HomeMy WebLinkAboutNCS000309_COMPLETE FILE - HISTORICAL_20200107izo
' • - - -- STORMWATER DIVISION CODING SHEET
RESCISSIONS.
PERMITNO..
DOC`fYPE
� COMPLETE FILE- HISTORICAL
DATE OF
.RESCISSION
p alai U l� I
YYYYMMDD
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water-n+!-flity General Permit No. NCG030000
b Date submitted
CERTIFICATE OF COVERAGE NO. NC-GG3__&c�-6_ _7—Q- �� SAMPLE COLLECTION YEAR z_ �T
FACILITY NAME c i^��- ��2 �t�y_ n"h�r,�or,,� ` SAMPLE PERIOD] ❑ Jan -June E�11uly-Dec
COUNTY or ❑ Monthly' _ month)
PERSON COLLECTING SAMPLES . c�-�,�,� 57�zA ��e� DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
�� Zero -flow Water Su i SA
LABORATORY fit. e_r��� c- � Lab Cert. # NL�� is k2 ..� I, C , ,� ❑ ❑ Ap Y ❑
Comments on sample collection or analysis:'-' 1�� []Other
LPN
PLEASE REMEMBER TO SIGN! ON PAGES 2 AND/OR 3 4
Part A: Stormwater Benchmarks and Monitoring Results
❑ No discharge this period
outfall No.
Date Sarriple
s
Collected
(mo/dd/yr)
24-hour'rainfall
amount, .
Inch es3
`
Total Suspended Solids
-
.. pFl,
St�,wLl , d units
-
�
L��i
:.
Non-Polar.0&G/
Total Petroleum
Hydroca.rbans
Total Taxlc
. s
Organics.
Benchmarks ===>
-
100 mg/L or So mg/L4
r. •n ..-9.0 _
:q4W- ng/L
ft�S�
Y;Mrj�b
15 rng/L'.-
3 rngid .
0--0-0
[7.3
G. Lro
' Monthly sampling (instead of semi-annual) must begin with the second consectiflvp benchmark exceedance for -the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit.t,his discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge, Unattended sites may be eligible for a waiver of the rain garage requirement.
4 See General Permit, Table 3 identifying the especially sensitive_ receiving water c1F1ssifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained'in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for ni.7 _al finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic tryst-,l.p,.-mufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date; 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Pagel of 3
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total -toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the Tip monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for manzging compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to'the best of my knowledge and belief, no dumping of ronc,:ntrated toxic organics Into the stormwater or areas which are exposed to rainfall or
Stormwater runoff has occurred since filing the last discharge monitoring m fort. I furthbr certify that this facility Is implementing the all the provisions of the
solvent management plan included In the Stormwater Pollution Prevention,!;w.",
0
Name (Print name)
Title (P 'nt title)
(Signature) _ (Date)
Note: Results must be reported in numerical` format. Do not tort Below Detection Limit, BDL,'<P.QL, Nan -detect, -ND, or -other similar non -numerical
format. When'results are below the applicable limits, they must be reported in Ole format "<XX m L" where,XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must iml,!wr int Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for faciliti-:, =varaging 5 55 gal of new oil per month.
❑ No dischal
Date Sample : fi"our rainfall:"
Outfalf No. x Nan. flc.fer 0&G/TPH by ' Collected. amount; = �o
;. (mo/dd/yr). ::,inches :: E EI'n:;�,164(SGT-NEM):
_ ial'suspended Solids,
Benchmarks =--> _ - .tk mg/L." 100 mg/L or 50 mg/L*
7e this period?z
'PH
.6.0 4.0 5u
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water :! s€cat€ons where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
11CDERR
Stormwater Discharge Ouffall (SDO).
Qualitative Monitoring Report
Forguidance on filling outthisform, please visit: h=://por-tal.ncdeiir.org/web/wq/ws./suInpdessw#tab-
Permit No.: N/C/ 3/O/�/ or Certificate of Coverage No.:
Facility Name: ri r r4
County: y., Phone No, o--zS'D— o �C
Inspector: V Xtis
Date of Inspection: IZ —, — c1
Time of Inspection:7._. I -- -
Total Event Precipitation (inches):
I �
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
0/yes ❑ No
Please verify whether Qualitative Monitoring must be performed. dUring a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
I Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or.during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater -than
0.1 inches has occurred. A single storm event may contain up to 1.0 consecutive hours of no
precipitation.
i A "measurable storm event" is a storm event that results in ah actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able.to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains atmroval from the local DWO Regional Office.
