NCG120087_MONITORING INFO_20191216

27'o
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
LY'MONITORING REPORTS
DOC DATE
❑ / c) I
YYYYMMDD

I
DocuSign Envelope ID: 36AC9B9D-BEE3-4840-A6E7-E6F205824BB4
`N I,
SMITH+GARDNER
IN0INIIRS
ADDRESS TEL WEB
14 N.Boylan Avenue. Raleigh NC 27603 919828,0577 www.smithgaidnerinc.com
December 6, 2019
;I North Carolina Department of Environmental Quality
y Division of Water Quality ,
Attention: DWQ Central Files
1617 Mail Service Center '
Raleigh, NC 27699-1617 E�'y. P�
.I �
'I RE: Discharge Monitoring Report — November 2019
Johnston County Landfill (Permit No. 51-031 pEC
Certificate of Coverage #NCG120087
General Permit #NCG120000 CEN,,,�'
UANR
'I DearSir/Madam:
Smith Gardner, Inc. IS+GI is pleased to submit this Discharge Monitoring Report (DMRI for the Johnston County
Landfill. The site is located in Smithfield, North Carolina. The facility is currently permitted to discharge water
from landfill related activities under Certificate of Coverage [CDC] Number NCG120087, General Permit Number
NCG120000.
Request for Representative Outfall Status' was granted to Johnston County Landfill by the North Carolina
Department of Environmental Quality (NCDEQ), Division of Energy, Mineral and Land Resources (DEMLR).
jCurrently, the facility is required to monitor discharge at the following Stormwater Discharge Outfall ISDDI
locations:
11 EDO 4A-5A, 2) EDO A; 3) EDO B.
The site is in Tier 3 status at SDO 4A-5A (February 2, 20151 for Total Suspended Solids ITSS) and fecal coliform.
SDO-4A-5A exceeded the benchmark threshold for TSS and fecal coliform. Samples will be collected from SDO-A
and SDO-B when flow is realized from the outtalk during this semi-annual reporting period.
For this submittal, we are providing you with two (2) copies of the DMR report.
If you have any questions, or require further information, please contact us at 19191 828-0577 or by e-mail.
Sincerely,
SMITH GARDNER, INC.
E U
DOCUSigned ey:
TCg37E4AC_.
Jesse C. Li, E.I.
Staff Engineer, ext. 170
iessefasmithgard nerinc.com
CC: Rick Proctor [Johnston County]
Pieter Scheer, P.E. IS+GI
File
Attachment
CDocuSignea by:
ouA Q. SN,111✓
Bg]]9EBA711F488...
Joan A. Smyth, P.G.
Senior Hydrologist, ext. 221
ioanfdsmithgardnerinc.com
Smith Gardner, Inc. letter to Division of Energy, Mineral and Land Resources. Resubmittal - Representative Outfall Status
Petition INCG #1200871, August 14, 2014.

DocuSign Envelope ID: 36AC9B9D-BEE3-4840-A6E7-E6F205824BB4
This page intentionally left blank.

DocuSign Envelope ID: 36AC9B9D-BEE3-4840-AGE7-E6F205a24BB4-
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000
Date submitted December 6, 2019
CERTIFICATE OF COVERAGE NO. NCG12 0 0 8 7
FACILITY NAME Johnston County Landfill
COUNTY Johnston
PERSON COLLECTING SAMPLES Jesse Li (S+G, Inc.)
LABORATORY Pace Analytical Lab Cert. # 37738
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or *Monthly' November (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
E� RECEIVED
❑Zero-flow, ❑Watersupply ❑SA
`� l � NOther C, NSW
DEC 113 2019 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
DINR SECTION
❑ No discharge this period'
Outfall No.
Date Sample
Collected 1
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen
Demand
mg/L
Fecal Coliform
Colonies per 100 mL
Total Suspended
Solids
mg/L
pH,
Standard Units
Benchmarks -
_
-
120
1000
100 or SW
6.0-9.0
Parameter Code
-
46529
00340
31616
C0530
00400
SD04A-5A
11/12/2019
0.9
110
6000
1740
7.34
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported In numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format "<XX ma/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: If you report a sample value In excess of the benchmark, you must Implement Tier 2, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/l/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 1 of 2

