NCG060095_MONITORING INFO_20191106

`► ,
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCG (� (7 D
DOC TYPE
❑ HISTORICAL FILE
EY, MONITORING REPORTS
DOC DATE
❑ �� r
YYYYMMDD

Surface Modification Technologies
November 1, 2019
Attn: Central Files
Division of Water Quality, DENR
1617 Mail Service Center
Raleigh, NC 27699-1617
To Whom It May Concern:
RECEIVED
NOV 06 2019
OKAL FILES
WR SECTION
Please find enclosed the original and a copy of our Stormwater Discharge Monitoring
Report and the corresponding Stormwater Discharge Outfall Qualitative Monitoring
Reports for our October monitoring event.
Should you have any questions or require additional information, please do not
hesitate to contact me.
Regards,
V 0--
Veronica McKinney
Human Resources Manager
Enclosures

RFcevED
NOV 06 2019
_r
NCDENR
. ,,t,\L FIL%prmwater Discharge Outfall (SDO)
DWR SECTION Qualitative Monitoring Report
For guidance on filling out this form, please visit: hap://oonal.ncdenr ore/web/wq/wc/su/nndevswitulb-4
Permit No.: N/C/G / 0 / 6 / 0 / 0 / 0 / 0 / or Certificate of Coverage No.: N/C/G/ 0/ 6/ 0/ 0/ 9/ 5/
Facility Name: Goulston Technologies, Inc.
County: Union Phone No. 704-296-6427
Inspector: ('Z r
Date of Inspection: to- ILA
Time of Inspection: 1 I 1 o t
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) 2Ycs ❑ No
Please check your permit to verify if Qualitative Monitoring must be petforneel during a representative
storn event (requirements vary).
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,
By this signature, I certify that this report is accurate and complete to t�est of my
of Permittee or
1. Outfall Description:
Outfall No. I— Structure (pipe, ditch, etc.) Pipe
Receiving Stream: Bearskin Creek
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): Iier. si
Page I of 2
S W U-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4 5
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:
1 V 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:
b2 3 4 5
7, is there any foam in the stormwater discharge? Yes No
S. 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
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-242-20120613

ar
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance onfilling out this fornl, please visit: hop://portal.nalenr.orehvebAvg/ws/su/npdes %#Itab-4
Permit No.: N/C/G / 0 / 6 / 0 / 0 / 0 / 0/ or Certificate of Coverage No.: N/C/G/ 0/ 6/ 0/ 0/ 9/ 5/
Facility Name: Goulston Technologies Inc.
County: Union Phone No. 7 0 4- 2 9 6- 6 4 2 7
Inspector: R P
Date of Inspection: to - l 4 - 111n
Time of Inspection: 11 l o
Total Event Precipitation (inches): 1.01
Was this a Representative Storm Event? (See information below) 2<yes ❑ No
Please check your pennit to verify, if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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
I occurred. A single storm event may contain up to 10 consecutive hours of no orecioitation.
By this mat%e, I certify that this report is accurate and complete the best 9� my knowledge:
of Permittee or
1. Outfall Description:
Outfall No. _aq;___, Structure (pipe, ditch, etc.) pipe
Receiving Stream: Bearskin Creek
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: r-Ax -
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): Ae&17&e,
Page I of 2
SWU-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
l � 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:
o
/ lJ 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:
f
/ I) 2 3 4 5
7. Is there any foam in the stor nwater discharge?
Yes No
8. Is there an oil sheen in the stormwater discharge?
Yes
9. Is there evidence of erosion or deposition at the outfall?
Yes No
to. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W U-242-20120613

Awr
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: huLJ)ortal nedenr ors,/web/wa/ws/sn1/np icsvw#tab-4
Permit No.: N/C/G / 0 / 6 / 0 / 0/ 0/ 0/ or Certificate of Coverage No.: N/C/G/ 0/ 6/ 0/ 0/ 9/ 5/
Facility Name: Goulston Technologies Inc.
County: Union Phone No. 704-296-6427
Inspector: R P
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): i to? r,
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify il'Qualitutive Monitoring must be petfbnned during a representative
storm event (requirements vary).
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 Q 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.
By this suture, I certify that this report is accurate and complete tom best of
of Permittee or
1. Outfall Description:
Outfall No. ,3 Structure (pipe, ditch, etc.) pipe
Receiving Stream: Bearskin Creek
Describe the industrial activities that occur within the outfpll drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 121nr y
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): ran Lx_
Page I of 2
SWU-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 U 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:
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:
2 3 4 5
7. Is there any foam in the stormwater discharge?
Yes
8. Is there an oil sheen in the stormwater discharge'?
Yes C)
9. Is there evidence of erosion or deposition at the outfall?
Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W U-242-20120613

