NC0083658_Renewal (Application)_20210630

6�STATE o-
ROY COOPER -
Governort� i
JOHN NICHOLSON
Interim Secretary "•G °nat`
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
June 30, 2021
Daikin Applied Americas, Inc.
Attn: Raymond Roblin
13600 Industrial Park Blvd
Minneapolis, MN 55441
Subject: Permit Renewal
Application No. NC0083658
HeatCraft Groundwater Remediation Site
New Hanover County
Dear Applicant:
The Water Quality Permitting Section acknowledges the June 29, 2021 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
Wren The for
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
North Carolina Department of Environmental Quality I Division of Water Resources
Wilmington Regional Office 127 Cardinal Drive Extension I Wtlmington.North CaroUna 28405
r=.1=.6..� / 910796 7215

•
•
rDAIKIN
RECEIVED
Daikin Applied Americas, Inc. SUN 2 9 2021
NCDEQ/DWR/NPDES
2021 NPDES Permit Renewal
NC #0083658
Former Heatcraft Remediation Site
. 602 Sunnyvale Drive
Wilmington, New Hanover County
North Carolina
NCD #057 451 270
June 2021
Prepared by:
CORREnvironmental Resources Inc
Project Number#3098 (21)

VDAIK1N
Daikin Applied Americas, Inc.
RECEIVED.
SUN 29 2021
2021 NPDES Permit Renewal NCDEQIDWRINPDES
• NC #0083658
Former Heatcraft Remediation Site
602 Sunnyvale Drive
Wilmington, New Hanover County
North Carolina
NCD #057 451 270
•
June 2021
Prepared by:
CORREnvironmental Resources Inc
Project Number #3098 (21)

•
COKR ,
Environmental Resources, Inc.
June 21, 2021 .
Ms. Wren Thedford
NC DEQ/DWQ/Point Source Branch •
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: 2021 Permit Renewal Application
NPDES Permit# NC0083658
Daikin Applied Americas, Inc.
Former Heatcraft Remediation Site
602 Sunnyvale Drive, Wilmington
•
Ms. Thedford:
•
CORR Environmental Resources Inc. (CORR) as an authorized representative of Daikin
Applied Americas, Inc. (DAA) is submitting two bound copies and a CD electronic version
of the enclosed request for a NPDES permit renewal for existing permit number
NC0083658. The renewal application is in reference to the groundwater remediation
water treatment system [physical-chemical]at the former Heatcraft property located at 602
Sunnyvale Drive in Wilmington, New Hanover County. The environmental remediation is
overseen by the NCDEQ Hazardous Waste Section (HWS) with EPA ID#057 451 270.
The following items are included with the renewal application:
• NPDES Permit Application —As EPA Form 1, EPA Form 2C and EPA Form 2E;
• Letter of delegation by DAA for CORR to act as an Authorized Representative to
prepare and submit the application;
• A topographic map indicating the location of the property and the outfall location;
• • An Expanded Site Plan presenting prominent site features including the outfall 001
location along with longitude and latitude coordinates;
• A Process Line Diagram Plan of the influent sources, treatment system and outfall
with approximate flow rates;
• Analytical testing laboratory reports for suspected influent characteristic(s); and
• The most recent aquatic toxicity testing report for the required quarterly discharge
effluent sampling conducted in May 2021.
Since the last permit renewal in 2016 there have been no changes to the overall corrective
actions in reference to the existing NPDES permit. The number of groundwater recovery
wells remains the same with eight (8)total,wells providing various flow rate influent to the
treatment system. Maximum total flow rate, as designed during initial construction in 1999,
remains at 0.36 MGD. Typical monthly flow rates average between 0.08 and 0.15 MGD
based on near term metered flow-through of the effluent discharge.

CON?
Environmental Resources, Inc.
Ms. Wren Thedford
June 21, 2021
Page 2
•
The groundwater extracted from the water table and bedrock aquifers typically contains
dissolved chlorinated solvents with trichloroethene (TCE) and 1,1,1 trichloroethane (1,1,1
TCA) as the primary impact constituents. Other volatile organic constituents are the
related daughter products of these two solvents and include dichloroethane and vinyl
chloride. Sampling conducted in late 2019, as required by the Department, included
testing for 1,4 dioxane as a solvent stabilizer previously used at the facility. These data
indicated the presence of this constituent in a range of 35 to 50 ug/L (ppb). These data
were reported on the eDMR's at that time.
Other influent includes minimal hydrocarbon liquids which are a mixture of mineral and
motor oils with minor percentages of diesel fuel and kerosene type products in the matrix.
The recovery operation uses air lift pumps which collect free phase liquids for transfer to
a 500-gallon separation tank. The separation tank acts to skim the hydrocarbon liquids
from the influent after settling for collection to DOT approved 55-gallon drum(s). The
resultant hydrocarbon product is then properly disposed of at an offsite permitted
hazardous waste disposal site. This equipment has been in place since the 2016 permit
renewal.
•
As required for the permit renewal application and with the hydrocarbon influent, effluent
samples were collected for semi-volatile organic constituent analysis (typically referred to
as Base/Neutral/Acid) using EPA Method 8270 by a North Carolina certified laboratory
[SGS Laboratory, NC#573]. No semi-volatile or volatile constituents were indicated above •
the various laboratory Method Detection Limits (MDLs). Effluent is also tested on a
monthly basis for the full VOC constituent analysis using SW846 Method 8260B. The
June 2021 analytical testing report is appended to the renewal application.
The following is a list of appended certified laboratory reports to the application:
• General,water quality testing; BOD, TSS, COD, Ammonia Nitrogen, and TOC —
Environmental Testing Solutions Project No. 210505.509 dated May 4, 2021.
• CY-21 Quarter 2 Effluent Aquatic Toxicity Report — Environmental Testing
Solutions Project No. 15945 dated May 5, 2021.
• Laboratory Report, Volatile Organic Constituents (VOC by SW 846 Method •
8260B); Semi-Volatile Base/Neutral/Acid (SVOC by SW 846 Method 8270); SGS
Accutest Laboratory Report No. FA86021, dated June 1, 2021.
• Laboratory Report, HEM Oil and Grease (EPA Method 1664A), SGS Accutest
Laboratory Report No. FA86158, dated June 9, 2021
•
The attached Figures are presented to provide the DWQ with the following information:
• Effluent outfall location map, USGS Wilmington topographic (FIG 1);
• The expanded site plan showing the full system layout and locations of various
recovery wells, monitoring wells, treatment system, lift station and the NPDES •
effluent outfall [001] (FIG 2); and
• The process flow line diagram (FIG 3).
Former Heatcraft Site NPDES#NC0083658

•
•
CORR Environmental Resources, Inc. •
Ms. Wren Thedford
June 21, 2021
Page 3
Contact information for DAA:
Mr. Donald Rooks
Daikin Applied Americas, Inc.
Director—Corporate Environmental, Health and Safety
13600 Industrial Park Blvd.
Minneapolis, MN 55441
[phone]
[e-mail]
Contact information for CORR as the Authorized Representative:
Mr. Raymond Roblin PG
Principal Hydrogeologist
4609 Candlestick
Garland, TX 75043
972-523-0487
If there are any questions concerning the renewal application or for the site in'general,
please contact me at the above referenced phone number or via email at
[e-mail]. Thank you for you consideration of the application.
Cordially,
CORR Environmental Resources inc.
Raymond Roblin, PG
Principal
Cc: Mr. Donald Rooks — DAA
Steve Tyler; ORC and Site File
Enclosures
File: c:\CORRDOCS\Wilmington\NPDES Issues\2021 Files\2021 permit renewal cvr Itr.doc
Former Heatcraft Site NPDES#NC0083658

r DAIKIN
June 3, 2021
Mr. Joe Corporon, LG
NC DEQ/DWR/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: NPDES Permit# NC0083658
Former Heatcraft Remediation Site
602 Sunnyvale Drive, Wilmington
2021 Renewal Application Delegation of Authority
Mr. Corporon:
Daikin Applied Americas, Inc. (DAA) delegates Mr. Raymond Roblin of CORR
Environmental Resources Inc. (CORR) to act as our Authorized Representative to
prepare and submit the NPDES permit renewal application for the active permit
referenced above.
Mr. Roblin with CORR will act to respond to any agency questions and requests for
additional information as needed. Upon permit renewal, Mr. Roblin will continue to
act as the Authorized Representative for discharge monitoring report submittals.
Cordially,
<3dt' ( „4"(
Donald E. Rooks
Director— Corporate EH&S
Cc: Raymond Roblin P.G. - CORR
Daikin Applied
World Headquarters
13600 Industrial Park Boulevard
Minneapolis,MN 55441
763-553-5330

EPA Identification Number NPDES Permit Number Facility Name Form Approved 030/19
.
NCD 057 451 270 NC0083658 OMB No 2040-0004
i Fmr Heatcraft Remedation Site [
F U.S.Environmental Protection Agency
o rm
i a E PA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION •
SECTION 1.ACTIVITIES REQUIRING AN NPDES PERMIT(40 CFR 122.21(f)and(f)(1))
1.1 Applicants Not Required to Submit Form 1
Is the facility a new or existing publicly owned '11 2 is the facility a new or existing treatment works
1,1,1 , .
treatment works? treating domestic sewage?
If yes,STOP, Do NOT complete El No If yes,STOP.Do NOT E] No
Form 1. Complete Form 2A. complete Form 1.Complete
Form 2S.
1.2 Applicants Required to Submit Form 1 .
1.2.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing,
... operation or a concentrated aquaticanimal commercial,mining,or silvicultural facility that is
o. production facility? currently discharging process wastewater?
u)
u.i 0 Yes 9 Complete Form 1 El No D Yes .4 Complete Form 0 No
ca
a. and Form 2B. 1 and Form 2C.
z
. c 1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
RS
cm mining,or silviculturel facility that has not yet commercial,mining,or silvicultural facility that
:= commenced to discharge? discharges only nonprocess wastewater?
=
0" 0 Yes 3 Complete Form 1 El No [3 Yes 4 Complete Form E] No
4+
rx and Form 2D. 1 and Form 2E.
ca
:t2 1.2.5 1 Is the facility a new or existing facility whose
discharge is composed entirely of stormwater
a associated with industrial activity or whose . •
discharge is composed of both stormwater and
non-stormwater'? •
Ei Yes 4 Complete Form 1 LI No
and Form 2F
unless exempted by
• 40 CFR
122.26(b)(14)(x)or
b 15 .
SECTION 2.NAME,MAILING ADDRESS,AND LOCATION(40 CFR 122.21(f)(2))
2,1 Facility Name
Former Heatcraft Remediation Site •
c
o 2.2 EPA Identification Number
C.,
NCD 057 451 270
13
c
co 2.3 Facility Contact
oc ..
0
co Name(first and last) Title Phone number
4:1 Donald Rooks Director-Corporate Envir Heath and Safety [phone]
<
do Email address
c
li [e-mail]
M .
2.4 Facility Mailing Address
,11 Street or z P.O.box I•
13600 Industrial Park Blvd
City or town State ZIP code
1 Plymouth • I Minnesota i 55441
EPA Form 3510-1(revised 3-19) Pagel
, .

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCD 057 451 270 NC0083658 Fmr Heatcraft Remedation Site OMB No.2040-0004
2.5 Facility Location
-115 Street route number,or other specific identifier
< 0 602 Sunnyvale Drive
c)°
c c County name I County code(if known)
0
1:4 New Hanover
- o
g City or town State ZIP code
z in Wilmington North Carolina 25412
SECTION 3.SIC AND NAICS CODES(40 CFR 122.21(0(3))
3.1 SIC Code(s) Deicription(optional)
3585 air conditioning and warm air heating equipment
co
0
o
Co
3.2 NAICS Code(s) Description(optional)
33341 air conditioning and warm air heating equipment
cri
SECTION 4.OPERATOR INFORMATION(40 CFR 122.21(0(4))
4.1 Name of Operator
Daikin Applied Americas,Inc.
•0 4.2 Is the name you listed in Item 4.1 also the owner?
C3 Yes El No
4.3 Operator Status
o
0 Public—federal 0 Public—state El Other public(specify)._
El Private 0 Other(specify)
4,4 Phone Number of Operator
[phone]
• 4.5 Operator Address
0 Street or P.O. Box
E 13600 Industrial Park Blvd
o
c c City or town ; State ZIP code
+c-
2 ° Plymouth Minnesota 55441
1°.
a) Email address of operator
o [e-mail]
SECTION 5. IND AN LAND(40 CFR 122.21(f)(5))
c lb 5.1 Is the facility located on Indian Land?
40 c
'CI CO
C D Yes 0 No
EPA Form 3510.1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105119
NCD 057 451 270 NC0083658 Fmr Heatcraft Remedation Site OMB No.2040-0004
SECTION 6.EXISTING ENVIRONMENTAL PERMITS(40 CFR 122.21(0(6))
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
m ® NPDES(discharges to surface ® RCRA(hazardous wastes) ❑ UIC(underground injection of
water) fluids)
B. A NC0083658 NC0057451270
❑ PSD(air emissions) d Nonattainment program(CAA) ❑ NESHAPs(CAA)
c I
w CI Ocean dumping(MPRSA) 0 Dredge or fill(CWA Section 404) El Other(specify)
SECTION 7. MAP(40 CFR 122.21(f)(7)1
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
W specific requirements.)
®Yes ❑ No ❑CAFO—Not Applicable(See requirements in Form 2B.)
SECTION 8. NATURE OF BUSINESS(40 CFR 122.21(f)(8))
8.1 Describe the nature of your business.
Operator,Daikin Applied America,Inc.,is the responsible party to a groundwater remediation at a former
v, manufacturing facility in Wilmington,NC. The discharge permit is for recovered contaminated groundwater
treatment and discharge to surface water. The site has been operating groundwater recovery and treatment since
ofthe property,e manages site wide
1999 or earlier under NPDES permit(s). Daikin Applied,as a legacy ownerp p rty, g
corrective actions required by the NC Department of Environmental Quality,Hazardous Waste Section. The permit
renewal will allow for continued groundwater clean up and restoration of the aquifers.
.
SECTION 9.COOLING WATER INTAKE STRUCTURES(40 CFR 122.210)(9)
9.1 Does your facility use cooling water?
2 ❑ Yes ® No 4 SKIP to Item 10.1.
9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
application r uirements at 40 CFR 122.21(r).Consult with your
40 CFR 125,Subparts I and J may have additionalrequirements
• _ �' NPDES permitting authority to determine what specific information needs to be submitted and when.)
o
O
SECTION 10.VARIANCE REQUESTS(40 CFR 122.21(f)(10))
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that
apply.Consult with your NPDES permitting authority to determine what information needs to be submitted and
JO
m when.)
c ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
tn
ce Section 301(n)) 302(b)(2))
[� Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Section 301(c)and(g)) •
Not applicable
•
•
EPA Form 3510-1(revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/Ci5119
NCD 057 451 270 NC0083G58 Fmr Heatcraft Remedation Site O No.2040 000d
SECTION 11.CHECKLIST AND CERTIFICATION STATEMENT(410 CFR 122.22(a)and id))
11.1 In Column 1 below,mark the sections of Form 1 that you have completed and are submitting with your application. •
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note
that not all applicants are required to provide attachments.
Column 1 Column 2
0 Section 1:Activities Requiring an NPDES Permit 0 w/attachments
•
® Section 2:Name,Mailing Address,and Location 0 wl attachments
El Section 3:SIC Codes ❑ wl attachments
© Section 4:Operator Information ❑ w/attachments •
✓❑ Section 5:Indian Land j' 0 w/attachments
I
0 Section 6:Existing Environmental Permits 0 w/attachments
w/topographic
❑✓ Section 7:Map ❑ map ❑ wl additional attachments
0 Section 8:Nature of Business ❑ w/attachments
0 Section 9:Cooling Water Intake Structures ❑ w/attachments
0 Section 10:Variance Requests ❑ w/attachments
✓❑ Section 11:Checklist and Certification Statement ❑ w/attachments
za
11.2 Certification Statement
I certify under penalty of law that this document and all attaohments 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 fine and imprisonment for kno ving violations.
Name(print or type first and last name) Official title •
Raymond W.Roblin Authorized Agent for Daikin Applied Americas,Inc.
Signature Date signed
06/21/2021
•
•
EPA Form 3510-1(revised 3-19) Page 4

ii
EPA identification Number NPDES Permit Number Facility Name .Form Approved 03/05/19
,
NCD 057451270 NC0083658 ' Fmr Heatcraft Remedation Site OMB No 2040-0004
I Form U.S.Environmental Protection Agency
2C Evailv PA Application for NPDES Permit to Discharge Wastewater
NPDES
EXISTING MANUFACTURING,COMMERCIAL,MINING,AND SILVICULTURE OPERATIONS
SECTION 1.OUTFALL LOCATION(40 CFR 122.21iglii ii
1 I Provide information on each of the facility's outfalls in the table below.
c Outfall I 1
Receiving Water Name I Latitude Longitude
— Number
as
o
o
—.11 ,001 Barnards Creek 34° 10' 33n N 78° 56' le W
11,...
45 a , a a , a
0 •
SECTION 2.LINE DRAWING(40 CFR 122 21(gii2.:i)
Have you attached a line drawing to this application that shows the water flow through your facility with a water °
balance?(See instructions for drawing requirements.See Exhibit 2C-1 at end of instructions for example.)
ai ID Yes 0 No ,
SECTION 3.AVERAGE FLOWS AND TREATMENT(40 CFR 122.21(g)(3))
3.1 For each outfall identified under Item 1 I provide average flow and treatment information.Add additional sheets if
, necessary .
**Outfall Number" (101
Operations Contributing to Flow
Operation .
Average Flow
Groundwater recovery from wells 0.15 mgd
mi. mgd
i•-• mgd
an .
c
Es mgd
iTreatment Units
gb Descr C
iption Final Disposal of Solid or
ode from
a.. (include size,flow rate through each treatment unit, ' Liquid Vilastes Other Than
iiil 1— retention time,etci) Table 2C-1 by Discharge
Twin 1,000 gal air gripping units,rated at 125 gals/minute e 1-K permitted hazardous waste facil
•
- .
EPA Form 3510-2C(Revised 3-19) Page 1
•

