NCG030166_2020 DMR_20201028

TIMKEN
Where You Turn
Douglas R. Simmons
Sr. Environmental Engineer
The Timken Company
Mail Code: LIN-01
1000 Timken Place
Iron Station, N.C. 28080
Telephone: [phone]
Facsimile: [phone]
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
October 16, 2020
Attn: Central Files
Division of Water Resources (DWR)
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Certificate of Coverage No. NCG030166
Enclosed is the discharge monitoring report (SDMR) signed by Lincolnton Bearing
Plant manager Marty Hallman and the analytical results from storm water sampling
completed at the Timken Company's Lincolnton Bearing Plant located at Iron
Station, N.C.
This sampling was performed to comply with the analytical monitoring requirements
of the LBP's Metal Fabrication Storm Water General Permit, Certificate of Coverage
NCG030166, which requires sampling once during the first and second half of each
year respectively. The attached analytical reports and Storm water discharge
monitoring report is for the 2nd Half of 2020
Sincerely,
(r4s:-�
Douglas R. Simmons
Sr. Environmental Engineer
Enclosure
Pace Storm water analytical results report # 92496057
Signed Semi-annual Storm Water Discharge Monitoring report
Cc: Gensuite Task — Storm Water monitoring
Lincolnton Storm water hardcopy File — LIN-01
doug.simmons0 fimken.com

c7
cc
►r
m
u
La
,-ONO
N
N
t
0
y
E
LM
m
m
0
I
IQ
A
N
Y m in
242
DO
LUootD
0.
Z
u a CD
LU LU
a
cr
a a =
u
9AL
4
z
%a
Ph
C"
oC
O
0
Z
Q
h
H
LU
Q
Q
z
O
Z
T
O
H
W
m
w
cc
LU
u
0.
.g�a
wt
%I o
?x
4
w
-�
j
a
J _'-
u
z
,Qp C
Z V I LU ^�
'
a
a
0
��{{
Y
+O0o�C
o
s
2 y 0
J
z�
0 0cc
4+
o
uuii
%JW6U&gu
a 0 LU
Lam,
x �
�
1= C
Re
N
Y m
0
t°
' C
R
J1
ON
O 0
G L
to
L�
a° a °
0
E
L
S
4
c to
ice=
V
u
c
�
a
J
N
o
a
O
C
Ro
E
c
in
�
o
ci
d
RS
♦ •
�f
to
CL
E
V
0
o
a
V
7
m
a 0
m
'°
r
H
E
.�
a,
in
4
C
R
�
W
°
0
S.
J
�
p
S
�
C
3 47
ow
N
O R
t
e
N
C
E d
r,
`goo
r
u E
C
d
z
N
u
r
d
�xa
0
C
�
00
aC7
E
faU
P•k
'Q ++
o
cT a
� •= C m
w
m a°
c+
L
C C E
a
N
ih
Y
3 (ti
ra
E Y y C
6J
GJ
L
L Ou o
N
m
�.
m
OJ
'p _ rn
ry .4
al
m
7
a cc
a ac
E
LMa
LI-
C v
O
N p
a
to a
Co 4C
E
L
m=
3
a
o E
u u C
o
"
m
O
a-
L
:C§ T
E p
u M C
u
b�
a)
0
c p a .�
c
c
v
a H z .E
M
O
en
T to c
c
o
u
a
E
a F -0 w
a
E
U
os y
C C 97
U LM
o
E
m
m
f
u
c
�
al
U
y "C L
n 3
m a .N
c
Etw ;� c
c
E
U
5
�+
L E
a a
Ln
= d
a Ln
_
L
2.
++
G
L �O U
p
�n
?
'm
u ++ U
a�
'C
c
Q
.J
�^
;tJ
�n
�
o a
u
E=
a c
as
3 Ln o
o w E 4.
LW
p
in of
7,
y 0 N u
o GJ
Z
a
>.
—
a M
� a
L .
aC.
to
ro u
2�-
3
E a
an
a L w
On O E rV
c
tia
O
o
o
•� a7
a,
~ Ct
L
L aJ
i
d0
+' ~
r 6L
` U
LmL
? u
E
C
,C a!
-0a
o L .L. O C
m
Ln
p Itt .
o
o
.+ .0 C
C
Da
' '{
V k al C o
G
u_0
o. u 7 o C
o u M, =
r"
*�
.0 m
m U- C C
O
N o
'E a
14
a
u_
E
ar c
E caLn
CC
3
,n
0 voi
° E m
9
pp
O
fo CC
•f4
C
L
L
Q7 al
L
C
O
*ti
RE
9
L
CU
�' a
X '
?
a—
E
r
U y
p i7 u c
.�.
aL.
1
oci
O��
C w ��
O C '�
p
Lo
•'
t
o c a+
E
U.
a°Ji
Ln
j j
m
.+
n
m a
N a W E r
DL