. f
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee) r
Page 1 of 2
SWU-242, Last modified 10/25/2012 I
f
1.. Outfall Description: \
Outfall No. A Structure (pipe, ditch, etc.) V.4.1.
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
Clight, medium, dark). as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 0 e
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 3 4 5
6. Suspended Solids: Choose the --number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
S. is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes L�J
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
i
Note: Low clarity, high solids, and/or the presence of foam, oil sheen,.or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012 9
X ".�
NCDEN�R
Stormwater Discharge Outfall (SDO).
Qualitative Monitoring Report
For guidance on filling out this form, please visit. http://por-tal.ncdenr.orgjweb/wo/ws/su/nl2dessw#tab-4
Permit No.: N jC/ or Certificate of Coverage No.: _
Facility Name: I ri ird _ CID r,�r��v�
County: r+. aJ � phone No. 510—ZF(O-5a�
Inspector: V Xt.A _. `I A �2_ e -
Date of Inspection: I Z 11— t 4
Time of Inspection:
Total Event Precipitation (inches): !, ;
I
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
[Yes ❑ No
Please verify whether Qualitative Mon'itpring must be performed. dtiring a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in ah actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able.to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee I .
obtains approval from the local DWQ Regional Office.
By this si ature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee) r
Page 1 of 2
SwU-242, Last modified 10/25/2012 ;
f
1.. Outfall Description:
Outfall No. V Structure (pipe, ditch, etc.)-�-
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark). as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
,weals chlorine odor, etc.): 0Q^'F'
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
2 3 4 5
S. Floating Solids: Choose the nul-nber which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
AD 3 .4 5
6. Suspended Solids: Choose the .-number which best describes the amount of suspended
solids in the stormwater discharge, where,1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall?
Yes ED)
IL0. Other Obvious Indicators of Stotmwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
SWU-242, Last modified 10/25/2012
' Page 2 of 2
1
Note: if you report a sample value in excess of the benchmark, you must impler: •r, : I Tier 1, Tier Z, or Tier 3 responses. See General Permit text.
FOR PART A AND PART 8 MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT P4RT 11 _SECTION 13.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL I I Kil3ER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FORT' !`- ME PARAMETER AT ANYONE OUTFALL7 YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on final and one copy of this DMR including all "No Discharge" re on t. , _ ' Wn 30 days of recei t 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, 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 supervfsion in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. 11.,sed on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitt_�J i , 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 t1--j i:,.--,sibilfty of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Permit Date: 11/112012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3
i`
�V�
M�CROBAMicrobac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0381
Project Description
No Project
For:
Mr Richard Pearson
Schindler Elevator Corporation
609 Industrial Drive
Clinton, NC 28328
j
Administration
Brittany Smith
Friday, January 3, 2020
Please find enclosed the analytical results for the samples you submitted to Microbac Laboratories. Review and compilation of
your report was completed by Microbac Laboratories, Inc. - Fayetteville. If you have any questions, comments, or require further
assistance regarding this report, please contact your service representative listed above.
I certify that all test results meet all of the requirements of the accrediting authority listed within this report. Analytical results are
reported on a 'as received' basis unless specified otherwise. Analytical results for solids with units ending in (dry) are reported
on a dry weight basis. A statement of uncertainty for each analysis is available upon request. This laboratory report shall not be
reproduced, except in full, without .he written approval of Microbac Laboratories. The reported results are related only to the
samples analyzed as received.
