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NCG060039_MONITORING INFO_20191209
T2A� STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. DOC TYPE ❑ HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ go �a YYYYMMDD ;r GENERAL PERMIT NO. NCG060000 CERTIFICATE OF COVERAGE NO. NCG060039 FACILITY NAME Grifols Therapeutics PERSON COLLECTING SAMPLES David S. Graham CERTIFIED LABORATORY Pace Analytical Part A: Specific Monitoring Requirements STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT SAMPLES COLLECTED DURING CALENDAR YEAR: 2019 (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Johnston PHONE NO. (919) 359-5473 Lab #NC/WW cert #012 PLEASE SIGN ON THE REVERSE 4 Outfall No. Date Sample Collected, mo/dd/ yr 00340 00556 00400 00530 Chemical Oxygen Demand, m /L -Oil and Grease, m /L pH, Standard units Total Suspended Solids, m /L Benchmark — 120 30 6.0 — 9.0 100 1 11-08-19 ND <10.0 ND <4.8 7.1 3.0 Note: If you report a sampled value in excess of the benchmark value, you must implement Tier 1 or Tier 2 responses. See General Permit text. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no (if yes, complete Part B) Part R- Vehirle Maintenance Activitv Monitoring Requirements Outfall No. Date Sample Collected, mo/dd/ r 00556 00530 - 00400 Oil and Grease, m /L Total Suspended Solids, .m /L pH, Standard units New Motor Oil Usage, Average annual al/mo Benchmark 30 100 6.0 — 9.0 RE(,ErN/F® DEC 0 8 2019 EN RALTILEg SECTION ION Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range tot pH, you must implement I ier I or tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date 11-08-19 (first event sampled) Total Event Precipitation (inches): 0.512 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Attn: DWQ Central Files NCDENR/ DWQ 1617 Mail Service Center Raleigh, NC 27699-1617 S WU-248-102107 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT "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) 11AZ /lei (Date) S WU-248- I02107 Page 2 of 2 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out thisform, please visit: htto://aortal.ncdenr.org/webAr/npdes-stormwater/ Permit No.: N/C/ G/ 0/ 0/ 0/0/0/0/ or Certificate of Coverage No.: Facility Name: Grifols Therapeutics Inc County: Johnston Phone No. 919-359-5473 Inspector: David S. Graham Date of Inspection:11-08-19 Time of Inspection: 1:00pm Total Event Precipitation (inches): Was this a 'Representative Storm Event' or "Measureable Storm Event' as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureablestorm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event' or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. 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 DWQ Regional Office. By this sign ure, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. 1 Structure (pipe, ditch, etc.) Stream Receiving Stream: Tributary to the Neuse River Describe the industrial activities that occur within the outfall drainage area: Pharmaceutical Manufacturing 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: clear with a medium brown tint 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 1 is clear and 5 is very cloudy: 1 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: d 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 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No, 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: i 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. II Page 2 of 2 SWU-242, Last modified 7/31/2013 GENERAL PERMIT NO. NCG060000 CERTIFICATE OF COVERAGE NO. NCG060039 FACILITY NAME Grifols Therapeutics PERSON COLLECTING SAMPLES David S. Graham CERTIFIED LABORATORY Pace Analvtical Part A: Specific Monitoring Requirements STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT SAMPLES COLLECTED DURING CALENDAR YEAR: 2019 (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Johnston PHONE NO. (919) 359-5473 Lab #NC/WW cert #012 PLEASE SIGN ON THE REVERSE 4 Outfall No. Date Sample Collected, mo/dd/ yr 00340 00556 00400 00530 Chemical Oxygen Demand, m /L Oil and Grease, m /L pH, - Standard units - Total Suspended Solids, - m /L Benchmark 120, 30 6.0 — 9.0 100 2 11-08-19 21.4 ND <4.8 7.3 4.3 Note: If you report a sampled value in excess of the benchmark value, you must implement Tier I or "Pier 2 responses. See General Fermat text. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes X no (if yes, complete Part B) Part R: Vehicle Maintenance Activitv Monitoring Reauirements Outfall - No. ' Date. Sample.Col)ected, mo/dd/ r "` 00556 00530 00400 - - Oil and Grease, - m /L Total Suspended Solids,.. m /L pH, Standard units New Motor Oil Usage, .Average annual al/mo Benchmark 30 100 6.0 — 9.0 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date 11-08-19 (first event sampled) Total Event Precipitation (inches): 0.51 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Attn: DWQ Central Files NCDENR/ DWQ 1617 Mail Service Center Raleigh, NC 27699-1617 S WU-248-102107 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT "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 I (Date) S WU-248-102107 Page 2 of 2 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http://nortal.ncdenr.org/web/lr/nudes-stormwater/ Permit No.: or Certificate of Coverage No.: NX/G/0/6/0/0/3/9/ Facility Name: Grifols Therapeutics Inc County: Johnston Phone No. 919-359-5473 Inspector: David S. Graham Date of Inspection: 11-08-19 Time of Inspection: 1:25pm Total Event Precipitation (inches): Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureablestorm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. 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 DWQ Regional Office. By this signalpieQ certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. 2 Structure (pipe, ditch, etc.) Ditch exiting existing pond Receiving Stream: Tributary to the Neuse River Describe the industrial activities that occur within the outfall drainage area: Pharmaceutical Manufacturing 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: clear with a medium brown tint 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 1 is clear and 5 is very cloudy: 1 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: l' 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 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No B. Is there an oil sheen in the stormwater discharge? Yes No i 9. Is there evidence of erosion or deposition at the outfall? Yes No u 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. a Page 2 of 2 SWU-242, Last modified 7/31/2013 GENERAL PERMIT NO. NCG060000 CERTIFICATE OF COVERAGE NO. NCG060039 FACILITY NAME Grifols Therapeutics PERSON COLLECTING SAMPLES David S. Graham CERTIFIED LABORATORY Pace Analytical Part A: Specific Monitoring Requirements STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT SAMPLES COLLECTED DURING CALENDAR YEAR: 2019 (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Johnston PHONE NO. (919) 359-5473 Lab #NC/WW cert #012 PLEASE SIGN ON THE REVERSE a Outfall No. Date Sample Collected, mo/dd/vr 00340 00556 00400 00530 Chemical Oxygen Demand, m /L - Oil and Grease, mg1L pH, - Standard units - _ Total Suspended Solids, mg[L Benchmark 120 30 6.0 — 9.0 '100 3 11-08-19 15.8 ND <4.8 7.3 ND <2.5 Note: If you report a sampled value in excess of the benchmark value, you must implement Tier 1 or Tier 2 responses. See General Permit text. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Activity onitoring Requirements Outfall _ No. Date Sample Collected,.. mo/dd/vr 00556 - 00530. 00400 Oil and Grease, m /L Total .Suspended .Solids, m /L pH, - Standard units New Motor Oil Usage, Average annual aUmo Benchmark 30 100 6.0 — 9.0 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date 11-08-19 (first event sampled) Total Event Precipitation (inches): 0.51 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Attn: DWQ Central Files NCDENR/ DWQ 1617 Mail Service Center Raleigh, NC 27699-1617 S W U-248-102107 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT "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." 