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: hnp'//Donal ncdertr or�dw�bhvg/wv/ni/nndcesw#vth-d
Permit No.: N/C/G / 0 / 6 / 0 / 0 0/ / 0/ or Certificate of Coverage No.: N/C/G/ 0/ 6/ 0/ 0/ 9/ 5/
Facility Name: Goulston Technologies Inc.
County: —
Inspector:
Union Phone No. 704-296-6427
Date of Inspection: In - I t` —
Time of Inspection: 1 1 % 1 .
r
Total Event Precipitation (inches): I j I,
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative Monitoring nutst be petformed during a represenlative
storm event (requirements vary).
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
to 10 consecutive hours of no precipitation.
occurred.A.... single storm event may contain up .
By this siggatpre,,lrcertify that this report is
(Signatufc,of Permittce or
I. Outfall Description:
and complete to,*e�,fest of my kNwledge:
Outfall No. �j _ Structure (pipe, ditch, etc.) pipe
Receiving Stream: Bearskin Creek
Describe the industrial activities that occur within the Outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: e /&p 01
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): �➢on..�
Page I of 2
SWU-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
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:
/t / 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:
f 1) 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes 0
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes I o
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
page 2 of 2
SWU-242-20120613

NC®ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: h�yr//ponafncdeur.or!�hvcbhvq/w</euhmdessw#tab-4
Permit No.: N/C/G /0 / 6 / 0 / 0 / 0/ 0/ or Certificate of Coverage No.: N/C/G/ 0/ 6/ 0/ 0/ 9/ 5/
Facility Name: Goulston Technologies, Inc.
County: Union Phone No. 704-296-6427
Inspector: 911?
Date of Inspection: to- L Lr - Ig
Time of Inspection: 11 : 16,
Total Event Precipitation (inches): 1 t a1
Was this a Representative Storm Event? (See information below) .40 Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to theist of my kngyvledge:
(SignatuI&of Permittnc or
I. Outfall Description:
Outfall No. !tr_ Structure (pipe, ditch, etc.) pipe
Receiving Stream: Bearskin Creek
Describe the industrial activities that occur within the outfall drainage area:
�So,�� a dZd WL4. of t-ZC21.9
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: �1/
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): /lvp.�
Page I of 2
S W 1i-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 10 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is nosolidsand 5 is the surface covered with floating solids:
U 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:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes V�
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-20120613

kv'�A
NC®ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: hop://portaLnedc•nr.or�,/web/wq/svc/su/npdess�eittab-4
Permit No.: N/C/G / 0 / 6 / 0 / 0/ 0/ 0/ or Certificate of Coverage No.: N/C/G/ 0/ 6/ 0/ 0/ 9/ 5/
Facility Name: Goulston Technologies, Inc.
County: Union Phone No. 704-296-6427
Inspector: R P
Date of Inspection:
'rime of Inspection: 1 1 : l l ,
'total Event Precipitation (inches): 1 . a
Was this a Representative Storm Event'? (See information below) .27Yes ❑ No
Please check your permit to verify if Qualitalive Monitoring must he petforned during a representative
storm event (requirements vary)
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 Q days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain un to 10 consecutive hours of no orecioitation.
By this signature, I certify that this report is accurate and complete to tbest of
(Signature of%rmittec or
1. Outfall Description:
Outfall No. _ c Structure (pipe, ditch, etc.) pipe
Receiving Stream: Bearskin Creek
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): A&.1&ei
Page I of 2
5 W U-242-201206 U

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
V 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:
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:
L/ 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes &
S. Is there an oil sheen in the stormwater discharge'? Yes
1. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-20120613

