NCS000295_MONITORING INFO_20191231

A. R
STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
nILSUU��(�
DOC TYPE
❑FINAL PERMIT
MONITORING REPORTS
❑ APPLICATION
COMPLIANCE
❑ OTHER
DOC DATE
H
YYYYMMDD

JACKSON PAPER
MANUFACTURING
RECE �E
December 27, 2019 DEC a 1201E
NCDEQ, Division of Waler RCSOUCCCS Inlormation 1'rocessing Unit
Attn: Central FileslcDMR
1617 Mail Service Center
Raleigh, Nol-th Carolina 27699-1617
R1": Discharge Monitoring Report (4'r' Quarter 2019 DMR and November 2019 Tier Two DNIR)
NPDLS Permit No. NCS000295
Jackson Paper Manufacturing Company
Dcar Division of Watcr Resources:
Ncasc find enclosed Discharge Monitoring Report for Jackson Paper Manufacturing Company NPDE�'S
Per'niit No. NCS000295 for reporting period starting October 1, 2019 and ending December 31, 2019. Also
included is the November "1 ict- Two monitoring results for Outfall 003.
Results from sumples taken on [November 27, 2019 show benchmark exceedances at Outfall 003 for TSS
and COD. 'there was a benchmark exceedance al Outfall 002 for 1411.
E'er our current `1'ier Two responsc for Outfall 003, we will continue to conduct monthly monitoring arld
reporting for all parameters at Outfall 003. Monthly (analytical and qualitative) monitoring will C011tilILlC
until three consecutive sample results are below the benchmark values. We will also continue to monitor
for all parameters in the receiving water directly upstream and downstream of the monitoring, point in
accordance with the Tler Two response.
I certify that based on lnlormallon and belief' lormed from reasonable inquiry, the Statements and
anformallon an the document tyre tl-Lle, accurate, and complete.
]'lease contact Kiesha Bridges at [phone] Ext. 226 if you have ally questions or need any'additional
information.
Sine ly,
Car:' Tyndall
Vice -President Operations
,Jackson Paper Manufacturing Company
fnclosurc: Stormwater Discharge Monitoring Report
cc: JPMC file
NORTH CAROLINA'S LARGEST RECYCLED PA!'['R PRODUCER
152 Wisr MAIN SIRIAr(D 1101ioe 6670 Svlv,v. NC28771) '1 E1.[phone] FAX [phone]

Stormwater Discharge Outfall (SDO)
INlonitoring Report
Permit Number NCS000295
Facility Name: Jackson Paper Manufacturing Company
Person Collecting Samples Kiesha Bridges
Certified Laboratory: Pace Analytical Services LLC Project # 92455461
Samples Collected During Calendar Year: 2019
(This monitoring report shall be received by the Division no later than 30 days from the date the
facility receives the sampling results from the laboratory.)
County: Jackson
Phone NO. [phone] Ext. 226
(SIGNATURE OF PERiNUTTEE OR DESIGNEE)
By this signature. I certify that this report is accurate
and complete to the best of my knowledge.
Oil and Grease
Turbidity
TSS
pH
COD
Benchmark
i5
50
(6-9)
120
Benchmark
Na
Benchmark
Benchmark
Benchmark
Date
Result
Result
Result
Result
Result
Outfall
Exceedance
Benchmark
Exceedance
Exceedance
Exceedance
Sampled
mg/L
Y/N
N'I'U
mall
1 /N
YIN
mall
1'/N
1125arn
001
ND
No
5.8
14.0
No
6.2
No
ND
N'o
8:25am
11/27/19
002
ND
No
ND
ND
No
6.6
No
ND
N'o
8:45am
11/27/19
003
ND
No
262.0
2080
Yes
6.9
No
144.0
Yes
8:5am
35am,
11/27/19
004
ND
No
10.4
23.6
No
5.7
Yes
ND
No
8:15am
Creek Pre
11/27/19
ND
N/A
62.8
124.0
N°/A
6.4
N/A
27.0
N/A
Mill
9:15am
Creek Post
11/27/19
ND
N/A
88.9
146.0
N/A
6A
N/A
29.4
N/A
Mill
9:30am
ND. Not detected at or above adjusted reporting limit.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? :Yes x No
Nleasureable
Storm Event?
Yes
0.63

Storm Event Characteristics:
Date: November 27, 2019
Total event,precipitaiion (inches):___
Duration of storm event: -15 hours
Time since last rain event: -2 112 days (-63 hours)
Drainage
Area
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
1
11
111
IV
Area (acres)
Area (sf)
Volume (cf)
1.69
73,616
3,865
5.43
236,531
12,418
20.45
890,802
46,767
1.77
77,101
4,048
Volume.(gal)
28,909'
. 92,8867
349,819
- 30,278-
"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 com I am aware that there are significant penalties for submitting false information, including the possibility of fines
and imDdsonment for known=p ations."
(Signature of Permltee) (Da

laceAnalj4icalo
www.pacelehstom
December 18, 2019
Kiesha Bridges
Jackson Paper Mfg. Co.
152 West Main St.
Sylva, NC 28779
RE: Project: STORMWATER 11/27/19
Pace Project No.: 92455461
Dear Kiesha Bridges:
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on November 27, 2019.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual,
where applicable, unless otherwise noted in the body of the report.
Revised Report. The TPH O&G result has been corrected for sample 92455461-006.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Chris Derouen
[e-mail]
[phone]
Project Manager
Enclosures
cc: Keisha Bridges, Jackson Paper Mfg. Co.
NCCQF��
qe0 A�Q�
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 20

laneAnalytcalo
www.pacldabs.com
Project: STORMWATER 11/27/19
Pace Project No.: 92455461
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28604
[phone]
Pace Analytical Services Charlotte
9800 KinceyAve. Ste 100, Huntersville, NC 28078
LouisianalNELAP Certification # LA170028
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
FloridalNELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
Snuth Carolina Certification #: 99006001
FloridalNELAP Certification #: E87627
Kentucky UST Certification #: 84
VirginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
Virgin iaNELAP Certification #: 460222
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 20

lacieAnalj4ical"
iwww.Pacelabs.com
SAMPLE ANALYTE COUNT
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project:
Pace Pro}ecl No.:
STORMWATER 11/27/10
92455461
Analytes
Lab ID
Sample 1D
Method
Analysts
Reported
Laboratory
92455461001
OUTFALL#1
EPA1664D
HH
1
PASI-C
EPA 180.1 Rev 2.0 1093
EWS
1
PASI-A
SM 254OD-2011
CJL
1
PASI-A
EPA 9040C
ECH
1
PASI-A
SM 5220D-2011
GC
1
PASI-A
9245546i002
OUTFALL#2
EPA1664B
HH
1
PASI-C
EPA 180,1 Rev 2.0 1993
EWS
1
PASI-A
SM 2540D-2011
CJL
1
PASI-A
EPA 0040C
ECH
1
PASI-A
SM 5220D-2011
GC
1
PASI-A
92455461003
OUTFALL#3
EPA 16648
HH
1
PASI-C
EPA 180.1 Rev 2.0 1993
EWS
1
PASI-A
SM 254OD-2011
CJL
1
PASI-A
EPA 9040C
ECH
1
PASI-A
SM 522OD-2011
GC
1
PASI-A
92455461004
OUTFALL #4
EPA 16648
HH
1
PASI-C
EPA 180.1 Rev 2.0 1993
EWS
1
PASI-A
SM 254OD-2011
CJL
1
PASI-A
EPA 9040C
ECH
1
PASI-A
SM 5220D-2011
GC
1
PASI-A
92455461005
CREEK PRE -MILL
EPA 16648
HH
1
PASI-C
EPA 180.1 Rev 2.0 1993
EWS
1
PASI-A
SM 2540D-2011
CJL
1
PASI-A
EPA 904nC
ECH
1
PASI-A
SM 5220D-2011
NAL
1
PAS! -A
92455461006
CREEK POST -MILL
EPA 1664E
HH
1
PASI-C
EPA 180.1 Rev 2.0 1993
EWS
1
PASI-A
SM 2540D-2011
CJL
1
PASI-A
EPA 9040C
ECH
1
PASI-A
SM 5220D-2011
NAL
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
without the written consent of Pace Analyticai Services, LLC. Page 3 of 20

