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HomeMy WebLinkAboutNCS000077_MONITORING INFO_20180510STORMWATER-DIVISION-CODING"SHEET W- PERMIT NO. \ 1���Q.�,� DOC TYPE ❑ FINAL PERMIT MONITORING INFO ❑ APPLICATION ❑ COMPLIANCE ❑ OTHER DOC DATE ❑ J 01`b Gs 1/0 YYYYM M DD May 8, 2018 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Transmittal 2018 Semi -Annual Stormwater Discharge Outfall Monitoring Report Permit No. NCS000077 Enclosed, please find an original and one copy of the Semi -Annual Stormwater Discharge Monitoring Report (DMR) for Permit No. NCS000077. The stormwater event in which the samples were collected occurred April 23, 2018. All reported results were in the permitted limits. The pH values for each of the stormwater outfalls were tested on site within fifteen minutes of collecting. If you have any questions or comments regarding this submittal, please contact Roger Peterson at 336-547-7212. Sincerely, Darren C. Cammin Site Manager DOW RESTRICTED STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS 6 l0 t9 (0 -7 7 or Certificate of Coveranc Number: NCG FACILITY NAME 10 CIJ 5 1 r- r C ad" C PERSON COLLECTING SAMPL�(S) ' I s<2 CERTIFIED LABORATORY(S) P}C a A,u*I—V To C h+— Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: Z d $ T (This monitoring report shall be received by the Division no iater than 30 days front the date the facility receives the sampling results from the laboratory.) COUNTY t e- P ONE NO.� �, —. (SIGNATURE OF PERMITTEE OR DESIGNEE) By this signature. I certify that this report is accurate complete to the best of my knowledge. Outfall N. Date Sample p Collected 50050 1 1 i Total Flow (if app.) Total Rainfall 16 rk� u { CA"> j j A � r A- N'r4�o6 � i s i PKa� Pr+��k3 j a i mo/dd/ r MG inches aft a 2 /or 'r r i 2 yV.0 -7 a 3i k (9.L 1 I ,Y I a I 2 3 i I 1 i Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes �no (il'yes, compicte Part R) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. I Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Off & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if Total Suspended Solids pH New Motor Oil Usage mo/ddlvr MG inches MO. I mgA Units gaUmo I I I I Form SWU-246-0623iQ Paac 1 of 2 STORM EVENT CHARACTERISTICS: Date 7 2 3- 2 e/? Total Event Precipitation (inches): r!' Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water (duality Attn: Central Files 1617 Mail Service Center Raleigh. North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information. the information submitted is. to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 5Is1aoIs (Signature of Permittee) (Date) Form SWU-246-062 i 10 Pate 2 of Cw STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS 0 0 0 4 7 or Certificate of Coverage Number: NCG FACILITY NAME :)(ow e-O P—.Q / Af G- C= re—e— b a ro PERSON COLLECTING SAMPLE(S) r a CERTIFIED LABORATORY(S) 1FC c Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2 © 1 `r (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY (� (,L r a r d ' PHONE NO. (_3-4 __ 'S -{ -r — —F4-9�O 7 Z-f (SIGNATURE OF PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. 1 No. Sample Collected Total Flow (if app.) Total Rainfall �WFEW , ♦ I I • - r r Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — yes Xno (if yes. complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage moldd/ r MG inches m mgA Units al/mo Form S W U-246-062310 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date �y"^13-Zo17 Total Event Precipitation (inches):Z- Event Duration (hours): (only if applicable - see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable - see permit.) Mail Original and one copy to: Division of Water (Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." L6,- /"/ ' d7 12 ignature of Permittee) (Date) Form SWU-246-062310 Page 2 of 2 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh. North Carolina 27699-1617 Transmittal 2017 Semi -Annual Stormwater Discharge Outfall Monitoring Report Permit No. NCS000077 VE NOV 02 Z017 CENTRAL Dw� SECTION Enclosed please find an original and one copy of the Semi -Annual Stormwater Discharge Monitoring Report (DMR) for Permit No. NCS000077. The stormwater event in which the samples were collected occurred on October 16, 2017. All reported results were all within the permit limits. The pH values for each of the stormwater outfalls were tested on site on the day of collection and within the 1 minute time frame. The results met the desired benchmark value range and can be found in the attached stormwater discharge outfall (SDO) monitoring report. If you have questions or comments regarding this submittal, please contact Roger Peterson at 336-547-7212. Sincerely, Darren Cammin Site Manager MAN' xI;1;TRI('"1TD STORM EVENT CHARACTERISTICS: Date C d ' /6 — 17 Total Event Precipitation (inches): Q , (Z— Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — sec permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." -�� Id P ) o ! z7 ) ZP 1-7 (Signature of Permittee) (Date) Form SWU-246-062310 Page 2of2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS 6000 77 or Certificate of Coverage Number: NCG FACILITY NAME. �:11 C W (10 