NCG060114_MONITORING INFO_20191125

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
f MONITORING REPORTS
DOC DATE
❑ aoI 1 ��
YYYYMMDD

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality G neral Permit No. NCG060000
Date submitted Z5
CERTIFICATE OF COVERAGE NO. NCG06 0 I I
FACILITYNAME jAldF VeA (I�LIVttA �C�ti%!(VlCfy�{1C. iu�%
COUNTY
PERSON COLLECTING SAMPLES QL W I Imo-,
LABORATORYAAy(4t)[7 r- Llbora Tries Lab Cert. # NG *11 ft3771`f
USDA ae31757
Dart A• Stnrmwater Ranrhmarks and Mnnitnrino Results
SAMPLE COLLECTION YEAR 20I61
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
FDISCHARGINGJO'SALTWATERS? DYES ®NO
L� ..,. . 1.1 1..... 5./
DEC I pLiM REMEMBER TO SIGN ON THE REVERSE --)
C[Nl F _;Total event rainfalls O-lol" or ❑ No discharge this period3
n.• 'l
Outfall No,
Sample Collected,
mo/dd/yr
TSS, .
mg/L
pH,
Standard units
COD,
mg/L
Oil grid Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0-9.0
120
30
- 1000 -
500
17
I.
<5.0
NA
NA
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 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 e: Vehicle Maintenance Area Monitorine 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 50
6.0 — 9.0
-
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 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.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO [�(]
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO ❑ p/A
REGIONAL OFFICE CONTACT NAME: �1�A
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results (or 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
inforr on,cluding thethe possiblytyr fines and imprisonment for knowing violations.", /
Additional copies of this form may be downloaded at: http://portal.ncdenr.orglweb/wg/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality G neral Permit No. NCG060000
Date submitted Z 5 9
CERTIFICATE OF COVERAGE NO. NCG06 O I l SAMPLE COLLECTION YEAR ZOIq
FACILITY NAME 1j b'L! I &V &� WY\(A {611ttA VlC 3Tn ( (LkS) FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY J ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES SSf l I 1 k DISCHARGING TO SALTWATERS? DYES ®NO
LABORATORYAA i (4fIhr.U2bcWvrirs LabCert.N IJG#(/ r1f3771`f
USDA at 3l)57 PLEASE REMEMBER TO SIGN ON THE REVERSE
n.., A. ea,.........,ter ne..-6.r.erLc end Mnnitnrina RpeuMe
Total event rainfall z O. (ol.. or n No discharge this period'
r a, • r...a
Outfall No.
Sample Collected,
mo/dd/yr
•
rT55,
nz
•e
pH,•
Standard units
,COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
100or50
Within'6.0 - 9.0
120
30
1000
Soo
II 13 I
<'f.17
I•
<5.0
N A
N A
' Only applies to facilities that use/process meats.
7-The total precipitation must be recorded using data from an on -site rain gauge.
3 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.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Dert n. XI.hiele Maintenanre Area Mnnitnrino Rpeults- only for facilities averaging > 55 gal of new motor oil/month.
.�..
Outfall No.
....._......__...__..._...__...e-------------•
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
100or50
6.0-9.0
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 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)
I nct Revised: Octohr,r 19. 2011

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ I,1/A
REGIONAL OFFICE CONTACT NAME: b(lA
Mail an original and one CODY of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results (or 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 b t-of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
infor tion,cluding theossibili �f fines and imprisonment for knowing violations.", /
0//
rsi
Additional copies of this form may be downloaded at: http:ZZportal.ncdent.oi-glweb/wq/ws/­su/npdesswgtab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

6)MICROBAC"
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9K0181
4inalytical Testing Parameters
Client Sample ID: Storm vvater, grab
Sample Matrix: Aqueous Collected By: Unilever
Lab Sample ID: K91<0181-01 Collection Date: 11/13/2019 12:00
Wet Chemistry
Result RL
Units
Dilution Note
Prepared Analyzed
Analyst
EPA 1664 Rev. B
Oil 8 Grease (HEM)
<5.0 5.0
mg/L
1
11115119 1041
CLB
SM 2640 D-2011
Total Suspended Solids
<4.17 4.17
mg/L
1
11/14119 1306
CLB
SM 4600 H+B-2011
pH at 25 °C
6.1 1.0
S.U.
1 H
11/15/19 1329
CLB
SM 6210 B-2011
BOD
2.28 2.00
mg/L
1 G1, G6
11/14/19 1412
MT
SM 6220 D-2011
COD, Total 91.4 10.0 mg/L 1 11/15/19 0906 MT
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com page 3 of 7