(�IaceAnalyficalo
www.pacelabs.cara
ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside dr.
Asheville, NC 28804
[phone]
Project: STORMWATER 11/27/19
Pace Project No.: 92455461
Sample: OUTFALL #1 Lab ID: 92455461001 Collected: 11127/19 08:25 Received: 11127119 12:20 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. C1ual
1664 SGT-HEM, TPH
Analytical Method: EPA 1664E
Total Petroleum Hydrocarbons
ND mglL
5.0
1
12M2/19 10:10
180.1 Turbidity
Analytical Method: EPA 1130.1 Rev 2.0 1993
Turbidity
5.8 NTU
1.0
1
1112711915:50
2540D Total Suspended Solids
Analytical Method: SM 25400-2011
Total Suspended Solids
14.0 mglL
2.5
1
12/02/19 18:54
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
6.2 Std. Units
0.10
1
12/08/19 15:24 H3
5220D COD
Analytical Method: SM 5220D-2011
Preparation
Method:
SM 5220D-2011
Chemical Oxygen Demand
NO mg1L
25.0
1
12102/19 17:01 12/02/19 22:10
REPORT OF LABORATORY ANALYSIS
This report shag not be reproduced, except in 1`0.
Date: 12/1812019 01:29 PM without the w6lten consent of Pace Analytical Services, LLC. Page 4 of 20

aceAnalylcal
www.par:elabsxam
ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 25804
[phone]
Project: STORMWATER 11/27/19
Pace Project No.: 92455461
S Sample: OUTFALL #2 LabID: 92455461002 Collected: ll127119 08:45 Received: 11/27/19 12:20 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1664 SGT-HEM, TPH
Analytical Method: EPA 1664E
Total Petroleum Hydrocarbons
ND mg1L
5.0 1
12/12119 10:10
180.1 Turbidity
Analytical Method: EPA 180.1 Rev 2.0 1993
Turbidity
ND NTU
1.0 1
11/27/1915:52
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Total Suspended Solids
ND rnglL
2.5 1
12102M9 18-55
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
6.6 Sid. Units
0.10 1
121CB119 15:41 H3
52201) COD
Analytical Method: SM 5220D-2011
Preparation Method: SM 5220D-2011
Chemical Oxygen Demand
ND rnglL
25.0 1
12/02119 17:01 12/02/19 22:10
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/18/2019 01:29 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 20

6
ac,Mnalytical
www.pacelahe.wm
ANALYTICAL. RESULTS
Pace Analytical Services, LLC
2225 Riverside ❑r.
Asheville, NC 28804
[phone]
Project: STORMWATER 11/27/19
Pace Project No.: 92455461
Sample: OUTFALL #3 Lab ID: 92455461003 Collected: 11/27/19 08:35 Received: 11/27/19 12:20 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual
1664 SGT-HEM, TPH
Analytical Method: EPA 1664E
Total Petroleum Hydrocarbons
NO mg/L 5.0 1
12/12/19 10:10
180.1 Turbidity
Analytical Method: FPA 180.1 Rev 2.0 1993
Turbidity
262 NTU 1.0 1
11/27/1015:50
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Total Suspended Solids
208 rnglL 50.0 1
12/02/19 18:55
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
6.9 Std. Units 0.10 1
12/08119 15:30 H3
5220D COD
Analytical Method: SM 5220D-2011 Preparation Method:
SM 5220D-2011
Chemical Oxygen Demand
144 rng/L 25.0 1
12/02/19 17:01 12/02119 22:10
REPORT OF LABORATORY ANALYSIS
This report shall nol be reproduced, except in full,
Date: 12/1812019 01:29 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 20

,�IaceAnalytical®
www.pacelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: STORMWATER 11/27/19
Pace Project No.: 92455461
Sample: OUTFALL #4 Lab ID: 92455461004 Collected: 11/27119 08A5 Received: 11/27/19 12:20 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1664 SGT-HEM, TPH
Analytical Method: EPA 1664B
Total Petroleum Hydrocarbons
ND mglL 5.0
1
12/12119 10:11
180.1 Turbidity
Analytical Method: EPA 180.1 Rev 2.0 1993
Turbidity
10.4 NTU 1.0
1
1112711915A9
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Total Suspended Solids
23.6 mglL 5.0
1
12/02/19 18:56
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
5.7 Std. Units 0.10
1
12/08/19 15:09 H3
5220D COD
Analytical Method: SM 5220D-2011 Preparation
Method: SM 5220D-2011
Chemical Oxygen Demand
ND tnglL 25.0
1
12/02/19 17:01 12/02/19 22:10
REPORT OF LABORATORY ANALYSIS
Ws report shall not he reproduced, except in full.
Dale: 12/18/2019 01:29 PM without the written consent of Pace Annlytiral Services, LLC, Page 7 of 20

lacieAnalXical"
www.pacelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside ❑r.
Asheville, NC 28804
[phone]
Project: STORMWATER 11/27119
Pace Project No.: 92455461
Sample: CREEK PRE -MILL Lab ID: 92455401005 Collected: 11/27/19 09:15 Received: 11/27/19 12:20 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1664 SGT-HEM, TPH
Analytical Method: EPA 1664E
lotal Petroleum Hydrocarbons
ND mg1L 5.0
1
12/12/19 10:12
180.1 Turbidity
Analytical Method: EPA 180.1 Rev 2.0 1993
Turbidity
62.8 NTU 1.0
1
11/2711915:52
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Total Suspended Solids
124 mg/L 12.5
1
12/02119 18:57
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
6.4 Std. Units 0.10
1
12/08119 15:47 H3
5220D COD
Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand
27.0 mg/L 25.0
1
12/04119 14:03 12/05119 08:36
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/1812019 01:29 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 20