EPA Identification Number NPDES Permit Number Fadhty Name FO4TR Approved 03/05/19 '
NCD 057451270 NC0083658 Fmr Heatcraft Remedation Site OMB No.2040-0004
3.1 **Ouffall Numbee* 001
cont. Operations ContributingIto Flow
Operation
Average Flow
mgd
4
mgd
mgd
mgd
• Treatrnent Units
Desalt/on ' 4', nITI of Solid or
•
(incturbab flow rate through eactrireatment unit, Liquid Wastes Other Than
retention time,etc.) - by Discharge'
No solid or liquid sludge wastes generated
•
"Cutts!!Number** oin
Operations Contributing to Flow
Operation Average Flow
§ mgd
mgd
mgd•
mgd
Treatment Units
•
Code from Final Disposal of or
(include size,flow rate through each treatment unit. Table 201 Liquid Wastes Other Titan,
retention dme,etc..)
by Discharge
1
3.2 Are you applying for an NPDES permit to operate a privately owned treatment works?
2.0 E3 Yes No-) SKIP to Section 4.
3.3 Have you attached a list that identifies each user of the treatment works?
El Yes No
•
EPA Form 3510-2C(Revised 3-19) • Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105/19
NCD 057451270 NC0083658 Fmr Heatcraft Remedation Site OMB No.2040-0004
SECTION 4.INTERMITTENT FLOWS(40 CFR 122,21(g)(4))
4.1 Except for storm runoff,leaks,or spills,are any discharges described in Sections 1 and 3 intermittent or seasonal?
0 Yes ✓ No 4 SKIP to Section 5.
4.2 Provide information on intermittent or seasonal flows for each applicable outfail.Attach additional pages,if necessary.
Rate
Outfall Operation F u I Flow
umber ? (list) Average Average Long-Term Maximum Duration
DeyeiMeak Month ear Average Daily
daystweek months/year mgd mgd ' days
__.... days/week months/year mgd mgd days
• a
s
c days/week months/year mgd mgd da y
E daystw_.k months/year mgd mgd days
C
days/week monthslyear mgd mgd days
dayslwk monthstyear mgd mgd days
• da =k months/year mgd mgd days
days/week months/year mgd mgd days
daysiweek monthstyear , mgd mgd , days
SECTION 5.PRODUCTION$0 CFR 122.21(05li
5.1 ; Do any effluent limitation guidelines(ELGs)promulgated by EPA under Section 304 of the CWA apply to your facility?
❑ Yes 0 , No 4 SKIP to Section 6.
40 5.2 Provide the following information on applicable ELGs.
• w ELG Category ELLS Subcategory i R gul or itat)on 1
Of
42
AS
a.
▪ Q
t!t .
5.3 Are any of the applicable ELGs expressed in terms of production(or other measure of operation)?
0 Yes ® No 4 SKIP to Section 6.
5.4 Provide an actual measure of daily production expressed in terms and units of applicable ELGs.
E I Outfall , Unit of
.
I Number Operation,Product,or Material Quantity per Day M re
,
tn
ai
®
-cs
a.
•
EPA Form 3510-2C(Revised 3-19) Page 3

•
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105/19
NCD 057451270 NC0083658 Fmr Heatcraft Remedation Site OMB No.2040.0004
SECTION 6.IMPROVEMENTS(40 CFR 122.21(g)(6))
6.1 Are you presently required by any federal,state,or local authority to meet an implementation schedule for constructing,
upgrading,or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application?
❑ Yes No 4 SKIP to Item 6.3.
6,2 Briefly identify each applicable project in the table below.
Affected Final Compliance Dates
Brief Identification and Description of Outfalls Sources)of
Project (list outtall Discharge ? Required Projected
number)
•
a
6.3 Have you attached sheets describing any additional water pollution control programs(or other environmental projects
that may affect your discharges)that you now have underway or planned?(optional item)•
❑ Yes ❑ No Not applicable
SECTION 7,EFFLUENT AND INTAKE CHARACTERISTICS(40 CFR 122.21(g)(7))
See the instructions to determine the pollutants and parameters you are required to monitor and,in turn,the tables you mast
complete. Not all applicants need to complete each table,
Table A.Conventional and tion.ConventIonarPollutants
7.1 Are you requesting a waiver from your NPDES permitting authority for one or more of the Table A pollutants for any of
your outfalls?
❑ Yes ❑ No 9 SKIP to Item 7.3.
7.2 If yes,indicate the applicable outfalls below.Attach waiver request and other required information to the application.
Outfall Number Outfall Number Outfall Number
7.3 Have you completed monitoring for all Table A pollutants at each of your outfalls for which a waiver has not been
requested and attached the results to this application package?
No;a waiver has been requested from my NPDES
❑ Yes ❑ permitting authority for all pollutants at all outfalls.
5 Table B,Toxic Metals,Cyanide,Total Phenols,and Organic Toxic Pollutants
rg • 7.4 Do any of the facility's processes that contribute wastewater fall into one or more of the primary industry categories
listed in Exhibit 2C-3?(See end of instructions for exhibit.)
❑ Yes ✓❑ No 9 SKIP to Item 7.8.
rio 7.5 Have you checked"Testing Required"for all toxic metals,cyanide,and total phenols in Section 1 of Table B?
ILI
❑ Yes ❑ No
7.6 List the applicable primary industry categories and check the boxes indicating the required GC/MS fraction(s)identified
in Exhibit 2C-3.
Primary Industry Category Required GCIMS Fraction(s)
(Check applicable boxes.)
❑Volatile 0 Acid 0 Base/Neutral 0 Pesticide
❑Volatile ❑Acid 0 Base/Neutral 0 Pesticide
❑Volatile 0 Acid 0 Base/Neutral 0 Pesticide
EPA Form 3510-2C(Revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name . Form Approved 03/05/19
NCB 057451270 NC0083658 Fmr Heatcraft Remedation Site OMB No.2040 0004
7.7 Have you checked"Testing Required"for all required pollutants in Sections 2 through 5 of Table B for each of the
GC/MS fractions checked in Item 7.6?
0 Yes ❑ No
7.8 Have you checked"Believed Present"or"Believed Absent"for all pollutants listed in Sections 1 through 5 of Table B
where testing is not required?
Q Yes 0 No
7.9 Have you provided(1)quantitative data for those Section 1,Table B,pollutants for which you have indicated testing is
required or(2)quantitative data or other required information for those Section 1,Table B,pollutants that you have
indicated are"Believed Present"in your discharge?
ID Yes ❑ No
7.10 Does the applicant qualify for a small business exemption under the criteria specified in the instructions?
❑ Yes-ti Note that you qualify at the top of Table B, ❑ No
•
then SKIP to Item 7.12. .
7,11 Have you provided(1)quantitative data for those Sections 2 through 5,Table B,pollutants for which you have
determined testing is required or(2)quantitative data or an explanation for those Sections 2 through 5,Table B,
pollutants you have indicated are"Believed Present"in your discharge?
© Yes ❑ No
3 Table C.Cutain Conventional and Non-Conventional Pollutants
7.12 Have you indicated whether pollutants ere"Believed Present"or"Believed Absent"for all pollutants listed on Table C
for all outfalls?
❑ Yes ❑ No
7.13 Have you completed Table C by providing(1)quantitative data for those pollutants that are limited either directly or
indirectly in an ELG and/or(2)quantitative data or an explanation for those pollutants for which you have indicated
"Believed Present"?
El Yes 0 No
Table D.Ceirtain'Hazardous Substances and Asbestos
7.14 Have you indicated whether pollutants are"Believed Present"or"Believed Absent"for all pollutants listed in Table D for
all outfalls?
0 Yes ❑ No
7.15 Have you completed Table D by(1)describing the reasons the applicable pollutants are expected to be discharged
and(2)by providing quantitative data,if available?
❑ Yes Q No •
Table E.2,3,7,t-Tetrachl di p-Dloxin(2,3,7,8"TCDD)
7.16 Does the facility use or manufacture one.or more of the 2,3,7,8-TCDD congeners listed in the instructions,or do you
know or have reason to believe that TCDD is or may be present in the effluent?
❑ Yes 4 Complete Table E. ❑✓ No 4 SKIP to Section 8.
7.17 Have you completed Table E by reporting qualitative data for TCDD?
❑ Yes ❑ No
SECTION 8.USED OR MANUFACTURED TOXICS(40 CFR 122 21 is)(9ii
8.1 Is any pollutant listed in Table B a substance or a component of a substance used or manufactured at your facility as
an intermediate or final product or byproduct?
❑ Yes ❑ No-9 SKIP to Section 9.
8.2 List the pollutants below.
� 1, 4. 7,
2. 5. 8.
40
3. 6. 9.
EPA Form 3510-2C(Revised 3-19) Page 5

. EPA identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCD 057451270 NC0083658 Fmr Heatcraft Remedation Site OMB No.2040-0004
SECTIO 9.BIOLOGICAL TOXICITY TESTS(40 CFR 122.21(g){11})
9.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made
within the last three years on(1)any of your discharges or(2)on a receiving water in relation to your discharge?
0 Yes ❑ No 4 SKIP to Section 10,
( ' 9.2 Identify the tests and their Durpasesbelow.
Test(s) Purpose of Test(s) Submitted to NPDES Date Submitted
Permitting Authority?
NC Ceriodaphnia Chronic Effluent Toxicity El Yes ❑ No 06/08/2021
Proceedure
a
❑ Yes ❑ No
❑ Yes ❑ No
•
SECTION 10.CONTRACT ANALYSES(40 CFR 122.21(g)(12))
10.1 Were any of the analyses reported in Section 7 performed by a contract laboratory or consulting firm?
❑ Yes ❑ No SKIP to Section 11.
10.2 Provide information for each contract laboratory or consulting firm below.
Laboratory Number Laboratory Number 2 Laboratory-Number3
Name of labOratorylfirrn SGS AccuTest Inc Environmental Testing Environmental Chemists
Solutions Inc.
ar
Laboratory address
4405 Vineland Rd P.O.Box 7565 P.O.Box 1037
Suite C-15 Ashville,NC 28802 Wrightsville Beach,NC
Orlando,FL 32811 28480
to
i 4
C
Phone number
t3
[phone] [phone] [phone]
•
Pollutant(s)analyzed aToxicity
VOC by SW 846 8260B Aquatic Field pH
Semi VOC SW 846 8270 EPA 821-R-02-031
Method 1002.0
•
SECTION 11.ADDITIONAL INFORMATION(40 CFR 122.21(g}(13)1
11.1 Has the NPDES permitting authority requested additional information?
' ❑ Yes ✓❑ No 4 SKIP to Section 12,
11.2 List the information requested and attach it to this application.
d
1. 4.
2. 5.
13
13
•
3. 6,
EPA Form 3510-2C(Revised 3-19) Page 6

•
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
OMB No.2040-0004
NCD 057451270 NC0083658 Fmr Heatcraft Remedation Site
SECTION 12.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and (d))
12.1 In Column 1 below,mark the sections of Form 2C that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note
that not all applicants are required to corn•lete all sections or provide attachments,
Column 1 Column 2
El Section 1:Outfall Location 17] w/attachments
O. Section 2:Une Drawing ID wl line drawing El wl additional attachments
w/list of each user of
Section 3:Average Flows and El of attachments 0 privately owned treatment
1-T-1 Treatment
. works
fj Section 4:Intermittent Flows [3 w/attachments 1
C] Section 5: Production El w/attachments
wl optional additional .
sheets describing any
[3 Section 6:Improvements [3 wl attachments a additional pollution control
.
plans
0
ri wl request for a waiver and w/explanation for identical
" supporting information outfalls
r-i w/small business exemption
1 . "I request 12 WI other attachments.
1 171 Section 7:Effluent Characteristics and Intake
El w/Table A 0w/Table B
u'l
I ' 0 w/Table C
00 wl Table E w/Table D .
r-r, w/analytical results as an
ti.i
t) attachment
7 r-i U Section 8:Used or Manufactured r-,
ell wi attachments
" Toxics
i rn Section 9:Biological Toxicity •
I 12-1 El w/attachments
Tests
o . ,
0 Section 10:Contract Analyses • 0 w/attachments
[3 Section 11:Additional Information 0 w/attachments
171 Section 12:Checklist and
0 w/attachments
Ix' Certification Statement
12.2 Certification Statement
. •
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 property 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 infonation,the information submitted is,to the best of my knowledge and belief,true,
accurate,and complete.lam aware that there are significant penalties for submitting false information,including the
possibility of fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Raymond W Roblin Authorized Agent for Daikin Applied
Signature - e.. Date signed
1/i ,' al * 06/21/2021
EPA Form 3510-2C(Revised 3-19) Page 7
•

EPA Identification Number NPOES Permit Number Facility Name 0utlall Number Form Approved 03/05/19
NCD 057451270 NC0083658 Fmr Heatcraft Remedation Site OAAB No.2000.0004
TABLE A.CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)07010)
Effluent Intake
f
Waiver Units Maximum Maximum Long-Term
Pollutant Requested (specify) Daily Monthly Average Daily Number of Long-Term Number of
(if appkbie) Discharge Discharge Discharge Analyses Average Value Analyses
(required) (f avaiiable).... (if available)
❑ Check here if you have applied to your NPDES permitting authority for a waiver for all of the pollutants listed on this table for the noted outfall.
Biochemical oxygen demand Concentration mg/L mg/L mg/L mg/L mg/L mg/L
1. (80D5) ❑
Mass <2.0 <2.0 <2.0 <2.0 <2.0 <2.0 1
Chemical oxygen demand Concentration mg/L mg/L mg/L mg/L mg/L mg/L
2. ❑
(COD)
Mass <50 <50 <50 <50 <50 <50 1
Concentration mg/L mg/L rng/L mg/L mg/L mg/L
3. Total organic carbon(TOC) El- ' Mass 2.7 2.7 ' ' 2.7 2.7 2.7 2.7 " " 1
Concentration mg/L mg/L mg/L mg/L mg/L mg/L
4. Total suspended solids(TSS) 0
Mass <2.5 <2.5 <2.5 <2.5 <2.5 <2.5 1
Concentration mg/L mg/L mg/L mg/L mg/L mg/L
5. Ammonia(as N) - ❑ - •
Mass 0.10 0.10 0.10 0.10 0.10 0.10 1
6. Flow ❑ Rate mg/d 0.36 0.15 0.08 weekly 0.08 n/a
Temperature(winter) ❑ °C °C 16
7. m.W ..... _-
Temperature(summer) ❑ °C °C 25
pH(minimum) ❑ Standard units s.u. 6.7 . ^'7.5 monthly 12+
8.
pH(maximum) 0 Standard units S.U. 8.7 ^'8.2 monthly 12+
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or O.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C(Revised 3-19) Page 9

EPA Identification Number NPDES Permit Number Facility Name -DAM Number Form Approved 03105119
NCD 057451270 NC0083658 Fmr Heatcraft Remedation Site '001 • OM6 No.2040-0004 ,
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS.AND ORGANIC TOXIC POLLUTANTS(4D CFR 122.21(g)(7){v))'
Presence or Absence 1Intakebe Effluent {(Tema
Pollutant/Parameter Testing� Units fb0nTm1
(and CAS Number, available) I Required ! Believed Believed (sawn) Maximum Maximum Average Plumber Long- Number
Present r Absent Daily Monthly g Term
Daily ' of
Dischacf
e Discharge Dim barge j Analyses Average Analyses
(required) of av ilab l Value
9 3ia a
❑ Check here if you qualify as a small business per the instructions to Form 2C and,therefore,do not need to submit quantitative data for any of the organic toxic pollutants in Sections
2 through 5 of this table.Note,however,that you must still indicate in the appropriate column of this table if you believe any of the pollutants listed are present in your discharge.
Section 1.Toxic Metals,Cyanide,and Total Phenols
1.1 Antimony,total 0 0 Q Concentration
(7440-36-0) Mass 111111 illIllIllUIIIIIII
Arsenic,total El(744 ❑ . ❑ Concentration ��-� 1111
a3a-2� Mass .Beryllium,total .HBF-
(7440-41-7)Cadmium,total r(7440-43-9) Mass
Chromium,totalConcentration M
(7440-47-3) ■ 0 ElMass IIIIIIIIIIIIIIIIIIIIIIIIIrll
16 Copper,total ■ ■ 0 r r .r`
(7440-50-8)
Lead,total Concentration
1.7 (7439-92-1) ■ ■ 0
Mercury, Mass
total Concentration �'
1.8 (7439-97-6) ■ ■ 0 .
ss
1.9 Nickel,total ■ ■ Q Concentration'
(7440-02-0) Mass
1.10 Selenium,total ■ El El
Concentration
(7782-49-2) Mass
1.11 Silver,total Concentration
•
(7440-22-4) ❑ ❑ ❑ Mass , .
EPA Form 3510-2C(Revised 3-19) Page 11

EPA ktentification Number NPDES Permit Number Facility Name Outlet!Number Form Approved 03R)5/1 S
• NCD 057451270 NC0083658 Fmr Heatcraft Remedation Site 001 OMB No 2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122,21(g)(7)(v))'
Presence or Absence
(check one) Effluent Intake
(optional)
PollutantiParameter Testing Units Long-Term
(and CAS Number,If aval ble) Required ,Believed Believed (sl�h) Maximum Average Number Long- Number
Present Absent Daily Daily of Term of
Discharge Discharge Average
(required) Discharge Analyses Analyses
(m9 ) f available Value
Thallium,total Concentration
EMI
1.12 (7440-28-0) Mass
1.13 Zinc,total f❑ Concentration
Il
(7440 f 6 6) , Mass
1.14 Cyanide,total 0 Concentration
(57-12-5) Mass
1.15 Phenols,total 0 El El
, .Concentration
Mass
Section 2.Organic Toxic Pollutants(GC1MS Fraction-Volatile Compounds)
IIAcrolein Concentration
21
(107-02-8) Mass
2.3
22
Acrylonitrile El Concentration
(107-13-1) Mass
Benzene flfl
Q Concentration ug/L ug/L ug/L
(71-43-2) Mass <1.0 <1.0 <1.0 <1.0 24+ <1.0 24+
2.4 Bromoform © a Concentration ug/L ug/L ug/L ug/L ug/L
El
(75-25-2) Mass <1.0 <1.0 <1.0 <1.0 24+ <1.0 24+
Carbon tetrachloride 1. Concentration ug/L ug/L ug/L ug/L ug/L
2.5 (56-23-5) f Mass <1.0 <1.0 <1.0 <1.0 24+ <1.0 24+
2 6 Chlorobenzene a Concentration ug/L ug/L ug/L ug/L ug/L
El El
(108-90-7) Mass <1.0 <1.0 <1.0 <1.0 24+ <1.0 24+
2.7 Chlorodibromomethane 0 Concentration
(124-48-1) Mass
2.8 Chloroethane © O Concentration ug/L ug/L ug/L , ug/L ug/L
(75-00-3) Mass <2.0 <2.0 <2.0 <2.0 24+ <2.0 24+
EPA form 3510-2C(Revised 3-19) Page 12