11 /zz/ig (Date) S WU-248-102107 Page 2 of 2 V CCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: htto://12ortal.ncdenr.or2/web/Ir/ni2des-stormwater/ Permit No.: N/0/0/0/0/ 0/0/0/0/ or Certificate of Coverage No.: Facility Name: Grifols Therapeutics Inc County: Johnston Phone No. 919-359-5473 Inspector: David S. Graham Date of Inspection: 11-08-19 Time of Inspection: 2:15pm Total Event Precipitation (inches): .51 it Was this a "Representative Storm Event" or "Measureable Storm Event' as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a 'representative storm I$ event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event' or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. 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 DWQ Regional Office. By this signatux:e j certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. 3 Structure (pipe, ditch, etc.) Drain Pipe Receiving Stream: Tributary to the Neuse River Describe the industrial activities that occur within the outfall drainage area: Pharmaceutical Manufacturing 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: clear with a medium brown tint 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 1 is clear and 5 is very cloudy: 1 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: 1 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 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No. 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes 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 7/31/2013 GENERAL PERMIT NO. NCG060000 CERTIFICATE OF COVERAGE NO. NCG060039 FACILITY NAME Grifols Therapeutics PERSON COLLECTING SAMPLES David S. Graham CERTIFIED LABORATORY Pace Analytical Part A: Specific Monitoring Requirements STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT SAMPLES COLLECTED DURING CALENDAR YEAR: 2019 (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Johnston PHONE NO. (919) 359-5473 Lab #NC/WW cert #012 PLEASE SIGN ON THE REVERSE � Outfall _ - No. - Date . Sample Collected, mo/dd/ r 00340 00556 00400 00530 Chemical Oxygen Demand, m /L Oil and Grease, -m /L pH, Standard units Total Suspended Solids, m /L Benchmark 120 30 6.0 - 9.0 100 4 11-08-19 18.1 ND <4.8 7.0 11.2 Note: If you report a sampled value in excess of the benchmark value, you must implement -Iler I or I ier 2 responses. fee General rernttt text. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no (if yes, complete Part B) Part R• Vnhirlp Nlaintenanrr Activity Monitoring Renuirements Outfall No. i ' - Date Sample Collected, mo/dd/ r .00556 00530 - - 00400 Oil and Grease, m /L Total Suspended Solids, m /L PH, - Standard units New Motor Oil Usage, Average annual al/mo Benchmark 30 100 6.0-9.0 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pfl, you must implement i ter i or i ter 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date 11-08-19 (first event sampled) Total Event Precipitation (inches): 0.51 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Attn: DWQ Central Files NCDENR/ DWQ 1617 Mail Service Center Raleigh, NC 27699-1617 S WU-248-102107 Page 1 of 2 STORM WATER DISCHARGE OUTFALL (SDO) MONITORING REPORT "1 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." o /ZZ /!q (Date) I _ - S WU-248-102107 Page 2 of 2 AMA 61HR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http://portal.ncdenr.org/web/Ir/nodes-stormwater Permit No.: N/C/ G/ 0/ 0/ 0/0/Q/Q/ or Certificate of Coverage No.: N/Q/Q/Q/6/Q/0/3/9/ Facility Name: Grifols Therapeutics Inc County: Johnston Phone No. 919-359-5473 Inspector: David S. Graham Date of Inspection: 11-08-19 Time of Inspection: 2:05pm Total Event Precipitation (inches): .51 Was this a "Representative Storm Event' or "Measureable Storm Event' as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event' or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. 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 DWQ 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) Pagel of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. 