NCG060024_MONITORING INFO_20200106

22v
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
nrC G w v L�
DOC TYPE
❑ HISTORICAL FILE
C MONITORING REPORTS
DOC DATE
❑ Gam? oa v O
YYYYM M D D

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year a017
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCG 0❑©❑© 0❑ O❑
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPppp. (� r
Tyson Mexican Original JAN O B
inal inc. Z��o
Facility Name: Y 9
County: Lee AL
Phone Number: 9( 19 ) 774-7925 Total no. of SDOs monitored 3
Outfall No. 1
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 N/A ❑✓
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑■
Parameter, (units)
Total
Rainfall,
inches
O&G
TSS
COD
pH
Temp
Benchmark
N/A
30
100
120
6-9
Date Sample
Collected,
mm/dd/yy
0.95
5.0 (N/D)
16.4
46.7
7.39
9.0C
12/13/19
SWU-264 - Generic Annual DMR
Last revised 5/022018

Additional Outfall Attachment
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 ❑ 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 N/A ❑
Was this SDO monitored because of vehicle maintehance activities? Yes ❑ No
Parameter, (units)
Total
Rainfall,
inches
O&G
TSS
COD
pH
Temp
Benchmark
Date Sample
Collected,
mm/dd/yy
N/A
M.M®=®®
30
100
120
6-9
M
�
M
12/13/19
0.95
5.0 (ND)
2.5 (ND)
25.0 (ND)
7.76
9.3C
SWU-264 - Generic Annual DMR
Last revised 510212018

Additional Outfall Attachment
Outfall No. 3
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
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 DWO to reduce monitoring frequency
❑
Other N/A
❑
Was this SDO monitored because of vehicle maintenance activities?
Yes ❑ No ❑M
Yes ❑ No NJ
Yes ❑ No
Parameter, (units)
Total
Rainfall,
inches
O&G
TSS
COD
pH
Temp
Benchmark
N/A
30
100
120
6-9
Date Sample
Collected,
mm/dd/yy
12/13/19
■
0.95
®®
5.0 (ND)
17.7
M
30.5
M
7.45
10.0C
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. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
Date
questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
ASHEVILLEREGIONALOFFICE
FAYETTEVILLEREGIONALOFFICE
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
NVASHINGTON REGIONAL OFFICE
W]I,MIN'GTON 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
450 Flanes Mill Rd. Suite 300
Winston-Salem, NC 27105
Raleigh, NC 27699-1617
and enhance
336 776-9800
[phone]
North Carolina's water.."
SWU-264 - Generic Annual DMR
Last revised 5/02/2018

NCO
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For gmidance onfilling out thisfoim, please visit https:Hdeq.nc.gov/about/dix,isioiis/energy-mineral-land-resources/
n pdes-stormwater-gps
PermitNo.: N/C/13/,0(6(0(0/0/0/ or Certificate of Coverage No.: N/C/G/
Farility Name: Tyson Mexican Original, Inc.
County: Tyson Mexican Original, Inc. LEE Phone No. [phone]
Inspector: Mike Perry
Date of Inspection: 12/13/19
Time of Inspection: 12:45pm
Total Event Precipitation (inches): 0.95
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:
U
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 1 Structure (pipe, ditch, etc.): Ditch
Receiving Stream:
Gastees Creek
Describe the industrial activities that occur within the outfall drainage area: Employee Parking Lot
runoff.
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: Light Brown
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No odors
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 Q 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:
I Q 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:
I 2 0 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 0 No.
9. Is there evidence of erosion or deposition at the outfall? O Yes o No.
to. 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
SWU 242, Lmt modified 06/01/2018

Mr-P
Environm¢nml
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance onfilling out thisform, please visit htips://deq.nc.gov/about/divisions/energy-mineral-land-resources/
n fides-stormwater-gps
Permit No.: N/C/G/ 0 /6 /0 /0 /0 /0 / or Certificate of Coverage No.: N/C/G/. / / /. ( ( /
Facilitv Name: I ysc
County: LEE
Inspector: Mike Perry
Mexican Oriainal. Inc.
Date of Inspection: 12/13/19
Time of Inspection: 12:51 PM
Total Event Precipitation (inches): 0_95
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 pennittee obtains approval from the local DEMLR
Regional Office.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
(Signature of Perntittee or Designee)
1. Outfall Description:
Outfall No. 2
Receiving Stream:
Gaster's Creek
Structure (pipe, ditch, etc.): Pipe
Describe the industrial activities that occur within the outfall drainage area: Roof Runoff
Page I of 2
SWU-242. Last modified 06/01/2019

