NC0083038_Renewal (Application)_20240513

ROY COOPER
Covemor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Christopher Say, Manager Plant
Ardagh Glass Inc
PO Box 1757
Wilson, NC 27893
Subject: Permit Renewal
Application No. NCO083038
Ardagh Glass, Inc.
Vance County
Dear Applicant:
NORTH CAROLINA
Environmental Quality
May 13, 2024
The Water Quality Permitting Section acknowledges the May 13, 2024 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. 150E-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://www.deg.nc.Rov/permits-rules/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,
a444 444V-0()
Cynthia Demery
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
North Carolina Department of Environmental Qualhy I Division of Water Resources
Raleigh Regional Office 1 3800 Barrett Drive I Raleigh, North Carolina 27609
gkie
919.791.4200

Ardagh group
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Via Certified Mail: No. 7020 2450 0001 9169 3522
Return Receipt Requested
Division of Water Resources
Water Quality Permitting Section - NPDES
1617 Mail Center Drive
Raleigh, NC 27699-1617
May 3, 2024
Re: Ardagh Glass, Inc.
Henderson, NC
Renewal of NPDES Permit NCO083038
To whom it may concern:
www.ardaghgroup.com
620 Facet Rd.
Henderson, NC 27537
T: 252-492-1131
F: 252-492-3531
Ardagh Glass Inc. requests renewal of NPDES permit number NCO083038 for the discharge of wastewater
for our facility located at 620 Facet Road, Henderson, NC. Pursuant to 40 CFR 122.44(a)(2), At this time we
also request a waiver from the stormwater pollutants listed in Table A of the application for all outfalls. This
facility is already subject to general industrial stormwater permit NCG070076, which imposes its own
stormwater sampling requirements. Therefore we are requesting that the only sampling requirements for this
permit be the same as those issued in our previous permit. There has been no facility changes impacting
the permitted system since the previous permit was issued.
If you have any questions or require additional information, please contact me via email at
[e-mail]
Yours sincerely,
J remy Palin
Corporate Environmental Engineer
RECEIVED
MAY 13 2024
NGDEQ/DWRINPDES

RECEIVED
EPA Identification Number
NPDES Permit Number
Facility Name Form Approved 03/05/19
110001482887
NCO083038
F Ardagh Glass, Inc. M, M 1 30I�1�42040-0004
Form
U.S. Environmental Protection Agency
1
NPDES
\"h EPA
Application for NPDES Permit to Discharge Wastewater �D
�R'A''`1
GENERAL INFORMATrt�E.Qh
SECTIONREQUIRING
1.1
Applicants Not Required to Submit Form 1
1.1.1
Is the facility a new or existing publicly owned
1.1.2
Is the facility a new or existing treatment works
treatment works?
treating domestic sewage?
If yes, STOP. Do NOT complete No
If yes, STOP. Do NOT 0 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,
E
operation or a concentrated aquatic animal
commercial, mining, or silvicultural facility that is
a
production facility?
currently discharging process wastewater?
Cn
w
Yes 4 Complete Form 1 No
Yes 4 Complete Form ❑ No
a
z
and Form 2B.
1 and Form 2C.
r-
1.2.3
Is the facility a new manufacturing, commercial,
1.2.4
Is the facility a new or existing manufacturing.
c
mining, or silvicultural facility that has not yet
commercial, mining, or silvicultural facility that
:�
commenced to discharge?
discharges only nonprocess wastewater?
d
Yes 4 Complete Form 1 0 No
❑ Yes 4 Complete Form 0 No
U)
and Form 2D.
1 and Form 2E.
'.
1.2.5
Is the facility a new or existing facility whose
Z
discharge is composed entirely of stormwater
a
associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
❑ Yes -+ Complete Form 1 No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x) or
(b)(15).
SECTIONDD•
• •
2.1
Facili Name
Ardagh Glass, Inc.
0
2.2
EPA Identification Number
U
J
110001482887
.6
2.3
Facility Contact
V/
L
Name (first and last)
Title
Phone number
QSteve
Cantor
[phone]
Email address
[e-mail]
6
2.4
Facility Mailing Address
ZStreet
or P.O. box
620 Facet Road
City or town
State
ZIP code
Henderson
NC
27527
EPA Form 3510-1 (revised 3-19) Page 1
:S

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
110001482887
NCO083038
Ardagh Glass, Inc.
OMB No. 2040-0004
2.5
Facility Location
S
Street, route number, or other specific identifier
a U
620 Facet Road
rn
c
County name
County code (if known)
�6
Vance
E _j
City or town
State ZIP code
z cc
I
Henderson
NC 27527
SECTION•D
1
Description (optional)
3.1
SIC Code(s)
3221
0
O
U
U
z
3.2
NAICS Code(s)
Description (optional)
U
327213
U)
4.1
Name of Operator
70mm—
Ardagh Glass, Inc.
4.2
Is the name you listed in Item 4.1 also the owner?
E
✓❑ Yes ❑ No
0
w
7Z
4.3
Operator Status
0
❑ Public —federal ❑ Public —state ❑ Other public (specify)
0
_
❑✓ Private ❑ Other (specify)
4.4
Phone Number of Operator
[phone]
4.5
Operator Address
w
Street or P.O. Box
a
m
10194 Crosspoint Blvd.
w �
5 `
City or town
State
ZIP code
� c
o V
Indianapolis
IN
46256
Q
Email address of operator
0
SECTION•
.0
5.1
Is the facility located on Indian Land?
c
❑ Yes ❑✓ No
EPA Form 3510-1 (revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name
110001482887 NCO083038 Ardagh Glass, Inc.
Form Approved 03/05/19
OMB No. 2040-0004
6.1 Existing Environmental Permits (check all that apply and print or type the corresponding permit number for each)
❑ NPDES (discharges to surface 0 RCRA (hazardous wastes) ❑ UIC (underground injection of
c water) fluids)
NCO083038 NCD053528170
a❑✓ PSD (air emissions) ❑ Nonattainment program (CAA) ❑ NESHAPs (CAA)
c 02834
w I I ❑ Ocean dumping (MPRSA) ❑ Dredge or fill (CWA Section 404) [ID Other (specify)
Stormwater - NCG070076
7.1 IHave you attached a topographic map containing all required information to this application? (See instructions for
specific requirements.)
❑✓ Yes ❑ No ❑ CAFO—Not Applicable (See requirements in Form 2B.)
8.1 Describe the nature of your business.
This facility is a container glass manufacturing facility subject to effluent limitation guidelines for the "Glass
y Container Manufacturing" subcategory at 40 CFR 426 Subpart H. At the facility, raw materials are combined into
batches and delivered to the two glass melting furnaces where they are heated to molten glass. The molten glass is
y then directed to forehearths where it is further conditioned before being directed to a forming machine where it is
co molded into glass containers. The containers are slowly heated and cooled in annealing lehrs. The annealed
2containers are inspected for quality and then packed into cartons or on bulk pallets. The containers are stored in an
on -site warehouse until loaded in a truck for shipment to the customer.
z
FECTION 9. COOLING
9.1 1 Does your facility use cooling water?
❑✓ 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
40 CFR 125, Subparts I and J may have additional application requirements at 40 CFR 122.21(r). Consult with your
ocoNPDES permitting authority to determine what specific information needs to be submitted and when.)
(0j Public water system
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
w apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
3
❑ Fundamentally different factors (CWA ❑ Water quality related effluent limitations (CWA Section
Section 301(n)) 302(b)(2))
u
❑ 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 03/05/19
110001482887
NCO083038
Ardagh Glass, Inc. OMB No.20400004
SECTION•
.
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
Section 1: Activities Requiring an NPDES Permit
❑ w/ attachments
0 Section 2: Name, Mailing Address, and Location
❑ w/ attachments
❑✓ Section 3: SIC Codes
❑ w/ attachments
❑✓ Section 4: Operator Information
❑ w/ attachments
❑✓ Section 5: Indian Land
❑ w/ attachments
❑� Section 6: Existing Environmental Permits
❑ w/ attachments
d
is
❑✓ Section 7: Map
0 w/ topographic
❑ w/ additional attachments
in
ma
c
❑� Section 8: Nature of Business
❑ w/ attachments
❑ Section 9: Cooling Water Intake Structures
❑ w/ attachments
r
❑✓ Section 10: Variance Requests
❑ w/ attachments
A
�,
Y
❑ Section 11: Checklist and Certification Statement
❑ w/ attachments
t
11.2
Certification Statement
U
1 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. 1 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
Richard Tomicek
Vice President of Environmental Compliance
Signature
Date signed
EPA Form 3510-1 (revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. OMB No. 2040-0004
Form U.S. Environmental Protection Agency
2C \—/EPA Application for NPDES Permit to Discharge Wastewater
NPDES EXISTING MANUFACTURING, COMMERCIAL, MINING, AND SILVICULTURE OPERATIONS
SECTIONOUTFALL LOCAT• r
1.1 Provide information on each of the facility's outfalls in the table below.
Outfa
Number Receiving Water Name Latitude Longitude
001 Tributary to Martin Creek 36` 17' 21.3" N 78° 23' 32.7" W
R
002 Tributary to Martin Creek 36° 17' 21.9" N 78° 23' 42.3" W
O
003 Tributary to Martin Creek 36' 17' 23.1" N 78° 23' 40.4" W
SECTIOND- r
tm 2.1 Have you attached a line drawing to this application that shows the water flow through your facility with a water
W .3 balance? (See instructions for drawing requirements. See Exhibit 2C-1 at end of instructions for example.)
J i
o ❑✓ Yes ❑ No
SECTION• r
3.1 For each outfall identified under Item 1.1, provide average flow and treatment information. Add additional sheets if
necessary.
**Outfall Number** 001
Operations
Operation Average Flow
Process contact water during furnace drain - Intermittent 0.5 mgd
c
EStormwater runoff unknown mgd
R
9
d
mgd
3 mgd
0 Treatment Units
LL
Description Code from Final Disposal of Solid or
(include size, flow rate through each treatment unit, Liquid Wastes Other Than
CD
retention time, etc. Table 2C 1 by Discharge
500,000 gallon storage tank for process contact water 4-A N/A
EPA Form 3510-2C (Revised 3-19) Page 1

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
110001482887
NC0083038
Ardagh Glass, Inc.
OMB No.2040-0004
3.1
**Outfall Number** 002
Operations Contributing to Flow
Operation Average Flow
Stormwater runoff
unknown mgd
mgd
mgd
Treatment
mgd
Description
Units
Code from
Final Disposal of Solid or
(include size, flow rate through each treatment unit,
Table 2C-1
Liquid Wastes Other Than
retention time, etc.
by Discharge
none
c
c
0
U
c
a�
E
is
a
F
**Outfall Number** 003
R
0
Operations
Operation Average Flow
Stormwater runoff
unknown mgd
co
a�
a'
mgd
mgd
mgd
Treatment
Description
Units
Code from
Final Disposal of Solid or
(include size, flow rate through each treatment unit,
Table 2C-1
Liquid Wastes Other Than
retention time, etc.)
by Discharge
none
3.2
Are you applying for an NPDES permit to operate a privately owned treatment works?
r d
❑ Yes ❑✓ No 4 SKIP to Section 4.
:03
3.3
Have you attached a list that identifies each user of the treatment works?
❑ Yes ❑ No
EPA Form 3510-2C (Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. OMB No. 2040-0004
Form U.S. Environmental Protection Agency
2C vAL EPA Application for NPDES Permit to Discharge Wastewater
NPDES EXISTING MANUFACTURING, COMMERCIAL, MINING, AND SILVICULTURE OPERATIONS
SECTIONOUTFALL LOCATIONr ,
1.1 Provide information on each of the facility's outfalls in the table below.
Outfa
Number Receiving Water Name Latitude Longitude
0
0
J 004 Tributary to Martin Creek 36' 17' 22.0" N 78' 23' 38.7" W
!O
O
SECTIOND' 1
2.1 Have you attached a line drawing to this application that shows the water flow through your facility with a water
7E1
balance? (See instructions for drawing requirements. See Exhibit 2C-1 at end of instructions for example.)
❑✓ Yes ❑ No
SECTION• AND r ,
3.1 For each outfall identified under Item 1.1, provide average flow and treatment information. Add additional sheets if
necessary.
'Outfall Number" 004
Operations
Operation Average Flow
Stormwater runoff unknown mgd
w
c
d
E mgd
ca
S,
mgd
ca
3 mgd
0
U- Treatment Units
Description Code from Final Disposal of Solid or
(include size, flow rate through each treatment unit, Liquid Wastes Other Than
< retention time, etc. Table 2C 1 by Discharge
none
EPA Form 3510-2C (Revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. OMB No. 2040-0004
SECTION• r ,
4.1 Except for storm runoff, leaks, or spills, are any discharges described in Sections 1 and 3 intermittent or seasonal?
❑✓ Yes ❑ No 4 SKIP to Section 5.
4.2
Provide information
on intermittent or seasonal flows for each applicable outfall.
Attach additional pages, if necessa
Outfall
Operation
Frec
uency
Flow
Rate
Average
Average
Long -Term
Maximum
Number
(list)
Duration
Da sMeek
Months[Year
Average
Dail
Furnace drain
7 days/week
1 months/year
0.5 mgd
0.5 mgd
30 days
H
0
001
days/week
months/year
mgd
mgd
days
m
days/week
months/year
mgd
mgd
days
E
a�
days/week
months/year
mgd
mgd
days
c
days/week
months/year
mgd
mgd
days
days/week
months/year
mgd
mgd
days
days/week
months/year
mgd
mgd
days
days/week
months/year
mgd
mgd
days
days/week months/year mgd mgd days
SECTION-•D
• i
5.1
Do any effluent limitation guidelines (ELGs) promulgated by EPA under Section 304 of the CWA apply to your facility?
✓❑ Yes ❑ No 4 SKIP to Section 6.
5.2
Provide the following information on applicable ELGs.
w
ELG Category
ELG Subcategory
Regulatory Citation
d
Glass Manufacturing
Glass Container Manufacturing
40 CFR 426 Subpart H
.Q
Q
Q
5.3
Are any of the applicable ELGs expressed in terms of production (or other measure of operation)?
❑✓ Yes ❑ No 4 SKIP to Section 6.
0
;s
5.4
Provide an actual measure of daily expressed in terms and units of ELGs.
production applicable
J
Outfall
Number
Operation, Product, or Material
Quantity per DayUnit
of
Measure
V)
m
001
Furnace Drain
600
tons glass pulled
c
0
U
3
'G
0
IL
EPA Form 3510-2C (Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. OMB No. 2040-0004
SECTION• 1 ,
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
E
Brief Identification and Description of
Outfalls
Source(s) of
Required
Projected
o
`L
Project
(list outfall
Discharge
number
E
c
Vl
N
.a
l0
CL
Q
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
SECTIONi
See the instructions to determine the pollutants and parameters you are required to monitor and, in turn, the tables you must
complete. Not all applicants need to complete each table.
Table A. Conventional and Non -Conventional Pollutants
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 4 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 001 Outfall Number 002 Outfall Number 003 & 004
7.3
Have you completed monitoring for all Table A pollutants at each of your outfalls for which a waiver has not been
y
requested and attached the results to this application package?
5
❑ Yes ❑ No; a waiver has been requested from my NPDES
permitting authority for all pollutants at all outfalls.
Table B.
Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants
7.4
Do any of the facility's processes that contribute wastewater fall into one or more of the primary industry categories
c
listed in Exhibit 2C-3? (See end of instructions for exhibit.)
>3
❑ Yes ✓❑ No 4 SKIP to Item 7.8.
7.5
Have you checked "Testing Required" for all toxic metals, cyanide, and total phenols in Section 1 of Table B?
w
❑ 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 ❑ Acid ❑ Base/Neutral ❑ Pesticide
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide
EPA Form 3510-2C (Revised 3-19) Page 4

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
110001482887
NCO083038
Ardagh Glass, Inc.
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?
❑ 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?
✓❑ Yes ❑ 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?
❑ Yes ✓❑ No
7.10
Does the applicant qualify for a small business exemption under the criteria specified in the instructions?
Yes 4 Note that you qualify at the top of Table B,
E] ❑✓ 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
0
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?
N
✓❑ Yes ElNo
W
Table C. Certain Conventional and Non -Conventional Pollutants
7.12
Have you indicated whether pollutants are `Believed Present" or 'Believed Absent" for all pollutants listed on Table C
for all outfalls?
Y
f9
✓❑ Yes ❑ No
z
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"?
°'
❑✓ Yes ❑ No
w
Table D. Certain 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?
✓❑ 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 ❑ No
Table E. 2,3,7,8-Tetrachlorodibenzo• -Dioxin 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 -+ SKIP to Section 8.
7.17
Have you completed Table E by reporting qualitative data for TCDD?
❑ Yes ❑ No
SECTIONOR
MANUFACTURED TOXICSi
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 4 SKIP to Section 9.
8.2
List the pollutants below.
c _
g0
1• Selenium 4. Chromium 7.
0
0
m
2. Lead 5. Zinc 8.
N
3. Copper 6. 9.
EPA Form 3510-2C (Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110001482887 NC0083038 Ardagh Glass, Inc. OMB No. 2040-0004
SECTION• • • r ,
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 -+ SKIP to Section 10.
Cn
W
9.2
Identify the tests and their
Durposes below.
1*11
Test(s)
Purpose of Test(s)
Submitted to NPDES
Date Submitted
x
Permitting Authority?
0
i`
1°
❑ Yes ❑ No
CID
o
'm
❑ Yes ❑ No
❑ Yes ❑ No
SECTIONr
CONTRACT
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 1
Laboratory Number 2
Laboratory Number 3
Name of laboratory/firm
pace Analytical Services
IEA
U)
0
Laboratory address
6701 Conference Drive
P.O. Box 12846
Q
Raleigh, NC 27607
Research Triangle Park, NC
27709
.r
c
U
Phone number
[phone]
[phone]
Pollutant(s) analyzed
TSS, pH
TSS, Oil & Grease
SECTIONDD
• •• • i
11.1
Has the NPDES permitting authority requested additional
information?
o
❑ Yes
❑✓ No 4 SKIP to Section 12.
cc
11.2
List the information requested and attach it to this application.
0
1• 4.
�v
c
0
2 5.
,3
Q
3. 6.
EPA Form 3510-2C (Revised 3-19) Page 6

EPA Identification Number
NPDES Permit Number Facility Name Form Approved 03ro5/19
110001492887
NCO083038 Ardagh Glass, Inc. OMB No. 2040-0004
SECTION1
CERTIFICATION STATEMENT (40 r
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 com lete all sections or provide attachments.
Column 1
Column 2
❑✓ Section 1: Outfall Location
❑ w/ attachments
❑✓ Section 2: Line Drawing
❑✓ w/ line drawing ❑ w/ additional attachments
Section 3: Average Flows and
10
wl list of each user of
❑ w/ attachments ❑ privately owned treatment
Treatment
works
❑✓ Section 4: Intermittent Flows
❑ w/ attachments
0 Section 5: Production
❑ w/ attachments
w/ optional additional
Section 6: Improvements
❑ w/ attachments ❑ sheets describing any
additional pollution control
tans
❑ w/ request for a waiver and ❑ w/ explanation for identical
supporting information outfalls
d
w/ small business exemption
❑ Elw/ other attachments
request
❑ Section 7: Effluent and Intake
Characteristics
❑✓ w/ Table A ❑ w/ Table B
0
❑✓ w/ Table C ❑✓ w/ Table D
❑ w/ Table E ❑ w/ analytical results as an
attachment
Section 8: Used or Manufactured
w/ attachments
ElMn❑
Toxics
Section 9: Biological Toxicity
❑ w/ attachments
r
Tests
U
❑� Section 10: Contract Analyses
❑ w/ attachments
0 Section 11: Additional Information
❑ w/ attachments
Section 12: Checklist and
ElElltth
Certification Statement
wattachments
PDE
12.2
Certification Statement
l 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. l 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
Richard Tomicek
VP of Environmental Compliance
Signature
Date signed
EPA Form 3510-2C (Revised 3-19) Page 7

