NCS000329_Monitoring Reports_20151217

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January 20, 2016
Attn: Central Files,
N.C. Division of Water Quality
1617 Mail Service Center JAN 2 6 2016
Raleigh, NC 27699-1617 C,''NJ'F SAL TES
DWr S= CTION
Central Files:
-f#*-ATI
P.O. Box 5030
2020 Ashcraft Avenue
Monroe, NC 28111-5030
Phone: [phone]
Fax: [phone]
Email: joe.hinklegatimetals.com
Attached, please; fhtd stotinwalet monitoring data fot Pennil No NC5000329. The otiginals and
one copy are included. The monitoring data is for the following monitoring schedule:
Monitoring Period
Sample Number
Start
I End
Year 6 — Period 2
12
September 1, 2015
1 February 29, 2016
Analytical monitoring includes:
• Outfall #01 (B), commingled stormwater
• Outfall #02 (B), non -commingled stormwater
• Outfall #03 (B), non -commingled stormwater
• Non Contact Cooling Water #1 - #8
If you have any questions or need additional information, please contact me at 704-289-4511.
Thank you.
Sincerely,
64- & A -
Joe Hinkle
Environmental Manager

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit. http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
Permit No.: N/C/,S/L/L/-61131o2/j/ or Certificate of Coverage No.:
Facility Name: % -Z AZZZI/d G
County: /I✓1 /OIL Phone No.
Inspector: �rrri�
Date of Inspection:
Time of Inspection:
Total Event P1 ec:ipitation (inches): 0. SJ
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
® Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
.....................................................-...............................................................................................................................................................................................................................................................................................................................................................................................,
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
......................................................................................................... . .............................. _..._..................................................................................................................................................................................._................................................ .............. ................... ....... ...................................................................................
By this signature, I ceytify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or V4s-ignee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. sS&_0 Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the in usVial a fivities that occur within the outfall drainage area:
f / J7- / q
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: / �J� 74 XIDtJ✓c
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 1201)C'_
4. Clarity: Choose the number which best describes the rlat ity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
@1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
@1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe 6'qA e
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

A&ja
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit. http://portal.ncdenr.org/web/wq/ws/su./nl2dessw#tab-4
Permit No.: N/C/,5/6/0/Q/-1/12/1/ or Certificate of Coverage No.: N/C
Facility Name: --,&
County: d'al0/1
Inspector:
Date of Inspection:
Time of Inspection:
Phone No. 7d -1f ,-Zr1 -V S
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
9 Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
................................................................................................................................................................................................................................_........................................................................ _.............
By this signatury, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permitt9f or D
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. , S bj Stru
Receiving Stream: V /
Describe the industrial acti .ities
that occur within the outfall drainage area:
2. Color: Describe the color of the
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 1404e-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 l2J 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes oNo
10. Other Obvious Indicators of Stormwater Pollution:
List and describe 1111012e
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
M
SWU-242, Last modified 10/25/2012
Page 2 of 2

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit. http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
Permit No.: N/C/-
Facility Name:
County: &/A/c
Inspector: 1,2al�
Date of Inspection:
Time of Inspection: /�V3-5 Pis?
or Certificate of Coverage No.:
Total Event Precipitation (inches): n, 9-5
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signatuye, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permi,M-le- or Desig4ee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No.3 Stru
Receiving Stream:
Describe the industrial actkities
etc.)
that occur within the outfall drainage area:
2. Color: Describe the color of the disch rge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Zce� X/e6)i L
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): /�Me_
4. Clarity: Choose the number which best describes tho clarity of tho discharge, where 1 is
clear and 5 is very cloudy:
1 d) 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
10 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 0 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe /10f 4e.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

Allvac - Bakers Plant
ATI Allvac
)V#K
Qample Date:
Person Collecting Samples:
Laboratory Performing Analysis:
Analytical Techniques and Methods:
Results of Sample Analvsis:
Sample Time: 9' a5a- &t
Stormwater Discharge Outfall #01 {Commingled)
Drainage Area = 2,915,470sq. ft. = 69 acres
%Impervious = 34%
r,6,,n1nL1.41)QAQ 0 -5 e- Ir
/V C-
40 CFR Part 136
Parameter
BOD
Results (Mg/l)
Benchmark Values (mWI)
30
COD
AT"'
120
TSS
100
Cadmium
0.001
Chromium, total recoverable
I
Copper, total recoverable
0.007
Nickel, total recoverable
ND
0.26
Zinc, total recoverable
NJ)
0.067
Oil and Grease
a
20
Temp (effluent)
(deg C)
n/a
Temp (downstream)
(deg C)
n/a
Temp (Upstlewn)
(deg C)
n/a
Total Residual Chlorine
0.017
pH
(std units)
6-9 (std units)
Storm Date: Storm Duration: (Hrs.) Inches of Rainfall:
Duration of time preceding rain event exceeding 0.1": -- Q-Irs.)
Estimated Flow Calculation:
Q = CIA
WOW) = Wervious Area) + Q(hnpervious Area)
Q(tot., cfs) = (A x inches rain/1 2 inches/ft. x 69 acres x .66) + .9 x inches rain/1 2inches/ft. x 69 x .34)
Q(Total, cfs) = 1.5180 x — , dS " (Inches of rain)+ 1.7595 x— /,,1475 it - (Inches of rain)

IeAnalytical"
www.pacelabs.corn
December 29, 2015
Mr. Joe Hinkle
Allvac
RE: Project: BAKERS STORMWATER
Pace Project No.: 92280445
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Dear Mr. Hinkle:
Enclosed are the analytical results for sample(s) received by the laboratory on December 17, 2015.
The results relate only to the samples included in this report. Results reported herein conform to the
most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless
otherwise noted in the body of the report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Matthew Brainard
[e-mail]
Project Manager
Enclosures
cc: Mr. Preston Baucom, Allvac
Mr. Tommy Long, Allvac
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 1 of 14

lacmnaljftalo
www.pacelabs.corn
CERTIFICATIONS
Project: BAKERS STORMWATER
Pace Project No.: 92280445
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Florida/NELAP Certification #: E87627
North Carolina Drinking Water Certification #: 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification #: 5342
West Virginia Certification #: 357
North Carolina Wastewater Certification #: 12
Virginia/VELAP Certification #: 460221
South Carolina Certification #: 99006001
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #. 40
Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001
Massachusetts Certification #- M-NC030 West Virginia Certification #: 356
North Carolina Drinking Water Certification * 37712 Virginia/VUL AP Cortifcation #: 4610222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 2 of 14
2

aceAnalytical
www.pacelabs.cwn
SAMPLE ANALYTE COUNT
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project:
Pace Project No.:
BAKERS STORMWATER
92280445
Analyses
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92280445001
BSW01
EPA 1664E
JMS
1
PASI-C
EPA 200.7
JMW
5
PASI-A
SM 2540D
MDW
1
PASI-A
SM 4500-CI G
MLS
1
PASI A
SM 5210B
BRJ
1
PASI-A
SM 62201)
WRO
1
PA91 A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page 3 of 14

aceAnalytical
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ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: BAKERS STORMWATER
Pace Project No.: 92280445
Sample: BSW01 Lab ID: 92280445001 Collected: 12/17/15 08:25 Received: 12/17/15 14:35 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Field Data
Analytical Method:
Collected By
DPJ
1
12/17/15 08:21
Collected Date
12/17/15
1
12/17/15 08:21
Collected Time
08:21
1
12/17/15 08:21
Field pH
7.4 Std. Units
0.10
1
12/17/15 08:21
Field Temperature
15.2 deg C
0.50
1
12/17/15 08-21
HEM, Oil and Grease
Analytical Method: EPA 1664B
Oil and Grease
ND mg/L
5.0
1
12/24/15 05:52
200.7 MET ICP
Analytical Method: EPA 200.7 Preparation Method: EPA
200.7
Cadmium
ND ug/L
1.0
1
12/18/15 21:00
12/22/15 01:31
7440-43-9
Chromium
ND ug/L
5.0
1
12/18/15 21:00
12/22/15 01:31
7440-47-3
Copper
ND ug/L
5.0
1
12/18/15 21:00
12/22/15 01:31
7440-50-8
Nickel
ND ug/L
5.0
1
12/18/15 21:00
12/22/15 01:31
7440-02-0
Zinc
ND ug/L
10.0
1
12/18/15 21:00
12/22/15 01:31
7440-66-6
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
12.3 mg/L
3.3
1
12/22/15 15:30
4500CL G Chlorine, Residual
Analytical Method: SM 4500-CI G
Chlorine, Total Residual
0.046 mg/L
0.024
1
12/21/15 14:35
7782-50-5
5210E BOD, 5 day
Analytical Method: SM 5210B
BOD, 5 day
2.0 mg/L
2.0
1
12/19/15 05:30
12/24/15 01:00
5220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
ND mg/L
25.0
1
12/23/15 15:30
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/29/2015 05:38 PM without the written consent of Pace Analytical Services, Inc..
Page 4 of 14