00
c
0
0
m
i
U C
Q al
C F t
E aL,
R
w 0
� C7
0 o
c
y
N
0 0 .0
`
d .y
,C
c m .,
o Q
m
- m Co
E_
o
`1
a E
j d 4;
D•
3 a
m
m
c � u
v c
no a E
o E E
aa)
+r u
'0 00
c c
r_
0 0 . LA
E ?
0 09 '3
!' a .
LA -0 0
E y
9- a
m m p
E
a LA
kn a
c s
u
m C •+
m �
'�
0 E
0
:+ o
u u
cli
7
ML
.v
aM a
a` m ro
° m
c
0 0
10 "
:r u
7 X L
C6 u C
a ro
E° te a
i
aj ate.
o;o.o
a " m
° c
y
C w
�I
0 0
CL
c 0
vti n C
a 0 E O
l a
a - •L
t •rp 0
�, c a «.
� ..: � 3
E
(6
++ =
T .d R
C
c u E
o a
a
C c 0
m
0 Oa a
m
41 C N
a
Ec ++
°i oo vn
m o
a a�
° c w
0
c c E
c „
c =_
m E a
m
E a o
y Ll
ao-oa
4a no
mcu
CD ^
C m
c
L u
..-0 3 ._
_0
a E m
�
° y U o C
G
N �,
m G
�n
7 0 m a
d)? °�
c
5 yr a
E
m 0
Ln
?s o
Q a m
c E m
u w
a w
3 u A C
3 ►�
'n Ln
a
M
� E a
t
s
G
i
3
m
C
0o
iA-
m
E
u
E
2
c
M
a
t
2
L
vi
N
a
m
0
z
0
4)
a
a
0
a
n
m
7
m
u
w
m
t
X
X
L
a
r
E
w
Z
Ili
m
°a
E
in
rL -
Ln
L
M
°
J
m
p
A
�
i.7
10
0
E
c
r °
.p
H �
0
C7 �
J
o a
S
Ln
p
O ;
N
C
4 y
° °
Z m
a
� a
0 0°
m
M
O
o 0
J
v
o u
� �
Z
61
m
Z =
Y
C
7
O
E
m
ul
A a
c t
N
Ln
m C
a
°
Z
a
N
to
0sue
M
ap =
a 0
E
E
a
0
o
co
U
G
E
C
al
CT
0o
0
N
m
wl
M�
�1
wLE�
w
[0
4 LA o
v N
' m
3 a
l�
v