KN / Al G 61e-eeAjsBcG0 PERSON COLLECTING SAMPL (S) '46 G CERTIFIED LABORATORY(S) IK 9 AVALY� C44- Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY It PHONE NO. 15-64 -7 7 Z 1 'L- (SIGNATURE OF PERMITTEE OR DESIGNEE) By this signature. I certify that this report is accurate complete to the best of my knowledge. o No. bate - Sam1 Collected1 app.) i M V 1 . ® �A' Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes 11�40 (if yes, complete Part 13 ) Part B: Vehicle Maintenance Activitv Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m m9A Units al/mo Form SWU-246-062310 Page 1 of 2 0 aceAnalytical www.p"1abs.o= December 09, 2016 Rachel Pool DOW CORNING 2914 Patterson St Greensboro, NC 27407 RE: Project: Stormwater Pace Project No.: 92321326 PCS666'77 DEC 14 ZU ib DWp RAL FjL�S CTI�N Pace Analytical Services, LLC 9800 Kincey Ave. suite 100 Huntersville, NC 28078 (704)875-9092 //(u D.,44 Dear Rachel Pool: Enclosed are the analytical results for sample(s) received by the laboratory on November 30, 2016. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com Project Manager Enclosures cc: Accounts Payable, DOW Corning 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 25 e aceAnalytical ~ pacdabsarn Project: Stormwater Pace Project No.: 92321326 Asheville Certification IDS 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 Vrginia/VELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS Pace Analytical Services, LLC 9600 Kincey Ave. Suite 100 Huntersville, NC 28078 (704 )875-9092 This report shall not be reproduced, except in full, without the written consent of PaceAnalytical Services, LLC. Page 2 of 25 aceAnalytical www.patWabs.com Project: Stormwater Pace Project No.: 92321326 Lab ID Sample ID 92321326001 1A 92321326002 1B 92321326003 2A 92321326004 2B 92321326005 3A 92321326006 3B 92321326007 4A 92321326008 413 92321326009 5A 92321326010 5B 92321326011 6A 92321326012 6B Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 SAMPLE SUMMARY Matrix Date Collected Date Received Water 11/2911513:30 11/3011611:11 Water 11/2911613:30 11/3011611:11 Water 11/29/1613:30 11/30/1611:11 Water 11/2911613:30 11130/1611:11 Water 11/2911613:30 11/30/1611:11 Water 11/2911613:30 11/30/1611:11 Water 11/2911613:30 11/30/1511:11 Water 11129/1613:30 11130/1611:11 Water 11/29/1613:30 11/3011611:11 Water 11129/1613:30 11/30/1611:11 Water 11/29/1613:30 11130/1611:11 Water 11/29/1613:30 11/30/1611:11 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 25 _ aceAnalytrcal IVMwpaC@faD3.Cdvn SAMPLE ANALYTE COUNT Project: Stormwater Pace Project No.: 92321326 Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92321326001 1A SM 2540D MJ51 1 PASI-A 92321326002 18 TKN+NO3+NO2 Calculation EWS 1 PASI-A EPA 351.2 BRJ 1 PASI-A EPA 353.2 WRC 1 PASI-A EPA 365.1 MDW 1 PASI-A 92321326003 2A SM 2540D MJ51 1 PASI-A 92321326004 2B TKN+NO3+NO2 Calculation EWS 1 PASI-A EPA 351.2 BRJ 1 PASI-A EPA 353.2 WRC 1 PASI-A EPA 365.1 MDW 1 PASI-A 92321326005 3A SM 2540D MJS1 1 PASI-A 92321326006 38 TKN+NO3+NO2 Calculation EWS 1 PASI-A EPA 351.2 BRJ 1 PASI-A EPA 353.2 WRC 1 PASI-A EPA 365.1 MDW 1 PASI-A 92321326007 4A SM 2540D MJ51 1 PASI-A 92321326008 4B TKN+NO3+NO2 Calculation EWS 1 PASI-A EPA 351.2 BRJ 1 PASI-A EPA 353.2 WRC 1 PASI-A EPA 365.1 MDW 1 PASI-A 92321326009 5A SM 2540D MJS1 1 PASI-A 92321326010 5B TKN+NO3+NO2 Calculation EWS 1 PASI-A EPA 351.2 BRJ 1 PASI-A EPA 353.2 WRC 1 PASI-A EPA 365.1 MDW 1 PASI-A 92321326011 6A SM 2540D MJS1 1 PASI-A 92321326012 6B TKN+NO3+NO2 Calculation EWS 1 PASI-A EPA 351.2 BRJ 1 PASI-A EPA 353.2 WRC 1 PASI-A EPA 365.1 MDW 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 4 of 25 e aceAnalytical www patelabscom ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 92321326 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersvitte, NC 28078 (704)875-9092 Sample: 1A Lab ID: 92321326001 Collected: 11/29/16 13:30 Received: 11/30/16 11:11 Matrix: Water Parameters Results Units Report limit DF Prepared Analyzed CAS No. Quat 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 4.4 mglL 3.6 1 12/02/16 11:48 Date: 12/09/2016 12:04 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLG. Page 5 of 25 0 aceAnalytical wwwpacdabs cm ANALYTICAL RESULTS Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Stormwater Pace Project No.: 92321326 Sample: I Labia; 92321326002 Collected: 1112911613:30 Received: 1113011611:11 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Oual Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 0.70 mg1L 0.12 1 12/09/16 12:03 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total ND mg1L 0.50 1 12/02/16 19:59 7727-37-9 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.23 mg/L 0.020 1 12/07/16 21,44 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus ND mg/L 0.050 1 12/01/16 23:09 7723-14-0 Date: 12/09/2016 12:04 PM REPORT OF LABORATORY ANALYSIS This report shall not he reproduced, except in full, without the written consent of Pace Analytical Services, LLC, Page 6 of 25 aceAnalytical "W..pacerabs.com ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 92321326 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Hun;ersville, NC 28078 (704)875-9092 Sample: 2A LablD: 92321326003 Collected: 11/29/16 13:30 Received: 1111301161111 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 4.8 mg1L 4.2 1 12/02/16 11A8 Date: 12/09/2016 12:04 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 7 of 25 Pace Analytical Services, LLC 9B00 Kincey Ave. Suite 100 aceMalytieal Huntersville, NC 28078 wwwpacelaaacom c704i875-9092 ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 92321326 Sample: 213 Parameters Lab ID: 92321326004 Collected: 11/29/16 13:30 Results Units Report Limit OF Received: 11/30/16 11:11 Matrix: Water Prepared Analyzed CAS No. Qual Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 0.69 mg1L 0.12 1 12/09/16 12:03 351.2 Total Kjeidahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total ND mg1L 0,50 1 12/02/16 20:00 7727-37-9 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.23 mglL 0.020 1 12/07/16 21:45 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.11 mglL 0.050 1 12/01/16 23:12 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12109/2016 12:04 PM withoutthe written consent of Pace Analytical Services, LLC. Page 8 of 25 aOAnalytical wwwpao91ab&wm Project: Stormwater Pace Project No.: 92321326 Sample: 3A Parameters 2540D Total Suspended Solids Total Suspended Solids Date: 12/09/2016 12:04 PM Pace Analytical Services, LLC 9B00 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 ANALYTICAL RESULTS Lab ID: 92321326005 Collected: 11/29/16 13:30 Received: 11/30/16 11:11 Matrix: Water Results Units Report Limit DF Prepared Analyzed CAS No. Qual Analytical Method: SM 2540D 6.2 mg1L 5.0 1 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. 12/02116 11:48 Page 9 of 25 aceAnalytical W"..Pacerabscom ANALYTICAL RESULTS Project: Stonnwater Pace Project No.: 92321326 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 kuntersville, NC 28078 (704)875-9092 Sample: 313 LabID: 92321326006 Collected: 11/29/16 13:30 Received: 11/30/16 11:11 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 1.4 mglL 0.12 1 12/09/16 12:03 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 0.88 mg1L 0.50 1 12/02/16 20:01 7727-37-9 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0,47 mg1L 0.020 1 12/07/16 21:45 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.27 mg1L 0.050 1 12/01/16 23:13 7723-14-0 Date: 12/09/2016 12:04 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC, Page 10 of 25 aceAnalytical wwwpacelab com ANALYTICAL RESULTS Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersville, NC 28078 t704 j875-9092 Project: Stormwater Pace Project No.: 92321326 Sample: 4A Lab ID: 92321326007 Collected: 11/29/16 13:30 Received: 11/30/16 11:11 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Total Suspended Solids Date: 1210912016 12:04 PM Analytical Method: SM 2540D 5.4 mglL 2.8 1 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. 12/02/16 11:48 Page 11 of 25 aceAnalytical e www.pacalabac m ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 92321326 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: 413 Lab ID: 92321326008 Collected: 11/29/16 13:30 Received: 11/30/16 11:11 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 0.69 mglL 0.12 1 12109116 12:03 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 0.51 mglL 0.50 1 12102/16 20:02 7727-37-9 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.19 mglL 0.020 1 12107/16 21:47 366.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus ND mglL 0.050 1 12101/1623:14 7723-14-0 Date: 12/09/2016 12:04 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 12 of 25 aceAnalytical W"..pacelabs. corn ANALYTICAL RESULTS Pace Analytical Services, LLC 9800 KinceyAve, Suite 100 Huntersville, NC 28078 (704)975-9092 Project: Stormwater Pace Project No.: 92321326 Sample: SA Lab ID: 92321326009 Collected: 11/29/16 13:30 Received: 11/30/16 11:11 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Total Suspended Solids Date: 12/09/2016 12:04 PM Analytical Method: SM 2540D ND mg1L 2.8 1 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. 12/02/16 11:49 Page 13 of 25 aceAnalytica! www.pecelahxowrr ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 92321326 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (744)875-9092 Sample: 5B Parameters Lab ID: 92321326010 Collected: 11/29/16 13:30 Results Units Report Limit DF Received: 11/30/16 11:11 Matrix: Water Prepared Analyzed CAS No. Qual Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 2.0 mg/L 0.12 1 12/09/16 12:03 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 1.0 mg1L 0.50 1 1121021162010 7727-37-9 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.95 mg1L 0.020 1 12/07/16 21:50 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.080 mg1L 0.050 1 12/01/16 23:14 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 12/09/2016 12:04 PM without the written consent of Pace Analytical Services, LLC. Page 14 of 25 aceAnalX cal www.paeda&L=n ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 92321326 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: 6A Lab ID: 92321326011 Collected: 11/29/16 13:30 Received; 11/30/16 11:11 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 