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NC0083038 Ardagh Glass, Inc. 001
OMB No. 2040-0004
Effluent
Intake
Waiver
0 tional
Maximum
Maximum
Long -Term
Pollutant
Requested
Units
(if applicable)
(specify)
Daily
Monthly
Average Daily
Number of
Long -Term
Number of
Discharge
Discharge
Discharge
Analyses
Average Value
Analyses
re wired
f available
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.
1'
Biochemical oxygen demand
❑
Concentration
Mass
(BOD5)
2'
Chemical oxygen demand
❑
Concentration
Mass
(COD)
Concentration
3.
Total organic carbon (TOC)
✓❑
Mass
Concentration
mg/L
<4
4.
Total suspended solids (TSS)
❑
Mass
Concentration
5.
Ammonia (as N)
✓❑
Mass
6.
Flow
❑
Rate
gal
451,008
Temperature (winter)
❑
°C
C
N/A
7.
Temperature (summer)
❑
'C
°C
147.20
pH (minimum)
❑
Standard units
S.U.
7.06
8.
pH (maximum)
❑
Standard units
S.U.
9.47
' 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 9

This page intentionally left blank. .

k laentihcation Number NPULS Permit Number Facility Name Outfall Number
1100014828,97 NCO083038 Ardagh Glass, Inc. 001
Form Approved 03/05/19
OMB No. 2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
check one
Units
(specify)Maximum
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Dail Y
Disharge
(required)
Maximum
Monthly
Y
(ifavailabe)
Long -Term
Average
aily
DisDcharge
if available)Value
Number
f
Anale 0yses
Long
Term
Average
Number
of
Analyses
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
(7440-36-0)
El
11
O
Concentration
Mass
1.2
Arsenic, total
(7440-38-2)
El
a
Concentration
Mass
1.3
Beryllium, total
(7440-41-7)
El
El
El
Concentration
Mass
1.4
Cadmium, total
(7440-43-9)
Concentration
Mass
1.5
Chromium, total
(7440-47-3)
El
11
F21Mass
Concentration
1.6
Copper, total
(7440-50-8)
ED
Concentration
Mass
1.7
Lead, total
(7439-92-1)
El
El
Concentration
Mass
1.8
Mercury, total
(7439-97-6)
Concentration
Mass
1.9
Nickel, total
(7440-02-0)
El
El
Concentration
Mass
1.10
Selenium, total
(7782-49-2)
Concentration
Mass
1.11
Silver, total
(7440-22-4)
El
El
El
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 11

Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 001 OMB No.2040-0004
Presence or Absence
check one
Effluent
Intake
(optional)
Pollutant/Parameter
Testing
Units
Long -Term
(and CAS Number, if available)
Required
Believed
Believed
(sped
(specify)
Maximum
Maximum
Average
Number
Long -
Number
Present
Absent
Y
Monthly
Y
Daily
of
Term
of
Discharge
(required)
Discharge
(if available)
Discharge
Analyses
Average
Value
Analyses
if available
1.12
Thallium, total
El
O
Concentration
Mass
(7440-28-0)
1.13
Zinc, total
El
❑
✓V
Concentration
Mass
(7440-66-6)
1.14
Cyanide, total
❑
El
Concentration
Mass
(57-12-5)
1.15
Phenols, total
❑
❑
[D
Concentration
Mass
Section 2.Organic Toxic Pollutants (GC/MS Fraction
—Volatile Compounds)
21
Acrolein
El
O
Concentration
Mass
(107-02-8)
2.2
Acrylonitrile
El
El
0
Concentration
Mass
(107-13-1)
2.3
Benzene
El
Q
Concentration
Mass
(71-43-2)
2.4
Bromoform
El
0
Concentration
Mass
(75-25-2)
2.5
Carbon tetrachloride
Concentration
Mass
(56-23-5)
2.6
Chlorobenzene
El
El
Concentration
Mass
(108-90-7)
2.7
Chlorodibromomethane
0✓
Concentration
Mass
(124-48-1)
2.8
Chloroethane
Concentration
Mass
(75-00-3)
EPA Form 3510-2C (Revised 3-19) Page 12

EPA Identification Number
110001482887
NPDES Permit Number
NCO083038
Facility Name
Ardagh Glass, Inc.
Outfall Number Form Approved 03/05/19
001 OMB No. 2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
check one
Units
(specify)Maximum
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Daily
Discharge
if available
Number
of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
2,9
2-chloroethylvinyl ether
(110-75-8)
Concentration
Mass
2.10
Chloroform (67-66-3)
El
✓0
Concentration
Mass
2.11
Dichlorobromomethane
(75-27-4)
IZIMass
Concentration
2.12
1,1-dichloroethane
(75-34-3)
✓0
Concentration
Mass
2.13
1,2-dichloroethane
(107-06-2)
Concentration
Mass
2.14
1,1-dichloroethylene
(75 35 4)
El
IDMass
Concentration
2.15
1,2-dichloropropane
(78-87-5)
Concentration
Mass
2.16
1,3-dichloropropylene
(542-75-6)
El
El
Concentration
Mass
2.17
Ethylbenzene
(100-41-4)
El
El
IZI
Concentration
Mass
2.18
Methyl bromide
(74-83-9)
El
El
Concentration
Mass
2.19
Methyl chloride
(74-87-3)
Concentration
Mass
2.20
Methylene chloride
(75-09-2)
Concentration
Mass
2.21
1,1,2,2- tetrachloroethane
(79-34-5)
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 13

� Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 001 1 OMB No. 2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
q
Presence or Absence
check one
Units
(specify)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Daily
Discharge
f available
Number
of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
2.22
Tetrachloroethylene
(127-18-4)
El
El
Concentration
Mass
2.23
Toluene
(108-88-3)
Concentration
Mass
2.24
1,2-trans-dichloroethylene
(156-60-5)
El
❑
✓❑
Concentration
Mass
2.25
1,1,1-trchloroethane
(71-55-6)
❑
✓]
Concentration
Mass
2.26
1 1,2-trichloroethane
(79-00-5)
Concentration
Mass
2.27
Trichloroethylene
(79-01-6)
Concentration
Mass
2.28
Vinyl chloride
(75-01-4)
❑
Concentration
Mass
Section 3.Organic Toxic Pollutants (GC/MS
Fraction
—Acid Compounds)
3.1
2-chlorophenol
(95-57-8)
Concentration
Mass
3.2
2 4-dichlorophenol
(120-83-2)
El
Concentration
Mass
3.3
2 4-dimethylphenol
(105-67-9)
El
0
Concentration
Mass
3.4
4 6-dinitro-o-cresol
(534-52-1)
a
Concentration
Mass
3.5 2,4-dinitrophenol
(51-28-5)
E]
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 14

tFA identnicatnon Number NNutS Nermrt Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 001 OMB No. 2040-0004
Pollutant/Parameter
and CAS Number, if available
( )
Testing
Required
q '
Presence or Absence
check one
Units
(specify)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Daily
Discharge
if available
Number
of
Anal
Analyses
Long-
Term
Average
Value
Number
of
Analyses
3.6
2-nitrophenol
(88-75-5)1:11:1
El
Concentration
Mass
3.7
4-nitrophenol
(100-02-7)
a
Concentration
Mass
3.8
p-chloro-m-cresol
(59-50-7)
Concentration
Mass
3.9
Pentachlorophenol
(87-86-5)
Concentration
Mass
3.10
Phenol
(108-95-2)
✓0
Concentration
Mass
311
2,4,6-trichlorophenol
(88-05-2)
El
1:1
❑
Concentration
Mass
Section 4.Organic Toxic Pollutants (GC/MS Fraction
—Base /Neutral
Compounds)
4.1
Acenaphthene
(83-32-9)
❑
El✓0
Concentration
Mass
4.2
Acenaphthylene
(208-96-8)
Concentration
Mass
4.3
Anthracene
(120-12-7)
Concentration
Mass
4.4
Benzidine
(92-87-5)
❑
Concentration
Mass
4.5
Benzo (a) anthracene
(56-55-3)
❑
Concentration.
Mass
4.6
Benzo (a) pyrene
(50-32-8)
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 15

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 001 OMB No. 2040-0004
•
Pollutant/Parameter
(and CAS Number, if available)
•
Testing
Required
• 1 • '
Presence or Absence
check one
• • • 1
Units
(specify)
,
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Daily
Discharge
if available
Number
of
Analyses
Lon g•
Term
Average
Value
Number
of
Analyses
4 7
3,4-benzofluoranthene
(205-99-2)
a
Concentration
Mass
4,8
Benzo (ghi) perylene
(191-24-2)
El
Concentration
— — -
Mass
4.9
Benzo (k) fluoranthene
(207-08-9)
El
El
IZI
Concentration
Mass
4.10
Bis (2-chloroethoxy) methane
(111-91-1)
❑
El
Concentration
Mass
4.11
Bis (2-chloroethyl) ether
(111-44-4)
El
❑
ElConcentration
Mass
4.12
Bis (2-chloroisopropyl) ether
(102-80-1)
El
1:1
Concentration
Mass
4.13
Bis (2-ethylhexyl) phthalate
(117-81-7)
Concentration
Mass
4.14
4-bromophenyl phenyl ether
(101-55-3)
Concentration
Mass
4.15
Butyl benzyl phthalate
(85-68-7)
El
1:1
Concentration
Mass
4.16
2-chloronaphthalene
(91-58-7)
El
El
IZI
Concentration
Mass
4.17
4-chlorophenyl phenyl ether
(7005-72-3)
❑
❑
El
Concentration
Mass
4.18
Chrysene
(218-01-9)
El
❑
Concentration
Mass
4.19 Dibenzo (a,h) anthracene
(53-70-3)
El
El
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 16

EPA Identification Number
110001482887
NPDES Permit Number
NCO083038
Facility Name
Ardagh Glass, Inc.
Outfall Number
001
Form Approved 03/05/19
OMB No. 2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
check one
Units
(specify)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Discharge a
g
f available
Number
Analyaily ses
y
Lon
Term
Average
Value
Number
Analyses
yses
4.20
1,2-dichlorobenzene
(95-50-1)
El❑
❑
Concentration
Mass
4.21
1,3-dichlorobenzene
(541-73-1)
❑
❑
❑
Concentration
Mass
4.22
1,4-dichlorobenzene
(106-46-7)Mass
❑
❑
El
Concentration
4.23
3,3-dichlorobenzidine
(91-94-1)
❑
El
El
Concentration
Mass
4.24
Diethyl phthalate
(84-66-2)
❑
❑
❑
Concentration
Mass
L4.26
Dimethyl phthalate
(131-11-3)
❑❑Concentration
Mass
Di-n-butyl phthalate
(84-74-2)
❑
❑
❑
Concentration
Mass
4.27
2,4-dinitrotoluene
(121-14-2)
❑
❑
❑
Concentration
Mass
4.28
2,6-dinitrotoluene
(606-20-2)
❑
❑
✓❑
Concentration
Mass
4.29
Di-n-octyl phthalate
(117-84-0)
❑
❑
❑
Concentration
Mass
4.30
1,2-Diphenylhydrazine
(as azobenzene) (122-66-7)
❑
❑
❑
Concentration
Mass
4.31
Fluoranthene
(206-44-0)
❑
❑
❑
Concentration
Mass
4.32
Fluorene
(86-73-7)
❑
❑
✓❑
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 17

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 _T Ardagh Glass, Inc. 001 OMB No. 2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
check one
Units
(specify)Maximum
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Dail Y
Discharge
(required)
Maximum
Monthly
y
Discharge
(if available)
Long -Term
Average
Daily
Discharge
f available
Number
of
Analyses
Long -
Term
Average
Value
Number
of
Analyses
4.33
H.exachlorobenzene
(118-74-1)
El
❑
✓I
Concentration
Mass
4.34
Hexachlorobutadiene
(87-68-3)
El
1:1
✓❑
Concentration
Mass
4.35
Hexachlorocyclopentadiene
(77 47 4)
El
1:1
✓❑
Concentration
Mass
4.36
Hexachloroethane
(67-72-1)
Concentration
Mass
4.37
Indeno (1,2,3-cd) pyrene
(193-39-5)
El
El
El
Concentration
Mass
4.38
Isophorone
(78 59 1)
El
Concentration
Mass
4.39
Naphthalene
(91-20-3)
El
11Concentration
Mass
4.40
Nitrobenzene
(98-95-3)
Concentration
Mass
4.41
N-nitrosodimethylamine
(62-75-9)
Q
Concentration
Mass
4.42
N-nitrosodi-n-propylamine
(621-64-7)
El
M
O
Concentration
Mass
4.43
N-nitrosodiphenylamine
(86-30-6)
O
Concentration
Mass
4.44
Phenanthrene
(85-01-8)
0Mass
Concentration
4.45 Pyrene
(129-00-0)
El
El
El
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 18

EPA Identification Number
110001482887
NPDES Permit Number
NCO083038
Facility Name
Ardagh Glass, Inc.
Outfall Number Form Approved 03/05/19
001 OMB No. 2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
check one
Units
(specify)Maximum
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Dail y
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Daily
Discharge
if available
Number
of
Analyses
Long -
Term
Average
Value
Number
of
Analyses
4.46
1,2,4-trichlorobenzene
(120-82-1)
El
El
❑✓
Concentration
Mass
Section 5.Organic Toxic Pollutants (GCIMS Fraction
—Pesticides)
5.1
Aldrin
(309-00-2)
Concentration
Mass
5.2
a-BHC
(319-84-6)
Concentration
Mass
5.3
R-BHC
(319-85-7)
El
Concentration
Mass
5.4
y-BHC
(58-89-9)
✓❑
Concentration
Mass
5.5
6-13HC
(319-86-8)
Concentration
Mass
5.6
Chlordane
(57-74-9)
El
El
Concentration
Mass
5.7
4,4'-DDT
(50-29-3)
�❑
Concentration
Mass
5.8
4,4'-DDE
(72-55-9)
El
11
IDMass
Concentration
5.9
4,4'-DDD
(72-54-8)El
Concentration
Mass
5.10
Dieldrin
(60-57-1)
✓0
Concentration
Mass
5.11
a-endosulfan
(115-29-7)
El
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 19

tPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083O38 Ardagh Glass, Inc. 001 1 OMB No. 2040-0004
Milion
Presence or Absence
check one
Effluent
Intake
(optional)
Pollutant/Parameter
Testing
Units
Long -Term
(and CAS Number, if available )
Required
q
Believed
Believed
(specify)
Maximum
Maximum
Average
Number
Long-
Number
Present
Absent
Dail Y
Monthly
Y
Daily
of
Term
of
Discharge
Discharge
Discharge
Analyses
Average
Analyses
(required)
(if available)
if available
Value
5.12
R-endosulfan
❑
❑
❑
Concentration
Mass
(115-29-7)
5.13
Endosulfan sulfate
❑
❑
❑
Concentration
Mass
(1031-07-8)
5.14
Endrin
❑
❑
❑
Concentration
Mass
(72-20-8)
5.15
Endrin aldehyde
❑
❑
❑
Concentration
Mass
(7421-93-4)
5.16
Heptachlor
❑
❑
a
Concentration
Mass
(76-44-8)
5.17
Heptachlor epoxide
(1024-57-3)
❑
❑
✓❑
Concentration
Mass
5.18
PCB-1242
(53469-21-9)
❑
❑
Concentration
Mass
5.19
PCB-1254
(11097-69-1)
❑
❑
Concentration
Mass
5.20
PCB-1221
(11104-28-2)
❑
❑
Concentration
Mass
5.21
PCB-1232
(11141-16-5)
❑
❑
Concentration
Mass
5.22
PCB-1248
(12672-29-6)
❑
❑
Concentration
Mass
5.23
PCB-1260
(11096-82-5)
❑
❑
Concentration
Mass
5.24
PCB-1016
(12674-11-2)
❑
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 20

EPA Identification Number NPDES Permit Nu
110001482887 NCO083038
Facility Name
Ardagh Glass, Inc.
Outfall Number
001
Form Approved 03/05/19
OMB No. 2040-0004
MAT
Presence or Absence
check one
Effluent
Intake
(optional)
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Believed
Believed
Units
(specify)
Maximum
Maximum
i
Long-Term
Average
Number
Long-
Number
Present
Absent
Daily
Monthly
Daily
Term
of
Discharge
Discharge
Discharge char
le
Analyses
Average
Analyses
(required)
(if available)
if available
Value
Toxaphene
5.25
❑
El
El
Concentration
Mass
(8001-35-2)
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

This page intentionally left blank.

EPA Identification Number
NPDES Permit Number Facility Name
Outfall Number Form Approved 03/05/19
110001482887
NCO083038 Ardagh Glass, Inc.
001 OMB No. 2040-0004
•
• M, IF
—A I 111 1 [41 1 goO,• •-
Presence or Absence
check one
Effluent Intake
Pollutant
Units
(Optional)
Believed
Believed
(specify) Maximum Daily
Maximum Long -Term
Long -Term
Present
Absent
Discharge
Monthly
y Average Daily Number of a Number of
Average
(required)
Discharge Discharge Analyses Analyses
le g y Value y
if available 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)
Mass
2'
Chlorine, total
Concentration
residual
Mass
3.
Color
Concentration
Mass
4.
Fecal coliform
El
Concentration
Mass
5
Fluoride
Concentration
(16984-48-8)
Mass
6
Nitrate -nitrite
Concentration
Mass
7.
Nitrogen, total
Concentration
organic (as N)
Mass
8.
Oil and grease
0El
Concentration
mg/t.
<5
Mass
9
Phosphorus (as
El
Concentration
P), total (7723-14-0)
Mass
10.
Sulfate (as SO4)
Concentration
(14808-79-8)
Mass
11.
Sulfide (as S)
Concentration
Mass
EPA Form
3510-2C (Revised 3-19)
Page 23

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083O38 Ardagh Glass, Inc. 001 OMB No. 2040-0004
Presence or Absence
check one Effluent Intake
(Optional)
Pollutant Units7Maximum Lon Term
Believed Believed (specify) MLong-Term
Daily Long -Term
Present Absent Discharge Monthly Average Daily Number of Average Number of
Im (required) Discharge Discharge Analyses Value Analyses
if available if available
12.
Sulfite (as S03)
(14265-45-3)
❑
❑
Concentration
Mass
13.
Surfactants
❑
✓❑
Concentration
Mass
14.
Aluminum, total
(7429-90-5)
❑
❑
Concentration
Mass
15.
Barium, total
(7440-39-3)
❑
❑
Concentration
Mass
16.
Boron, total
(7440-42-8)
❑
✓
Concentration
Mass
17.
Cobalt, total
(7440-48-4)
❑
✓
Concentration
Mass
18
Iron total
(7439-89-6)
❑
✓❑
Concentration
Mass
19
Magnesium, total
(7439-95-4)
❑
✓❑
Concentration
Mass
20.
Molybdenum,
total
7439-98-7
❑
✓❑
Concentration
Mass
21
Manganese, total
(7439-96-5)
❑
❑
Concentration
Mass
22
Tin, total
(7440-31-5)
❑
❑
Concentration
Mass
23.Titanium,
total
(7440-32-6)
❑
❑✓
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 24

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 001 OMB No. 2040-0004
Presence or Absence
check one
Effluent
Intake
(Optional)
Pollutant
Believed
Believed
Units
(specify)
Maximum Daily
Maximum
Long -Term
Long -Term
Present
Absent
Discharge
Monthly
Average Daily
Number of
Average
Number of
(required)
Discharge
Discharge
Analyses
Value
Analyses
if available
if available
24. Radioactivity
Alpha, total
O
Concentration
Mass
Beta, total
El
ED
Concentration
Mass
Radium, total
Concentration
Mass
Radium 226, total
El
Concentration
Mass
...
..
1 Cn........I:.._
�L _II L_ ___J..
_a__i ____.__i•
. rr .�
OalliN Irig aiial ue unwuaeu accuiumy iu sunicienuy 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 25

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 001 OMB No.2040-0004
�• • 1
Presence or Absence
Pollutant check one Available Quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge (specify units)
Present Absent
1. Asbestos ❑ ❑ -- —
I
2. Acetaldehyde ❑ 0
3.
Allyl alcohol
❑
✓❑
4.
Allyl chloride
❑
✓❑
j
5.
Amyl acetate
❑
✓❑
I
6.
Aniline
❑
✓❑
7.
Benzonitrile
❑
✓❑
8.
Benzyl chloride
❑
✓❑
9.
Butyl acetate
❑
✓❑
10.
Butylamine
❑
✓❑
11.
Caplan
❑
❑✓
12.
Carbaryl
❑
0
13.
Carbofuran
❑
0
14.
Carbon disulfide
❑
❑
0
✓❑ �
- ----
15.
Chlorpyrifos
--
16.
Coumaphos
❑
0
0
17.
Cresol
❑
18.
Crotonaldehyde
❑
0
19.
Cyclohexane
❑
0
EPA Form 3510-2C (Revised 3-19) Page 27

