NCG060354_DMR_20200331

Hospira
A i Company
NC Department of Environment and Natural Resources
Division of Water Quality
1617 Mail Service Center
Raleigh,NC 27699-1617 r~1 1, .
Attention: Central Files
AP
Subject: Discharge Monitoring Reports C�;,N R $ 0 ���
r �ECTI
NPDES General Permit No. NCG060000 ()yip O�s
COC#NCG060354 (R1/R2)
Hospira,A Pfizer Company—Nash County
To Whom It May Concern:
Per the requirements of our general stormwater permit, the following documentation is
attached for your review:
✓ Storm water Discharge Monitoring Reports for Outfalls 004B, 005, 017A
✓ Certified laboratory report
All required discharge characteristics (total suspended solids, pH, oil and grease, and
chemical oxygen demand) were within permitted ranges. Total rainfall was measured
with an on-site rain gauge for the duration of the event. We will continue to conduct
future sampling events based on the conditions indicated in our permit.
Please contact me at(252) 977-8292 if you have any questions or I can provide any additional
information.
Sincerely,
Samuel Toke
EHS Manager
Hospira, a Pfizer company
4285 N. Wesleyan Blvd.
Rocky Mount,NC 27804

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 03/31/2020
CERTIFICATE OF COVERAGE NO. NCGO6 0 3 5 4 SAMPLE COLLECTION YEAR 2020
FACILITY NAME Hospira, a Pfizer company(Rocky Mount, FACILITY ACTIVITIES INCLUDE(check all that apply):
NC) n use/process meats use animal fats/byproducts
COUNTY Nash DISCHARGING TO SALTWATERS? fYES L<NO
PERSON COLLECTING SAMPLES Mike Lewis
LABORATORY Pace Analytical Lab Cert.# PASI-C#12, PASI-A#40 PLEASE REMEMBER TO SIGN ON THE REVERSE -
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall 2_.1 or I 1 No discharge this period3
Outfall No. Sample Collected, TSS, pH, COD, Oil and Grease, Fecal Coliform', Enterococcil,
mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark - 100 or 504 Within 6.0—9.0 120 30 1000 500
004E 3/13/20 16.7 7.63 68.6 <4.8 N/A N/A
005 3/13/20 9.8 7.43 <25 <4.8 N/A N/A
017A 3/13/20 29.2 7.32 28.8 <4.8 N/A N/A
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text,Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes ® no (if yes, complete Part B)
Part B:Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new motor oil/month.
Outfall No. Sample Collected, Oil and Grease, TSS, I pH, New Motor Oil Usage,
mo/dd/yr mg/L mg/L Standard units Annual average gal/mo
Benchmark - 30 100 or 504 6.0—9.0 -
N/A N/A N/A N/A N/A N/A
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at any outfalls,you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text,Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18,2012
Page 1 of 2

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

(fi Pace Analytical Services,LLC
6701 Conference Drive
ace Analytical®
Raleigh,NC 27607
www.pacelabs.com
[phone]
March 24, 2020
Michael A. Lewis
Hospira, Inc. - Rocky Mount, NC
4285 N. Wesleyan Blvd.
Rocky Mount, NC 27804
RE: Project: Stormwater
Pace Project No.: 92469679
Dear Michael Lewis:
Enclosed are the analytical results for sample(s) received by the laboratory on March 16, 2020. The
results relate only to the samples included in this report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Matthew Brainard
[e-mail]
[phone]
Project Manager
Enclosures
cc: Samuel Toke, Hospira-Rocky Mount
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 14