11.3 mg1L 8.3 1 12/02/16 11:49 Date: 12/09/2016 12:04 PM u REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 15 of 25 acmnalytical W"pecelahs.own ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 92321326 Pate Analytical Services, LLC 9800 KinceyAve. Suite 100 HuntersviTle, NC 28078 (704)875-9092 Sample: 613 Parameters Lab ID: 92321326012 Collected: 11129116 13:30 Results Units Report Limit DF Received: 11/30/16 11:11 Matrix: Water Prepared Analyzed CAS No. Qual Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 1.7 mgtL 0.12 1 12/09116 12:03 351.2 Total Kjotdahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 1.2 mg1L 0.50 1 1210206 20711 7727-37-9 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.56 mg1L 0.020 1 12/07/16 21:51 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.17 mg1L 0.050 1 12101/16 23715 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/09/2016 12:04 PM without the written consent of Pace Analytical Services, LLC. Page 16 of 25 aceAnalytical www.paoWabs.com QUALITY CONTROL DATA Project: Stormwater Pace Project No.: 92321326 QC Batch: 339039 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92321326001, 92321326003, 92321326005, 92321326007, 92321326009, 92321326011 METHOD BLANK: 1880160 Matrix: Water Associated Lab Samples: 92321326001, 92321326003, 92321326005, 92321326007, 92321326009, 92321326011 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 12l02116 11:46 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1880161 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 242 97 90-110 SAMPLE DUPLICATE: 1880162 92321282001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mg/L 114 112 2 5 SAMPLE DUPLICATE: 1880163 92321326011 Dup Max Parameter Units Result Result RPO RPD Qualifiers Total Suspended Solids mg/L 11.3 11.3 0 5 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: 12/09/2016 12:04 PM without the written consent of Pace Analytical Services, LLC, Page 17 of 25 e aceAnalytical wwwpeeeraba.cam QUALITY CONTROL DATA Project: Stormwater Pace Project No.: 92321326 QC Batch: 338859 Analysis Method: EPA 351.2 QC Batch Method: EPA 3512 Analysis Description: 351.2 TKN Associated Lab Samples: 92321326002, 92321326004, 92321326006, 92321326008, 92321326010, 92321326012 METHOD BLANK: 1879122 Matrix: Water Associated Lab Samples: 92321326002, 92321326004, 92321326006, 92321326008, 92321326010, 92321326012 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, Kjeldahl, Total mg1L ND 0.50 12/02/16 19:54 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Hunters ille, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 4879123 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Nitrogen, Kjeldahl, Total mg1L 10 9.0 90 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1879124 1879125 MS MSD 92321241001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, Kjeldahl, Total mg/L 0.62 10 10 9.1 9.2 85 86 90-110 1 10 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1879126 1879127 MS MSD 92321007001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, Kjeldahl, Total mg/L 2.8 10 10 11.4 11.0 86 81 90-110 4 10 M1 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: 12/0912016 12:04 PM without the written consent of Pace Analytical Services, LLC. Page 18 of 25 e acmnalytical www.pacelabs.com QUALITY CONTROL DATA Project: Stormwater Pace Project No.: 92321326 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huotersville, NC 28078 (704)875-9092 QC Batch: 339846 Analysis Method: EPA 353.2 QC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nitrite, preserved Associated Lab Samples: 92321326002, 92321326004, 92321326006, 92321326008, 92321326010, 92321326012 METHOD BLANK: 1884979 Matrix: Water Associated Lab Samples: 92321326002, 92321326004, 92321326006, 92321326008, 92321326010, 92321326012 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, NO2 plus NO3 mg1L ND 0.020 12107/16 21:37 LABORATORY CONTROL SAMPLE: 1884980 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Nitrogen, NO2 plus NO3 mglL 2.5 2.5 101 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1884981 1884982 MS MSD 92321212002 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mg1L 0.37 2.5 2.5 2.7 2.7 93 93 75-125 0 10 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1884983 1884984 MS MSD 92321371003 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mglL 0.84 2.5 2.5 3.2 3.2 93 93 75-125 0 10 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: 12/09/2016 12:04 PM without the written consent of Pace Analytical Services, LLC. Page 19 of 25 aceAnalytical wwwp"Iabs com QUALITY CONTROL DATA Project: Stormwater Pace Project No.: 92321326 QC Batch: 339024 Analysis Method: EPA 365.1 QC Batch Method: EPA365.1 Analysis Description: 365.1 Phosphorus, Total Associated Lab Samples: 92321326002, 92321326004, 92321326006, 92321326008, 92321326010, 92321326012 METHOD BLANK: 1879973 Matrix: Water Associated Lab Samples: 92321326002, 92321326004, 92321326006, 92321326008, 92321326010, 92321326012 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Phosphorus mg1L ND 0.050 12/01/16 23:02 