(�IweAnal(Xicalo
www.pacelibs.com
ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: STORMWATER 11/27/19
Pace Project No.: 92455461
Sample: CREEK POST -MILL Lab ID: 92455461006 Collected: 11127/19 09:30 Received: 11127/19 12:20 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1664 SGT-HEM, TPH
Analytical Method: EPA 16645
Total Petroleum Hydrocarbons
ND rnglL
5.0 1
12/12/19 10:12
180.1 Turbidity
Analytical Method: EPA 180.1 Rev 2.0 1993
Turbidity
88.9 NTU
1.0 1
11/27/1915:52
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Total Suspended Solids
146 mWL
12.5 1
12/02/19 18:57
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
6.4 Std. Units
0.10 1
12/08/19 15:53 H3
5220D COD
Analytical Method: SM 5220D-2011
Preparation Method:
SM 5220D-2011
Chemical Oxygen Demand
29.4 mglL
25.0 1
12/04/19 14:03 12/05/19 08:36
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 12/18/2019 01:29 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 20

le
Analytical
www.pacala6s.carn
QUALITY CONTROL DATA
Project: STORMWATER 11/27/19
Pace Project No.: 9245,9461
QC Batch: 514414 Analysis Method: EPA 1664B
QC Balch Method: EPA 1664E Analysis Description: 1664 SGT-HEM, TPH
Associated Lab Samples: 92455461001, 92455461002, 92455461003, 92455461004, 92455461005, 92455461005
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
METHOD BLANKS 2756854 Matrix: Water
Associated Lab Samples: 92455461001, 92455461002, 92455461003, 92455461004, 92455461005, 92455461006
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Petroleum Hydrocarbons mg/L ND 5.0 12/12/19 09:43
LABORATORY CONTROL SAMPLE: 2756855
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Petroleum Hydrocarbons mg/L 20 16.0 Sa 64-132
MATRIX SPIKE SAMPLE: 2756856
92455892002 Spike MS MS % Rec
Parameter Units Result Conc. Result % Rec Limits Qualifiers
Total Petroleum Hydrocarhons mg/L ND 20 16.8 78 64-132
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/18/2019 01:29 PM without the written consent of Pace Analytical Services, LLC.
Page 10 of 20

(�IaceAnaVical"
www.pacelabs.com
QUALITY CONTROL DATA
Pace Analytical Services, LI-C
2225 Riverside Dr,
Asheville, NC 28804
[phone]
Project: STORMWATER 11/27/19
Pace Project No.: 92455461
QC Batch: 512177
Analysis Method: EPA 180.1 Rev 2.0 1993
QC Batch Method: EPA 180.1 Rev 2.0 1993
Analysis Description: 180.1 Turbidity
Associated Lab Samples: 92455461001, 92455461002, 92455461003, 92455461004, 92455461005, 92455461006
METHOD BLANK: 2746627
Matrix: Water
Associated Lab Samples: 92455461001, 92455461002, 92455461003, 92455461004, 92455461005, 92455461006
Blank Reporting
Parameter Units
Result Limit Analyzed Qualifiers
Turbidity NTU
ND 1.0 11/27/1915:47
LABORATORY CONTROL SAMPLE: 2746628
Spike LCS LCS % Rec
Parameter Units
Conc. Result % Rec Limits Qualifiers
Turbidity NTU
in 10.3 103 90-110
SAMPLE DUPLICATE: 2746629
92455461004 Dup
Parameter Units
Result Result RPD Qualifiers
Turbidity NTU
10.4 10.1 3
Results presented on this page are in the units Ihdicated by the "Units" column except where an atternale unit is presented to the right or the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/18/2019 01;29 PM without the written consent of Pace Analytical Services, LLC. Page 11 of 20

(�IaceAnalyticale
www.pacallbs.com
QUALITY CONTROL DATA
Pace Analytical Services, LLC
2.125 Riverside Dr.
Asheville, NC 28804
[phone]
Project: STORMWATER 11/27/19
Pace Project No.: 92455461
QC Batch: 512463
Analysis Method: SM 2540D-2011
QC Batch Method: SM 2540D-2011
Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92455461001, 924554610
02, 92455461003, 92455461004, 92455461005, 92455461006
METHOD BLANK: 2747899
Matrix: Water
Associated Lab Samples: 92455461001, 92455461002,
92455461003, 92455461004, 92455461005, 92455461006
Blank Reporting
Parameter
Units
Result Limit Analyzed Qualifiers
Total Suspended Solids
rnglL
ND 2.5 12/02/19 18:44
LABORATORY CONTROL SAMPLE:
2747900
Spike LCS LGS % Rec
Parameter
Units
Conc. Result % Rec Limits Qualifiers
Total Suspended Solids
mg1L
250 236 94 90-110
SAMPLE DUPLICATE: 2747901
92455435001 Dup
Parameter
Units
Result Result RPD Qualifiers
Total Suspended Solids
mglL
15.2 9.0 52 D6
SAMPLE DUPLICATE: 2747902
92455461003 Dup
Parameter
Units
Result Result RPD Qualifiers
Total Suspended Solids
mg1L
208 182 13
Results presented on this page are In the unhs 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,
Data: 12/1812019 01:29 PM without the written consent of Pace Analytical Services, LLC. Page 12 of 20

laceAna,(Xical"
www.pacelabs.com
QUALITY CONTROL DATA
Project: STORMWATER 11127/19
Pace Project No.: 92455461
QC Batch: 513579 Analysis Method: EPA 9040C
QC Batch Method: EPA 9040C Analysis Description: 9040 pH
Associated Lab Samples: 92455461001, 92455461002, 92455461003, 92455461004, 92455461005, 92455461006
SAMPLE DUPLICATE: 2753164
92454803001 Dup
Parameter Units Result Result RPD Qualifiers
pH at 25 Degrees C Std. Units 6.8 6.7 1 H3
SAMPLE DUPLICATE: 2753165
92455461003 Dup
Parameter Units Result Result RPD qualifiers
pH at 25 Degrees C Std. Units 6.9 6.9 0 H3
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NO 29804
[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 he reproduced, except in full,
Date: 1211812019 01:29 PM without the written consent of Pace Analyticai Services, LLC.
Page 13 of 20

aceAnalytical
www.pacelabs.com
QUALITY CONTROL DATA
Project: STORMWATER 11/27119
Pace Project No.: 92455461
QC Batch: 512446 Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD
Associated Lab Samples: 92455461001, 92455461002, 92455461003, 92455461004
Pace Analytical Services, LLC
2225 Riverside ❑r.
Asheville, NC 25804
(828)254-717B
METHOD BLANK: 2747849 Matrix: Water
Associated Lab Samples: 92455481001, 92455461002, 92455461003, 92455461004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Chemical Oxygen Demand mg/L ND 25.0 12/02/19 22:05
LABORATORY CONTROL SAMPLE: 2747850
Spike LCS LCS e/ Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Chemical Oxygen Demand mg1L 750 745 99 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2747851 2747852
MS MSD
92455348004 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg1L 2870 100 100 3250 3240 379 369 90-110 0 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2747853 2747854
MS MSD
92455292002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RP❑ Qual
Chemical Oxygen Demand mg1L 790 100 100 882 885 92 95 90-110 0
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/18/2019 01:29 PM without the written consent of Pace Analytical Services, LLC.
Page 14 of 20

aceAnalj&al
www.pactiabs.com
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28604
[phone]
QUALITY CONTROL DATA
Project: STORMWATER 11127/19
Pace Project No.: 92455461
QC Batch: 512813 Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD
Associated Lab Samples: 92455461005, 92455461006
METHOD BLANK: 2749258
Associated Lab Samples: 92455461005,92455461006
Parameter Units
Chemical Oxygen Demand mg/L
LABORATORY CONTROL SAMPLE: 2749259
Parameter Units
Chemical Oxygen Demand mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 25.0 12/05/19 08:31
Spike LCS LCS e/ Rec
Cone. Result % Rec Limits Qualifiers
750 744 99 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2749260 2749261
MS MSD
92455404001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc, Conc. Result Result % Rec % Rec Limits RPO Qual
Chemical Oxygen Demand mg/L 102 100 100 181 181 79 79 90-110 0 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2749262 2749263
MS MSD
92455644001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RP❑ Qual
Chemical Oxygen Demand mg/L ND 100 100 116 106 109 100 90-110 8 R1
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 he reproduced, except in full,
Date: 12/18/2019 01:29 PM without the written consent of Pace Analytical Services, LLC.
Page 15 of 20

