NCG030103_2021 DMR_20210701

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Storm Water discharge Outfall
Qualitative Monitoring Report
(To be completed during a rainfall )
For: Moen Incorporated, 2609 Cox Mill Road, Sanford, NC 27332 [phone]
Certificate of Coverage No.: NCG030103 Receiving Stream: Trib. Of Carrs Creek
Inspector: ] Date: ? f Time. .�• too /ohi
r
Weather Conditions:
By this signature, I certify that this report is accurate and complete to the best of my
Knowledge:
Inspector
Outfall Number
1
2
3
4
Color: Describe the color of the discharge using basic colors
(red, blue, brown, etc. and tint (light, medium, dark) as
C%Q�r
Cl�,.
lr.o,-
C/.-q
descriptors. Write "None" if no color is present.
Odor: Describe any distinct odors that the discharge may
have (i.e., smells strongly of oil, weak chlorine odor, etc.).
"None"
Write is no odor is present.
Clarity: Choose the number which best describes the clarity
of the discharge where 1 is clear and 10 is very cloudy.
rj
(-
-
Floating Solids: Choose the number which best describes
the amount of floating solids in the stormwater discharge
where 1 is no solids and 10 is the surface covered in floating
2—
solids.
Suspended Solids: Choose the number which best
describes the amount of suspended solids in the stormwater
discharge where 1 is no solids and 10 is extremely muddy.
Foam: Is there any foam in the stormwater discharge? YES
or NO
�ee
✓v v
A/0
ii,/�
A/d
O
Oil Sheen: Is there an oil sheen in the stormwater discharge?
YES or NO
v
� /
! U O
�/ ®
/ (./ o
"0
Other Obvip-ors Indicators of Stormwater Pollution: YES or
NO. If "YES," list the outfall number and describe below.
�/
/ " d
/f
`/0
L,ommenis:
Note: Low clarity, high solids, and/or the presence of foam or oil sheens may be indicative of pollutant
exposures. These conditions must be reported to the Environmental Coordinator and warrant further
investigation.

a
WayRqint
YTICAL
6/14/2021
Moen, Inc
John West
2609 Cox Mill Rd.
Sanford, NC, 27330
Ref: Analytical Testing
Lab Report Number: 21-155-0039
Client Project Description: Stormwater Spring 2021
Dear John West:
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytical.com
Waypoint Analytical, LLC (Charlotte) received sample(s) on 6/4/2021 for the analyses presented in the
following report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters were performed in accordance with guidelines established by the USEPA (including 40 CFR 136
Method Update Rule May 2012) unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
LofflA�) W
C�
Terri W Cole
Laboratory Project Manager
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 8

Waypointo
ANALYTICAL
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalocal.com
Certification Summary
Laboratory ID: WP CNC: Waypoint Analytical Carolina, Inc. (C), Charlotte, NC
State
Program
Lab ID
Expiration Date
North Carolina
State Program
37735
07/31/2021
North Carolina
State Program
402
12/31/2021
South Carolina
State Program
99012
07/31/2021
South Carolina
State Program
99012
12/31/2021
Page 1 of 1 00016/21-155-0039
Page 2 of 8

0 (D
Waypoint.
ANALYTICAL
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.wavpolntanalytical.com
Sample Summary Table
Report Number: 21-155-0039
Client Project Description: Stormwater Spring 2021
Lab No
Client Sample ID
Matrix
Date Collected
Date Received
89137
89138
01
03
Aqueous
Aqueous
06/02/2021 15:25
06/02/2021 15:30
06/04/2021 16:00
06/04/2021 16:00
Page 3 of 8