4 Structure (pipe, ditch, etc.) Pipe from Pond Receiving Stream: Tributary to the Neuse River Describe the industrial activities that occur within the outfall drainage area: Pharmaceutical Manufacturing 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: clear with a medium brown tint 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 1 is clear and 5 is very cloudy: 1 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of Floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with Floating solids: 1 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 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes 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. I Page 2 of 2 SWU-242, Last modified 7/31/2013 GENERAL PERMIT NO. NCG060000 CERTIFICATE OF COVERAGE NO. NCG060039 FACILITY NAME Grifols Therapeutics PERSON COLLECTING SAMPLES David S. Graham CERTIFIED LABORATORY Pace Analvdcal Part A: Specific Monitoring Requirements STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT SAMPLES COLLECTED DURING CALENDAR YEAR: 2019 (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Johnston PHONE NO. (919) 359-5473 Lab #NC/" cert #012 PLEASE SIGN ON THE REVERSE 4 Outfall No. Date Sample Collected, mo/dd/yr 00340 00556 00400 00530 Chemical Oxygen Demand; m /L Oil and Grease, - .. mg/I. pH, Standard units Total Suspended Solids, m /L Benchmark 120 30 6.0 — 9.0 100 5 11-08-19 15.5 ND <4.8 7.2 ND <2.5 Note: If you report a sampled value in excess of the benchmark value, you must implement l ter t or 1 ter 2 responses. bee veneral rernin text. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes X no (if yes, complete Part B) P—t R• Vnhirin nrn Artivity Mnnitnrina Rrm�irrmnntc Outfall No. Date Sample Collected; mo/dd/vr 00556 00530 00400 Oil and Grease, m /L Total Suspended Solids, m /L pH, Standard units - New Motor Oil Usage, Average annual - al/mo Benchmark 30 100 6.0 — 9.0- Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement I ter 1 or I let 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date 11-08-19 (first event sampled) Mail Original and one copy to: Total Event Precipitation (inches): 0.51 Attn: DWQ Central Files NCDENR/ DWQ 1617 Mail Service Center Date (list each additional event sampled this reporting period, and rainfall amount) Raleigh, NC 27699-1617 Total Event Precipitation (inches): SWU-248-102107 Pagel of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT "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) S WU-248-102107 Page 2 of 2 Ad Vr CCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out thisform, please visit: http://portal.ncdenr.oriz/web/Ir/nudes-stormwater Permit No.: N/C/ G/ 0/ 0/ 0/0/0/0/ or Certificate of Coverage No.: Facility Name: Grifols Therapeutics Inc County: Johnston Phone No. 919-359-5473 Inspector: David S. Graham Date of Inspection: 11-08-19 Time of Inspection: 1:40pm Total Event Precipitation (inches): .51 d Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. 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 DWQ 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) Pagel of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. 5 Structure (pipe, ditch, etc.) Creek Receiving Stream: Tributary to the Neuse River Describe the industrial activities that occur within the outfall. drainage area: !' Pharmaceutical Manufacturing 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: clear with a medium brown tint " 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 1 is clear and 5 is very cloudy: 1 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of Floating solids in '! the stormwater discharge, where 1 is no solids and 5 is the surface covered with Floating solids: 1 2 3 4' S 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: ji 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No B. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes 'No 10. Other Obvious Indicators of Stormwater Pollution: �i 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 7/31/2013 N - r � lacieAnalyficail vww.paah6s.con November 20, 2019 Sam Vedder Grifols Therapeutics, LLC 8368 US 70 West Clayton, NC 27520 RE: Project: Stormwater Pace Project No.: 92453176 Pace Analytical Services, LLC 6701 Conference Drive Raleigh, NC 27607 (919)834-4984 Dear Sam Vedder: Enclosed are the analytical results for sample(s) received by the laboratory on November 11, 2019. The results relate only to the samples included in this report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Matthew Brainard matthew.brainard@pacelabs.com (704)875-9092 Project Manager Enclosures cc: David Graham, Grifols Therapeutics, LLC REPORT OF LABORATORY ANALYSIS ii This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 16 aceAnalytical wim paeelablican Project: Stormwater Pace Project No.: 92453176 Pace Analytical services, LLC 6701 Conference Drive Raleigh, NC 27607 (919)834-4984 Pace Analytical Services Charlotte 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 Pace Analytical Services Asheville 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 Pace Analytical Services Eden 205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Drinking Water Certification #: 37738 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 Virginia/VELAP Certification #: 460222 North Carolina Wastewater Certification #: 633 VirginiaNELAP Certification #: 460025 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, -LC. Page 2 of 16 aceAnalytical e www.padabt tom i SAMPLE ANALYTE COUNT Project: Stormwater Pace Project No.: 92453176 Pace Analytical Services, LLC 6701 Conference Drive Raleigh, NC 27607 (919)834-4984 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92453176001 Outfall #1 SM 254OD-2011 NMH 1 PASI-E EPA 1664B AACt 1 PASI-C SM 5220D-2011 GC 1 PASI-A 92453176002 #3-South Plant Pipe SM 254OD-2011 NMH 1 PASI-E EPA 1664B AAC1 1 PASI-C SM 5220D-2011 GC 1 PASI-A 92453176003 #4-SE Pond SM 254OD-2011 NMH 1 PASI-E EPA 1664E AAC1 1 PASI-C SM 5220D-2011 GC i PASI-A 92453176004 #5-Consolidated Outfall SM 254OD-2011 NMH 1 PASI-E EPA 16646 AAC1 1 PASI-C SM 5220D-2011 GC 1 PASI-A 92453176005 #2-Basin #2 SM 2540D-2011 NMH 1 PASI-E EPA 1664E AAC1 1 PASI-C SM 5220D-2011 GC 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not tie reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 16 (�IaceAnalytical www.pscellluxam ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 92453176 Pace Analytical Services, LLC 6701 Conference Drive Raleigh, NC 27607 (919)834-4984 sample: uutrau 41 Lab ID: 92453176001 Collected: 11/08/1913:00 Received: 11/11/1913:10 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. QUal 2540D Total Suspended Solids Total Suspended Solids HEM, Oil and Grease Oil and Grease 5220D COD Low Level Chemical Oxygen Demand Date: 11/20/2019 04:36 PM Analytical Method: SM 254OD-2011 3.0 mg/L 2.5 1 11/13/1909:31 Analytical Method: EPA 1664E NO mg/L 4.8 1 11/20/1910:20 Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011 NO mg/L 10.0 1 11/15/19 22:07 11/18/19 16:34 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the wntten consent of Pace Analytical Services, LLC. Page 4 of 16 Pace Analytical Services, LLC laceAnalyficale 6701 ConferenceDrive07 Raleigh, NC 27607 www.pecelebc.com (919)834-4984 , ANALYTICAL RESULTS ' Project: Stormwater Pace Project No.: 92453176 Sample: #3-South Plant Pipe lab ID: 92453176002 Collected: 11/08/19 14:15 Received: 11/11/19 13:10 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual ,i 2540D Total Suspended Solids Analytical Method: SM 254OD-2011 !I Total Suspended Solids ND mg/L 2.5 1 11/13/19 09:32 HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg/L 4.8 1 11/20/19 10:20 5220D COD Low Level Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011 Chemical Oxygen Demand 15.8 mg/L 10.0 1 11/15/19 22:07 11/18/19 16:37 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/20/2019 04:36 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 16 aceAnalytical www.pacelebs.cere ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 92453176 Pace Analytical