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1879974 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Phosphorus mg1L 2.5 2.5 99 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1879975 1879976 MS MSD 92321158001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Phosphorus mg1L 0.94 2.5 2.5 3.3 3.3 94 94 90-110 0 10 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1879977 1879978 MS MSD 92321326002 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Phosphorus mglL ND 2.5 2.5 2.4 2.4 95 95 90-110 0 10 Results presented on this page are In the units indicated by the"Unl1s" 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: 12/09/2016 12:04 PM without the written consent of Pace Analytical Services, LLC. Page 20 of 25 aceAnalytical wwwpacalabs.Gom Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALIFIERS Project: Stormwater Pace Project No.: 92321326 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-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA 9 u idel ines, 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) OUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Glean -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-Nitrosodiphenyl a mine 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 ANALYTE QUALIFIERS M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/09/2016 12:04 PM without the written consent of Pace Analytical Services, LLC. Page 21 of 25 aceAnalytical' wwwpacetabs.com QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Stormwaler Pace Project No.: 92321326 Lab ID Sample ID QC Batch Method 92321326001 1A SM 2540D 92321326003 2A SM 2540D 92321326005 3A SM 2540D 92321326007 4A SM 2540D 92321326009 5A SM 2540D 92321326011 6A SM 2540D 92321326002 1B TKN+NO3+NO2 Calculation 92321326004 213 TKN+NO3+N 02 Calculation 92321326006 3B TKN+NO3+NO2 Calculation 92321326008 4B TKN+NO3+N 02 Calculation 92321326010 5B TKN+NO3+N 02 Calculation 92321326012 6B TKN+NO3+N 02 Calculation 92321326002 113 EPA 351.2 92321326004 2B EPA 351.2 92321326006 3B EPA 351.2 92321326008 4B EPA 351.2 92321326010 5B EPA 351.2 92321326012 68 EPA 351.2 92321326002 1 B EPA 353.2 92321326004 2B EPA 353.2 92321326006 3B EPA 353.2 92321326008 4B EPA 353.2 92321326010 5B EPA 353.2 92321326012 6B EPA 353.2 92321326002 1 B EPA 365.1 92321326004 2B EPA 365.1 92321326006 3B EPA 365.1 92321326008 4B EPA 365.1 92321326010 5B EPA 365.1 92321326012 66 EPA 365.1 Date: 12/09/2016 12:04 PM Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QC Batch Analytical Method 339039 339039 339039 339039 339039 339039 340193 340193 340193 340193 340193 340193 338859 338859 338859 338859 338859 338859 339846 339846 339846 339846 339846 339846 339024 339024 339024 339024 339024 339024 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC, Analytical Batch Page 22 of 25 r all aceAnaloical' Laboratory receiving samples: Asheville ❑ Eden❑ Courier: ❑ Commercial Document Name: Document Revised: Sept. 21, 2016 Sample Condition Upon Recel t(SCUR) Page 1 of 2 Document No.: Issuing Authority: F-CAR-CS-033-Rev.01 Pace Quality Office Greenwood ❑ Huntersville 0' Raleigh❑ Mechanicsville❑ „oj,,,,. WOp : 92321326 326 Custody Seal Present? ❑Yes ©No r Seals Intact? kQYes []No � Date/Initials Person Examining Contents: Packing Material: ❑Bubble Wrap ❑Bubble Bags ❑None Other. Thermometer: ❑ IRGun ID: Type of Ice: © el EIRtue []None Q53mples on ice, cooling process has begun Correction Factor: Cooler Temp Corrected ('C): �, 1 Biological Tissue Frozen? [Dyes []NO QN/A Temp should be above freezing to 6'C USDA Regulated Sall (,Q'N/A, water sample) Did samples 11 1 ' ate In a quarantine zone within the United 5tates: CA, NY, or SC (check maps)? Did samples originate from a foreign source (Internatiooaiiy, f�Yac ln, ..rh,Afnv uau,�n end P.,nrtn M-11. IiYnc nA,p Comments/Discrepancy: Chain of Custody Present? es ONO ONLA 1. Samples Arrived within hold Time? No ❑N/A 2. Short Hold Time Analysis (02 hr.)? Dyes PN6 ❑N/A 3. Rush Turn Around Time Requested? QYes ❑N/A 4. Sufficient Volume?' EJY6$' []NO ❑NIA S. Correct Containers Used? -Pace Containers Used? ❑ve ADVer ONO ❑No ❑N/A ❑N/A 6. :ontainers Intact? Y [:]No ❑NIA 7. lam les Field Filtered? QYes ONO — g. Note if sediment is visible In the dissolved container ;ample Labels Match COC? -Includes Date/rme/ID/Analysis Matrix: QV- s- ONO ❑N/A 9. ieadspace in VOA Vials >5-6mm)? ❑Yes ONO_ N/a - 10. rip Blank Present? rip Blank Custody Seals Present? ❑Yes OYes ❑No ❑No ®Nf' QNIA` 11, CLIENT NOTIFICATION/RESOLUTION Person Contacted: Comments/Sample Discrepancy: Date/7ime: Field Data Required? ❑Yes ❑No Project Manager SCURF Review: Project Manager SRF Review: Date: Z ite: 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. it of hold, incorrect preservative, out of temp, incorrect containers) Page 23 of 25 m 3 n m 'n rb m v s a 0 a ( x a C p. N rM eb 3 b A N N � d o r O0G ?, 0 ro u E'D 3 M m � Q m m w 0 R1 N A 3 0 d M a � m � ro 2 0 G m 0 7i Item# z—zzzzzzzzzz. BMU-125 mL Plastic Unpreserved (N/A) (Cl-) BP3U-250 mL Plastic Unpreserved (N/A) BP2U-500 mL Plastic Unpreserved (N/A) f ++ BP1U-I liter Plastic Unpreserved (N/A) BP3S-250 ml. Plastic H2SO4 (pH < 2) (Cl-) BP3N-250 mL plastic HNO3 (pH < 2) BP3Z-250 mL Plastic ZN Acetate & NaOH (>9) Z_// ZZ-7 BP3C-2S0 mL Plastic NaOH (pH > I2) (Cl-) WGFU-Wide-mouthed Glass jar Unpreserved AGIU-1 liter Amber Unpreserved (N/A) (Cl-) zzzzzzzzzzz AGIN-1 liter Amber HCI (pH < 21 AG31.1-250 mLAmber Unpreserved (N/A) (Cl-) A61S-1 liter Amber H2504 (pH < 2) AG3S-250 mL Amber HZSO4 (pH < 2) AG3A(DG3A)-250 mL Amber NH4CI (N/A){Cl-) DG9H-40 mLVOA HCI (N/A) VG97-40 mL VOA Na25203 (N/A) VG9U-40 mL VOA Unp (N/A) 069P-40 mL VOA H3PO4 (N/A) VOAK (6 vials per kit)-5035 kit (N/A) V/GK (3 vials per kit)-VPH/Gas kit (NIA) SPST-125 mL Sterile Plastic (N/A — lab) sP2T-250 mL Sterile Plastic (N/A —lab) BP3A-250 mL Plastic (NH2)2SO4 (9.3-9.7) Cubitalner VSGU-20 mL Scintillation vials (N/A) GN 0 C 3 rt n CL 3 S 0 w 0- .