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 001 OMB No. 2040-0004
Presence or Absence
Pollutant check one Available Quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge (specify units)
Present Absent
20.
2,4-D (2,4-dichlorophenoxyacetic acid)
❑
✓❑
21.
Diazinon
❑
22.
Dicamba
❑
23.
Dichlobenil
❑
✓❑
24.
Dichlone
❑
25.
2,2-dichloropropionic acid
❑
❑✓
26.
Dichlorvos
❑
✓0
27.
Diethyl amine
❑
✓❑
28.
Dimethyl amine
❑
29.
Dintrobenzene
❑
✓❑
30.
Diquat
❑
31.
Disulfoton
❑
32.
Diuron
❑
33.
Epichlorohydrin
❑
34.
Ethion
❑
35.
Ethylene diamine
❑
0
36.
Ethylene dibromide
❑
✓❑
37.
Formaldehyde
❑
0
38.
Furfural
❑
✓7
EPA Form 3510-2C (Revised 3-19) Page 28

EPA Identification Number NPDES Permit Number Facility Name Outtall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 001 OMB No. 2040-0004
Presence or Absence Mqju
7Pollutant check one Available Quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge
(specify units)
Present Absent
39.
Guthion
40.
Isoprene
El0
41,
Isopropanolamine
42.
Kelthane
43.
Kepone
44.
Marathion
❑
✓�
45.
Mercaptodimethur
✓0
46.
Methoxychlor
El
0
47.
Methyl mercaptan
48.
Methyl methacrylate
❑
49.
Methyl parathion
✓❑
50.
Mevinphos
51.
Mexacarbate
52.
Monoethyl amine
❑
53.
Monomethyl amine
54.
Naled
✓0
55. Naphthenic acid ✓7
56. Nitrotoluene ✓7
57. Parathion ❑✓
EPA Form 3510-2C (Revised 3-19)
Page 29

58.
EPA Identification Number NPDES Permit Number
110001482887 NCOO83O38 Ardagh
Presence or Absence
Pollutant check one
Believed Believed
Present Absent
Facility Name Outfall Number
Glass, Inc. 001
Reason Pollutant Believed Present in Discharge
- - - — —
Form Approved 03/05/19
OMB No. 2040-0004
Available Quantitative Data
(specify units)
Phenolsulfonate
❑
✓❑
59.
Phosgene ❑
✓❑
61.
62.
Propargite
Propylene oxide ❑
Pyrethrins ❑
✓❑
✓❑
-
63.
Quinoline
❑
✓❑
64.
Resorcinol
❑
0
65.
Strontium
❑
✓❑
66.
Strychnine
❑
❑✓
67.
Styrene
❑
✓❑
68
2,4,5-T (2,4,5-trichlorophenoxyacetic
acid
El
69.
TDE (tetrachlorodiphenyl ethane)
❑
✓❑
70.
2,4,5-TP [2-(2,4,5-trichlorophenoxy)
ro anoic acid
❑
✓❑
—
71.
Trichlorofon
❑
✓❑
72.
Triethanolamine
❑
✓❑
73.
Triethylamine
❑
✓0
74.
Trimethylamine
❑
75.
Uranium
❑
76.
Vanadium
❑
EPA Form 3510-2C (Revised 3-19) Page 30

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 001 OMB No. 2040-0004
:MI L, I • • r
Presence or Absence
Pollutant
check one
Believed Believed
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
(specify units)
Present Absent
77.
Vinyl acetate
❑
✓❑
78.
Xylene
❑
✓❑
79.
Xylenol
❑
✓❑
80.
Zirconium
❑
✓❑
' 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 31

This page intentionally left blank.

EPA Identification Number
110001482887
Pollutant
2,3,7,8-TCDD
NPDES Permit Number
NCO083038
• 1 •
11 1 If IT
TCDD
Presence or
Congeners
Absence
Used or
check one
Believed
Believed
Manufactured
Present
Absent
❑ 1 ❑ I o
Facility Name
Ardagh Glass, Inc.
Outfall Number
001
Results of Screening Procedure
Form Approved 03/05/19
OMB No. 2040-0004
EPA Form 3510-2C (Revised 3-19) Page 33

1 Identification Number NPDES Permit Number Facility Name T_'�
Number
110001482887 NCO083038 Ardagh Glass, Inc. 002
Form Approved 03/05/19
OMB No. 2040-0004
Effluent
Intake
Pollutant
Waiver
Requested
Units
0 tional
Maximum
Maximum
Long -Term
(if applicable)
ify)
(specify)
Daily
Monthly
Average Daily
Number of
Long -Term
Number of
Discharge
Discharge
Discharge
Analyses
Average Value
Analyses
(required)
if available
if available
0
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.
1.
Biochemical oxygen demand
El
Concentration
Mass
(BOD5)
2'
Chemical oxygen demand
El
Concentration
Mass
(COD)
Concentration
3.
Total organic carbon (TOC)
F/I
Mass
Concentration
4.
Total suspended solids (TSS)
0
Mass
Concentration
5.
Ammonia (as N)
IZI
Mass
6.
Flow
0
Rate
Temperature (winter)
°C
°C
7.
Temperature (summer)
°C
°C
pH (minimum)
0
Standard units
s.u.
8.
i
pH (maximum)
✓❑
Standard units
s.u.
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 9

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 002 OMB No. 2040-0004
Presence or Absence
check one
Effluent
Intake
(optional)
PollutantlParameter
Testing
Units
Long -Term
(and CAS Number, if available)
Required
Believed
Believed
(specify)Maximum
Maximum
Average
Number
Long -
Number
Present
Absent
Dail Y
Monthly
Yof
aily
of
Term
Discharge
Discharge
Discharge a
le
Analyses
Average
Analyses
(required)
(if available)
if available
Value
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
❑
El
✓7
Concentration
Mass
(7440-36-0)
1.2
Arsenic, total
El
a
Concentration
Mass
(7440-38-2)
1.3
Beryllium, total
❑
El
El
Concentration
Mass
(7440-41-7)
1.4
Cadmium, total
El
❑
❑
Concentration
Mass
(7440-43-9)
1.5
Chromium, total
❑
El
✓❑
Concentration
Mass
(7440-47-3)
1.6
Copper, total
Concentration
Mass
(7440-50-8)
1.7
Lead, total
Concentration
Mass
(7439-92-1)
1.8
Mercury, total
❑
El
✓❑
Concentration
Mass
(7439-97-6)
1.9
Nickel, total
El
❑
El
Concentration
Mass
(7440-02-0)
1.10
Selenium, total
El
El
Concentration
Mass
(7782-49-2)
1.11
Silver, total
Concentration
Mass
(7440-22-4)
EPA Form 3510-2C (Revised 3-19) Page 11

� Identification Number NPDES Permit Number Facility Name Outfall Number I Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 002 OMB No. 2040-0004
Presence or Absence
check one
Effluent
Intake
(optional)
Pollutant/Parameter
and CAS Number, if available
(and )
Testing
Required
q
Believed
Believed
Units
(specify)
Maximum
Maximum
Long -Term
Average
Number
Long -
Number
Present
Absent
Dail y
Monthly
y
Term
of
Discharge
Discharge
Discharge harge
Analyses
Average
Analyses
required
f available)
if available
1.12
Thallium, total
❑
Concentration
Mass
(7440-28-0)
1.13
Zinc, total
❑
❑
✓❑
Concentration
Mass
(7440-66-6)
1.14
Cyanide, total
El
❑
0
Concentration
Mass
ConcentrationMass
(57-12-5)
1.15
Phenols, total
Section 2.Organic Toxic Pollutants (GC/MS Fraction
—Volatile Compounds)
2.1
Acrolein
ED
Concentration
Mass
(107-02-8)
2 2
Acrylonitrile
El
El
0
Concentration
Mass
(107-13-1)
2.3
Benzene
Concentration
Mass
(71-43-2)
2.4
Bromoform
❑
❑
✓❑
Concentration
Mass
(75-25-2)
2.5
Carbon tetrachloride
Concentration
Mass
(56-23-5)
2.6
Chlorobenzene
El
1:1Concentration
Mass
(108-90-7)
2.7
Chlorodibromomethane
Concentration
Mass
(124-48-1)
2.8
Chloroethane
El
1:1
El
Concentration
Mass
(75-00-3)
EPA Form 3510-2C (Revised 3-19) Page 12

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 002 OMB No. 2040-0004
PollutantlParameter
(and CAS Number, if available )
Testing
Required
q
Presence or Absence
check one
Units
(specify)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
Maximum
Monthly
Discharge
favailable)
Long -Term
Average
DisDcharge
if available
Number
Analyses
Long-
Term
Average
Number
of
Analyses
2.9
2-chloroethylvinyl ether
(110-75-8)
ElEl
Concentration
Mass
2.10
Chloroform (67-66-3)
❑✓
Concentration
Mass
2.11
Dichlorobromomethane
(75-27-4)
❑
El
❑
Concentration
Mass
2.12
1,1-dichloroethane
(75-34-3)
Concentration
Mass
2.13
1,2-dichloroethane
(107-06-2)
Concentration
Mass
2.14
1,1-dichloroethylene
(75-35-4)
❑
Concentration
Mass
2.15
1,2-dichloropropane
(78 87 5)
ElConcentration
El
El
Mass
2.16
1,3-dichIoropropylene
(542-75-6)
El
El
Concentration
Mass
2.17
Ethylbenzene
(100-41-4)
❑
Concentration
Mass
2.18
Methyl bromide
(74-83-9)
Concentration
Mass
2.19
Methyl chloride
(74-87-3)
El❑
❑
Concentration
Mass
2.20
Methylene chloride
(75-09-2)
❑
❑
❑
Concentration
Mass
2.21
1,1,2,2- tetrachloroethane
(79-34-5)
El
El
❑
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 13

EPA Identification Nurr
110001482887
NCO083038
Facility Name
Ardagh Glass, Inc.
Outfall Number
002
Form Approved 03/05/19
OMB No. 2040-0004
Pollutant/Parameter
(and
(and CAS Number, if available
Testing
Required
Presence or Absence
check one
Units
(specify)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
required
Maximum
Monthly
Discharge
rfavailabe)
Long -Term
Average
Daily
Discharge
if available
Number
Analyses
Long -
Term
Average
Value
Number
of
Analyses
2.22
T etrachloroethylene
(127-18-4)
Concentration
Mass
2.23
Toluene
(108-88-3)
0
Concentration
Mass
2.24
1,2-trans-dichloroethylene
(156-60-5)
El
El
0
Concentration
Mass
2.25
1 1,1-thchloroethane
(71-55-6)
El
11
✓❑
Concentration
Mass
2.26
1,1,2-trichloroethane
(79-00-5)
❑
✓❑
Concentration
Mass
2.27
Trichloroethylene
(79-01-6)
Concentration
Mass
2.28
Vinyl chloride
(75-01-4)
El
✓❑
Concentration
Mass
Section 3.Organic Toxic Pollutants (GCIMS
Fraction
—Acid Compounds
3.1
2-chlorophenol
(95-57-8)
El
✓❑
Concentration
Mass
3.2
2,4-dichlorophenol
(120-83-2)
✓0
Concentration
Mass
3.3
2 4-dimethylphenol
(105-67-9)
Concentration
Mass
3.4
1(534-52-1)
4 6-dinitro-o-cresol
Concentration
Mass
3.5
2,4-dinitrophenol
(51-28-5)
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 14

Number
110001482887
NCO083038
Facility Name
Ardagh Glass, Inc.
002
Form Approved 03/05/19
OMB No. 2040-0004
Poll utant/Parameter
and CAS Number, if available
( )
Testing
Required
q
Presence or Absence
check one
Units
(specify)
Effluent
Intake
(optional)
Believed
Present
Believed
Absentof
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Discharge
if available
Number
Analyses
Long
Term
Average
Value
Number
Analyses
3.6
2-nitrophenol
(88-75-5)
❑
✓0
Concentration
Mass
3.7
4-nitrophenol
(100-02-7)
El
El
ElConcentration
Mass
3.8
p-chloro-m-cresol
(59-50-7)
El
❑
✓0
Concentration
Mass
3'9
Pentachlorophenol
(87-86-5)
Concentration
Mass
3.10
Phenol
(108-95-2)
EJ
El
0
Concentration
Mass
3.11
2 4,6-trichlorophenol
(88-05-2)
El
El
Concentration
Mass
Section 4.Organic Toxic Pollutants (GC/MS Fraction
—Base /Neutral
Compounds)
4.1
Acenaphthene
(83-32-9)
Concentration
Mass
4.2
Acenaphthylene
(208-96-8)
El
1:1
[a
Concentration
Mass
4.3
Anthracene
(120-12-7)
El
0
Concentration
Mass
4.4
Benzidine
(92-87-5)
Concentration
Mass
4.5
Benzo (a) anthracene
(56-55-3)
El
11
IZI
Concentration
Mass
4.6
Benzo (a) pyrene
(50-32-8)
El
1Mass
El
IZI
Concentration
EPA Form 3510-2C (Revised 3-19) Page 15

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 002 OMB No. 2040-0004
Pollutant/Parameter
(and )
and CAS Number, if available
Testing
Required
q
Presence or Absence
check one
Units
(specify)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Dail y
Discharge
Maximum
Monthly
yof
Discharge
available)
Long -Term
Average
DisDcharge
if available
Number
Analyses
Long -
Term
AValuee
Number
Analyses
4.7
3,4-benzofluoranthene
(205-99-2)
✓❑
Concentration
Mass
4.8
Benzo (ghi) perylene
(191-24-2)
❑
❑
✓❑
Concentration
Mass
4.9
Benzo (k) fluoranthene
(207-08-9)
ElElConcentration
Mass
4.10
Bis (2-chloroethoxy) methane
(111-91-1)
❑
El
Concentration
Mass
4.11
Bis (2-chloroethyl) ether
(111-44-4)
El
✓0
Concentration
Mass
4.12
Bis (2-chloroisopropyl) ether
(102-80-1)
❑
❑
✓❑
Concentration
Mass
4.13
Bis (2-ethylhexyl) phthalate
(117-81-7)
1:1
El
El
Concentration
Mass
4.14
4-bromophenyl phenyl ether
(101-55-3)
Concentration
Mass
4.15
Butyl benzyl phthalate
(85 68 7)
❑
ElConcentration
IZIMass
4.16
2-chloronaphthalene
(91-58-7)
❑
✓❑
Concentration
Mass
4.17
4-chlorophenyl phenyl ether
(7005-72-3)
ElConcentration
Mass
4.18
Chrysene
(218-01-9)
❑
❑
✓❑
Concentration
Mass
4.19
Dibenzo (a,h) anthracene
(53 70 3)
El
❑
✓❑
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 16

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 002 OMB No. 2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
check one
Units
(specify)Maximum
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Dail y
Discharge
(required)
Maximum
Monthly
y
Discharge
(if available)
Long -Term
Average
Daily
Discharge
if available
Number
of
Analyses
Long -
Term
Average
Value
Number
of
Analyses
4.20
1,2-dichlorobenzene
(95-50-1)
El
Concentration
Mass
4.21
1,3-dichlorobenzene
(541-73-1)
El
❑
Concentration
Mass
4.22
1,4-dichlorobenzene
(106-46-7)
❑
Concentration
Mass
4.23
3,3-dichlorobenzidine
(91-94-1)
❑
Concentration
Mass
4.24
Diethyl phthalate
(84-66-2)
❑
✓❑
Concentration
Mass
4.25
Dimethyl phthalate
(131-11-3)
❑
✓❑
Concentration
Mass
4.26
Di-n-butyl phthalate
(84-74-2)
El
❑
ElConcentration
Mass
4.27
2,4-dinitrotoluene
(121-14-2)
❑
Concentration
Mass
4.28
2,6-dinitrotoluene
(606-20-2)
El
El
Concentration
Mass
4.29
Di-n-octyl phthalate
(117-84-0)
El
✓
Concentration
Mass
4.30
1,2-Diphenylhydrazine
(as azobenzene)(122-66-7)
El
El
Concentration
Mass
4.31
Fluoranthene
(206-44-0)
El❑
Concentration
Mass
4.32
Fluorene
(86-73-7)
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 17

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 1 002 7 OMB No. 2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
check one
Units
(specify)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Dail Y
Discharge
(required)
Maximum
Monthly
Y
(ifavalabe)
Long -Term
Average
aily
DisDcharge
if available
Number
If
Anale 0yses
Long -
Term
Average
Number
of
Analyses
4.33
Hexachlorobenzene
(118-74-1)El
1:1
Concentration
Mass
4.34
Hexachlorobutadiene
(87-68-3)
❑
❑
✓❑
Concentration
Mass
4.35
Hexachlorocyclopentadiene
(77-47-4)
Concentration
Mass
4.36
Hexachloroethane
(67-72-1)
Concentration
Mass
4.37
Indeno (1,2,3-cd) pyrene
(193-39-5)
Concentration
Mass
4.38
Isophorone
(78-59-1)
❑
✓0
Concentration
Mass
4.39
Naphthalene
(91-20-3)
El
✓❑
Concentration
Mass
4.40
Nitrobenzene
(98-95-3)
Concentration
Mass
4.41
N-nitrosodimethylamine
(62-75-9)
_T
Concentration
Mass
4.42
N-nitrosodi-n-propylamine
(621-64-7)
Concentration
Mass
4.43
N-nitrosodiphenylamine
(86-30-6)
Concentration
Mass
4.44
Phenanthrene
(85-01-8)
✓0
Concentration
Mass
4.45
Pyrene
(129-00-0)
El
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 18

EPA Identification Number NPDES Permit Nu
110001482887 NCO083038
Ardagh Glass, Inc.
Outfall Number
002
Form Approved 03/05/19
OMB No. 2040-0004
III[SKII•
•
• 1 • ' i
• ' • 1
111111
Presence or Absence
check one
Effluent
Intake
(optional)
Pollutant/Parameter
(and CAS Number, if available)
14.461,24-tdchlorobenzene
Testing
Required
Believed
Believed
Units
(specify)Maximum
Maximum
Long -Term
Average
Number
Long -
Number
Present
Absent
Dail y
Monthl y
Daily
0yses
Term
of
Discharge
(iifavailable)
Discharge
Analischarge
Average
Analyses
(required)
if available
ElElConcentration.
11
Mass
(120-82-1)
Section 5.Organic Toxic Pollutants (GCIMS Fraction
—Pesticides)
5.1
Aldrin
El
El
IDConcentration
Mass
(309-00-2)
5.2
a-BHC
❑
11
0
Concentration
Mass
(319-84-6)
5.3
0-BHC
El
1:1
✓❑
Concentration
Mass
(319-85-7)
5.4
y-BHC
Concentration
Mass
(58 89 9)
5.5
b-BHC
Concentration
Mass
(319-86-8)
5.6
Chlordane
El
El
Concentration
Mass
(57-74-9)
5.7
4,4'-DDT
Concentration
Mass
(50-29-3)
5.8
4 4'-DDE
Concentration
(72-55-9)
Mass
5.9
4 4'-DDD
El
El
Concentration
Mass
(72-54-8)
5.10
Dieldrin
Concentration
Mass
(60-57-1)
5.11
a-endosulfan
Concentration
Mass
(115-29-7)
EPA Form 3510-2C (Revised 3-19) Page 19

