NCG030657_2021 DMR_20210623

NCDEQ Division of Energy, Mineral and Land Resources
StormwatenDischarge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
Click here for instructions
Complete sign scan and submit the DW1Rvia the within
3Odays ufreceiving sampling results. Mail the original, signed hard copy ufthe DIVIRtothe appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG03�6 �57 Person Collecting Samples: Paul W. Spangenberg, B.E.E.
Facility Name: Matlab, Inc. - Plant 14 Laboratory Name: Con -Test
Facility County: Randolph Laboratory Cert. No.: 652
Discharge during this period: N Yes E] No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceeclances? M Yes RNNo
Analytical Monitoring Requirements for OutHa|bwith Industrial Activities — Benchmarks \n(Red)
Code
N/A
Receiving Stream Class
C
C
N/A
Date Sample Collected MM/DD/YYYY
06/03/2021
06/03/2021
NCOIL
New Motor/Hydraulic Oil Usage in
N/A
N/A
gal/month
01051
Lead, total recoverable in mg/ L
78141
Total Toxic Organics (TTO) in mg/L(l)
N/A
N/A
* Outfalls to Outstanding Resource Waters (ORW),High Quality Waters (HQW), Trout Waters (Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of 50 mg/L All other water classifications have a benchmark of 100 mg/L.
I Notes (optional):
"I certify by my signature below, under penalty of law, that this document and all attachmentswere prepared under mydirection 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 vio}abonx."'~---_^~/~-�~~^
'� 7-:Z- Z1
Signature of PermitteeprDelegated Authprii-edkndividua| Date

STORMWATER DISCHARGE OUTFALL (SDO)
QUALITATIVE MONITORING REPORT
Certification of Coverage No.:
Facility Name:
County:
Permit No: NCG030657
Matlab, Inc. — Plant #14
Randolph
Expires: 5/31/2021
Asheboro, North Carolina
Inspector Name:
Date of Inspection:
Paul S an enber
11/12/20
OUTFALLDESCRIPTION`
Outfall No.:
Structure (pipe, ditch, etc.):
Receiving Stream:
1
Ditch
I Hasketts Creek
Describe the industrial activities that occur within the outfall drainage area:
Painting & Coating Manufacturing
Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors:
Lite Brown
Odor
Describe any distinct odors that the discharge may have (i.e. smells strongly of oil, weak chlorine odor, etc.):
None
Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy (circle one):
1 0 3 4 5 6 7 8 9 10
Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is
the surface is covered in floating solids (circle one):
2 3 4 5 6 7 8 9 10
Suspended ended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10
is extremely muddy (circle one):
1 3 4 -5 6 7 8 9 10
Foam
Is there any foam in the stormwater discharge (circle one)?: Yes o
Oil Sheen
Is there an oil sheen in the stormwater discharge (circle one)?: Yes o
Erosion Deposition '
Is there evidence of erosion or deposition at the outfall? (circle one): Yes a
If yes, list and describe:
Other .
Is there other obvious indicators of stormwater pollution in the stormwater discharge (circle one): Yes o
If yes, list and describe:
Rain Event
Was this a Representative Storm Event? X Yes _ No Total Event Precipitation (Inches}: 1.5
A measurable storm event is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event
must have been at least 72 hours prior.
Certification
By this signature I certify that this report is accurate and complete to the best of my knowledge:
Inspector's Signature: ;vaae y 9ZI 613121