Waypdlont.(2)
ANALYTICAL
449 Springbrook Rd, Charlotte, NC 28227
Main 704.529.6364
www.waypointanalytical.com
Client: Moen, Inc CASE NARRATIVE
Project: Stormwater Spring 2021
Lab Report Number: 21-155-0039
Date: 6/14/2021
Oil and Grease Method 1664B
QC Batch No: V5105
Low recovery was found for the matrix spike. All other quality control is within acceptable limits. Sample
interference is suspected.
Page 4 of 8

r
Waypoint.
ANALYTICAL
01143
Moen, Inc Project
John West
2609 Cox Mill Rd. Information
Sanford , NC 27330
Report Number : 21-155-0039
Lab No : 89137
Sample ID : 01
Test
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanai'ytical.com
Stormwater Spring 2021
REPORT OFANAL YSIS
Results Units MOL
Report Date: 06/14/2021
Received : 06/04/2021
�0 W4
Terri W Cole
Laboratory Project Manager
Matrix: Aqueous
Sampled: 6/ 2/ 2021 15:25
DF Date / Time By Analytical
Analyzed Method
HEM: Oil and Grease
<5.7
mg/L
5.7
1
06/08/21 10:09
SLS
1664B
Total Suspended Solids
2.6
mg/L
2.5
1
06/07/21 10:27
SMW
254OD-2011
Copper
0.0025
mg/L
0.0020
1
06/12/2101:31
MMR
200.8
Lead
<0.0010
mg/L
0.0010
1
06/12/2101:31
MMR
200.8
Zinc
<0.020
mg/L
0.020
1
06/12/2101:31
MMR
200.8
Qualifiers/ DF Dilution Factor
Definitions MQL Method Quantitation Limit
L Limit Exceeded
Page 5 of 8

0
Waypoint.
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL
www.waypointanalocal.com
01143
Moen, Inc
Project
Stormwater Spring 2021
John West
Report Date : 06/14/2021
2609 Cox Mill Rd.
Information :
Received : 06/04/2021
Sanford , NC 27330
VAW4
Report Number : 21-155-0039
REPORT OPANALYSIS
Terri W ColeLaboratory
Project Manager
Lab No : 89138
Matrix: Aqueous
Sample ID : 03
Sampled: 6/2/2021 15:30
Test
Results
Units
MQL
DF Date / Time By Analytical
Analyzed Method
HEM: Oil and Grease
<5.7
mg/L
5.7
1 06/08/21 10:09 SLS 1664B
Total Suspended Solids
3.7
mg/L
2.5
1 06/07/21 10:27 SMW 2540D-2011
Copper
0.0044
mg/L
0.0020
1 06/12/2101:44 MMR 200.8
Lead
<0.0010
mg/L
0.0010
1 06/12/2101:44 MMR 200.8
Zinc
<0.020
mg/L
0.020
1 06/12/2101:44 MMR 200.8
Qualifiers/ DF Dilution Factor
Definitions
L Limit Exceeded
Page 6 of 8

(D
Waypoint,
449 Springbrook Rd, Charlotte, 28
ANALYTICAL
Main 704.529.63643fi4
www.waypointanaiyticai.com
Shipment
Receipt Form
Customer Number: 01143
Customer Name: Moen, Inc
Report Number: 21-155-0039
Shipping
Method
Fed Ex ❑ US Postal Lab
O Other: F
UPS ❑ Client O Courier
Thermometer ID:IRT-15 6.00
Shipping container/cooler uncompromised?
49 Yes
O No
Number of coolers/boxes received
F 1
Custody seals intact on shipping container/cooler?
O Yes
O No Not Present
Custody seals intact on sample bottles?
O Yes
O No * Not Present
Chain of Custody (COC) present?
0 Yes
O No
COC agrees with sample Iabel(s)?
• Yes
O No
COC properly completed
10 Yes
O No
Samples in proper containers?
• Yes
O No
Sample containers intact?
0 Yes
O No
Sufficient sample volume for indicated test(s)?
0 Yes
O No
All samples received within holding time?
0 Yes
O No
Cooler temperature in compliance?
Yes
O No
Cooler/Samples arrived at the laboratory on ice.
Yes
O No
Samples were considered acceptable as cooling
process had begun.
Water - Sample containers properly preserved
/ Yes
O No O N/A
Water - VOA vials free of headspace
O Yes
O No N/A
Trip Blanks received with VOAs
O Yes
O No N/A
Soil VOA method 5035 — compliance criteria met
O Yes
O No N/A
F High concentration container (48 hr)
[_ Low
concentration EnCore samplers (48 hr)
High concentration pre -weighed (methanol -14 d)
F_ Low
conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included? O Yes No
Comments:
Signature: Talon J Yelton Date & Time: �0, 6/04/2021 16:47:54
Page 7 of 8

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