NCG060024_MONITORING INFO_20190718

71/7W
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
n/C G (�o v o 1
DOC TYPE
❑ HISTORICAL FILE
.MONITORING REPORTS
DOC DATE
❑ o7
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year a 0 r 9
Individual NPDES Permit No.
Certificate of Coverage (COC) No.
or
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name:
County: LEE
Phone Number: (919 ) 774-7925
n Mexican Original. Inc.
Total no. of SDOs monitored 3
Outfall No. 1 KEZLIVED
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑■ JUL 18 2019
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
CENTRAL
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? DWR SECTION
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 ❑a
Parameter, (units)
Total
Rainfall,
inches
TSS
O&G
COD
pH
Temp C
Benchmark
N/A
100
30
Date Sample
Collected,
mm/dd/yy
6/20/19
0.11
(o.
5.0
165
7.61
26.7
SWU-264 - Generic Annual DMR
Last revised 5/02/2018

Additional Outfall Attachment
Outfall No. 2
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No v❑
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
TSS
O&G
COD
pH
Temp C
Benchmark
N/A
100
30
(.1D
Date Sample
Collected,
mm/dd/YY
6/20/19
0.11
5.0
5.0
;t33
7.25
24.4
SWU-264 - Generic Annual DMR
Last revised rVO212018

Additional Outfall Attachment
Outfall No. 3
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
TSS
O&G
COD
pH
Temp C
Rainfall,
inches
Benchmark
N/A
100
30
I la0
6- 9
Date Sample
6
Collected,
mm/ddlyy
6/20/19
0.11
10
5.0
192
7.44
26.2
SWU-264 - Generic Annual DMR
Last revised 5/02/2018

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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonjnent for knowing violations."
Signature
Date
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
FAYE'r-I'EVILLE-REGIONALOFFICE
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
LWASHINGTON REGIONAL OFFICE
NVILMINGTON 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]
V�'INSTON S ALFM RFCION AL OFFICE
CENTRAL OFFICE
1617 Mail Service Center
Raleigh, NC 27699-1617
450 Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
"To preserve. protect
� and enhance
[phone]
(919 807-6300
_ North Carolina's'waler.."
SWU-264 - Generic Annual DMR
Last revised 5,D2/2018

Environmentut
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https:Hdeq.iic.gov/about/divisions/energy-mineral-land-resources/
npdes-stor nwater-gps
PermitNo.: N/C/G/0/6/0/0/0(0/ orCertificateofCoverageNo.: N/C/G/ / / / / / /
Facility Name: Tyson Mexican Original, Inc.
County: LEE
Inspector: Mike Perry
Date of Inspection: 6/20/2019
Time of Inspection: 6:52 PM
Total Event precipitation (inches): 011
No. [phone]
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
outflll. The previous measurable storm event most 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:
(Signature of Permittee or Designee)
I. Outfall Description:
Outfall No. 1 Structure (pipe, ditch, etc.): Ditch
Receiving Stream:
Gaster's Creek
Describe the industrial activities that occur within the outfall drainage area: Employee Parking Lot
runoff.
Page I oft
S W U-242, Last modified 06/01 /2018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Brown (Dark)
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): None
4. Clarity: Choose the dumber which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 3 4 50
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
02 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:
2 Q 4 5
7. Is there any foam in the stortwater discharge? O Yes O No.
8. Is there an oil sheen in the stormwater discharge? OYes O No.
9. Is there evidence of erosion or deposition at the outfall? O Yes O No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe None
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W IJ-242, Last modif cd 06/01 /2018

Fnvlronmenlul
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on,illing out this form, please visit hops://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npd es -storm water-gps
Permit No.: N/C/G /0 / 6 / 0 / 0 /0 / 0 / or Certif icate of Coverage No.: N/C/G/ / / / / / /
Facility Name: Tyson Mexican Original, Inc.
County: LEE
Inspector: Mike Perry
Date of Inspection: 6/20/2019
Time of Inspection: 7:01 PM
Total Event Precipitation (inches): 0_11
Phone No. [phone]
All permits require qualitative monitoring to be performed (luring 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 DGMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Perillittee or Designee)
1. Outfall Description:
Outfall No. 2 Structure (pipe, ditch, etc.)
Receiving Stream:
Gaster's Creek
Pipe
Describe the industrial activities that occur within the outfall drainage area: Roof Runoff
Page I of
S W U-242, Last modified 06/01/201 R