(iir Pace Analytical Services,LLC
Conference Drive
aceAnalytilcal® 6701Raleigh,NC 277607
wr.pac abs.ws [phone]
CERTIFICATIONS
Project: Stormwater
Pace Project No.: 92469679
Pace Analytical Services Charlotte
9800 Kincey Ave.Ste 100, Huntersville,NC 28078 South Carolina Certification#:99006001
Louisiana/NELAP Certification#LA170028 Florida/NELAP Certification#: E87627
North Carolina Drinking Water Certification#:37706 Kentucky UST Certification#:84
North Carolina Field Services Certification#:5342 VirginiaNELAP Certification#:460221
North Carolina Wastewater Certification#: 12
Pace Analytical Services Asheville
2225 Riverside Drive,Asheville, NC 28804 North Carolina Wastewater Certification#:40
Florida/NELAP Certification#:E87648 South Carolina Certification#:99030001
Massachusetts Certification#:M-NC030 VirginiaNELAP Certification#:460222
North Carolina Drinking Water Certification#:37712
REPORT OF LABORATORY ANALYSIS
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Pace Analytical Services,LLC
e 6701 Conference Drive
aceAnalytical Raleigh,NC 27607
www.paalabs.com [phone]
SAMPLE ANALYTE COUNT
Project: Stormwater
Pace Project No.: 92469679
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92469679001 Outfall 017 EPA 1664E HH 1 PASI-C
SM 2540D-2011 CJL 1 PASI-A
SM 5220D-2011 LMS1 1 PASI-A
92469679002 Outfall 004E EPA 1664B HH 1 PASI-C
SM 2540D-2011 CJL 1 PASI-A
SM 5220D-2011 LMS1 1 PASI-A
92469679003 Outfall 005 EPA 1664B HH 1 PASI-C
SM 2540D-2011 CJL 1 PASI-A
SM 5220D-2011 LMS1 1 PASI-A
REPORT OF LABORATORY ANALYSIS
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without the written consent of Pace Analytical Services,LLC. Page 3 of 14

(r Pace Analytical Services,LLC
® 6701 Conference Drive
aceAnalytical Raleigh,NC 27607
rrw.r.pacNaI$.eae [phone]
ANALYTICAL RESULTS
Project: Stormwater
Pace Project No.: 92469679
Sample: Outfall 017 Lab ID: 92469679001 Collected: 03/13/20 10:30 Received: 03/16/20 14:20 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM,Oil and Grease Analytical Method:EPA 1664E
Oil and Grease ND mg/L 4.8 1 03/21/20 14:50 M1
2540D Total Suspended Solids Analytical Method:SM 2540D-2011
Total Suspended Solids 29.2 mg/L 6.2 1 03/19/20 18:01
5220D COD Analytical Method:SM 5220D-2011 Preparation Method:SM 5220D-2011
Chemical Oxygen Demand 28.8 mg/L 25.0 1 03/20/20 18:00 03/23/20 21:56 M1
•
REPORT OF LABORATORY ANALYSIS
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Date:03/24/2020 02:06 AM without the written consent of Pace Analytical Services,LLC. Page 4 of 14

(Iir Pace Analytical Services,LLC
aceAnalytical e 6701 Conference Drive
_ fl
Raleigh,NC 27607
www.pacalal$.eaa
[phone]
ANALYTICAL RESULTS
Project: Stormwater
Pace Project No.: 92469679
Sample: Duffel!004B Lab ID: 92469679002 Collected: 03/13/20 11:05 Received: 03/16/20 14:20 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM,Oil and Grease Analytical Method:EPA 1664E
Oil and Grease ND mg/L 4.8 1 03/21/20 14:51
2540D Total Suspended Solids Analytical Method:SM 2540D-2011
Total Suspended Solids 16.7 mg/L 8.3 1 03/19/20 18:01
5220D COD Analytical Method:SM 5220D-2011 Preparation Method:SM 5220D-2011
Chemical Oxygen Demand 68.6 mg/L 25.0 1 03/20/20 18:00 03/23/20 21:56 M1,R1
REPORT OF LABORATORY ANALYSIS
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Pace Analytical Services,LLC
aceAnalytica!® 670 RC e f r nc 20rive
7607
MnWW.iealabs.eors [phone]
ANALYTICAL RESULTS
Project: Stormwater
Pace Project No.: 92469679
Sample: Outfall 005 Lab ID: 92469679003 Collected: 03/13/20 10:54 Received: 03/16/20 14:20 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM,Oil and Grease Analytical Method:EPA 1664B
Oil and Grease ND mg/L 4.8 1 03/21/20 14:51
2540D Total Suspended Solids Analytical Method:SM 2540D-2011
Total Suspended Solids 9.8 mg/L 5.0 1 03/19/20 18:01
5220D COD Analytical Method:SM 5220D-2011 Preparation Method:SM 5220D-2011
Chemical Oxygen Demand ND mg/L 25.0 1 03/20/20 18:00 03/23/20 21:57
REPORT OF LABORATORY ANALYSIS
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Date:03/24/2020 02:06 AM without the written consent of Pace Analytical Services,LLC. Page 6 of 14