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 j 910.864,1920 p I www.microbac.com
Page 1 of 7
*MICROBAC"
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9LO381
Analytical Testing Parameters
Client Sample ID: Site A, Grab
Sample Matrix: Storrnwater Collected By: Pearson
Lab Sample ID: K9L0381.01 Collection Date. 12117120"19 14:30
Wet Chemistry
SM 2540 D-2011
Total Suspended Solids
Metals
Metals AqueouslEPA 200.7 Rev 4.4 1994
Aluminum
Lead
Result
RL
Units Dilution Note
17.3
5.56
mg1L 1
Result
RL
Units Dilution Note
<0.250
0.250
mglL 1
<0.010
0.010
mglL 1
Prepared
Analyzed
Analyst
12119119 1103
MT
Prepared
Analyzed
Analyst
01/02/20 1400
01/02/20 1400
FAY
01/02120 1400
01/02120 1400
FAY
Client Sample ID: Site B, Gran
Sample Matrix: Storrnwater Collected By: Pearson
Lab Sample ID: K9t-0381-02 Collection Date: '12/1-1/2019 14:30
Wet Chemistry
Result
RL
Units
Dilution Note
Prepared
Analyzed
Analyst
SM 2540 D•2011
Total Suspended Solids
6.20
5.00
mglL
1
12/19119 1103
MT
Metals
Result
RL
Units
Dilution Note
Prepared
Analyzed
Analyst
Metals AqueouslEPA 200.7 Rev 4.4 1994
Aluminum
<0.250
0.250
mglL
1
01/02/20 1435
01102/20 1435
FAY
Lead
<0.010
0.010
mglL
1
01102120 1435
01102/20 1435
FAY
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NG 28306 1910.864.1920 p I www.microbac.com Page 3 of 7
(�->)IUIICR0BAc`
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0382
Analytical Testing Parameters
Client Sample ID: Escallor Site A. grab
Sample Matrix: Slounwater Collected By: Pearson
Lab Sample ID: K91-0382-01 Collection Date: 12/17/2019 14:30
Wet Chemistry
EPA 1664 Rev. B
Oil & Grease (HEM)
SM 2540 D-2011
Total Suspended Solids
Metals
Metals Aqueous/EPA 200.7 Rev 4.4 1994
Copper
Lead
Zinc
Result
RL
Units
Dilution Note
Prepared Analyzed
Analyst
<5.0
5.0
mg1L
1
12/26/19 1022
TBM
16.5 4.17
mglL 1
12/19f19 1103
Mi'
Result RL
Units Dilution Note
Prepared
Analyzed
Analyst
<0.050 0.050
mglL 1
01/07120 1404
01/02/20 1404
FAY
<0.010 0.010
mglL 1
01/02/20 1404
01/02/20 1404
FAY
0.016 0.005
mglL 1
01/02/20 1404
01/02120 1404
FAY
Client Sample ID: Escalator Site 2. grab
Sample Matrix: Stormwaler Collected By: Pear'wn
Lab Sample 10: K9L0382-02 Collection Date: 1211712019 14.30
Wet Chemistry
EPA 1664 Rev. B
Oil & Grease (HEM)
SM 2540 D-2011
Total Suspended Solids
Metals
Metals AqueouslEPA 200.7 Rev 4.4 1994
Copper
Lead
Zinc
Result
RL
Units Dilution Note
Prepared Analyzed
Analyst
<5.0
5.0
mglL 1
12/26/19 1022
TeM
48.3 122
mglL
1
12/19119 1103
MT
Result RL
Units
Dilution Note
Prepared
Analyzed
Analyst
<0.050 0,050
mg1L
1
01102/20 1539
D1102120 1539
FAY
<0.010 0,010
mglL
1
D1102120 1539
01102120 1539
FAY
0.032 0.005
mg1L
1
01102120 1539
01102/20 1539
FAY
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 3 Of 9
ICI ICROBAC INVOICE Page l if ]
t l wstions' 910.8041.1920 It1�'t�i�e Nutttller: KADA00023
,Isk tile: Brittany Sniith Invoice Late: 01/03/2020
Due Late: 02/03/2020
1'Q Numh.�r:
Client 1D: KSO.56i
Bill to: Schindler Ffvvatnr Corporatiuu
his. IJC(i ''%Ilia
609 Indtisiri:d Drive.
Clinton, NC 28328
Work Urtivr: K91.0382
TOTAL
QUANTITY ANALYSIS
MATRIX UNIT COST UNITSURCHARGE
COST
KAOA00023
3 Copper WW 200.7
Stormwater S25,00
S75,00
3 Lead WW 200.7
Stormwater $30.00
`y90 00
3 Zinc WW by 200,7
Storm -water $25.00
$75.00
3 Metals digestion
Stormwater S10.00
$30.00
3 Oil & Grease HEM
Stormwater $55.00
$165.00
3 Solids, Total Suspended
Stormwater $27.00
$81,00
Total Current Charges
$611
Total charges due by
$516.00
February 03, 2020
The services being invoiced were provided under and subject to Microbac's standard terms and conditions
which can be located and reviewed at<httns:/lwww.microbac.comistandard-terms•conditlons>.
Microbac Laboratories Inc, I Fayettyville
2,592 Hope Mills Rd I Fayetteville,
NC 283a%1 910.864.1920 p 1 91G.964,8774 11,,wwv.microbai;-,coT
V M I C R O BAC'n
Invoice NI.Miber: KAOA00023
Due. Date: 02/03/2020
Clicnr ID: KS056
Srhindler Idevator Corlwration
\Islion• to 'l'vncr
iriJ
Total charges due by
$516.00
609 lndki,. Orivu
(:h on, :tint: 28328
February 03, 2020
see Our
Mew
Remittance
Address...