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Blue (Medium)
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): None
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
02 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
QI 2 3 4 5
G. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
7.
8.
9.
10
QI 2 3 4 5
Is there any foam in the stormwater discharge? O Yes
O No. Slight amount of foam
Is there an oil sheen in die stormwater discharge? OYes O No.
Is there evidence of erosion or deposition at the outfall? O Yes O No.
Other Obvious Indicators of Stormwater Pollution:
List and describe None
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W U-242, Lasl modified 06/01 /201 R

m- �
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit hltps://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormOvatei -gps
Permit No.: N/C/G/0 /6 / 0 / 0 /0 / 0 / or Certificate of Coverage No.: N/C/G/ / / / / / /
Facility Name:
County: LEE
Tyson Mexican Original, Inc.
Inspector: Mike Perry
Date of Inspection: 6/20/2019
-time of Inspection: 7:06 PM
Total Event Precipitation (inches): 0_11
Phone No. [phone]
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 Off ice.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of P rmittee or Designee)
1. Outfall Description:
Outfall No. 3 StrnCtnrc (pipe, ditch, etc.): Pipe
Receiving Stream:
Gaster's Creek
Describe the industrial activities that occur within the outfall drainage area: Flour Silo Area
Page I of 2
SWU-242. Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Brown (Medium)
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil; weak
chlorine odor, etc.): None
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 Q3 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:
2Q 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
02 3 4 5
7. Is there any foam in the stormwater discharge? O Yes O No.
8. Is there an oil sheen in the stormwater discharge? OYes O No.
9. Is there evidence of erosion or deposition at the outfal1? O Yes O No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe None
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. 'rhese conditions warrant further investigation.
Page 2 of 2
S W U-242, Last modified 06/01 /2018

aceAnalytical
~mpacelaft.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
June 27, 2019
Mike Perry
Tyson Foods Mexican Original Sanford
800 Easr Main St
Sanford. NC 27332
RE: Project: Stormwater 6/20
Pace Project No.: 92434056
Dear Mike Perry:
Enclosed are the analytical results for sample(s) received by the laboratory on June 21, 2019: The
results relate only to the samples included in this report. Results reported herein conform to the most
current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where
applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
14-- -c-:D—=
Chris Derouen
[e-mail]
[phone]
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 13

aceAnalytical
a ..pacelabacom
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: Stormwater 6/20
Pace Project No.: 92434056
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Louisiana/NELAP Certification # LA170028
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Asheville Certification Ms
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
South Carolina Certification #: 99006001
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
Virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP 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

aceAnalytical
www0ecelabs.cnm
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
SAMPLE ANALYTE COUNT
Project:
Pace Project No.:
Stormwater 6/20
92434056
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92434056001
OUTFALL # 1
EPA 1664E
JMS
1
PASI-C
SM 2540D-2011
JP1
1
PASI-A
SM 5220D-2011
MDW
1
PASI-A
92434056002
OUTFALL # 2
EPA 1664B
JMS
1
PASI-C
SM 254OD-2011
JPi
1
PASI-A
SM 5220D-2011
MDW
1
PASI-A
92434056003
OUTFALL # 3
EPA 1664E
JMS
1
PASI-C
SM 2540D-2011
JP1
1
PASI-A
SM 5220D-2011
MDW
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, -LC. Page 3 of 13