,�aaeAnalyticalo
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QUALITY CONTROL DATA
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: BAKERS STORMWATER
Pace Project No.: 92280445
QC Batch: GCSV/23652
Analysis Method:
EPA 1664E
QC Batch Method: EPA 1664E
Analysis Description:
1664 HEM, Oil and Grease
Associated Lab Samples: 92280445001
METHOD BLANK: 1637137
Matrix: Water
Associated Lab Samples: 92280445001
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Oil and Grease mg/L
ND 5.0 12/24/15 05:49
LABORATORY CONTROL SAMPLE: 1637138
Spike LCS
LCS % Rec
Parameter Units
Cone. Result
% Rec Limits Qualifiers
Oil and Grease mg/L
40 37.6
94 78-114
MATRIX SPIKE SAMPLE: 1637139
92280414001 Spike
MS MS % Rec
Parameter Units
Result Cone.
Result % Rec Limits Qualifiers
Oil and Grease mg/L
ND 40
39.8 100 78-114
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: 12/29/2015 05:38 PM without the written consent of Pace Analytical Services, Inc..
Page 5 of 14

aceAnalytical"
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QUALITY CONTROL DATA
Project: BAKERS STORMWATER
Pace Project No.: 92280445
QC Batch: MPRP/20326
Analysis Method:
EPA 200.7
QC Batch Method: EPA 200.7
Analysis Description:
200.7 MET
Associated Lab Samples: 92280445001
METHOD BLANK: 1633268
Matrix: Water
Associated Lab Samples: 92280445001
Blank Reporting
Parameter
Units
Result Limit
Analyzed
Cadmium
ug/L
ND
1.0
1 /21/15 00:16
Chromium
ug/L
ND
5.0
12/22/15 00:16
Copper
ug/L
ND
5.0
12/22/15 00:16
Nickel
ug/L
ND
5.0
12/22/15 00:16
Zinc
ug/L
ND
10.0
12/22/15 00:16
Qualifiers
LABORATORY CONTROL SAMPLE:
1633269
Spike
LCS
LCS
% Rec
Parameter
Units
Conc.
Result
% Rec
Limits
Cadmium
ug/L
500
481
96
85-115
Chromium
ug/L
500
501
100
85-115
Copper
ug/L
500
501
100
85-115
Nickel
ug/L
500
481
96
85-115
Zinc
ug/L
500
433
87
85-115
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
1633270
MS
92279970001
Spike
Parameter
Units
Result
Conc.
Cadmium
ug/L
ND
500
Chromium
ug/L
ND
500
Copper
ug/L
15.9
500
Nickel
ug/l
7.7
500
Zinc
ug/L
151
500
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
1633272
MS
92280423001
Spike
Parameter
Units
Result
Conc.
Cadmium
ug/L
ND
500
Chromium
ug/L
17.2
500
Copper
ug/L
213
500
Nickel
ug/L
11.2
500
Zinc
ug/L
68.8
500
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Qualifiers
1633271
MSD
Spike
MS
MSD
MS
MSD
% Rec
Conc.
Result
Result
% Rec
% Rec
Limits
RPD
500
519
474
104
95
70-130
9
500
551
460
110
91
70-130
18
500
566
514
110
100
70-130
9
500
924
473
103
93
70-130
10
500
621
605
94
91
70-130
3
1633273
MSD
Spike MS MSD MS MSD % Rec
Conc. Result Result % Rec % Rec Limits RPD
500 511 472 102 94 70-130 8
500 568 520 110 100 70-130 9
500 759 714 109 100 70-130 6
500 521 479 102 94 70-130 8
500 525 481 91 82 70-130 9
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: 12/29/2015 05:38 PM without the written consent of Pace Analytical Services, Inc..
Qua]
Qual
Page 6 of 14
11

,�acmnalyticalo
www.pacelabs.com
QUALITY CONTROL DATA
Project: BAKERS STORMWATER
Pace Project No.: 92280445
QC Batch: WET/42129 Analysis Method: SM 2540D
QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92280445001
ME I HUD BLANK: 1635435
Associated Lab Samples: 92280445001
Parameter
Units
Total Suspended Solids
mg/L
LABORATORY CONTROL SAMPLE: 1635436
Parameter Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 1635437
Parameter
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 1635439
Parameter
Units
Total Suspended Solids
mg/L
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 12/22/1515:22
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 262 105 90-110
92280412001 Dup
Result Result RPD Qualifiers
5.4 5.8 7 D6
92280443001 Dup
Result Result RPD Qualifiers
31.0 30.2 3
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: 12/29/2015 05:38 PM without the written consent of Pace Analytical Services, Inc..
Page 7 of 14

,�aneAnalytica(
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Project: BAKERS STORMWATER
Pace Project No.: 92280445
QC Batch: WET/42113
QC Batch Method: SM 4500-CI G
Associated Lab Samples: 92280445001
METHOD BLANK: 1634727
Associated Lab Samples: 92280445001
Parameter Units
Chlorine, Total Residual mg/L
QUALITY CONTROL DATA
Analysis Method: SM 4500-CI G
Analysis Description: 4500CL G Chlorine, Total Residual
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.024 12/21/1514.35
SAMPLE DUPLICATE: 1634728
92280445001 Dup
Parameter Units Result Result
Chlorine, Total Residual mg/L 0.046 0.041
RPD Qualifiers
11
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
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: 12/29/2015 05:38 PM without the written consent of Pace Analytical Services, Inc..
Page 8 of 14

aceAnalytical
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Project: BAKERS STORMWATER
Pace Project No.: 92280445
QC Batch: WET/42081
QC Batch Method: SM 5210B
Associated Lab Samples: 92280445001
METHOD BLANK: 1633869
Associated Lab Samples: 92280445001
Parameter Units
DOD, b day mg/L
QUALITY CONTROL DATA
Analysis Method: SM 5210B
Analysis Description: 5210E BOD, 5 day
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
NU 2.0 12/24/15 01:00
LABORATORY CONTROL SAMPLE: 1633870
Spike LCS
Parameter Units Conc. Result
BOD, 5 day mg/L 198 176
SAMPLE DUPLICATE: 1633871
92280376001 Dup
Parameter Units Result Result
BOD, 5 day mg/L 3.5 3.3
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
LCS % Rec
% Rec Limits Qualifiers
89 84.6-115.4
RPD Qualifiers
6
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: 12/29/2015 05:38 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 14

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QUALITY CONTROL DATA
Project: BAKERS STORMWATER
Pace Project No.: 92280445
QC Batch: WETA/25892 Analysis Method: SM 5220D
QC Batch Method: SM 5220D Analysis Description: 5220D COD
Associated Lab Samples: 92280445001
METHOD BLANK: 1635385
Associated Lab Samples: 92280445001
Parameter Units
Chomioal Oxygen Domand mg/L
LABORATORY CONTROL SAMPLE: 1635386
Parameter Units
Chemical Oxygen Demand mg/L
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 26.0 12/23/1616:30
Spike LCS LCS % Rec
Cone. Result % Rec Limits Qualifiers
750 771 103 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1635387 1635388
MS MSD
92280414002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qua]
Chemical Oxygen Demand mg/L ND 750 750 733 733 96 96 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1635389 1635390
MS MSD
92279854001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qua[
Chemical Oxygen Demand mg/L 31.0 750 750 763 763 98 98 90-110 0
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: 12/29/2015 05:38 PM without the written consent of Pace Analytical Services, Inc.. Page 10 of 14