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Blue (Light)
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:
CD 2 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
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:
CD 2 3 4 5
7. Is there any foam in the stormwater discharge? e Yes
O No. Very Little Foam
8. Is there an oil sheen in the stormwater discharge? 0Yes 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
SWU 242, Last modified 06/01/12018

KI - - r-0
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance onfilling out thisfora, please visit https:Hdeq.nc.Eox,/about/divisions/energy-mineral-land-resources/
n pdes-sto rm wate r-gp s
Permit No.: N_/C/G (0/6 /0 /.0 /.0 (0 / or Certificate of Coverage No.: N/C/G(
Facility Name: Tyson Mexican Original, Inc.
County: LEE
Inspector: Mike Perry
Date of Inspection: 12/13/19
Time of Inspection: 12:56 PM
Total Event Precipitation (inches): 0_95
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 Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 3 Structure (pipe, ditch, etc.):
Receiving Stream:
Gasters Creek
Describe the industrial activities that occur within the Outfall drainage area: Flour
Page I of
S WU-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 (Light)
3. Odor: Describe any distinct odors that the discharge may have (i.e.. smells strongly of oil, weak
chlorine odor, etc.): No Odor
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 CD 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:
Q2 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:
Q2 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 outfall? O Yes o No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe None
Note: Logy clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 06/01/2018

(�5acI Analytical
e ■xv.pacelabs.cora
December 24, 2019
Mike Perry
Tyson Foods Mexican Original Sanford
800 Easr Main St
Sanford, NC 27332
RE: Project: Stormwater
Pace Project No.: 92457529
Dear Mike Perry:
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
HuntersAlle. NC 28078
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on December 16, 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,
Chris Derouen
[e-mail]
[phone]
Project Manager
Endosures
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
www.p acelahs.com
CERTIFICATIONS
Project: Stormwater
Pace Project No.: 92457529
Pace Analytical Services Charlotte
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
South Carolina Certification #: 99006001
Louisiana/NELAP Certification # LA170028
Florida/NELAP Certification #: E87627
North Carolina Drinking Water Certification #: 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification #: 5342
VirginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 12
Pace Analytical Services Asheville
Pace Ana lyticaI Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
2225 Riverside Drive, Asheville, NC 28804
North Carolina Wastewater Certification #: 40
Florida/NELAP Certification #: E87648
South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030
Virginia/VELAP Certification #: 460222
North Carolina Drinking Water Certification #: 37712
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
r .pacelaAs.com
SAMPLE ANALYTE COUNT
Project: Stormwater
Pace Project No.: 92457529
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville. NC 28078
[phone]
Lab ID
Sample ID
Method
Analysts
Analyt is
Reported
Laboratory
92457529001
Outfall #1
EPA 16646
HH
1
PAST-C
SM 2540D-2011
MJP
1
PASI-A
SM 5220D-2011
NAL
1
PASI-A
92457529002
Outfall #2
EPA 1664E
HH
1
PASI-C
SM 254OD-2011
MJP
1
PASI-A
SM 5220D-2011
NAL
1
PASI-A
92457529003
Outfall #3
EPA 1664E
HH
1
PASI-C
SM 254OD-2011
MJP
1
PASI-A
SM 5220D-2011
NAL
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC, Page 3 of 13

(�55?eAnalyticalo
v .Wcafllbuom
ANALYTICAL RESULTS
Project: Stonnwater
Pace Project No.: 92457529
Pace Analytical Services, LLC
9800 Kinsey Ave. Suite 100
Huntersville, NC 28078
(704)8759092
Sample: Outfall #1 Lab ID: 92457529001 Collected: 12/13/1912:51 Received: 12/16/19 12:50 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Oil and Grease
2540D Total Suspended Solids
Total Suspended Solids
5220D COD
Chemical Oxygen Demand
Analytical Method: EPA 1664B
NO mg/L 5.0 1 12124/1907:33
Analytical Method: SM 2540D-2011
16.4 mg/L 5.0 1 12/19/19 05:36
Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
46.7 mg/L 25.0 1 12/19/1914:47 12/1911918:42
Sample: Outfall #2 Lab ID: 92457529002 Collected: 12/13/19 12:56 Received: 12/16/19 12:50 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Coal
HEM, Oil and Grease
Oil and Grease
2540D Total Suspended Solids
Total Suspended Solids
5220D COD
Chemical Oxygen Demand
Analytical Method: EPA 1664E
NO mg/L 5.0 1 12/24/19 07:33
Analytical Method: SM 254OD-2011
ND mg/L 2.5 1 12/1911905:36
Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
ND mg/L 25.0 1 12/19/1914*47 12/19/1918:43
Sample: Outfall #3 Lab ID: 92457529003 Collected: 12/13/19 13:01 Received: 12/16/19 12:50 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Oil and Grease
2540D Total Suspended Solids
Total Suspended Solids
5220D COD
Chemical Oxygen Demand
Date: 12/24/2019 04:35 PM
Analytical Method: EPA 1664E
ND mg/L 5.0 1 12/24/19 07:20
Analytical Method: SM 254OD-2011
17.7 mg/L 2.5 1 12/19/19 05:36
Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
30.5 mg/L 25.0 1 12/19/1914*47 12119/1918:43
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 4 of 13