m
§
U.
LLJ
�
«
I
§
\
cc
z�
o g
u ■
§El
� $
E
E ®
I
I
u e
> z
p °
z
§ <
@ a
� /
■
~cc
&
Uj
E
3 U.
q �
� \ i
k2�,
k § Z
L vz ❑ ;
§ LLJ
/
?§r.
Ne u
« � _
$ o
k z z
�
k
2 %
a = ¥
Ln Lu \ k
k a /
2 §
2 &
< LL § z
\ >- > Z
k M < §
§ m V �
uj L o
rq a
z
. . o
Q
cr
\
/
CU
m $ a @
,_CU=
_ u 0
ku
o
§0k5
\ �2
0 2 S 2
a � I
ƒ
c
%2#9
E / 2
» ©2 c
/ k 3 5
= E c
f o e c
\ c }
\k�\
o E
to
r § -0 LA%\$L
2 ©o E
k / � \
\ % c
r- cr
0 c %
5 c ® 7
0 0 2
E-Ow tCL
0
W m\;
tj
&52-
Wk k�
» E \ E
E
_ e
} \ 2 M
- 2 E
wog-z
M2=
{ 2 .E i
r
cu
E c k
m aD
_LA il
2 ƒ C
/ �m 0 \
CL■fo
O
�pr I-
tw
0 v:
; >. % § ai
,2 C m
»
�CL
mLA M
_ -
�I /0
CL
E IV
,. _
�/ M J &
00
N
2 m
a5
Qj
k CLto

. aceAnalytica, r
��+ rrrr.pcelsfssram
September 28, 2020
Mr. Doug Simmons
Timken Company - Lincointon Beating Plant
1000 Timken Place
Iron Station, NC 28080
RE: Project Stormwater Kit
Pace Project No. 92496057
Dear Mr Simmons.
Pace Analytical Services, LLC
r115 East Meadow Road - Suite A
Eden, NC 27288
?339Lj623-8921
Enclosed are the analytical results For sample(s) received by the laboratory on September 17 2020. The results relate only
to the samples included in this report Results reported herein conform to the applicable TNI1NELAC Standards and the
laboratory's Quality Manual where applicable. unless otherwise noted in the body of the report
The test results provided in this final report were generated by each of the following laboratories within the Pace Network
• Pace Analytical Services -Asheville
• Pace Analytical Services - Charlotte
If you have any questions concerning this report. please feel free to contact me
Sincerely
_&' ' X
Bonnie Vang
bonnie vang@pacelabs corn
[phone]
Project Manager
Enclosures
cc Wendy Leonard Timken Steel
REPORT OF LABORATORY ANALYSIS
Th s report shall not be reproduced except .n full
without the written consent of Pace Analytical Services :-_C
Page 1 of 12

acmnalytrcal
WmPiealals.eaa
Pace Analytical Services, LLC
205 East Meadow Road - Suite A
Eden NC 27288
[phone]
CERTIFICATIONS
Project. Stormwater Kit
Pace Project No. 92496057
Pace Analytical Services Charlotte
9800 Kincey Ave Ste 100, hiuntersville NC 28078
South Carolina Certification # 99006001
f ouisiana/NEIAP Certification # LA170028
Flonda/NELAP Certification # E87627
North Carolina Drinking Water Certification #- 37706
Kentucky UST Certification # 84
North Carolina Field Services Certification #- 5342
Yrginia/VEi_AP Certification # 460221
North Carolina Wastewater Certification #' 12
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification # 40
FloridalNELAP Certification #: E87648 South Carolina Certification # 99030001
Massachusetts Certification #. M-NC030 VirginiaNELAP Certification # 460222
North Carolina Drinking Water Certification #: 37712
REPORT OF LABORATORY ANALYSIS
This report sha . not be reproduced except in Full
without the written consent of Pace Analytical Services, LLC Page 2 of 12

aceAnalytical
annapscdrlstam
SAMPLE ANALYTE COUNT
Pace Analytical Services, LLC
205 East Meadow Road - Suite A
Eden NC 27288
[phone]
Project
Slormwater Kit
Pace Project No
92496057
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92496057001
Stormwater Outfall 9001
EPA 1664E
HH
1
PASI -C
EPA 200 7 Rev 4 4 1994
SH1
3
PASI-A
SM 254OD-2011
RED
1
PASI-A
PASI-A = Pace Analytical Services - Asheville
PASI-C = Pace Analytical Services - Charlotte
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 12