o -•:.
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9K0181
Batch Quality Control Summary: Microbac Laboratories, Inc. - Fayetteville
Spike Source %REC RPD
Wet Chemistry Result RL Units Level Result %REC Limits RPD Limit Notes
Batch KK91303 - Wet Chem Aqueous - SM 2540 D-2011
Blank (KK91303-BLK1) _.
Prepared & Analyzed: 11/14/2019
Total Suspended Solids
<2.50
2.50
mg/L
Blank (KK91303-BLK2)_
Prepared & Analyzed: 11/14/2019
Total Suspended Solids
<2.50
2.50
mg/L
Blank (KK91303-BLK3)
Prepared & Analyzed: 11/142019
Total Suspended Solids
<2.50
2.50
mg/L
Blank (KK91303-BLK4)_
_
Prepared & Analyzed: 11/14/2019
Total Suspended Solids
<2.50
2.50
mg/L
LCS.(KK91303-BSt)
Prepared & Analyzed: 11/14/2019
Total Suspended Solids
29.2
2.50
mg/L 30.4 96 94.5-105.4
Batch KK91311 - Wet Chem Aqueous - SM 5210 B-2011
Blank (KK91311-BLKI) Prepared & Analyzed: 11/14/2019
BOD <2.00 2.00 mg/L
LCS(KK91311-BSI) _ _ _ _ Prepared&Analyzed: 11/14/2019
BOD 116 mg/L 198 58 .59596-115.4 _
Duplicate (KK91311-DUP1) Source: K91<0210-01 Prepared & Analyzed: 11/14/2019
BOD 562 2,00 mg/L 495 13 10
Batch KK91408 - Wet Chem Aqueous - SM 5220 D-2011
Blank (KK91408-BLKI)
Prepared 8 Analyzed: 11/152019
COD, Total
<10.0
10.0
mg/L
Blank (KK91408-BLK2)_
-Prepared &Ana-lyzed: 1.1/15/22.0_19
COD, Total
<10.0
10.0
mg/L
Blank (KK91408-BLK3)
Prepared & Analyzed: 11/152019
COD, Total
<10.0
10.0
mg/L
LCS (KK91408-851)
Prepared & Analyzed: 11/15/2019
COD, Total
500
10.0
mg/L 500 100 95-105
Duplicate (KK91408-DUP1)
Source: K91<0191-01
Prepared & Analyzed: 11/152019
COD, Total
179
10.0
mg/L 180 0.6 20
Duplicate (KK91408 DUP2)
Source KSK0207-01
Prepared & Analyzed: 11/152019
COD, Total
120
10.0
mg/L 119 0.6 20
Matrix Spike (KK91408.MS1)
_ Source: K9K0191.01
Prepared & Analyzed: 11/152019
COD, Total
203
10.0
mg/L 25.0 180 88 80-120
Matrix Spike_(KK91408-MS2). ,Source:, K9K0207-01 Prepared&Analyzed 111152019
COD, Total 119 10.0 mg/L 25.0 119 0 80-120
Batch KK91417 - Wet Chem Aqueous - EPA 1664 Rev. B
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 4 0( 7

FAYETTEVILLE DIVISION • 2592 Hope Mills Road • Fayetteville, NC 28306 • [phone] • Fax [phone]
CHAIN OF CUSTODY RECORD
PAGE OF
CLIENT-NAME-B ADDRESS= "
-.DO #: �` ? •. - ..
PROJECT / LOCATION: -
m
LL
O
TYPE
OF
ANALYSIS
PRESERVATION (CODE)
UNILEVER HPC
100 Faberge Blvd.
Raeford, NC 28376
Raeford
0
O
'a
O
O
U
w
r
U
Z
N
M
=
Z
=a
I
o
o
l9
-a
O
—a
o
5
o
U
o
1,2
H
m
1
1
1
CODE: A = <4°G ONLY
B = HNO3 (ph<2) + <4°C
C = H2SO4 (ph<2) + <4°C
D = NaOH + <4°C
E= ZN Acetate + <4°C
F = Sodium Thio.
-:CONTACT PERSON::`
Amy Dorne
PHONE:.= _'..�- '-_' t
°-SAMPLER:�,.^_ ;.
910 875-1240
' I
METHOD. OF'SHIPMENT •. ;<"ri..- s, "S -` " -.'.
MEL Pick-up
LAB ID #
Sample Type
Start Date
Start Time
End Date
End Time
COMP
GRAB
pH
I D.0
TEMP °C
Res. CHLORINE
I
1
Reran blshed by:. t- "f.J -'
'Date' s
: Time. - .:
Re<eNed b .. :� .;:',: ':". a -"
Date.
Time..:. . :'
Comments or Special Hazards:
Temp: c�
))-
t.-p..
Rellnqulshed by: o
'..Date.".-
=Time -
-Reveived by:
Dm, •.:
Time ` .;`
3
4
pH:
Relin4uishedbj:'.;- -
Date-
.Time
Rxelved. by:.
Dote '.
nme
5
1
6
FIOW: t- y
Rellm ulshed by: _
.Date ,'
Time
tRemived by: 1
Do*
Time "-
7
1
8
Additional Sample
a Rr