aceAnalytical
trslr.panlalls.corn
Project: Stormwater
Pace Project No.: 92457529
QC Batch: 516527
OC Batch Method: EPA 1664B
Associated Lab Samples: 92457529003
METHOD BLANK: 2767434
Associated Lab Samples: 92457529003
Parameter Units
Oil and Grease mg/L
LABORATORY CONTROL SAMPLE: 2767435
Parameter Units
Oil and Grease mg/L
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
HuntersAle, NC 28078
[phone]
QUALITY CONTROL DATA
Analysis Method: EPA 1664B
Analysis Description: 1664 HEM, Oil and Grease
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 5.0 12/24/19 07:09
Spike LCS LCS %Rec
Cone. Result %Rec Limits Qualifiers
40 36.3 91 78-114
MATRIX SPIKE SAMPLE: 2767436
92456863001 Spike MS MS % Rec
Parameter Units Result Cone. Result % Rec Limits Qualifiers
Oil and Grease rri ND 40 14.1 30 78-114 M1
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,
Dale: 12/24/2019 04:35 PM without the written consent of Pace Analytical Services, LLC.
Page 5 of 13

laceAnalytical"'
trvn.pacdab"ant
QUALITY CONTROL DATA
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville. NC 28078
[phone]
Project: Stonnwater
Pace Project No.: 92457529
QC Batch: 516531
Analysis Method:
EPA 1664E
QC Batch MelhGd: EPA 1664E
Analysis Description:
1664 HEM, Oil and Grease
Associated Lab Samples: 92457529001, 92457529002
METHOD BLANK: 2767452
Matrix: Water
Associated Lab Samples: 92457529001, 92457529002
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Oil and Grease
mg/L
NO 5.0
12/24/19 07:31
LABORATORY CONTROL SAMPLE:
2767453
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Oil and Grease
mg/L
40 35.2
88 78-114
MATRIX SPIKE SAMPLE:
2767454
92458080010 Spike
MS MS %Rec
Parameter
Units
Result Conc.
Result % Rec Limits Qualifiers
Oil and Grease
mg/L
3.2J 40
11.8 22 78-114 Mt
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: 12/24/2019 04:35 PM without the written consent of Pace Analytical Services, L-C. Page 6 of 13

aceAnalytical
w .IwcelaEe.coln
QUALITY CONTROL DATA
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: Stormwater
Pace Project No.: 92457529
QC Batch: 515679
Analysis Method:
SM 2540D-2011
QC Batch Method: SM 254OD-2011
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92457529001, 92457529002, 92457529003
METHOD BLANK: 2763255
Matrix: Water
Associated Lab Samples: 92457529001, 92457529002, 92457529003
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
ND
2.5 12/19/19 05:33
LABORATORY CONTROL SAMPLE:
2763256
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250 234
93 90-110
SAMPLE DUPLICATE: 2763284
92457431013 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
4720 5750 20
SAMPLE DUPLICATE: 2763285
92457431014 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
1090
960 13
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,
Dale: 12/24/2019 04:35 PM without the wntten consent of Pace Analytical Services, LLC. Page 7 of 13