ace Analytical
{ NUN pacelablizate
ANALYTICAL RESULTS
Pace Analytical Services, LLC
205 East Meadow Road -Suite A
Eden, NC 27288
{336)623-8921
Project. Stormwater Kit
Pace Project No.. 92496057
Sample: Stormwater Outfall #001 Lab ID: 92496057001 Collected 09117120 08 00 Received 09/17/20 11 16 Matrix Water
Parameters
1664 SGT HEM, TPH
Total Petroleum Hydrocarbons
200.7 MET ICP
Copper
Lead
Zinc
2540D Total Suspended Solids
Total Suspended Solids
Date 09128/2020 08 39 AM
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Analytical Method EPA 16648
Pace Analytical Services - Charlotte
ND mg1L
5.0
1
09/24/20 09:32
Analytical Method EPA 200 7 Rev 4 4
1994 Preparation Method EPA 200 7 Rev 4.4 1994
Pace Analytical Services - Asheville
ND ug1L
50
1
09/23/20 17-45 09/25/20 00 38 7440-50-8
ND ug1L
50
1
09/23120 17'45 09/25/20 00 38 7439-92-1
ND ug1L
100
1
09123/20 17:45 09125120 00 38 7440-66-6
Analytical Method SM 254OD-2011
Pace Analytical Services - Asheville
6.2 mg1L
31
1
09122/20 01.21
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced except in full
without the wntten consent of Pace Analytical Services. LLC
Page 4 of 12

aceAnalytical
wow.paceleltimn
Protect- Slormwater Kit
Pace Project No 92496057
QC Batch 568623
QC Batch Method EPA 1664B
Associated Lab Samples 92496057001
METHOD BLANK: 3012694
Associated Lab Samples. 92496057001
Parameter Units
Total Petroleum Hydrocarbons mg1L
QUALITY CONTROL DATA
Analysis Method EPA 1664B
Analysis Description 1664 SGT-HEM. TPH
Laboratory Pace Analytical Services - Charlotte
Matrix Water
Blank Reporting
Result Limit Analyzed Qualifiers
NO 5 0 09/24/20 09 29
Paco Analytical Services, LLC
205 East Meadow Road • Suite A
Eden NC 27288
;336)623-8921
LABORATORY CONTROL SAMPLE. 3012695
Spike LCS LCS % Rec
Parameter Units Cone. Result % Rec Limits Qualifiers
Total Petroleum Hydrocarbons mg1L 20 156 78 64-132
MATRIX SPIKE SAMPLE 3012696
92495108001 Spike MS MS % Rec
Parameter Units Result Cone. Result % Rec Limits Qualifiers
Total Petroleum Hydrocarbons mg1L NO 20 10.5 50 64-132 M1
Results presented on this page are in the units Indicated by the 'Units' column except whom an alternate unit is presented to the right or the result.
REPORT OF LABORATORY ANALYSIS
Thts reportshall not be reproduced except n full
Date 09/28/2020 08.39 AM without the wntten consent of Pace Analytical Services LLC
Page 5 of 12