Services, LLC 6701 Conference Drive Raleigh, NC 27607 (919)834-4984 Sample: #4-SE Pond Lab ID: 92453176003 Collected: 11/08/19 14:05 Received: 11/11/19 13:10 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Total Suspended Solids HEM, Oil and Grease Oil and Grease 5220D COD Low Level Chemical Oxygen Demand Date: 11/20/2019 04:36 PM Analytical Method: SM 2540D-2011 11.2 mg/L 2.6 1 11/13/1909:33 Analytical Method: EPA 1664B NO mg/L 4.8 1 11/20/1910:20 Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011 18.1 mg/L 10.0 1 11/15/1922:07 11/18/1916:37 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, will the written consent of Pace Analytical Services, LLC, Page 6 of 16 laceAnalytilical* rinr.paalsEs.con ANALYTICAL RESULTS Pace Analytical Services, LLC 6701 Conference Drive Raleigh, NC 27607 (919)834-4984 Project: Stormwater Pace Project No.: 92453176 Sample: #5-Consolidated Outfall Lab ID: 92453176004 Collected: 11/08/1913:40 Received: 11/11/1913:10 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Total Suspended Solids HEM, Oil and Grease Oil and Grease 5220D COD Low Level Chemical Oxygen Demand Date: 11/20/2019 04:36 PM Analytical Method: SM 254OD-2011 ND mg/L 2.5 1 11/13/1909:45 Analytical Method: EPA 1664E ND mg/L 4.8 1 11/20/1910:20 Analytical Method: SM 5220D-2011 Preparation Method: SM 52200-2011 15.5 mg/L 10.0 ,1 11/15/19 22:07 11/18/19 16:38 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, -LC. Page 7 of 16 aceAnalytical e www.pecelebscam ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 92453176 Pace Analytical Services, LLC 6701 Conference Drive Raleigh, NC 27607 (919)834-4984 Sample: 02-Basin#2 Lab ID: 92453176005 Collected: 11/0811913:25 Received: 11/11/1913:10 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Total Suspended Solids HEM, Oil and Grease Oil and Grease 5220D COD Low Level Chemical Oxygen Demand Date: 11/20/2019 04:36 PM Analytical Method: SM 254OD-2011 4.3 mg/L 2.5 1 11/13/1909:53 Analytical Method: EPA 1664B NO mg/L 4.8 1 11/20/1910:20 Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011 21.4 mg/L 10.0 1 11/15/19 22:07 11/18/19 16:38 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 8 of 16 I aceAnalytical a wmr.padabs.com QUALITY CONTROL DATA Pace Analytical Services, LLC 6701 Conference Drive Raleigh, INC 27607 (919)834-4984 Project: Stormwater Pace Project No.: 92453176 QC Batch: 509191 Analysis Method: SM 254OD-2011 II QC Batch Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended Solids " Associated Lab Samples: 92453176001, 92453176002, 92453176003, 92453176004, 92453176005 METHOD BLANK: 2732822 Matrix: Water Associated Lab Samples: 92453176001, 92453176002, 92453176003, 92453176004, 92453176005 'I Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L NO 2.5 11/13/19 09:29 LABORATORY CONTROL SAMPLE: 2732823 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Total Suspended Solids mg/L 250 246 98 90-110 SAMPLE DUPLICATE: 2732825 92453280001 Dup Parameter Units Result Result RPD Qualifiers , Total Suspended Solids mg/L 2590 2520 3 I SAMPLE DUPLICATE: 2732826 92453280004 Cup Parameter Units Result Result RPD Qualifiers 'I Total Suspended Solids mg/L 50.9 58.1 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, Date: 11/20/2019 04:36 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 16 (�IaceAnajtyfical' ww.pacelabs.wn QUALITY CONTROL DATA Project: Stormwater Pace Project No.: 92453176 QC Batch: 510614 Analysis Method: EPA 1664B QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92453176001, 92453176002, 92453176003, 92453176004, 92453176005 METHOD BLANK: 2739395 Matrix: Water Associated Lab Samples: 92453176001, 92453176002, 92453176003, 92453176004, 92453176005 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg/L ND 4.8 11/20/19 10:20 Pace Analytical Services, LLC 6701 Conference Drive Raleigh, NC 27607 (919)834-4984 LABORATORY CONTROL SAMPLE: 2739396 Spike LCS LCS %Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L 38.5 35.2 91 78-114 MATRIX SPIKE SAMPLE: 2739397 92452591004 