�r
NC®ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out thisform, please visit: http://I)onafnecletir.orJweb/wci/ws/euhmclessw#tl lb-4
Permit No.: N/C/G / 0 / 6 / 0 / 0/ 0/ 0/ or Certificate of Coverage No.: N/C/G/ 0/ 6/ 0/ 0/ 9/ 5/
Facility Name: Goulston Technologies, Inc.
County: Union Phone No. 704-296-6427
Inspector: R IP
Date of Inspection: I n • 1 t. - 1 4�%
Time of Inspection: t 1 . e;L o
Total Event Precipitation (inches): I a
Was this a Representative Storm Event? (See information below) 2 Y s ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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 nrecimiation_
By this signature I certify that this report is accurate and complete to thp>best of my
(Signature of4krmittee or
1. Outfall Description:
Outfall No. -7Structure (pipe, ditch, etc.) Pipe
Receiving Stream: Bearskin Creek
Describe the industrial activities that occur within the outfall drainage area:
Ea I,�/2
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: ti
3. Odor: Describe any distinct odors that the discharge may have (i.c., smells strongly of oil, weak
chlorine odor, etc.): /Io17�e�
Page I of 2
s W U-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
V 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 nosolidsand 5 is the surface covered with floating solids:
U 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:
l0 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes Vc
8. Is there an oil sheen in the stormwater discharge? Yes O
9. Is there evidence of erosion or deposition at the outfall? Yes tV
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-20120613

:r
NC®ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit. hup://ponal.ncdcnr.ure/web/wq/wsLni/ondcssw#tub-4
Permit No.: N/C/G /0 / 6 / 0 / 0/ 0/ 0/ or Certificate of Coverage No.: N/C/G/ 0/ 6/ 0/ 0/ 9/ 5/
Facility Name: _Goulston Technologies Inc.
County: -
Inspector:
nion Phone No. 704-296-6427
Date of Inspection: 10 - 11. - 19
Time of Inspection: ( 1 ' 14
Total Event Precipitation (inches): �n t
Was this a Representative Storm Event'? (See information below) 2'�Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be perfitnned during (4 representative
storm event (requirements vary).
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 Q 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.
By this signature, I certify that this report is accurate and complete tp�he best of my
(Signaturcef Permittec or
1. Outfall Description:
Outfall No. k— Structure (pipe, ditch, etc.) pipe
Receiving Stream: Bearskin Creek
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 4511�x I-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): ISOFI 4�
Page I of 2
SWU-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
0 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:
0 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:
1 2 3 4 5
7. Is there any foam in the stormwater discharge?
Yes N
8. Is there an oil sheen in the stormwater discharge?
Yes
9. Is there evidence of erosion or deposition at the outfall?
Yes Np
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-20120613

�r
NC®ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit lhup://portal.ncclemtorJweb/wnAva/tu/npciesswfttab-4
Permit No.: N/C/G / 0 / 6 / 0 / 0 / 0 / 0 / or Certificate of Coverage No.: N/C/ 0/ 6/ 0/ 0/ 9/ 5/
Facility Name: Goulston Technologies, Inc.
County: Union Phone No. 704-296-6427
Inspector: F. P
Date of Inspection: 10 • 16 - I g
Time of Inspection: ( 1 : xe.
Total Event Precipitation (inches): /, a „
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must he performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to test of my
(Signature of fdermittee or
1. Outfall Description:
Outfall No. _Cx_ Structure (pipe, ditch, etc.) pipe
Receiving Stream: Bearskin Creek
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 7.nd.,
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): n Fln 9-
Page I of 2
S W U-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 & 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:
6 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:
6 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes CNo
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W U-242-20120613

�r
NC®ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: hlnr//pnnaLncdenr ore/web/wq/ws/su/npdesswgtab-4
Permit No.: N/C/G / 0 / 6 / 0 / 0 / 0/ 0/ or Certificate of Coverage No.: N/C/G/ 0/ 6/ 0/ 0/ 9/ 5/
Facility Name: Goulston Technoloqies, Inc.
County: Union
Inspector: R P
Date of Inspection: 10 - 1 L� - I
Time of Inspection: / / 7 2-2-
Total Event Precipitation (inches): IV ,.
No. 704-296-6427
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitalive Monitoring most be performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to thew of my
(Signature of Pgftittee or Designee)
1. Outfall Description:
Outfall No. _-1 0 Structure (pipe, ditch, etc.) pipe
Receiving Stream: Bearskin Creek
Describe the industrial activities that occur within the outfall drainage area:
W-a42r�
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 71> , , , ,
0
Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page I of 2
SWU-242-20120513