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083O38 Ardagh Glass, Inc. 002 OMB No. 2040-0004
•
Pollutant/Parameter
(and CAS Number, if available)
15.12
•
Testing
Required
• 1 •' is
Presence or Absence
check one
• -• •1
Units
(specify)Maximum
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Dail y
Discharge
(required)
Maximum
Monthly
y
Discharge
(if available)
Long -Term
Average
Daily
Discharge
if available
Number
°f
Analyses
Long -
Term
Average
Value
Number
of
Analyses
R-endosulfan
(115-29-7)
❑
❑
❑
Concentration
Mass
5.13
Endosulfan sulfate
(1031-07-8)
❑
El
El
Concentration
Mass
5.14
Endrin
(72-20-8)
❑
❑
❑
Concentration
Mass
5.15
Endrin aldehyde
(7421-93-4)
❑
❑
❑
Concentration
Mass
5.16
Heptachlor
(76-44-8)
❑
❑
❑
Concentration
Mass
5.17
Heptachlor epoxide
(1024-57-3)
❑
❑❑
Concentration
Mass
5.18
PCB-1242
(53469-21-9)
❑
❑
✓❑
Concentration
Mass
5.19
PC13-1254
(11097-69-1)
❑
El
El
Concentration
-
Mass
5.20
PCB-1221
(11104-28-2)
❑
❑
✓❑
Concentration
Mass
5.21
PCB-1232
(11141-16-5)
❑
❑
✓❑
Concentration
Mass
5.22
PCB-1248
(12672-29-6)
❑
❑
✓❑
Concentration
Mass
5.23
PCB-1260
(11096-82-5)
❑
❑
0
Concentration
Mass
5.24
PCB-1016
(12674-11-2)
El
El
�
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 20

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083O38 Ardagh Glass, Inc. 002 OMB No. 2040-0004
Presence or Absence
check one
Effluent
Intake
(optional)
Pollutant/Parameter
Testing
Units
Long -Term
(and CAS Number, if available)
Required
Believed
Believed
(specify)Maximum
Maximum
Average
Number
Long -
Number
Present
Absent
Dail Y
Monthly
Y
Daily
of
Term
of
Discharge
(required)
Discharge
(if available)
Discharge
Analyses
Average
Value
Analyses
f available
Toxaphene
Concentration
5.25 (8001-35-2)
El
❑
✓❑
Mass
..
1 C-........1: �..� .. L . I I L _ _ _ _ J .. _ i _ � _ _ _ _ _ I _ _
a . r . ..
...
Sampling shall ue wnuuueu accuruiny 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

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 1 002 OMB No. 2040-0004
Presence or Absence
check one
Effluent
7
Intake
(Optional)
Pollutant
Believed
Believed
Units
(specify)
Maximum Daily
Maximum
Long -Term
Long -Term
Present
Absent
Discharge
Monthly
Average Daily
Number of
Average
Number of
(required)
Discharge
Discharge
Analyses
Value
Analyses
if available
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
Mass
(24959-67-9)
2
Chlorine, total
❑
Concentration
Mass
residual
3.
Color
❑
Concentration
Mass
4.
Fecal coliform
❑
Concentration
Mass
5
Fluoride
❑
Concentration
Mass
(16984-48-8)
6
Nitrate -nitrite
Concentration
Mass
7.
Nitrogen, total
El
Concentration
Mass
organic (as N)
8.
Oil and grease
❑
❑
Concentration
Mass
9
Phosphorus (as
El
Concentration
Mass
P), total (7723-14-0)
10.
Sulfate (as SO4)
Concentration
Mass
(14808-79-8)
11.
Sulfide (as S)
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 23

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083O38 Ardagh Glass, Inc. 002 OMB No. 2040-0004
Pollutant
Presence or Absence
check one
1cla
Units
(
Eli
Effluent
Intake
(Optional)
Believed
Present
Believed
Absent
MaximumMaximum
Maximum Daily
Discharge
(required)
Monthly
Discharge
if available
Long - Term
Lon Term
Average Daily
Discharge
if available
Number of
Analyses
Average
Value
Number of
Analyses
12.
Sulfite (as S03)
(14265-45-3)
❑
❑
Concentration
Mass
13.
Surfactants
❑
❑
Concentration
Mass
14.
Aluminum, total
(7429-90-5)
❑
❑
Concentration
Mass
15.
Barium, total
(7440-39-3)
❑
❑
Concentration
Mass
16.
Boron, total
(7440-42-8)
❑
❑
Concentration
Mass
17
Cobalt, total
(7440-48-4)
❑
❑
Concentration
Mass
18
Iron total
(7439-89-6)
❑
❑
Concentration
Mass
19.
Magnesium, total
9
(7439-95-4)
El
ElConcentration
Mass
20.
Molybdenum,
total
7439-98-7
❑
❑
Concentration
Mass
21.
Manganese, total
(7439 96-5)
❑
El
Concentration
Mass
22
Tin, total
(7440-31-5)
❑
Concentration
Mass
23.
Titanium, total
(7440-32-6)
❑
❑
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 24

EPA Identification Number
NPDES Permit Number
Facility Name
Outfall Number
Form Approved 03/05/19
110001482887
NCOO83O38
Ardagh Glass, Inc.
002
OMB No. 2040-0004
•
•
• •
0 w :4 " k I [*1 •
l
Presence or Absence
check one
Effluent
Intake
(Optional)
Pollutant
Believed
Believed
Units
(specify)
Maximum Daily
Maximum Lon Term
g-
Long -Term
Present
Absent
Discharge
Monthly Average Daily Number of
Average Number of
(required)
Discharge Discharge Analyses
Value Analyses
if available if available
24. Radioactivity
Alpha, total
Concentration
Mass
Beta, total
El
❑
Concentration
Mass
Radium, total
Concentration
Mass
Radium 226, total
El
Concentration
Mass
vuuF" ij onus — l U"n U U M.,UUIUIIR, LU JUMUICIRIy 8CI15nIVe rest pruueuures ti.e., metnoas) approvea under 4U GI-K 13b 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 25

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 002 OMB No. 2040-0004
• 1• 1 • 1
Presence or Absence
Pollutant check one Reason Pollutant Believed Present in Discharge Available Quantitative Data
Believed Believed 9 (specify units)
Present Absent
1.
Asbestos
❑ED
2.
Acetaldehyde
❑
3.
Allyl alcohol
❑
4.
Allyl chloride
❑
0
5.
Amyl acetate
❑
6.
Aniline
❑
ED
7.
Benzonitrile
❑
ED
8.
Benzyl chloride
❑
IZI
9.
Butyl acetate
❑
ED
10.
Butylamine
❑
0
11.
Captan
❑
12.
Carbaryl
❑
13.
Carbofuran
❑
14.
Carbon disulfide
❑
ED
15.
Chlorpyrifos
❑
16.
Coumaphos
❑
ED
17.
Cresol
❑
F/-1
18.
Crotonaldehyde
❑
0
19.
Cyclohexane
❑
El
EPA Form 3510-2C (Revised 3-19) Page 27

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 002 OMB No. 2040-0004
Presence or Absence
Pollutant check one Reason Pollutant Believed Present in Discharge Available Quantitative Data
Believed Believed 9 (specify units)
Present Absent
20.
2,4-D (2,4-dichlorophenoxyacetic acid)
El
_
21.
Diazinon
❑
✓❑
22.
Dicamba
❑
✓❑
23.
Dichlobenil
❑
✓❑
24.
Dichlone
❑
✓❑
25.
2,2-dichloropropionic acid
❑
✓❑
26.
Dichlorvos
❑
✓❑
27.
Diethyl amine
❑
✓❑
28.
Dimethyl amine
❑
✓❑
29.
Dintrobenzene
❑
✓❑
30.
Diquat
❑
✓❑
31.
Disulfoton
❑
✓0
32.
Diuron
❑
✓❑
33.
Epichlorohydrin
❑
✓❑
34.
Ethion
❑
✓❑
35.
Ethylene diamine
❑
✓❑
36.
Ethylene dibromide
❑
❑✓
37.
Formaldehyde
❑
✓❑
38.
Furfural
❑
✓❑
EPA Form 3510-2C (Revised 3-19) Page 28

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NC0083038 Ardagh Glass, 002 OMB No, 2040-0004
Presence or Absence
Pollutant check one Available Quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge (specify units)
Present Absent
39.
Guthion
El40.
Isoprene
❑
0
41.
Isopropanolamine
❑
42.
Kelthane
❑
43.
Kepone
❑
0
44.
Marathion
❑
0
45.
Mercaptodimethur
❑
0
46.
Methoxychlor
❑
0
47.
Methyl mercaptan
❑
48.
Methyl methacrylate
❑
49.
Methyl parathion
❑
50.
Mevinphos
❑
0
51.
Mexacarbate
❑
52.
Monoethyl amine
❑
0
53.
Monomethyl amine
❑
54.
Naled
❑
0
55.
Naphthenic acid
❑
El
56.
Nitrotoluene
❑
ID
57.
Parathion
❑
0
EPA Form 3510-2C (Revised 3-19) Page 29

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCOO83038 Ardagh Glass, Inc. 002 OMB No. 2040-0004
Presence or Absence
Pollutant check one Available Quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge
(specify units)
Present Absent
58.
Phenolsulfonate
❑
✓❑
_
59.
Phosgene
❑
❑
60.
Propargite
❑
❑
61.
Propylene oxide
❑
✓❑
62.
Pyrethrins
❑
✓❑
63.
Quinoline
❑
❑
64.
Resorcinol
❑
65.
Strontium
❑
66.
Strychnine
❑
67.
Styrene
❑
68
2,4 5-T (2,4,5-trichlorophenoxyacetic
acid
❑
69.
TDE (tetrachlorodiphenyl ethane)
❑
❑✓
70.
2,4,5-TP [2-(2,4,5-trichlorophenoxy)
ro anoic acid
❑
❑
71.
Trichlorofon
❑
✓❑
72.
Triethanolamine
❑
✓❑
73.
Triethylamine
❑
✓0
74.
Trimethylamine
❑
75.
Uranium
❑
0
76. j
Vanadium
❑
EPA Form 3510-2C (Revised 3-19) Page 30

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001
,
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 1, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C (Revised 3-19) Page 31

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NC0083038 Ardagh Glass, Inc. 002 OMB No. 2040-0004
TCDD
Presence or
Congeners
Absence
Pollutant
Used or
check one
Results of Screening Procedure
Believed
Believed
Manufactured
Present
Absent
2,3,7,8-TCDD
0
EPA Form 3510-2C (Revised 3-19) Page 33

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 003 1 0M8 No. 2040-0004
Effluent
Intake
Waiver
Pollutant Requested
Units
0 tional
Maximum
Maximum
Long -Term
(if applicable)
(specify)
Daily
Monthly
Average Daily
Number of
Long -Term
Number of
Discharge
Discharge
Discharge
Analyses
Average Value
Analyses
re wired
if available
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.
1
Biochemical oxygen demand
❑
Concentration
Mass
(BOD5)
2'
Chemical oxygen demand
Concentration
(COD)
Mass
Concentration
3.
Total organic carbon (TOC)
✓❑
Mass
Concentration
4.
Total suspended solids (TSS)
Mass
Concentration
5.
Ammonia (as N)
R1
Mass
6.
Flow
0
Rate
Temperature (winter)
El
°C
°C
7.
Temperature (summer)
✓0
°C
°C
pH (minimum)
0
Standard units
S.U.
8.
pH (maximum)
✓�
Standard units
S.
001'' ilI11j 01I01 Uc wiruuaCu dcwrumy to sumcienuy sensmve iest procedures (i.e., metnoas) approved under 40 GFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter Nor 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C (Revised 3-19) Page 9

This page intentionally left blank.

EPA Identification Number NPDES Permit Nu
110001482887 NCO083038
Facility Name
Ardagh Glass, Inc.
Outfall Number
003
Form Approved 03/05/19
OMB No. 2040-0004
• •
Pollutant/Parameter
(and CAS Number, if available)
•
Testing
Required
• • • ' A k•
Presence or Absence
check one
' • 1
Units
(specify)Maximum
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Dail Y
Discharge
(required)
Maximum
Monthly
Y
Discharge
(if available)
Long -Term
Average
Daily
Discharge
if available
Number
of
Analyses
Long -
Term
Average
Value
Number
of
Analyses
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
(7440-36-0)
✓❑
Concentration
Mass
1.2
Arsenic, total
(7440-38-2)
❑
❑
✓❑
Concentration
Mass
1.3
Beryllium, total
(7440-41-7)
❑
11
El
Concentration
Mass
1.4
Cadmium, total
(7440-43-9)
El
ElConcentration
Mass
1.5
Chromium, total
(7440-47-3)
El
11
✓0
Concentration
Mass
1.6
Copper, total
(7440-50-8)
Concentration
Mass
1.7
Lead, total
(7439-92-1)
❑
ElElConcentration
Mass
1.8
Mercury, total
(7439-97-6)
❑
El
✓❑
Concentration
Mass
1,9
Nickel, total
(7440-02-0)
El
❑
✓I
Concentration
Mass
1.10
Selenium, total
(7782-49-2)
Concentration
Mass
1.11
Silver, total
(7440-22-4)
❑
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 11

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 1 003 1 OMB No.2040-0004
PollutantlParameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
check one
Units
(specify)
)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Dail Y
Discharge
required
Maximum
Monthly
Y
(if
Long -Term
Average
aily
Discharge
if available
Number
of
Analyses
Long-
Term
Valueischarge
Number
of
Analyses
1.12
Thallium, total
(7440-28-0)
El
El
0
Concentration
Mass
1.13
Zinc, total
(7440-66-6)
El
0
Concentration
Mass
1.14
Cyanide, total
(57-12-5)
O
Concentration
Mass
1.15
Phenols, total
El
El
El
Concentration
Mass
Section 2. Organic Toxic Pollutants (GCIMS Fraction
—Volatile Compounds)
21
Acrolein
(107-02-8)
Concentration
Mass
2.2
Acrylonitrile
(107-13-1)
Concentration
Mass
2.3
Benzene
(71-43-2)
El
1:1
0
Concentration
Mass
2.4
Bromoform
(75-25-2)
El
Concentration
Mass
2.5
Carbon tetrachloride
(56-23-5)
Concentration
Mass
2.6
Chlorobenzene
(108-90-7)
El
El
0
Concentration
Mass
2.7
Chlorodibromomethane
(124-48-1)
El
0
Concentration
Mass
2.8
Chloroethane
(75-00-3)
El
El
El
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 12

LPA Identification Number NPULS Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NC0083038 Ardagh Glass, Inc. 003 OMB No.2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
check one
Units
(specify)Maximum
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Dail y
Discharge
(required)
Maximum
Monthly
y
Discharge
(if available)
Long -Term
Average
Daily
Discharge
if available
Number
of
Analyses
Long -
Term
Average
Value
Number
of
Analyses
2.9
2-chloroethylvinyl ether
(110-75-8)
❑
❑
✓❑
Concentration
Mass
2.10
Chloroform (67-66-3)
El
0
Concentration
Mass
2.11
Dichlorobromomethane
(75-27A)
❑
El
❑
Concentration
Mass
2.12
11-dichloroethane
(75-34-3)
El
❑
❑
Concentration
Mass
2.13
12-dichloroethane
(107-06-2)
❑
El
❑
Concentration
Mass
2.14
11-dichloroethylene
(75-35-4)
❑
❑
Concentration
Mass
2.15
12-dichloropropane
(78-87-5)
❑
❑
Concentration
Mass
2.16
13-dichloropropylene
(542-75-6)
❑
❑
❑
Concentration
Mass
2.17
Ethylbenzene
(100-41A)
El
El
El
Concentration
Mass
2.18
Methyl bromide
(74-83-9)
❑
❑
✓❑
Concentration
Mass
2.19
Methyl chloride
(74-87-3)
El ❑
El
Concentration
Mass
2.20
Methylene chloride
(75-09-2)
❑
❑
Concentration
Mass
2.21
1 1,2,2- tetrachloroethane
(79-34-5)
El
❑
El
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 13

� ioentnicabon Number NPUES Permit Nu
110001482887 NCO083038
Ardagh Glass, Inc.
Outfall Number
003
Form Approved 03/05/19
OMB No. 2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
check one
Units
(specify)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Dail Y
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Daily
Discharge
if available
Number
of
Analyses
Long -
Term
Average
Value
Number
of
Analyses
2.22
Tetrachloroethylene
(127-18-4)
❑
✓I
Concentration
Mass
2.23
Toluene
(108-88-3)
El
Concentration
Mass
2.24
1 2-trans-dichloroethylene
(156-60-5)
El
El
Concentration
Mass
2.25
1 1,1-tdchloroethane
(71-55-6)
Concentration
Mass
2.26
1 1,2-trichloroethane
(79-00-5)
Concentration
Mass
2.27
Trichloroethylene
(79-01-6)
Concentration
Mass
2.28
Vinyl chloride
(75-01-4)
❑
✓0
Concentration
Mass
Section 3.Organic Toxic Pollutants (GC1MS Fraction
—Acid Compounds)
3.1
2ichlorophenol
(95-57-8)
El
❑
Concentration
Mass
3.2
2 4-dichlorophenol
(120-83-2)
El
ElMass
Concentration
3.3
2 4-dimethylphenol
(105-67-9)
❑
✓0
Concentration
Mass
3.4
4,6-dinitro-o-cresol
(534-52-1)
El
IZI
Concentration
Mass
3.5 2 4-dinitrophenol
(51-28-5)
El
❑
✓❑
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 14

k ioentmcabon Number NPDES Permit Number Facility Name I Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 003 OMB No. 2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
check one
Units
(specify)
WIMM
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Dail Y
Discharge
(required)
Maximum
Monthly
Y
Discharge
available)
Long -Term
Average
aily
DisDcharge
if available
Number
of
Analyses
Long -
Term
Average
Number
of
Analyses
3.6
2-nitrophenol
(88-75-5)
Concentration
Mass
3.7
4-nitrophenol
(100-02-7)
El
El
z
Concentration
Mass
3.8
p-chloro-m-cresol
(59-50-7)
Concentration
Mass
3.9
Pentachlorophenol
(87-86-5)
❑
El
Concentration
Mass
3.10
Phenol
(108-95-2)
El
❑
a
Concentration
Mass
311
2,4,6-trichlorophenol
(88-05-2)
❑
1:1O
Concentration
Mass
Section 4.Organic Toxic Pollutants (GC/MS
Fraction
—Base (Neutral
Compounds)
41
Acenaphthene
(83-32-9)
El
El
E✓
Concentration
Mass
4.2
Acenaphthylene
(208-96-8)
1:1Mass
Concentration
4.3
Anthracene
(120-12-7)
Concentration
Mass
4.4
Benzidine
(92-87-5)
El
El
Concentration
Mass
4.5
Benzo (a) anthracene
(56-55-3)
Concentration
Mass
4.6
Benzo (a) pyrene
(50-32-8)
✓❑
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 15

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NC0083038 Ardagh Glass, Inc. 003 OMB No.2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
check one
Units
(specify)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Dail y
Discharge
(required)
Maximum
MonthlyAverage
Discharge
(if available)
Long -Term
Dail y
Discharge
if available
Number
of
Analyses
Lon g•
Term
Average
Value
Number
of
Analyses
4.7
3,4-benzofluoranthene
(205-99-2)
El
✓❑
Concentration
Mass
4 8
Benzo (ghi) perylene
(191-24-2)
El
El
✓�
Concentration
Mass
4 9
Benzo (k) fluoranthene
(207 08 9)
Concentration
Mass
4.10
Bis (2-chloroethoxy) methane
(111-91-1)
Concentration
Mass
4.11
Bis (2-chloroethyl) ether
(111-44-4)
❑
ElConcentration
Mass
4.12
Bis (2-chloroisopropyl) ether
(102-80-1)
❑
Concentration
Mass
4.13
Bis (2-ethylhexyl) phthalate
(117-81-7)
Concentration
Mass
4.14
4-bromophenyl phenyl ether
(101 55 3)
El
1:1
Concentration
Mass
4.15
Butyl benzyl phthalate
El
El(85-68-7)
Concentration
Mass
4.16
2-chloronaphthalene
(91-58-7)
✓0
Concentration
Mass
4.17
4-chlorophenyl phenyl ether
(7005-72-3)
Concentration
Mass
4.18
Chrysene
(218-01-9)
Concentration
Mass
4.19 Dibenzo (a,h) anthracene
(53-70-3)
El
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 16

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 003 1 OMB No. 2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
check one
Units
(Specify)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
rfavailabe)
Long -Term
Average
Daily
Discharge
f available
Number
Analyses
Long-
Term
Average
Value
Number
of
Analyses
4.20
12-dichlorobenzene
(95-50-1)
Concentration
Mass
4 21
1,3-dichlorobenzene
(541-73-1)
Concentration
Mass
4.22
1,4-dichlorobenzene
(106-46-7)
❑
El
Concentration
Mass
4.23
3 3-dichlorobenzidine
(91-94-1)
❑
0Concentration
Mass
4.24
Diethyl phthalate
(84-66-2)
❑
©
Concentration
Mass
4.25
Dimethyl phthalate
(131-11-3)
❑
0
Concentration
Mass
4.26
Di-n-butyl phthalate
(84 74-2)
El
Concentration
Mass
4.27
2 4-dinitrotoluene
(121-14-2)
❑
El
Concentration
Mass
4.28
2,6-dinitrotoluene
(606-20-2)
EJ
Concentration
Mass
4.29
Di-n-octyl phthalate
(117-84-0)
Concentration
Mass
4.30
1,2-Diphenylhydrazine
(as azobenzene) (122-66- 7)
Concentration
Mass
4.31
Fluoranthene
(206-44-0)
El
El
Concentration
Mass
4.32
Fluorene
(86-73-7)
O
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 17