aceAnalytical
tvww.FacelaCa.com
QUALIFIERS
Project: STORMWATER 11/27/19
Pace Project No.: 92455461
DEFINITIONS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
POL - 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 °10 recovery and RPD values.
LGS(D) - Laboratory Control Sample (Duplicate)
Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NO - 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-Nitrosodiphenytamine 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
PAST -A Pace Analytical Services - Asheville
PAS}-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
H3 Sample was received or analysis requested beyond the recognized method holding time,
M1 Matrix spike recovery exceeded OC limits. Batch accepted based on laboratory control sample (i recovery.
Rl RPD value was outside control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
Date: 12/1812019 01:29 PM without the written consent of Pace Analytical Services, LLC. Page 16 of 20

aceAnalytica!®
www.pacellbs.cam
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 2BB04
{828}254-7176
Project:
Pace Project No.:
STORMWATER 11/27/19
/32455461
Analytical
Lab lD
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92455461001
OUTFALL #1
EPA 1664B
514414
92455461002
OUTFALL 42
EPA 1664E
514414
92455461003
OUTFALL #3
EPA 1664B
514414
92455461004
OUTFALL #4
EPA 1664B
514414
92455461005
CREEK PRE -MILL
EPA 1664B
514414
92455461006
CREEK POST -MILL
EPA 1664E
514414
92455461001
OUTFALL #1
EPA 180.1 Rev 2.0 1993
512177
92455461002
OUTFALL #2
EPA 180.1 Rev 2.0 1993
512177
92455461003
OUTFALL #3
EPA 180.1 Rev 2.0 1993
512177
92455461004
OUTFALL #4
FPA 180.1 Rev 2.0 1993
512177
92455461005
CREEK PRE -MILL
EPA 180.1 Rev 2.0 1993
512177
92455461006
CREEK POST -MILL
EPA 180.1 Rev 2.0 1993
512177
92455461001
OUTFACE #1
SM 254OD-2011
512463
92455461002
OUTFALL #2
SM 254OD-2011
512463
92455461003
OUTFALL #3
SM 254OD-2011
512463
92455461004
OUTFACE #4
SM 254OD-2011
512463
92455461005
CREEK PRE -MILL
SM 254OD-2011
512463
92455461006
CREEK POST -MILL
SM 2540D-2011
512463
92455461001
OUTFALL 41
EPA 9040C
513579
92455461002
OUTFALL #2
EPA 9040C
513579
92455461003
OUTFALL #3
EPA 9040C
513579
92455461004
OUTFALL #4
EPA 904CC
513579
92455461005
CREEK PRE -MILL
EPA 9040C
513579
92455461006
CREEK POST -MILL
EPA 9040C
513579
92455461001
OUTFALL 41
SM 5220D-2011
512446
SM 5220D-2011
512470
92455461002
OUTFALL #2
SM 5220D-2011
512446
SM 5220D-2011
512470
92455461003
OUTFALL #3
SM 5220D-2011
512446
SM 5220D-2011
512470
92455461004
OUTFALL #4
SM 5220D-2011
512446
SM 5220D-2011
512470
92455461005
CREEK PRE -MILL
SM 5220D-2011
512813
SM 5220D-2011
513022
92455461006
CREEK POST -MILL
SM 5220D-2011
512813
SM 5220D-2011
513022
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
Date: 12/1812019 01:29 PM without the written consent of Pace Analytical Services, LLC. Page 17 of 20

aceAnalytical
Document Name:
Sample Condition Upon Recelpt(SCUR)
Document Revised: February 7, 2018
Page 1 of 2
Document No.:
F-CAR-CS-033-Rev,06
Issuing Authority:
Pace Carolinas Quality Office
Laboratory receiving samples -
Asheville ® Eden[]
Greenwood []
Huntersville ❑ Raleigh❑ Mechanicsville[]
Client Name:
W®# : 92455461
illillillipil '
pp
Project h
Courier: ❑Fed Ex QU S ❑_,._._
U5P5
Client
!j 11
11
I
1
I
❑ Commercial ❑Pace
❑Other:
92455461
Custody Seal Present? ❑Yes E)No
Seals Intact? Des
EINo
p
/I �7 l?
Date/Initials Person Examining Contents: !t
Packing Material: []Bubble Wrap
QBubble Bags ❑None
❑ Other Biological Tissue Frozen?
Thermometer: (� /
®IRGuntD: --lQ rf'
Type otke: ]Wet
[]Yes ❑No 20N/A
❑Blue []None
Cooler Temp ('C): Correction Factor: Add/Subtract ('C)
'—
LO
Cooler Temp (*C). 6, 1 l
P Corrected ( )
Temp should be above freezing to VC
[]Samples out of temp criteria. Samples on ice, cabling process
r
has begun
USDA Regulated Soil (® N/A, water sample)
Did sample5 griginate in a quarantine zone within the United States: CA, NY, or 5C (check maps)? Did samples originate from a foreign source (int�nationally,
❑ Yes No inrlu6miz Hawali and Puerto Rico)? FlYes No
Comments/Discrepancy:
Chain of Custody Present?
oYes
No
❑N/A
1.
Samples Arrived within Hold Time?
MYes
o
N A
2.
Short Hold Time Analysis (02 hr.)?
ITY.-94�❑N/A
3. Dar I ! f
Rush Turn Around Time Requested?
❑Yes
WNo
❑N/A
4.
Sufficient Volume?
MYes
EjNo
❑N/A
5.
Correct Containers Used?
-Pace Containers Used?
{�,E{Yes
QoYes
❑No
No
C] N/A
[]N/A
6.
Containers Intact?
Yes
No
❑N/A
7.
Dissolved analysis: Samples Field Filtered?
❑Yes
No
®N/A
8.
Sample Labels Match COC?
Includes Date/Time/ID/Analysis Matrix:
(29Yes
[]No
❑N/A
9.
Headspace in VOA Vials (>5-6mm)?
❑Yes
Na
N A
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
❑Yes []No
ayes N.
[9N/A
ftl�4/A
11.
COMMENTS/SAMPLE DISCREPANCY
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
Project Manager SCURF Review:
Project Manager SRF Review:
Date/Time:
Lot ID of spit containers:
Date:
Date:
Field Data Required? []Yes ❑No
Page 18 of 20