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QUALIFIERS
Project: BAKERS STORMWATER
Pace Project No.: 92280445
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.
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.
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
6 - Surrogate
1,2-Uiphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8210. 1 he 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, Styrene, and Vinyl chloride.
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.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
DO The relative percent difference (RPD) between the sample and sample duplicate exceeded laburatury cuntrul limits.
REPORT OF LABORATORY ANALYSIS
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Date: 12/29/2015 05:38 PM without the written consent of Pace Analytical Services, Inc.. Page 11 of 14

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QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: BAKERS STORMWATER
Pace Project No.: 92280445
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92280445001
BSW01
FLD/
92280445001
BSW01
EPA 1664B
GCSV/23652
92280445001
BSW01
EPA 200.7
MPRP/20326 EPA 200.7
92280445001
BSW01
SM 2540D
WET/42129
92280445001
BSW01
SM 4500-CI G
WET/42113
92280445001
BSWU I
SM 621 UB
WE 1 /42081 SM b210B
92280445001
BSW01
SM 5220D
WETA/25892
Date: 12/29/2015 05:38 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
ICP/18344
WE 1 /42082
Page 12 of 14

Document Name: Document Revised: 260CT2015
aceAnalytkal. Sample Condition Upon Receipt(SCUR) Page I of 2
Document No.: Issuing Authority:
F-CHR-CS-003-rev.17 Pace Huntersvifle Qdality Office.
10• Client Name: Project #:
- ..` , /1 � � VGA C..
Courier: ❑Fed Ex ❑UPS ❑LISPS ❑Cli net I I I I
❑Commercial ❑Pace ❑Other: 92280445
Custody Seal on Cooler/Box Present? ❑Yes ❑No Seals Intact? Des ❑No (:
Packing Material: ❑Bubble Wrap ❑31 ubble Bags ❑None ❑Other.
Thermometer L'J
Used: T15I)5 Type of Ice: ©Wet ❑Blue ❑None Os m3 ple's on -ice, cooling process has begun
Cooler Temp Corrected ('C): Biological Tissue Frozen? ❑Yes-.- ❑Np• P✓ P
;-❑N/A
Temp should be above freezing to 6•C Correction Factor: 0.0 °C Date and Initials of Person Examining ConteiSts::
USDA Regulated Soil (❑ N/A, water sample)
Did sBrnplei orlglr ante In a quarantine Lone within the United States: LA, NY, or 5C (check maps)? Did sarnple3 urighiate ft&6 a foreign source (Internatiunally,
❑Yes ❑No including Hawaii and Puetho kic`oj? []Yes
If Yes to either question, fill out a Regulated Soil Checklist and include with SCUR/COC paperwork.
`
COMMENTS:
Chain of Custody Present?
r
Dies
No
❑N/A
1.
Chain of Custody Filled Out?
❑Yes
❑No
❑N/A
2.
Chain of Custody Relinquished?
❑ es
, No
❑N/A
3.
Sampler Name and/or Signature on COC?
DY66
ANo
❑N/A
4.
Samples Arrived within Hold Time?
Yes
❑No
[:]N/A
5.
Short Hold Time Analysis (<72 hr)?
Yes
❑No
❑N/A
6.
Rush Turn Around Time Requested?
❑Yes
06.
❑N/A
7.
Sufficient Volume?
❑Yes/
❑No
❑N/A
8.
Correct Containers Used?
❑ es No
❑N/A
9.
-Pace Containers Used?
Yes
❑No
[]N/A
Containers Intact?
e
[IN. No
❑N/A
"10.
Filtered Volume Received for Dissolved Tests?
❑Yes / []No❑
/A
11, Note if sediment is visible in the dissolved container
Sample Labels Match COC?
Yes
❑No
❑N/A
12.
-Includes Date/Time/ID/Analysis Matrix: L✓
Ail containers needing acid/base preservation have been
checked?
1Z
n- ies
❑No
❑N/A
13.
All containers needing preservation are found to be in
compliance with EPA recommendation?
Zes
(HNO3, HiSO,, HCI<2; NaOH >9 Sulfide, NaOH>12 Cyanide)
No
[]N/A
Exceptions: VOA, Coliform, TOC, Oil and Grease,
DRO/8015 (water) DOC,LLHg
❑ es
[-]NO
❑N/
Samples checked for dechlorization
❑Yes
[]No
r
[]NI
" 14.
Headspace in VOA Vials (>5-6mm)?
❑Yes
[]No
❑N/ -
15.
Trip Blank Present?
❑Yes
[]No
N/A
16. -
Trip Blank Custody Seals Present?
❑Yes
❑No
/A
Pace Trip Blank Lot # (if purchased):
CLIENT NOTIFICATION/RESOLUTION
Person Contacted:
Comments/Resolution:
Date/Time:
Field Data'Required? ❑Yes [:]No
Project Manager SCURF Review: tf, Date: () I a
Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (i.e. Out of
hold, incorrect preservative, out of temp, incorrect containers).
Page 13 of 14

18
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Allvac - Bakers Plant
Stormwater Monitoring Report Form
Sample Date:
Sample Location:
Person Collecting Samples:
Laboratory Performing Analysis:
Analytical Techniques and Methods.
Results of Sample Analvsis:
Sample Time: J: Y61 d-tom(
Stormwater Discharge Outfall #02 (Non -Commingled)
Drainage Area = 212,952sq. ft. = 4.9 acres
% Impervious = 12%
a V1 4 Pnf3 e- c r
e e Ad /I/ 6ZI
40 CFR Paut 136
Parameter
Results (mg/1)
Benchmark Values (mg/1)
BOD
�__..._._ y � 4
30
COD
120
TSS
100
Cadmium
0.001
Chromium, total recoverable
1
Copper, total recoverable
0.007
Nickel, total recoverable
E
0.26
zinc, total recoverable
e
0.067
pH
(sld units)
r
6-9 (std units)
Storm Date: . , 1 .- 5 Storm Duration: (Hrs.) Inches of Rainfall:
Duration of time preceding rain event exceeding 0.1": (Hrs.)
Estimated Flow Calculation:
Q = CIA
Q(Total) = Q(Pervious Area) + Q(Impervious Area)
Q(tot., cfs) _ (A x inches rain/12 inches/ft. x 4.9 acres x .88) + .9 x inches rain/12inches/ft. x 4.9 x .12)
Q(Total, cfs) = 0.1437 x /Us (Inches of rain) + 0.0441 x
cfs
4 95 r ` (Inches of rain)

aceAnalytical e
www.pwWabs.corn
I
December 29, 2015
Mr. Joe Hinkle
Allvac
RE: Project: BAKERS STORMWATER
Pace Project No.: 92280423
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Dear Mr. Hinkle:
Enclosed are the analytical results for sample(s) received by the laboratory on December 17, 2015.
The results relate only to the samples included in this report. Results reported herein conform to the
most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless
otherwise noted in the body of the report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Matthew Brainard
[e-mail]
Project Manager
Enclosures
cc: Mr. Preston Baucom, Allvac
Mr. Tommy Long, Allvac
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 1 of 12

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Project: BAKERS STORMWATER
Pace Project No.: 92280423
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
South Carolina Certification #: 99006001
Asheville Certification IDs
2225 Rlverslde Drive, Asheville, NC 28804
Florida/NELAP Certification #. E87648
Massachusetts Certification #: M-NC030
North Carolinas Drinkirtfl Water C o rtifita Lion # 37712
CERTIFICATIONS
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
West Virginia Certification #: 357
Virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carollna Cerllficatlun #. 99030001
West Virginia Certification #: 356
Virtlinia/VE1. AFI C ortilimition #° 460227
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 2 of 12