Pace Analytical Services,LLC
aceAnalytical e 6701 Conference Drive
Raleigh,NC 27607
wwpacNabs.eaa
[phone]
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92469679
QC Batch: 531812 Analysis Method: EPA 1664B
QC Batch Method: EPA 1664B Analysis Description: 1664 HEM,Oil and Grease
Associated Lab Samples: 92469679001,92469679002,92469679003
METHOD BLANK: 2839470 Matrix: Water
Associated Lab Samples: 92469679001,92469679002,92469679003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Oil and Grease mg/L ND 5.0 03/21/20 14:50
LABORATORY CONTROL SAMPLE: 2839471
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Oil and Grease mg/L 40 36.8 92 78-114
MATRIX SPIKE SAMPLE: 2839472
92469679001 Spike MS MS %Rec
Parameter Units Result Conc. Result %Rec Limits Qualifiers
Oil and Grease mg/L ND 38.5 13.8 35 78-114 M1
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
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Pace Analytical Services,LLC
• 6701 Conference Drive
YeAnalytilcal Raleigh,NC 27607
wmpac lais.can [phone]
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92469679
QC Batch: 531531 Analysis Method: SM 2540D-2011
QC Batch Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92469679001,92469679002,92469679003
METHOD BLANK: 2838022 Matrix: Water
Associated Lab Samples: 92469679001,92469679002,92469679003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 03/19/20 17:58
LABORATORY CONTROL SAMPLE: 2838023
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Total Suspended Solids mg/L 250 230 92 90-110
SAMPLE DUPLICATE: 2838024
92470154001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 6300 6130 3
SAMPLE DUPLICATE: 2838025
92470154002 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 3160 3550 12
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
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Pace Analytical Services,LLC
6701 Conference Drive
lytica1 aceAna
Raleigh,NC 27607
www.ptslsbs.eaa
[phone]
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92469679
QC Batch: 531723 Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD
Associated Lab Samples: 92469679001,92469679002,92469679003
METHOD BLANK: 2838931 Matrix: Water
Associated Lab Samples: 92469679001,92469679002,92469679003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Chemical Oxygen Demand mg/L ND 25.0 03/23/20 21:54
LABORATORY CONTROL SAMPLE: 2838932
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Chemical Oxygen Demand mg/L 750 765 102 90-110
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2838933 2838934
MS MSD
92469679001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 28.8 100 100 148 151 120 122 90-110 2 M1
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2838935 2838936
MS MSD
92469679002 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 68.6 100 100 186 270 117 202 90-110 37 M1,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
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Date:03/24/2020 02:06 AM without the written consent of Pace Analytical Services,LLC. Page 9 of 14