FTA)
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
C� MONITORING REPORTS
DOC DATE
❑ aoI 1 ��
YYYYM M D D

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality G neral Permit No. NCG060000
Date submitted 2 5 19
CERTIFICATE OF COVERAGE NO. NCG06 0 SAMPLE COLLECTION YEAR 2-0161
FACILITY NAME 1 i,jq i I FN eA W yw �LTectuAIVi43Tri t-. FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES R,U. 9 l l U0 VU) f DISCHARGINGTO'SALTWATERS? ❑YES ®NO
LABORATORYAAi(r4r,c L betatorirs Lab Cert. # IJG Stu #3771`/
I,ISDA -t 3767 DEC I X �a REMEMBER TO SIGN ON THE REVERSE
Part A• Stormwater Benchmarks and Monitoring Results
CEh i it 1I FR z
tal event rainfall O�(r lI" or ❑ No discharge this period'
F'M/o IzIrfo
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil. and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
10 oor50
Within 6.0 — 9.0
120
30
-1000 -
-Soo
11 13 I
<j.17
I•
45.0
N A
N 1A
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 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 a- Vehicle Maintenance Area Monitorine 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
100or50
6.0-9.0
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 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.
(if yes. complete Part B)
SWU-249 Last Revised: October IS.2012

*FOR PART A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO [�
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ N/A
REGIONAL OFFICE CONTACT NAME: _t 11A
f
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
"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
infor tion, ' cluding the possibili f fines and imprisonment for knowing violations."
( ig ature of P rmittee) ( ate)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/webZwq/ws/suZnpdessw#tab-
SWU-249 Last Revised: October 18. 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
/// Date submitted 2 6- j
CERTIFICATE OF COVERAGE NO. NCG06 C7 I 14 �I� SAMPLE COLLECTION YEAR 2019
FACILITY NAME (J NI i � &V b� MEAU t A C ,1 w!1 ✓ICI jTn (' i LLS) FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY J ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES _ 55211 `�� DISCHARGING TO SALTWATERS? ❑YES ®NO
LABORATORYAAi(dni-n,,- LabctaUvrirs Lab Cert. # PC, #11 #37711
USDA A398%
Part A• Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE �
Total event rainfall 2 O. to I " or ❑ 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 Coliform,,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
SOO or 50
Within 6.0 -9.0
120
30
1000
Soo
i1 13 I
<`f.17
1.. 1I•
415.0
N A
N 1A
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on-siterain gauge.
3 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 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall'No.
Sample Collected,
-`trio/lid/yr
Oil and Grease,
mg/L
TSS,
riig/L
pH,
Standard snits
New Motor Oil Usage,
Annual average gal/mo
Benchmark
30
100or50
6.0-9.0
' Only applies to facilities that use/process meats.
2The 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.
(ifyes, complete Part B)
114r11,'lAn I nctReviced Ovinher IS_2012

*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 It SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO [�
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ f 1 /A
REGIONAL OFFICE CONTACT NAME: N�A
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of
monitorina 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 b t-of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
nfor tion, ' cluding the possibili f fines and imprisonment for knowing violations
fl 3
( 1g ature of P mittee) (Date)%
Additional copies of this form may be downloaded at: http:Z/portal.ncdeiir-.orgZweb/`wq/ws/su/np(lesswgtab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