1 EPA Identification Number NPDES Permit Number Facility Name Outimi Number Form Approved 03/J5/19
" NCD 057451270 NC0083658 ' Fmr Heatcraft Remedation Site 001 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS 40 CFF 122.21(g)(7)(v))'
1 Presence or Absence Intake
(iee_1(one)__.,._. Effluent i (optional)
Pollutant/Parameter Testing Units Long-Term
and CAS Number ti avariabie RequiredBelieved Believed s Maximum Maximum Average Number Long- Number
{ (� �} g
Present Absent Daily Monthly Daily of Term of
Discharge Discharge Discharge Analyses Average Analyses
(required) (it avarlat�Ie) Value
l • (d aasiabie)
2 9 2-chloroethylvinyl ether ❑ ❑ ❑ Concentration
(110-75-8) Mass
Concentration ug/L ug/L ug/L ug/L ug/L
2.10 Chloroform(67-66-3) 0 ❑ ❑ -
Mass <1.o <1.o <1.0 <1.0 24+ <1.0 24+
211 Dichlorobromomethane 0 CI Concentration ug/L ug/L ug/L ug/L ug/L
(75-27-4) Mass <1.o <1.0 <1.0 <1.0 24+ <1.0 24+
2.12 1,1-dichloroethane 0 ❑ ❑- Concentration ug/L ug/L ug/L ug/L • ug/L
(75-34-3) Mass <1.o <1.0 <1.o <1.o 24+ <1.0 24+
2.13 1,2-dichioroethane 0 0 ❑ Concentration ug/L ug/L ug/L ug/L ug/L
(107-06-2) Mass <1.0 <1.0 <1.0 <1.0 24+ <1.0 24+
214 1,1-dichloroethylene 0 0 ❑ Concentration ug/L ug/L ug/L ug/L ug/L
(75-35-4) Mass <1.o <1.o <1.0 <1.0 24+ <1.0 24+
2.15 1,2-dichloropropane 0 ❑ 0 Concentration ug/L ug/L ug/L ug/L ug/L
(78-87-5) Mass <10 <1.o <1.0 <1.0 24+ <1.0 • 24+
2.16 1,3-dichloropropylene CI ❑ ❑ Concentration
(542-75-6) Mass
217 Ethylbenzene 0 El
Concentration ug/L ug/L ug/L ug/L ug/L
(100-41-4) Mass <1.o <1.o <1.o <1.0 24+ <1.0 24+
2.18 Methyl bromide Q ❑ 0 Concentration ug/L ug/L ug/L ug/L ug/L
(74-83-9) Mass <5.0 <5.0 <5.0 <5.0 24+ <5.0 24+
219 Methyl chloride . 0 ❑ 0 Concentration ug/L ug/L ug/L ug/L ug/L
• (74-87-3) Mass <2.0 <2.0 <2.0 <2.0 • 24+ <2.0 24+
2.20 ` Methylene chloride 0 El 0 Concentration ug/L ug/L ug/L ug/L ug/L
(75-09-2) Mass <5.0 <5.0 <5.0 <5.0 24+ <5.0 24+
1,1,2,2-tetrachloroethane ✓ Concentration ug/L ug/L ug/L ug/L ug/L•
2,21 - (79-34-5) ❑ ❑ Mass <1.o <1.0 <1.0 <1.0 24+ <1.0 24+
EPA Form 3510-2C(Revised 3-19) Page 13

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EPA Identification Number NPDES Permit Number Fadlity Name Outtail Number Form Approved 03/05/19
NCD 057451270 NC0083658 Fmr Heatcraft Remedation Site 001 ' OMB No,2040-0004
TABLE B.TOXIC METALS,CYANIDE.TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))'
Prestrli:e Li sr Aosence
((hi9d,ore) Effluent Intake
(opounal)
Pollutant1Parameter Testing Units Long-Term
(end CAS Number,itavaiabte Required Believed Believed Maximum MaximumLong-
} q (speaty} Daily• MonthlyAverage Number Term Number
Present Absent
Discharge Discharge Da' °f Average of
(r�uued) (if available) Discharge Analyses Value Analyses
to a:4i bias
4.7 (205-99-2) El 0 0 Mass ua/ <3 <�... g/L ug/L
3 4-benzofluoranthene Concentration L u L u L u
<3.1
<3.1 1 <3.1 1
4.8 Benzo(ghi)perylene 0 0 0 Concentration ug/L ug/L ug/L ug/L ug/L
(191-24-2) Mass <3.3 <3.3 <3.3 <3.3 1 <3.3 1
4.9 Benzo(k)fluoranthene ElConcentration ug/L ug/L ug/L ug/L ug/L
(207-08-9) Mass <3.4 <3.4 <3.4 <3.4 1 <3,4 1
. 4.10 Bis(2-chioroethoxy)methane 0 *0
Concentration ug/L ug/L ug/L ug/L ug/L
(111-91-1) Mass <3.2 <3.2 <3.2 <3.2 1 <3.2 1
4.11 Bis(2-chloroethyl)ether Concentration ��ug/L ug/L ug/L - ug/L ug/L
0 0(111-44-4) Mass <2.9 <2.9 <2.9 <2.9 1 <2.9 1
4.12 Bis(2-chtoroisopropyl)ether Q Concentration
(102-80-1) Mass
4.13 Bis(2-ethylhexyl)phthalate0 0 ci Concentration ug/L ug/L ug/L ug/L. ug/L
• (117-81-7) - Mass <4 <4 <4 <4 1 <4 1
4.14 4-bromophenyl phenyl ether Q Concentration ug/L ug/L ug/L ugh ug/L
(101-55-3) Mass <3.4 <3.4 <3.4 <3.4 1 <3.4 1
4.15 Butyl benzyl phthalate Concentration ug/L ug/L ug/L ug/L ug/L
El
(85-68-7) Mass <4 <4 <4 <4 1 <4 1
4.16 2-chbronaphthalene Concentration ugh ug/L ug/L ug/L ug/L
(91-58-7) Mass <2 <2 <2 <2 1 <2 1
4.17 4-chlorophenyl phenyl ether Concentration ug/L ug/L ug/L ug/L ug/L
(7005-72-3) 0 0 Mass <2,1 <2.1 <2.1 <2.1 1 <2.1 1
4.18 Chrysene Concentration ug/L ug/L ug/L ug/L ug/L
El 0 El
(218-01-9) Mass <3.4 <3.4 <3.4 <3.4 1 <3.4 1
4 19 Dibenzo(a,h)anthracene ❑ 0
0 , Concentration ug/L, ug/L ug/L ug/L • ug/L
(53-70-3) Mass <3.2 <3.2 <3.2 <3.2 1 <3.2 1
EPA Form 3510-2C(Revised 3-19) Page 16 '

EPA Identification Number NPDES Permit Number Facility Name Outtati Number Form Approved 03A15119
• NCD 057451270 NC0083658 'Fmr Heat'craft Remedation Site 001 OMB No.2040.0004
TABLE B.TOXIC METALS.CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v)l'
Presence or Absence Intake Inta
(check one) Effluent (intake
Pollutant/Parameter Testing Units 4 Long-Term
Maximum Maximum Long.
(and CAS Number,if avaitab ) Required Believed Believed (spcdty) Average Number Term Number
Present Absent
Daily Monthly
Discharge Discharge Daily of Average of
(required) (A available) Discharge Analyses Value Analyses
(it available} _
4.20 1,2-dichlorobenzene ❑ ❑ E3 Concentration ug/L ug/L ug/L _ ug/t. ug/L
(95-50-1) Mass <2 <2 <2 <2 1 <2 1
4.21 1,3-dichlorobenzene El ❑ Concentration ug/L ug/L ug/L ug/L ught
ID
(541-73-1) Mass <2 <2 <2 <2 1 <2 1
4.22 1,4-dichlorobenzene ❑ ❑ Concentration ug/L ug/L ug/L ug/L ug/L(106.46-7) Mass <2 <2 <2 <2 1 <2 1
4.23 3,3-dichlorobenzidine ❑ ❑ O Concgntration ug/L ug/L ug/L ug/L . ug/L(91-94-1) Mass <2.6 <2.6 <2.6 <2.6 1 <2.6 1
4.24 Diethyl phthalate ❑ CI © Concentration ' ug/L ug/L ug/L ug/L ug/L
(84-66-2) Mass <4 <4 <4 <4 1 <4 1
4.25 Dimethyl phthalate ❑ ❑ Q Concentration ug/L ug/L ug/L ug/L ug/L
(131-11-3) Mass <4 <4 <4 <4 1 <4 1
4.26 Di-n-butyl phthalate ❑ ❑ Concentration ug/L ug/L ug/L ug/L ug/L
El
(84-74-2) - Mass <4 <4 <4 <4 1 <4 1
4.27 2,4-dinitrotoluene ❑ ❑ Q Concentration
(121-14-2) Mass
4.28 2,6-dinitrotoluene El ❑ Concentration
(606-20-2) Mass
4.29 Di-n-octyl phthalate ❑ ❑ Concentration ug/L ug/L ug/L ug/L ug/L
(117-84-0) Mass <4 <4 <4 <4 1 <4 1
4.30 1,2-Diphenythydrazine ❑ ❑ Q Concentration ug/L ug/L ug/L ug/L ug/L
(as azobenzene)(122-66-7) _ Mass - <3 <3 <3 <3 1 <3 1
Fluoranthene ❑ Concentration ug/L ug/L ug/L ug/L ug/L
4.31 ❑ ❑
(206-44-0) Mass <2.2 <2.2 <2.2 <2.2 1 <2.2 1
4.32 Fluorene • ❑ ❑ ❑ Concentration ug/L ug/L . ug/L ug/L ug/L
•
(86-73-7) Mass <2.8 ` <2.8 <2.8 <2.8 1 <2.8 i
EPA Form 3510-2C(Revised 3-19) Page 17

EPA Identification Number NPDES Permit Number Facility Name Outfal Number Form Approved 03/05/19
NCD 057451270 NC0083658 Fmr Heatcraft Remedation Site 001 OMB No.2040-0004
TABLE B.TOXIC METALS.CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(9)(7)(v_))i
Presence or Absence
(check one) Effluent Intake
(opUona9
Pollutant/Parameter Testing Units I-Long-Term
(and CAS Number,it available Required Believed Believed s Maximum Maximum Long-
(and q (P�ih') Average Number Number
Present Absent Daily Monthly Term
of
Discharge Discharge Daily °f Average y
(required) (II available) Discharge Analyses Value Analyses
('rf available)
4.33 Hexachlorobenzene 0 Concentration ug/L ug/L ug/L ug/L ug/L
0 El
(118-74-1) Mass <2.8 <2.8 <2.8 <2.8 1 <2.8 1
Hexachlorobutadiene ❑ Concentration ug/L ugh ug/L ug/L ug/L
4.34 El 0(87-68-3) Mass <2 <2 <2 <2 1 <2 1
4.35 Hexachlorocydopentadiene � a Concentration ug/L ug/L ug/L ug/L ug/L
(77-47-4) Mass <7.2 <7.2 <7.2 <7.2 1 <7.2 1
4 Hexachtoroethane . - o Concentration us/L. ug/L ug/L ug/L ug/L-
(67-72-1) Mass <6.6 <6.6 <6.6 <6.6 1 <6.6 1
4.37 Indeno(1,2,3-cd)pyrene 0 a Concentration ug/L ug/L ug/L ug/L ug/L
(193-39-5) Mass <2.9 <2.9 <2.9 <2.9 1 <2.9 1
4.38 Isophorone Concentration ug/Lug/L ug/L ug/L ug/L
El El El
(78-59-1) Mass <3.1 <3.1 <3.1 <3.1 1 <3.1 1
4.39 Naphthalene Concentration ug/L ug/L ug/L ug/L ug/L
(91-20-3) Mass <2 <2 <2 <z 1 <2 1
Nitrobenzene Concentration ug/L ug/L ug/L ug/L ug/L
4.4 (98-95-3) r Mass <3.7 <3.7 <3.7 <3.7 1 <3.7 1
N-nitrosodimethylamine � 0 Concentration
4.41 (62-75-9) Mass
4.42 N-nitrosodi-n-propylamine 0 0 Concentration ug/L ug/L ug/L ug/L ug/L
(621-64-7) Mass <2.7 <2.7 <2.7 <2.7 1 <2.7 1
4.43 N-nitrosodiphenylamine. ❑ a Concentration ug/L ug/L ug/L ug/L ug/L
(86-30-6) Mass <3.2 <3.2 <3.2 <3.2 1 <3.2 1
4 Phenanthrene Concentration ug/L ug/L ug/L ug/L ug/L
(85-01-8) Mass <3.5 <3.5 <3.5 <3.5 1 <3.5 1
4.45 Pyrene o , I Concentration ug/L - ug/L ug/L ug/L ug/L
0 El(129-00-0) Mass <2.7 <2.7 <2.7 <2.7 1 <2.7 1
EPA Form 3510-2C(Revised 3-19) Page 18

EPA identification Number NPDES Permit Number Faulty Name Outbid Number Form Approved 03,0511:1
NCD 057451270 NC0083658 Fmr Heatcraft Remedation Site ' '001 OMB No.2040-0004
TABLE B.TOXIC METALS,CY', NIDE,_TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40t 122.21(g)(7)(v))�
Presence or Absence Intake
roses euM Effluent (c at)
PollutentiParameter € Testing Units — --__.,. �e , Long-Term
(and GAS N m w,ifava€ b ) Required Believed Believed ( } Maximum xtmurrr Average Number Long- Number
Present Absent
Daily tthiy Term
Daily of of
Discharge Discharge Dig h ge , Analyses Average ` Analyses
(required) (`ifavei b ) available)ar _ Value
.
4.46 1,2,4-trichlorobenzene ❑ ❑ 0 Concentration s��/L u t L E u € ug/L ugh!.
(120-62-1) Mass : < ,3 iiii, <4.3 I_ <4.3 <4,3 1 <4,3 1
"Section 5.Organic Toxic Pollutants(GClMS Fraction—Pesticides)
5.1 Aktrin El ❑ ❑ Concentration
(309-00-2) Mass
a-BHC Concentration 1 �_
5.2 El ❑ ❑(319-84-6) Mass
-
5.3 (3-BHC Concentration
(319-85-7) ❑ ❑ Mass
y-BHC Concentration
5.4 (58-89-9) ❑ ❑ ❑ Mass
b-BHC El ❑ ❑ Concentration
5.5 (319-86-8)
Mass
5.6 Chlordane ❑ ❑ El Chlordane
(57 74-9) Mass
5.7 4,4'-DDT ❑ ❑ ❑ Concentration
(50.29-3) Mass
4,4'-DDE Concentration
5,8 (72 55-9) El El a Mass
4,4'-DDD Concentration
5.9 (72-54-8) ❑ ❑ ❑ Mass
• 5.10 Dieldrin
El • ❑ Concentration
(60-57-1) Mass
1 5. 1 a-endosulfan ❑ El ❑ Concentration
(115-29-7) Mass
EPA Form 3510-2C(Revised 3-19) Page 19

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105/19
NCD 057451270 NC0083658 ' Fmr Heatcraft Remedation Site 001 ' OMB No,20404)004
TABLE B.TOXIC METALS,CYANIDE.TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v)l'
Presence or Absence
idled ore) Effluent Intake
(op n
Pollutant/Parameter Testing Units Lon gTerm
and CAS Number,if availab Required Believed Believed Maximum Maximum Long-
( ? e4 (� ) Average Number Dumber
Present Absent Daily Monthly Term
Discharge Discharge OIL Isar a Ana fees Average Analyses
. __
(required) (if available) (iischa Value
{ ndosulfan El 0 ❑ Concentration
5.12 (115-29-7) Mass
Endosulfan sulfate ® ❑ 0 Concentration
5.13 (1031-07-8) Mass
Endrin 0 0 ❑ Concentration
5.14 (72-20-8) Mass
t ,
Endrin aldehyde Concentration - . _
"5.15 (7421-93-4) 0 ❑ ❑
Mass
5.16 Heptachlor El ❑ ❑ Concentration
(76-44-8) Mass
Heptachlor epoxide Concentration
5.17 (1024-57-3) 0 0 0 Mass
PCB-1242
Concentration
5.18 (53469-21-9) ❑ ❑ ElMass
PCB-1254 _... -
5.19 (11097-69-1) 0 0 0
Concentration
Mass
PCB-1221 Concentration _
5.20 (11104-28-2) 0 0 0 _,
Mass
PCB-1232 Concentration _
5.21 (11141-16-5) 0 El d _
Mass
PCB-1248 Concentration
5:22 (12672-29-6) El 0
.
Mass
PCB-1260 Concentration
5.23 (11096-82-5) 0 0 0 Mass
_,
PCB-1016
Concentration
5.24 (12674-11-2) 0 0 ❑✓
Mass
EPA Form 3510-2C(Revised 3-19) Page 20

Approved
EPA Identification Number NPDES Permit Number FacilityName OutiaB Number Form 0305119
NCD 057451270 • NC0083658 Finr HeatcraI Remedation Site • 001 OMB No.2040-0004
TABLE B.TOXIC METALS,CYINIDE.TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))' _—
Presence or Absence
(check�nel Effluent 4 intake
I_ (optional;
Pollutant1Parameter Testing Units Long-Term
Maximum € Maximum Long-V
(and CAS Number,it available) Required Believed Believed (specify) I Average Number Term Number
Present Absent Daily Monthly Daily of of
Discharge Discharge Discharge Analyses Average i Analyses
(required) (if available) (it ava�able) Value
y
Toxaphene Concentration
5.25 (8001-35-2)
0 0
Mass
I Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
•
EPA Form 3510-2C(Revised 3-19) Page 21

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03A5119
NCD 057451270 • NC0083658 Fmr Heatcraft Remedation Site ' OMB No.2040-0004
TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))'
Presence or Absence
(heck one) _,______. Effluent Intake
(Optional)
Pollutant Units Maximum Long-Term
Believed Believed (specify) Maximum Daily Long-Term
Monthly Average Daily Number of Number of
Present Absent Discharge Discharge Discharge Analyses Average Analyses
(required) Value
Ln ay. Me) (if available)
❑ Check here if you believe all pollutants on Table C to be present in your discharge from the noted outfall.You need not complete the"Presence or Absence"column of Table C for
each pollutant.
❑ Check here if you believe all pollutants on Table C to be absent in your discharge from the noted outfall.You need not complete the Presence or Absence"column of Table C for
each pollutant.
1. Bromide ❑ ■ Concentration
(24959-67-9)
Chlorine total * - .
2. ,residual ❑ ■
Mass .
3. Color 0 ■ Concentration
Mass _
Concentration
4. Fecal coliform 0 ■
Mass
5. Fluoride ❑
0 Concentration
(16984-48-8) Mass
Concentration
0 ❑
6 � Nitrate-nitrite _
Mass
T. Nitrogen,total CI ❑ Concentration
organic(as N) Mass
Concentration mg/L mg/r. mg/L mg/L mg/I
8. Oil and grease' ❑ 0 •
Mass <5 <5 <5 <5 1
Phosphorus(as Concentration
9. P),total(7723-14.0) ❑ D.
Mass
10. Sulfate(as SO4) ❑ ❑ Concentration
(14808-79-8) Mass
' Concentration
11. Sulfide(as S) El ❑ .
Mass
EPA Form 3510-2C(Revised 3-19) Page 23