aceAnalytical
w vpacalebs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Hunlersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: Stormwater 6/20
Pace Project No.: 92434056
Sample: OUTFALL # 1
Lab ID: 92434056001 Collected:
06/20/19 18:52
Received: 06/21/19 11:35 Matrix: Water
Parameters
Results Units Report
Limit DF
Prepared Analyzed CAS No. Qual
Field Data Raleigh
Analytical Method:
Collected By
Mike Perry
1
06/20/19 18:52
Collected Date
6120/19
1
06/20/19 18:52
Collected Time
18:52
1
06/20/19 18:52
pH
7.61 Std. Units
0.10 1
06/20/19 18:52
Temperature
26.7 deg C
0.50 1
06/20/19 18:52
HEM, Oil and Grease
Analytical Method: EPA 1664E
Oil and Grease
ND mg/L
5.0 1
06/27/19 05:21
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Total Suspended Solids
6A ni
3.6 1
06/27/19 02:18
5220D COD
Analytical Method: SM 5220D-2011 Preparation
Method: SM 5220D-2011
Chemical Oxygen Demand
165 mg/L
25.0 1
06/25/19 16:28 06/26/19 16:53
Sample: OUTFALL # 2
Parameters
Lab ID: 92434056002 Collected: 06/20/19 19:01
Results Units Report Limit DF
Received: 06/21/19 11 :35 Matrix: Water
Prepared Analyzed CAS No. Qual
Field Data Raleigh
Analytical Method:
Collected By
Mike Perry 1
06/20/19 19:01
Collected Date
6120119 1
06/20/19 19:01
Collected Time
19:01 1
06/20/19 19:01
pH
7.25 Std. Units 0.10 1
06/20/19 19:01
Temperature
24.4 deg C 0.50 1
06/20/19 19:01
HEM, Oil and Grease
Analytical Method: EPA 1664E
Oil and Grease
ND mg/L 5.0 1
06/27/19 05:22
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Total Suspended Solids
5.0 mg/L 2.9 1
06/27/19 02:18 D6
5220D COD
Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand
233 mg/L 25.0 1
06/25/19 16:28 06/26/19 16:53
Sample: OUTFALL # 3
Lab ID: 92434056003 Collected: 06/20/19 19:06
Received: 06/21/19 11:35 Matrix: Water
Parameters
Results Units Report Limit OF
'Prepared Analyzed CAS No. Qual
Field Data Raleigh Analytical Method:
Collected By Mike Perry 1 06/20/19 19:06
Collected Date 6/20/19 1 06/20/19 19:06
Collected Time 19:06 1 06/20/19 19:06
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/27/2019 03:59 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 13

aceAnalytical
a wpecalabs.carr
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville; NC 28078
[phone]
ANALYTICAL RESULTS
Project: Stormwater 6/20
Pace Project No.: 92434056
Sample: OUTFALL#3 Lab ID: 92434056003 Collected: 06/20/1919:06 Received: 06/21/1911 :35 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Oual
Field Data Raleigh
Analytical Method:
pH
7.44 Std. Units
0.10 1
06/20/19 19:06
Temperature
26.2 deg C
0.50 1
06/20M9 19:06
HEM, Oil and Grease
Analytical Method: EPA 1664E
Oil and Grease
NO mg/L
5.0 1
06/27/19 05:22
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Total Suspended Solids
11.7 mg/L
3.3 1
06/27/19 02:19
5220D COD
Analytical Method: SM 5220D-2011
Preparation Method:
SM 5220D-2011
Chemical Oxygen Demand
192 mg/L
25.0 1
06/25/19 16:28 06/26/19 16:53
l
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/27/2019 03:59 PM without the written consent of Pace Analytical Services, L-C. Page 5 of 13

aceAnalytical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: Stormwater 6/20
Pace Project No.: 92434056
QC Batch: 483513 Analysis Method: EPA 1664E
QC Batch Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease
Associated Lab Samples: 92434056001, 92434056002, 92434056003
METHOD BLANK: 2613278 Matrix: Water
Associated Lab Samples: 92434056001, 92434056002, 92434056003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Oil and Grease mg/L ND 4.8 06/27/19 05:16
LABORATORY CONTROL SAMPLE:
2613279
Spike LCS
LCS
% Rec
Parameter
Units
Conc. Result
% Rec
Limits
Qualifiers
Oil and Grease
mg/L
38.5
37.1
96
78-114
MATRIX SPIKE SAMPLE:
2613280
92433554001
Spike
MS
MS
% Rec
Parameter
Units
Result
Conc.
Result
% Rec
Limits Qualifiers
Oil and Grease
mg/L
12.5
38.5
43.2
80
78-114
Results presented on this page are in the units Indicated by the "Units' column except where an ahem ate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/27/2019 03:59 PM without the written consent of PaceAnalytical Services, LLC.
Page 6 of 13