ONIICROBAC*
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9KO181
Analytical Testing Parameters
Client Sample ID: Stone vvater, grab
Sample Matrix: Aqueous Collected By: Unilever
Lab Sample ID: K91<0181-01 Collection Date: 11/1312019 12:00
Wet Chemistry
Result RL
Units
Dilution Note
Prepared Analyzed
Analyst
EPA 1664 Rev. B
Oil 8 Grease (HEM)
<5.0 5.0
ng/L
1
11/15/19 1041
CLB
SM 2540 D-2011
Total Suspended Solids
<4.17 4.17
mg/L
1
11/14/19 1305
CLB
SM 4600 H+B-2011
pH at 25 °C
6.1 1.0
S.U.
1 H
11/15/19 1329
CLB
SM 6210 B-2011
BOD
2.28 2.00
mg/L
1 G1, G6
11/14/19 1412
MT
SM 5220 D-2011
COD, Total 91.4 10.0 mg/L 1 11/15/190906 MT
Mlcrobac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com
Page 3 of 7

Lr7 #
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9K0181
Batch Quality Control Summary: Microbac Laboratories, Inc. - Fayetteville
Spike Source %REC RPD
Wet Chemistry Result RL Units Level Result %REC Limits RPD Limit Notes
Batch KK91303 - Wet Chem Aqueous - SM 2540 D-2011
Blank(KK9130349LK1) __
_
Prepared&Analyzed: 11/14/2019
Total Suspended Solids
<2.50
2.50
mg/L
Blank (KK91303-BLK2)
Prepared & Analyzed: 11/14/2019
Total Suspended Solids
<2.50
2.50
mg/L
Blank(KK91303-BLK3)_
_
Prepared&Analyzed: 11/14/2019
Total Suspended Solids
<2 50
2.50
mg/L
Blank (KK91303-BLK4)
Prepared & Analyzed: 11/14/2019
Total Suspended Solids
<2.50
2.50
mg/L
LCS.(KK91303-BSt) _
Prepared&Analyzed: 11/14/2019
Total Suspended Solids
29.2
2.50
mg/L 30.4 96 94.5-105.4
Batch KK91311 - Wet Chem Aqueous - SM 5210 B-2011
Blank (KK91311-BLK1) Prepared & Analyzed: 11/14/2019
BOD <2.00 2.00 mg/L
LCS(KK91311-BSI) _ _ Prepared&Analyzed: 11/14/2019
BOD 116 m /L 198 58 .59596-115.4
Duplicate (KK91311-DUPI) _ _ Source: K91<0210-01 Prepared & Analyzed: 11/14/2019
BOD 562 2.00 mg/L 495 13 10
Batch KK91408 - Wet Chem Aqueous - SM 5220 D-2011
Blank (KK91408-BLKI)
Prepared & Analyzed: 11/15/2019
COD, Total
<10.0
10.0
mg/L
Blank (KK91408-BLK2) _ _
Prepared & Analyzed: 11/15/2019
COD, Total
<10.0
10.0
mg/L
Blank (KK91408-BLK3)
Prepared & Analyzed: 11/15/2019
COD, Total
<10.0
10.0
mg/L
LCS(KK91408.BS1)
_
Prepared & Analyzed : 11/15/2019
COD, Total
500
10.0
mg/L 500 100 95-105
Duplicate(KK91408-DUP1)
Source: KSK0191-01
Prepared&Analyzed: 11/15/2019
COD, Total
179
10.0
mg/L 180 0.6 20
Duplicate (KK91408-DUP2)
Source: K91<0207-01
Prepared & Analyzed: 11/1512019
COD, Total
120
10.0
mg/L 119 0.8 -20 --_
Matrix Spike(KK91408.MS1)_
Source: K91(0191-01
Prepared&Analyzed: 11/15/2019
COD, Total
203
10.0
mg/L 25.0 180 88 80-120
Matrix Spike (KK91408-MS2)
_._
_
Source: K9K0207-01
_..... _-
_..Prepared_8 Analyzed:_11/15�2019
COD, Total
119
10.0
mg/L 25.0 119 0 80-120
Batch KK91417 - Wet Chem Aqueous - EPA 1664 Rev. B
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com page 4 of 7

FAYETTEVILLE DIVISION • 2592 Hope Mills Road • Fayetteville, NC 28306 • [phone] • Fax [phone]
CHAIN OF CUSTODY RECORD
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UNILEVER HPC
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E= ZN Acetate + <4°C
F = Sodium Thio.
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