aceAnalytical
nuw.panla6s.coln
QUALITY CONTROL DATA
Pace Analytical Servlces, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: Stormwater
Pace Project No.: 92457529
QC Batch: 515646
Analysis Method: SM
5220D-2011
QC Batch Method: SM 5220D-2011
Analysis Description: 5220D COD
Associated Lab Samples: 92457529001, 92457529002,
92457529003
METHOD BLANK: 2763102
Matrix: Water
Associated Lab Samples: 92457529001, 92457529002,
92457529003
Blank Reporting
Parameter Units
Result Limit
Analyzed
Qualifiers
Chemical Oxygen Demand mg/L
ND 25.0
12/19/19 18:35
LABORATORY CONTROL SAMPLE: 2763103
Spike LCS
LCS %Rec
Parameter Units
Cone. Result
% Rec Limits
Qualifiers
Chemical Oxygen Demand mg/L
750 741
99 90-110
MATRIX SPIKE 8 MATRIX SPIKE DUPLICATE: 2763104 2763105
MS MSD
92457330007
Spike Spike MS
MSD MS
MSD
% Rec
Parameter Units Result
Conc. Cone. Result
Result % Rec
% Rec
Limits RPD Qual
Chemical Oxygen Demand mg/L 35.1
100 100 142
146 107
111
90-110 3 M7
MATRIX SPIKE 8 MATRIX SPIKE DUPLICATE: 2763106 2763107
MS MSD
92456970001
Spike Spike MS
MSD MS
MSD
%R8c
Parameter Units Result
Cone. Cone. Result
Result %Rec
%Rec
Limits RPD Qual
Chemical Oxygen Demand mg/L 130
100 100 232
239 102
109
90-110 3
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 resuh.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/24/2019 04:35 PM without the written consent of Pace Analytical Services, L-C.
Page 8 of 13

aceAnalytical
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QUALIFIERS
Project: Stormwater
Pace Project No.: 92457529
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-AdjustedMethod Detection Limit.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
HuntersNlle, NC 28078
[phone]
PQL- Practical Quantilation 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
Mt Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/24/2019 04:35 PM without the written consent of Pace Analytical Services, LLC- Page 9 of 13

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QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project:
Pace Project No.:
Stormwater
92457529
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92457529001
Outfall #1
EPA 1664B
516531
92457529002
Outfall #2
EPA 1664B
516531
92457529003
Outfall #3
EPA 1664B
516527
92457529001
Outfall #1
SM 254OD-2011
515679
92457529002
Outfall #2
SM 2540D-2011
515679
92457529003
Outfall #3
SM 2540D-2011
515679
92457529001
Outfall #1
SM 5220D-2011
515646
SM
5220D-2011
515886
92457529002
Ouffali #2
SM 5220D-2011
515646
SM
5220D-2011
515886
92457529003
Outfall #3
SM 5220D-2011
515646
SM
5220D-2011
515886
Dale: 12/24/2019 04:35 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 10 of 13

Laboratory receiving samples: Ralel A Medlanluvllle❑
Asheville ❑ Eden❑ Greenwood ElHuntersvllle❑ g
• CllentName: ProjeccB: WO #:92457529
NNME�y`Un MlGQ/G
r3 Tent
Courier ❑Fed Ex. UPS `LIeS11111111111111111111111111
❑Commercial ®Pace ❑other:,_" � 92457529
Custody Seal Resent? Des ZJNo sealslntact? Dyes 0110 pap,/Inniab Person FnmWnL Cootent::Z� L•)(, �)y
Bioloeal Tissue Frozen?
Pockng MrtetlaL• []BubbleWrap ❑Bubble Bags MNane ElOther ❑Yes❑No QN/A
Thermometer: TUD.S Typeafloe. 93wet ❑elue Done
❑IRGui uy
Cooler Temp('0: %• / —7 Correction Factor: Add/Subtract hG 0.0 Tp,Vshau)dbeabovefreetingtD6'C '
J. -- Q5em basout of temp criteria. Samples on im, cooing Process
Coder Temp Cortectrd('C7:
hu bePm
USDA Regulated Solt (gLN/A,watersample)
Did samples originate In a quanmine zone within the United States: fA, NY, or SC (check maps)? dud, r,,vvao and Mae foreign
❑Pees (3,4 6areW,
es UW
Chain of Oustody Present?
sampiesArrived within Hold Time?
short Hold Time Analysis 42 hr.?
Rush Turn Around Time Requested?
5uffident volume?
Correct Containers Used?
-Pam Containers Used?
Containerslnt=7
Dissolved analysis: Samples Field Filtered?
sample Labels Match COC7
Includes Date/nme/ID/Ana Ls Matrix: `s?
Heads au m IDA Vials (>Sfimm)7
Trip Blank Fresent?
Trip Blank Custody Seals Present?
COMMENTS/SAMPLE DISCREPANCY
Date/Tlme:
Person contacted:
Project Manager SCURF Review:
Date:
Project Manager SRF Review:
Fldd Date Required? Oes Uno
Page 11 of 13

'Check mark top half of box if pH and/or dechlodnation Is
verified and within the acceptance range for preservation
samples.
E,eDtions:VOA,Cokforsn,TOC,041and6re2se, OR01801S (waUl DOC, LLH9
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Page 12 of 13

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