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:
D2 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:
V 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes 9)
9. Is there evidence of erosion or deposition at the outfall? Yes a
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W U-242-20120613

sr
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: huw//ponal ncdenr or"Jwebhvq/ws/su/huxiessw#tab-4
Permit No.: N/C/G /0 / 6 / 0 / 0 / 0/ 0/ or Certificate of Coverage No.: N/C/G/ 0/ 6/ 0/ 0/ 9/ 5/
Facility Name: Goulston Technologies Inc.
County: Union Phone No. 704-296-6427
Inspector: VLV
Date of Inspection: t o- t 4- t 9
Time of Inspection: 11 = 2 L(
Total Event Precipitation (inches): 1, e.2
Was this a Representative Storm Event? (See information below) Vf YCs ❑ No
Please check your permit to verify if Qualitative Monitoring roust be petfortned during a representative
storm event (requirements vary).
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.
By this sign^ature,/jI certify that this report is accurate and coin the best oft knowledge:
/ / // .l1- � r 7 t
Permit -tee or De`.Wignce)
1. Outfall Description:
Outfall No. l 1 Structure (pipe, ditch, etc.) pipe
Receiving Stream: Bearskin Creek
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: D./La, %,f
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): _r-. N„
Page I of 2
SWU-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
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:
D 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I isnosolids and 5 is extremely muddy:
/I1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes 6
S. Is there an oil sheen in the stormwater discharge? Yes 6
9. Is there evidence of erosion or deposition at the outfall? Yes 6
to. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W U-242-20120613

�r
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
rorgnidance on filling out tkisform, please visit hup://purtsl.nc(Icur.or!dwcb/wq/ws/su/npclesswHtab-4
Permit No.: N/C/G / 0 / 6 / 0 / 0 / 0 / 0 / or Certificate of Coverage No.: N/C/G/ 0/ 6/ 0/ 0/ 9/ 5/
Facility Name: Goulston Technologies, Inc.
County: Union Phone No. 704-296-6427
Inspector: _R
Date of Inspection: to I it — 1 R
Time of Inspection: I l t a t
It
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be petformed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to tjx-ycst of my
(Signature oo1 crmittec or
1. Outfall Description:
Outfall No. 1O'2— Structure (pipe, ditch, etc.) Pipe
Receiving Stream: Bearskin Creek
Describe the industrial activities that occur withintthe outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: — . „ vi
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): n n �
Page I of 2
S W U-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
I 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:
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:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes 6
8. Is there an oil sheen in the stormwater discharge? Yes D
9. Is there evidence of erosion or deposition at the outfall? Yes ➢da
t0. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-20120613

�r
NC®ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this fonn, please visit: hup'//portal neclenr or<,/Webhvcl/ws/su/npcicssw#tab-4
Permit No.: N/C/G / 0 / 6 / 0 / 0 / 0/ 0/ or Certificate of Coverage No.: N/C/G/ 0/ 6/ 0/ 0/ 9/ 5/
Facility Name: Goulston Technologies Inc.
County: Onion Phone No. 704-296-6427
Inspector: 9?
Date of Inspection: 1 D
Time of Inspection: 11 11
Total Event Precipitation (inches): I , a it
Was this a Representative Storm Event? (See information below) Zfl�yes ❑ No
Please check your permit to verify, if Qualitative Monitoring must be penforned during a representative
storm event (requirements vary).
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 orecioitation.
By this signature, I c ify t t this report i ccurate and complete to the b of my
s
(Signature of Pcr ittce or Designee)
1. Outfall Description:
Outfall No. /3__ Structure (pipe, ditch, etc.) pipe
Receiving Stream: Bearskin Creek
Describe the industrial activities that occur within the outfaV drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: �.0 ,i
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): /2nrt, .1,
Page 1 of 2
SWU-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 C3) 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:
6 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:
6) 2 3 4 5
7. Is there any foam in the stormwater discharge?
Yes Vo
8. Is there an oil sheen in the stormwater discharge?
Yes
9. Is there evidence of erosion or deposition at the outfall?
Yes
to. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-20120613