EPA Identification Number NPDES Permit Number Facility Name Outfat Number Form Approved 03/05/19
• NCD 057451270 NC0083658 Fmr ifeatcraft Remedation Site . OMB No,2040-0004
'
TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANT (40 CFR 122.21(g)(7)(vi))1
Presence or Absence
Intake
(check one) Effluent
(Optional)
Units -
PllutantMaximum Long-Term
o
Believed Believed (sPecr(Y) Maximum Daily Long-Term
Number of
Present Absent Discharge Monthly Average Davy Number of
Average
Discharge Discharge Analyses 1 Analyses
(required) Value
.i.-- . (if aveNa0a) (if avaleible)
12. Sulfite(as S03)
0 . El Concentration • - .
, .
(14265-45-3) Mass
Concentration
13. Surfactants El 0
Mass
14. Aluminum,total El Concentration
— — 1
(7429-90-5) Mass 1
15. Barium,total
0 0 Concentration
• (7440393) Mass• - .16. Boron,total
0 U,—, Concentration
-- .-- -4
(7440-02-8) —mass
17 Cobalt,total 0 Concentration
. 0
(7440-48-4) Mass
_
18. Iron,total
El ID _Concentration
(7439-89-6) Mass
19. Magnesium,total
0 El Concentration _
(7439-95-4) Mass . .
— —
Molybdenum, Concentration
20. total 0 El
(7439-98-7) Mass
21. Manganese,total Concentration
0 0
(7439-96-5) Mass
22.
Tin,total 0 0 Concentration
— — , —
(7440,31,5) Mass °
. • ,
23. Titanium,total
El 0 Concentration
(7440-32-6) Mass
. .. • • • .
EPA Form 3510-20(Revised 3-19) Page 24

EPA Identification Number wPoESPormnwvmoer FmoRywom: Vutf"xwvmbe, Form Approved o3m509
' mcoos74sz27o wco083658 r^ m,*catc,^ftncmed*u o OwBmuzwmwm�vn �e '
TAQLEC.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR132'21(W)(7)(vi))`
^--
Presence orAbsence
lnbohw
(check one) Effluent
(opmpuV
Units ' - ---
pmUutamt �mximwm Long-Term
Believed �m^�} Maximum Daily
Monthly Average Daily Number of Lpm0^Tmnn
Present Absent i Discharge Number of
Discharge Discharge Analyses Value(required) | | ��~ | Vm|uw
(duvabhle) | (#mmilaole) |
^-, Radioactivity~ . . .
_ - -
Concentration
Mass
�l El
��
Concentration
Beta,total �l El - ^
Mass
Radium,total Concentration
[� F�
Mass
.
' Concentration ^ ^
Radium 228.total ----
musm
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or `
required under 4OCFR chapter|. subchapter Nor0.See instructions and 4UCFR122.21(e)(3).
EPA Form 3510-2C(Revised 3-19) Page 25
�
�
�
.
' '

EPA Identification Number NPDES Permit Number Faciity Name Outfaft Number Form Approved 03/05119
I4
NCD 057451270` NC0083658 Fmr Heatcraft Remedation Site ONtB No.2040-000
TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 12221(g)(7)(vii))r
Presence or Absence
Pollutant (oheck erg) Reason Pollutant Believed Present in Discharge Available Quantitative Data
Believed Believed (spaly unts3
Present Absent
1. Asbestos ❑ 0
2. Acetaldehyde 1 0
•
3. Allyl alcohol 0 El
4. Allyl chloride ❑ 0
5. Amyl acetate ❑ 0
6. Aniline 0
7. Benzonitrile . - ❑ 0 ' .
8. Benzyl chloride ❑ El
9.• Butyl acetate 0 El
—
10. Butylamine 0 El
11. Captan 0 El
12. Carbaryd 0 0
13. Carbofuran ❑ El
14. Carbon disulfide ❑ 0
15. Chlorpyrifos ❑ 0
16. Coumaphos ❑ 0
17. Cresol ❑ 0
18. Crotonaldehyde ❑ El
19. Cyclohexane ❑ El •
EPA Form 3510-2C(Revised 3-19) Page 27

EPA Identification Number NPDES Permit Number Faddy Name Outfa11 Number Form Approved 0305/19
NCD 057451270 ' NC0083658 Fmr Heatcraft Remedation Site QB No.2440-001
TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 12221(g)(7)(vii))'
Presence or Absence
check ope)Pollutant BelievedBelievedReason Pollutant Believed Present in Discharge Available Quantitative Data
(specify units)
Present Absent
20. 2,4D(2,4-dichlorophenoxyacetic acid) 0 El
21. Diazinon 0 ❑
22. Dicamba 0 ❑
23. Dichlobenil 0 El
24. Dichlone 0 ❑✓
25. 22-dichloropropionic acid ❑ El
26. Dichlorvos ' " 0 ❑ . "
27, Diethyl amine ❑
28. Dimethyl amine 0 El
29. Dintrobenzene ❑ El
30. Diquat ❑ J •
❑✓
31, Disul#oton ❑ 0
32. Diuron 0 0
33, Epichlorohydrin ❑ El
34. Ethan ❑ El
35. Ethylene diamine 0 El
36. Ethylene dibromide ❑ ❑✓
37. Formaldehyde ❑ 0
38. Furiural - ❑' ✓❑
EPA Form 3510-2C(Revsed 3-19) Page 28

r
EPA Identification Number NPDES Permit Number Facility Name Out%II Number Form Approved 03/05/19
NCD 057451270 • NC00836 OMB No,2040.000418 Fmr Heatcraft Remedation Site '
TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(g)(71(vii))1
mance or Absence
Pollutant {check one) Available Quantitative Data
Reason Pollutant Believed Present in Discharge
Believed Believed (specify units)
Present Absent
39. Guthion D a
40. Isoprene a a • •
•
41. Isopropanolamine D El
42. Kelthane El IZI
43. Kepone D 1:1
. ,
44. Malathion El 0
. 45. Mercaptodimethur . El ' ' a .. .
46. Methoxychlor a a
47. Methyl mercaptan a a
48. Methyl methacrylate a El
49. Methyl parathion 0 E3
50. Mevinphos a El
. .
51. Mexacarbate a a
52. Monoethyl amine El 0
53. Monomethyl amine El a
54. Naled El 0
55. Naphthenic acid El 0 . .
_........_
56. Nitrotoluene a a
_ ..._..... _ ... _......_. __ —
57. Parathion . D 0 .
.
EPA Form 3510-2C(Revised 3-19) Page 29

EPA Identification Number NPDES Permit Number Facility Name Duna Number Form Approved 03/05119
NCD 057451270 NC0083658 ' Fmr Heatcraft Remedation Site OMB No.2040-0004
TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS]40 CFR 122.21(g)(7)(vii))y
Presence or Absence
Pollutant (check Available quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge (specify units)
Present Absent
58. Phenolsulfonate 0 0
59. Phosgene ❑ 0
60. Propargite 0 0
Si, Propylene oxide ❑ 0
62. Pyrethrins 0 0
63. Quinoline 0 0
64. Resorcinol 0 0
65. Strontium ❑ 0
66. Strychnine 0 ✓❑
67. Styrene 0 ❑✓
68. 2,4,5-T(2,4,5-trichiorophenoxyacetic ❑ 0
•
•
69. TDE(tetrachlorodiphenyl ethane) 0 0
70 2,4,5-TP[2-(2,4,5-trichlorophenoxy) ❑ 0
propanoic acid]
71, Trichlorofon ❑ El
72. Triethanolamine ❑ El. •
73. Triethylamine a
74. Trimethylamine ❑ 0
75. Uranium ❑ 0
76. Vanadium ' 0 ✓❑
•
EPA Form 3510-2C(Revised 3-19) Page 30

EPA Identification Number NPDES Pernik Number Facility Name °vita°Number Form Approved 0105/19
NCD 057451270 NC0083658 Fmr Heatcraft'Remedation Site , OMB No,2040-0004
TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 12221(g)(7)(vinr
Presence or Absence
Pollutant (check one)
Reason Pollutant Believed Present in Discharge Available Quantitative Data
Believed Believed (specify units)
Present Absent
•
77. Vinyl acetate 0 CI
78, Xylene 0 0 possible contaminant,not typically indicated in lab tests <1.0 ug/l.
— • • . .
79, Xylenol 0 El
80. 'Zirconium 0 CI
I Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or O.See instructions and 40 CFR 122.21(e)(3).
. . '
. . -
• . ,
. . .
EPA Form 3510-2C(Revised 3-19) Page 31

_ .
EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
.
NCD 057451270 * NC0083658 Frnr Heatcraft Remedation Site OMB No.20404004
TABLE E.2.,3,7,8 TETRACHLORODIBENZO P DIOXIN(2,3,7,8 TCDD)(40 CFR 122.21(g)(7)(viii))
TCDD Presence or
Congeners Absence
Pollutant (005 one) Results of Screening Procedure
Used or Believed Believed
Manufactured Present Absent
_ ...,
2,3,7,8-TCDD 0 0 0
. .
•
•
•
EPA Form 3510-2C(Revised 3-19)
Page 33

•
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
. NCD 057 451 no NC0083658 Fmr Heatcraft Remediation Site OMB No.2040-0004
U.S.Environmental Protection Agency
FORM Application for NPDES Permit to Discharge Wastewater
2E iii•EPA
NPDES MANUFACTURING,COMMERCIAL,MINING,AND SILVICULTURAL FACILITIES WHICH
DISCHARGE ONLY NONPROCESS WASTEWATER
SECTION 1,OUTFALL LOCATION(40 CFR 122,21(h)(1)) •
1.1 Provide information on each of the facili 'a outfalls in+he table below
c Ouffali I Receiving Water Name Latitude Longitude
0 Number
....
to
o .
001 Barnards Creek . 34* 10' 33" N 78* 56' 14" W
-is
= , .
o
® ' 0 6 , 0
SECTION 2.DISCHARGE DATE(40 CFR 122.21(111(2)i
ei 2.1 Are you a new or existing discharger?(Check only one response.)
oo
ge 411 0 New discharger CI Existing discharger 4 SKIP to Section 3,
..F. te ,...._
41 e3 2.2 I Specify your anticipated discharge date:
1 Ca
SECTION 3.WASTE TYPES«40 CFR 122 21(h)%
3.1 What types of wastes are currently being discharged if you are an existing discharger or will be discharged if you are a
new discharger?(Check all that apply.)
El Sanitary wastes 0 Other nonprocess wastewater(describe/explain
El Restaurant or cafeteria waste directly below)
t Ei Non-contact cooling water Groundwater remediation treatment
si.
I— 3.2 Does the facility use cooling water additives?
0 Yes [3 No 4 SKIP to Section 4,
3t 3.3 List the cooling water additives used and describe their com?osition
Cooling Water Additives Composition of Additives
(liab (ii available to you) ,
SECTION 4.EFFLUENT CHARACTERISTICS(40 CFR 122.21(11)(4)).
4.1 Have you completed monitoring for all parameters in the table below at each of your outfalls and attached the results to
this application package?
El Yes 0 No;a waiver has been requested from my NPDES permitting authority
(attach waiver request and additional information)4 SKIP to Section.5.
4.2 Provide data as requested in the table below.I (See instructions for s ecifics. --,
1 . Number of Maximum Daily Average Daily i, Source
..0 Parameter or Pollutant Analyses Discharge Discharge (use codes
I (if ackei data (specify units1 /speak Lr is) per
u reported) Ala Conc. Man Can. iastructuls)
___
. 46 Biochemical oxygen demand(130D5) 1 mg/L <2 mg/L <2 Others
=
t.)
..... Total suspended solids(TSS) J. mg/L <2.5 mg/L <2.5 Others
= Oil and grease 1 mg/L '' <5 mel. <5 Others
=
ui Ammonia(as N) 1 mg/L <0.1 rrtgit <0.1 Others
,v,.., -, - -•,,-
Discharge flow twice weekly 0.36 mgd
pH(report as range) monthly 8.2 su
. ,
Temperature(winter) monthly 16 C
Temperature(summer) monthly , 25 C
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant
parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3),
EPA Form 3510-2E(revised 3-19) Page 1

•
EPA Identification Number NPDES Permit Number ` Facility Name l Form Approved 03105119
NCI)057 451 270 NC0083658 Fmr Heatcraft Remediation Site OMB No.2040-0004
4.3 Is fecal coliform believed present,or is sanitary waste discharged(or will it be discharged)?
0 Yes El No 4 SKIP to Item 4.5.
4.4 Provide data as requested in the table below.1(See instructions for specifics.)
r Number of Maximum Daily 1 Average Daily Source
Parameter or Pollutant Analyses Discharge Discharge i ( se codes
t,if actual date s i dnr y uei i per
s reported) Mass Conc, Mass 1.Conc. lnetructions.)
Fecal colifofm
.0 E.coil
Enterococci
. i
es
4.5 Is chlorine used(or will it be used)?
[3 Yes 0 No 4 SKIP to Item 4.7. .
4.6 Provide data as requested in the table below. See instructions for specifics
' Number of Maximum Daily I Average Daily Source €
a Parameter or Pollutant Analyses Discharge Discharge (use codes
3 (rf actual data ? use yn,t5)- _,.� (s ° nsts) per
reported) I Mass Conc, Mass Conc. instructions)
oft, Total Residual Chlorine
i l
fa 4.7 Is non-contact cooling water discharged(or will it be discharged)?
0 Yes 0 No 4 SKIP to Section 5.
4.8 Provide data as requested in the table below.1(See instructions for specifics.)
1 , Number of Maximum Daily Average Daily sour"
Parameter or Pollutant i codes
(if actual d We*lr tinldr) f.w,:.. ursb) per
rePated) Mass Com Mass Cone, � dOns)
Chemical oxygen demand(COD)
Total organic carbon(TOC)
SECTION 5.FLOW(40 CFR 122.21(h)(5))
5.1 Except for stormwater water runoff,leaks,or spills,are any of the discharges you described in Sections 1 and 3 of this
application intermittent or seasonal?
[] Yes 4 Complete this section. 0 No 4 SKIP to Section 6.
5.2 Briefly describe the frequency and duration of flow. •
I
SECTION 6.TREATMENT SYSTEM(40 CFR 122.21(h)(6))
6.1 Briefly describe any treatment system(s)used(or to be used).
1 Groundwater remediation from various depth extraction wells feed to a conventional air stripping treatment system to
off-gas trichloroethene[ICE]and 1,1,1 trichloroethane[1,1,1 TCA]and their degradation constituents. A single
'tc discharge[001]to an unnamed ditch flows toward Barnards Creek and the Cape Fear River beyond. Groundwater
collects in two accumulation tanks prior to intake to the air stripping units for treatment and discharge. Figure 3
presents the process line diagram of system influent sources and outfall throughput.
t—
+Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant
parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3). .
EPA Form 3510-2E(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Forth Approved 03105119
NCD 057 451 270 NC0083658 Fmr Heatcraft Remediation Site OMB No.20400004
SECTION 7.OTHER INFORMATION(40 CFR 122.2i(n)l7)0
7.1 Use the space below to expand upon any of the above items.Use this space to provide any information you believe the
reviewer should consider in establishingpermit limitations.Attach additional sheets as needed.
The site operates as a remedial corrective action to remove dissolved chlorinated solvents from groundwater for air
it stripping treatment(off-gassing)and permitted discharge(single discharge 001). The remedial processes have been in
8• operation since prior to 1999 to current.
c ,
1
SECTION 8.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
8.1 In Column 1 below,mark the sections of Form 2E that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note that
not all applicants are required to provide attachments. .
Column 1 Column 2
❑ Section 1:Outfall Location ❑ w/attachments(e.g.,responses for additional outfalls)
❑ Section 2:Discharge Date 0 wl attachments
❑ Section 3:Waste Types ❑ w/attachments
Section 4:Effluent Characteristics ❑ w/attachments .
❑ Section 5:Flow 0 w/attachments
al
iz ( © Section 6:Treatment System 0 w/attachments
❑ Section 7:Other Information ❑ w/attachments •
8.2 Certification Statement
El Section 8:Checklist and Certification Statement w/attachments •
1 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 fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Raymond W.Roblin Authorized Representative for Daikin Applied
Signature ,, �+ Date signed
•
06/21/2az
E
•
EPA Form 3510-2E(revised 3-19) Page 3

14)01100, / /
r $ iii1W,*
oG` 0 0PI aIII- ✓1
4')1$000 / �
•
S to �
,,, ) \ .1 o :ii ri.,...,r
.....,,.
....._ ,2,„,, ,,,. ____.,,..7,..... ...
,,..,,________
) i...,.,, A 4 # . woommillik\•\ ,, ,.ji" ,;._.5 V,- ---`-=--; ' .0. v llgi \ -,
, 'y` �i / l n' ®� f r_ _ f,_tea, p• DH \ %z
,,,
Mal"
1 _��i.... I i'0 ` It A I I DPP\
•• i •_ • • • - --- ,RUTLEDGE I Q1� J.- - �'
•
* I %( 7f
s �P �!iI1i' Q 'y PI35 `♦
•
•
•,6,i ••_..ank�so ° ��� �•• �� / �
0
1 Tans •- — 4 42 l C c /-
'a ITa �'�s� ,..,--,,',., 1 AS a4 j
oll` S , s0L-. / a .� /, v -
! O
1 - i e t� �� OUTFACE LOCATION � '
I ' 7
m\ -.-• : . •'•
... •
,r- - - L
1 c \ ,
l
' ; T er� l ar ,' / 421 '
•
ni,
I �r •�� C. �� \� •
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\ �`• '+��. --- --� \ GO •Ccurse \
t
\ �� _, ":
\ --- i , .,,,s_4\
Source: Wilmington,Nora Carolina C()R R Environmental Resources, Inc
USGS 1969, Photorevised 1993
Scale 1:24,000 FIGURE 1
EFFLUENT OUTFALL LOCATION
Former Heatcraft Facility
Wilmington.NC
DRAWN: RWR DATE:09 27-02 ARN 3034 REVISION:
NORTH APPV'D: RWR FILE: 0
e:\cadd\wilmington\outfall