DocuSign Envelope ID: 36AC9B9D-BEE3-4840-A6E7-E6F205824BB4
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
• r1.
Oudell No.
Benchmarks
Date Semple Collected'
(mo/dd/yr)
-
24-hour rainfall amount,
Inchess
-
Non -Polar Oil & Grease
mg/L
15
I•u uuuigrge
Total Suspended Solids,
mg/L
100 or SW
tnis penog'
New Motor or Hydraulic Oil Usage,
gal/mon
_
Parameter Code
-
46529
00552
C0530
NCOIL
�ootncltes from Part
A ales nnnly to rl.ie Dom.•
p
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
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 ATTHE 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 Q NO 0
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES Q NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DAM including all "No Discharge" reports within 30 do vs of receipt of the lab results for at end of monitoring period in the
Case Of No Dischame' reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mall Service Center
Raleigh, North Carolina 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."
Date
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 2 of 2

- - - -
DocuSign. Envelope .ID:.36AC9B8D-BEE34844A6E7-E6F205924864 --= ` -` - --- - -
Semi-annual'Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No.
Date submitted December 6, 2019
CERTIFICATE OF COVERAGE NO. NCG12 0 0 8 7
FACILITY NAME Johnston County Landfill
COUNTY Johnston
PERSON COLLECTING SAMPLES Jesse Li (S+G, Inc.)
LABORATORY Pace Analytical Lab Cart. # 37738
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ❑■ Monthly' November 'month'
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water suppty []SA
Other c, Nsw
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period'
Outfall No.
Date Sample
Collected'
(nw/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen
Demand
mg/L
Fecal perColi100orm
Colonies per 100 mL
Total Suspended
solids
mg/L
Standard Units
and
Benchmarks
_
-
120
1000
100 or 50'
6.0-9.0
Parameter Code
-
46529
00340
31626
C0530
00400
SDO4A-5A
11/12/2019
0.9
110
6000
1740
7.34
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
' See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported In numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported In the format. "<n mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Permit Date: 11/l/20M5/31/2021 SWU-248, last revised 11/1/2018
Page 1 of 2

DocuSign Envelope 10: 36AC989D-BEE34640-A6E7-E6F205824BB4
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil
per month.
1 1 J _L
Outfall No
Benchmarks
a
Date Sample Collected'
(mo/dd/yr)
24hour rainfall amount,
Inches'
Non -Polar Oil & Grease
mg/L -
rvu uacnurge
Total Suspended Solids,
- mg/L
100 or SW
tins penoo`
New Motor or Hydraulic Oil Usage,
gal/mon
_
Parameter Code
-
46529
00552
CO530
NCOIL
-ootnotes from Part
A elan a I to this Part
8
pP y
Note. If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 1, or Tier 3 responses. See General permit text.
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 11 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 DEMLR REGIONAL OFFICE? YES E] NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original cony of this DMR Including all "No Discharge" reports within 30 do vs of receipt o/ the lab results for at end of monitoring period to the
case o/ No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 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."
Date
Permit Date: 11/l/2018-5/31/2021 SWU-248, last revised 11/1/2016
Page 2 of 2

laceAnalyficalo
nru.pacallbscan,
November 18, 2019
Mary Kenhamer
Smith Gardner, Inc.
14 N. Boylan Ave
Raleigh, NC 27603
RE: Project: JOHNSTON-19-2
Pace Project No.: 92453312
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Dear Mary Kennamer:
Enclosed are the analytical results forsample(s) received by the laboratory on November 12, 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.
I.
Sincerely,
Matthew Brainard
[e-mail]
[phone]
Project Manager
Enclosures
�PCCRp�!
i
REPORT OF LABORATORY ANALYSIS
This repon shall not be reproduced, except in full,
without the wntten consent of Pace Analytical Services, LLC. ,
Page 1 of 10