Spike MS MS e/ Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L ND 38.5 37.3 92 78-114 Results presented on this page are In the units Indicated by the "Units- column except where an alternate unit is presentee to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/20/2019 04:36 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 16 Pace Analytical Services, LLC aceAnalytical o 6701 Conference Drive Raleigh, NC 27607 rww.pacelabs.con (919)834-4984 QUALITY CONTROL DATA Project: Stormwater i Pace Project No.: 92453176 QC Batch: 509898 Analysis Method: SM 5220D-2011 QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD, Low Level Associated Lab Samples: 92453176001, 92453176002, 92453176003, 92453176004, 92453176005 I, METHOD BLANK: 2736496 Matrix: Water Associated Lab Samples: 92453176001, 92453176002, 92453176003, 92453176004, 92453176005 � Blank Reporting Parameter Units Result Limit Analyzed Qualifiers 'I Chemical Oxygen Demand mg/L i ND 10.0 11/18/1916:23 LABORATORY CONTROL SAMPLE: 2736497 Spike LCS LIDS %Rec Parameter Units i Conc. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg/L 75 72.9 97 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2736498 2736499 MS MSD 92452733001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Chemical Oxygen Demand mg/L 80.2 75 75 149 148 91 91 90-110 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2736500 2736501 MS MSD 92453807003 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 18.1 75 75 96.6 96.6 105 105 90-110 0 Results presented on this page are In the unite Indicated by Me -Units' column except xTere an alternate unit Is presented to the right of the result. Date: 11/20/2019 04:36 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 11 of 16 aceAnalytical www.pacelaDs.rom QUALIFIERS Project: Stormwater Pace Project No.: 92453176 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - 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. Pace Analytical Services, LLC 6701 Conference Drive Raleigh, NC 27607 (919)834-4984 PQL - Practical Quanfitation 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. LABORATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte PASI-E Pace Analytical Services - Eden REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/20/2019 04:36 PM without the wntten consent of Pace Analytical Services, LC. Page 12 of 16 aceAnalytical ww.pudsCs.com QUALITY CONTROL DATA CROSS REFERENCE TABLE ,i Project: Stormwater Pace Project No.: 92453176 i Pace Analytical Services, LLC 6701 Conference Drive Raleigh, NC 27607 (919)834-4984 I Lab ID Sample ID QC Batch Method QC Batch Analytical Method Analytical Batch 92453176001 Outfall #1 SM 254OD-2011 509191 92453176002 #3-South Plant Pipe SM 254OD-2011 509191 92453176003 #4-SE Pond SM 2540D-2011 509191 92453176004 #5-Consolidated Outfall SM 2540D-2011 509191 . 92453176005 #2-Basin#2 SM 2540D-2011 509191 92453176001 Outfall#1 EPA 1664B 510614 " 92453176002 #3-South Plant Pipe EPA 16646 510614 92453176003 #4-SE Pond EPA 1664B 510614 i92453176004 #5-Consolidated Outfall EPA 1664B 510614 92453176005 #2-Basin#2 EPA 1664E 510614 92453176001 Outfall #1 SM 5220D-2011 509898 SM 5220D-2011 510226 �I 92453176002 #3-South Plant Pipe SM 5220D-2011 509898 SM 5220D-2011 510226 92453176003 #4-SE Pond SM 52200-2011 509898 SM 5220D-2011 510226 .I 92453176004 #5-Consolidated Outfall SM 5220D-2011 509898 SM 5220D-2011 510226 92453176005 #2-Basin#2 SM 5220D-2011 509898 SM 5220D-2011 510226 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, :,Date: 11/20/2019 04:36 PM without the written consent of Pace Analytical Services, LLC. Page 13 of 16 Name: Revised: February 7, 2019 Laboratory receiving samples: Asheville ❑ Eden[] Greenwood ❑ Huntersville ❑ Ralel h g ©-- Mechanicsville❑ Client Name: W0# : QI2 5aq %6 G r/"ta 15 Tine Project a w sY�P .d �i es d t es L r C. e u C S Courier: ❑Fed Ex ❑UPS s ❑USPS ❑Uient ❑Commercial QYe0.r [:]Other:— — 92453176 Custody Seal Present? Dyes P<o �,�� Seals Intact? ❑Yes L`<o - Dato/1nRlalsPerson Examining contents: ZAIl' -11-17 Paddng Material: []Bubble Wrap ubhle Bags ❑None ❑ Other Biological Tissue Frozen? Thermometer: ❑IRGunID: q>OUS ❑Yes ONO MNI%— Typo of ice: et ❑Blue ❑None Cooler Temp ('C)o 3.1 Correction Factor: Add/Subtract ('C) 0 Cooler 3' Temp should be above freezing to 6'C Temp Corrected ('C): []Samples out of temp criteria. Samples on ice, cooling process USDA Regulated Soil g ( /A, water sample) has begun Did samples originate In a quarantine zone within the ❑Yes ❑No _ United States: CA, NY, or SC (check maps)? Old samples originate from a foreign saurce Ilnternallonally, Indudlna Flawall and Puerto Ricni?I-lYes flNo Comments/Discrepancy: ustody Present? es ❑No N/A 1. rrived within Hold Time? es _ No ❑N/A 2. RH-4An Time Analysis <72 hr.)? Yes ❑N/A 3. Around Time Re nested? Yes No /A 4. SufficientVolume? es No N/A S. ntainers Used? ontainers Used? — EVV ❑No No ❑N/A N A 6. es No ❑N/A 7 lysis: Samples Field Filtered? No A a. =Intaa?aa? Match COC? `' rW. ate/-Rmc/ID/Anal sls Matrix. ,fOA ,ElYes ❑Na ❑N/A 9. Vials (>5-6mm)7 Yes Na /A 10. Trip Blank Present? Trip Blank Custody Seals Present? ❑Yes Yes ❑No LJN. LWA 11. COMMENTS/SAMPLE DISCREPANCY Lot ID of split containers: CLIENT NOTIFICATION/RESOLUTION Person contacted: Project Manager SCURF Review: � O Project Manager SRF Review: Date/Time: Field Data Required? []Yes ❑Na Date: Date: tlltli/� Page 14 of 16 . Document Name: Document Revised: February 7, 2018 Sample Condition Upon Recei t(SCUR) Page 1 of 2 Document No.: Issuing Authority: r ,... aeeArfafytfeat ' . F-CAR-M033•Rev.06 Pace Carolinas Quality Office *Check mark top half of box If pH and/or dechlorination Is verified and within the acceptance range for preservation samples. Exceptions: VOA, Coliform, TOC, Oil and Grease, DRO/8015 (water) DOC, LLHg "Bottom half of box Is to list number of bottle Project» .WOE ; 92453g76 PM: MWB Due Date: 11/20/19 CLIENT: 91-GrifolEHS d a Z T b rS z a <- a s o z 2 N 2 m m 5 9 O Y ? N V N V M N Au J 2 y N N V N V pO a \ Z y Q L N 9 2 a \ N 9 H z Z V ON C u Y Y z .dr q a ^ L V 2 Z \ Y ISJ y A 6 C O I) u p6 J a J O 4 C O 2_ 2 OZp O Yr, Cu e J Q y u Z J J ? u `u a s pJ .7 �d m apf, v aEE qqE z S a E Q 7J > O O O 3 N ,ii S Q Q E E E v E E E m E a > .. . A a E E E E E ou a .Imp c E E EaEi e o E o o $ ' 3 3 3 J i A si ram. i :it 3 V 1 ._2_ ---__ _. 3 I 4 6 I I I 6 7 8 9 11 t1210 pH Adjustment Log for Preserved Samples Sample ID Type of Preservative pH upon receipt Date preservation adjusted Time preservation —adjusted— Amount of Presarvallve added Let a Note: Whenever there 6 a discrepancy affecting North Carolina compliance samples, a copy or mis corm wince sa co me norm"men a ucnnn LeinnluVn Ynae e.e. Out of hold, incorrect preservative, out of tamp, incorrect containers. Page 15 of 16 CHAIN -OF -CUSTODY I Analytical Request Document The Chainaf-Custody Is a* LEGAL DOCUMENT. AU relevant fields must be wmpleled accurately. IR�dT.: Page: I Of asesUsloW Copy T.: Can, Nsrie: C". NC 27520 P. 0 Pam proje wlmx�ar. R.I." M. Dm. Pxe Profile is 7IM-2 NC COLLECTED presemfives 3R wrr v MR SAMPLE ID p �l STAM END :W Oft Chem Per boa. JA4- M 1, OT �Mple urd� TDA�TIME 0 R 00 0 Z DATE TIME z z 0 x x x x x x U - SE Pw WT ZOOS x x x — 00, — — — — — — — — — — x x— — — — — as - Cweofiealm 0wan wr — — &SONN ,Z — — — — —x x x x — — — — ---- ------ -- - - - - ---------- N-110 I ---- ---------- 6Q, I - . ------------ --- . . . . . . . . . . . . . . . . . ........ ... a f trzi 'ahl SIGNATDREeSAMPLER: 8 Grifols Therapeutics Inc GRIFOLS November 25, 2019 Central Files Division of Water Resources (DWR) 1617 Mail Service Center Raleigh, North Carolina 27699-1617 To whom it may concern: 8368 U.S. Highway 70 Business West Clayton, NC 27520 Tel. 919 553 5011 www.gdfols.com Attached you will find the semi-annual analytical SDO monitoring report following a representative storm event on November 81h for the Grifols Therapeutics Clayton, NC facility. If you have any questions, please don't hesitate to contact me at 919-359-5473 Sincerely, c David S. Graham Senior ESS