Document Name:
Document Revised: February 7, 2018
�12ceAnalyfkal'
Sample Condition Upon Receipt(SCUR)
Pagel of 2
Document No.:
Issuing Authority:
F-CAR-CS-033-Rev.06
Pace Carolinas Quality Office
*Check mark top half of box if pH and/or dechlorination is Project
verified and within the acceptance range for preservation
samples.
Exceptions: VOA, Coliform, TOC, oil and Grease, SRO/8015 (water) DOC, tLHg
"Bottom half of box is to list number of bottle
W®#:92455461
PM: CD1 Due Dale: 12/13/19
CLIENT: 93-Jackson P
E
d
—
a
a
c
a
u
d
E
V
0.
m
S7
Z
a
u
c
a
u
d
E
M
0.
m
'O
Z
a
a
c
O
V
J
E
N
a
m
a
u
d
c
N
d
rl
a
co
V
N
Y
a
O
vi
J
7
0.
m
N
V
L
z
^
J
o
ffl
4
m
O
Z
a
N
¢
N
V
CY
Q
a
m
v
�"�
n
p
Z
a
a
E
7
0.
m
a
7
d
o
E
3
?
n
c
7
`a
�
i'S
a
y
c>
2
Q
a
ri
l7
¢
:
a
i=
c
>
E
J
E
t7
a
N
V
O
ry
2
Q
u
=
l7
a
N
V
S
0
�n
z
E
E
a
L7
a
v
U
2
n
a
N
N
M
t7
a
Z
V
¢
>
E
Q
Ct
uNi
rNo
Z
a
Q
E
t7
>
y
n
4
0
E
C
01
t7
>
a
a
M
a
>
E
Gl
L7
c
a
Z
0
o
m
N
°
.S
a
Q
7
_
Q
Y
a
..
w
C
'y
l.7
>
G
"
9
¢
a
N
E
v,
rN-1
ur
I
Z
.,na
a
d
N
E
o
w
n
61
V
0
x
z
u
J
E
o
,800
to
z
v
>
ar
c
?
q`,
E
Q
E
8
a
2
=
c
g
�v
=
c
N
7
z
N
}
d
d
n
?
d
E
a
E
1
fI
'iK
j V
z
I
\\NN
3
I
\\\N
4
5
6
7
8
9
10
11
12
\\N
I
pH Adjustment Log for Preserved Samples
Sample ID
Type of Preservative
pH upon receipt
Date preservation adjusted
Time preservation
adjusted
Amount of Preservative
added
lot 0
Note: Whenever there is a discreparcy affecting North Caroiina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification office fi.e.
Out of hold, Incorrect preservative, out of temp, incorrect containers.
Page 19 of 20

f�
PaceAnalytical'
CHAIN -OF -CUSTODY I Analytical Request Document
The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately.
wxw.ysceram.wm
m
Section A Section B Section C
page: of D_
Required Client lnformatiom Requlmd Project lnfdrmabon: Imroice Inform Ilion:
C,nmpany: p Report To: !! JJ Attant;on: -
�'r",[{c:��
2067385
lrrrff.u�nl/t �� ITS .�;�. fit ,Sr1G_
Address: J Copy
To:
Company Name:
REGULATORY AGENCY
Address' I
r NPDES i GROUND WATER r DRINKING WATER
UST F RCRA OTHER
Email To:. Purchase
IC�C.i-SCE C.CKye, .'r�.fl�f
Order No.: '-2
�� �5'T
PaQuote
ce
nnlorcnco:
Pltdne: J
Fax: Project
Name:.;
J"-t'Ir)LJe4t'�— jj �) 7 )
Pam ect Prot
site Location
STATE:
ReqI Iu ted Duct Dat*!TAT: Project
Number:
P:Ka ProfJ, N.
Requested
Analysis
Filtered
(YIN)
Section D Matrix Codes
—
z
Regvlred0w:wormation MATRIX r CODe
o
COLLECTED
Preservatives
>
rauP¢'sir;
CONPOS,TL
Iti
DrirTking Wafer Ow
water wT
u
ZO
Priam Walvr
Product P
SoiVSolid SL
_
m
5-1
LMxAW1
j
w
Z
SAMPLE ID oil °L
�'
(A-Z.0-91.-) Aires AR
Sample IDs MUST BE UNIQUE Tissue TS
p
O
w
n-
a
w
z
ti
m
1=
N
!t
'-
,
c
U
�'`�'
�1.z y(v
z
z
_
yi
Other OT
X
j
W
O
Q
a
a
LLi
d
d
[/J
n
C7
0 =
ru
ts..
m
L
C
N
DATE
TIME
DATE
TIME
in
a
=
Y
z
z
O
Q
Pace Project NciJ Lab I.D.
3
fit)
4
ltsr -4: it -q* �t
✓,
�..
ft�1l
Iis'.
✓
s/
i-
I
5
r. reer prz-mr I
Ld�
�,
tl 7
Cf� 157
�"
'✓
v
^ Jso r-
e
2 c iL t�t.Sf' - I
ir%,
(.-�
i
�7:.�
�
✓
v
:�
'� ;��'
7
8
9
10
11
12
A13DMONAL COMMENTS
RE.LINQUiSHED BY I AFFILIATION
DATE
TIME
ACCEPTED BY / A/FFFIILIA-1/1 N
TIME
SAMPLE
SAMPLE CONDITIONS
rtir 4.i.i sG/rL y���
%/'
h?'20
L/�
i � r"" '..l- � F`
% JDATE
r 1 ZW
P O
O'-5
`�
I
I
SAMPLER NAME AND SIGNATURE
ORIGINAL
m L
o
=
J/
PRINT Ndme Of SAMPLER: K C.SI) G���._ �
n
? }
z
_
J ATE SE natl
D
SIGNATURE of SAMPLER: V.t
m
m—
�
U E
E
-rL- Tr (AT.'2:
'tmportani Note: By sirywtp th. torn you are —cep" Porn'. NET 30 day paymcr4lcmn and xyv-mu to late Gwges d 1.5%Per rr N mry iir c mot Paid 'a- A d r.. - F-ALL-4.02orev.07, 15-May-2007

JACKSON PAPER
MANUFACTURING
R E C F i
December 27, 2019E 3 j z�l
NCDEQ, Division of Water Resources, Information Processing Unit
Attn: Central Files/cl)MR 1�t'`�' `i-tom f lt�; 1
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
FZE: Discharge Monitoring Report- December 2019, Tic1• T,,vo Report, Outfall 003
NPI)P's Permit No. NCS000295
.Jackson Paper Manufacturing Company,
Dear Division of Water Resources:
Please find enclosed Discharge Monitoring Report for Jackson Paper Manufacturing Company NIMES
Permit No. NCS000295 for the month of December, 2019.
We sampled Outfall 003 and receiving water directly upstream and downstream of' Outfall 003 For all
parameters listed in our permit on December 9, 2019. There were no benchmark execedances at Outfall
003.
Per our current Tier Two response for Outfall 003, we will continue to conduct monthly monitoring and
reporting for all parameters at Outf"111 003. Monthly (analytical and qualitative) monitoring will contirnrc
until three consecutive sample results are below the benchmark values. We will also continue to monitor
for all parameters in the receiving water directly upstream and downstream of the monitoring point in
accordance with the Tier'] wo response.
I certify that rased oil information and belief formed from reasonable inquiry, the statements and
information in the document are true, accurate, and complete.
Please contact Kicsha Bridges at [phone] Fxt. 226 i f you have any questions or need any additional
I lllorlllatlon.
S i llev -el
m
Alec; PCGsid'e It Operations
Jackson Paper Manufacturing Company
]?nclosurc: Stormwatcr Discharge Monitoring Report
cc: JPMC bile
NORTH CAROLINA'S LARGEST RECYCLED PAPER PRODUCER
152 Wisr MAIN S'11,r_F10 PC Box 6070 SY[VA, NC28779 TFL(828) 580-5534 FAX [phone]