(�55'ceAnalyficajji
rrrrr.pacelibircom
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
CERTIFICATIONS
Project: JOHNSTON-19-2
Pace Project No.: 92453312
Pace Analytical Services Raleigh
6701 Conference Drive, Raleigh, NC 27607 North Carolina Bioassay Certification #: 16
North Carolina Wastewater Certification #: 67 North Carolina Drinking Water Certification #: 37731
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
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP 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, LLC. Page 2 of 10

Pace Analytical Services, LLC
aceAnalytical o
�
9800 nceyAve. Suite 100
Huntersville. NC 28078
rsm.pacatabs.cam
[phone]
SAMPLE ANALYTE COUNT
Project: JOHNSTON-19-2
Pace Project No.: 92453312
-
Analytes
Lab ID Sample ID
Method
Analysts
Reported Laboratory
'. 92453312001 SDO 4ASA
SM 254OD-2011
NMH
1 PASI-E
'I
SM 9222D-2006
WT
i PAST-R
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, I.I.C. Page 3 of 10

(�55?eAnalytli
YYYLpacellbscirm
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite! 100
Huntersville, NC 28078
[phone]
Project: JOHNSTON-19-2
Pace Project No.: 92453312
Sample: SOO 4A-5A Lab ID: 92453312001 Collected: 11/12/19 11:34 Received: 11/12/19 14:17 Matrix: Water
Parameters Results Units I Report Limit OF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 254OD-2011
Total Suspended Solids 1740 mg/L 55.6 1 11/13/19 14:51
MBIO 9222D Fecal Coliform RAL Analytical Method: SM 9222D-2006 Preparation Method: SM 9222D-2006
Fecal Coliforms 6000 CFU/100 mL 1.0 1 11/12/19 16:54 11/13/19 15:36 u2
5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand 110 mg/L 25.0 1 11/1311916:41 11/13/192229
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Dale: 11/18/2019 12:56 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 10

Ice Analytical"
t W".pacelabs.com
QUALITY CONTROL DATA
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
I' Project: JOHNSTON-19-2
Pace Project No.: 92453312
QC Batch: 509251
Analysis Method:
SM 254OD-2011
OC Batch Method: SM 2540D-2011
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92453312001
METHOD BLANK: 2733035
Matrix: Water
Associated Lab Samples: 92453312001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
NO 25 11/13/19 14:04
LABORATORY CONTROL SAMPLE: 2733036
Spike LCS
LCS %Rec
Parameter
Units
Conic. Result
% Rec Limits Qualifiers
'I Total Suspended Solids
mg/1-
250 244
98 90-110
SAMPLE DUPLICATE: 2733037
92453284001
Dup
Parameter
Units
Result
Result RPD Qualifiers
Total Suspended Solids
mg/L
79.2
80.8 2
SAMPLE DUPLICATE: 2733038
92453284002
Dup
Parameter
Units
Result
Result RPD Qualifiers
Total Suspended Solids
mg/L
46.2
49.0 6
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.
Date: 11/18/2019 12:56 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 10

(�55?eAnalyticale
vercianlebs.com
QUALITY CONTROL DATA
Project: JOHNSTON-19-2
Pace Project No.: 92453312
OC Batch: 510091 Analysis Method: SM 9222D-2006
OC Batch Method: SM 9222D-2006 Analysis Description: 9222D Fecal Coliform(MF) - RAIL
Associated Lab Samples: 92453312001
METHOD BLANK: 2737147
Associated Lab Samples: 92453312001
Parameter Units
Fecal Coliforms CFU/100 mL
SAMPLE DUPLICATE: 2737148
Parameter Units
Fecal Coliforms CFU/100 mi.
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
NO 1.0 11/13/19 15:36
92453312001 Dup
Result Result
6000 6000
RPD Qualifiers
0 u2
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville. INC 28078
[phone]
Results presented on this page are In the units indicated by the "Units' column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Dale: 11/18/2019 12:56 PM without the written consent of Pace Analytical Services, LLC.
Page 6 of 10