STORMWATER FACILITY INSPECTION FORM
Facility Name:
Location:
Certification of Coverage No.:NCG030657
Matlab, Inc. — Plant #14
Asheboro, North Carolina
Expires: 5/31/2021
Number of
Inspector's Name:
Date:
Outfalls:
6/3/21
2
Paul Spangenberg
Con$!Lb4t!ng Areas
Evidence of pollutants entering system (circle one): Yes kNjo
If yes, describe:
Areas of potential pollutants entering system:
Describe: Chemical and Waste storage buildings.
Control measures present (circle one): Yeo No
If yes, describe:
Secondary containment
Additional control measures needed (circle one): Yes No
If yes, describe:
Sediment and erosion control measures present (circle one): es No
If yes, describe:
Rip -Rap at discharge and drainages ditches
Describe any new structural stormwater management measures:
None
Potential Pollutant Areas
Describe any loading/unloading operations:
Trucking, Tank Truck
Describe any outdoor storage activities:
Wood pallets, scrap metal, waste storage piles, municipal waste dumpsters, used equipment, used machinery, and painted
equipment.
Describe any outdoor manufacturing or processing activities:
None
Describe and dust or particulate generating areas:
Dust collector area
Describe any onsite waste disposal activities:
None
Significant s or Spills
Any reportable spills or leaks in the past year (circle one): Yes No
If yes, date: Impact on stormwater system(s):
Certification
By this signature I certify that this report is accurate and complete to the best of my knowledge:
Inspector's Signature: ;yawe 7P.5A�_613121

... ..........
FACILITY:.Matiab, Inc. — Plant #14
ADDRESS: 1623 North Fayetteville Street
Asheboro, NC 27203
CONTACT PERSON: Press Bower TELEPHONE: [phone]
YEAR
MONTH
DAY
DATE
2021
6
3
HOURS
MINUTES
DURATION
24
0
PRECIP.
AMOUNT (IN.)
1.50
RUNOFF
VOL. (GAL.)
0.083
DAYS
HOURS
PRECEDING
EVENT
6
0
PRINT I SIGNATURE I DATE
Paul W. Spangenberg A r WO IV/ A;p VW I
3 Acres - Sq. Ft. 89775 x 1.5 = 134662.5 x 0.0833 =1 1217.3 x 7.48 = 83906.0 / 1000000 = 0.083 mg

Boyer Enterprises East, LLC
June 17, 2021
NCDEQ/DWR
Attention: Central Files
450 West Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
Subject: STORMWATER SAMPLING RESULTS
MATLAB, INC. - PLANT 14
1623 NORTH FAYETTEVILLE STREET
ASHEBORO, RANDOLPH COUNTY, NORTH CAROLINA
PERMIT NCG030657
Dear Sir/Madam:
Attached please find the Stormwater Discharge Monitoring Reports (DMR) and analytical
report for the sampling conducted at the above -referenced site. A stormwater sample was
collected from Outfall 001 and 002 on June 3, 2021 and analyzed for total suspended
solids (TSS) pH, lead (Pb), copper (Cu), zinc, (Zn), and oil and grease (O&G). As indicated
on the attached DMR, all parameters were reported below or within their respective
benchmark values. If you have any questions or need additional information, please
contact me at [phone].
Sincerely,
BOYER ENTERPRISES EAST, LLC
Paul W. Spangenberg
EH&S Compliance DIRECTOR
Attachments: Stormwater Discharge Monitoring Report
Laboratory Report
127 Red Hill Church Road 919-971-0415 (24 Hrs.)
Dunn, NC 28208

NCDEQ Division of Energy, Mineral and Land Resources
rM&.. r •
Metal Fabrication
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG03 0 6 5 7 Person Collecting Samples: Paul W. Spangenberg, B.E.E.
Facility Name: Matlab, Inc. - Plant 14 Laboratory Name: Con -Test
Facility County: Randolph Laboratory Cert. No.: 652
Discharge during this period: X Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes ❑ No
If so, which Tier (I, II, or III)?
Analytical Monitoring Requirements for Outfalls with industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall 1
Outfall2
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
C
C
N/A
Date Sample Collected MM/DD/YYYY
06/03/2021
06/03/2021
46529
24-Hour Rainfall in inches
1.5
1.5
00552
Non -Polar Oil & Grease in mg/L (15)
<0.33
0.70
C0530
TSS in mg/L (100 or 50*)
25
26
00400
pH in standard units (6.0-9.0)
6.3
7.0
NCOIL
New Motor/Hydraulic Oil Usage in
N/A
N/A
gal/month
01119
Copper, total recoverable in mg/L
0.0094
0.013
(0.010 FW, 0.005 SW)
01051
Lead, total recoverable in mg/ L
t}.�QQ7g
�.��7
(0.075 FW, 0.220 SW)
01094
Zinc, total recoverable in mg/ L (0.126
a.o42
�.L142
FW, 0.095 SW)
78141
Total Toxic Organics (TTO) in mg/L(1)
N/A
NIA
* Qutfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L.
Notes (optional):
"I certify by my signature below, 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 or Delegat—ed Authorized Individual Date