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SAMPLE ANALYTE COUNT
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project:
Pace Project No.:
BAKERS STORMWATER
92280423
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92280423001
BSW02
EPA 200.7
JMW
5
PASI-A
SM 2540D
MDW
1
PASI-A
SM 5210B
BRJ
1
PASI-A
SM 5220D
WRC
1
PASI-A
REPORT OF LABORATORY ANALYSIS
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ANALYTICAL RESULTS
Project: BAKERS STORMWATER
Pace Project No.: 92280423
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: BSW02 Lab ID: 92280423001 Collected: 12/17/15 08:43 Received: 12/17/15 14:35 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Field Data
Collected By
Collected Date
Collected Time
Field pH
Field Temperature
200.7 MET ICP
Cadmium
Chromium
Copper
Nickel
Zinc
2540D Total Suspended Solids
Total Suspended Solids
5210B BOD, 5 day
BOD, 5 day
6220D COD
Chemical Oxygen Demand
Date: 12/29/2015 05:25 PM
Analytical Method
DPJ
1
12/17/15 08:44
12/17/15
1
12/17/15 08:44
08:44
1
12/17/15 08:44
7.3 Std. Units
0.10
1
12/17/15 08:44
14.2 deg C
0.60
1
12/17/16 08:44
Analytical Method: EPA 200.7 Preparation Method: EPA
200.7
ND ug/L
1.0
1
12/18/15 21:00
12/22/15 01:19
7440-43-9
17.2 ug/L
5.0
1
12/18/15 21:00
12/22/15 01:19
7440-47-3
213 ug/L
5.0
1
12/18/15 21:00
12/22/15 01:19
7440-50-8
11.2 ug/L
5.0
1
12/18/15 21:00
12/22/15 01:19
7440-02-0
68.8 ug/L
10.0
1
12/18/15 21:00
12/22/15 01:19
7440-66-6
Analytical Method: SM 2540D
70.0 mg/L
12.5
1
12/22/1515:28
Analytical Method: SM 5210D
7.3 mg/L
2.0
1
12/19/15 05:30
12/24/15 01:00
Analytical Method: SM 5220D
37.0 mg/L
25.0
1
12/23/1515:30
REPORT OF LABORATORY ANALYSIS
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QUALITY CONTROL DATA
Project: BAKERS STORMWATER
Pace Project No.: 92280423
QC Batch: MPRP/20326 Analysis Method: EPA 200.7
QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET
Associated Lab Samples: 92280423001
METHOD BLANK: 1633268
Associated Lab Samples: 92280423001
Parameter
Cadmium
Chromium
Copper
Nickel
Zinc
Matrix: Water
Units
Blank
Result
Reporting
Limit
Analyzed Qualifiers
ug/L
ND
1.0
12/22/15 00:16
ug/L
ND
5.0
12/22/15 00:16
ug/L
ND
5.0
12/22/15 00:16
ug/L
ND
5.0
12/22/15 00:16
ug/L
ND
10.0
12/22/15 00:16
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE:
1633269
Spike
LCS
LCS
% Rec
Parameter
Units
Cone.
Result
% Rec
Limits Qualifiers
Cadmium
ug/L
500
481
96
85-115
Chromium
ug/L
500
501
100
85-115
Copper
ug/L
500
501
100
85-115
Nickel
ug/L
500
481
96
85-115
Zinc
ug/L
500
433
87
85-115
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
1633270
1633271
MS
MSD
92279970001
Spike
Spike
MS
MSD
MS
MSD
% Rec
Parameter
Units
Result
Cone.
Cone.
Result
Result
% Rec
% Rec
Limits
RPD Qual
Cadmium
ug/L
ND
500
500
519
474
104
95
70-130
9
Chromium
ug/L
ND
500
500
551
460
110
91
70-130
18
Copper
ug/L
15.9
500
500
566
514
110
100
70-130
9
Nickel
ug/L
7.7
500
500
524
473
103
93
70-130
10
Zinc
ug/L
151
500
500
621
605
94
91
70-130
3
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
1633272
1633273
MS
MSD
92280423001
Spike
Spike
MS
MSD
MS
MSD
% Rec
Parameter
Units
Result
Cone.
Cone.
Result
Result
% Rec
% Rec
Limits
RPD Qual
Cadmium
ug/L
ND
500
500
511
472
102
94
70-130
8
Chromium
ug/L
17.2
500
500
568
520
110
100
70-130
9
Copper
ug/L
213
500
500
759
714
109
100
70-130
6
Nickel
ug/L
11.2
500
500
521
479
102
94
70-130
8
Zinc
ug/L
68.8
500
500
525
481
91
82
70-130
9
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
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Date: 12/29/2015 05:25 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 12

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QUALITY CONTROL DATA
Project: BAKERS STORMWATER
Pace Project No.: 92280423
QC Batch: WET/42129 Analysis Method: SM 2540D
QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92280423001
METHOD BLANK: 1635435
Associated Lab Samples: 92280423001
Parameter Units
Total Suspended Solids
mg/L
LABORATORY CONTROL SAMPLE:
Parameter
1635436
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 1635437
Parameter
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 1635439
Parameter
Units
Total Suspended Solids
mg/L
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 12/22/1515:22
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 262 105 90-110
92280412001 Dup
Result Result
5.4 5.8
92280443001 Dup
Result Result
31.0 30.2
RPD Qualifiers
7 D6
RPD Qualifiers
3
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: 12/29/2015 05:25 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12

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Project: BAKERS STORMWATER
Pace Project No.: 92280423
QC Batch: WET/42081
QC Batch Method: SM 5210B
Associated Lab Samples: 92280423001
METHOD BLANK: '1633869
Associated Lab Samples: 92280423001
Parameter Units
BOD, 6 day mg/L
LABORATORY CONTROL SAMPLE: 1633870
Parameter Units
BOD, 5 day mg/L
SAMPLE DUPLICATE: 1633871
Parameter Units
BOD, 5 day mg/L
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Analysis Method: SM 5210B
Analysis Description: 5210E BOD, 5 day
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.0 12/24/15 01:00
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
198 176 89 84.6-115.4
92280376001 Dup
Result Result RPD Qualifiers
3.5 3.3 6
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: 12/29/2015 05:25 PM without the written consent of Pace Analytical Services, Inc..
Page 7 of 12

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QUALITY CONTROL DATA
Project: BAKERS STORMWATER
Pace Project No.: 92280423
QC Batch: WETA/25892 Analysis Method: SM 5220D
QC Batch Method: SM 5220D Analysis Description: 5220D COD
Associated Lab Samples: 92280423001
METHOD BLANK: 1635385
Associated Lab Samples: 92280423001
Parameter Units
Chemical Oxygen Demand mg/L
LABORATORY CONTROL SAMPLE: 1635386
Parameter Units
Chemical Oxygen Demand mg/L
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Matrix. Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 25.0 12/2311515:30
Spike LCS LCS % Rec
Cone. Result % Rec Limits Qualifiers
750 771 103 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1635387 1635388
MS MSD
92280414002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg/L ND 750 750 733 733 96 96 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1635389 1635390
MS MSD
92279854001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qua[
Chemical Oxygen Demand mg/L 31.0 750 750 763 763 98 98 90-110 0
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,
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QUALIFIERS
Project: BAKERS STORMWATER
Pace Project No.: 92280423
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.
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.
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
S Surrogate
1,2-1-ilpheny1hydrazlne decurrrposes to and cannot be separated irorn Azubenzene using Method 82/0.1 he result fur 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, Styrene, and Vinyl chloride.
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.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI -The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services - Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
D6 I he relative percent difference (141 ID) between the sarnple and sample duplicate exceeded laboratory control limits.
REPORT OF LABORATORY ANALYSIS
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QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project:
Pace Project No.:
BAKERS STORMWATER
92280423
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch Analytical Method
Batch
92280423001
BSW02
FLD/
92280423001
BSW02
EPA 200.7
MPRP/20326 EPA 200.7
ICP/18344
92280423001
BSW02
SM 2540D
WET/42129
92280423001
BSW02
SM 5210B
WET/42081 SM 5210B
WET/42082
92280423001
BSW02
SM 5220D
WETA/25892
Date: 12/29/2015 05:25 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 10 of 12