EPA Identification Number
110001482887
NPDES Permit Number
NCO083038
Facility Name
Ardagh Glass, Inc.
Outfall Number
003
Form Approved 03/05/19
OMB No. 2040-0004
Pollutant/Parameter
and CAS Number, if available
( )
Testing
Required
q
Presence or Absence
check one
Units
(specify)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Daily
Discharge
if available
Number
of
Analyses
Long
Term
Average
Value
Number
of
Analyses
4.33
Hexachlorobenzene
(118-74-1)
❑
Concentration
Mass
4.34
Hexachlorobutadiene
(87-68-3)
El
❑
Concentration
Mass
4.35
Hexachlorocyclopentadiene
(77-47-4)
❑
✓I
Concentration
Mass
4.36
Hexachloroethane
(67-72-1)
Concentration
Mass
4.37
Indeno (1,2,3-cd) pyrene
(193-39-5)
Q
Concentration
Mass
4.38
Isophorone
(78-59-1)
❑
❑
✓❑
Concentration
Mass
4.39
Naphthalene
(91-20-3)
Concentration
Mass
4.40
Nitrobenzene
(98-95-3)
❑
✓7
Concentration
Mass
4.41
N-nitrosodimethylamine
(62-75-9)
❑
✓0
Concentration
Mass
4.42
N-nitrosodi-n-propylamine
(621-64-7)
El
El
Concentration
Mass
4.43
N-nitrosodiphenylamine
(86-30-6)
❑
11
✓❑
Concentration
Mass
4.44
Phenanthrene
(85-01-8)
El
El
Concentration
Mass
4.45
Pyrene
(129-00-0)
El
El
El
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 18

EPA
110001482887
NPUES Permit Nu
NCO083038
Facility Name
Ardagh Glass, Inc.
003
Form Approved 03/05/19
OMB No. 2040-0004
Pollutant/Parameter
(and CAS Number, if available)
1El
Testing
Required
Presence or Absence
check one
Units
(specify)Maximum
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Dail Y
Discharge
Maximum
Monthly
Y
Discharge chargee
Long -Term
Average
aily
Discharge
if available
Number
of
Analyses
Long -
Term
Average
Value
Number
of
Analyses
4.46
1 2 4-tdchlorobenzene
(120-82-1)
1Mass
El
✓❑
Concentration
Section 5.Organic Toxic Pollutants (GC/MS Fraction
—Pesticides)
51
Aldrin
(309-00-2)
IZI
Concentration
Mass
5.2
a-BHC
(319-84-6)
Concentration
Mass
5.3
R-BHC
(319-85-7)
Concentration
Mass
5.4
Y-BHC
(58-89-9)
❑
❑
Concentration
Mass
5.5
b-BHC
(319-86-8)
El
El
Concentration
Mass
5.6
Chlordane
(57-74-9)
Concentration
Mass
5.7
4 4'-DDT
(50-29-3)
Concentration
Mass
5.8
1(72-55-9)
4 4'-DDE
Concentration
Mass
5.9
4 4'-DDD
(72-54-8)
Concentration
Mass
5.10
Dieldrin
(60-57-1)
El
✓0
Concentration
Mass
5.11
a-endosulfan
(115-29-7)
✓0
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 19

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 003 OMB No. 2040-0004
Presence or Absence
check one
Effluent
Intake
(optional)
Poll utant/Parameter
Testing
Units
Long -Term
and CAS Number. if available
( )
Required
q '
Believed
Believed
(specify)
Maximum
Maximum
Average
Number
Long-
Number
Present
Absent
Daily
Monthly
Daily
of
Term
of
Discharge
Discharge
Discharge
Analyses
Average
Analyses
(required)
(if available)
if available
Value
5.12
R-endosulfan
El
❑
❑
Concentration
Mass
(115-29-7)
5.13
Endosulfan sulfate
❑
❑
❑
Concentration
Mass
(1031-07-8)
5.14
Endrin
❑
El
0
Concentration
Mass
(72-20-8)
5.15
Endrin aldehyde
❑
❑
❑
Concentration
Mass
(7421-93-4)
5.16
Heptachlor
❑
❑
❑
Concentration
Mass
(76-44-8)
5.17
Heptachlor epoxide
❑
❑
El
Concentration
(1024-57-3)
Mass
5.18
PCB-1242
(53469-21-9)
Concentration
Mass
5.19
PCB-1254
(11097-69-1)
❑
Concentration
Mass
5.20
PCB-1221
(11104-28-2)
❑
❑
✓❑
Concentration
Mass
5.21
PCB-1232
(11141-16-5)
❑
Concentration
Mass
5.22
PCB-1248
(12672-29-6)
❑
❑
El
Concentration
Mass
5.23
PCB-1260
(11096-82-5)
❑
❑
✓❑
Concentration
Mass
5.24
PCB-1016
(12674-11-2)
El
El
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 20

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 003 OMB No. 2040-0004
Presence or Absence
check one
Effluent
Intake
(optional)
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Believed
Believed
Units
(sped)
Maximum
Maximum
Long -Term
Average
Number
Long
Number
Present
Absent
Dail Y
Monthly
Y
Daily
of
Term
of
Discharge
Discharge
Discharge
Analyses
Average
Analyses
(required)
(if available)
if available
Value
Toxaphene
5.25 (8001-35-2)
Concentration
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

This page intentionally left blank.

EPA Identification Number
NPDES Permit Number Facility Name Outfall Number
Form Approved 03/05/19
110001482887
NCO083O38 Ardagh Glass, Inc. 003
OMB No.2040-0004
•
• • • •
• ••
Presence or Absence
check one
Effluent
Intake
(Optional)
Pollutant
Believed
Believed
Units
(specify)
Maximum Daily
Maximum
Lon T
Long -Term
Long -Term
Present
Absent
Discharge
Monthly
Average Daily
Number of
Average
Number of
(required)
Discharge
Discharge
Analyses
Value
Analyses
if available
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)
Mass
2
Chlorine, total
❑
❑
Concentration
residual
Mass
3.
Color
❑
❑
Concentration
Mass
4.
Fecal coliform
❑
❑
Concentration
Mass
5.
Fluoride
❑
El
Concentration
(16984-48-8)
Mass
6
Nitrate -nitrite
❑
❑
Concentration
Mass
7.
Nitrogen, total
El
❑
Concentration
organic (as N)
Mass
8.
Oil and grease
❑
❑
Concentration
Mass
9
Phosphorus (as
❑
❑
Concentration
P), total (7723-14-0)
Mass
10.
Sulfate (as SO4)
❑
❑
Concentration
(14808-79-8)
Mass
:11j.Sulf:ide:(a:sS�)[
❑
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 23

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083O38 Ardagh Glass, Inc. 003 OMB No. 2040-0004
Pollutant
Presence or Absence
check one
Units
(specify)
Effluent
Intake
(Optional)
Believed
Present
Believed
Absent
Maximum Daily
Discharge
(required)
Maximum
Monthly
Discharge
if available
Long -Term
Average Daily
Discharge
if available
Number of
Analyses
Long -Term
Average
Value
Number of
Analyses
12.
Sulfite (as S03)
(14265-45-3)
❑
❑
Concentration
Mass
13.
Surfactants
El
El
Concentration
Mass
14.
Aluminum, total
(7429-90-5)
❑
❑
Concentration
Mass
15.
Barium, total
(7440-39-3)
❑
❑
Concentration
Mass
16.
Boron, total
(744042-8)
❑
Concentration
Mass
17
Cobalt, total
(7440-48-4)
❑
❑
Concentration
Mass
18
Iron total
(7439-89-6)
❑
❑
Concentration
Mass
19.
Magnesium, total
(7439-95-4)
Concentration
Mass
20.
Molybdenum,
total
7439-98-7
❑
❑
Concentration
Mass
21.
Manganese, total
(7439 96-5)
El❑
Concentration
Mass
22
Tin, total
(7440-31-5)
Concentration
Mass
23
Titanium, total
(7440-32-6)
❑
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 24

EPA Identification Number
NPDES Permit Number
Facility Name
Outfall Number
Form Approved 03/05/19
110001482887
NCO083038
Ardagh Glass, Inc.
003
OMB No. 2040-0004
OUYLVIIIII16
Presence or Absence
check one
Effluent
Intake
(Optional)
Pollutant
Believed
Believed
Units
(specify)
Maximum Daily
Maximum Lon T
g� erm
Long -Term
Present
Absent
Discharge
Monthly Average Daily Number of
Average [Numberof
(required)
Discharge Discharge Analyses
Value Analyses
if available if available
24. Radioactivity
Alpha, total
Concentration
Mass
Beta, total
❑
Concentration
Mass
Radium, total
El
❑
Concentration
Mass
Radium 226, total
Concentration
Mass
"'r"„y �•'�" ��' ��� �� u�� „y LW OU111 MILly 3MIOIrwC rcoi NrULeuures ti.e., rnetnocis) approved under 4U Ur-N 13b 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 25

This page intentionally left blank.

EPA Identification Number NPDES Permit Number L::Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 003 OMB No. 2040-0004
-�� 1
Presence or Absence
Pollutant check one Available Quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge
(specify units)
Present Absent
1.
Asbestos
❑
✓❑
2.
Acetaldehyde
El
3.
Allyl alcohol
❑
❑✓
4.
Allyl chloride
❑
0✓
5.
Amyl acetate
El
Pi
6.
Aniline
❑
7.
Benzonitrile
✓0
8.
Benzyl chloride
❑
9.
Butyl acetate
El
10.
Butylamine
❑
11.
Captan
El✓❑
12.
Carbaryl
13.
Carbofuran
�✓
14.
Carbon disulfide
15.
Chlorpyrifos
ED
16.
Coumaphos
❑
✓0
17.
Cresol
18.
Crotonaldehyde
19.
Cyclohexane
✓D
EPA Form 3510-2C (Revised 3-19) Page 27

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 003 OMB No. 2040-0004
Presence or Absence
Pollutant check one Available Quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge
Present Absent
- — (specify units)
20. 2,4-D (2,4-dichlorophenoxyacetic acid) ❑ ✓❑
21.
Diazinon
❑
22.
Dicamba
❑
✓❑
23.
Dichlobenil
❑
0
24.
Dichlone
❑
✓❑
25.
2,2-dichloropropionic acid
❑
✓❑
26.
Dichlorvos
❑
27.
Diethyl amine
❑
0
28.
Dimethyl amine
❑
0
29.
Dintrobenzene
❑
✓❑
30.
Diquat
❑
0
31.
Disulfoton
❑
0
32.
Diuron
❑
0
33.
Epichlorohydrin
❑
0
34.
Ethion
❑
35.
Ethylene diamine
❑
✓0
36.
Ethylene dibromide
❑
0
37.
Formaldehyde
❑
38.
Furfural
❑
0
EPA Form 3510-2C (Revised 3-19) Page 28

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 003 OMB No. 2040-0004
'•• M MA*1• 1I
Presence or Absence
Pollutant check one Available Quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge
(specify units)
Present Absent
39.
Guthion
❑
40.
Isoprene
41.
Isopropanolamine
✓❑
42.
Kelthane
✓❑
43.
Kepone
44.
Malathion
✓❑
45.
Mercaptodimethur
0✓
46.
Methoxychlor
❑
47.
Methyl mercaptan
✓❑
48.
Methyl methacrylate
❑
0
49.
Methyl parathion
❑
50.
Mevinphos
❑
✓❑
51.
Mexacarbate
❑
0
52.
Monoethyl amine
❑
✓❑
53.
Monomethyl amine
0
54.
Naled
❑
0
55.
Naphthenic acid
❑
0
56.
Nitrotoluene
❑
0✓
57.
Parathion
❑✓
EPA Form 3510-2C (Revised 3-19) Page 29

EPA Idenffication Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 003 OMB No. 2040-0004
Presence or Absence
Pollutant check ne Reason Pollutant Believed Present in Discharge Available Quantitative Data
Believed Believed (specify units)
Present Absent
58. Phenolsulfonate ❑ El
59. Phosgene ❑ 0
60.
Propargite
❑
0
61.
Propylene oxide
❑
❑
62.
Pyrethrins
❑
63.
Quinoline
❑
❑
64.
Resorcinol
❑
65.
Strontium
❑
❑
66.
Strychnine
❑
67.
Styrene
❑
68
2,4,5-T (2,4,5-trichlorophenoxyacetic
acid
❑
❑
69.
ME (tetrachlorodiphenyl ethane)
❑
70
2,4,5-TP [2-(2,4,5-trichlorophenoxy)
ro anoic acid
❑
❑
71.
Trichlorofon
❑
0
72.
Triethanolamine
❑
73.
Triethylamine
❑
74.
Trimethylamine
❑
❑✓
75.
Uranium
❑
✓❑
76.
Vanadium
❑
✓❑
EPA Form 3510-2C (Revised 3-19) Page 30

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 003 1 OMB No. 2040-0004
Presence or Absence
Pollutant
check
one
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
(specify units)
Believed
Present
Believed
Absent
771.
Vinyl acetate
.Xylene
✓❑
79.
Xylenol
P/1
80.
Zirconium
❑
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 31

This page intentionally left blank.

EPA Identification Number
110001482887
Timing ._•
Pollutant
2,3,7,8-TCDD
EPA Form 3510-2C (Revised 3-19)
)ES Permit Number
NCO083038
•�•lAYMMID011113MIT,
TCDD Presence or
Congeners Absence
Used or check one
Manufactured Believed Believed
Present Absent
❑ ❑ I o
Facility Name
Ardagh Glass, Inc.
II Number
003
Results of Screening Procedure
Form Approved 03/05/19
OMB No. 2040-0004
Page 33

EPA Identification Number
110001482887
NPDES
NC0083038
Facility Name
Ardagh Glass, Inc.
Outfall Number
004
Form Approved 03/05/19
OMB No. 2040-0004
Pollutant
Waiver
Requested
(if applicable)
Units
(specify)
Effluent
Intake
0 tional
Maximum
Daily
Discharge
re wired
Maximum
Monthly
Discharge
if available
Long -Term
Average Daily
Discharge
if available
Number of
Analyses
Long -Term
Average Value
Number of
Analyses
✓� 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.
1.
Biochemical oxygen demand
(BODs)
0
Concentration
Mass
2'
Chemical oxygen demand
(COD)
❑
Concentration
Mass
3.
Total organic carbon (TOC)
✓�
Concentration
Mass
Concentration
4.
Total suspended solids (TSS)
✓�
Mass
Concentration
5.
Ammonia (as N)
✓�
Mass
6.
Flow
✓�
Rate
7.
Temperature (winter)
0
°C
°C
Temperature (summer)
✓0
°C
°C
8.
pH (minimum)
✓❑
Standard units
S.u.
pH (maximum)
Q
Standard units
s.u.
Samplin shall be condu t d A
g c e accor Ing t0 sufflclently sensltive 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 9

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 004 OMB No. 2040-0004
•
Pollutant/Parameter
(and CAS Number, if available)
•
Testing
Required
• I ez—A k
Presence or Absence
check one
• ' • r
Units
(specify)Maximum
,
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Dail Y
Discharge
(required)
Maximum
Monthly
Y
Discharge
(if available)
Long -Term
Average
Dailyf
Discharge
if available
mber
[Analyses;
Long
Term
Average
Value
Number
of
Analyses
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
(7440-36-0)
O
Concentration
Mass
1.2
Arsenic, total
(7440-38-2)
El
11
El
Concentration
Mass
1.3
Beryllium, total
(7440-41-7)
El
El
Concentration
Mass
1.4
Cadmium, total
(7440-43-9)
✓❑
Concentration
Mass
1.5
Chromium, total
(7440-47-3)
El
ElMass
Concentration
1.6
Copper, total
(7440-50-8)
Concentration
Mass
1 7
Lead, total
(7439-92-1)
✓0
Concentration
Mass
1.8
Mercury, total
(7439-97-6)
El
11
z
Concentration
Mass
1.9
Nickel, total
(7440-02-0)
❑
El
El
Concentration
Mass
1.10
Selenium, total
(7782-49-2)El
1:1
Concentration
Mass
1.11
Silver, total
(7440-22-4)
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 11

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NC0083038 Ardagh Glass, Inc. 1 004 1 OMB No. 2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
q
Presence or Absence
check one
Units
(specify)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Dail Y
Discharge
(required)
Maximum
Monthly
Y
Discharge
(if available)
Long -Term
Average
Daily
Discharge
if available
� Number
of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
1.12
Thallium, total
(7440-28-0)
El
0Mass
Concentration
1.13
Zinc, total
(7440-66-6)
❑
✓0
Concentration
Mass
1.14
Cyanide, total
(57-12-5)
❑
O
Concentration
Mass
1.15
Phenols, total
❑
Concentration
Mass
Section 2.Organic Toxic Pollutants (GC/MS
Fraction
—Volatile Compounds)
21
Acrolein
(107-02-8)
Concentration
Mass
2.2
Acrylonitrile
(107-13-1)
El
❑
✓❑
Concentration
Mass
�-
2.3
Benzene
(71-43-2)
El
❑
R1
Concentration
Mass
- —
2 4
Bromoform
(75-25-2)
❑
Concentration
Mass
----
2.5
Carbon tetrachloride
(56-23-5)
Concentration
-_
Mass
-- -
—
2.6
Chlorobenzene
(108-90-7)
Concentration
---
Mass
2.7
Chlorodibromomethane
(124-48-1)
El
El
Concentration
Mass
-
2.8 Chloroethane
(75-00-3)El
✓0
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 12

EPA Identification Number
110001482887
NPDES Permit Number
NCO083038
Facility Name
Ardagh Glass, Inc.
Outfall Number Form Approved 03/05/19
004 OMB No. 2040-0004
•
PollutantlParameter
(and CAS Number, if available)
•
Testing
Required
•
Presence
check
•-
or Absence
one
• -•
Units
(specify)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Discharge a
g
if available
Number
Analyaily ses
y
Lon
To n-
Average
Value
Number
Analyses
y
2.9
2-chloroethylvinyl ether
(110-75-8)
El
Concentration
Mass
2.10
Chloroform (67-66-3)
❑
11
Concentration
Mass
211
Dichlorobromomethane
(75-27-4)
❑
Concentration
Mass
2.12
1 1-dichloroethane
(75-34-3)
El
Concentration
Mass
2.13
1,2-dichloroethane
(107 06 2)
El
11
Concentration
Mass
2.14
1,1-dichloroethylene
(75-35-4)
Concentration
Mass
2.15
1,2-dichloropropane
(78-87-5)
El
11
El
Concentration
Mass
2.16
1,3-dichloropropylene
(542-75-6)
El
El
0
Concentration
Mass
217
Ethylbenzene
(100-41-4)
El
El✓0
Concentration
Mass
2.18
Methyl bromide
(74-83-9)
El
✓�
Concentration
Mass
2.19
Methyl chloride
(74-87-3)
✓0
Concentration
Mass
2.20
Methylene chloride
(75-09-2)
El
Concentration
Mass
221
1,1,2,2-tetrachloroethane
(79-34-5)
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 13