aceAnalytical x
ararrt.pala6s.ran
Project: Stormwater Kit
Pace Project No.: 92496057
QC Batch: 568447
QC Batch Method: EPA 200.7 Rev 4.4 1994
Associated Lab Samples: 92496057001
METHOD BLANK: 3011863
Associated Lab Samples: 92496057001
Parameter
Units
Copper
uglL
Lead
ug1L
Zinc
ug1L
QUALITY CONTROL DATA
Analysis Method
Analysis Description
Laboratory -
Matrix Water
EPA 200 7 Rev 4 4 1994
200.7 MET
Pace Analytical Services - Asheville
Blank Reporting
Result Limit Analyzed
ND 5 0 09/24/20 23.44
ND 5 0 09/24/20 23.44
ND 10 0 09/24120 23,44
Qualifiers
Pace Analytical Services, LLC
205 East Meadow Road - Su-te A
Eden. NC 2728a
{336A23-8921
LABORATORY CONTROL SAMPLE
3011864
Spike
LCS LCS % Rec
Parameter
Units
Cone.
Result % Rec Limits Qualifiers
Copper
ug1L
500
496 99 85-115
Lead
uglL
500
465 93 85-115
Zinc
ug1L
500
454 91 85-115
MATRIX SPIKE & MATRIX SPIKE DUPLICATE-
3011865
3011866
MS
MSD
92495623001
Spike
Spike
MS
MSD
MS
MSD
% Rec
Parameter Units
Result
Conc.
Cone
Result
Result
% Rec
% Rec
Limits RPD Qual
Copper ug1L
ND
500
500
514
523
103
105
70-130 2
Lead ug1L
ND
500
500
489
494
98
99
711-130 1
Zinc uglL
ND
500
500
487
494
97
98
70-130 2
MATRIX SPIKE 8 MATRIX SPIKE DUPLICATE
3011867
3011868
MS
MSD
92496057001
Spike
Spike
MS
MSD
MS
MSD
% Rec
Parameter Units
Result
Conc.
Conc.
Result
Result
% Rec
% Rec
Limits RPD Qual
Copper ug1L
ND
500
500
533
527
107
105
70-130 1
Lead ug1L
ND
500
500
499
497
99
99
70-130 0
Zinc ug1L
ND
500
500
499
495
99
98
70-130 1
Results preserved 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
Th s report shall not be reproduced except in lull,
Date 09/28/2020 08 39 AM without the wr tten consent of Pace Analytical Services, LLC Page 6 of 12

;aceAnalytical"
� tsterpaala6s.ctita
QUALITY CONTROL DATA
Project Stormwater Kit
Pace Project No 92496057
QC Batch 5679" Analysis Method- SM 2544D-2011
QC Batch Method SM 254OD-2011 Analysis Description 2540D Total Suspended So:ids
Laboratory Pace Analytical Services - Asheville
Associated Lab Samples 92496057001
METHOD BLANK. 3009496 Matrix Water
Associated Lab Samples 92496057001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mglL ND 2.5 09/22/20 01.14
Pace Analytical Services, LLC
205 East Meadow Road - Suite A
Eden. NC 27288
;3361623-8921
LABORATORY CONTROL SAMPLE 3009497
Spike LCS LCS % Rec
Parameter Units Conc. Result e% Rec Limits Qualifiers
Total Suspended Solids mglL 250 246 98 90-110
SAMPLE DUPLICATE 3009498
92496448001
Dup
Parameter
Units
Result
Result RPD Qualifiers
Total Suspended Solids
mglL
168
155 8
SAMPLE DUPLICATE 3009542
92496151003
Dup
Parameter
Units
Result
Result RPD Qualifiers
Total Suspended Solids
mglL
3970
3960 0
Results presented on this page an to the units indicated by the "units" column except when an alternate unit Is presented to the right or the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced except in full
Date 09128/2020 08 39 AM without the written consent of Pace Ana ytica Services LLC
Page 7 of 12

aceAnalytrcal"
f rtmr.;Healal�.tom
I
QUALIFIERS
Project: Stonnwater Kit
Pace Project No.. 92496057
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
MOL - Adjusted Method Detection Limit.
Pace Analytical Services, LLC
205 East Meadow Road - Suite A
Eden. NC 27288
r336)62M921
POL - Practical Quantitation Lim t
Rt_ - 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-Diphervyihydraz:ne 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 - C can -Up
U - Indicates the compound was analyzed tor. but not detected
Acid preservation may not be appropriate for 2 Chloroethylv.nyl ether
A separate vial preserved to a pH of 4.5 s recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260
N-Nitrosodiphenylamine decomposes and �annot be separated from Diphenylamine using Method 8270 The result reported for
each analyte is a combined concentration
Pace Analytical is TNI accredited Contact yiur Pace PM for the current list of accredited anatytes.
TNI - The NELAC institute
ANALYTE QUALIFIERS
M1 Matrix spike recovery exceeded QC limits Batch accepted based on laboralary control sample (LCS) recovery
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced except in full.
Date 09/2812020 08 39 AM w thout the widen consent of Pace Aralytical Services. LLC. Page 8 of 12