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qage 2 of 12

Allvac - Bakers Plant
Stormwater Monitoring Report Form
Sample Date: /'" / Is
Sample Location:
Person Collecting Samples:
Laboratory Performing Analysis:
Analytical Techniques and Methods.
Results of Sample Analysis:
' ' ATIa' •
Sample Time: 9 a..56dm
Stormwater Discharge Outfall #03 (Non -Commingled)
Drainage Area = 336,580sq. ft. = 7.8 acres
% Impervious =15%
1 i iy 6
40 CFR Part 136
Parameter
Results (mg/1)
Benchmark Values (mg/1)
BOD
NO
30
COD
120
TSS
346
100
Cadmium
f
0.001
Chromium, total recoverable
1
Copper, total recoverable
0.007
Nickel, total recoverableNA
0.26
Zinc, total recoverable
6, 6
0.067
PH
(std units)
e to
6-9 (std units)
Storm Date: . N 71- Storm Duration: (Hrs.) Inches of Rainfall:
Duration of time preceding rain event exceeding 0.1f°: l (Hrs.)
Estimated Flow Calculation:
Q=CIA
Q(Total) = Q(Pervious Area) + Q(Impervious Area)
Q(tot., cfs) = (A x inches rain/12 inches/ft. x 7.8 acres x .85) + .9 x inches rain/12inches/f$. x 7.8 x .15)
Q(Total, cfs) = 0.2210 x_ (Inches of rain) + 0.0878 x (Inches of rain)

IMnalytical
www.pacelabs.com
I
December 29, 2015
Mr. Joe Hinkle
Allvac
RE: Project: BAKERS STORMWATER
Pace Project No.: 92280443
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Dear Mr. Hinkle:
Enclosed are the analytical results for sample(s) received by the laboratory oil Decerbei 17, 2015.
The results relate only to the samples included in this report. Results reported herein conform to the
most current TN standards and the laboratory's Quality Assurance Manual, where applicable, unless
otherwise noted in the body of the report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Matthew Brainard
matthew.brainard [e-mail]
Project Manager
Enclosures
cc: Mr. Preston Baucom, Allvac
Mr. Tommy Long, Allvac
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
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CERTIFICATIONS
Project: BAKERS STORMWATER
Pace Project No.: 92280443
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Florida/NELAP Certification #: E87627
North Carolina Drinking Water Certification #: 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification #: 5342
West Virginia Certification #: 357
North Carolina Wastewater Certification #: 12
Virginia/VELAP Certification #: 460221
South Carolina Certification #: 99006001
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40
Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001
Massachusetts Certification #- M-NC030 West Virginia Certification #: 356
North Carolina Drinking Water Certification #- 17712 Virginia/VCt AP Certification #- 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 2 of 12

,�acmnalyticale
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SAMPLE ANALYTE COUNT
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project:
Pace Project No.:
BAKERS STORMWATER
92280443
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92280443001
BSW03
EPA 200.7
JMW
5
PASI-A
SM 2540D
MDW
1
PASI-A
SM 5210B
BRJ
1
PASI-A
SM 5220D
WRC
1
PASI-A
REPORT OF LABORATORY ANALYSIS
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ANALYTICAL RESULTS
Project: BAKERS STORMWATER
Pace Project No.: 92280443
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: BSW03 Lab ID: 92280443001 Collected: 12/17/15 08:55 Received: 12/17/15 14:35 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Field Data
Collected By
Collected Date
Collected Time
Field pH
Field Temperature
200.7 MET ICP
Cadmium
Chromium
Copper
Nickel
Zinc
2540D Total Suspended Solids
Total Suspended Solids
5210B BOD, 5 day
BOD, 5 day
5220D COD
Chemical Oxygen Demand
Date: 12/29/2015 05:26 PM
Analytical Method
DPJ
1
12/17/15 08:48
12/17/15
1
12/17/15 08:48
08:48
1
12/17/15 08:48
7 Std. Units
0.10
1
12/17/15 08:48
13.8 deg C
0.50
1
12/17/15 08:48
Analytical Method: EPA 200.7 Preparation Method: EPA
200.7
ND ug/L
1.0
1
12/18/15 21:00
12/22/15 01:27
7440-43-9
30.7 ug/L
5.0
1
12/18/15 21:00
12/22/15 01:27
7440-47-3
40.9 ug/L
5.0
1
12/18/15 21:00
12/22/15 01:27
7440-50-8
ND ug/L
5.0
1
12/18/15 21:00
12/22/15 01:27
7440-02-0
56.7 ug/L
10.0
1
12/18/15 21:00
12/22/15 01:27
7440-66-6
Analytical Method: SM 2540D
31.0 mg/L
5.0
1
12/22/1515:30
Analytical Method: SM 5210B
ND mg/L
2.0
1
12/19/15 05:30
12/24/15 01:00
Analytical Method: SM 5220D
44.0 mg/L
25.0
1
12/23/1515:30
REPORT OF LABORATORY ANALYSIS
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QUALITY CONTROL DATA
Project: BAKERS STORMWATER
Pace Project No.: 92280443
QC Batch: MPRP/20326
Analysis Method:
EPA 200.7
QC Batch Method: EPA 200.7
Analysis Description:
200.7 MET
Associated Lab Samples: 92280443001
METHOD BLANK: 1633268
Matrix: Water
Associated Lab Samples: 92280443001
Blank Reporting
Parameter
Units
Result Limit
Analyzed
Cadmium
ug/L
ND
1.0
12/22/15 00:16
Chromium
ug/L
NU
5.0
12122115 00:16
Copper
ug/L
ND
5.0
12/22/15 00:16
Nickel
ug/L
ND
5.0
12/22/15 00:16
Zinc
ug/L
ND
10.0
12/22/15 00:16
Qualifiers
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE:
1633269
Spike
LCS
LCS
% Rec
Parameter
Units
Conc.
Result
% Rec
Limits Qualifiers
Cadmium
ug/L
500
481
96
85-115
Chromium
ug/L
500
501
100
85-115
Copper
ug/L
500
501
100
85-115
Nickel
ug/L
500
481
96
85-115
Zinc
ug/L
500
433
87
85-115
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
1633270
1633271
MS
MSD
92279970001
Spike
Spike
MS
MSD
MS
MSD
% Rec
Parameter
Units
Result
Conc.
Conc.
Result
Result
% Rec
% Rec
Limits
RPD Qual
Cadmium
ug/L
ND
500
500
519
474
104
95
70-130
9
Chromium
ug/L
ND
500
500
551
460
110
91
70-130
18
Copper
ug/L
15.9
500
500
566
514
110
100
70-130
9
Nickel
ug/L
7.7
500
500
524
473
103
93
70-130
10
Line
ug/L
151
500
500
621
60b
94
91
10-130
3
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
1633272
1633273
MS
MSD
92280423001
Spike
Spike
MS
MSD
MS
MSD
% Rec
Parameter
Units
Result
Conc.
Conc.
Result
Result
% Rec
% Rec
Limits
RPD Qual
Cadmium
ug/L
ND
500
500
511
472
102
94
70-130
8
Chromium
ug/L
17.2
500
500
568
520
110
100
70-130
9
Copper
ug/L
213
500
500
759
714
109
100
70-130
6
Nickel
ug/L
11.2
500
500
521
479
102
94
70-130
8
Zinc
ug/L
68.8
500
500
525
481
91
82
70-130
9
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
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Date: 12/29/2015 05:26 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 12