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 I Ardagh Glass, Inc. 004 1 OMB No. 2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
check one
Units
(specify)Maximum
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Dail Y
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Daily
Discharge
if available
Number
of
Analyses
Long -
Term
Average
Value
Number
of
Analyses
2 22
Tetrachloroethylene
(127-18-4)
Concentration
Mass
2.23
Toluene
(108-88-3)
❑
❑
Concentration
Mass
2.24
1 2-trans-dichloroethylene
(156-60-5)
El
El
ElMass
Concentration
2.25
1 1,1-trichloroethane
(71-55-6)
❑❑
Concentration
Mass
2.26
1 1,2-trichloroethane
(79-00-5)
❑
�
Concentration
Mass
2.27
Trichloroethylene
(79-01-6)
El
E]Concentration
Mass
2.28
Vinyl chloride
(75-01-4)
❑
✓0
Concentration
Mass
Section 3.Organic Toxic Pollutants (GC/MS Fraction
—Acid Compounds)
3.1
2-chlorophenol
(95-57-8)
Concentration
Mass
3.2
2,4-dichlorophenol
(120-83-2)
El
IZI
Concentration
Mass
3.3
2,4-dimethylphenol
(105-67-9)
El
❑
IZI
Concentration
Mass
3.4
4,6-dinitro-o-cresol
(534-52-1)
Concentration
Mass
3.5 2,4-dinitrophenol
(51-28-5)
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 14

EPA Identification Number
110001482887
NPDES Permit Number
NC0083038
Facility Name
Ardagh Glass, Inc.
Outfall Number
004
Form Approved 03/05/19
OMB No. 2040-0004
•
Pollutant/Parameter
(and CAS Number, if available)
•
Testing
Required
• •-
Presence or Absence
check one
• ••
Units
(specify)Maximum
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Dail Y
Discharge
(required)
Maximum
Monthly
Y
Discharge
(if available)
Long -Term
Average
Daily
Discharge
if available
Number
of
Analyses
Long -
Term
Average
Value
Number
of
Analyses
3.6
2-nitrophenol
(88-75-5)
El
El
El
Concentration
Mass
3.7
4-nitrophenol
(100-02-7)
❑
Concentration
Mass
3.8
p-chloro-m-cresol
(59 50 7)
El
ElMass
Concentration
3.9
Pentachlorophenol
(87-86-5)
El
1:1
Concentration
Mass
3.10
Phenol
(108-95-2)
El
El
Concentration
Mass
3.11
2,4,6-trichlorophenol
(88-05-2)
Concentration
Mass
Section 4.Organic Toxic Pollutants (GC/MS
Fraction
—Base /Neutral
Compounds)
4.1
Acenaphthene
(83-32-9)
Concentration
Mass
4.2
Acenaphthylene
(208-96-8)
El
El
Concentration
Mass
4.3
Anthracene
(120-12-7)
❑
Concentration
Mass
4.4
Benzidine
(92-87-5)
El
11
Concentration
Mass
4.5
Benzo (a) anthracene
(56-55-3)
El
Concentration
Mass
4.6
Benzo (a) pyrene
(50-32-8)
El
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 15

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 ArclaRh Glass, Inc. 004 OMB No. 2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
check one
Units
(specify)
HIM
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Dail Y
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Daily
Discharge
if available
Number
of
Analyses
Long -
Term
Average
Value
Number
of
Analyses
4.7
3,4-benzofluoranthene
(205-99-2)
El
El
✓�
Concentration
Mass
4.8
Benzo (ghi) perylene
(191-24-2)
El
El
El
Concentration
Mass
4.9
Benzo (k) fluoranthene
(207-08-9)
El
11
El
Concentration
Mass
4.10
Bis (2-chloroethoxy) methane
(111-91-1)
El
El
Concentration
Mass
4.11
Bis (2-chloroethyl) ether
(111-44-4)
El
11
ElMass
Concentration
4.12
Bis (2-chloroisopropyl) ether
(102-80-1)
El
El
Concentration
Mass
4.13
Bis (2-ethylhexyl) phthalate
(117-81-7)
El
❑
O
Concentration
Mass
4.14
4-bromophenyl phenyl ether
(101-55-3)
El
Q
Concentration
Mass
4.15
Butyl benzyl phthalate
(85-68-7)
El
1:1
Concentration
Mass
4.16
2-chloronaphthalene
(91-58-7)
El
El
0
Concentration
Mass
4.17
4-chlorophenyl phenyl ether
(7005-72-3)
El
El
IZI
Concentration
Mass
418
Chrysene
(218-01-9)
El
IZI
Concentration
Mass
4.19 Dibenzo (a,h) anthracene
(53-70-3)
El
❑
a
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 16

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 004 OMB No. 2040-0004
•
Pollutant/Parameter
(and CAS Number, if available)
•
Testing
Required
• • '
Presence or Absence
check one
SKII Lei ' •
Units
(specify)Maximum
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Dail Y
Discharge
(required)
Maximum
Monthly
Y
DischargeDaily
(if available)
g-Term
verage
IDischarge
vailable
Number
of
Analyses
Long
Term
Average
Value
Number
of
Analyses
4.20
1,2-dichlorobenzene
(95-50-1)
El
11
El
Concentration
Mass
4.21
1,3-dichlorobenzene
(541-73-1)
El
El
Concentration
Mass
4.22
1,4-dichlorobenzene
(106-46-7)
❑
Concentration
Mass
4.23
3,3-dichlorobenzidine
(91-94-1)
❑
Concentration
Mass
4.24
Diethyl phthalate
(84-66-2)
Concentration
Mass
4.25
Dimethyl phthalate
(131-11-3)
❑
ElConcentration
Mass
4.26
Di-n-butyl phthalate
(84-74-2)
❑
Concentration
Mass
4.27
2,4-dinitrotoluene
(121-14-2)
El
✓❑
Concentration
Eli
Mass
4.28
2,6-dinitrotoluene
(606-20-2)
Concentration
Mass
4.29
Di-n-octyl phthalate
(117-84-0)
❑
ElConcentration
Mass
4.30
1,2-Dipheny1hydrazine
(as azobenzene) (122-66-7)
El
❑
✓I
Concentration
Mass
4.31
Fluoranthene
(206-44-0)
El
❑
❑✓
Concentration
Mass
4.32
Fluorene
(86-73-7)
❑
El
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 17

EPA Identification Number
110001482887
NPDES Permit Number
NCO083038
Facility Name
Ardagh Glass, Inc.
Outfall Number
004
Form Approved 03/05/19
OMB No. 2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
check one
Units
(specify)Maximum
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Dail y
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Discharge a aily
g
if available
Number
Anal f
yses
Long-
Term
Average
Value
Number
Analyses
yses
4.33
Hexachlorobenzene
(118-74-1)
El
El
Concentration
Mass
4.34
Hexachlorobutadiene
(87-68-3)
✓❑
Concentration
Mass
4.35
Hexachlorocyclopen tad iene
(77-47-4)
El
11
Concentration
Mass
4.36
Hexachloroethane
(67-72-1)
El
El
Concentration
Mass
4.37
Indeno (1,2,3-cd) pyrene
(193-39-5)
El
El
El
Concentration
Mass
4.38
Isophorone
(78 59 1)
El
11
a
Concentration
Mass
4.39
Naphthalene
(91-20-3)
El
El
Concentration
Mass
4.40
Nitrobenzene
(98-95-3)
El
Concentration
Mass
4.41
N-nitrosodimethylamine
(62-75-9)
El
El
Concentration
Mass
4.42
N-nitrosodi-n-propylamine
(621-64-7)
El
IZI
Concentration
Mass
4.43
N-nitrosodiphenylamine
(86-30-6)
✓0
Concentration
Mass
4.44
Phenanthrene
(85-01-8)
El
Concentration
Mass
4.45
Pyrene
(129-00-0)
❑
El
IZI
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 18

EPA Identification Number
110001482887
NPDES Permit Number Facility Name
NCO083038 Ardagh Glass, Inc.
Outfall Number Form Approved 03/05/19
004 OMB No.2040-0004
•
Pollutant/Parameter
(and CAS Number, if available)
•
Testing
Required
• •-
Presence or Absence
check one
• ;Lojqqli
Units
(specify)Maximum
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Dail y
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Discharge a
(if ischa rg
Number
Analyaily ses
y
Long -
Term
Average
Value
Number
Analyses
y
4.46
1 2 4-trichlorobenzene
(120-82-1)
Concentration
Mass
Section 5.Organic Toxic Pollutants (GC/MS Fraction
—Pesticides)
5.1
Aldrin
(309-00-2)
EJ
11
IZIMass
Concentration
5.2
a-BHC
(319-84-6)
❑
❑
Concentration
Mass
5.3
�'IHC
9-85-7)
El
Concentration
Mass
5.4
Y-BHC
(58-89-9)El
Concentration
Mass
5.5
6-BHC
(319-86-8)
El
El
El
Concentration
Mass
5.6
Chlordane
(57-74-9)
El
Concentration
Mass
5 7
4,4'-DDT
(50-29-3)
Concentration
Mass
5.8
4,4'-DDE
(72-55-9)
El
0
Concentration
Mass
5.9
4 4'-DDD
(72-54-8)
Concentration
Mass
5.10
Dieldrin
(60-57-1)
Concentration
Mass
5.11
a-endosulfan
(115-29-7)
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 19

EPA Identification Number
110001482887
NPDES Permit Number
NCO083038
Facility Name
Ardagh Glass, Inc.
Outfall Number
004
Form Approved 03/05/19
OMB No.2040-0004
•
Pollutant/Parameter
(and CAS Number, if available)
•
Testing
Required
•
Presence
check
•-
or Absence
one
• -• r
Units
Units
�)
,
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Daily
Discharge
if available
Number
of
Analyses
Lon
Term
Average
Value
Number
of
Analyses
5.12
R endosulfan
(115-29-7)
❑
❑
IZI
Concentration
Mass
5.13
Endosulfan sulfate
(1031-07-8)
El
El
❑
Concentration
Mass
5.14
Endrin
(72-20-8)
❑
❑
0
Concentration
Mass
5.15
Endrin aldehyde
(7421-93-4)
❑
❑
❑
Concentration
Mass
5.16
Heptachlor
(76-44-8)
❑
❑
0
Concentration
Mass
5.17
Heptachlor epoxide
(1024-57-3)
❑
❑
Concentration
Mass
5.18
PCB-1242
(53469-21-9)
❑
❑
Concentration
Mass
5.19
PCB-1254
(11097-69-1)
❑
❑
0
Concentration
Mass
5.20
PCB-1221
(11104-28-2)
❑
❑
✓❑
Concentration
Mass
5.21
PCB-12
16
Concentration
Mass
5.22
PCB-1248
(12672-29-6)
❑
❑
✓❑
Concentration
Mass
5.23
PCB-1260
(11096-82-5)
❑
❑
✓❑
Concentration
Mass
5.24
PCB-1016
(12674-11-2)
❑
❑
✓❑
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 20

EPA Identification Number
NPDES Permit Number
Facility Name
Outfall Number
Form Approved 03/05/19
110001482887
NCO083038
Ardagh Glass, Inc.
004
OMB No. 2040-0004
Presence or Absence
check one
Effluent
Intake
(optional)
Pollutant/Parameter
Testing
Units
Long -Term
(and CAS Number, if available)
Required
Believed
Believed
(specify)Maximum
Maximum
Average
Number
Long -
Number
Present
Absent
Dail y Monthly
Term
Discharge Discharge
(required) (if available)
Discharge char a
g
Analyaily ses
Yses
Average
Value
Analyses
Toxaphene
5.25
❑
El
El
Concentration
if available
(8001-35-2)
Mass
Samnlinn shall ha rnnrtiirtorl mrrnnlinn
rn ...ui,.;,,..fi.,
, •, , .
. _ ___
v «� NjULC;UUjUo tj.c., iiieuwds/ approved under4u trK 136 Tor 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

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 004 OMB No. 2040-0004
Presence or Absence
check one Effluent Intake
(Optional)
Pollutant Units Maximum Long -Term
Believed Believed (specify) Maximum Daily Long -Term
Present Absent Discharge Monthly Average Daily Number of Average Number of
(required) Discharge Discharge Analyses Value Analyses
if available 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
Mass
(24959-67-9)
2
Chlorine, total
❑
❑
Concentration
Mass
residual
3.
Color
❑
❑
Concentration
Mass
4.
Fecal coliform
❑
❑
Concentration
Mass
5
Fluoride
❑
❑
Concentration
Mass
(16984-48-8)
6
Nitrate -nitrite
❑
❑
Concentration
Mass
7.
Nitrogen, total
El
Concentration
Concentration
Mass
organic (as N)
8.
Oil and grease
❑
❑
Concentration
Mass
9
Phosphorus (as
❑
❑
Concentration
Mass
P), total (7723-14-0)
10.
Sulfate (as SO4)
❑
❑
Concentration
Mass
(14808-79-8)
11.
Sulfide (as S)
❑
❑
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 23

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 TArdagh Glass, Inc. 004 OMB No. 2040-0004
• • • • • -• 1
Presence or Absence
check one Effluent Intake
(Optional)
Pollutant Units Maximum Long -Term Believed Believed (specify) Maximum Daily Long -Term
Present Absent Discharge Monthly Average Daily Number of Average Number of
(required) Discharge Discharge Analyses Analyses
if available if available Value
12
Sulfite (as S03)
(14265-45-3)
❑
❑
Concentration
Mass
13.
Surfactants
❑
❑
Concentration
Mass
14.
Aluminum, total
(7429-90-5)
❑
❑
Concentration
Mass
15.
Barium, total
(7440-39-3)
❑
❑
Concentration
Mass
16.
Boron, total
(7440-42-8)
❑
❑
Concentration
Mass
17
Cobalt, total
(7440 484)
❑
❑
Concentration
Mass
18
Iron, total
(7439-89-6)
❑
❑
Concentration
Mass
19
Magnesium, total
(7439-95-4)
❑
❑
Concentration
Mass
20.
Molybdenum,
total
7439-98-7
❑
❑
Concentration
Mass
21
Manganese, total
(7439-96-5)
❑
❑
Concentration
Mass
22
Tin, total
(7440-31-5)
❑
❑
Concentration
Mass
23
Titanium, total
(7440-32-6)
❑
❑
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 24

EPA Identification Number NPDES Permit Number
Facility Name
Outfall Number
Form Approved 03/05/19
110001482887 NCO083038
Ardagh Glass, Inc.
004
OMB No. 2040-0004
Presence or Absence
check one
Effluent
Intake
Pollutant Units
(Optional)
Believed Believed (specify)
Maximum DailyLon
Maximum Long-Term
g -Term
Present Absent
DischargeAverage
Monthly Daily Number of
Number of
(required)
Discharge arge Analyses
rra„.d.W., �_
Analyses
Value
24. Radioactivity
Alpha, total El ❑ 7Mass
Beta, total ❑
Radium, total Concentration
Mass
Radium 226, total Concentration
Mass
' 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 25

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NC0083038 Arclagh Glass, Inc. 004 OMB No. 2040-0004
'�• • 1
Presence or Absence
Pollutant check one Available Quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge
Present Absent (specify units)
1.
Asbestos
❑
✓0
2.
Acetaldehyde
3.
Allyl alcohol
El
4.
Allyl chloride
5.
Amyl acetate
6.
Aniline
El
7.
Benzonitrile
8.
Benzyl chloride
9.
Butyl acetate
❑
10.
Butylamine
0
�
11.
Captan
❑
12.
Carbaryl
❑
13.
Carbofuran
❑
14.
Carbon disulfide
15.
Chlorpyrifos
16.
Coumaphos
17.
Cresol
18.
Crotonaldehyde
-T
19.
Cyclohexane
o
✓0
EPA Form 3510-2C (Revised 3-19)
Page 27

20.
EPA Identification Number NPDES Permit Number
110001482887 NCO083038 Ardagh
Presence or Absence
Pollutant check one
Believed Believed
Present Absent
Facility Name Outfall Number Form Approved 03/05/19
Glass, Inc. 004 OMB No. 2040-0004
Reason Pollutant Believed Present in Discharge Available Quantitative Data
(specify units)
_ _
2,4-D (2,4-dichlorophenoxyacetic acid)
❑
21.
Diazinon
❑
0
22.
Dicamba
❑
23.
Dichlobenil
❑
24.
Dichlone
❑
25.
2,2-dichloropropionic acid
❑
0
26.
Dichlorvos
❑
❑
27.
Diethyl amine
❑
❑
28.
Dimethyl amine
❑
29.
Dintrobenzene
❑
30.
Diquat
❑
0
31.
Disulfoton
❑
32.
Diuron
❑
0
33.
Epichlorohydrin
❑
0
34.
Ethion
❑
- -
35.
Ethylene diamine
❑
--
36.
Ethylene dibromide
❑
�
37.
Formaldehyde
❑
38.
Furfural
❑
0
EPA Form 3510-2C (Revised 3-19)
Page 28

EPA Identification Number NPDES Permit Number Facility Name T---Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 004 OMB No. 2040-0004
M. Presence or Absence
Pollutant check one Available Quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge
Present Absent (specify units)
39.
Guthion
0
40.
Isoprene
El
✓❑
41.
Isopropanolamine
El
42.
Kelthane
43.
Kepone
44.
Malathion
❑
45.
Mercaptodimethur
❑
✓0
46.
Methoxychlor
47.
Methyl mercaptan
48.
Methyl methacrylate
El
49.
Methyl parathion
0
50.
Mevinphos
El
El
51.
Mexacarbate
0
52.
Monoethyl amine
53.
Monomethyl amine
❑
54.
Naled
❑
✓0
55.
Naphthenic acid
❑
56.
Nitrotoluene
57.
Parathion
EPA Form 3510-2C (Revised 3-19)
Page 29

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/1S
110001482887 NCO083038 Ardagh Glass, Inc. 004 OMB No. 2040-0004
Presence or Absence
Pollutant check one Available Quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge
Present Absent (specify units)
58.
Phenolsulfonate
0
59.
Phosgene
El
60.
Propargite
El
61.
Propylene oxide
El
ED
62.
Pyrethrins
El
63.
Quinoline
❑
64.
Resorcinol
El65.
Strontium
66.
Strychnine
0
67.
68
Styrene
2,4,5-T (2,4,5-trichlorophenoxyacetic
acid
69.
70.
TDE (tetrachlorodiphenyl ethane)
2,4,5-TP [2-(2,4,5-trichlorophenoxy)
ro anoic acidl
El
71.
Trichlorofon
✓0
72.
Triethanolamine
✓0
73.
Triethylamine
74.
Trimethylamine
El
❑✓
75.
Uranium
r76.TVanadium
EPA Form 3510-2C (Revised 3-19)
Page 30

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
110001482887 NCO083038 Ardagh Glass, Inc. 004
Form Approved 03/05/19
OMB No. 2040-0004
Presence or Absence
Pollutant check one Available Quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge
Present Absent (specify units)
77. Vinyl acetate
78. Xylene ❑
79. Xylenol ✓0
80. Zirconium
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 31

This page intentionally left blank.