Stormwater Discharge Outfall (SDO)
Monitoring Report
Permit Number NCS000295
Facility Name: Jackson Paper,Manufacturing Company
Person Collecting Samples: Kiesha Bridges
Certified Laboratory: Pace Analytical Services, LLG Project # 92456505
Samples Collected During Calendar Year: 2019
(This monitoring report shall be received by the Division no later than 30 days from the date the
facility receives the sampling results from the laboratory.)
County: Jackson
Ph ne NO. 828 586-5-34 Ext. 226
(SIG-NA-FURE OF PER4 ITTEE OR DESIGNEE)
By this signature. I certify that this report is accurate
and complete to the best of my knowledge.
Oil and Grease
rurbidity
TSS
pH
COD
Benchmark
15
5o
(6-9)
120
Date
Result
Benchmark
Result
No
Result
Benchmark
Result
Benchmark
Result
Benchmark
Outfall
Exceedance
Benchmark
Exceedance
Exceedance
Exceedance
Sampled
m IL
Y/,ti
1Tli
m /L
Y/N
Y/N
mg/L
YIN
12/9/19
003
ND
No
26.7
12.8
No
7.2
No
60.9
No
9:45amarn
Creek Pre
1219119
ND
N/A
5.5
14.9
N/A
6.3
N/A
N D
N/A
Mill
10:00am
Creek Post
12/9/19
ND
N/A
7.2
16.5
N/A
6.4
N/A
ND
N/A
Mill
10;1 Oam
NO., Not detected at or above adjusted reporting limit.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _Yes x No
llcasureahle
Storm Event?
Yes
0.28

Storm Event Characteristics:
Date: December 9, 2019
Totalievent precipitation (inches)_ 0:28
Duration of storm event: -3 Hours
F cfimaFari vnlnma nf. riicrfiarna camnlorl
Time since last rain event: 7 Days
Drainage
Area
1
11
III
IV
Area (acres)
Area (sO
Volume (cf)
1.69
73,616
1,718
5.43
236,531
5,519
20.45
890,802
20,785
1.77
77,101
1,799
/olume,tgal)
. 12;849.
41,283
155;475
_ 13,457.
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 omplete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment fo� kr�{ing violations."
(Dat

D
aaeAnalytrcal
www,pacolahl.com
December 23, 2019
Kiesha Bridges
Jackson Paper Mfg. Co.
152 West Main St.
Sylva, NC 28779
RE: Project: STORMWATER 1219119
Pace Project No.: 92456505
Pace Analytical Services, LLC
2225 Riverside Dr,
Asheville, NC 28864
(B28)254-7176
Dear Kiesha Bridges:
Enclosed are the analytical results for sample(s) received by the laboratory on December 09, 2019.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual,
where applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Chris Derouen
[e-mail]
[phone]
Project Manager
Enclosures
cc: Keisha Bridges, Jackson Paper Mfg. Co.
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 16

(�IacieAnalytical"
www.pacetabsnm
Project: STORMWATER 1219119
Pace Project No.: 92456505
Pace Analytical Services, LLC
2225 Riverside dr.
Asheville, NC 28804
[phone]
Pace Analytical Services Charlotte
9800 Kincey Ave. Ste 100, Nuntersville, NC 28078
LouisianaINELAP Certification # LA170028
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
South Carolina Certification #: 99006001
FloridalNELAP Certification #: E87627
Kentucky UST Certification #: 84
VirginiaA/ELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall net he reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 16

aceAnalylyical.
www.pacelibs.com
�91\T177I=V-.1\rl Will It:9+11111111LIll I
Pace Analytical Services, LLC
2225 Riverside Dr,
Asheville, NC 28804
[phone]
Project:
Pace Project No.:
STORMWATER 12/9/19
92456505
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92456505001
OUTFALL #3
EPA 1664B
HH
1
PASI-C
EPA 180.1 Rev 2.0 1993
SMK
1
PASI-A
SM 254OD-2011
CJL
1
PASI-A
EPA 9040C
ECH
1
PASI-A
SM 5220D-2011
JP1
1
PASI-A
92456505002
CREEK PREMILL
EPA 1664B
HH
1
PASI-C
EPA 180A Rev 2.0 1993
SMK
1
PASI-A
SM 254OD-2011
CJL
1
PASI-A
EPA 9040C
ECH
1
PASI-A
SM 52200-2011
JP1
1
PASI-A
92456505003
CREEK POSTMILL
EPA 1664B
HH
1
PASI-C
EPA 180.1 Rev 2.0 1993
SMK
1
PASI-A
SM 2540D-2011
CJL
1
PASI-A
EPA 9040C
ECH
1
PASI-A
SM 5220D-2011
JP1
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 16

(�IaceAnalytical*
www.pacelmbs.com
ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside Dr,
Asheville, NC 28804
(828 )254-7176
Project: STORMWATER 1219119
Pace Project No.: 92456505
Sample: OUTFALL #3 Lab ID: 92456505001 Collected: 12/09/19 09:45 Received: 12/09/19 12:30 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No, Qual
1664 SGT-HEM, TPH
Analytical Method: EPA 1664E
Total Petroleum Hydrocarbons
ND mg1L 4.8 1
12/20119 09:14
180.1 Turbidity
Analytical Method: EPA 180.1 Rev 2.0 1993
Turbidity
26.7 NTU 1.0 1
12/10/1916:31
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Total Suspended Solids
12.8 mg[L 6.2 1
12/12/19 12:58
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
7.2 Std. Units 0,10 1
12/22/19 16:11 H3
52200 COD
Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand
60.9 mg/L 25.0 1
12/16/19 23:16 12/18/19 02:45
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12123/2019 12:46 PM without the written consent of Pace Analytical Services, LLC, Page 4 of 16

laceAnapical'
arww.pacdabssom
ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: STORMWATER 1219119
Pace Project No.: 92456505
Sample: CREEK PREMILL Lab ID: 92456505002 Collected: 12/09/19 10:00 Received: 12/09/19 12:30 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1664 SGT-HEM, TPH
Analytical Method: EPA 1664E
Total Petroleum Hydrocarbons
ND mg/L 4.8 1
12/20/19 09:14
180.1 Turbidity
Analytical Method: EPA 180.1 Rev 2.0 1993
Turbidity
5.5 NTU 1.0 1
12/1011916:31
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Total Suspended Solids
14.9 mg1L 3.3 1
12/12119 12:58
9040 pH
Analytical Method: EPA9040C
pH at 25 Degrees C
6.3 Std. Units 0.10 1
12/22119 16:17 H3
5220D COD
Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand
ND rng/L 25.0 1
12/16/19 23:16 12/18/19 02:45
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
Dale: 12/23/2019 12:46 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 16

ac,Mnalytical.
www.pacelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: STORMWATER 1219119
Pace Project No,: 92456505
Sample: CREEK POSTMILL Lab ID: 92456505003 Collected: 12/09/19 10:10 Received: 12/09/19 12:30 Matrix: Water
Parameters Results Units Report Limit DE Prepared Analyzed CAS No. Qual
1664 SGT-HEM, TPH
Analytical Method: EPA 1664B
Total Petroleum Hydrocarbons
ND mg/L
4.8
1
12/20/19 09:14
180.1 Turbidity
Analytical Method: EPA 180.1 Rev 2.0 1993
Turbidity
7.2 NTU
1.0
1
12/10/1916:31
2540D Total Suspended Solids
Analytical Method: SM 25400-2011
Total Suspended Solids
16.5 mg1L
3.3
1
12/12/19 12:59
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
6.4 Std, Units
0.10
1
12/22/19 16:23 H3
5220D COD
Analytical Method: SM 5220D-2011
Preparation Method: SM 5220D-2011
Chemical Oxygen Demand
ND mg/L
25.0
1
12/16/19 23:16 12/18/19 02:47
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/23/20113 12:46 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 16