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 1 ( — I — QO lg
CERTIFICATE OF COVERAGE NO. NCG06QQg Z SAMPLE COLLECTION YEAR 0 I�
FACILITYNAME Cmoyl -tion FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ()n:., ❑ use/process meats ® use animal fats/byproducts
PERSON COLLECTING SAMPLES R 4 13 M . SS. r S wz_ . K G DISCHARGING TO SALTWATERS? ❑YES 5jjNO
LABORATORY Pace_ Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z or n No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS;
mg/L
pH,
Standard units'
- . cOD,-. _
mg/L
Oil and Grease,
mg/L
Fecal oliform',
Colonies per 100 ml
Enterococci',
Colonies per 100 ml
Benchmark
C�
100 or 504
Within 6.0-9.0�
120'
30
1000
Soo
01
toIts I '%
iiy
A
OF 'I
19
Y.
? 3
V
or to
t - %
y
i
- L R
o
Ivo
' Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
' For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30"
100 or 504
6.0 — 9.0
-
' Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
' For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
I(If // i
(Date
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

aceAnalytical
w w.pacelabs.crom
October 28, 2019
John McTaggart
Goulston Technologies
700 N. Johnson Street
Monroe, NC 28110
RE: Project: Stormwater Sampling #2
Pace Project No.: 92450109
Dear John McTaggart:
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Hunlersville, NC 28078
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on October 17, 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,
Tyriek Hooks
[e-mail]
[phone]
Project Manager
Enclosures
cc: Ms. Sally Duncan, Goulston Technologies
Veronica McKinney, Goulston Technologies
John McTaggart
F ACc
7NIg`
`geORAtOQ-1
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

Pace Analytical Services, LLC
®
aceAnalytical
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
w vpacelabs.com
[phone]
CERTIFICATIONS
Project: Stormwater Sampling #2
Pace Project No.: 92450109
Charlotte Certification IDs
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
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
North Carolina Wastewater Certification #: 40
Florida/NELAP Certification #: E87648
South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030
VirginiaNELAP 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, I.I.C. Page 2 of 13

aceAnalytical
wawpacelabs.cda
SAMPLE ANALYTE COUNT
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Hunlersville, NC 28078
[phone]
Project:
Pace Project No.:
Stormwater Sampling #2
92450109
Analyles
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92450109001
OUTFALL#3
EPA 1664E
HH
1
PASI-C
SM 254OD-2011
MJP
1
PASI-A
SM 5220D-2011
GC
1
PASI-A
92450109002
OUTFALL#7
EPA 1664B
HH
1
PASI-C
SM 254OD-2011
MJP
1
PASI-A
SM 5220D-2011
GC
1
PASI-A
92450109003
OUTFALL#10
EPA1664B
HH
1
PASI-C
SM 254OD-2011
MJP
1
PASI-A
SM 5220D-2011
GC
1
PASI-A
92450109004
OUTFALL #12
EPA 16648
HH
1
PASI-C
SM 254OD-2011
MJP
1
PASI-A
SM 5220D-2011
GC
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

aceAnalytical o
w pacefabs.cwn
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Hunlersville, NC 28078
[phone]
Project: Stormwater Sampling#2
Pace Project No.: 92450109
Sample: OUTFALL#3 Lab ID: 92450109001 Collected: 10/16/1911:10 Received: 10/17/1911: 15 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 1664B
Oil and Grease 11.4 mg/L 5.0 1 10/22/19 15:43
2540D Total Suspended Solids Analytical Method: SM 254OD-2011
Total Suspended Solids 15.6 mg/L 5.0 1 10/20/19 07:04
5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 52200-2011
Chemical Oxygen Demand 114 mg/L 25.0 1 10/23/19 16:22 10/23/19 20:29
Sample: OUTFALL #7 Lab ID: 92450109002 Collected: 10/16/19 11:20 Received: 10/17/19 11:15 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 16646
Oil and Grease NO mg/L 6.0 1 10/22/19 15:44
2540D Total Suspended Solids Analytical Method: SM 254OD-2011
Total Suspended Solids 4.6 mg/L 2.5 1 10/20/19 07:06
52200 COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand NO mg/L 25.0 1 10/23/19 16:22 10/23/19 20:29
Sample: OUTFALL #10 Lab ID: 92450109003 Collected: 10/16/19 11:22 Received: 10/17/19 11:15 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 1664B
Oil and Grease 11.9 mg/L 5.0 1 10/22/19 15:44
25400 Total Suspended Solids Analytical Method: SM 254OD-2011
Total Suspended Solids 27.2 mg/L 5.0 1 10/20/19 07:06
5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand 68.0 mg/L 25.0 1 10/23/19 16:22 10/23/19 20:29
Sample: OUTFALL #12 Lab ID: 92450109004 Collected: 10/16/19 11:27 Received: 10/17/19 11:15 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 1664E
Oil and Grease NO mg/L 5.0 1 10/22/19 15:46
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/28/2019 02:29 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 13