American Property Experts 100' Railroad Easement
Access from Raleigh St. —
Former Diesel Grounwater
AST Storage Tank t:::Orp
Alf. 'Treatment Plant /�
T• 0 E+ Former 90-day EW 1 � t7� Fmr3,000-gal
v SWMU#7 CI Waste Solvent Tanks a MW-13
FN c e EW-7 EW-6 0 MW- - ,� SWMU#9
FNVVII
1C� W 'fi \ /
_8 SWMU#8 ,-- r�
Fmr• Ili
=-
Wa-te Solvent Tank boa 47 Fmr S �Degreaser Fmr Petrol Hydrocarbon
AI
UST Area
Fmr Petrol NA 0 SWMU#5 SWMU#3 V
Hydrocarbon USTs Fmr Conveyor FW-2C
SWMU Y3 \ O
0 SWMU#g Vapor Degreasere \ Approx North
\ Fmr /
NPDES Ta0 gal Dodos
nk s N Loading
utfall 001 FNW-2A 0I
Lift Station FNW-2B ii, / \
Transfer Pipe SW-1
SWLoading
Paved Driveway FNW-2C�
&Parking Fork Branch Solid Waste Management Units
Former Heatcra t Building aka"North Creek'
American Property Experts 602 Sunnyv le Dr. AOC#1 3. Fmr Petroleum Hydrocarbon UST Area
606 Sunnyvale Dr. 1 4. Capped Waste Management Area(aka RCRA Cap)
(formerly Praxair/National 5. Fmr Vapor Degreasing and Batch Degreasing Units
Welders Supply)
7. Fmr 90-Day Drum Storage Area
tP
O
G•3 FNw-.A 8. Fmr 6,000-gal Waste Solvent Tank
W-22D FN
ibe �E1 9. Fmr 3,000-gal Waste Solvent Tanks(2)
ic)p� W-1 C Current Shallow n fa /N /
Recovery Well p
EW-2 Lift Station FNW-4B Undeveloped
Pulse Air Area of Concern (AOC)
O Sparging System
EW-4
FNW- C 1. Fork Branch (aka "North Creek")
ate Drive EW-5 e FNW-3B
SuonYteek
ng s �FNW�P
pitautt mate`oo Barnard \ Residential
Chula Vista Dr
Cameron Property Company Ltd.
(upland area with 131chuhY5M 129 Chula Vista 127ChiaVlste
e .,SW-5C
pine and live oak) 133 Chula Vista osw-7
Sanitary Sewer \entei Property "" [removed]
Undeveloped Easement
0S_1 SW-2 454Holts
B -Shallow monitoring well locations
Q -Groundwater recovery wells OSW-6
0 -FAN
-1 C, bedrock monitoring wells Residential
-Surface water gauging location(SW=#) \ Hollins Rd
Q-Air Sparge Injection Wells
a"CAMS tab
/ / e CAM-1 R
Note: Locations and SWMU#'s from Booze,Allen, Hamilton
RCRA Facility Assessment, dated 8-26-2004 New Hanover Co. OS -13C
OSw-10 .
Locations Approximate _ _ — _/ I I
APPROVED BY: RAYMOND W ROBLIN,PG REV NO DATE COMMENT
0 4-20-16 Initial drawing with OSW-7 and OSW-8 Figure 2
1 _^6-1-16 Revise SWMU's and AOC locations per NCDEQ request. Expanded Site Plan
Carff'ENVIRONMENTAL RESOURCES, INC. DATE: May 2021
2 , 5-10-21 General map revisions for RCRA Part A, Change of Corp Contact Submittal DESIGNED BY: RWR Effluent Discharge 001
CHECKED BY: RWR Former HeatCraft Facility
DRAWING NO.:Gen Site Plan,SWMU Wilmington, North Carolina
4609 Candlestick, Garland,Tx 75043 NO SCALE INTENDED
PROJECT: PN 3099[21] FILE:C:\CORR\DAA\WILM\TICADD\GenSiteSWMUs

is
AIR STRIPPERS
REAR OF BUILDING
Minimal water loss to atmosphere
MP i 5
WELL# WELL WELL# L
EW-8 EW-7 1EW-1 SURGE TANKS AIR STRIPPERS [2]
1,440 GPD 1,440 GLi:� 1,440 GPD 2 IN SERIES QED EZ-STRIP 24.6SS
1 \ Each Rated Max at
' GRAVITY FLOW —125 Gal/Minute
FROM OW
SEPARATOR
TO NPDES DISCHARGE 001 Z
Estimate 148,320 GPD or 0.124 MGD
...„ OIL/WATER
SEPARATOR---K-- N.,,.......___
.— -..
55-GALLON DRUM FOR
FREE PRODUCT OIL ST(I RAGE
LIFT STATION
WATER CROSSES
BUILDING ROOF TO
DUAL WALL TREATMENT SYSTEM LEGEND
HDPE PIPING
—11"'- FLOW
■ 9 WELL PUMP
)` 414 WELL#® SUhP PUMP[Intermittent] EW-6
86,400 GPD
■
Q CENTRIFUGAL PUMP ,
A
NOT TO SCALE
J/' �� WELL BORE INLET SCREEN
• SURGE CORR Environmental Resources, Inc.
III -.-: TANK GPD-Gallons per Day
�`- -41
6!�! MGD-Million Gallons per Day FIGURE 3
�!� PROCESS LINE DIAGRAM
EXTRACT WELLS& TREATMENT SYSTEM
WELL# WELL# WELL#
EW-2 EW-3 EV��-4 WELL# Former Heatcraft Facility
EW-5 Wilmington,North Carolina
14,400 GPD 14,400 GPD LIFT STATION 14,400 GPD
14,400 GPD DRAWh1. SSH DATE:6/08/21 IPN. 3098-21 REVISION:
FRONT OF BUILDING
APPV'D: FILE: _ 1
rWr C:ACORR\DAA\WILM\2021\NPDES

LABORATORY REPORT ATTACHMENTS
Environmental Testing Solutions — Certificate of Analysis, May 5, 2021
BOD — 5-Day SM 5210 B
Solids, Total Suspended SM 2540 D
Chemical Oxygen Demand HACH 8000
Ammonia Nitrogen SM 45NH3 D
Total Organic Carbon

•
76r177 ter PO Box 7565
� :; Asheville,NC 28802
Phone: [phone]
Fax: [phone]
Environmental Testing Solutions,Inc. Certificate of Analysis
Project name: CORR Env. Res.Inc. Project number: 210505.509
Collection date: 4-May-21
Date received: 5-May-21
•
Sample identification: GW Pipe 001 -Grab Sample number: 210506
Parameter Method Result RL Units Date Analyst Footnotes
Analyzed .
BOD,5 day SM 5210 B <2 2 mglL 7-iIay-21 ECHEM 1
Solids,Total Suspended SM 2540 D <2.5 2.5 mg/L 6-May-21 KEK •
Chemical Oxygen Demand HACH 8000 <50 50 mg/L 13-May-21 KEK
Ammonia Nitrogen SM 4500 NH3 D 0.10 0.10 mglL 6-May-21 KEK
Total Organic Carbon SM 5310 B 2.70 1.00 mg/L 11-May-21 MFZ 2
•
Footnotes:
RL=Reporting Limit. Values are reported down to the Reporting Limit only.
1. Sample analzyed by Envrio Chemists,Inc.
2. Sample analzyed by Rogers&Callcott Environmental.
Date reviewed: t5.6•2-) NC Certification Number: 600
Data reviewed by: Kelley E.Keenan SC Certification Number: 99053
4 NC Drinking Water Certification Number: 37786
Signature: V
This report should not be reproduced,exept in its entirety,without the written consent of Environmental Testing Solutions,Inc.
' The results in this report relate only to the samples submitted for analysis.

Rogers &Cattcott :e'14°.0017.4:ENVIRONMENTAL
Laboratory Report
Client Environmental Testing Solutions Project: Corr-Daikin
Kelley E.Keenan Work Order: 1050490
351 Depot St. Received: 05/06/2021 15:41
Asheville,NC 28801-4310
•
Dear Client:
Rogers and Callcott appreciates the opportunity to be of service to you. The attached laboratory services report includes analytical results and chain of
custody for samples that were received on May 06,2021. Rogers and Callcott maintains a formal QA/QC program. Unless otherwise noted,all analyses
performed under NELAP certification have complied with all the requirements for the TNI standard. The analyses met the QA/QC confidence interval
for each test method unless otherwise qualified. Estimated uncertainty is available upon request.
Privileged/Confidential information may be contained in this report and is intended only for the use of the addressee. If you are not the addressee,or
the person responsible for delivering to the person addressed,you may not copy or deliver this message to anyone else. If you receive this message by
mistake,please notify Rogers and Callcott immediately.
We strive to provide excellent service to our clients. Please contact Lauren Hollister, your Project Manager,at [e-mail],
(864)-232-1556 if you have any questions about this report.
•
Report Approved By:
c3Z1:140WAloadilt
Lauren Hollister
Project Manager
This report may not be reproduced,except in full.without written permission from Rogers&Callcott.Inc.
PO Box 5655 Greenville,SC 29606 426 Fairforest Way Greenville,SC 29607 main 864.232.1556 fax [phone] rogersandcallcott.com
an employee-owned company

•
•
PGCRFp,\
Rogers &Callcott :
ENVIRONMENTAL moat )
South Cmvlina Greenville Laboratory Identification 23105
South Carolina Columbia Laboratoty Identification 40572
Certificate of Analysis North Carolina Laboratory Certification Number27
North Carolina Drinking Water Lab Number 45710
NELAP Utah Certificate Number SC000042014-1
Georgia Drinking Water Lab ID 880
Client Environmental Testing Solutions Project: Corr-Daikin
Kelley E.Keenan Work Order: 1050490
351 Depot St. Received: 05/06/2021 15:41
Asheville,NC 28801-4310
Sample Number Sample Description Matrix Sampled Type
1050490-01 Corr-Daikin GW Pipe 001-grab Wastewater 05/04/21 11:45 Composite
•
•
•
•
•
•
•
PO Box 5655 Greenville,SC 29606 426 Fairforest Way Greenville,SC 29607 man 864.232.1556 fax [phone] rogersandcallcott.com
an employee-owned company
05/18/202I 10:51 This report may not be reproduced,except in frrA,without written permission from Rogers&Colima,Inc.

Rogers &Callcott •
4 ENVIRONMENTAL
Environmental Testing Solutions Project: Corr-Daikin
351 Depot St. Work Order: 1050490
Asheville,NC 28801-4310 Reported: 05/18/21 10:51
Sample Data
Sample Number 1050490-01
Sample Description Corr-Daikin GW Pipe 001-grab collected on 05/04/21 11:45
Reporting
Parameter Result Limit Units DF Analyzed Method Flag Analyst Batch •
General Chemistry Parameters
Total Organic Carbon 2.70 1.00 mg/L 1.00 05/11/21 23:55 SM 5310B-2011 MFZ 131E0433
•
•
•
PO Box 5655 Greenville,SC 29606 426 Fairforest Way Greenville,SC 29607 main 864.232.1556 fay 864.232.6140 rogersandcailcott.com
an emplovee-owned company
05/18/2021 10:51 This report may not be reproduced.except in fill,without written permission from Rogers&Cal/con,Inc.

•
Rogers &callcott
ENVIRONMENTAL
Environmental Testing Solutions Project: Corr-Daikin
351 Depot St. Work Order: 1050490
•
Asheville,NC 28801-4310 Reported: 05/18/21 10:51
•
General Chemistry Parameters
Quality Control Summary
Reporting Spike Source %REC RPD
Parameter Result Limit Units Level Result %REC Limits RPD Limit Flags
Batch B1E0433-General Prep-TOC
Blank(B1E0433-BLKI)
Total Organic Carbon ND 100 mg/L
LCS(B1E0433-BS1)
Total Organic Carbon 4.96 1.00 mg/L 5.00 99 85-1 I5
•
•
PO Box 5655 Greenville,SC 29606 426 Fairforest Way Greenville,SC 29607 main 864.232.1556 fax [phone] rogersandcallcott.com
a t employ:;•,-nwned company
05/18/2021 10:51 This report may not be reproduced,except in ftdl,without written permission from Rogers&Callcon,Inc.

Rogers &callcott
ENVIRONMENTAL
Environmental Testing Solutions Project: Corr-Daikin
351 Depot St. Work Order: 1050490
Asheville,NC 28801-4310 Reported: 05/18/21 10:51
Data Qualifiers and Definitions
ND Analyte NOT DETECTED at or above the reporting limit
NR Not reported
RPD • Relative Percent Difference
•
•
PO Box 5655 Greenville,SC 29606 426 Fairforest Way Greenville,SC 29607 main 864.232.1556 fax [phone] rogersandcallcott.com
al;employ-e-owned carnpeny
05/18/2021 10:51 This report may no!he reproduced,except in firlf,without written permission front Rogers&Callum,Inc.

. ,,.. ,,,„..,..z,
,6\----- Rogers & Callcatt CHAIN OF CUSTODY RECORD WORK ORDER \ b n` -
( I I l ; ENVIRONMENTAL Filtered(Yes/
Mating PO Box 5655 Shipping 426 Falrforest Way 2158 Stoneridge Drive Cooled e5 o)
Address: Greenville,SC 29606 Address: Greenville,Sc 29607 Columbia, C 29210 Container Type(Plastic aSS
Phone[phone] Fax [phone] Phone[phone]
Client Name -
Container Volume(mL) 2i)
Address Sample TypeLrab omposlte)
/ (' Sample Source(VVW,�t�
V�DW,SW,S. Other)
AO S,i t �C ..,co
Report To; C Preservation Code(s)
Email Address o -a A—None E—HCI I—ZnAcetate
,- 'Li 8—HNO3 F—Na2S203 J—HaPO4
Telephone# a w If
C—H2SO4 6—Boric Acid K-MCAA
I -' D—NaOH H—Ascorbic Acid L-
PO# Project# z E tO
m
a
WORK ORDEK DATE TIME SAMPLE DESCRIPTION COMMENTS
74.t14-S tii Pi'k. mi -Grata 1 te, _ Coruz - Dr4:k,V
SAMPLER—RELINQUISHED BY: DATE/TIME: RECEIVED BY: DATE/TIME:
1. � cDS 05.�.0 2• a c. • 05..0e°� Composite Start Date:
RE /Q ISt� HED BY: DATE/TIME: RECEIVED BY: DA E/TIM EEC+ Composite Start Time:
3 n ^ /, a (50 Time or Flow (Circle one) Initials:
RELINQUISHED BY: DATE/TIME: RECEIVED BY: • {� DATE/T M I E•
S. 6. Temperature of blank or representative sample
RELINQUISHED BY: DATE/TIME: RECEIVED BY: DATE/TIME: At time of collection °C
7• 8. At time of lab receipt \ . Cg °C
• Possible Hazards associated with samples: [—Non-Hazard nFlammabie ❑Skin irritant Poison Unknown nOther Form revised July,2014 Page at

Rogers &Caltcott
EN VIRONNENTAI_
Sample Receipt Verification
•
Date Work
Client: ETS Received: 05/06/21 Order: 1050490
Carrier Name: Client C. FedEx .) UPS US Mail Courier Field Services Other:
Tracking Number: 462235133622
Receipt Criteria e o A Comments
Shipping container/cooler intact? X Damaged Leaking Other:
Custody seals intact? X
COC included with samples? X
COC signed when relinquished and received? X
Sample bottles intact? X Damaged Leaking Other: •
Sample ID on COC agree with label on bottle(s)? X
Date/time on COC agree with label on bottle(s)? X .
Number of bottles on COC agrees with number of bottles received? X
Samples received within holding time? X
Sample volume sufficient for analysis? X
VOA vials free of headspace(<6mm bubble)? X
Sam les cooled? Temp at receipt recorded on COC
p Temp measured with IR thermometer-SN:97050067 X ® Cold Packs Dry Ice None
Samples requiring pH preservation at proper pH?
Note: Samples for metals analysis may be preserved upon receipt in the lab. X
Note: Samples for O&G and VOA analysis—preservation checked at bench.
Samples dechlorinated for parameters requiring chlorine removal at
the time of sample collection? X
Note: Chlorine checked at bench for samples requiring Bacterial,VOA,and HAA
analysis.
If in-house preservation used — record Lot#
HCL H3PO4
H2SO4 NaOH
HNO3 Other
Comments:
•
Were non-conformance issues noted at sample receipt? Yes or W
Non-Conformance issue other than noted above:
•
CTC
Revised February 2018 Completed by:

•
Environmental e i s, Inc.
6602 Windmill Way,Wilmington,NC 28405 . 910.392.0223 Lab . 910.392.4424 Fax
710 Bowsertown Road.!vlanteo,NC 27954 . 252.473.5702 Lab/Fax
255-A Wilmington Highway,Jacksonville,NC 28540 . 910.347.5843 Lab/Fax
ANALYTICAL&CONSULTING CHEMISTS [e-mail]
Environmental Testing Solutions, Inc. Date of Report: May 14,2021
Post Office Box 7565 Customer PO#:
Asheville NC 28802 Customer ID: 08100055
Attention: Kelley Keenan (ETS) Report#: 2021-07391
Project ID: CORR/F. Daikin
Lab ID Sample ID: Collect DateiTime Matrix Sampled by
21-18285 Site: GW Pipe.001 5/6/2021 3:00 PM Water Client
Test Method Results Date Analyzed
BOO SM 5210 B-2011 <2 mg/L 05/07/2021
Comment:
Reviewed by: fill-JOLkOz UtY43411.)
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Report#.• 2021.07391 Page 1 of 1