Boyer Enterprises East, LLC
MEC
June 17, 2021
Attention: Central Files
450 West Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
Subject: STORMWATER SAMPLING RESULTS
MATLAB, INC. - PLANT 14
1623 NORTH FAYETTEVILLE STREET
ASHEBORO, RANDOLPH COUNTY, NORTH CAROLINA
PERMIT NCG030657
Dear Sir/Madam:
Attached please find the Stormwater Discharge Monitoring Reports (DMR) and analytical
report for the sampling conducted at the above -referenced site. A stormwater sample was
collected from Outfall 001 and 002 on June 3, 2021 and analyzed for total suspended
solids (TSS) pH, lead (Pb), copper (Cu), zinc, (Zn), and oil and grease (O&G). As indicated
on the attached DMR, all parameters were reported below or within their respective
benchmark values. If you have any questions or need additional information, please
contact me at [phone].
Sincerely,
BOYER ENTERPRISES EAST, LLC
Paul W. Spangenberg
EH&S Compliance DIRECTOR
Attachments: Stormwater Discharge Monitoring Report
Laboratory Report
127 Red Hill Church Road 919-971-0415 (24 Hrs.)
Dunn, NC 28208

NCDEQ, division of Energy, Mineral and Land Resources
Metal Fabrication
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG03 0 6 5 7 Person Collecting Samples: Paul W. Spangenberg, B.E.E.
Facility Name: Matlab, Inc. - Plant 14 Laboratory Name: Con -Test
Facility County: Randolph Laboratory Cert. No.: 652
Discharge during this period: M Yes ❑ No (if no, skip to signature and dote)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes R No
If so, which Tier (I, II, or III)?
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
parameter
Outfall 1
Outfall2
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
C
C
N/A
Date Sample Collected MM/DD/YYYY
06/03/2021
06/03/2021
46529
24-Hour Rainfall in inches
1.5
1.5
00552
Non -Polar Oil & Grease in mg/L (15)
<0.33
0.70
C0530
TSS in mg/L (100 or 50*)
25
26
00400
pH in standard units (6.0-9.0)
6.3
7.0
NCOIL
New Motor/Hydraulic Oil Usage in
NIA
NIA
gal/month
01119
Copper, total recoverable in mg/L
0.0094
0.013
(0.010 FW, 0.005 SW)
01051
Lead, total recoverable in mg/ L
O.a007g
O.pp16
(0.075 FW, 0.220 SW)
01094
Zinc, total recoverable in mg/ L (0.126
0.02
0.042
FW, 0.095 SW)
78141
Total Toxic Organics (TI-O) in mg/L(1)
N/A
N/A
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L.
Notes (optional):
"I certify by my signature below, 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 or Delegated Authorized Individual
2.Z
Date

con-test(3
A Pace Analytical® Laboratory
39 Spruce Street * East Longmeadow, MA 01028 * FAX [phone] * TEL, 413/525-2332
June 17, 2021
Paul Spangenberg
Boyer Enterprises East, LLC
PO Box 550
Dunn, NC 28208
Project Location: Plant 14- Asheboro, NC
Client Job Number:
Project Number: R2943. 10
Laboratory Work Order Number: 2 IF0250
Enclosed are results of analyses for samples received by the laboratory on June 3, 2021. If you have any questions concerning
this report, please feel free to contact me.
Sincerely,
Kerry K. McGee
Project Manager
Table of Contents
I Page 1 of 16

Table of Contents
Table of Contents
Sample Summary
Case Narrative
Sample Results
21F0250-01
21F0250-02
Sample Preparation Information
QC Data
Metals Analyses (Total)
B283398
Conventional Chemistry Parameters by EPAJAPHAJSW-846 Methods (Total)
B283390
B283438
B283886
F1agJQualifier Summary
Certifications
Chain of CustodyJSaraple Receipt
3
4
5
5
7
9
10
10
10
11
11
11
11
12
13
14
I Page 2 of 16