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QUALITY CONTROL DATA
Project: BAKERS STORMWATER
Pace Project No.: 92280443
QC Batch: WET/42129 Analysis Method: SM 2540D
QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92280443001
METHOD BLANK: 1635435
Associated Lab Samples: 92280443001
Parameter
Units
Total Suspended Solids
mg/L
LABORATORY CONTROL SAMPLE:
1635436
Parameter
Units
Total Suspended Solids
mg/L
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 12/22/1515:22
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 262 105 90-110
SAMPLE DUPLICATE: 1635437
92280412001 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 5.4 5.8
SAMPLE DUPLICATE: 1635439
92280443001 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 31.0 30.2
RPD Qualifiers
7 D6
RPD Qualifiers
3
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
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Date: 12/29/2015 05:26 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12

loon
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Project: BAKERS STORMWATER
Pace Project No.: 92280443
QC Batch: WET/42081
QC Batch Method: SM 5210B
Associated Lab Samples: 92280443001
METHOD BLANK: 1633869
Associated Lab Samples: 92280443001
Parameter
BOD, 6 day
QUALITY CONTROL DATA
Analysis Method: SM 5210B
Analysis Description: 5210E BOD, 5 day
Matrix: Water
Blank Reporting
Units Result Limit Analyzed Qualifiers
mg/L ND 2.0 12/24/15 01:00
LABORATORY CONTROL SAMPLE: 1633870
Parameter Units
BOD, 5 day mg/L
Spike LCS LCS % Rec
Conc. Result % Rec Limits
198 176 89 84.6-115.4
SAMPLE DUPLICATE: 1633871
92280376001 Dup
Parameter Units Result Result
BOD, 5 day mg/L 3.5 3.3
RPD Qualifiers
6
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Qualifiers
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: 12/29/2015 05:26 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12

aceAnalXical
www.pacelabs.com
QUALITY CONTROL DATA
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: BAKERS STORMWATER
Pace Project No.: 92280443
QC Batch: WETA/25892
Analysis Method: SM 5220D
QC Batch Method: SM 5220D
Analysis Description: 5220D COD
Associated Lab Samples: 92280443001
METHOD BLANK: 1635385
Matrix: Water
Associated Lab Samples: 92280443001
Blank
Reporting
Parameter Units
Result
Limit
Analyzed Qualifiers
Chemical Oxygon Domand mg/L
ND 26.0
12/23/16 16:30
LABORATORY CONTROL SAMPLE: 1635386
Spike
LCS
LCS % Rec
Parameter Units
Cone.
Result
% Rec Limits Qualifiers
Chemical Oxygen Demand mg/L
750
771
103 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1635387
1635388
MS
MSD
92280414002
Spike
Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Cone.
Cone. Result
Result % Rec % Rec
Limits
RPD Qua]
Chemical Oxygen Demand mg/L ND
750
750 733
733 96 96
90-110
0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1635389
1635390
MS
MSD
92279854001
Spike
Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Cone.
Cone. Result
Result % Rec % Rec
Limits
RPD Qua]
Chemical Oxygen Demand mg/L 31.0
750
750 763
763 98 98
90-110
0
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: 12/29/2015 05:26 PM without the written consent of Pace Analytical Services, Inc..
Page 8 of 12

aceAnalytical
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QUALIFIERS
Project: BAKERS STORMWATER
Pace Project No.: 92280443
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.
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.
S - Surrogate
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
1,2-Uiphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8'L/0. I he 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 Chloroethylvinyi ether, Styrene, and Vinyl chloride.
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.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI -The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services - Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
U6 the relative percerd difference (WID) between the sample and sample duplicate exceeded laboratory control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/29/2015 05:26 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12

,�aceAnalXical'
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QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project:
BAKERS STORMWATER
Pace Project No.:
92280443
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch Analytical Method
Batch
92280443001
BSW03
FLD/
92280443001
BSW03
EPA 200.7
mrRP/20326 EPA 200.7
ICP/18344
92280443001
BSW03
SM 2540D
WET/42129
92280443001
BSW03
SM 5210B
WET/42081 SM 5210B
WET/42082
92280443001
BSW03
SM 5220D
WETA/25892
Date: 12/29/2015 05:26 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 10 of 12

Document Name: Document Revised: Z60CI2015
Sample Condition Upon Receipt(SCUR) Page i of Z
Document No.: Issuing Authority:
F-CHR-CS-003-rev.17 Pace Huntersvifle Quality Office.
Client Name: Project #:
Courier: ❑FL.� ❑UPS ❑LISPS ❑Client
❑Commercial ace ❑Other:
9226®443
Custody Seal on Cooler/Box Present? ❑Yes .' "No Seals Intact? ❑Yes []No I:
Packing Material: []Bubble Wrap ❑Bubble Bags ❑ ot1 ne ❑Other:
Thermometer ❑ T1505 /�'^ '
Used: Type of Ice: ❑Wet ❑Blue []None es on: ice, cooling process has begun
Cooler Temp Corrected (°C): Biological Tissue Frozen? ❑Yes -.❑Now -❑k/A i Y
Temp should be above'freezing to VC Correction Factor: 0.0 °C Date and Initials of Person Examining Gontohts: l
USDA Regulated Soil (,❑ N/A, water sample)
Dld sample$ origln' c+ n a quarantine iune wiLliin the United Steitcs: LA, NY, or SL (clicei(maps)? Did sdrnples originate 6orri a roteign source (Internationally,
❑Yes ❑ o Including Hawaii and Puerto Ric J)?' []Yes 13�
If Yes to either question, fill out a Regulated Soil Checklist and include with _CUR/COC paperwork'.
COMMENTS:
Chain of Custody Present?
E Yes
No
[I N/A
1.
Chain of Custody Filled Out?
es
ONo
❑N/A
2.
Chain of Custody Relinquished?
as
No
[]N/A
3.
Sampler Name and/or Signature on COC?
ems
[:]No
[]N/A
4. _
Samples Arrived within Hold Time?
❑Yes
[]No
❑N/A
5.
Short Hold Time Analysis (<72 hr)?
es
[]No
❑N/A
6.
Rush Turn Around Time Requested?
❑Yes
No
N/A
7.
Sufficient Volume?
es
❑No
❑N/A
8.
Correct Containers Used?
[)No❑N/A
9.
Pace Containers Used?
Yes
❑No
❑ N/A
a
Containers Intact?
es
[_-]No
❑N/A
10.
Filtered Volume Received for Dissolved Tests?
❑Y
Mo
❑r3%A
11. Note if sediment is visible in the dissolved container
Sample Labels Match COC?
Yes
❑No
❑N/A
12.
-Includes Date/Time/ID/Analysis Matrix:
All containers needing acid/base preservation have been
13.
checked?
[]Yes
❑No
❑N/A
All containers needing preservation are found to be in
compliance with EPA recommendation?
f�
(HNO3, H2SO4, NCI<2; NaOH >9 Sulfide, NaOH>12 Cyanide) []Yes
❑No
[]N/A
Exceptions: VOA, Coliform, TOC, Oil and Grease,
DRO/8015 (water) DOC,LLHg
[]Yes
[]No
❑N-/A
Samples checked for dechlorization
❑Yes
[]No
❑N/�
14.
Headspace in VOA Vials (>5-6mm)?
❑Yes
[]No
❑ /K'
15. "
Trip Blank Present?
Des
[]No
❑N/A�
16.
Trip Blank Custody Seals Present?
[]Yes
[]No
❑N/A
Pace Trip Blank Lot #f (if purchased):
CLIENT NOTIFICATION/RESOLUTION
Person Contacted:
Comments/Resolution:
Field Data.,Required? ❑Yes ❑No
Date/Time:
Project Manager SCURF Review: i { °1 Date:
Note: Whenever there is a discrepancy affecting North Carollna compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (i.e. Out of
hold, incorrect preservative, out of temp, incorrect containers).
Page 11 of 12