laneAnalytical"
www.pacelahs.com
QUALITY CONTROL DATA
Project: STORMWATER 12/9119
Pace Project No.: 92456505
Pace Analytical Services, LLC
2225 Riverside Dr,
Asheville, NC 2BB04
[phone]
QC Batch: 515960
Analysis Method:
EPA 1664B
QC Batch Method: EPA 1664E
Analysis Description:
1564 SGT-HEM, TPH
Associated Lab Samples: 92456505001, 92456505002, 92456505003
METHOD BLANK: 2764713
Matrix: Water
Associated Lab Samples: 92456505001, 92456505002, 92456505003
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Petroleum Hydrocarbons
mg/L
ND 5.0 12/20/19 07:37
LABORATORY CONTROL SAMPLE:
2764714
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Petroleum Hydrocarbons
mg1L
19.2 18.3
95 64-132
MATRIX SPIKE SAMPLE:
2764715
92457428001 Spike
MS MS % Rec
Parameter
Units
Result Conc.
Result % Rec Limits Qualifiers
Total Petroleum Hydrocarbons
mg/L
ND 19.2
7.8 34 64-132
Results presented an this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right at the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/23/2019 12:46 PM without the written consent of Pace Analytical Services, LLC.
Page 7 of 16

leAnalyfical
wwtw.paetlabt.etmt
QUALITY CONTROL DATA
Project: STORMWATER 1219/19
Pace Project No.: 92456505
QC Batch: 513876 Analysis Method: EPA 180.1 Rev 2.0 1993
QC Batch Method: EPA 180.1 Rev 2.0 1993 Analysis Description: 180.1 Turbidity
Associated Lab Samples: 924565C5001, 92456505002, 92456505003
METHOD BLANK: 2754441 Matrix: Water
Associated Lab Samples: 92456505001, 92456505002, 92456505003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Turbidity NTU ND 1.0 12110/1916:31
LABORATORY CONTROL SAMPLE: 2754442
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, 128804
[phone]
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Turbidity NTU 10 9.8 98 90-110
SAMPLE DUPLICATE: 2754443
92456518001 Dup
Parameter Units Result Result RPD Qualifiers
Turbidity NTU 30.0 29.4 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.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/23/2019 12:46 PM without the written consent of face Analytical Services, LLC. Page 8 of 16

laceAnalytical"'
www.pactdahs.com
QUALITY CONTROL DATA
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: STORMWATER 12/9119
Pare Project No.: 92456505
QC Batch: 514472
Analysis Method:
SM 254OD-2011
QC Batch Method: SM 2540D-2011
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92456505001, 92456505002, 92456505003
METHOD BLANK: 2757442
Matrix: Water
Associated Lab Samples: 92456505001, 92456505002, 92456505003
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
n1g1L
ND
2.5 12/12/19 12:55
LABORATORY CONTROL SAMPLE: 2757443
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250 252
101 90-110
SAMPLE DUPLICATE: 2757444
92456864001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
210
218 4
SAMPLE DUPLICATE: 2757445
92456572001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
1740 1780 2
Results presented an 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: 1212312019 12:46 PM without the Written consent of Pace Analytical Services, LLC. Page 9 of 16

(�IacieAnalyfical*
www.pacela4stern
QUALITY CONTROL DATA
Project: STORMWATER 1219119
Pace Project No.: 92456505
QC Batch: 516217 Analysis Method: EPA 9040C
QC Batch Method: EPA 9040C Analysis Description: 9040 pH
Associated Lab Samples: 92456505001, 92456505002, 92456505003
SAMPLE DUPLICATE: 2765961
92456487001 Dup
Parameter Units Result Result RPD Qualifiers
pH at 25 Degrees C Std. Units 7.2 7.1 1 H3
SAMPLE DUPLICATE: 2765962
92456515001 Dup
Parameter Units Result Result RPD Qualifiers
pH at 25 Degrees C Std. Units 6.1 5.8 5 D6,1-13
Pace Analytical Services, LLC
2225 Riverside Dr,
Asheville, NC 28804
[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 at the result.
REPORT OF LABORATORY ANALYSIS
This report shalE not be reproduced, except in full,
Date: 12/2312019 12:46 PM without the written consent of Pace Analytical Services, LLC.
Page 10 of 16

laceAnaii`
www.pacelali3x0 n
QUALITY CONTROL DATA
Project: STORMWATER 1219119
Pace Project No.: 92456505
OC Batch: 515145 Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD
Associated Lab Samples: 92456505001, 92456505002, 92456505003
METHOD BLANK: 2760688 Matrix: Water
Associated Lab Samples: 92456505001, 92456505002, 92456505003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Chemical Oxygen Demand mg/L NO 25.0 12/18119 02:43
Pace Analytical Services, LLC
2225 [Riverside Dr.
Asheville, NC 28804
[phone]
LABORATORY CONTROL SAMPLE: 2760689
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Chemical Oxygen Demand mglL 750 753 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2760700 2760701
MS MSD
92456505002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg1L NO 100 100 109 107 106 103 90-110 2
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2760702 2760703
MS MSD
92456505003 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg/L ND 100 100 111 111 108 106 90-110 0
Results presented an this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right at the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/2312019 12:46 PM without the written ccrosent of Pace Ana iytical Services, LLC.
Page 11 of 16

aceAnalj&al
www.pacilabs.com
QUALIFIERS
Project: STORMWATER 1219119
Pace Project No.: 92456505
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit,
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL- Adjusted Method Detection Limit.
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NO 28804
[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-Diphonylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each enalyte 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 ofAcrolein and Acrylonitrile by EPA
Method 8260.
N-Nilrosodiphenylamine 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.
H3 Sample was received or analysis requested beyond the recognized method holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/23/2019 12:46 PM without the written consent of Pace Analytical Services, LLC. Page 12 of 16

aceAnalytical
www.pacetabs.cam
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, LLC
2225 Riverside Dr,
Asheville, INC 28804
[phone]
Project:
Pace Project No.:
STORMWATER 1219119
92456505
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92456505001
OUTFALL #3
EPA 1664B
515960
92456505002
CREEK PREMILL
EPA1664B
515960
92456505003
CREEK POSTMILL
EPA 1664E
515960
92456505001
OUTFALL #3
EPA 180.1 Rev 2.0 1993
513876
92456505002
CREEK PREMILL
EPA 180.1 Rev 2.0 1993
513876
92456505003
CREEK POSTMILL
EPA 180.1 Rev 2.0 1993
513876
92456505001
OUTFALL #3
SM 254OD-2011
514472
92456505002
CREEK PREMILL
SM 254OD-2011
514472
92456505003
CREEK POSTMILL
SM 254OD-2011
514472
92456505001
OUTFALL #3
EPA 9040C
516217
92456505002
CREEK PREMILL
EPA 9040C
516217
92456505003
CREEK POSTMILL
EPA9040C
516217
92456505001
OUTFALL #3
SM 5220D-2011
515145
SM 5220D-2011
515394
92456505002
CREEK PREMILL
SM 5220D-2011
515145
SM 5220D-2011
515394
92456505003
CREEK POSTMILL
SM 5220D-2011
515145
SM 5220D-2011
515394
Date: 12/23/2019 12:46 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLG.
Page 13 of 16