Table of Contents
OPAm
colrtest'9
A Pace AnalyticalO Laboratory
39 Spruce Street * East Longmeadow, MA 01028 * FAX [phone] * TEL. [phone]
Boyer Enterprises East, LLC
PO Box 550
Dunn, NC 28208
ATTN: Paul Spangenberg
PURCHASE ORDER NUMBER:
PROJECT NUMBER: R2943.10
ANALYTICAL SUMMARY
REPORT DATE: 6/17/2021
WORK ORDER NUMBER: 21F0250
The results of analyses performed on the following samples submitted to CON -TEST, a Pace Analytical Laboratory, are found in this report
PROJECT LOCATION: Plant 14- Asheboro, NC
FIELD SAMPLE # LAB ID: MATRIX SAMPLE DESCRIPTION TEST SUB LAB
21F0250-01 Water EPA 1664B
SM21-22 2540D
SM21-22 4500 H B
SW-846 6020B
2 21F0250-02 Water EPA 1664B
SM21-22 2540D
SM21-22 4500 H B
SW-846 6020B
I Page 3 of �16

co n -te 7 fit©
A Pace AnalyticalO Laboratory
Table of Contents
39 Spruce Street * East Longmeadow, MA 01026 * FAX 413t525-6405 * TEL. [phone]
CASE NARRATIVE SUMMARY
All reported results are within defined laboratory quality control objectives unless listed below or otherwise qualified in this report.
SM21-22 4500 H B
Qualifications:
H-05
Holding time was exceeded. pH analysis should be performed immediately at time of sampling. Nominal 15 minute holding time was
exceeded
Analyte & Sainples(s) Qualified:
PH
2IF0250-01[l], 2 1 F0250-02[21, B283390-DUP1
The results of analyses reported only relate to samples submitted to Con -Test, a Pace Analytical Laboratory, for testing.
I certify that the analyses listed above, unless specifically listed as subcontracted, if any, were performed under my direction according to the approved methodologies listed
in this document, and that based upon my inquiry of those individuals immediately responsible for obtaining the information, the material contained in this report is, to the
best of my knowledge and belief, accurate and complete.
Lisa A. Worthington
Technical Representative
Page 4 of 16

Table of Contents
con -test
A Pace AnalyticaP Laboratory
39 Spruce Street . East Longmeadow, MA 01028 . FAX [phone] ' TEL. [phone]
Project Location: Plant 14- Asheboro, NC Sample Description: Work Order: 21F0250
Date Received: 6/3/2021
Field Sample #: 1 Sampled: 6/3/2021 13:00
Sample ID: 21F0250-01
Sample Matrix: Water
Metals Analyses (Total)
Date
Date/Time
Analyte Results
RL
DL
Units
Dilution Flag/Qual
Method
Prepared
Analyzed
Analyst
Copper 0.0094
0.0010
0.00027
mg/L
I
SW-846 6020B
6/4/21
6/8/21 13:22
QNW
Lead 0.00079
0.00050
0.00014
mg/L
1
SW-8466020B
6/4/21
6/8/2113:22
QNW
Zinc 0.042
0,010
0.0034
mg/L
1
SW-8466020B
6/4/21
6/8/2113:22
QNW
Page 5 of 16

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con-testo
A Pace Analytical® Laboratory
39 Spruce Street * East Longmeadow, MA 01028 * FAX [phone] * TEL. [phone]
Project Location: Plant 14- Asheboro, NC Sample Description: Work Order: 21F0250
Date Received: 6/3/2021
Field Sample k 1 Sampled: 6/3/2021 13:00
Sample ID: 21F0250-01
Sample Matrix: Water
Conventional Chemistry Parameters by EPA/AP1IA/SW-846 Methods (Total)
Date
Date/Time
Analyte
Results RL DL
Units Dilution Flag/Qual
Method
Prepared
Analyzed
Analyst
PH @19.2°C
6.3
pH Units 1 H-05
SM21-22 4500 H B
6/4/21
6/4/21 18:00
ALG
Total Suspended Solids
25 2.0 0.64
mg/L I
SM21-22 2540D
6/7/21
6/7/21 12:45
LL
Oil & Grease (HEM)
ND 1.4 0.33
mg/L 1
EPA 1664B
6/14/21
6/14/21 13:00
LL
Page 6 of 16�

Table of Contents
con -test@
A Face Anaty#icaP Laboratory
39 Spruce Street * East Longmeadow, MA 01028 * FAX [phone] * TEL. [phone]
Project Location: Plant 14- Asheboro, NC Sample Description: Work Order: 21F0250
Date Received: 6/3/2021
Field Sample #: 2 Sampled: 6/3/2021 13:00
Sample ID: 21F0250-02
Sample Matrix: Water
Metals Analyses (Total)
Date
Date/Time
Analyte Results
RL
DL
Units Dilution Flag/Qual
Method
Prepared
Analyzed
Analyst
Copper 0.013
0.0010
0.00027
mg/L 1
SW-846 6020B
6/4/21
6/8/21 13:25
QNW
Lead 0.0016
0.00050
0.00014
mg/L 1
SW-846 6020B
6/4/21
6/8/21 13:25
QNW
Zinc 0.042
0.010
0.0034
m9/L 1
SW-846 6020E
6/4/21
618/21 13:25
QNW
Page 7 of 16 1

Table of Contents
con -testa
A Pace AnatyficaP Laboratory
39 Spruce Street' East Longmeadow, MA 01028 * FAX [phone] * TEL. [phone]
Project Location: Plant 14- Asheboro, NC
Sample Description:
Work Order: 21F0250
Date Received: 6/3/2021
Field Sample #P: 2
Sampled: 6/3/2021 13:00
Samale ID: 21F0250-02
Samale Matrix: Water
Conventional Chemistry Parameters by EPA/APHA/SW--846 Methods (Total)
Date
Date/Time
Analyte
Results RL DL Units Dilution Flag/Qual Method
Prepared
Analyzed
Analyst
pH@19.1°C
7.0 pH Units 1 H-05 SM21-224500HB
6/4/21
6/4/2118:00
ALG
Total Suspended Solids
26 2.0 0,64 mg/L 1 SM21-22 2540D
6n121
6/7/21 12:45
LL
Oil & Grease (HEM)
0.70 1.4 0.33 mg/L 1 J EPA 1664B
6/14/21
6/14/21 13:00
LL
Page 8 of 16

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con -test
A Pace AnatyticalO Laboratory
39 Spruce Street * East Longmeadow, MA 01028 * FAX [phone] * TEL. [phone]
Sample Extraction Data
EPA 1664B
Lab Number [Field ID]
Batch
Initial [mL]
Date
21F0250-01 [1]
B283886
1000
06/14/21
21F0250-02 [21
B283886
1000
06/14/21
SM21-22 2540D
Lab Number [Field ID]
Batch
Initial [mL]
Date
21F0250-01 [11
B283438
250
06/07/21
21FO250-02 [2]
B283438
250
06/07/21
SM21-22 4500 H B
Lab Number [Field ID]
Batch
Initial [mL]
Date
21FO250-01[11
B283390
50.0
06/04/21
21F0250-02 [21
B283390
50.0
06/04/21
Prep Method: SW-846 3005A Analytical Method: SW-846 6020E
Lab Number [Field ID]
Batch
Initial [mL] Final [mL1
Date
21F0250-01[1]
B283398
50.0 50.0
06/04/21
21F0250-02 [2]
B283398
50.0 %0
06/04/21
Page 9 of 16�

Table of Contents
00 n-testa
A Pace Anafytical® Laboratory
39 Spruce Street * East Longmeadow, MA 01028 * FAX 413l525-6405 * TEL. 413l525-2332
QUALITY CONTROL
Metals Analyses (Total) - Quality Control
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch B283398 - SW-846 3005A
Blank(B283398-BLKI) Prepared: 06/04/21 Analyzed: 06/08/21
Copper ND 0.0010 mg/L
Lead ND 0.00050 mg/L
Zinc ND 0.010 mg/L
LCS (B283398-BSI) Prepared: 06/04/21 Analyzed: 06/08/21
Copper 1.00 0.010 mg/L 1.00 100 80-120
Lead 0.535 0.0050 mg/L 0.500 107 80-120
Zinc 1.07 0.10 mg/L 1.00 107 80-120
LCS Dup (B283398-BSDI) Prepared: 06/04/21 Analyzed: 06/08/21
Copper 1.00 0.010 mg/L 1.00
Lead 0.533 0.0050 mg/L 0.500
Zinc 1.06 0.10 mg/L 1.00
100 80-120 0.282 20
107 80-120 0.431 20
106 80-120 1.15 20
Page 10 of 16

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con -test°
A face AnalyticaP Laboratory
39 Spruce Street * East Longmeadow, MA 01028 * FAX [phone] * TEL. [phone]
QUALITY CONTROL
Conventional Chemistry Parameters by EPA/APHA/SW-846 Methods (Total) .. Quality Control
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch B283390 - SM21-22 4500 H B
LCS (B283390-BSI)
Prepared & Analyzed: 06/04/21
PH
Duplicate (B283390-DUPI)
6.00
pH Units
Source: 21FO250-02
6.00 99.9 90-110
Prepared & Analyzed: 06/04/21
pH
Batch B283438 - SM21-22 2540D
7.0
pH Units
7,0 0.158 5 H-05
Blank (B283438-BLKI)
Prepared & Analyzed: 06/07/21
Total Suspended Solids
LCS (B283438-BSI)
1.5
2.5 mg/L
,1
Prepared&Analyzed: 06/07/21
Total Suspended Solids
Batch 11283886 - EPA 1664B
192
10 1119/1,
200 96.0 53.8-124
Blank (B283886-BLKl)
Prepared & Analyzed: 06/14/21
Oil & Grease (ITEM)
LCS (B283886-BS1)
ND
1.4 mg/L
Prepared & Analyzed: 06/14/21
Oil & Grease (HEM)
22
mg/L
20.0 110 78-114
Page 11 of 16

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con"" test
A Pace Analytical' Laboratory
39 Spruce Street * East Longmeadow, MA 01028 * FAX [phone] * TEL. [phone]
FLAG/QUALrPIER SUMMARY
QC result is outside of established limits.
fi
Wide recovery limits established for difficult compound.
Wide RPD limits established for difficult compound.
#
Data exceeded client recommended or regulatory level
ND
Not Detected
RL
Reporting Limit is at the level of quarnitation (LOQ)
DL
Detection Limit is the lower Emit of detection determined by the MDL study
MCL
Maximum Contaminant Level
Percent recoveries and relative percent differences (RPDs) are determined by the software using values in the
calculation which have not been rounded.
No results have been blank subtracted unless specified in the case narrative section.
H-05 Holding time was exceeded. PH analysis should be performed immediately at time of sampling. Nominal 15
minute holding time was exceeded.
I Detected but below the Reporting Limit (lowest calibration standard); therefore, result is an estimated
concentration (CLP J-Flag).
I Page 12 of 16