laceAnai(Xical'
ww.pecelabs.cum
Project: JOHNSTON-19-2
Pace Project No.: 92453312
OC Batch: 509346
OC Balch Method: SM 5220D-2011
Associated Lab Samples: 92453312001
METHOD BLANK: 2733655
Associated Lab Samples: 92453312001
Parameter - Units
Chemical Oxygen Demand mg/L
QUALITY CONTROL DATA
Analysis Method: SM 5220D-2011
Analysis Description: 5220D COD
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
NO 25.0 11/13/1922:22
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
uV'�' V" 1 w" 1 "vL J^'Y'r LL
Parameter
Lr JJV JV
Units
Spike
Conc.
LCS
Result
LCS
%Rec
% Rec
Limits Qualifiers
,. Chemical Oxygen Demand
mg/L
750
754
101
90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2733657
2733658
MS
MSD
92453280001 Spike
Spike
MS
MSD
MS
MSD
%Rec
Parameter Units Result Conc.
Conc.
Result
Result
%Rec
%Rec
Limits RPD Qual
Chemical Oxygen Demand mg/L 4490 100
100
4360
4270
-122
-215
90-110 2 M7
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2733659 2733660
MS MSD
92453409003 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 25.7 100 100 129 126 103 101 90-110 2
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.
Date: 11/18/2019 12,56 PM
a
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, L-C.
Page 7 of 10

aceAnalXical a
WW.pecalabs.aom
QUALIFIERS
Project: JOHNSTON-19-2 .
Pace Project No.: 92453312
DEFINITIONS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Hunlersville, NC 28078
(7041875-9092
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
NO - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL- Adjusted Method Detection Limit.
POL - Practical Quanlitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270, The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-A
Pace Analytical Services -Asheville
PASI-E
Pace Analytical Services - Eden
PASI-R
Pace Analytical Services - Raleigh
ANALYTE QUALIFIERS
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (_CS) recovery.
u2 Colonies are too numerous to count. Actual result may be greater than reported.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11/18/2019 12:56 PM without the written consent of Pace Analytical Services, LLC Page 8 of 10

I.
a aceAnalytical
wrr.WctlaEs.cao
I�
QUALITY CONTROL DATA CROSS REFERENCE TABLE
!t Project: JOHNSTON-19-2
Lab ID
Sample ID
QC
Batch Method
92453312001
SDO 4A-SA
SM
254OD-2011
� 92453312001
SDO 4A-5A
SM
92220-2006
II 92453312001
I�
II
I,
SDO 4A-5A
SM
5220D-2011
a
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QC Batch Analytical Method
509251
510091 SM 9222D-2006
509346 SM 5220D-2011
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Dale: 11/18/2019 12:56 PM without the written consent of Pace Analytical Services, LLC.
Analytical
Batch
510096
509390
Page 9 of 10