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Environmental Chemist, Inc., Wilmington, NC Lab#94 6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Sample Receipt Checklist
Client: t= Date: -? 0 OR/ Report Number: Q/ --(..) 7,3tl f
Receipt of sample: ECHEM Pickup 0 Client DeliveX UPS 0 FedEx 0 Other 0
❑ YES ❑ NO N/A 1. Were custody seals present on the cooler?
❑ YES �❑ NO N/A 12. If custody seals were present,were they intact/unbroken?
temperature
Ori inal
g upon receipt 1 (nn LI Corrected temperature upon receipt °C
How temperature taken: 0 Temperature lank er Against Bottles
IR Gun ID:Thomas Traceable S/N 192511657 IR Gun Correction Factor°C: 0.0
❑ YES 0 NO 3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
YES 0 NO 4. Were proper custodyprocedures P P �followed. •
■l YES 0 NO 5. Were sample ID's listed on the COC?
Et YES 0 NO 6. Were samples 1D's listed on sample containers?
U YES 0 NO 7. Were collection date and time listed on the COC?
!1 YES ❑a NO 8. Were tests to be performed listed on the COC?
a . YES 0
NO 9. Did samples arrive in proper containers for each test?
tii YES 0 NO 10. Did samples arrive in good condition for each test?
I YES 0 NO 11. Was adequate sample volume available?'
V. YES ❑ NO 12. Were samples received within proper holding time for requested tests?
❑ YES 0 NO 13. Were acid preserved samples received at a pH of<2? *
❑ YES 0 NO 14. Were cyanide samples received at a pH>12?
❑ YE
S 0 NO
15. Were sulfide samples received at a pH>9?
❑ YES 0 NO 16. Were NH3/TKN/Phenol received at a chlorine residual of<0.5 m/L? **
❑ YES 0 NO 17. Were Sulfide/Cyanide received at a chlorine residual of<0.5 m/L?
❑ YES 0 NO 18, Were orthophosphate samples filtered in the field within 15 minutes?
* IOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any sample(s)incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding(circle one): H2SO4 HNO3 NCI NaOH
Time of preservation: If more than one preservative is needed,notate in comments below
Note:Notify customer service immediately for incorrectly preserved samples.Obtain a new sample or
notify the state lab if directed to analyzed by the customer.Who was notified,date and time:
Volatiles Samples) were received with headspace
COMMENTS:
•
DOC.QA.002 Rev 1

envarocIenx ENVIRONMENTAL CHEMISTS
NCDENR: DWQ CERTIFICATION#94 NCDHHS:OLS CERTIFICATION 3 INC 6602 Windmill Way Wilmington,NC 28405
Analytical&Consulting Chemists
COLLECTION AND CHAIN OF CUSTODY
OFFICE:910-392-0223 FAX [phone]
Client:
29 [e-mail]
PROJECT NAME: Cc*,tZ Ai K:/�S REPORT NO: 2—/- f
ADDRESS:
U J CONTACT NAME: "-) :1b 1.-.)
�z a 3G REPORT TO: PO NO:
COPY TO: I r PHONE/FAX:
Sampled B : , email:
" SAMPLE TYPE: I =Influent, =Well, ST=Stream,SO=Soil SL=Sludge,Other:
Collection �,..
Sample Identification �; ` , a �!!'� 'RESERVATION
° ' s W
o `o C a .c E o ? p + �[ w CC
Date Time Temp h U " ,i73113 z 0 = _ = 0 F W F ANALYSIS REQUESTED
Cites P,/,� 0.
tiliaremG G
,01
11/1
ME c P
G G
C P
1 MIN C P
1 MIMIG G
_C P
G G 111111111
M. C P
G G Mil
■
C P ■
NOTICE- TransferRINATION: Samples for Ammonia,TKN,Cyanide,Phenol and Bacteria must be dechtonnated(0.5
ppm or less)in the field at the time of collection. See reverse for Instructions
Relinquished By:
Date/Time Received By:
II
�‘�y5"'2.
Date/Time
Temperature when Received °C: j
Delivered B 1 Accepted:
Y: t ,t,t, (.51%--L�� Rejected: Resam le
Comments Received By: P nested:
Date: re t, Time: 3""!'
TURNA OUND:

•
CHAIN-OF-CUSTODY / Analytical Request •
}
,, Client Name: Co Z
1 Address:
q Environmental TestinSolutions,Inc.
Report to: 24 -i j
L.
PO Box 7565,Asheville,NC 28802 Phone: ( 7> — 5Z 3-0 4'Zf 7Fax:
Phone: [phone],Fax: [phone] PO Number:
Project Name: 6c'(ZjZ /�s. DAt ie.:ram
(4,,e--1 --greittt Nwnber: s/3 C, O sscil Re
ted Ana ses
rtlC vc; c;
pH Checked Upon Receipt
Cl,<0.2 mg/I Upon Receipt
Preservatives
r
la
1,1 Sample Identification U z o 3 I Ili a o c 2 $ �1`?
l�•EE c2, iEoQ O6 O Oc (4§› v ield
✓� w i A 4 x g w' x z p.CC) Comments
1
3
4
7 _
5
6 _
Sample Condition Upon Receipt 'Relinquished By (Company I `Date I Time lAccepted By 'Company I ' Date 1 Time
Temperature(°C) 05 Rcte,0 05047/
Received on Ice: D/ N eO OIL..? yy�/�,r,, 105o ) t A L1�- n ! /vs J
Sealed Cooler: N r tJCJI�-( 6!a[!�'i vJU �1�L- V
Samples Intact: / N
Additional Comments: Sampler Name and Signature I Date
Printed Name of Sampler:
Signature of Sampler:

•
LABORATORY REPORT ATTACHMENTS
Environmental Testing Solutions — Certificate of Analysis, May 17, 2021
CY-2021 Quarter 2
Aquatic Toxicity Testing Report
North Carolina Ceriodaphina Chronic Effluent Toxicity Procedure
EPA 821-R-02-013, Method 1002.0

PO Box 7565
Asheville, NC 28802
Phone: [phone]
Environmental Testing Solutions,Inc.
Fax: [phone]
•
May 17, 2021
Mr. Ray Roblin
CORR ERI •
4609 Candlestick Drive
Garland,TX 75043
• ETS Project Number: 15945
Test Start Date: May 05, 2021
Facility Tested: Daikin Applied Americas, Inc.
Enclosed are toxicity test results for samples received by Environmental Testing Solutions Inc.
Parameter Result
Test Procedure, Method Number
Code PASS FAIL
TGP3B North Carolina Ceriodaphnia Chronic Effluent Toxicity Procedure V
EPA-821-R-02-013, Method 1002.0 /� •
All toxicity testing results required as part of your permit must be entered on the Effluent Discharge
Monitoring Form (MR-1)for the month in which it was performed, using the parameter code
TGP3B. Additionally,the DMR Reporting Form AT-1 must be signed and e-mailed or mailed to the
following address:
ATForms.ATBncdenr.gov
North Carolina Division of Water Resources
Water Sciences Section/Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, NC 27699-1621
Please call if you have any questions concerning these results.
Sincerely,
Jim umner
Laboratory Supervisor
North Carolina Certificate Numbers: Biological Analyses: 037,Drinking Water: 37786,Wastewater: 600
South Carolina Certificate Number: Clean Water Act: 99053-001

- Page 1 of 1
North Carolina Chronic Pass/Fail Whole Effluent Toxicity Test,Species: Ceriodaphnia dubia
(EPA-821-R-02-013 Method 1002.0,NC Modification-December 2010,Version 3.0)-Control Bench Sheet
Control 4: Date: 05-05-21
Test Grouping Information: Test Organism Information:
Facility Project# Organism Source: In-house Culture
6 ' Pit 1k1 N) {Sg�5 Age: <24-hours old
5 NO �a'1 fryGjt{a Source(culture board): 04'1.1'Z-I Af 0i'11.1.%
.•• 4 AP-x iSO4i1 Replicate St 1 2 3 4 5 6 7 6 9 10 11 12
3 Jj_Ler3 06 t0 t5't ul1-.- Culture board cup 4 31 3S 3V 'fi .40 1 1 S "I I at 11
2 . 09ti ► c '41 Date and time organisms were born 0s-OS- L5 OSoo 'r0 1\f)°{
1-Control between:
•
Average transfer volume: <0.25 mL
• Transfer bowl information: pH(S.U.): &,rot
Daily Renewal Information: Temperature(°q: 1,S,k
•
�i rest Initiation,renewal,'feeding o
D Selenaslrum YWT Location Randomizing
ay Date termination MHSW Batch
0 05-05-21
Time Analyst Batch Batch. Incubator/Shelf Template
•
Ie anon/eed nt
t1 04-11•1t A oy-'to Ai 01-16'2k 2_E'1._ (lwe..
1 05-06-21 reedi0,
2 05-07-21 Rrnrw.Il/Feedin4
11''3R' oa 1,';k c
11 3 05-08-21 Fcedmp'CO
a 05-09-21 `` io "
5 05-10.21 Renre e
<2/F�dnt
nb osO`•uA
6 05-11-21 "la,)1
1k,-
7 05-12-21 r')\-\
'Organisms fed daily 50 µL NC Selenostrum and SOr1'W1 nor replicate urine HandvSteo repeat pioettor SN 17E59354
Q Chemical Analyses: Initiation Renewal One Renewal Two
Initial Final Initial Final Initial Final
Concentration Analyst Kp AA tiJ' Kf K1
pH(s.u.) -1.14"` "1 1
.Lar7 'SO 6r5 f.42.. —t- �
D Dissolved oxygen(mg/L) 1.1 1.1 1.1 p 4
Conductivity(µmhos/cm
Control,MHSW 11& - �0b /2
��t1 'Alkalinity(mg/L CaC05) c,aTb tat to`
'Hardness(mg/L CaCO5) 4a g^ ply
"Temperature(°c) 1`�• \ 'L�.`, �t{, g s5 k 'Ly-1 -S,\
•Analyst identified for each day.performed pH.dissolved oxygen and conductivity measurements only, Temperatures performed at the time of test initiation.renewal or termination by
the analyst identified in the Daily Renewal Information table Alkalinity and hardness performed by the analysts indenG6ed on the test bench sheets and transcribed to Ihis bench sheet.
I
Parameter Reporting limit Method number Meter Serial number
pH 0.15.U. SM 4500)H+B-2011 Accumet AR20 93312452
Dissolved oxygen 1,0 mg/L SM 4500-0 G-2011 VS(Model 52CE 190104324
Conductivity 14.9 pmhos/cm SM 2510 B-2011 Accumet AR20 93312452
Alkalinity 5 0 mg CaCOs/t SM 2320 B-2011 Accumet AR20 93312452
Hardness 5.0 mg Ca CO,/L SM 2340 C-2011 Not applicable Not applicable
tout residual chlorine 0 1 mg/L ORION 97-70-1977 Accumet A8250 923(19123
Temperature 0,1°C SM 25500-2010 OigitalThermometer t3041.41,7K
Survival and Reproduction Data:
Day Observations Replicate number
1 2 3 4 5 6 7 8 9 10 11 12
2 Adult
iv,D=dead) L L_
Renewal One !L=live,D=dead)
Number of broods present [ LL L L1 0. L 1 it L L l. L t.
5 Number of young produced {6 3 tt t2 I tk4 16 04 it (S t3 Is
Renewal Two Adult mortality L
(L=live,D=dead)
Number of broods present L\ L . L� Lek L t L� L i.. L 1 11
Number of young produced 14 i� 11 tto ittS t�— 1-1t t 1-1.. tto 1 Lk
I 7 Final Total
Total young produced 3p 2.,l 1.5. "Us ,Z, /ct 11 3` Z& 21 -Lay -.Lq
Final adult mortality l_ L_ L, L_ k.... k_ L. L L-.Il=Live,D=dead)Control
Acceptance
X
IX for 3rd Broods �[ x X /( !�
Criteria: !
%of Male Adults(5 20%) 0 7, Mean Offspring/Female
%Adults having 3rd Broods(>_80%) /00 7, (>_15 offspring/surviving female) 'S
%Mortality(<_20%) o 1. %CV(<40%) `1.'4 7_
SCP AT12-Revision 4-Exhibit AT12.3

•
Page 1 of 1
North Carolina Chronic Pass/Fail Whole Effluent Toxicity Test,Species: Ceriodaphnia dubia
(EPA-821-R-02-013 Method 1002.0, NC Modification—December 2010,Version 3.0)-Test Bench Sheet
Paired with Control It 3 Date: OS-OS•2(
Client CORR ERI NPDES# NC0083658
Facility Daikin Applied Americas, Inc. Outfall 001
Project# 1 yaat\C, County New Hanover
Test Concentration(Chronic Limit) 90% Dilution mL mL Total volume
preparation: Sample Dilution water mt.
Samples were not aerated or treated unless otherwise noted on this form. Control,dilution water 270 30 300
and test renewal information are included on the Control Bench Sheet indicated above.
Chemical Analyses: Initiation Renewal One Renewal Two
Initial Final Initial Final Initial Final
Concentration Analyst j•-[s' rtCD Kp p�(l aloe:,
t<D
pH(SAL) o J3 B•OZ -l.8$ V•S (�•Ls loe7 ?).2'2
Test Dissolved oxygen(mg/LI 7-9 1•°I 1.4. & ( 49 B.0
Concentration Conductivity(µmhos/cm) ( N o1 `-io3
*Temperature(°C) "IS•1_ ZS- 1 1—`�•1 Z`k•c\ L`*•`\ ZS•\
pH(S.U.) PS "1.°135
Dissolved oxygen(mg/L) 5.Q 8,1
100% Conductivity(µmhos/cm) 4/C 4Z,')
*Total residual chlorine(mg/L) <0.10 f O ll'0
Sample number Sample 1 it OSos•06 Sample 2 eg.ItASI.
0G,
'Analyst identified for each day,performed pH,dissolved oxygen and conductivity measurements only. Temperatures performed at the time of test initiation,renewal or termination by
(Ile analyst identified in the Daily Renewal Information table located on the Control Bench Sheet, Total residual chlorine performed by the analyst identified on the Total Residual
Chlorine Bench Sheet and transcribed to this bench sheet.
Survival and Reproduction Data (performed at test concentration):
Day Observations Replicate number
1 2 3 4 5 6 7 8 9 10 11 12
2 Adult mortality 1
Renewal One (L=Live,D=dead) \. - t_.- L `` `" L_
Number of broods present 12 IZ t. [ �L [ [
5 Number of young produced L O 1 S 1 i ai 11 I S 1 I(0 IS 1p 1 tat 10
Renewal Two Adult mortality L.
(L=Live,D=dead)
Number of broods present LI_ Lk_ t_'_.. l I~ Li L ► (` L 1 L
Number of young produced
,S tal I tt,, 15 tg t5 tq 1$ 1� lS 1 �
7 Total young produced
Final 3S- 3•-1 36 3S 3a 3A 33 3S 33 33 b1 3 g
Final adult mortality ' \ 1✓ L 1✓ L
(L=Live,D=dead)
Test was initiated using Sample 1. Sample 2 was used for Renewals One(day 2)and Two(day 5). Samples were diluted to the test concentration prior to use with moderately hard
synthetic water and warmed to 25.0±1.0°C in a warm water bath.
Comments:
Test Results and Statistical Analyses:
Test results Statistics
%Mortality t-Stat or
a 7_ Rank Sum —19.0 S
Mean offspring 1-Tailed
per female `-1. f Critical 2-SO&
%Reduction -21 c\ 7. PASS or FAIL Piq,q
from control
• SOP AT12-Revision 4-Exhibit AT12.2

•
Environmental Testing Solutions.Inc. •
Quality Control: Verification of Data Entry,Calculations,and Statistical Analyses
Chronic Whole Effluent Toxicity Test(EPA-821-R-02-013, Method 1002.0)
Species: Ceriodaphnia dubia
[ntcred by:
Facility: Daikin Applied Americas,Inc.
RKiley n
evKw,ded t,byy:
Test start date: May 05,2021 nm Sumner
Project number: 15945 ,/
Sample numbers: 210505.06,210507.06 d�
Concentration Number of young produced by replicate number Survival Average Coefficient of Percent reduction from
(%) Day (%) reproduction variation (%) control (%)
1 2 3 4 5 6 7 8 9 10 11 12 (offspring/female)
5 16 13 12 12 15 14 16 14 11 15 13 15
Control 7 14 14 17 16 12 15 12 17 17 12 16 14 100 28.5 4.4 Not applicable
Total 30 27 29 28 27 29 28 31 28 27 29 29
•
5 20 15 18 19 19 15 18 16 15 19 19 20
90% 7 15 19 18 16 15 19 15 19 18 14 18 18 100 34.8 4.6 -21.9
Total 35 34 36 35 34 34 33 35 33 33 37 38
Dunnett's MSD value: 1.469 MSD= Minimum Significant Difference
PMSD: 5.2 PMSD= Percent Minimum Significant Difference
PMSD is a measure of test precision. The PMSD is the minimum percent difference between the control and treatment that can be declared
statistically significant in a whole effluent toxicity test.
•
Lower PMSD bound determined by USEPA(10th percentile) =13%. •
Upper PMSD bound determined by USEPA(90th percentile)=47%.
Lower and upper PMSD bounds were determined from the 10th and 90th percentile,respectively,of PMSD data from EPA's WET Interlaboratory
Variability Study(USEPA,2001a;USEPA,2001b). The lower PMSD bound represents a practical limit to the sensitivity of the test method and is
not a minimum acceptance criteria.
USEPA. 2001a,2001b.Final Report: Interlaboratory Variability Study of EPA Short-term Chronic and Acute Whole Effluent Toxicity Test Methods,Volumes 1 and 2-Appendix.EPA-821-B-01-004 and EPA-821-B-01-005.US
Environmental Protection Agency,Cincinnati,OH.