Table of Contents
con#testio
A Pace AnalyticalO Laboratory
39 Spruce Street * East Longmeadow, MA 01028 * FAX [phone] * TEL. [phone]
CERTIFICATIONS
Certified Analyses included In this Report
Analyte Certifications
EPA 1664E in Water
Oil & Grease (HEM)
SM21-22 2540D in Water
Total Suspended Solids
SM21-22 4500 HB in Water
PH
SW-846 6020B in Water
C T,MA,NH,NY,RI,NC,ME, VA
CT,MA,NH,NY,RI,NC,ME, VA
CT,MA,RI
Copper CYNH,NY,ME, VA,NC
Lead CT,NH NY,ME,VA,NC
Zinc CTNH,NY,ME,VA,NC
Con -Test, a Pace Environmental Laboratory, operates under the following certifications and accreditations:
Code
Description
Number
Expires
AIHA
AIHA-LAP, LLC - ISO17025:2017
100033
03/1/2022
MA
Massachusetts DEP
M-MA100
06/30/2022
CT
Connecticut Department of Publilc Health
PH-0165
12/31/2022
NY
New York State Department of Health
10899 NELAP
04/l/2022
NH-S
New Hampshire Environmental Lab
2516 NELAP
02/5/2022
RI
Rhode Island Department of Health
LA000112
12/30/2021
NC
North Carolina Div. of Water Quality
652
12/31/2021
NJ
New Jersey DEP
MA007 NELAP
06/30/2021
FL
Florida Department of Health
E871027 NFLAP
06/30/2021
VT
Vermont Department of Health Lead Laboratory
LL720741
07/30/2022
ME
State of Maine
MA00100
06/9/2023
VA
Commonwealth of. Virginia
460217
12/14/2021
NH-P
New Hampshire Environmental Lab
2557 NELAP
09/&2021
VT-DW
Vermont Department of Health Drinking Water
VT-255716
06/12/2021
NC-DW
North Carolina Department of Health
25703
07/31/2021
PA
Commonwealth of Pennsylvania DEP
68-05812
06/30/2022
MI
Dept. of Env, Great Lakes, and Energy
9100
0916/2021
Page 13 of 16 1

Table of Contents
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.5 Am 14 of 16

Table of Contents
Travel History
TIME Z0"9
Local Scan Time
Friday, June 4,2021
9:38 AM
8:33 AM
8:25 AM
7:00 AM
3:53 AM
TRACK ANOTHER SHIPMENT
411359783416
ADD NICKNAME
. Delivered
Friday, June 4) 2021 at 9.38 am
WINDSOR LOCKS, CT
WINDSOR LOCKS, CT
FAST GRANBY, CT
MEMPHIS, TN
Thursday, June 3,2021
11:13 PM MEMPHIS. TN
5:06 PM GREENSBORO, NC
4D0 PM ASHEBORO, NC
Shipment Facts
TRACKING NUMBER
411359783416
DELIVERED
Signed for by: R.PIETRAS
GET STATUS UPDATES
OBTAIN PROOF OF DELIVERY
Delivered
On FedEx vehicle for delivery
At local FedEx facility
At destination sort facility
Departed FedEx location
Arrived at FedEx location
Picked up
Picked up
Tendered at FedEx office
SERVICE
FedEx Priority Overnight
WEIGHT
33.4 Ibs / 15.15 kgs
M
SS/
I Page 15 of 16

Table of Contents
I % I Have Not Confirmed Sample Container
Numbers With Lab Staff Before Relinquishing
Over Samples
All=
. . . . . . . . . . . . . . . . . . . . .
............. .11-7:06i -7
...... . ....... .. ....... ...
Login Sample Receipt Checklist - (Rejection Criteria Listing - Using Acceptance Policy) Any False
Statement will be brought to the attention of the Client - State True or False
Client Q
Received
� it Date
14-2,1 Time AN
On Ice I No Ice
Ambient Melted Ice
Were samples within By Gun # Actual Temil:!::,
Temperature? 2-60C Y By Blank # Actual Temp -
Was Custody Seat Intact? PJ Pt Were Samples Tampered with?
Was COC Relinquished ? M - Does Chain Agree With Samples? 7
Are there broken/leaking/loose caps on any samples? F
Is COC in ink/ Legible? I Were samples received within holding time? T-
Did COC include sit Client 1 Analysis Sampler Name
pertinent Information? Project 7- ID's Collection Dates/Times
Are Sample labels filled out and legible? T-
Are there Lab to Filters? f: Who was notified?
Are there Rushes?
Are there Short Holds?
Is there enough Volume?
Is there Headspace where applicable?
Proper Media/Containers Used?
Were trip blanks received?
Do all samples have the proper pH?
How were the samples In Cooler -r No Cooler
received? Direct from Sampling
F
Who was notified?
Who was notified?
MS/MSD?— ',r-
Is splitting samples required?
On COC? 1;
Acid 3: Base
Page 16 of 16