-r 0 m :r 0 i h 3 Cr M X !n rro n 0 Cr R =t 0 C 3 QJ Cr n 5 rn tz Cr d4 r0r r► O 0 zr3 N 0 n T y .fir- n a 0 C ro m R a 76 Z w ro o r ^ fD 1 v Ln n at .01-7 CHAIN -OF -CUSTODY 1 Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section A Section 8 Section C Required Client information: Required Protect Information: Invoice information: Pa e : ! 1 Of t Company: Dow Coming Report TO Roriei Peierson A1lanli0n Adarestr 2914 Patterson SI. Copy To Company Name: bd rL, L Q N N Greensboro. NC 27407 Address: R&Wlatory Agency Email:ra - tr . e, r 5 +r V- Or-4 ea f-A=ti . Cc i. Purchase Order X. Pace Quote; 't 7 2 1 Fa. Project Name: Slormwater Pace Project Manager. nicole pasiorowskippacelabs fom. State I Location Requested Due Dale Projed A: Pace Profile N 4169-1 NC Requested s Plltered YIN n' 2 wsrtix CODE = u COLLECTED 4 Preservatives } I O.mr,np wren Dw ww., wr wn•�w.�« ww P,eq,rt P SAMPLE ID s i Y Q yN � z `y off°'° OL u srARr END M s w One Character per box. ww p w w a 2 @ 3 IA-2i, 0.9I . •) a�v..- u c ° Sample Ids must be unique fmun rs x +u TD,,eT.,E m p m v O ] W a LL n con O O m c Q m a l ~ a DATE T,,E N a 7 S 2 2 Z 2 O r r ! i' - � • ///z ./i(, 2 a Z L a s 6 �--�� D, u in 7 A— i � U 7 8 , ! `� f3 I 008 9 5— { A f,� ,0 5— 3 12 C;- ADDITtONAL COMMEWS RELINQUISHED BZ I AFFILIATION DATE TIME ACCEPTED BY t AFFILIATION DATE TIME SAMPLE CONDITIONS i ! JKill. SAMPLER NAME AND SIGNATURE U c 0 v n { PRINT Name of SAMPLER: Fzr + I �S'c.J = z c z o m o 2 °} F Z f0 a Y SIGNATURE of SAMPIL 1 DATE Si -c1d: / 1 N O LO N c m d STORMWATER DISCHARGE OUTFALL SDO �-�+� MONITORING REPORT Permit Number: NCS 06T-7—r7 or SAMPLES COLLECTED DURING CALENDAR YEAR: aol Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILTTY NAME C l — (Jr U0 r PERSON COLLECTING SAMPLE(S) tr KIV5011 CERTIFIED LABORATORY(S) Lab # Lab # Part A: Specific Monitoring Requirements COUNTY bW IT; PH0jNO. 3{�} 5q]- -Van (SIG(SIG + OF P+RMITTEE OR DESIGNEE)0 P +RMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. • Date sample CoHeeted EII I Total Flow (if app.) ► Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes pno (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if aiDpl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches MO MO Units al/mo Form SWU-246-062310 Page 1 of 2 -11 STORM EVENT CHARACTERISTICS: Date Total Event Precipitation (inches): I Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." � A 12-11 //_57-- (Signatu f ermittee) (Date) Form SWU-246-062310 Page 2 of 2 Stormwater Discharge Outfall (SDO) Monitoring Report Facsimile Permit Number NCS000105 tramples Collected During Calendar Year: 201 RECEfVED Facility Name: Blue Ridge Paper Products Inc. dha Evergreen Packaging County: Haywood DEC. 16 2015 Person Collecting Sample(s): Lcrgan Vaughan Phone No.: (828;Z4� Certified Lahoratory(s): Blue Ridge Paper Products Inc. dha Evergreen Packaging CENTRAL FILES Laboratory Certificate: #198 DWR SECTION (Slgnut c of Pcnnittce or Designee) By this signature, I certify that this report is accurate complete to the hest of my knowledge. Part A: Specific Monitorine Requirements Outfall No. Description Date Sample Collected 00400 00530 00310 H Total Suspended Solids 66D-5 molddlvr Std, Units m I m WTP I U30/2015 7.2 13 2 Min rus Brunch* 11/30/2015 7.1 11 3 Min us Branch* 11/30/2015 7 4 3.6 4 WTP 11/30/2015 7 5 5 WTP 11/30/2015 7.1 5 6 Camp Branch* 11)30/2015 7 2 7 Cam Branch* 11/30/2015 T2 13 8 Canton Mill 11/30/2015 7.2 1 9 Canton Mill 11/30/2015 7.1 45 Does this facility perforni Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? 14 s** —no Storm Event Characteristics: Date: November 30, 2015 Total Event Precipitation (inches): 4.82 Event Duration: —71 hours Mail original and one copy to: Division of l.ncr6y. Minerals and land Resources Attn: Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 " - Outlhlls 2/ 3 and 617 are connected. Outfalls 2 and 6 enter the lbeility from on,ite and discharge form OutFdls 3 and 7. * r - Vehicle maintenance area stonnwater discharges to mill sewer system and to the W'tP. 