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IeAnalyticalo
www.pacelabs.corn
I
December 16, 2015
Mr. Joe Hinkle
Allvac
RE: Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Dear Mr. Hinkle:
Enclosed are the analytical results for sample(s) received by the laboratory on December 08, 2015,
The results relate only to the samples included in this report. Results reported herein conform to the
most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless
otherwise noted in the body of the report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
u F,c,�—D
Matthew Brainard
matthew.brainard@pacelab€.com
Project Manager
Enclosures
cc: Mr. Preston Baucom, Allvac
Mr. Tommy Long, Allvac
mi4vw
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 1 of 26

lacmnalyticalo
www.pacelabs.com
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
South Carolina Certification #: 99006001
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
Nurlh Carolina Drinkiny Water Certification #: 37712
CERTIFICATIONS
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
West Virginia Certification #: 357
Virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
West Virginia Certification #: 356
Vlrglnla/VELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 2 of 26

acmnalXical
www.pacelabs.com
SAMPLE ANALYTE COUNT
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project:
Pace Project No.:
BAKERS NONCONTACT COOLING
92278853
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92278853001
NON CONTACT #1
EPA 1664B
JMS
1
PASI-C
92278853002
NON CONTACT #1 RC
SM 4500-CI G
MLS
1
PASI-A
92278853003
NON CONTACT #2
EPA 1664B
JMS
1
PASI-C
92278853004
NON CONTACT #2 RC
SM 4500-0I G
MLS
1
PASI-A
92278863005
NON CONTACT #3 RC
SM 4500-CI G
MLS
1
PASI-A
92278853006
NON CONTACT #3
FPA 1664R
.IMS
1
PASI.{.
92278853007
NON CONTACT #4
EPA 1664B
JMS
.1
PASI-C
92278853008
NON CONTACT #4 RC
SM 4500-CI G
MLS
1
PASI-A
92278853009
NON CONTACT #5
EPA 1664E
JMS
1
PASI-C
92278853010
NON CONTACT #5 RC
SM 4500-CI G
MLS
1
PASI-A
92278853011
NON CONTACT #6
EPA 1664E
JMS
1
PASI-C
92278853012
NON CONTACT #6 RC
SM 4500-CI G
MLS
1
PASI-A
92278853013
NON CONTACT #7
EPA 1664B
JMS
1
PASI-C
92278853014
NON CONTACT #7 RC
SM 4500-CI G
MLS
1
PASI-A
92278853015
NON CONTACT #8
EPA 1664B
JMS
1
PASI-C
92278853016
NON CONTACT #8 RC
SM 4500-CI G
MLS
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page 3 of 26

acmnalytical
www.pacelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Sample: NON CONTACT #1 Lab ID: 92278853001 Collected: 12/07/15 09:30 Received: 12/08/15 08:09 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua[
HEM, Oil and Grease
Oil and Grease
Date: 12/16/2015 09:39 AM
Analytical Method: EPA 1664B
ND mg/L 5.0 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 4 of 26

aceAnalytical
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ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Sample: NON CONTACT #1 RC Lab ID: 92278853002 Collected: 12/07/15 09:33 Received: 12/08/15 08:09 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
4500CL G Chlorine, Residual
Chlorine, Total Residual
Date: 12/16/2015 09:39 AM
Analytical Method: SM 4500-CI G
0.079 mg/L 0.024 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 5 of 26

aceAnalytical
www.pacelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Sample: NON CONTACT #2 Lab ID: 92278863003 Collected: 12/07/15 09:50 Received: 12/08/15 08:09 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Oil and Grease
Date: 12/16/2015 09:39 AM
Analytical Method: EPA 1664E
ND mg/L 5.0 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
12/15/15 05:43
Page 6 of 26

aceAnalytical
www.pacelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Sample: NON CONTACT #2 RC Lab ID: 92278853004 Collected: 12/07/15 09:52 Received: 12/08/15 08:09 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
4500CL G Chlorine, Residual
Chlorine, Total Residual
Date: 12/16/2015 09:39 AM
Analytical Method: SM 4500-CI G
ND mg/L 0.024 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
i AI rlllINiiY,a[11iiE:Y' Ki1P,
Page 7 of 26

(�Iacmnalytical"
www.pacelabs.com
ANALYTICAL RESULTS
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Sample: NON CONTACT #3 RC Lab ID: 92278853005 Collected: 12/07/15 10:38 Received: 12/08/15 08:09 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
4500CL G Chlorine, Residual
Chlorine, Total Residual
Date: 12/16/2015 09:39 AM
Analytical Method: SM 4500-CI G
0.028 mg/L 0.024 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
12/09/1512:10 7782-50-5
Page 8 of 26

,�acmnalXicalo
wwaw.pacelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Sample: NON CONTACT #3 Lab ID: 92278853006 Collected: 12/07/15 10:36 Received: 12/08/15 08:09 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua]
HEM, Oil and Grease
Oil and Grease
Date: 12/16/2015 09:39 AM
Analytical Method: EPA 1664E
ND mg/L 5.0 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
12/15/15 05:43
Page 9 of 26

aceAnalytkal
www.pamlabs.mrn
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Sample: NON CONTACT #4 Lab ID: 92278853007 Collected: 12/07/15 11:00 Received: 12/08/15 08:09 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 1664B
Oil and Grease ND mg/L 5.0 1 12/15/15 05:43
Date: 12/16/2015 09:39 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 10 of 26

aceAnalytical
www.pacelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Sample: NON CONTACT #4 RC Lab ID: 92278853008 Collected: 12/07/15 11:02 Received: 12/08115 08:09 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua[
4500CL G Chlorine, Residual Analytical Method: SM 4500-CI G
Chlorine, Total Residual 0.40 mg/L 0.024 1 12/09/15 12:10 7782-50-5
Date: 12/16/2015 09:39 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 11 of 26

aceAnalytical
www.pacelabs.com
I
ANALYTICAL RESULTS
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: NON CONTACT #5 Lab ID: 92278863009 Collected: 12/07/15 11:25 Received: 12/08/15 08:09 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 1664E
Oil and Grease ND mg/L 5.0 1 12/15/15 05:44
Date: 12/16/2015 09:39 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 12 of 26

acmnalXical
www.pacelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Sample: NON CONTACT #5 RC Lab ID: 92278853010 Collected: 12/07/15 11:27 Received: 12/08/15 08:09 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
4500CL G Chlorine, Residual
Chlorine, Total Residual
Date: 12/16/2015 09:39 AM
Analytical Method: SM 4500-CI G
0.053 mg/L 0.024 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
12/09/1512:10 7782-50-5
Page 13 of 26

laneAnalytical"
www.pacelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Sample: NON CONTACT #6 Lab ID: 92278853011 Collected: 12/07/15 11:50 Received: 12/08/15 08:09 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua]
HEM, Oil and Grease
Oil and Grease
Date: 12/16/2015 09:39 AM
Analytical Method: EPA 1664B
ND mg/L 5.0 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
12/15/15 05:44
Page 14 of 26

acmnalytical
www.pacelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Sample: NON CONTACT #6 RC Lab ID: 92278853012 Collected: 12/07/15 11:52 Received: 12/08/15 08:09 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua[
4500CL G Chlorine, Residual Analytical Method: SM 4500-CI G
Chlorine, Total Residual 0.033 mg/L 0.024 1 12/09/15 12:10 7782-50-5
Date: 12/16/2015 09:39 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 15 of 26

aceAnalytical
www.pacelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Sample: NON CONTACT #7 Lab ID: 92278853013 Collected: 12/07/15 12:20 Received: 12/08/15 08:09 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua]
HEM, Oil and Grease
Oil and Grease
Date: 12/16/2015 09:39 AM
Analytical Method: EPA 1664B
ND mg/L 5.0 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
12/15/15 05:45
Page 16 of 26