CHAIN -OF -CUSTODY Analytical Request Document
IABOS W®# : 92453312 lumbMw
aC eli�l'
Chain -of -Custody is il LEGAL DOCUMENT- Complete all relevent fields
..
IIIII�I
II III [III III III
Company: �a
S 61 a, t d✓I e-i
Belling Information:
82453312
Address: 1 w I 'J` zl_"
Container Preservauvt.
i
Report To: JA'C/VC �D �Smi/JInu
W J iYl C
;ll To:
L • 0 "YN
•• ProcervativeTres:(1)nitric".(21 sulfurk acid, 13) hydrochloric add,(4) sodium hvdmdde, 15) zinc acerare,
(6) methanol, (7) sodium Nwlfate, (S) sodium thlosugate; (9) hexane, (A) ascorbic acid, (5) amnnn'am sulfate,
Copy To:
Site Collection Info/Address:
(C) ammonium hydroxide, (D)TSP, tu) Unpreserved, (0) Other
Analyses
lab Profile/Urse •:'
Customer Project Name/Number:
State: County/City: Time Zone Collected:
/s�
Lab 6nmple Receapt. Chntklipt
—{— '/
'`) aWNS-TON % L��?�-
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IVC / JOh/is`O,� I ]pfI ]MT( ]CT I ET
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Custody: heals P es¢dt/Intact Y'�R ((�q�
Phone:r p
Email: 5�8'335-33ig
Site/FacilityID 0:
j� 1 n I ���!:
Compliance Monitoring?
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Collecior151 nacuceperesant R uls
9
--I oh�y'0.^ I..taM s-�r:IloTll
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BOCCle9 'IntacC P t1A
Co6ected By (print):
se
PurchaOrder H:
DW PWS ID H:
Cozxeet,Bottleo It M
r
LI
Quote H:
DW Location Code:
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3
Suf£ieianttyolumo -N,t1A
Samplea'lteetived On'ic0 8 8
CDllectedB lure'
Turnaround Dale Required:
Imm ate y ace On Ice:
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9[IAr ,Seadspaeo lsccapceble "+xSd ,��-js
5 AN pA P-,J
Yes I ] No
r
DSDA Requested Soilc T' e E y
,/
-
Y
Sav¢.lad'.in Roldsa9 Time QR 8A
Sample Disposal:
Rush:
Field Filtered (if appRODle):
r'
1tan1Gue1 CDlotine Prase c r;ir
KDispose as apprepdate l I Return
( 1 Same Day I I Next Day
I ]yes (,. {�'!o,
p
I j Archive:
] ] 2 Day l ] 3 Day 114 Day I ] 5 Day
Analysis:
V_
!<�
-
semple.D3 AeeePtable T.as�
tPR r
( ] Hold:
(F>medl[e Cha esA �
T Mly)
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Sizipss -
e 6ui£SdD .PzeaCat ', Y.N�
•Matrix Codes(Insen in Matrix box below): Drinking Water(DW), Ground Water (GW), Wastewater (WW),
1
Lead Asietats Stxipm
Product (P), Soil/Solid (SQ, Oil (OL), Wipe (WP), Air (AR), Tissue ITS). Bioassay (B), Vapor M, Other (Or)
;
_ �,J
Comp/
Collected (or
Res;
Hof
�`
LAD usfi?oaLT
r-n seiple ♦ / Co®enes
Customer Sample ID
Matrix •
Grab
Composite Stan)
Composite End
CI
Ctns
Date
Time
Date
Time
SDO 4A—SA
W
GT
i Z
/1:
3
'K I
1c
,
-
S Z
<1 `
Z\
_ t
Customer Remarks Special Conditions Possible Hazards:
Type oflce'Used:'.,',:Wef
Blue ,;:;Dry Non2'`5.
.'
SHORT HOLDS. PRESENT (<72 hours)
Na.. N/A ':
Lap Sample?emperature Info:'
NPD a;S
Padung NtatenaI Used
ab Tracking H
2 4 3 2 7
8
Temp Blank Received. ' Y. N NA
T,Coo,e
e N }.3 {
0
Temp Upon Receipt: -
Radahem samples) screened (<500 cpm), Y N -NAz.
Samples received via
oC
%. Cooler l n4rm Con Factor:�_O oC
... .. ..
. F.EDEX UPS'' ch: � Courier Pace Co-
.. .,
- Caoler 1 Cairetted Temp oC .
p:.
Relinquished Company: (Signature)
Date�me:
Received by Com y: (Signatur
Date/Ome:
'. MTIL LAB USE ONLY'
Comments:
"yII/IZ
II
�1 '11�—
Ta61eH
.
Acctnum
Relinquished by/Company:(Signature)
Daterrime:
Received by/Company:(Signature)
Date/Time:
Template
-
Blank RCcervedi .. Y N :NA
Prelogm,
HCL •MCOH TSP. ;=- Other
Relinquished by/Company:(Signature)
Date/Time:
Received by/CDmpany:(Signature)
Date/riime:
PM:
.��
-•NOn Confo[mance(s):
Page: _t_
PB:. ,..
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