'I certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, tr�je, accurate, and complete. I am aware that there are significant penaltiefor submitting false information, including the possibility of fines Jf and imurisonr forknowino violations." tatu of ermiltee) (Date) Dane Cri 5vold �U D�^j� SAC .tune 2, 2016 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Transmittal 2016 Semi -Annual Stormwater Discharge Outfall Monitoring Report Permit No. NCS000077 Enclosed please find an original and one copy of the Semi -Annual Stormwater Discharge Monitoring Report (DMR) for Permit No. NCS000077. The stormwater event in which the samples were collected occurred on May 17, 2016. In the,, enclosed analytical report from face Analytical, the reported results were all within the permit limits. The pH values for each of the storrnwater outfalls were tested on site on the day of collection and within the 15 minute time frame. The results met the desired benchmark "value range and can be found in the attached stormwater discharge outfall (SDO) monitoring report. If you have questions or comments regarding this submittal, please contact Ronica Edgerton at 336-547-7120. /7 Sincerely, ake Fitzgerald Site Manager aceAnalytrcal ` www.Paoslabs.com May 31, 2016 Rachel Pool DOW CORNING 2914 Patterson St Greensboro, NC 27407 RE: Project: Stormwater Pace Project No.: 92298172 Dear Rachel Pool: Pace Analytical Services, Inc. 91300 Kincey Ave. Suite 100 Huntersville, NC 2a078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on May 18, 2016. 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, 2,4, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com Project Manager Enclosures cc: Accounts Payable, DOW Corning a«Rl�oi REPORT OF LABORATORY ANALYSIS r NI This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. .BQBA_...'. Page t of 18 Permit Number: NCS 0=77 Certificate of Coverage Number: NCG or STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT FACILITY NAME DOW COr 1 r i PERSON COLLECTING SAMPLE(S) Fetmon CERTIFIED LABORATORY(S) Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: MILL (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY PHONE Is (SIGNAPRE OF PERWi 'ITEE OR DESIGNEE) By this ignature, I certify that this report is accurate complete to the best of my knowledge. •Datett Sample Collected t Flow (if app.) Rainfall 6 a s i Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes x no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches To m Units al/mo Form S W U-246-062310 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 51- —� & Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Si74111le of Permittee) (Date) Form S W U-246-062310 Page 2 of 2 Dow Corning Confidential - INTERNAL May 17, 2016 Sampling beginning 9:05 am Dow Corning Stormwater event Rain gauge reading: 0.5 inches O Outfall pH 1 7 2 7 3 7 v 4 7 5 7 6 7 W/7 / ' Ce Roger Peterson Dow Corning Waste Operator aceAnalyfrcal. www.paoefebs.mrrt Project: Stormwaler Pace Project No.: 92298172 Asheville Certification lDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 VrginialVELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 This tepoft shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 18 aceAnalytical wwwpacalabacom SAMPLE SUMMARY Project: Stormwater Pace Project No.: 92298172 Lab ID Sample ID Matrix Date Collected Date Received 92298172001 1AB Water 05/17/16 09:05 05/18/16 11:31 92298172002 2AB Water 05/17/16 09:05 05/18/16 11:31 92298172003 3AB Water 05/17/16 09:05 05/18/16 11:31 92298172004 4AB Water 05117116 09:05 05/18/16 11:31 92298172005 5AB Water 05/17/16 09:05 05/18/16 11:31 92298172006 6AB Water 05117116 09:05 05/18/16 11:31 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 (704)875-9092 Page 3 of 18 aceAnalytilLdtl a wwwPaceftmom Project: Stormwater Pace Project No.: 92298172 SAMPLE ANALYTE COUNT Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 Analytts Lab ID Sample ID Method Analysts Reported Laboratory 92298172001 1AB SM 2540D MJP 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 BRJ 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 WRC 1 PASI-A 92298172002 2AB SM 2540D MJP 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 BRJ 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 WRC 1 PASI-A 92298172003 3AB SM 2540D MJP 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 BRJ 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 WRC 1 PASI-A 92298172004 4AB SM 2540D MJP 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 BRJ 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 WRC 1 PASI-A 92298172005 SAB SM 2540D MJP 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASi-A EPA 351.2 BRJ 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 WRC 1 PASI-A 92298172006 6AB SM 2540D MJP 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 BRJ 1 PASI-A EPA353.2 DMN 1 PASI-A EPA 365.1 WRC 1 PASI-A REPORT OF LABORATORY ANALYSIS Th's report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 4 of 18 acmnalytrcal. www.pacebbs mm ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Stormwater Pace Project No.: 92298172 Sample: 1AB Lab ID: 92298172001 Collected: 05/17/16 09:05 Received: 05/18/16 11:31 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids %7 mg1L 3.3 1 05/19/16 10:45 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 1.1 mg1L 0A 2 1 05/31/16 15:48 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 0.77 mg1L 0.50 1 05/20/16 21:48 7727-37-9 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.31 