result % Rec Limits Qualifiers
Copper
mg/L
0.5
0.49 99 85-115
Lead
mg/L
0.5
0.49 97 85-115
Zinc
mg/L
0.5
0.46 92 85-115
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2764609
2764610
MS
MSD
92457138001
Spike
Spike
MS
MSD
MS
MSD
e/ Rec
Max
Parameter
Units
Result
Conc.
Conc.
Result
Result
% Rec
e/ Rec
Limits
RPD RPD Qual
Copper
mg/L
15.6 ug/L
0.5
0.5
0.54
0.53
104
104
70-130
0 20
Lead
mg/L
NO
0.5
0.5
0.49
0.49
98
97
70-130
1 20
Zinc
mg/L
29.1 ug/L
0.5
0.5
0.51
0.51
96
96
70-130
0 20
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2764611
MS
92457857003 Spike
Parameter Units Result Conc.
Copper mg/L ND 0.5
Lead mg/L ND 0.5
Zinc mg/L 15.9 ug/L 0.5
2764612
MSD
Spike
MS
MSD
MS
MSD
% Rec
Max
Conc.
Result
Result
%Rec
%Rec
Limits
RPD
RPD Qual
0.5
0.52
0.52
104
104
70-130
0
20
0.5
0.51
0.51
101
101
70-130
0
20
0.5
0.50
0.50
98
98
70-130
0
20
Results presented on this page are In the units Indicated by the "Units' column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/27/2019 03:36 PM without the written consent of Pace Analytical Services, LLC,
Page 7 of 13

(�IaceAnalytical'
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QUALITY CONTROL DATA
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: KMI Stormwater
Pace Project No.: 92458013
OC Batch: 516468
Analysis Method:
SM 254OD-2011
OC Batch Method: SM 2540D-2011
Analysis Description:
25400 Total Suspended Solids
Associated Lab Samples: 92458013001
METHOD BLANK: 2767250
Matrix: Water
Associated Lab Samples: 92458013001
Blank Reporting
Parameter
Units
Result Limit
MDL Analyzed Qualifiers
Total Suspended Solids
mg/L
ND
2.5 2.5 12/23/19 17:59
LABORATORY CONTROL SAMPLE: 2767251
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
251 244
97 90-110
SAMPLE DUPLICATE: 2767252
92457943001 Cup
Max
Parameter
Units
Result Result
RPD RPD Qualifiers
Total Suspended Solids
mg/L
9.7
ND 25
SAMPLE DUPLICATE: 2767253
92457944002 Dup
Max
Parameter
Units
Result Result
RPD RPD Qualifiers
Total Suspended Solids
mg/L
92.9
89.3 4 25
Results presented on this page are In the units Indicated by the 'units' column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/27/2019 03:36 PM without the written consent of Pace Analytical Services, L-C. Page 8 of 13

laceAnalytical
www.bacelabi
QUALIFIERS
Project: KMI Stonnwater
Pace Project No.: 92458013
DEFINITIONS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
NO - 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.
POL- Practical Ouantitation 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(0) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
OUP - 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
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/27/2019 03:36 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 13

ace Analytical
www.0acelabs.cam
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: KMI Stormwaler
Pace Project No.: 92458013
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method Batch
92458013001
SDO #005
EPA 1664E
516669
92458013001
SDO #005
EPA 200.7 Rev 4.4 1994
515915
EPA 200.7 Rev 4.4 1994 515943
92458013001
SDO #005
SM 2540D-2011
516468
Date: 12/27/2019 03:36 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproducer, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 10 of 13