aceAnalytical
wwwpacelaba.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: Stormwater 6/20
Pace Project No.: 92434056
QC Batch: 483508 Analysis Method: SM 254OD-2011
QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92434056001, 92434056002, 92434056003
METHOD BLANK: 2613258 Matrix: Water
Associated Lab Samples: 92434056001, 92434056002, 92434056003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 06/27/19 02:15
LABORATORY CONTROL SAMPLE: 2613259
Spike LCS LCS % Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Total Suspended Solids mg/L 251 228 91 90-110
SAMPLE DUPLICATE: 2613263
92434143002 Cup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 99.3 96.5 3
SAMPLE DUPLICATE: 2613271
92434056002 Cup
Parameter Units Result Result RPD Qualifiers '
Total Suspended Solids mg/L 5.0 6.7 30 D6
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: 06/27/2019 03:59 PM without the written consent of Pace Analytical Services, LLC.
Page 7 of 13

aceAnalytical
w,w pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: Stormwater 6/20
Pace Project No.: 92434056
QC Batch: 483189 Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD
Associated Lab Samples: 92434056001, 92434056002, 92434056003
METHOD BLANK: 2611896 Matrix: Water
Associated Lab Samples: 92434056001, 92434056002, 92434056003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Chemical Oxygen Demand mg/L ND 25.0 06/26/1916:51
LABORATORY CONTROL SAMPLE:
2611897
Spike
LCS LCS % Rec
Parameter
Units
Conc.
Result %Rec Limits Qualifiers
Chemical Oxygen Demand
mg/L
750
743 99 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2611898
2611899
MS
MSD
92431813003 Spike
Spike
MS
MSD MS MSD
e/ Rec
Parameter Units Result Conc.
Conc.
Result
Result %Rec %Rec
Limits RPD Qual
Chemical Oxygen Demand mg/L 399 10
10
507
349 1090 -499
90-110 37 M1,R1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2611900 2611901
MS MSD
92433906001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 712 10 10 709 712 -23 0 90-110 0 M1
Results presented on this page are in the units indicated by the "Units' column exc opt 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: 06/27/2019 03:59 PM without the written consent of Pace Analytical Services, LLC.
Page 8 of 13

aceAnalytical
~vpacelabs.com
Pace Analytical Services, LLC
9800 Kineey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALIFIERS
Project: Stormwater 6/20
Pace Project No.: 92434056
DEFINITIONS
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.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services - Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
M1 Matrix spike recovery exceeded OC limits. Batch accepted based on laboratory control sample (LCS) recovery.
R1 RPD value was outside control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/27/2019 03:59 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 13

aceAnalytical
w Pacelabs.c=
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Stormwater 6/20
Pace Project No.: 92434055
Lab ID Sample ID QC Batch Method QC Batch Analytical Method
92434056001
OUTFALL # 1
92434056002
OUTFALL # 2
92434056003
OUTFALL # 3
92434056001
OUTFALL# 1
EPA1664B
483513
92434056002
OUTFALL# 2
EPA1664B
483513
92434056003
OUTFALL# 3
EPA 1664E
483513
92434056001
OUTFALL # 1
SM 254OD-2011
483508
92434056002
OUTFALL If 2
SM 254OD-2011
483508
92434056003
OUTFALL# 3
SM 2540D-2011
483508
92434056001
OUTFALL # 1
SM 5220D-2011
483189 SM 5220D-2011
92434056002
OUTFALL # 2
SM 5220D-2011
483189 SM 5220D-2011
92434056003
OUTFALL # 3
SM 5220D-2011
483189 SM 5220D-2011
Dale: 06/27/2019 03:59 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, -LC.
Analytical
Batch
483448
483448
483448
Page 10 of 13