aceAnalytical
www.pada6s.eao
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project Stormwater Kit
Pace Project No 92496057
Lab 10
Sample 10
QC Batch Method
QC Batch
92496057001
Stormwater Outfall #001
EPA 16648
568623
92496057001
Stormwater Outfall #001
EPA 200 7 Rev 4 4 1994
568447
92496057001
Stormwater Outfall #001
SM 2540D.2011
567948
Date 09128/2020 08 39 AM
REPORT OF LABORATORY ANALYSIS
This report shell not be reproduced, except in full
without the written consent of Pace Analytical Services LLC
Pace Analytical Services, LLC
205 East Meadow Road - Suite A
Eden. NC 27288
[phone]
Analytical
Analytical Method Batch
EPA 200 7 Rev 4.4 1994 568549
Page 9 of 12

Document Name ]acvment Revised: Februarl 7, 2013
Sample Condition Upon Receipt(SCUR) 1 Page ! of I
23CMMIY601 Document No.� I Issuing authority,
F•CAR-CS-033-Rev.a6 I Pace Carolinas Quality Office
Laboratory receiving samples:
Asheville'([] Eden❑ Greenwood Huntersville C, Raleigh[] Mechanicsville]
ClierntrName: Project WO# : 92496057
Courier: OFed :x ❑UPS ❑USPS Client 1111111111111111111111Commerc_al ❑Pace ❑Cther- 824960
Datellnitials Person Esramining Contents:_
Packing Material! �hble Wrap Dfubble Sags ❑None ❑ Other Biological Tissue Frgzen?
Thermometer: —, Qyes ❑No D r%A
R sun ID
92TO61 Tr pe of Ice: et ❑slue ❑None
Cooler Temp ('CI: Correction Factor: add/Subtract ('C) 0.0 Temp should be atsave freezing to VC
Cooler Temp Corrected (-Q: j_. — -- ❑Sirples out of !emp :ri[ena. Samples ?n ce, cooling process
has Wigan
U513A Regulated Soil ( .N A, Hater samples
Ord samples ar�ginate in a quarantine :one within he ;;nited States CA. NY or SC (check maoss7 Cid saml:es 3ngrrate from i foreign source Ilnternavonalty.
ryes Milo Irdudlrl lawall and PuertoAlcols [Wes ❑Na
Chain of Custedy Present?
Upts
No
NIA I
L.
Samples hived within '-ia!d Time?
C}reS
No
NIA
2
Short hold rrrne analysis 102 ar_s7
QyCJ
r
No
Nix
3
Rush Turn around Time Requested?
Yes
ya
NIA
4
Suff-cent va!urne)
es
No
nw,
5.
Correct Containers Used?
Pace Containers Jsed'
(fires
r es
[]NO
No
❑NIA
N/A
6
Containers,nract)
es
[]No
N/A
I
Dissolved ana:ysis 5arnp'es Find F;itered7
❑v
Elf a
N/A
a
l Sample Labels Match (C)Cl
es
❑No
❑NIA
4
-includes t aterTsmeJIDiAnalysis Matrix:
Headspace n VOA Vials I}S.,Smmlf
Trip Blank Present? �.
COMMENTS/SAMPLE DISCREPANCY
T-
Lot I D sf sF-d containers
CLIENT %OTIFICATION/RESOLUTION
Person Contacted
Project Manager SCURF Review:
Project Manager SRF Review:
DateMme,
Date.
gate:
F4Id Data aequhed7 ❑Yes [-]NO
Page 10 of 12