Pace Analytical Services,LLC
® 6701 Conference Drive
YeAnalytical Raleigh,NC 27607
www•pcMab.cm [phone]
QUALIFIERS
Project: Stormwater
Pace Project No.: 92469679
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.
PQL-Practical Quantitation Limit.
RL-Reporting Limit-The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S-Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270.The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate%recovery and RPD values.
LCS(D)-Laboratory Control Sample(Duplicate)
MS(D)-Matrix Spike(Duplicate)
DUP-Sample Duplicate
RPD-Relative Percent Difference
NC-Not Calculable.
SG-Silica Gel-Clean-Up
U-Indicates the compound was analyzed for,but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and 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.
LABORATORIES
PASI-A Pace Analytical Services-Asheville
PASI-C Pace Analytical Services-Charlotte
ANALYTE QUALIFIERS
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample(LCS)recovery.
R1 RPD value was outside control limits.
REPORT OF LABORATORY ANALYSIS
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Pace Analytical Services,LLC
(111‘ceAnalytical® 6701 Conference Drive
Raleigh,NC 27607
www.pacelabs.com
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Stormwater
Pace Project No.: 92469679
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92469679001 Outfall 017 EPA 1664B 531812
92469679002 Outfall 004B EPA 1664B 531812
92469679003 Outfall 005 EPA 1664B 531812
92469679001 Outfall 017 SM 2540D-2011 531531
92469679002 Outfall 004E SM 2540D-2011 531531
92469679003 Outfall 005 SM 2540D-2011 531531
92469679001 Outfall 017 SM 5220D-2011 531723 SM 5220D-2011 532072
92469679002 Outfall 004B SM 52200-2011 531723 SM 5220D-2011 532072
92469679003 Outfall 005 SM 5220D-2011 531723 SM 5220D-2011 532072
REPORT OF LABORATORY ANALYSIS
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Document Name: Document Revised:February 7,2018
Sample Condition Upon Receipt(SC Page 1 of 2 _
8C8A/laly4/Cel Document No.: Issuing Authority:
F-CAR-CS-033-Rev.06 Pace Carolinas Quality Office
Laboratory receiving samples:
Asheville❑ Eden(— Greenwood D Huntersville ❑ RaleighE] Mechanicsville❑
Sir pie condition Client Name: WO# : 9246967 9
Upon Reci;ipt Project U:
Courier: UFed 6 LJUPS ❑LISPS °Client III UI III U
❑Commercial aPace ❑Other. L 82469679
Custody Seal Present? ❑Yes ENo Seals Intact? ❑Yes KNo Date/Initlafs Person Examining Contents: ZA /
I/ 37/4-2-0Packing Material: ❑Bubble Wrap ❑Bubble Bags None 0 Other Biological Tissue Frozen? 111
EYes ONo MN/A
Thermometer: I a� OS Type of Ice: RCA/et ❑Blue ❑None
❑IR Gun ID: `�
Cooler Temp('C): C•2- Correction Factor:Add/Subtract('C) —0.)
Temp should be above freezing to 6'C
Cooler Temp Corrected('C): 5.) samples out of temp criteria.Samples on ice,cooling process
has begun
USDA Regulated Soil (® N/A,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 No Including Hawaii and Puerto Rico)?❑Yes ONo
Comments/Discrepancy:
Chain of Custody Present? MYes ONo ON/A 1. —
Samples Arrived within Hold lime? IIYes ONO ❑N/A 2.
Short Hold Time Analysis(<72 hr.)? Dyes No ON/A 3. —
Rush Turn Around Time Requested? QYes IgNo ON/A 4.
Sufficient Volume? jff Yes ONo ON/A 5.
Correct Containers Used? j2Yes ONo ON/A 6.
-Pace Containers Used? 0 Yes ❑No ❑N/A
Containers Intact? BYes ONo QN/A 7.
Dissolved analysis:Samples Field Filtered? ❑Yes ❑No IEN/A 8.
Sample Labels Match COC? Oyes ❑No ON/A 9.
-Includes Date/Time/10/Analysis Matrix: W
ir
Headspace In VOA Vials(>5-6mm)? QYes Do j2MN/A 10.
Trip Blank Present? ❑Yes ONo IgIN/A 11.
Trip Blank Custody Seals Present? Oyes ONo SN/A
COMMENTS/SAMPLE DISCREPANCY Field Data Required? ['Yes ONo
Lot ID of split containers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted: Date/Time:
Project Manager SCURF Review: __ Date:
Project Manager SRF Review: Date:
Page 12 of 14

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