Entered by:
Kelley Keenan
Statistical Analyses Reviewed
by;-_-- Jim Sumner
Environmental Testing Solutions,Inc. at
Ceriodaphnia Survival and Reproduction Test-Reproduction
Start Date: 5/5/2021 Test ID: CdPFCRNC Sample ID: Daikin
End Date: 5/12/2021 Lab ID: ETS-Envir.Testing Sol. Sample Type: DMR-Discharge Monitoring Report
Sample Date: Protocol: FWCHR-EPA-821-R-02-013 Test Species: CD-Ceriodaphnia dubia
Comments:
Conc-% 1 2 3 4 5 6 7 8 9 10
D-Control 30.000 27.000 29.000 28.000 27.000 29.000 28.000 31.000 28.000 27.000
D-Control 29.000 29.000
90 35.000 34.000 36.000 35.000 34.000 34.000 33.000 35.000 33.000 33.000
90 37.000 38.000
Transform:Untransformed 1-Tailed
Conc-% Mean N-Mean Mean Min Max CV% N t-Stat Critical MSD
0-Control 28.500 1.0000 28.500 27.000 31.000 4.362 12
90 34.750 1.2193 34.750 33.000 38.000 4.612 12 -10.675 2.508 1.469
Auxiliary Tests • Statistic Critical Skew Kurt
Shapiro-Wilk's Test indicates normal distribution(p>0.01) 0.92678 0.884 0.67678 -0.1019
F-Test indicates equal variances(p=0.41) 1.66176 5.31963
Hypothesis Test(1-tail,0.01) MSDu MSDp MSB MSE F-Prob df
Homoscedastic t Test indicates no significant differences 1.46861 0.05153 234.375 2.05682 3.6E-10 1,22
Treatments vs D-Control
Dose-Response Plot
40
35•
-
30
_ 1-tail,0.01 level
0 25 of significance
a 20
EL Q
15
re
10
•
0
0 0
0 •
•
0

•
351 Depot Street
Asheville,NC 28801
Phone: [phone]
Fax: [phone]
Environmental Testing Solutions,Inc.
Whole Effluent Toxicity Chain-of-Custody Form
Facility: CORR ERI NPDES#: NC0083658 Pipc#: 001 County: New Hanover
Daikin Applied Americas,Inc. Purchase order:
Species: Ceriodaphnia dubia Effluent dilution: 90%
Test type: Pass/Fail Chronic Parameter code: TGP3B
,:: Sample information: (to be completed by sample collector)
Grab sample: Sample location: Li l t. P� e- -4 U C I
i Date: �7 �t��t /1 i ':Time: Volume collected for testing. 1.-i,e0t
1
Number of containers filled for testing:
Method of transport to laboratory: ,-G// ?j )C
1' Comments:
v
i.
' Triple rinse sample container with sample before filling. Completely fill the sample container with no air space.
Pack the sample container completely in ice. The sample must be<6.0°C upon receipt at the laboratory. j
}
Sample custody: (to be completed by sample collector and facility personnel) .1
i
BY SIGNING BELOW,I CERTIFY THAT THE PERMIT AND TEST REQUIREMENTS IDENTIFIED ON THIS FORM ARE ACCURATE
Sample collected by: l
Print S,gnmure Dab and Gmc
il Relinquished by: Received by: l
Li
--: .1-:' • -01.-. + Feolt,4) •
„ Ponty�� Da,and tune New Signature Dare and time ,
Relinquished by: V Received by:
ii
y�7 ,
i Pont Signature Date and time I}m: Signature Date and time i
vxi s,,,'A' .,.» sn.smMZaa,a', >w, - ,n_,uX_ ..,...».,,,,,.a rnsenas,,,,
Sample receipt information: (to be completed by ETS personnel)
Relinquished to ETS by: Received at ETS by:
Fern.,-r i b.._. IA- I05o •
Print Signature Dow and time Print Signmom Date and tune
Custody seals intact?:� r J n Sample temperature upon receipt at ETS(°C):
Yen No Not moil 05•iC
Samples received in good condition?: =
Yee No Total residual chlorine upon receipt at ETS: r, r-'
� � ' � (DPD Presence/Absense indicator,MDL=0.10 mg/L) 1.`"`'"' ^t1C"`
Tracking number: l_ir
Project number19446.Sample number: 2.406M
Comments:

351 Depot Street
Asheville,NC 28801
Phone: [phone]
Fax: [phone]
_ Environmental Testing Solutions,Inc.
Whole Effluent Toxicity Chain-of-Custody Form
Facility: CORR ERI NPDES#: NC0083658 Pipe#: 001 County: New Hanover •
Daikin Applied Americas,Inc. Purchase order:
Species: Ceriodaphnia dubia Effluent dilution: 90%
Test type: Pass/Fail Chronic Parameter code: TGP3B
1 . ,
Sample information: (to be completed by sample collector)
Grab sample: Sample location: G t-^13 P.- pr=- -1� c.c
il Date: 5-- ‘+ -if Z f Time: 45 Volume collected for testing: I C-i Zz""i
11 Number of containers filled for testing: I
IMethod of transport to laboratory: L" /p-y<. '
1 Comments:
Triple rinse sample container with sample before filling. Completely fill the sample container with no air space. w
' Pack the sample container completely in ice. The sample must be<6.0°C upon receipt at the laboratory. 4
a
Sample custody: (to be completed by sample collector and facility personnel)
BY SIGNING BELOW,I CERTIFY THAT THE PERMIT AND TEST REQUIREMENTS IDENTIFIED ON THIS FORM ARE ACCURATE tl
Sample collected by: �)
.fang Signatuse Date and time r++_ ti.:s!„'
Relinquished by: 'Z'' Received by: '
ij
,. c r 6,"*/ Fe Cal_..4 cx�"'
,,,King an. Date and time lira: Signature Date and time 5
Relinquished by: Received by:
I ~ I 1 t
Pant Signauue Date and lime 1'nnt Signature Date and time
C
Sample receipt information: (to be completed by ETS personnel)
Relinquished to ETS by: Receiv�edd at ETS by:
J� 124
0 fl 1 1`I11" lit-' 05,041
l0
Pant Signature Date and time Print Signature Date and time
Custody seals intact?: Q n Sample temperature upon receipt at ETS CO: °a5ic
Ycs Na Na used
Samples received in good condition?: [ n
. Yes No Total residual chlorine upon receipt at ETS:
�[ (DPDPresence/Absense Indicator,MDL-0.10mg/L) 1't eu: Meet
Tracking number: 405j 33224
Project numberISCW Sample number: 440564.011)
Comments:

Ceriodaphnia dubia
Chronic Reference Toxicant Control Chart .
Environmental Testing Solutions,Inc Source: In-house Culture
1.14 I . 1 1 1 1 1 1 1 1 1 1 I 1 1 I 1 I I 1 1
1.12 - Control Limits (± 2 Standard Deviations) -
1.10 - • _ _• • -
• • • •
•
- • • ���... ���. . �.. ..•• • • .�_ _ •.��: ......,
1.08 - � • • • —
• • .
1.06 -
1.04 - —
z - -
1.02 — —
tt0 I I I I I I I I I l I ► 1 1 I I I I I
N 1 I I 1 I I.....a.....1.....I.....!.....1....a.....1 ....I I I. 1 1 -
A 1.15 - - •
Is Warning Limits
A
1.10 — .. ....-.u..• • i . . ..�..
•
•
1.05 - ... ...,
1.00 — —
0.95 I I lit I I I I I I 1 I I I I 1
O� LO 00,20 OQ 10 03 LO 0�10 0s• 05.20 OZ10 O� LO pa LO s LO 06.'LO 03 LO 08 LO 05 L1 01,L1 01-L1 O.L}1 06.11 �1
p1 p1' 01. 03' 00, 05 05 O6' 01' OS' o's 10 1.*v '�" OS. 01- OL" 03. op," 05.
Test date
• 7-day IC25=25%inhibition concentration. An estimation of the sodium chloride concentration
which would cause a 25%reduction in Ceriodaphnia reproduction(calculated using ToxCalc).
•
--.• Central Tendency(mean logarithmic IC25 converted to anti-logarithmic values)
•-- Control Limits (mean logarithmic IC25±2 standard deviations converted to anti-logarithmic values)
.. .. Laboratory Warning Limits(mean logarithmic IC25±2 coefficent of variations converted to anti-logarithmic values)
USEPA Warning Limits (mean logarithmic IC25±SA.,converted to anti-logarithmic values,
•SA to=10th percentile of CVs reported nationally by USEPA)
t
,na
a by
•
ner
V

•
LABORATORY REPORT ATTACHMENTS
Technical Report SGS AccuTest Laboratory
Former Daikin Applied Site; 602 Sunnyvale Drive, Wilmington, NC
SGS Report No. FA86021, June 8, 2021
Volatile Organic Constituents SW 846 8260B
Semi Volatile Organics [ABN List for NC] SW 846 8270E SW 846 3510C

r y3
• dl S
344 x a
Orlando, FL
a.�
0
2 v
the results set forth herein are provided by SGS North America Inc. e- tlrtrG()JIy 2.
Automated Report
Technical Report for
Corr Environmental
•
as CORR/Former Daikin Site; 602 Sunnyvale Rd, Wilmington, NC
•
SGS Job Number: FA86021
Sampling Date: 06/01/21
•
Report to:
Corr Environmental
4609 Candlestick Dr
Garland, TX 75043
[e-mail]
ATTN: Ray Roblin
Total number of pages in report:
Test results contained within this data package meet the requirements Norm Farmer
of the National Environmental Laboratory Accreditation Program Technical Director
and/or state specific certification programs as applicable.
Client Service contact: Evita Martinez 407-425-6700
Certifications:FL(E83510),LA(03051),KS(E-10327),NC(573),NJ(FL002),NY(12022),SC(96038001)
DoD ELAP(ANAB L2229),AZ(AZ0806),CA(2937),TX(T104704404),PA(68-03573),VA(460177),
AL,AK,AR,CT,IA,KY,MA,MI.MS,ND,NH,NV,OK,OR,UT,VT,WA,WV
This report shall not be reproduced,except in its entirety,without the written approval of SGS.
Test results relate only to samples analyzed.
SGS North America Inc. • 4405 Vineland Road • Suite C-15 • Orlando,FL 32811 • tel:[phone] • fax:[phone]
4C, is the sole authority for rF, c r _,.> sk €ss_,no,ia,ut share our ideas,tb,.a€rt 1 of 13
finauthortzed rnod:ficaiian eo , < € p -t illy prohib;<. how we can serve you better at:
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Table of Conten k
Section 1: Sample Summary 3
Section 2: Summary of Hits 4 y`
Section3: Sample R oIts .,.a.r....A...............Aa�.,,am.gnm,s�,«�nms
3 m 1: FA86021-1: GW PIPE 001 6
Section 4: Misc. Forms 11
4.1: Chain of Custody 12

0
SGS North America Inc.
• Sample Summary
Corr Environmental
Job No: FA86021
CORR/Former Daikin Site; 602 Sunnyvale Rd, Wilmington, NC
Sample Collected Matrix Client
Number Date Time By Received Code Type Sample ID
This report contains results reported as ND= Not detected. The following applies:
Organics ND = Not detected above the MDL
FA86021-1 06/0.1/21 15:15 ST 06/02/21 AQ Ground Water GW PIPE 001
3of13
FA86021

Summary of Hits Page 1 of 1 is
Job Number: FA86021
Account: Corr Environmental
Project: CORR/Former Daikin Site; 602 Sunnyvale Rd, Wilmington, NC
Collected: 06/01/21
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA86021-1 GW PIPE 001
No hits reported in this sample.
•
•
•
SGS4 of 13
FA86021

• , • , ,
•" ater „
\ . ,1
°,4
Orando, FL
•
Sample Results
Report of Analysis
5of13
FA86021

SGS North America Inc.
Report of Analysis Page 1 of 3
Client Sample ID: GW PIPE 001
Lab Sample ID: FA86021-1 Date Sampled: 06/01/21
Matrix: AQ-Ground Water Date Received: 06/02/21
Method: SW846 8260D Percent Solids: n/a
Project: CORR/Former Daikin Site; 602 Sunnyvale Rd, Wilmington, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run#1 • I68780.D 1 06/07/21 20:04 CV n/a n/a VI2207
Run#2
Purge Volume
Run#1 5.0 ml
Run#2
VOA List for NC, May 2012
CAS No. Compound Result RL MDL Units Q
67-64-1 Acetone ND 25 10 ug/I
71-43-2 Benzene ND 1.0 0.31 ug/1
108-86-1 Bromobenzene ND 1.0 0.37 ug/I
74-97-5 Bromochloromethane ND 1.0 0.45 ug/1
75-27-4 Bromodichloromethane ND 1.0 0.24 ug/1
75-25-2 Bromoform ND 1.0 0.41 ug/1
78-93-3 2-Butanone(MEK) ND 5.0 2.0 ug/1
104-51-8 n-Butylbenzene ND 1.0 0.23 ug/1
135-98-8 sec-Butylbenzene ND 1.0 0.24 ug/1 •
98-06-6 tert-Butylbenzene ND 1.0 0.31 ug/1
56-23-5 Carbon Tetrachloride ND 1.0 0.36 ug/1
108-90-7 Chlorobenzene ND 1.0 0.20 ug/1
75-00-3 Chloroethane ND 2.0 0.67 ug/1
67-66-3 • Chloroform ND 1.0 0.30 ug/1
. 95-49-8 o-Chlorotoluene ND 1.0 0.22 ug/1
106-43-4 p-Chlorotoluene ND 1.0 0.31 ug/1
124-48-1 Dibromochloromethane ND 1.0 0.28 ug/1
106-93-4 1,2-Dibromoethane ND 2.0 0.28 ug/1
75-71-8 Dichlorodifluoromethane ND 2.0 0.50 ug/1
95-50-1 1,2-Dichlorobenzene ND 1.0 0.32 ug/1
541-73-1 1,3-Dichlorobenzene ND 1.0 0.22 ug/1
106-46-7 1,4-Dichlorobenzene ND 1.0 0.26 ug/1
75-34-3 1,1-Dichloroethane ND 1.0 0.34 ug/1
107-06-2 1,2-Dichloroethane ND 1.0 0.31 ug/1
75-35-4 1,1-Dichloroethylene ND 1.0 0.32 ug/1
156-59-2 cis-1,2-Dichloroethylene ND 1.0 0.28 ug/1
156-60-5 trans-1,2-D ichloroethylene ND 1.0 0.22 ug/1
78-87-5 1,2-Dichloropropane ND 1.0 0.43 ug/1
142-28-9 1,3-Dichloropropane ND 1.0 0.31 ug/1
594-20-7 2,2-Dichloropropane ND 1.0 0.24 ug/1
563-58-6 1,1-Dichloropropene ND 1.0 0.34 ug/1
10061-01-5 cis-1,3-Dichloropropene ND 1.0 0.29 ug/1
•
ND= Not detected MDL= Method Detection Limit J= Indicates an estimated value
RL= Reporting Limit B= Indicates analyte found in associated method blank
E= Indicates value exceeds calibration range N= Indicates presumptive evidence of a compound
60113
•
FAB6 21

SGS North America Inc.
Report of Analysis Page 2 of 3
Client Sample ID: GW PIPE 001
Lab Sample ID: FA86021-1 Date Sampled: 06/01/21
Matrix: AQ-Ground Water Date Received: 06/02/21
Method: SW846 8260D Percent Solids: n/a
Project: CORR/Former Daikin Site; 602 Sunnyvale Rd, Wilmington, NC
VOA List for NC; May 2012
CAS No. Compound Result RL MDL Units Q
10061-02-6 trans-1,3-Dichloropropene ND 1.0 0.21 ug/1 •
108-20-3 Di-Isopropyl Ether ND 1.0 0.24 ug/1
64-17-5 Ethyl Alcohol ND 200 82 ug/1 '
100-41-4 Ethylbenzene ND 1.0 0.36 ug/1
591-78-6 2-Hexanone ND 10 2.0 ug/I
98-82-8 Isopropylbenzene ND 1.0 0.22 ug/1
. 99-87-6 p-Isopropyltoluene ND 1.0 0.21 ug/l
74-83-9 Methyl Bromide a ND 5.0 2.0 ug/l
74-87-3 Methyl Chloride ND 2.0 0.50 ug/1
75-09-2 Methylene Chloride ND 5.0 2.0 ug/1
108-10-1 4-Methyl-2-pentanone(MIBK) ND 5.0 1.0 ug/1
1634-04-4 Methyl Tert Butyl Ether ND 1.0 0.23 ug/1
91-20-3 Naphthalene ND 5.0 1.0 ug/1
103-65-1 n-Propylbenzene ND 1.0 0.29 ug/1
100-42-5 Styrene ND 1.0 0.22 ug/l
630-20-6 1,1,1,2-Tetrachloroethane ND 1.0 0.28 ug/1
79-34-5 1,1,2,2-Tetrachloroethane ND 1.0 0.30 ug/1
127-18-4 Tetrachloroethylene ND 1.0 0.22 ug/1
108-88-3 Toluene ND 1.0 0.30 ug/I
87-61-6 1,2,3-Trichlorobenzene ND 2.0 0.61 ug/I
120-82-1 1,2,4-Trichlorobenzene ND 2.0 0.50 ug/1
71-55-6 1,1,1-Trichloroethane ND 1.0 0.25 ug/1
79-00-5 1,1,2-Trichloroethane ND 1.0 0.47 ug/1
79-01-6 Trichloroethylene ND 1.0 0.35 ug/1
75-69-4 Trichlorofluoromethane ND 2.0 0.50 ug/I •
96-18-4 1,2,3-Trichloropropane ND 2.0 0.63 ug/l •
95-63-6 1,2,4-Trimethylbenzene ND 1.0 0.32 ug/1
108-67-8 1,3,5-Trimethylbenzene ND 1.0 0.27 ug/l
108-05-4 Vinyl Acetate ND 10 2.0 ug/1
75-01-4 Vinyl Chloride ND 1.0 0.41 ug/1
• m,p-Xylene ND 2.0 0.47 ug/I
95-47-6 o-Xylene ND 1.0 0.26 ug/1
1330-20-7 Xylene(total) ND 3.0 0.72 ug/1
CAS No. Surrogate Recoveries Run#1 Run#2 Limits
1868-53-7 Dibromofluoromethane 97% 83-118%
17060-07-0 1,2-Dichloroethane-D4 102% 79-125%
2037-26-5 Toluene-D8 98% 85-112%
460-00-4 4-Bromofluorobenzene 100% 83-118%
ND= Not detected MDL= Method Detection Limit J= Indicates an estimated value
RL= Reporting Limit B= Indicates analyte found in associated method blank
E= Indicates value exceeds calibration range N= Indicates presumptive evidence of a compound
7 of 13
FA86021
l

•
SGS North America Inc.
• Report of Analysis Page 3 of 3
Client Sample ID: GW PIPE 001
Lab Sample ID: FA86021-1 Date Sampled: 06/01/21
Matrix: AQ-Ground Water Date Received: 06/02/21
Method: SW846 8260D Percent Solids: n/a
Project: CORR/Former Daikin Site; 602 Sunnyvale Rd, Wilmington, NC
VOA List for NC, May 2012
CAS No. Compound Result RL MDL Units Q
(a)Associated CCV outside of control limits low.
•
•
•
ND= Not detected MDL= Method Detection Limit J= Indicates an estimated value
RL= Reporting Limit B= Indicates analyte found in associated method blank
E= Indicates value exceeds calibration range N= Indicates presumptive evidence of a compound
SGS..... 8 of 13
FA86021

SGS North America Inc.
Report of Analysis Page 1 of 2
Client Sample ID: GW PIPE 001
Lab Sample ID: FA86021-1 Date Sampled: 06/01/21
Matrix: AQ-Ground Water Date Received: 06/02/21
Method: SW846 8270E SW846 3510C Percent Solids: n/a
Project: CORR/Former Daikin Site; 602 Sunnyvale Rd, Wilmington, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run#1 9I013174.D 1 06/08/21 01:15 WH 06/07/21 08:06 OP85759 S9I472
Run#2
Initial Volume Final Volume
Run#1 250 ml 1.0 ml
Run#2
ABN List for NC, May 2012
CAS No. Compound Result RL MDL Units Q
65-85-0 Benzoic Acid ND 200 40 ug/1
59-50-7 4-Chloro-3-methyl Phenol ND 20 2.4 ug/1
95-57-8 2-Chlorophenol ND 20 2.5 ug/1
120-83-2 2,4-Dichlorophenol ND 20 3.3 ' ug/1
105-67-9 2,4-Dimethylphenol ND 20 3.0 ug/1
51-28-5 2,4-Dinitrophenol ND 100 20 ug/1
534-52-1 4,6-Dinitro-o-cresol ND 40 8.0 ug/I
95-48-7 2-Methylphenol ND 20 2.2 ug/I
3&4-Methylphenol ND 20 3.9 ug/1
88-75-5 2-Nitrophenol ND 20 3.4 ug/1
100-02-7 4-Nitrophenol a ND 100 20 ug/1
87-86-5 Pentachlorophenol ND 100 20 ug/1
108-95-2 Phenol ND 20 2.0 ug/l
88-06-2 2,4,6-Trichlorophenol ND 20 3.0 ug/1
83-32-9 Acenaphthene ND 20 2.5 ug/1
208-96-8 Acenaphthylene ND 20 2.6 ug/l
120-12-7 Anthracene ND 20 3.2 ug/1
56-55-3 Benzo(a)anthracene ND 20 3.0 ug/1
50-32-8 Benio(a)pyrene ND 20 3.1 ug/1
205-99-2 Benzo(b)fluoranthene ND 20 3.1 ug/1
191-24-2 Benzo(g,h,i)perylene ND 20 3.3 ug/1
207-08-9 Benzo(k)fluoranthene ND 20 3.4 ug/1
100-51-6 Benzyl Alcohol ND 20 2.5 ug/1 •
101-55-3 4-Bromophenyl Phenyl Ether ND 20 3.4 ug/l
85-68-7 Butyl Benzyl Phthalate ND 20 4.0 ug/1
106-47-8 4-Chloroaniline ND 20 2.5 ug/1
111-91-1 bis(2-Chloroethoxy)methane ND 20 3.2 ug/1
111-44-4 bis(2-Chloroethyl)ether ND 20 2.9 ug/1
• 108-60-1 2,2'-Oxybis(1-chloropropane) ND 20 3.0 ug/1
91-58-7 2-Chloronaphthalene ND 20 2.0 ug/1
7005-72-3 4-Chlorophenyl Phenyl Ether ND 20 2.1 ug/1
218-01-9 Chrysene ND 20 3.4 ug/1
ND= Not detected MDL= Method Detection Limit J= Indicates an estimated value
RL= Reporting Limit B= Indicates analyte found in associated method blank
E= Indicates value exceeds calibration range N= Indicates presumptive evidence of a compound
9 of 13
FA86021