"Nument'Name:
Document Revised: February 7, 2018
�m Ie CandllU on Recel IsCUR''
Page oft
OocumentNo.:
Issuing Autltortty:
dCb/(!l86�Ifa/e
F-GIR-CS-03ga1ev.06
Pace Grollnas Ouallty Office
Laboratory recelving samples:
Asheville ❑ Eden[] Greenwood ❑ Hunters vllla Raleigh❑ MachanlcsvllleD
Courier: ❑Fc
❑ Commercial
Custody. Seal Present? ❑yes
No Sealslnlaet?
Pstejlaleds Posen, Examining
Peeking Material: [-]Bubble Wrap ubble Bags ❑None ❑ -0tker ° Biological Tissue Froten?
❑Yes., ❑No�]N%A
Thermometer:,-
Gun 10: 9=58 TYPa pile. et []BlueONdnt
Cooler Temp ('Cj: ;� - Y Correction Factor: Add/Subtrut CC) 0.0T -
/I Temp should be above freezing to 6'C
Cooler Temp Corrected ('C): a'r ❑Sampler out ofIt* erltcon. Samples an ice, c➢oling process
haibegun
USDA Regulated Sall N/A, water Sample)
DIdsamples originate, a quarantine zone within the United States: CA; NY, or SC_(check maps)? Old saryplescrlglnate from a foreign source llrnarnatlonsay,
I�Nes Nn Inrludkr Howell and PueAn Almis hlvx Mm.
' Commentsiourre anc .
Chain of Cut to V Present?.
Yen
Oft
EINIA
3.
Samples Arrived within Hold Timer
Ya:
❑No
NA
2.
Short Hold Time Ana' 1s c72 hr, ?
r1yes
o
N A
3.
Rush Turn Amunlie Tine Rapuestedi
ves;
o
N/A
6. .
Sufficient Volume?
`u.
No
N/A
S.
Carted Containers Used?
Pace Containers Used?
Yet
[]NO
ONO
QN/A
MNIA
6,
Containers Intact?
Z Yes
Oft
N A
7•
Dlssolvad roil dr: Samples Field Flitered]
Sample lanais Match COq
.Inciudes date me ID Anal sits matrix:
Mies
Qvia
o_
PQN/A
N/A
8:
9:t�UeS
Headsaceln VDAVlals>5.6mmR
Ym
ONO
a
1 10..
Trip Blank Fiesent?
Trio Blank CustodySeale Present?
UYes
Yri
QNo
No
n/A
Meld Data Requhed? (,J:'es ONO
Person contacted: _ _ _ _ Date/11me:
,Project Manager SCURF Review: -102)
.Project Manager SRF Review: it
V .
Date: I z/i9
q
-0ete: I Z::,21 I
Page 11 of 1:

Document Name:
Document Revised: February 7, 2018
aceAnai Ical�
_ in
Sam le Condition Up"
"Recol SCUR
Page 1 of 2
.Document No.:
Issuing Authority:
/
RCAR•CS-033•Row06
Pace Carollms Quality Office
*Check mark top half of box If pH and/or dachlorinatlon is
verified and within the acceptance range for preservation
samples.
Exceptions: VOA, Colifcrm, TOC, Oil and Grease, DRO/Sol$ (water) DOC, LLHS
"Bottom half of box is to list number of bottle
Y
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aon
MEN
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MOMMONNE
MIMI
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logo
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IS
MEN
MOMEMENINE
Sample to
Type of Prose rvalive
pH upon retalm
Data preservation adjusted
Time preaaNstion'i,
adjusted
Amount of Preservative
added
Lot
Note: Wheneverthere is a discrepancy effecting North Caroline Compliance samples, I COPY Of lhla form will el lent to the North Carolina OEHNR Unification Office (Le:
Out of hold, Incorrect praservaeve, out of tamp. incorrect comolnert.
Page 12 of 13

ceAnglytjcat
CHAIN -OF -CUSTODY I Analytical Request Dodument
TM IT.inaltu y is a LEGAL DOCUMENT. V rek aq f9ft mal Ge conVaW acprmety-
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lcoopwgced..com
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CHAIN -OF -CUSTODY / Analytical Request Document
The Chain-06Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately.
I
Section A Section B Section C Page: of
Required Client Information: Required ProjeT,t Information: Invoke Information:
Company: Kings Mountain International Report To: Don Jones Attention: Donna Gains
Address: 1755 South Battleground Ave.
eg
Copy To [e-mail]
@
Company Name. Kings Mountain International, Inc
- •r. t *+ 1 rU5 i + •� -
REGULATORY�AGENCY.��r
Cleveland, INC 28086
[e-mail]
Address:
W. NPOES r: GROUNDWATER r; DRINKING WATER
Cm UST 17; RCRA r OTHER
Email To: [e-mail]
Purchase Order No.:
Paw Onom
R.Tfamnm:
Phone: [phone]
Fax:
Protect Name: KMI Stormwater
Pa Pml0C1 Taylor Ezell
Site Location
z
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INC
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Requested ore oateRAT:
Project Number
P Pmrle a. - 3729-2
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