aceMaly ical'
Document Name
Occurrent No.
F-CAR-G-033-Rev.06
"Check mark top half of box If pH and/or dechlorination Is
verified and within the acceptance range for preservation
samples.
Emceptiorn. vCA, Zallfotm -OC Oil and Grease, 0110/8015 water, =C• LLig
—Bottom half of box is to list number of bottle
]ocument Revised 7ebruerr 7, 2019
Page 1 of 2
swing authority,
Pate Carofinas Quafity Office
Project • WO# : 9z496o57
PM_ BV Due Date: 09/28/20
CLIENT: 95—Timk1n
6
9 L I
2
•v
Z
Z
N
„
Q
?
Z
a
Z
n
a°
3
Tk=
a
z
_z
Z
L
a
y
J I
n
•
L
r
S•
w l
�`
L
Y
3
_
1
y
=
Z a
1
i
CO
�_
C
a
N
0
0
7
p
Y Y
y�
y
a
1 J
1 J
I 1
J J
C
Q
a
j
_
Q
J
w
7
}
2
,
y
E G E
N Ili
4 g
E E
L
C
y4
L
L
G
L
larl
_C
'
7
C7
!
�_
7
�_
C
pC
ya
o. N1 II C
aL ` O.
"
1
O T
1 4
Q
a
a
6.
V
C]
V
M
l7
v
M
t7
IR
t?
CI
IS
U
A
l'1
fi
a
O
U. N
6
ti
ry
a
a
M
°�
Q
lJ
w
7
1Cl
m m 4 4 m
m
I
m
m
3
a
a
a
a
a
a'
>
>>
> N
v+
a
1
+
,Z
✓
I
I
I
iNNI
i '
1N
I
\N]l
I I
I
,
\'
I
I
F7N
\I
\\I
N
\N
I
I
I
I
I
9
�
I
9
I
I
NN
11
I
\11\F1
'
I12!
\
NI
I
NL
I
I
I\
E pH Adjustment Log for Preserved Samples
Sample 10
Type of Preservative
pH upon receipt
Date weservatlon 3diusted
Time preser4dart I Amount of?reservatwe i Lot 4
adjusted added
Note: whenever hers Is a disuepancy affecting North Carolina compliance ;amples, a copy of this form udt oe ;nt -o •he North._arolina OEWIR Certification office U e
Out of hold, mcorec; 3reserrattve, cut of temp, ncirrea containers
Page 11 of 12

1
•
`3
$
os
y
m
�
a
w
w
STEM a
z T:
m:
,;
�
�
o
m
a,_
a
/� �
U
3
Z
o//pp
CA
t
1
n
W
i
it
• 9
P
x
n
r
:L
T�•'
S�4i��
4
m 1
VATRIX-ODE i sesul,a'arsto s41
Q
SxaPLE TYPE {G•GRag C CC :!Pj
Q
ti
i
O
i
m
�
y
�
x
n
n
O
�i
r
�
m
m
c
p
_
a
q
a
m
m
m
m
Z
Q
Y
C
N
p
tYY v
J q
3'
m
-0
_
s
p
;
SAMPLE :EI.I;j aT CCLLECT40N
C
m
■CF c_:i.-A
m
s o
5 w
3�
Urpreea�rea
G
H2SO4eA
n
I
HNO3
a
HCi
CO
sL�
N80H
A
3
4
Na252Q]
N
m
1.}etharc�
'�
m
Other
{�
s
—.
Analyses Test
YI1N
Oil and cease by }5+,a
•f1
rn
`
N
S
rss
200, L!dtals
g
N ^
Q.
d
CyamCQ
6
TTD :2°
_
r
TTO EL?
M
"0 s2<
COD
L
m
a
TEi.1P in C
N
�
it9sidu9'Ch _rre -Y Ni
n
Received on
YiN
n
LU31C iy
Sealed
CC&I
`
a
iYiN1
'dF
$emp'e7
Intact
YIN)
0
m
Page 12 of 12