Nlierobac Lahoratorics, Inc:.
okc checks paya};Ic io: Alicrohac Laboratories, Inc. C/o Dollar Bank
fleas, rcronl this rani[ Flip a ith tr:lenlcut PU linx 3510
Pittsburgh, NA 15230-3510
0211 0000000K5056 KAOA00021 0000051600
Page i of 1
I
6)MICROBAC``-
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0381
Schindler Elevator Corporation
Project Name: No Project
Mr. Richard Pearson
Project 1 PO Number: N/A
609 industrial Drive
Received: 12/19/2019
Clinton, NC 28328
Reported: 01/03/2020
Sample Summary Report
Sample Name
Site A, Grab
Site B, Grab
Laboratory ID Client Matrix
K91-0381-01 Stormwater
K91-0381-02 Stormwater
Sample Type Sample Begin Sample Taken
Grab 12/17/19 14:30
Grab 12/17/19 14:30
Lab Received
12/19/19 09:45
12119/19 09:45
Page 2 of 7
VMICROBAC"
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0381
Batch Quality Control Summary: Microbac Laboratories, Inc, - Fayetteville
Wet Chemistry
Result
Batch KL91921 - Wet Chem Aqueous - SM 2540 D-2011
Blank(KL91921-BLK1)
Total Suspended Solids
<2.50
Blank (KL91921-BLK2)
Total Suspended Solids
<2.50
Blank (KL91921-BLK3)
Total Suspended Solids
<2.50
Blank (KL91921-BLK4)
Total Suspended Solids
<2.50
LCS (KL91921-BS1)
Spike Source %REC RPD
RL Units Level Result %REC Limits RPD Limit Notes
2.50
2.50
2,50
2.50
Total Suspended Solids
29.6
2.50
Duplicate (KL91921-DUP1)
Source: K91-0363.01
Tolai Suspended Solids
558
2.50
Duplicate (KL91921-DUP2)
Source: K91-0368-01
Total Suspended Solids
70.7
2.50
Duplicate (KL91921-DUP3)
Source: K91-0403-03
Total Suspended Solids
18.0
2.50
Prepared &Analyzed: 12/19/2019
mglL
Prepared & Analyzed: 12/19/2019
mg1L
Prepared & Analyzed: 12/19/2019
mglL
Prepared & Analyzed: 12/19/2019
mg1L
Prepared & Analyzed: 12/19/2019
mg1L 31.0 95 94.5-105.4
Prepared & Analyzed: 12/19/2019
mg1L 548 2 10
Prepared &Analyzed: 12/19/2019
mglL 72.7 3 10
Prepared & Analyzed: 1211912019
mglL 18.0 0 10
Spike Source %REC RPD
Metals Result RL Units Level Result %REC Limits RPD Limit Notes
Batch KA00016 - Metals Aqueous - EPA 200.7 Rev 4.4 1994
Blank (KA00016-131-K1)
Prepared & Analyzed: 01/02/2020
Aluminum
<0.250
0.250
mglL
Lead
<0.020
0.020
mglL
Blank (KA00016-BLK2)
Prepared & Analyzed: 01I0212020
Aluminum
<0.250
0.250
mglL
Lead
<0.020
0.020
mglL
LCS (KA00016-BS1)
Prepared &Analyzed: 01/02/2020
Aluminum
5.09
0.250
mglL 5.00 102
85-115
Lead
0.235
0.020
rnglL 0.250 94
85-115
LCS (KA00016-BS2)
Prepared & Analyzed: 01/02/2020
Aluminum
5.05
0.250
mglL 5.00 101
85-115
Lead
0.225
0.020
mglL 0.250 90
85-115
LCS (KA00016.653)
Prepared & Analyzed: 01102/202C
Aluminum
4.97
0.250
mg1L 5.00 99
85-115
Lead
0.242
0.020
mg1L 0.250 97
85-115
LCS (KA00016-BS4)
Prepared & Analyzed: 01/02/2020
Aluminum
5.00
0.250
mg1L 5.00 100
85-115
Lead
0.237
0.020
mg1L 0.250 95
85-115
Duplicate (KA00016-DUP1)
Source: KgL0337-01
Prepared &Analyzed: 01/02/2020
Microbac Laboratories,
Inc.
2592 Hope Mills
Rd I Fayetteville, NC 28306
1910,864.1920 p � www,microbac.com
Page 4 of 7