aceAnalyticale
.pa wlabs cram
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: Stormwater Sampling#2
Pace Project No.: 92450109
Sample: OUTFALL#12 Lab ID: 92450109004 Collected: 10116/1911:27 Received: 10/17/1911:15 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Oual
2540D Total Suspended Solids Analytical Method: SM 254OD-2011
Total Suspended Solids 51.3 mg/L 8.3 1 10/20/19 07:06
5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand 40.4 mg/L 25.0 1 10/23/19 16:22 10/23/19 20:29
Date: 10/28/2019 02:29 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC,
Page 5 of 13

laceAnalyticalo
.pecelabs.com
QUALITY CONTROL DATA
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: Stormwater Sampling#2
Pace Project No.: 92450109
OC Batch: 505052
Analysis Method:
EPA 1664B
QC Batch Method: EPA 1664E
Analysis Description:
1664 HEM, Oil and
Grease
Associated Lab Samples: 92450109001, 92450109002, 92450109003, 92450109004
METHOD BLANK: 2713814
Matrix: Water
Associated Lab Samples: 92450109001, 92450109002, 92450109003, 92450109004
Blank Reporting
Parameter
Units
Result Limit
Analyzed
Qualifiers
Oil and Grease
mg/L
NO 5.0 10/22/19 15:43
LABORATORY CONTROL SAMPLE:
2713815
Spike LCS
LCS
%Rec
Parameter
Units
Conic. Result
% Rec
Limits
Qualifiers
Oil and Grease
mg/L
40 41.3
103
78-114
LABORATORY CONTROL SAMPLE:
2713844
Spike LCS
LCS
% Rec
Parameter
Units
Conc. Result
% Rec
Limits
Qualifiers
Oil and Grease
mg/L
40 31.2
78
78-114
LABORATORY CONTROL SAMPLE:
2713845
Spike LCS
LCS
% Rec
Parameter
Units
Conc. Result
e/ Rec
Limits
Qualifiers
Oil and Grease
mg/L
40 40.2
100
78-114
MATRIX SPIKE SAMPLE:
2713816
92449594002 Spike
MS
MS
% Rec
Parameter
Units
Result Conc.
Result
% Rec
Limits Qualifiers
Oil and Grease
mg/L
NO 40
36.2
88
78-114
Results presented on this page am In the units Indicated by the "Units" column except whore 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: 10/28/2019 02:29 PM without the written consent of Pace Analytical Services, L-C. Page 6 of 13

ace Analytical.
wwwpacelabs.com
QUALITY CONTROL DATA
Pace Analytical Services, LLC
9800 Kinney Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: Stormwater Sampling #2
Pace Project No.: 92450109
OC Batch: 504602
Analysis Method: SM 254OD-2011
QC Batch Method: SM 254OD-2011
Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92450109001, 92450109002, 92450109003, 92450109004
METHOD BLANK: 2711851
Matrix: Water
Associated Lab Samples: 92450109001,
92450109002, 92450109003, 92450109004
Blank Reporting
Parameter
Units
Result Limit Analyzed Qualifiers
Total Suspended Solids
mg/L
NO 2.5 10/20/19 07:02
LABORATORY CONTROL SAMPLE:
2711852
Spike LCS LCS % Rec
Parameter
Units
Conc. Result % Rec Limits Qualifiers
Total Suspended Solids
mg/L
250 250 100 90-110
SAMPLE DUPLICATE: 2711865
92450104006 Dup
Parameter
Units
Result Result RPD Qualifiers
Total Suspended Solids
mg/L
51.3 58.0 12 D6
SAMPLE DUPLICATE: 2711866
92450104007 Dup
Parameter
Units
Result Result RPD Qualifiers
Total Suspended Solids
mg/L
237 240 1
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: 10/28/2019 02:29 PM without the written consent of Pace Analytical Services, L-C. Page 7 of 13