Document Name: Document Revised: February 7, 2018
Sample Condition Upon Recel t SCUR Page 1 of
aC6An'7V Cal Document No.: Issuing Authority:
F.CAR.CS-033-Rev,06 Pace Carolinas Quality Offlce
Laboratory receiving samples:
Asheville ❑ Eden[] Greenwood ❑ Huntersville ❑ Ralelgh✓[ ( Mechanicsville❑
❑Yes
W0# : 92434056
• CllentName: Protect
_
N
Courier; ❑ FlRT Ex ❑UPS USPS Cam
❑ Commercial ace 00ther:_
92434056
�//
Custody Seal Present? []YesuNo Seals Intact? []Yes []NO
Date/initials Person Examining ContentSrms
,.//
Packing Material: []Bubble Wrap ❑Bubble Bags i�None ❑ Other
J
Biological TissueeFF oxen?
[]Yes []NO INN/A
Thermometer
ql�w) Type of Ice; LJWet ❑Blue
❑More
❑IRGun ID:
Cooler Temp ('C):
I - d Correction Factor: Add/Subtract ('C) `0 •
Temp should be above freezing to VC
Cooler Temp Corrected (��_
❑5i mples out of temp criteria. Samples on Ice, moling process
USDA Regulated Soil
has bogen -- -
i+
(09/A, water sample)
Did samples originate in a quarantine zone within the United States: CA, NY, of SC (check maps)?
D!J samples originate lrcm a foreign source Q
❑Nntematlonally,
Yes ❑No
i'
Including Hanail and Puerto Rka)?o
Comments/Discrepancy:
Chain of Custody Present?
SYes
QN.
N/A
1.
SampleSArdved Monti Hold Time?
Y
No
[]N/A
2.
Shen Hal d TlmeAnalySls (<?2 hr.)7
Yes
❑ o
❑N/A
3•
-
RushTurnAroundTlmeRecit,wed]
ElYes
PJNo
N/A
4.
50f1cient Volume?
yi,s
No
N/A
5.
Correct Containers Used?
-Pace Containers Used?
E64yes
❑No
❑No
❑N/A
N/A
6.
CanteinerS intact?
❑No
N/ADissolved
analysis: Samples Field Filtered?
No
N/ASample
Labels Match COC?
-Includes Date/nme/ID/Analysts M1latriv:
AJ
❑No
❑N/A
Headspace In VOA Vials>5-6mm)?
Yes
No
A
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
[]Yes
Ya:
❑Ara
No
N/
N'/A
it.
COMMENTS/SAMPLE DISCREPANCY
i
Field Dote Required? []Yes -❑No ' -
I
Lot ID of split Containers:
DENT NOTIFICATI ON/RESOLUTION
i
Person contacted:
Date/Tlme:
/ / I
Project Manager SCURF Review:
Project Manager SRF Review:
Date: G /_.•� s-
Date: +Yw
r
i
Page 11 of 13

„,/`'j M
Document Revhed: February 7,2018
�''",f Samplelpt(SCUR) Page 1 of 2
;'7CUARa/;flCral Issuing Authority:
6 Pace Carellnas Quallry0fRce _
*Check mark top half of box If pH and/or dechlorinatlon Is
verified and within the acceptance range for preservation
samples.
Exceptions: VOA, Conform, TOC, Oil and Grease, ORO/8015 (water) DOC,, LLHg
*,Bottom half of box Is to list number of bottle
Project W0# : 92434056
PM: CD1 Due Date: 07/02/19
CLIENT: 92—TysonMex
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adjusted added
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Office (I.e.. i
Note: Whelowlhe:ell aOlScrepanC/anac;ingnorm s.armine cmuw'^��_'^"n �•-�i _. ......_..__.. ____..__._.
Out of hold, Incorrect ereservailoe, out of temp, incorrect containers,

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SIGNA�,REWSAMPLER: 6)splg*�
DATE Sl,,�d:
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