(�IacmnalXica(
www.pacelabs.corn
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Sample: NON CONTACT #7 RC Lab ID: 92278853014 Collected: 12/07/15 12:22 Received: 12/08/15 08:09 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
4500CL G Chlorine, Residual
Chlorine, Total Residual
Date: 12/16/2015 09:39 AM
Analytical Method: SM 4500-CI G
0.28 mg/L 0.024 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
12/09/1512:10 7782-50-5
Page 17 of 26

acMnalytical
www.pacefabs.com
ANALYTICAL RESULTS
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: NON CONTACT #8 Lab ID: 92278853015 Collected: 12/07/15 12:45 Received: 12/08/15 08:09 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 1664E
Oil and Grease ND mg/L 5.0 1 12/15/15 05:45
Date: 12/16/2015 09:39 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 18 of 26

acmnalytical
www.pacelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Sample: NON CONTACT #8 RC Lab ID: 92278853016 Collected: 12/07/15 12:47 Received: 12/08/15 08:09 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
4500CL G Chlorine, Residual
Chlorine, Total Residual
Date: 12/16/2015 09:39 AM
Analytical Method: SM 4500-CI G
0.041 mg/L 0,024 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
12/09/1512:10 7782-50-5
Page 19 of 26

a ce Analytical
www.pacelabs.com
QUALITY CONTROL DATA
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
QC Batch: GCSV/23536
Analysis Method: EPA 1664B
QC Batch Method: EPA 1664E
Analysis Description: 1664 HEM, Oil and Grease
Associated Lab Samples: 92278853001, 92278853003,
92278853006, 92278853007, 92278853009, 92278853011, 92278853013,
92278853015
METHOD BLANK: 1628811
Matrix: Water
Associated Lab Samples: 92278853001, 92278853003,
92278853006, 92278853007, 92278853009, 92278853011, 92278853013,
92278853015
Blank Reporting
Parameter Units
Result Limit Analyzed Qualifiers
Oil and Grease mg/L
NU 5.0 12P15PI5 05:68
LABORATORY CONTROL SAMPLE: 1628812
Spike LCS LCS % Rec
Parameter Units
Conc. Result % Rec Limits Qualifiers
Oil and Grease mg/L
40 35.2 88 78-114
MATRIX SPIKE SAMPLE: 1628813
92279258001 Spike. MS MS % Rec
Parameter Units
Result Conc. Result % Rec Limits Qualifiers
Oil and Grease mg/L
ND 40 33.2 83 78-114
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: 12/16/2015 09:39 AM without the written consent of Pace Analytical Services, Inc.. Page 20 of 26

,�acmnalytical'
wwwpacelabs.com
QUALITY CONTROL DATA
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QC Batch: WET/41848 Analysis Method: SM 4500-CI G
QC Batch Method: SM 4500-CI G Analysis Description: 4500CL G Chlorine, Total Residual
Associated Lab Samples: 92278853002, 92278853004, 92278853005, 92278853008, 92278853010, 92278853012, 92278853014,
92278853016
METHOD BLANK: 1623761 Matrix: Water
Associated Lab Samples: 92278853002, 92278853004, 92278853005, 92278853008, 92278853010, 92278853012, 92278853014,
92278853016
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Chlorine, local Residual rng/L NU 0.024 12/09/15 12:10
SAMPLE DUPLICATE: 1623762
92278853002 Dup
Parameter Units Result Result RPD Qualifiers
Chlorine, Total Residual mg/L 0.079 0.066 18
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: 12/16/2015 09:39 AM without the written consent of Pace Analytical Services, Inc..
Page 21 of 26

Pace Analytical Services, Inc.
�acmnalXica( 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
www.pacelabs.com
[phone]
QUALIFIERS
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
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.
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.
S - Surrogate
1,2 Crll: honylhytlraelnH do(-*mfrpfiet; to anti c.annoi ha iielmrated fromXuobeneene using Meiliod 8170. f lie twiult for eacli 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, Styrene, and Vinyl chloride.
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.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services - Asheville
PASI-C Pace Analytical Services - Charlotte
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/16/2015 09:39 AM without the written consent of Pace Analytical Services, Inc.. Page 22 of 26

Pace Analytical Services, Inc.
aceAnalytical ® 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
www.pacelabs.com
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: BAKERS NONCONTACT COOLING
Pace Project No.: 92278853
Lab ID Sample ID
92278853001
NON
CONTACT #1
92278853003
NON
CONTACT #2
92278853008
NON
CONTACT #3
92278853007
NON
CONTACT #4
92278853009
NON
CONTACT #5
92278853011
NON
CONTACT #6
92278853013
NON
CON-IACT #7
92278853015
NON
CONTACT #8
92278853002
NON CONTACT #1 RC
92278853004
NON CONTACT #2 RC
92278853005
NON CONTACT #3 RC
92278853008
NON CONTACT #4 RC
92278853010
NON CONTACT #5 RC
92278853012
NON CONTACT #6 RC
92278853014
NON CONTACT #7 RC
92278853016
NON CONTACT #8 RC
Analytical
QC Batch Method QC Batch Analytical Method Batch
EPA 1664B
GCSV/23536
EPA 1664B
GCSV/23536
EPA 1664E
GCSV/23536
EPA 1664E
GCSV/23536
EPA 1664B
GCSV/23536
EPA 1664B
GCSV/23536
EPA 1664E
GCSV/23536
EPA 1664B
GCSV/23536
SM 4500-CI G
WET/41848
SM 4500-CI G
WET/41848
SM 4500-CI G
WET/41848
SM 4500-CI G
WET/41848
SM 4500-CI G
WET/41848
SM 4500-CI G
WET/41848
SM 4500-CI G
WET/41848
SM 4500-CI G
WET141848
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/16/2015 09:39 AM without the written consent of Pace Analytical Services, Inc.. Page 23 of 26

Document Name:
le Condition Upon Recelp
Document Number:
F-CHR-CS-003-rev.16.1
Client Name: /I /) v . ; �-
Courier: [] Fed E>[-] UPO USPn Clier[] -CominerciG Pj ; Other_
Custody Seal on Cooler/Box Present: E] yes n no Seals intact: n yes
Packing Material: n Bubble Wrap n' Bubble Bags n None n Other
Thermometer Used: IR Gun Ii1605 Type of lee: Wet, Blue None
Temp Correction Factor No Correction
—Document Revised: November 17, 2015
Page 1 of 2*
Issuing Authority:
Pace Huntersville Quality Office
Page 2 of 2 is for Internal Use Only
Obti6hal
Pr9j..'Due ate:,
F] no Proi. N�..-
ame:
FJ samples on ice, cooling process has begun
' '�) ! I
Corrected Cooler Temp.: C
Date and Initials of person examining
Biological Tissue is Frozen: Yes No A/A
Temp should be above freezing to 6*C
y.
Comments: contents:
Chain of Custody Present:
DY6s DNO
0 N/A
1
Chain of Custody Filled Out:
DYes
ONO
ON/A
2.
Chain of Custody Rolinquished:
❑Yes
DNo
EIN/A
3.
Sampler Name & Signature on COC:
DYes, ONO
ONIA
4.
Samples Arrived within Hold Time:
DY-'es
ONO
ON/A
5.
Short Hold Time Analysis (<72hr):
DYes
ON6"
QN/A
6.
Rush Turn Around Time Requested:
DYes
0No'-DN/A
7,
Sufficient Volume:
DYes
LINO
DNIA
8.
Correct Containers Used:
171Yeq
ONO
ON/A
9.
-Pace Containers Used:
DYesD No
ON/A
Containers intact:
ElYes
ONO
ON/A
10.
Filtered volume received for Dissolved tests
DYes
ONO
0 N/A
11.
Sample Labels match COC:
13Yes
ONO
EIN/A
12.
-includes date/time/ID/Analysis Matrix:
All containers needing preservation have been checked.
DYes
DNo
11 N'/A
13.
All containers needing preservation are found to be in
c . ompliance with EPA recommendation.
DYes
ONO
DN/A
exceptions: VOA, coliform, TOC, O&G, WI-DRO (water)
Dyes
DNo
Samples checked for deohlodnalkin;
Llycs
LJNu
LJ N/A
14.
Headspace in VOA Vials (>6mm):
DYes ONO
0 WtA
15,
Trip Blank Present:
DYes
ONO
Di�N/
16,
Trip Blank Custody Seals Present
DYes
ONO
0 N/A
,Pace Trip Blank Lot# if purchased):
I
Client Notification/ Resolution: Field Data Required? Y I N
Person Contacted: Date/Time:
Comments/ Resolution:
SCURF Review: 1 Date:
SRF Review: 1 Date:
Note: Whenever there is a discrepancy affecting North Carolina compliance
samples, a copy of this form will be sent to the North Carolina DEHNR
Certification Office ( i.e out of hold, Incorrect preservative, out of temp,
incorrect containers)
Place label here
885 O"A
IAO#.3227
- Algq1tot
IN
qf2ZIB853
Page 2# f 26

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