Document Name:
Document Revised: February 7, 2018
F
CeAnalytical
Sample Condition Upon Recelpt(SCUR)
Page 1 of 2
Document No.:
Issuing Authority:
F-CAR-CS-033-Rev.06
Pace Carolinas quality Office
Laboratory receiving sa ples:
Asheville Eden❑ Greenwood ❑ HuntersviIIe ❑ Raleigh❑ Mechanicsville[]
Client Name: Project # 1ro 7T .i Wad (�24565®5
Courier: ❑Fed Ex []UPS ❑USPS
❑ Commercial ❑Pace ❑Other: 92456505
Custody Seal Present? ❑Yes Alt-4'- Seals Intact? ❑Yes ,,Deo
Date/Initials Person ExaminingCantents:f✓J�"—Y
Packing Material: ❑Bubble Wrap Bubble Bags []None ❑ Other Biological Tissue Fr n?
Thermometer; ❑Yes [:]No /A
,BTR Gun ID: j / Type of Ice: �t ❑Blue ❑None
Cooler Temp ('C): �j Correction Factor; Add/Subtract ('C) 0 " '
Temp should be above freezing to 6'C
Cooler Temp Corrected ('C): (]Samples out of temp criteria. Samples on ice, cooling process
hashegun
USDA Regulated Soil NIA, water sample)
Did samples originate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (internationally,
❑Yes MNo includlrz Hawaii and Puerto Rico)? MYes ❑No
Comments/Discrepancy:
Chain of Custody Present?
Yes
❑No
Q N/A
1.
Samples Arrived within Hold Time?
Yes
❑No
NIA
2.
Short Hold Time Analysis (<72 hr.)?
qafes
No
N/A
3.
Rush Turn Around Time Requested?
❑Yes
o
N/A
4.
Sufficient Volume?
Elfes
❑No
Q N/A
5.
Correct Containers Used?
-Pace Containers Used?
'j,�es
fyYes
[]No
❑No
[:]NIA
N/A
6.
Containers intact?
E3<s
❑No
❑N//�A
7.
Dissolved analysis; Samples Field Filtered?
❑Yes
ONO,
'BN/A
8.
Sample Labels Match COC?
-Includes Date/Time/ID/Analysis Matrix;
71'E� Q6 ❑N/A
r
9.
}
7uri) C� j Mgr r f:f �� pn C6( l�r�
Headspace in VOA Vials (>5-6mm)?
❑Yes
No
,❑Il/'A
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
Oyes
❑Ym
o
[]NO
❑N/A
---51�,A
11,
COMMENTS/SAMPLE DISCREPANCY Field Data Required? ❑Yes ❑No
Lot ID of split containers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
Project Manager SCURF Review:
Project Manager SRF Review:
Date/Time:
Date:
Date:
Page 14 of 16

`
Document Name:
Document Revised: February7, 2018
CeAnalytical'
Sam le Condition Upon Receipt(SCUR)
Page 1 of 2
Document No.:
Issuing Authority.
g Y:
'
r
F•CAR•CS-033•Rev.06
Pace Carolinas Quality Office
*Check mark top half of box if pH and/or dechlorination is
verified and within the acceptance range for preservation
samples.
Exceptions: VOA, Coliform, TOC, Oil and Grease, DRO/8015 (v,aterl DOC, LLHg
**Bottom half of box is to list number of bottle
Project Wo# : 9Z4565o5
PM: CD1 Due Date: 12/23/19
CLIENT: 93-Jackson P
2 z
77 n
W J L
h
C C C
> > >
U u V
a a a
E E E
a
E ,f
a a
m m m
Q
z
Z
0!
a
m
a
0.
m
u
N
V
v
4
N
U
m
E
J
a
m
N
y
rs
Q
z
V
u
Nttf
z
M
m
O
m
Z
m
¢
z
V
_
m
E
H
N
v
m
rN+.>
A
n
P
ro
E
�
c!
a
m
y
1tl
(i
t7
«
p
_
LL
ID
4
i!
rn�!
N
;
4
y
p
A
u
ri
T
.�
4
z
fl
j
N
E
E
N
3
m
4
a
Q
a
"m
.-I
.+
d
ri
0
n
G
E
E
N
N
v!
m
Q
z
z
fl
E
o
a
Q
a'
m
R
z
r
V
Q
Q
v
x
c+
V
m
N
Q
-+
E
Q
r-
ti
7
Z
C
<
1
aV
f
7
n
7
2
v
a
r
<
o
V
d
to�yy
6
x
f�.l
o
w
`u
m
4
7
4
a
Y
M
y
C7
Z
Z
a
QI
m
E
11
N
&
Z
2x
a
E
C
N
N
-
h
O
Z
V
E
0
ran
m
@
c
7
E
E
o
Q
o
n
c
,
o
>
z.
•n
?
I
O
6
a
m
G
1
2
3
EL
A
5
LL
N\\F7
8
N\N-
10
\N\�
N\
J12
pH Adjustment Log for Preserved Samples
Sample to
Type of Preservative
pH upon recelpt
Date preservation adjusted
Tlme preservation
adivited
Amount of Preservative
added
Lot #
—Icnever there is a discrepancy ntiecting North Carolina compliance samples, a copy of this form rrihbe sent to the North Carolina DEHNR Certification Office (i.e.
Out of hold, incorrect preservative, out of temp, Incorrect containers.
Page 15 of 16

2neAnalj6cal'
r...0a" tq.cem
CHAIN -OF -CUSTODY / Analytical Request Document
The Chalnof-Custody is a LEGAL DOCUMENT. AR relevant fields must be completed accurately.
Section A Section B Section C
Page: of
Required Client Information: Requlmd Project Inf`orrnation: Invoice Information:
Report To Attention:
2193140
SO r ( .� i
ddress, 5 • �. Copy
To:
Company Namc:
REGULATORY AGENCY
Address.
r NPOES r— GROUND WATER F DRINKING WATER
� UST j RCRq r OTHER
E o: Purchase
ksa<, I
rt m cc rr
Order No.: j
S 7
PawU-tn
Rcicr :
�y
PM:o�.
Site Location
Roqu d Due ITT: Project
Number:
Pace prefxe if:STATE.
Requested
Analysis
Filtered
(YIN)
Section D Matrix Codes
~
z
Requlratl[tirms kliarrrsilion MATRIX 7 CODE
c
COLLECTED
Preservatives
>18
Drinking Water DW
=
au
z
2
Water WT
WW
tj
C31TE
1
�oWalef
Prodc
_
m
START
EN=RR�e
z
ilrsoka SL
Oil
s
p�
}
O
SAMPLE ID
W
m
m
Wlpe WP
{A-Z. 0.91 ) Air AR
to
p
2
a
Z
b
v
F
c
o
Sample Os MUST BE UNICIUE Tissue TS
O
a
w
m
m
_
other OT
U
X
W
F
J
Z
OU
y
O
c
a.
o
a
tL
O
z0
to
kv
10
O
w
121
'=
DATE
nMe
DATE
TIME
H
i
z
=
z
z
O
J
t
Pace Project No./ Lap I.D.
2
j
I� rf )
fti.tk
-2-,✓ •�QCf
a
s
s
T
a
9
10
i1
12
ADDITIONAL COMMENTS
RELINQUISHED BY 1 AFFILIATION
DATE
TIME
ACCEPTED BY 1 AFFiL1AT1ON
DATE
TIME
SAMPLE CON13MONS
/2- 30 d
Mn.tiJ
j614cP� U-
, 2- 3 �
1 -P-A
17cl
y SAMPLER NAME AND SIGNATURE
`o
ORIGINAL
N PRINT Name of SAMPLER:
c
_
a 2
a
o U z
e
z
DATE Si
0 SIGNATURE of SAMPLER: ' ? !
E
C u
0 q
y
E .-.
in
(MM1DDgrYY)'.
•knponael Nola: By skj-9 this lorry you .r a septng Pace's NET 30 ary poyn rm tenor and aryc V M tale rhxges of 1-5% per —nutfG any — mr (.-fit .0— 36 drys_ F-ALL•0-020rev.07. 15-May-2007