•
SGS North America Inc.
Report of Analysis Page 2 of 2
Client Sample ID: GW PIPE 001
Lab Sample ID: FA86021-1. Date Sampled: 06/01/21
Matrix: AQ-Ground Water Date Received: 06/02/21
Method: SW846 8270E SW846 3510C Percent Solids: n/a
Project: CORR/Former Daikin Site; 602 Sunnyvale Rd, Wilmington, NC
ABN List for NC, May 2012
CAS No. Compound Result RL MDL Units Q
53-70-3 Dibenzo(a,h)anthracene ND 20 3.2 ug/1
132-64-9 Dibenzofuran ND 20 2.4 ug/1
95-50-1 1,2-Dichlorobenzene ND 20 2.0 ug/1
541-73-1 1,3-Dichlorobenzene ND 20 2.0 ug/1
106-46-7 1,4-Dichlorobenzene ND 20 2.0 ug/1
91-94-1 3,3'-Dichlorobenzidine ND 20 2.6 ug/1
84-66-2 • Diethyl Phthalate ND 20 4.0 ug/I
131-11-3 Dimethyl Phthalate ND 20 4.0 ug/1
• 84-74-2 Di-n-butyl Phthalate ND 20 4.0 ug/1
117-84-0 Di-n-octyl Phthalate ND 20 4.0 ug/1
122-66-7 1,2-Diphenylhydrazine ND 20 3.0 ug/1
117-81-7 bis(2-Ethylhexyl)phthalate ND 20 4.0 ug/I
206-44-0 Fluoranthene ND 20 2.2 ug/1 •
86-73-7 Fluorene ND 20 2.8 ug/1
118-74-1 Hexachlorobenzene ND 20 2.8 ug/1
87-68-3 Hexachlorobutadiene ND 20 2.0 ug/1
77-47-4 Hexachlorocyclopentadiene ND 20 7.2 ug/1
67-72-1 Hexachloroethane ND 20 6.6 ug/1
193-39-5 Indeno(1,2,3-cd)pyrene ND 20 2.9 ug/1
78-59-1 Isophorone ND 20 3.1 ug/1
90-12-0 1-Methylnaphthalene ND 20 2.1 ug/1
91-57-6 2-Methylnaphthalene ND 20 2.4 ug/1
91-20-3 Naphthalene ND 20 2.0 ug/1
98-95-3 Nitrobenzene ND 20 3.7 ug/1
621-64-7 N-Nitrosodi-n-propylamine ND 20 2.7 ug/1
86-30-6 N-Nitrosodiphenylamine ND 20 3.2 ug/1 .
85-01-8 Phenanthrene ND 20 3.5 ug/1
129-00-0 Pyrene ND 20 2.7 ug/1
120-82-1 1,2,4-Trichlorobenzene ND 20 4.3 ug/1
CAS No. Surrogate Recoveries Run#1 Run#2 Limits
367-12-4 2-Fluorophenol 44% 14-67%
4165-62-2 Phenol-d5 36% 10-50%
118-79-6 2,4,6-Tribromophenol 76% 33-118%
4165-60-0 Nitrobenzene-d5 63% 42-108%
321-60-8 2-Fluorobiphenyl 65% 40-106%
1718-51-0 Terphenyl-d14 73% 39-121%
(a)Associated CCV outside of control limits low.
ND= Not detected MDL= Method Detection Limit J= Indicates an estimated value
RL= Reporting Limit B= Indicates analyte found in associated method blank
E= Indicates value exceeds calibration range N= Indicates presumptive evidence of a compound
SGS 10 of 13
FA86021

,,...._....,,_S.._
Orlando, FL
Section 4
. .a
Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
•
sc�_. 11 of 13
FA86021

SGS Accutest Southeast cntb4Z
Chain of Custody SGSACCUTESTJOB#: PAGE ( OF /
S3S ACCUTEST 4405Vnelard Nn.d,SRie C-1,Orlando,Ii 32R11
I I.I.4t1]-415-6]00 PAX'401-415 e]0]
SGS Accutest Quote# SKIFF#
WWIY.aC“ItS1.CONe
`:. ( Client/Reporting Information [ f Project Information l AnaiyticalInformation Matrix Codes
Protect Name: / OW-ODrinkingCOP Z,
l/ �/{ C.1)IlJ Water
Address: Street GW-Ground
Water
City: State: Zip: City State WW-Water
Project Contact: v Email: Project# `J rJ SWWaterace
KAt /Zebt,;,) cvrne Z B rZ7sJ�617 Cvn �' SO-Soil
Phone#: /1,L 6z.3 0 ce o, Fax# r (MV SL-Sludge
7 to b OI-Oil A
Sampler(s)Name(s)(Printed) sy���. Client Purchase Order# LIO-Other • lili
Sampler 1: Sampler Liquid
COLLECmON coetmeus INFORMATION tV,J AIR-Air
SGS TOTAL, E. t •
Accutest cunmry or c 4 8 ii 6 o o ll
Sample# Field ID/Point of Collection DATE ma_ NAtn:x onions S 1 T r 2 E s LAB USE ONLY
l pfpC Oat d 1/-zl 1-P5- Sr <;c� 3 / l0.A V T-ar j
JCr
6-
/-z, iftrs 57 Gw z ✓ , / D.A.( a,�r
111111111111� Tel-IT1
I r
, -rUNTyoUrtd Time(Business days) Data Deliverable Information ---: Comments/Remarks
10 Day(Basin Slab Approved By:I Date: COMMERCIAL"A"(RESULTS ONLY)
r ue,.„,......--1" .L COMMERCIAL"B"(RESULTS PLUS QC)
Day r�076 OREDT1 (EPA LEVEL 3)
ey' ti/S 0 FULLT1(EPA LEVEL 4)
2 Day RUSH :EMS airrULAS,SESSMEt r
1 Day RUSH LABEL VEFURC tT10N
Other
Rush T/A Data Available VIA Email or Lablink
Sample Custody must be documented below each time samples change possession,including courier delivery.
Relinquished by Sampler/fflIiatlon Date Ti Received By/Affiliation Relinquished B!Affiliation Dat Ti e: Recei By/-fhliation
<<,,r,.y- . le / /'� Co.
1 Relinquishedn�4:e f ZL.�f C,^�7[7� Da" 2e� lotion 3 j a met
Relinquishedme: Received
Received ByfAHillallon
5 & rt�. 7 0✓�y 6
Lab Use Only a cooler Tempereture(s)Celsius: L.0 \hS\`
•
. FA86021: Chain of Custody
Page
12 of 13
FA86021

SGS Sample Receipt Summary
Job Number: FA86021 Client: CORR Project: DAIKIN
Date/Time Received: 6/2/2021 10:15:00 AM Delivery Method: FX Airbill Ws:
Therm ID: IR 1; Therm CF: -1.8; #of Coolers: 1
Cooler Temps(Raw Measured)°C: Cooler 1:(3.6);
Cooler Temps(Corrected)°C: Cooler 1:(1.8);
Cooler Information Y or N Sample Information Y or N
1.Custody Seals Present © ❑ 1.Sample labels present on bottles © ❑ 4+
2.Custody Seals Intact ® 0 2.Samples preserved properly ® 0
3.Temp criteria achieved © ❑ 3.Sufficient volume/containers recvd for analysis: 0 ❑
4.Cooler temp verification Eakin 4.Condition of sample Intact
5.Cooler media Ice(Baal 5.Sample recvd within HT ® ❑
6.Dates/Times/IDs on COC match Sample Label ® ❑
Trio Blank Information Y or N N/A 7.VOCs have headspace ❑ ® ❑
1.Trip Blank present/cooler 0 ❑ ❑ 8.Bottles received for unspecified tests ❑
2.Trip Blank listed on COC © ❑ ❑ 9.Compositing instructions clear ❑ ❑
W or S N/A 10.Voa Soil Kits/Jars received past 48hrs? ❑ ❑
11.%Solids Jar received? 0 ❑
3.Type Of TB Received © ❑ ❑
12.Residual Chlorine Present? ❑ 0
Misc.Information
Number of Encores: 25-Gram 5-Gram Number of 5035 Field Kits: Number of Lab Filtered Metals:
Test Strip Lot#s: pH 0-3 230315 pH 10-12 219813A Other: (Specify)
Residual Chlorine Test Strip Lot#:
Comments
•
•swot
Rev.Date 0524/17 Technician: PETERH Date: 6/2/2021 10:15:00 AM Reviewer: Date:
FA86021: Chain of Custody
Page 2 of 2
•
•
13 of 13
FA86021
•

LABORATORY REPORT ATTACHMENTS
• Technical Report SGS AccuTest Laboratory
Former Daikin Applied Site; 602 Sunnyvale Drive, Wilmington, NC
SGS Report No. FA86158, June 14, 2021
HEM Oil and Grease EPA 1664A

dye z
•
a
IGS -
� 3 ,
Orlando, FL• fi � 06/14/21
The results set forth herein are provided by SGS North America Inc. G'' flrtCC(3j311 2.0
#tttontated Report
Technical Report for
Corr Environmental
��4 3t3 s
CORR/Former Daikin Site; 602 Sunnyvale Rd, Wilmington, NC
SGS Job Number: FA86158
Sampling Date: 06/04/21
tier
•
Report to:
•
Corr Environmental
4609 Candlestick Dr
Garland, TX 75043
[e-mail]
•
ATTN: Ray Roblin
Total number of pages in report:
ac .
4 e , /// •••
e..
Test results contained within this data package meet the requirements Norm Farmer
of the National Environmental Laboratory Accreditation Program Technical Director
and/or state specific certification programs as applicable.
Client Service contact: Evita Martinez 407-425-6700 •
Certifications:FL(E83510),LA(03051),KS(E-10327),NC(573),NJ(FL002),NY(12022),SC(96038001)
DoD ELAP(ANAB L2229),AZ(AZ0806),CA(2937),TX(T104704404),PA(68-03573),VA(460177),
AL,AK,AR,CT,IA,KY,MA,MI.MS,ND,NH,NV,OK,OR,UT,VT,WA,WV
This report shall not be reproduced,except in its entirety,without the written approval of SGS.
Test results relate only to samples analyzed.
•
SGS North America Inc. • 4405 Vineland Road • Suite C-15 • Orlando,FL 32811 • tel:[phone] • fax:[phone]
S(iS is the sole authority for autnorizine edt,s or modifications to flits c et ..etnt. Please share your ideas about I of 9
t;uatithonscci modification of this report is strictly prohibited. how we can serve you better at:
Review standard Icons at: http:/iww•A.sgs.com-eniterms-and-conditions l:.t-IS.tlS.(.ustoin.rCarciAsgs.coin FA8615a

Sections:
Table of Contents
Section 1: Sample Summary 3
Section 2: Summary of Hits 4
3.1: FA86158-1: GW PIPE 001 6
Section 4: Misc. Forms 7
4.1: Chain of Custody 8
•
•
• FAB6158

SGS North America Inc.
Sample Summary
Corr Environmental
Job No: FA86158
CORR/Former Daikin Site; 602 Sunnyvale Rd, Wilmington, NC
Sample Collected Matrix Client
Number Date Time By Received Code Type Sample ID
FA86158-1 06/04/21 11:00 ST 06/05/21 AQ Ground Water GW PIPE 001
•
3of9
FA86158

Summary of Hits Page 1 of 1
Job Number: FA86158
Account: Corr Environmental
Project: CORR/Former Daikin Site; 602 Sunnyvale Rd, Wilmington, NC
Collected: 06/04/21
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA86158-1 GW PIPE 001
No hits reported in this sample.
•
•
•
•
SG4of9
....
FA86158

•
sGs
L1.
•
Orlando, FL ,,`1.5a..
Section 3
Sample Results
' Report of Analysis
•
5of9
s :_..
FA86158

SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID: GW PIPE 001
Lab Sample ID: FA86158-1 Date Sampled: 06/04/21
Matrix: AQ-Ground Water Date Received: 06/05/21
Percent Solids: n/a
Project: CORR/Former Daikin Site; 602 Sunnyvale Rd, Wilmington, NC
General Chemistry
Analyte Result RL Units DF Analyzed By Method
HEM Oil and Grease < 5.0 5.0 mg/I 1 06/09/21 09:46 KSA EPA 1664A
•
•
•
•
RL= Reporting Limit
SGS 6 of 9
FA$f158

•
S
G ..._ "
Orlando FL
Section 4
Misc. Forms
Custody Documents and Other Forms
•
Includes the following where applicable:
• Chain of Custody
•
•
7 of 9
FA$S158

SGS Accutest Southeast 111 ✓g
SGS ACCU I ES I Chain of Custody SGSACCUTESTJOB#: PAGE ( OF /
L 1 44 C5 VinNani Road,S C'-I5 Otlelldo,P!328,
rn.t 407ass-Too I Ax:40/-425 707 SGS Accutest Quote# SKIFF#
waaumie,trely
1 Client l Reporting Inform----Inforn-- --1 1 Project Information I Analytical Information i Matrix Codes
C IUD �u .1� Protect Name: �� t -/ 1DINWater
king
Address: \ Street - M GW-Ground
Water
City: State: Zip: rrty State WW-Water
SW Project Contact: Email: }Project# Wa:erace P.
R-Alf/Z4.4c.2.) Cu.Y'CR G'' trcK-17,t+ V SO-Soil
Phone e: 'Z. 5 Z 3 O y 8,7 I Fax# �, SL-Sludge
Samplers)Name(s)(Printed) ' `�T �'
- 'Client Purchase Order# [t� tiquld
LIO-Other
G E COLLECTION CONTAINER INFORMATION kl AtR- -
Sem_pler 1: Sampler 2: . —
Air
SGS [S w�
TOTAIE
Accuses: AMn_Eo or g 1 3
Sample# Field ID 1 Point of Collection DATE TIME s on, MATRIX Domes p i V ° 5 5 O LAB USE ONLY
i 4 cJ P,%'� e- E,-y.Zr /eo o S'7 GcZ Z. ✓ ✓
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Turnaround Time(Business OTT- Data Delivera`-b> rmatlon (Comments I Remarks
10 Day(Business) Approved By:I Date: EICOMMERCIAL"A"(RESULTS ONLY)
(41'Dayr) EICOMMERCIAL"B"(RESULTS PLUS QC)
5 Day OREDT1 (EPA LEVEL 3)
3 Day RUSH ❑FULLTI(EPA LEVEL 4) •./
2 Day RUSH �!!__ —_ DEDD'S tfWtflALASs£SSA AN I_�� /1
1 Day RUSH AEk1.VFR1FiCAt10N
Other
Rush TfA Data Available VIA Email or Lablink
Sample Custody must be documented below each time samples change possession,including courier delivery. -
Relinquished by Sans ter/Affiliation Date Time: Received By/Affiliation Relinquished By/Affiliation Date Time: Received y/A illation
RelinquiL5 ed by/Relation Date TiTime: Recce �eiyed ByIA',}11•latlon 6475
]I Relinquished /ARiliation Data Time: Received By/Affiliation
�1 o (f ' t'
Lab Use Only: Cooler Temperature is)Celsius:.2. C, 3.,o 14
/
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FA86i1S8: Chain of Custody
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FA86158

SGS Sample Receipt Summary .
Job Number: FA86158 Client: CORR ENV TRES INC Project: DAIKIN
Date/Time Received: 6/5/2021 9:15:00 AM Delivery Method: FEDEX Airbill#'s: 954628451084
Therm ID: IR 1; Therm CF: -1.8; #of Coolers: 1
Cooler Temps(Raw Measured)°C: Cooler 1:(3.0);
Cooler Temps(Corrected)°C: Cooler 1:(1.2); ,p
i
Cooler Information Y or N Sample Information Y or N N/A
1.Custody Seals Present © ❑ 1.Sample labels present on bottles © ❑
2.Custody Seals Intact W ❑ 2.Samples preserved properly ❑d ❑
3.Temp criteria achieved ❑d ❑ 3.Sufficient volume/containers recvd for analysis: 0 ❑
4.Cooler temp verification IR un 4.Condition of sample Intact
5.Cooler media Ice(Baal 5.Sample recvd within HT ® ❑
6.Dates/Times/IDs on COC match Sample Label R ❑ I
Trio Blank Information Y or N N/A 7.VOCs have headspace ❑ ❑
1.Trip Blank present/cooler ❑ ❑ ❑/ 8.Bottles received for unspecified tests ❑ WI
2.Trip Blank listed on COC ❑ ❑ [I 9.Compositing instructions clear ❑ ❑ 0
Vll or S N/A 10.Voa Soil Kits/Jars received past 48hrs? ❑ ❑
11.%Solids Jar received? ❑ ❑ iWi
3.Type Of TB Received ❑ ❑ ❑�
12.Residual Chlorine Present? ❑ ❑ WI
Misc.Information
Number of Encores: 25-Gram 5-Gram Number of 5035 Field Kits: Number of Lab Filtered Metals:
•
Test Strip Lot#s: pH 0-3 230315 pH 10-12 21981 3A Other: (Specify)
Residual Chlorine Test Strip Lot#:
Comments
v Date BRYANG Date: 6/5/2021 9:15:00 AM Reviewer: Date:
Rev.Date 0524/17 ---
FA86158: Chain of Custody
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