EPA Identification Number NPDES Permit Nw
110001482887 NC0083038
TCDD
Presence or
Congeners
Absence
Pollutant
Used or
check one
Believed
Believed
Manufactured
Present
Absent
2,3,7,8-TCDD
EPA Form 3510-2C (Revised 3-19)
❑ I ❑ I o
Facility Name
Ardagh Glass, Inc.
0
0
m
U)
N
O
N
-P
ill Number
004
Results of Screening Procedure
Form Approved 03/05/19
OMB No. 2040-0004
Page 33

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. OMB No. 2040-0004
Form U.S Environmental Protection Agency
2F 1r0 CPA Application for NPDES Permit to Discharge Wastewater
NPDES ` /"1 STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTIONOUTFALL LOCATION
1.1 Provide information on each of the facilit 's outfalls in the table below
Number Ou Receiving Water Name Latitude Longitude
001 Tributary to Martin Creek 36� 17' 21.3" N 78' 23' 32.7" W
c
0
002 Tributary to Martin Creek 36` 17' 21.9" N 78' 23' 42.3" W
0
J
003 Tributary to Martin Creek 36' 17' 23.1" N 78' 23' 40.4" W
0
0 004 Tributary to Martin Creek 36' 17' 22.0" N 78' 23' 38.7, W
SECTION' • 1
2.1 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 Section 3.
2.2 Briefly identify each applicable project in the table below.
Brief Identification and Affected Outfalls Final Compliance Dates
Sources) of Discharge
Description of Project (list outfall numbers) Required Projected
y
C
N
E
O
O.
E
2.3 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 0 No
EPA Form 3510-21' (Revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name
110001482887 NCO083038 Ardagh Glass, Inc.
Form Approved 03/05/19
OMB No. 2040-0004
3.1 Have you attached a site drainage map containing all required information to this application? (See instructions for
specific guidance.)
N 'a
0
® Yes ❑ No
4.1 Provide information on the facility's pollutant sources in the table below.
Outfall Impervious Surface Area Total Surface Area Drained
Number (within a mile radius of the facility) (within a mile radius of the facility)
specify units specify units
001 40,000 m 2 42,000 m 2
specify units specify units
002 30,000 m2 170,000 m2
specify units specify units
003 13,000 m2 15,000 m2
specify units specify units
004 28,000 m 2 30,000 m 2
specify units specify units
specify units specify units
4.2 Provide a narrative description of the facility's significant material in the space below. (See instructions for content
requirements.)
h The principal raw materials that are stored at the site are sand, limestone, and soda ash. These materials are
W transported to the facility via rail or truck and are unloaded into underground bunkers. From there the material is
o conveyed to bins inside of an enclosed silo. Material is transfered to the furnaces via enclosed conveyors. The only
N significant material that is stored outside with exposure to stormwater is cullet (recycled glass). No significant materials
w
have been treated or disposed of in a manner that would allow exposure to stormwater.
0
a
4.3 Provide the location and a description of existing structural and non-structural control measures to reduce pollutants in
stormwater runoff. See instructions forspecificguidance.)
Stormwater Treatment
Codes
Outfall
from
Number
Control Measures and Treatment
Exhibit
2F-1
list
001
Settling pond
1-U
002
Ponds
1-U
003
Settling pond
1-U
004
Settling pond
1-U
EPA Form 3510-2F (Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. OMB No. 2040-0004
SECTION•N STORMWATER I 1
5.1 1 certify under penalty of law that the outfall(s) covered by this application have been tested or evaluated for the
presence of non-stormwater discharges. Moreover, I certify that the outfalls identified as having non-stormwater
discharges are described in either an accompanying NPDES Form 2C, 2D, or 2E application.
Name (print or type first and last name)
Official title
Richard Tomicek
VP of Environmental Compliance
Signature
Date signed
N
E,
5.2
Provide the testing information requested in the table below.
Outfall
Onsite Drainage Points
o
Number
Description of Testing Method Used
Date(s) of Testing
Directly Observed
During Test
A
001
Analysis of schematics
0
in
co
002
Analysis of schematics
Z
003
Analysis of schematics
004
Analysis of schematics
�
I
SECTION
OR
6.1
Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
N
Q
None
N
`o
Y
e0
G/
J
G
A
U
C
N
SECTION
DISCHARGE
INFORMATION1
See the instructions to determine the pollutants and parameters you are required to monitor and, in turn, the tables you must
o
com fete. Not all applicants need to complete each table.
7.1
Is this a new source or new discharge?
❑ Yes 4 See instructions regarding submission of ❑ No 4 See instructions regarding submission of
estimated data. actual data.
Tables A, B, C, and D
Have you completed Table A for each outfall?
❑� Yes ❑ No
EPA Form 3510-21' (Revised 3-19) Page 3

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
110001482887
NCO083038
Ardagh Glass, Inc.
OMB No. 2040-0004
7.3
Is the facility subject to an effluent limitation guideline (ELG) or effluent limitations in an NPDES permit for its process
wastewater?
❑✓ Yes ❑ No 4 SKIP to Item 7.5.
7.4
Have you completed Table B by providing quantitative data for those pollutants that are (1) limited either directly or
indirectly in an ELG and/or (2) subject to effluent limitations in an NPDES permit for the facility's process wastewater?
❑✓ Yes ❑ No
7.5
Do you know or have reason to believe any pollutants in Exhibit 2F-2 are present in the discharge?
❑ Yes ✓❑ No 4 SKIP to Item 7.7.
7.6
Have you listed all pollutants in Exhibit 2F-2 that you know or have reason to believe are present in the discharge and
provided quantitative data or an explanation for those pollutants in Table C?
❑ Yes ❑ No
7.7
Do you qualify for a small business exemption under the criteria specified in the Instructions?
❑ Yes 4SKIP to Item 7.18. ❑✓ No
7.8
Do you know or have reason to believe any pollutants in Exhibit 2F-3 are present in the discharge?
❑ Yes ❑✓ No 4 SKIP to Item 7.10.
7.9
Have you listed all pollutants in Exhibit 2F-3 that you know or have reason to believe are present in the discharge in
Table C?
0
U
❑ Yes ❑ No
0
7.10
Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater?
E
❑ Yes ❑✓ No 4 SKIP to Item 7.12.
0
7.11
Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that expect to be discharged in
o
you
concentrations of 10 ppb or greater?
❑ Yes ❑ No
7.12
Do you expect acrolein, acrylonitrile. 2,4-dinitrophenol, or 2-methyl-4,6-dinitrophenol to be discharged in concentrations
of 100 ppb or greater?
❑ Yes ❑✓ No 4 SKIP to Item 7.14.
7.13
Have you provided quantitative data in Table C for the pollutants identified in Item 7.12 that you expect to be
discharged in concentrations of 100 ppb or greater?
❑ Yes ❑ No
7.14
Have you provided quantitative data or an explanation in Table C for pollutants you expect to be present in the
discharge at concentrations less than 10 ppb (or less than 100 ppb for the pollutants identified in Item 7.12)?
✓❑ Yes ❑ No
7.15
Do you know or have reason to believe any pollutants in Exhibit 2F4 are present in the discharge?
❑ Yes ❑✓ No 4 SKIP to Item 7.17.
7.16
Have you listed pollutants in Exhibit 2F4 that you know or believe to be present in the discharge and provided an
explanation in Table C?
❑ Yes ❑ No
7.17
Have you provided information for the storm event(s) sampled in Table D?
❑ Yes ✓❑ No
EPA Form 3510-21F (Revised 3-19) Page 4

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
110001482887
NCO083038
Ardagh Glass, Inc.
OMB No. 2040-0004
Used or Manufactured Toxics
7.18
Is any pollutant listed on Exhibits 2F-2 through 2F-4 a substance or a component of a substance used or
manufactured as an intermediate or final product or byproduct?
0
a
✓❑ Yes ❑ No SKIP to Section 8.
0
E
7.19
List the pollutants below, including TCDD if applicable.
L
0
1' Selenium 4. Chromium 7•
a�
rn
2. 5. $'
Lead Zinc
V)
9.
Copper
SECTION•
• • I ,
8.1
11
Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on
any of your discharges or on a receiving water in relation to your discharge within the last three years?
cc
0
.y
❑ Yes ❑✓ No 4 SKIP to Section 9.
8.2
Identify the tests and their purposes
below.
Test(s)
Purpose of Test(s)
Submitted to NPDES
Date Submitted
x
Permitting Authority?
0
~
R
❑ Yes ❑ No
0
❑ Yes ❑ No
0
m
❑ Yes ❑ No
SECTION•
•• • r ,
9.1
Were any of the analyses reported in Section 7 (on Tables A through C) performed by a contract laboratory or
consulting firm?
❑✓ Yes ❑ No -+ SKIP to Section 10.
9.2
Provide information for each contract laboratory or consulting firm below.
Laboratory Number 1
Laboratory Number 2
Laboratory Number 3
Name of laboratory/firm
Pace Analytical Services
IEA
c
0
:r
R
O
w
y
Laboratory address
y
6701 Conference Drive
P.O. Box 12846
Raleigh, NC 27607
Research Triangle Park, NC
c
Q
27709
c.>
R
L
c
Phone number
U
[phone]
[phone]
Pollutant(s) analyzed
TSS, pH
BOD, TSS, Oil & Grease
EPA Form 3510-21' (Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name
Form Approved 03/05/19
110001482887 NC0083038 Ardagh Glass, Inc.
CM8 No. 2040-0004
SECTION1
CHECKLIST
AND CERTIFICATION STATEMENT (40
10.1
In Column 1 below, mark the sections of Form 2F 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 complete all sections or provide attachments.
Column 1
Column 2
© Section 1
❑ w/ attachments (e.g., responses for additional outfalls)
❑� Section 2
❑ wl attachments
Q Section 3
❑ w/ site drainage map
❑✓ Section 4
❑ wl attachments
El Section 5
❑ w/ attachments
❑✓ Section 6
❑ w/ attachments
ar
d
R
❑✓ Section 7
❑ Table A ❑ w/ small business exemption request
N
c
❑ Table B ❑ w/ analytical results as an attachment
❑ Table C ❑ Table D
�'
❑✓ Section 8
❑ w/attachments
v
H
Section 9
❑ w/attachments (e.g., responses for additional contact laboratories or firms)
Y
s
U
Section 10
❑
10.2
Certification Statement
1 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. l 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
Richard Tomicek
Vice President of Environmental Compliance
Signature
Date signed
EPA Form 3510-21' (Revised 3-19) Page 6

EPA Identification Number I NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 1 001 OMB No. 2040-0004
You must provide the results of at least one analysis for every pollutant in this table. Complete one table for each outfall. See instructions for additional details and re uirements.
Pollutant or Parameter
Maximum Daily Discharge
(specify units)
Average Daily Discharge
(specify units)
Number of Storm
Events Sampled
Source of
Information
(new source/new
dischargers only; use
codes in instructions)
Grab Sample Taken
DuringFirst
30 Minutes
Flow -Weighted
Composite
p
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
1.
Oil and grease
2.
Biochemical oxygen demand (BOD5)
3.
Chemical oxygen demand (COD)
4.
Total suspended solids (TSS)
5.
Total phosphorus
6.
Total Kjeldahl nitrogen (TKN)
7.
Total nitrogen (as N)
8.
�S
pH (minimum)
pH (maximum)
1' h Ilk
an ing s a e 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 3510-217 (Revised 3-19) Page 7

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NC0083038 Ardagh Glass, Inc. 001 OMB No. 2040-0004
List each pollutant that is limited in an effluent limitation guideline (ELG) that the facility is subject to or any pollutant listed in the facility's NPDES permit for its process wastewater (if the
facility is operating under an existing NPDES permit). Complete one table for each outfall. See the instructions for additional details and requirements.
Pollutant and CAS Number (if available)
Maximum Daily Discharge
(speci units
Average Daily Discharge
(specify units)
Number of Storm
Events Sampled pled
Source of
Information
(new source/new
dischargers only; use
codes in instructions)
Grab Sample Taken
During First
30 Minutes
Composite
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
hted
Composite
posite
Oil & Grease (process wastewater)
<5 mg/L
TSS (process wastewater)
<4 mg/L
pH (process wastewater)
9.47
Turbidity (process wastewater)
<2.0 mg/L BOD
Temperature (process wastewater)
160.4 F
Acute Toxicity (process wastewater)
TSS (general industrial stormwater permit)
56.5 mg/L
pH (general industrial stormwater permit)
7.3
Sampling snall oe 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 3510-2F (Revised 3-19) Page 9

This page intentionally left blank.

hPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 001 OMB No. 2040-0004
List each pollutant shown in Exhibits 2F-2, 2F-3, and 2F-4 that you know or have reason to believe is present. Complete one table for each outfall. See the instructions for additional
details and requirements.
Pollutant and CAS Number (if available)
Maximum Daily Discharge
s ecl units
Average Daily Discharge
s eci units)Flow-Weighted
Number of Storm
Events Sampled
P
Source of
Information
(new source/new
a
codes inginstructions)
Grab Sample Taken
During First
30 Minutes
ge
Composite
Grab Sample Taken
During First
30 Minutes
Flow-Weighted hted
g
Composite
t Sam lin shall b d t d d'
p g e con uc a accor Ing 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 3510-2F (Revised 3-19) Page I I

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility name Outfall Number Form Approved 03/05/19
110001482887 NCOO83038 Ardagh Glass, Inc. 001 OMB No. 2040-0004
TABLE D. STORM EVENT INFORMATIONr
Provide data for the storm event(s) that resulted in the maximum daily discharges for the flow -weighted composite sample.
Total Rainfall During Number of Hours Between
Date of Storm Event Duration of Storm Event g Beginning of Storm Measured and Maximum Flow Rate Total Flow from Rain Event
(in hours) Storm Event End of Previous Measurable Rain During Rain Event
(in inches) Event (in gpm or specify units) (in 9 gallons ors specify units)
Provide a description of the method of flow measurement or estimate.
EPA Form 3510-2F (Revised 3-19) Page 13

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 002 OMB No. 2040-0004
TABLE A. CONVENTIONAL AND NON CONVENTIONAL
You must provide the results of at least one anal sis for every pollutant in this table. Complete one table for each outfall. See instructions for additional details and re uirements.
Pollutant or Parameter
Maximum Daily Discharge
(specify units)
Average Daily Discharge
(specify units)
Number of Storm
Events Sampled
Source of
Information
(new source/new
dischargers only; use
codes in instructions)
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
1.
Oil and grease
2.
Biochemical oxygen demand (BOD5)
3.
Chemical oxygen demand (COD)
4.
Total suspended solids (TSS)
5.
Total phosphorus
6.
Total Kjeldahl nitrogen (TKN)
7.
Total nitrogen (as N)
8.
pH (minimum)
pH (maximum)
Sampling snaii 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 3510-2F (Revised 3-19) Page 7

This page intentionally left blank.

k Identification Number I NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 002 OMB No. 2040-0004
List each pollutant that is limited in an effluent limitation guideline (ELG) that the facility is subject to or any pollutant listed in the facility's NPDES permit for its process wastewater (if the
facility is operating under an existing NPDES permit). Complete one table for each outfall. See the instructions for additional details and requirements.
Pollutant and CAS Number (if available)
Maximum Daily Discharge
(speci units)
Average Daily Discharge
specify units
Number of Storm
Events Sampled
Source of
Information
(new source/new
dischargers only; use
codes in instructions)
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
posite
Oil & Grease (process wastewater)
TSS (process wastewater)
pH (process wastewater)
Turbidity (process wastewater)
Temperature (process wastewater)
Acute Toxicity (process wastewater)
TSS (general industrial stormwater permit)
7.4 mg/L
pH (general industrial stormwater permit)
7.4
aampuny snail de conducted according to sutticiently 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 3510-2F (Revised 3-19) Page 9

This page intentionally left blank.

EPA Identification Number NPDES Permit Number
110001482887 NCO083038
Facility Name
Ardagh Glass, Inc.
Outfall Number Form Approved 03/05/19
002 OMB No.2040-0004
-• -�• - MM r r
List each pollutant shown in Exhibits 2F-2, 2F-3, and 2F-4 that you know or have reason to believe is present. Complete one table for each outfall. See the instructions for additional
details and requirements.
Pollutant and CAS Number (if available)
Maximum Daily Discharge
s eci units
Average Daily Discharge
s eci units
Number of Storm
Events Sampled
Source of
Information
(new sourcelnew
dischargers only; use
codes in instructions)
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
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 3510-2F (Revised 3-19)
Page 11

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility name �OuffaolloN�umber Form Approved 03/05/19
110001482887 NC0083O38 Ardagh Glass, Inc. 2 OMB No.2040-0004
Provide7dataforestorm event(s) that resulted in the maximum daily discharges for the flow -weighted composite sample.
Total Rainfall Durin Number of Hours Between
Date of Storm Event Duration of Storm Event g Beginning of Storm Measured and Maximum Flow Rate Total Flow from Rain Event
(in hours) Storm Event End of Previous Measurable Rain During Rain Event
(in inches) (in gallons or specify units)
Event (in gpm or specify units)
Provide a description of the method of flow measurement or estimate.
EPA Form 3510-2F (Revised 3-19)
Page 13

Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
L11dentification
1482887 NCO083038 Ardagh Glass, Inc. 003 OMB No. 2040-0004
• 1 HOR• •
You must provide the results of at least one anal sis for every pollutant in this table. Complete one table for each outfall. See instructions for additional details and re uirements.
Maximum Daily Discharge
Average Daily Discharge
Source of
Pollutant or Parameter
(specify units)
(specify units)
Number of Storm
Information
Grab Sample Taken
Grab Sample Taken
During First
Flow -Weighted
Composite
During First
Flow -Weighted
Events Sampled
(new source/new
dischargers only; use
30 Minutes
30 Minutes
Composite
codes in instructions)
1.
Oil and grease
2.
Biochemical oxygen demand (BOD5)
3.
Chemical oxygen demand (COD)
4.
Total suspended solids (TSS)
5.
Total phosphorus
6.
Total Kjeldahl nitrogen (TKN)
7.
Total nitrogen (as N)
pH (minimum)
8.
pH (maximum)
r,,,,y � U, UVIII IV U OU IUIUIILIY �.CIImuve resr pmueuures ti.e., mernoos) approvea unaer 4u t -K 13b 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 3510-21' (Revised 3-19) Page 7

This page intentionally left blank.

tNA idenbtication Number NNutS Nermit Number Facility Name Outfall Number Form Approved 03/05/19
I
110001482887 NC0083038 Ardagh Glass, Inc. 003 OMB No. 2040-0004
TABLE B. CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS (40 CFR 122.26(c)(1)(i)(E)(4) and 40 CFR 122.21 (g)(7)(vi)(A))'
List each pollutant that is limited in an effluent limitation guideline (ELG) that the facility is subject to or any pollutant listed in the facility's NPDES permit for its process wastewater (if the
facility is operating under an existing NPDES permit). Complete one table for each outfall. See the instructions for additional details and requirements.
Pollutant and CAS Number (if available)
Maximum Daily Discharge
(speci units)
Average Daily Discharge
(specify units)
Number of Storm
Events Sampled
Source of
Information
(new source/new
dischargers only; use
codes in instructions)
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
Grab Sample Taken
During First
30 Minutes
Flo Composite
Composite
Oil & Grease (process wastewater)
TSS (process wastewater)
pH (process wastewater)
Turbidity (process wastewater)
Temperature (process wastewater)
Acute Toxicity (process wastewater)
TSS (general industrial stormwater permit)
13.3 mg/L
pH (general industrial stormwater permit)
8.5
aaiiipnny snail oe conauctea accoraing to suniciently 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 3510-2F (Revised 3-19) Page 9

This page intentionally left blank.

tF'A Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NCO083038 Ardagh Glass, Inc. 003 OMB No. 2040-0004
List each pollutant shown in Exhibits 2F-2, 2F-3, and 2F-4 that you know or have reason to believe is present. Complete one table for each outfall. See the instructions for additional
details and requirements.
Pollutant and CAS Number (if available)
Maximum Daily Discharge
s eci units
Average Daily Discharge
sea units
Number of Storm
Events Sampled
Source of
Information
(new source/new
dischargers only,
in yi use
codes in instructions)
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
p
. r,,, y1 — uUHuUU U C11.1.U! HIV LU JU111WU IUy =1IbIUVe le5l pruceuures tl.e., metnoos) approvea unaer 4u ct-K 13b 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 3510-217 (Revised 3-19) Page 11

This page intentionally left blank.

-T--
EPA Identification Number NPOES Permit Number Facility name Outfall Number Form Approved 03/05/19
110001482887 NCOO83O38 Ardagh Glass, Inc. 003 OMB No. 2040-0004
TABLE D. •R•R• 1
Provide data for the storm event(s) that resulted in the maximum daily discharges for the flow -weighted composite sample.
Total Rainfall DuringNumber of Hours Between
Date of Storm Event Duration of Storm Event Beginning of Storm Measured and Maximum Flow Rate Total Flow from Rain Event
(in Hours) Storm Event End of Previous Measurable Rain During Rain Event
(in inches) (in gallons or specify units)
Event (in gpm or specify units)
Provide a description of the method of flow measurement or estimate.
EPA Form 3510-2F (Revised 3-19)
Page 13

1 Identification Number
110001482887
Hermit Number
NCO083038
Facility Name
Ardagh Glass, Inc.
Outfall Number
004
Form Approved 03/05/19
OMB No. 2040-0004
You must provide the results of at least one analysis for every pollutant in this table. Complete one table for each outfall. See instructions for additional details and re uirements.
Pollutant or Parameter
Maximum Daily Discharge
(specify units)
Average Daily Discharge
(specify units)
Number of Storm
Events Sampled
Source of
Information
(new source/new
dischargers only; use
codes in instructions)
Grab Sample Taken
During First
g
30 Minutes
Flow -Weighted
Composite
p
Grab Sam le Taken
p
During First
30 Minutes
Flow -Weighted
Composite
1.
Oil and grease
2.
Biochemical oxygen demand (BOD5)
3.
Chemical oxygen demand (COD)
4.
Total suspended solids (TSS)
5.
Total phosphorus
6.
Total Kjeldahl nitrogen (TKN)
7.
Total nitrogen (as N)
8.
pH (minimum)
rpH(maxiimum)
«u a��"uiuniv iv JuuHdCnlly SCIISILIVIJ test procedures ti.e., methods) approved under 40 GFR 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 3510-2F (Revised 3-19) Page 7

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110001482887 NC0083038 Ardagh Glass, Inc. 004 OMB No. 2040-0004
Ill
List each pollutant that is limited in an effluent limitation guideline (ELG) that the facility is subject to or any pollutant listed in the facility's NPDES permit for its process wastewater (if the
facility is operating under an existing NPDES permit). Complete one table for each outfall. See the instructions for additional details and requirements.
Pollutant and CAS Number (if available)
Maximum Daily Discharge
(speci units)
Average Daily Discharge
(speciry units)
Number of Storm
Events Sampled
Source of
Information
(new source/new
dischargers only; use
codes in instructions)
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
p
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Com
Composite
p
Oil & Grease (process wastewater)
TSS (process wastewater)
pH (process wastewater)
Turbidity (process wastewater)
Temperature (process wastewater)
Acute Toxicity (process wastewater)
TSS (general industrial stormwater permit)
6.5 mg/L
pH (general industrial stormwater permit)
7.8
k u ti--
- �• �•• U—i ull1y iv ounwicnuy JC11DWVC LCSL P1UGCaaIeS tl.e., metnoas/ approvea under 4u ut-rt 1Jb Tor 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 3510-2F (Revised 3-19) Page 9

This page intentionally left blank.