aceAnalytical
wwwpace'abs.can
QUALITY CONTROL DATA
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: Stormwater Sampling #2
Pace Project No.: 92450109
QC Batch: 505348 Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD
Associated Lab Samples: 92450109001, 92450109002, 92450109003, 92450109004
METHOD BLANK: 2715087 Matrix: Water
Associated Lab Samples: 92450109001, 92450109002, 92450109003, 92450109004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Chemical Oxygen Demand mg/L ND 25.0 10/23/19 20:24
LABORATORY CONTROL SAMPLE: 2715088
Spike LCS LCS e/ Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Chemical Oxygen Demand mg/L 750 753 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2715089 2715090
MS MSD
92449799001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result e/ Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg/L NO 100 100 121 121 108 108 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2715091 2715092
MS MSD
92450097003 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 537 100 100 634 636 97 99 90-110 0
Results presented on this page aro in the unit. 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: 10/28/2019 02:29 PM without the written consent of Pace Analytical Services, L-C.
Page 8 of 13

1,4�
eAnalytical
w Pacelabs.=
QUALIFIERS
Project: Stormwaler Sampling N2
Pace Project No.: 92450109
DEFINITIONS
OF - 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
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
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 Acrylonfrile 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.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/28/2019 02:29 PM without the written consent of Pace Analytical Services, L-C. 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 Sampling #2
92450109
Analytical
Lab ID
Sample ID
QC Balch Method
QC Batch
Analytical Method
Batch
92450109001
OUTFALL #3
EPA 1664B
505052
92450109002
OUTFALL#7
EPA 1664B
505052
92450109003
OUTFALL #10
EPA 1664E
505052
92450109004
OUTFALL #12
EPA 1664B
505052
92450109001
OUTFALL #3
SM 2540D-2011
504602
92450109002
OUTFALL #7
SM 254OD-2011
504602
92450109003
OUTFALL 910
SM 254OD-2011
504602
92450109004
OUTFALL #12
SM 2540D-2011
504602
92450109001
OUTFALL #3
SM 5220D-2011
505348
SM
5220D-2011
505409
92450109002
OUTFALL #7
SM 52200-2011
505348
SM
5220D-2011
505409
92450109003
OUTFALL #10
SM 52200-2011
505348
SM
52200-2011
505409
92450109004
OUTFALL #12
SM 5220D-2011
505348
SM
5220D-2011
505409
Date: 10/28/2019 02:29 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

Document Name:
Document Revised: February 7, 2018
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Sample Condition Upon Receipt(SCUR)
Page 1 of 2
Document No.:
Issuing Authority:
F-CAR-CS-033-Rev.06
Pace Carolinas Quality Office
Laboratory receiving samples:
Asheville ❑ Eden[] Greenwood ❑
Client Name:
P P
❑ Commercial ace ,�.,,// ❑Other:_
Custody Seal Present? ❑Yes lyrvo Seals Intact? ❑Yes
Huntersville 19 Raleigh[] Mechanicsville❑
Project q
WO#:92450109
11 I
nClient �II II�1�l I�I'III'�I�I� .--._
92450109
-
tr—i�t(//11
IY"0.. _ _.. .. . ' III n
Date/Initials Person Examining cuntams: ,/L(} .l i ,T7�
Packing Material: ❑Bubble Wrap I_yBubble Bags []None ❑ other Biological Tissue Frozen?
Thermo net.er- ❑Yes ❑No Dd/A
6 Gun to: 92TO49 Type of Ice: ?'Wet [:]Blue ❑None
Cooler Temp ('C)s () , i Correction Factor: Add/Subtract ('C) 0.0
Temp
should he above freezing to 6°C -
Cooler Temp Corrected ('Cj: a. i[]Sam des out of temp criteria. Samples on ice, cooling process
hasbegun
USDA Regulated Soil ((Da/A, water sample)
Did samples originate In a quarantine zone within the United States: CA, NY, or SC (check =PS)? Did samples originate from a foreign source (internationally,.
❑Yes ❑No Includinc Hawaii and Puerto RICO)? Dyes [7]No
Comments/Dlscre an :
Chain of Custody Present?
Lyses
No
DWA
1.
Samples Arrived within Hold Time?
1+ ref
No
N/A
2.
Short Hold Time Analysis 02 hr.)?
Yes
Ej�o
N/A
3.
Rush Tom Around Time Requested?
Yes
c
❑N/A
a.
Sufficient Volume?
'
Oct-
❑N/A
S.
Correct Containers Used?
-Pace Containers Used? _
_51ol
- u
ea
❑No
QN0
❑NIA
❑N/A
6. . -
Containers Intact? .
es
QN.
N/A.
7.
_
Dissolved analysis: Samples Field Filtered?
Y s
❑No
01416
8.
Sample Labels Match COC?
-Includes Date/Time/ID/Analysis Matra:
es
i
�
[-]No
❑N/A
9.
Heads ace in VOA Vials (>5-6mm ?
❑Yes
No
�
N]ns/A
10.
Trip Blank Present? ..
Trip Blank Custody Seals Present?
[]Yet
Yes
❑No
No
/A
/A
12.
COMMENTS/SAMPLE DISCREPANCY Field Data Required? Dyes []NO
deb- an cofiITA(S 10-�16 Gi ha9 , nn for: ov\
Lot ID of split containers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
Project Manager SCURF Review: 112
Project Manager SRF Review: to
DateMme:
Date: /�'D/I (I 4/ /�',/fG',((1%
Date: IV
Page 11 of 13