EPA Ioenbhcation Number NPDES Permit Nun
110001482887 NCO083038
Ardagh Glass, Inc.
Outfall Nu
004
Form Approved 03/05/19
OMB No. 2040-0004
List each pollutant shown in Exhibits 2F-2, 2F-3, and 2F-4 that you know or have reason to believe is present. Complete one table for each outfall. See the instructions for additional
details and requirements.
Pollutant and CAS Number (if available)
Maximum Daily Discharge
s eci units
Average Daily Discharge
s eci units
Number of Storm
Events Sampled
Source of
Information
(new source/new
dischargers only; use
codes in instructions)
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
posite
�u r •• a.lull — 1 V" U" V OL'uulU11ly ru auniuenuy sensmve test procedures (I.e., memoas) approvea unaer 4u ut-K 13b 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 3510-2F (Revised 3-19) Page 11

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility name Outfall Number Form Approved 03/05/19
110001482887 NCOO83O38 Ardagh Glass, Inc. 004 OMB No. 2040-0004
STORMTABLE D. •R• I
Provide data for the storm event(s) that resulted in the maximum daily discharges for the flow -weighted composite sample.
Number of Hours Between
Total Rainfall During Maximum Flow Rate
Date of Storm Event Duration of Storm Event Beginning of Storm Measured and Total Flow from Rain Event
(in hours) Storm Event End of Previous Measurable Rain During Rain Event
(in gallons or specify units)
(in inches) Event (in gpm or specify units)
Provide a description of the method of flow measurement or estimate.
EPA Form 3510-2F (Revised 3-19) Page 13

Attachments

U.S. DEUT GIOLOGWAL SURWYERIOR PARTMENT OF THE INT
0
HEN ERSON QUADRANGLE
17
DgTo;o
le 3012
—.—M..
7 5 M—E
- =1-11
127
7%
2i
21
�d sin
1�3
SCALE 1: 24 000
HENDERSON. NC

Furnace Drain
500,000 GPD
(Intermittent)
Storage Tank
Outfall 001— 500,000
GPD (Intermittent) +
Stormwater
Ardagh Glass — Henderson
Water Flow

Site Plan & Stormwater Drainage
...............
0
jyi
Y
Wavwr.s.
� • • U4n
G. era. paNwge Flow In 0AW at
(East S ooua, Yoe. of c"wty)
0vwaA panage Flow ra OuV A a2
( Soft of r mvcod ifr)
Orarat Oraauge Flow for OAW aJ
IVtM* of 6 ww%cafwq Bog)
F7aaeA
6anage Fbwf« O,afaA W
(Raw t t.taW Storage Tra,efom %)
F0v
nl pra.tage Flow
(Writ a norm sme. of popmty)
o--

ace
April 05, 2024
Steve Cantor
Ardagh Glass, Inc.
620 Facet Rd.
Henderson, NC 27537
RE: Project: SWA03272024
Pace Project No.: 92722298
Dear Steve Cantor:
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on April 01, 2024. The results relate only to the
samples included in this report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless
otherwise footnoted.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
• Pace Analytical Services - Eden
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
�W pv--
Terri Page
[e-mail]
336-904-4231
Project Manager
Enclosures
cc: STEVE CANTOR, ARDAGH GLASS, INC
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
without the written consent of Pace Analytical Services, LLC Page 1 of 9

ace
Project: SWA03272024
Pace Project No.: 92722298
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Pace Analytical Services Eden
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
CERTIFICATIONS
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC Page 2 of 9

(--'Pace
SAMPLE ANALYTE COUNT
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Project:
Pace Project No.:
SWA03272024
92722298
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92722298001
OUTFALL 1
SM 2540D-2015
VLG
1
PASI-E
EPA 9040C
LRB
1
PASI-E
92722298002
OUTFALL 2
SM 2540D-2015
VLG
1
PASI-E
EPA 9040C
LRB
1
PASI-E
92722298003
OUTFALL 3
SM 2540D-2015
VLG
1
PASI-E
EPA 9040C
LRB
1
PASI-E
92722298004
OUTFALL 4
SM 254OD-2015
VLG
1
PASI-E
EPA 9040C
LRB
1
PASI-E
PASI-E = Pace Analytical Services - Eden
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC Page 3 of 9

ace
ANALYTICAL RESULTS
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Project: SWA03272024
Pace Project No.: 92722298
Sample: OUTFALL 1
Lab ID: 92722298001 Collected:
03/27/24 08.42
Received:
04/01/24 11:40 Matrix: Water
Parameters
Results Units Report Limit
DF
Prepared
Analyzed CAS No. Qua]
2540D Total Suspended Solids
Analytical Method: SM 2540D-2015
Pace Analytical Services - Eden
Total Suspended Solids
56.5 mg/L
10.9
1
04/02/24 14:43
9040 pH
Analytical Method: EPA 9040C
Pace Analytical Services - Eden
pH at 25 Degrees C
7.3 Std. Units
0.10
1
04/02/24 14:09 H3
Sample: OUTFALL 2
Lab ID: 92722298002 Collected:
03/27/24 08:58
Received:
04/01/24 11:40 Matrix: Water
Parameters
Results Units Report Limit
DF
Prepared
Analyzed CAS No. Qual
2540D Total Suspended Solids
Analytical Method: SM 2540D-2015
Pace Analytical Services - Eden
Total Suspended Solids
7.4 mg/L
3.6
1
04/02/24 14:44
9040 pH
Analytical Method: EPA 9040C
Pace Analytical Services - Eden
pH at 25 Degrees C
7.4 Std Units
0.10
1
04/02/24 14:24 H3
Sample: OUTFALL 3
Lab ID: 92722298003 Collected:
03/27/24 08:52
Received:
04/01/24 11:40 Matrix: Water
Parameters
Results Units Report Limit
DF
Prepared
Analyzed CAS No. Qual
2540D Total Suspended Solids
Analytical Method: SM 2540D-2015
Pace Analytical Services - Eden
Total Suspended Solids
13.3 mg/L
2.5
1
04/02/24 14.44
9040 pH
Analytical Method: EPA 9040C
Pace Analytical Services - Eden
pH at 25 Degrees C
8.5 Std. Units
0.10
1
04/02/24 14:19 H3
Sample: OUTFALL 4 Lab ID: 92722298004 Collected: 03/27/24 08 48 Received: 04/01/24 11:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No Qual
2540D Total Suspended Solids Analytical Method: SM 2540D-2015
Pace Analytical Services - Eden
Total Suspended Solids 6.5 mg/L 3.8 1 04/02/24 14 44
9040 pH Analytical Method: EPA 9040C
Pace Analytical Services - Eden
pH at 25 Degrees C 7.8 Std. Units 0.10 1 04/02/24 14:16 H3
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/05/2024 12:51 PM without the written consent of Pace Analytical Services, LLC Page 4 of 9

ace
QUALITY CONTROL DATA
Project: SWA03272024
Pace Project No.: 92722298
QC Batch: 843695 Analysis Method: SM 2540D-2015
QC Batch Method: SM 254OD-2015 Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92722298001, 92722298002, 92722298003, 92722298004
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
METHOD BLANK: 4357227 Matrix: Water
Associated Lab Samples: 92722298001, 92722298002, 92722298003, 92722298004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 04/02/24 14:40
LABORATORY CONTROL SAMPLE: 4357228
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Suspended Solids mg/L 250 228 91 90-110
SAMPLE DUPLICATE: 4357229
92722341001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 20.7 16.7 21
SAMPLE DUPLICATE: 4357230
92722531001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 132 147 11
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date; 04/05/2024 12:51 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 9

Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
QUALITY CONTROL DATA
Project: SWA03272024
Pace Project No.: 92722298
QC Batch: 843684 Analysis Method: EPA 9040C
QC Batch Method: EPA 9040C Analysis Description: 9040 pH EDEN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92722298001, 92722298002, 92722298003, 92722298004
SAMPLE DUPLICATE: 4357147
92722298001 Dup
Parameter Units Result Result RPD Qualifiers
pH at 25 Degrees C Std. Units 7.3 7.3 0 H3
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/05/2024 12:51 PM without the written consent of Pace Analytical Services, LLC
Page 6 of 9

ace
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
QUALIFIERS
Project: SWA03272024
Pace Project No.: 92722298
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL - Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Reported results are not rounded until the final step prior to reporting. Therefore, calculated parameters that are typically reported as
"Total" may vary slightly from the sum of the reported component parameters.
ANALYTE QUALIFIERS
H3 Sample was received or analysis requested beyond the recognized method holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date. 04/05/2024 12:51 PM without the written consent of Pace Analytical Services LLC Page 7 of 9

ace
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: SWA03272024
Pace Project No.: 92722298
Lab ID Sample ID QC Batch Method QC Batch
92722298001
OUTFALL 1
SM 254OD-2015
843695
92722298002
OUTFALL 2
SM 2540D-2015
843695
92722298003
OUTFALL 3
SM 2540D-2015
843695
92722298004
OUTFALL 4
SM 2540D-2015
843695
92722298001
OUTFALL 1
EPA 9040C
843684
92722298002
OUTFALL 2
EPA 9040C
843684
92722298003
OUTFALL 3
EPA 9040C
843684
92722298004
OUTFALL 4
EPA 9040C
843684
Date: 04/05/2024 12:51 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced. except in full,
without the written consent of Pace Analytical Services, LLC.
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Analytical Method
Analytical
Batch
Page 8 of 9

Pace" Location Requested (City/State):
acee
Company Name: ArdaghGlass Inc.
Street Address: 620 facet Rd. Henderson, NC 27537
CHAIN -OF -CUSTODY Analytical Request Document
Chain of Custody is a LEGAL DOCUMENT- Complete all relevant fields
ContaWReport To: Steve Cantor
Phone9: 252.4SO•S264
E.Mail: Stfvc.cantor@ ardaghgroup. corn
customer Prulecta: SWAD3272024
Project Name:
Invoice TO:
Invoica E-Mall:
Site Collection Info/Faculty, ID (as applicable): Purchase Order a (f
appllcable):
Ouote a:
Time Zone Collected: [ I AK [ I PT [ ) MT [ I CT [ ET County / State origin of sample(&): Vance / NC
Data a vera es: Regulatory Program (DW, RCRA, etc) as a pp�icabie: fieptsrtablc ( [Yes [ I No
[ I Level II [ ]Level III I 1 Level IV
Rush (Pre -approval required): DW-SID a or WW Permit x as applicabte:
[ I EQUIS [ ) Sarno Day I ] 1 Day I ] 2 Day I ) 3 Day [ ] Other
oat. Resutts
Customer Sample ID
Outfall ql
Outtall N2
Outfall 43
Outfail IM
Instructions from Pace-.
.dubmitong a sample via this chain of custody constituees
(D
to
0
Matrix •
Comp /--Composite
Grab
Start ,
Collected or Composite End
a
Cont.
Res. Chlorine
11
Date
Time
Date
Time
Results
Unlct
WT
Grab
3/27/2024
08:42
V
✓
WT
Grab
3/27/2024
0858
✓
WT
WT
Grab
Grab
3/27/2024
3/27/2024
08:52
1 08:48
t/
- -- --1. -
LAB USE ^ Jl Y- Affix Workorder/Login Label Hero
22Z98
gill, 1,27222981111#�1�
Specify Container
Identify Container Preservat lve Type ••• ••P,eserva.-
H2504,1+1 Wk (s) won, (G) � Aar Irl
Analysis Requested NeRSea, (a) sad, tnlo,atate, (s) wcwac Acm, (sq
WOn.1221 Other
Pro]. Mgr.
c
4
AcetNum /Client ID: i
Table a: K
sg / Bonk Ord. ID; -
s`
2
Sample Comment
(Printed Name) J
G
Customer Remarks / Special Conditions / Possible Hatards;
Signature `
aeoniers:
n, nwmetrr In
r-mreNan hctor rCl,
obs.7 i
Z` rn o�
oarrn .:
artr by/runt/ r' Is. At !
G
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esrc
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Dal /Timr
aecelvrd by :(Sltnatu a
e.
oelwr,edM '' .``t�'✓'^�
Perron ] Ieee e r
Drle/ILnr.
arc. vre M/Curtyranv'(tienature)
Dale time:
I
I
W to ll—
I ] EedEX
I I UPS [ I Other
aeceivrd by/rdmaany: (sknnurel
Dale/lbrw:
Page:
of
and acceptance of the Pace- Tenns and Conditions found at https;/Iwww,pweUbs-cGNresoulto-library/resource/pace-terms-andtonditions /
EFIt/-FRNFC0RO-D019_v02_120123

SEC DoNoHn
Environment & Infrastructure
October 13, 1992
Ball-InCon Glass Packaging Corp.
P. O. Box 4200
Muncie, Indiana 47307-4200
Attention: Mr. Robert Cappiello
Reference: Furnace Water Analytical Results
SEC Donohue Project No. RE411.30
Dear Mr. Cappiello,
Enclosed are the analytical test results of the water discharged from the glass furnace
at Ball-InCon's Henderson, North Carolina Facility.
If you have any questions concerning the results, please let me know.
Sincerely,
SEC DONOHUE
John G. Funk
Project Manager
3500-B Regency Parkway - P.O. Box 1308 • Cary, NC 27511 [phone] - Fax: [phone]

• 1EA
An Aquarlon Comoanv
October 13, 1992
John Funk
Sirrine
3500 B Regency Park
Cary, NC 27512
An Environmental Testing Comoanv Phone [phone]
Post Office Box 12846 Fax [phone]
Pesearcn Triangle Park, NC 27709
IEA Project No.: 115917
IEA Reference No.: W92O9O14
Client Project I.D.: RE411.30 Ball-Incon
Dear Mr. Funk,
Transmitted herewith are the results of analyses on one sample submitted
to our laboratory.
The sample(s) were received intact.
Analyses were performed according to approved methodologies and meet
the requirements of the IEA Quality Assurance Program except where noted.
Please see the enclosed reports for your results and a copy of the Chain
of Custody documentation.
Please do not hesitate to call your Client Account Representative should
you have any questions regarding this report.
Very truly yours,
IEA, Inc.
A&4Xt�7"Pi6l2w,161
Linda /emlitchell
Director, Technical Support Services
State Certification:
Georgia - #816
New Jersey - #67719
California - #1768
Massachusetts - NC039
Tennessee - #00296 Alabama - #40210
Virginia - #00179 South Carolina - #99021
West Virginia - #50 North Carolina - #37720/#84
Kentucky - #90049 Kansas - E-158/E-1189
Monroe, Sunrise, Schaumburg, N. Billerica, Whippany, Essex Junction,
Connecticut Florida Illinois Massachusetts New Jersey Vermont
203.261.4458 305.846.1730 708.705.0740 617.272.5212 201.428.8181 802.878.5138

IEA
An Apuarion ComDany
IEA LABORATORY RESULTS
IEA Project #: 115-917
Client Name: Sirrine
Date
Sample # Client ID Parameter Results Analyzed
_ _.-..-..-.--_._ _.-.—__.-..-.--_.-..... _ ___—ate_ _---.-..-.._-----aa•-.--a a—aa—aaaa--_----..,_===a=aa--a _�_.-.—aaaaaaa
1 S-1 Biochemical Oxygen Demand <2.0 mg/L 09/04/92
1 S-1 Total Suspended Solids <4 mg/L 09/10/92

IEA
4-, 4ouanor C.or'Cary
IAA Project 4:
C-1 ent Name:
:-EA LABORATORY RESULTS
115-917
Sirr'_ne
Date
Client ID Parameter Results Analyzed
QC Blank
QC Blank
Biochemical oxygen Demand <2.0 mg/L 09/04/92
Total Suspended Solids <4 mg/L 09/10/92

IEA
An Aouanon COMDany
IEA Sample #:
115-917-1
Client Name:
Sirrine
Client Project I.D.:RE411.30
Ball-Incon
Sample I.D.:
S-1
Matrix: Water
Date Received: 09/04/92
Date Sampled: 09/04/92
Date Prepared: 09/10/92
Detection Date
Parameter Method Limits Results Analyzed Analyst
------- - ------------- -------- --------------- ----------
Oil & Grease(Gray.) SW-846 9070 5 mg/L BQL 09/11/92 LG
Comments:
BQL= Below Quantitation Limit
FORM RES-P Rev. 071991

E A
.. Aoaar,on Gc:�•,canv
ZEA Sample 115-917
Client Name: Sirrine
Client Project I.D.:RE411.30 Ball-Incon
Sample I.D.: QC Blank
Matrix: Water
Date Received: N/A
Date Sampled: N/A
Date Prepared: 09/10/92
Detection Date
Parameter Method Limits Results Analyzed Analyst
---- ------------------------
Oil & Grease(Gray.) SW-846 9070 5 mg/L BQL 09/11/92 LG
Comments:
N/A = Not Applicable
BQL= Below Quantitation Limit
Corresponding Samples: 115-917-1
FORM RES-P Rev. 071991

[NFORMAT[ON ON TANF: DRAINS
TANF' DATE TIME GLASS TIME
DRAINED STARTED PLUGED
tkftt*t!!***!*?!**************!!!***
42 9-4-92 8:30AM 8:(:)5PM
WATER USED
NO. OF
GALLON
TOTAL PER
HOSES
PER MIN.
MINUTE
7 HOSES
44.4
310.E
K I CV ER
80.4
80.4
HEADER
235.2
235.2
TOTAL PER__________
MINUTE
626.4
TOTAL PER
-----_____
HOUR
37584
TOTAL FOR__________
DRAIN
451008
LESS EST.
VOLUME
LOSS DUE
TO
REDUCED
PRESSURE
EST. 20%
LOSS
90201.6
ESTMATED
TOTAL
360806.4
TEMPERTURE OF WATER AND PH
TIME
TEMP.
PH
8:20
77.00
9:20
150.40
8.69
10:20
153.60
8.51
11:20
155.00
(3.81
12:26
155.00
8.7E
J:20
152.60
9.78
2:26
156.40
8.99
� :22
155.40
9.34
4:24.)
145.40
9.14
5:20
137.80
8.94
6:28
129.00
8.9+:)
7
118.20
8.?-,
-=VE=AG_
-----------------
146.2�
ci.08
TANI,. DATE TIME GLASS TIME
DFAINED STARTED PLUGS
#2 9-5-92 7: 51 All 1 I
WATER USED
NO. OF
GALLON
TOTAL PER
HOSES
PER MIN.
MINUTE
7 HOSES
44.4
310.8
K I CV ER
80.4
80.4
HEADER
235.2
235.2
TOTAL PER
MINUTE
TOTAL PER__________
HOUR
37584
TOTAL FOR
DRAIN
150336
LESS EST.
VOLUME
LOSS DUE
TO
REDUCED PRESSURE
EST. 20%
LOSS
30067.2
ESTMATED
TOTAL
120268,8
TEMPERTURE OF WATER AND PH
TIME TEMP. PH
7:45
76
7.06
8:45
160.4
9.47
9:44
151.4
9.29
10:41
129.8
8.96
AVERAGE
--------
147.20
---------
9.24