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BP41.1-125 mL Plastic Unpreserved (N/Al (C4)
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111031.1-250 mL Plastic Unpreserved (N/A)
BP2U-500 mt Plastic Unpreserved (N/A)
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SP1U-I liter Plastic Unpreserved(N/A)I
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aP45-125 mL Pbstk H2504 (pH < 2) (Cpi)
BM-250 mL plastic HNO3 (pH <2)
BP42a2S mL Plastic 2N Acetate & NaOH (P9)
8P4C-32S mL Plastic NaOH (PH> 121 (I})
I
WGFU-Wide-mouthed Glass jar Unpreserved
AGIU-1 lter Amber Unpreserved (N/A) (CI-)
AG2H-1 0ter Amber MCI (pit < 2)
AG31.1-250 ml. Amber Unpreserved (N/A)(Ci-)
AG15-1 liter Amber H2SO4 (pX < 21
AG35-250mL Amber H2SO4(PH <2)
zzAG3AIDG3A)-25O
mL Amber NH4C1(N/A)(CI-)
"
OG9H- ID mL VOA MCI (N/AI
'
VG9T40 mL VOA Na25203 (N/AI
VG9U40 mL VOA Unp (N/A)
DG9P•40 mL VOA H3PO4 (WA)
VOAN (6 vials per kit fSOS kit (N/A)
WGIL l3 vials per k*VPH/Gas kit (N/A)
SPST-125 mL Sterne Plastic (WA — lab);
SM-250 mL Sterne Plastic (NIA —lab;
i
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BP3A-250 mL Plastic (NH2)2504 (93-9.71
AGWI.100 mL Amber Unpreserved vials (N/A)
V5GU-20mLScintilLationvials (N/A)
0591.1-40 mL Amber Unpresemed vials �(N/A)
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CHAIN -OF -CUSTODY / Analytical Request Document
The Chain -of -Custody Is a LEGAL DOCUMENT. AL relevant flews must be completed accurately.
Section A Section B Section C
Ppea: of
RegWmd talent lntomiation: Required PmJett Isomunion: Irani. tollion:
Comp Rep
Report Ty Ahmgon:
2195750
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Add",
100
Copy To:
CamPanY Name:
REGULATORY AGENCY
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r NPDES r GROUND WATER r DRINIUNG WATER
r UST RCRA r OTHER
m TIT
Purchase Order No.0 d
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ad Na
Site Location
F
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'STATE:
Requested Due 02MMAT
PmJecl Numbe,
PewpFNa A:
.' Requested
Analysis
FiHered(Y/N)..
Saction0 Matrix Codes
r
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aequlraaalen:Irrwaacen MyTRIx r coDF
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COLLECTED
Preservatives
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SAMPLE ID 01: L
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Sample lDS MUST BE UNIQUE Tosee TS
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ADDITIONAL COMMENTS
RELINQUISHEDBY/AFFILIATION.
DATE
TIME
ACCEPTEDBY/AFFILIATION -
DATE
TIME
SAMPLE CONDITIONS
(elf f
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-SAMPLER NAME AND SIGNATURE -- - --.
ORIGINAL
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PRINT Name of SAMPLER:
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SIGNANRE of 9AMPLER:
GATE Signed
'Impgdant Nde: By Signing Me harm you are aw.epfmg Paws NET M day paynunt temps and egmn:rg b late haroe, of 1.5% per nnnm fw any irvdws net wb wioun 30 days. F.ALL-"20rev.07, 15May-2007