mg1L 0.020 1 05/27/16 16:30 366.1 Phosphorus, Total Analytical Method: EPA365.1 Phosphorus 0.057 mg1L 0.050 1 05/26/1617:53 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/31/2016 03:51 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 18 aceAnalytical* wwwpeodabs.cam ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite too Huntersville, NC 28078 (704)875-9092 Project: Stormwater Pace Project No.: 92299172 Sample: 2AB Lab lD. 92298172002 Collected: 05/17/16 09:05 Received: 05/18/16 11:31 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 11.7 mg1L 2.5 1 05/19/16 10:45 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 0.81 mg1L 0.12 1 05/31/16 15:48 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total ND mglL 0.50 1 05/20/16 21:51 7727-37-9 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.37 mg1L 0.020 1 05/27/16 16:32 365.1 Phosphorus, Total Analytical Method: EPA365.1 Phosphorus ND mg/i_ 0.050 1 0512611617:53 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/31/2016 03:51 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 18 aceAnalytica/ wwwpacaiahs.W" ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 92298172 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: 3AB Lab ID: 92298172003 Collected: 05/17/16 09:05 Received: 05/18/16 11:31 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids ND mg/t_ 5.6 1 05/19/16 10:45 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 0.36 mg1L 0.12 1 05/31/16 15:48 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total ND mglL 0.50 1 05/20/16 21:52 7727-37-9 353.2 Nitrogen, NO2IN03 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.13 mg1L 0,020 1 05127/16 16:33 365.1 Phosphorus, Total Analytical Method: EPA365.1 Phosphorus ND mg1L 0.050 1 0512611617:54 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/31/2016 03:51 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 18 acmnalytrcal. xmwpacehftcam ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Stormwater Pace Project No.: 92298172 Sample: 4AB Lab ID: 92298172004 Collected: 05/17/16 09:05 Received: 05/18/16 11:31 Matrix: Water Parameters Results Units Report Limit ❑F Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM. 2540D Total Suspended Solids 10.9 mglL 2.7 1 05/19/16 10A6 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 0.26 mglL 0.12 1 05/31/16 15A8 351.2 Total KJeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, KJeldahl, Total ND mglL 0.50 1 05/20/16 21:53 7727-37-9 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA353.2 Nitrogen, NO2 plus NO3 0.12 mglL 0,020 1 05/27/16 16:34 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus ND mg1L 0.050 1 05/26/1617:55 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/31/2016 03:51 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 18 aceAnalytical ' wwwpaoelabs.com ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 92298172 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite too Huntersville, NC 28078 (704)875-9092 Sample: 5AB Lab ID: 92298172005 Collected: 05/17116 09:05 Received: 05/18/16 11:31 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 14.1 mg1L 2.7 1 05/19/16 10:46 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 0.17 mg/L 0.12 1 05/31/15 15:48 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total ND mg1L 0,50 1 05/20/16 21:54 7727-37-9 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.095 mg1L 0,020 1 05/27/16 16:35 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus ND mg1L 0.050 1 05/26/1617:57 7723-14-0 Date: 05/31/2016 03:51 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc - Page 9 of 18 ace Analytical wwwpacelahs.com ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave, Suite 100 kuntersville, NC 28078 (704)875.9092 Project: Stormwater Pace Project No.: 92298172 Sample: 6AB Lab ID: 92298172006 Collected: 05/17/16 09:05 Received: 05/18/16 11:31 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Total Suspended Solids Total Nitrogen Calculation Total Nitrogen 351.2 Total Kjeldahl Nitrogen Nitrogen, Kjeldahl, Total 353.2 Nitrogen, N021NO3 pres. Nitrogen, NO2 plus NO3 365.1 Phosphorus, Total Phosphorus Date: 05131/2016 03:51 PM Analytical Method: SM 2540D 41.0 mg1L 5.0 1 0511911610:46 Analytical Method: TKN+NO3+NO2 Calculation 0.62 mg1L 0.12 1 0513111615A8 Analytical Method: EPA 351.2 ND mg1L 0.50 1 05/20/16 21:55 7727-37-9 Analytical Method: EPA353.2 0.20 mglL 0.020 1 05/27/1616:38 Analytical Method: EPA 365.1 0.084 mg1L 0.050 1 0512611617:58 7723-14-0 M1,R1 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 18 acmnalytical" ttnvw.pacafaabstxm QUALITY CONTROL DATA Project: Stormwater Pace Project No.: 92298172 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QC Batch: WET145036 Analysis Method: SM 2540D QC Batch Method: SM 25401) Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92298172001, 92298172002, 92298172003, 92298172004, 92298172005, 92298172006 METHOD BLANK: 1737538 Matrix: Water Associated Lab Samples: 92298172001, 92298172002, 92298172003, 92298172004, 92298172005, 92298172006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 05/19/16 10:39 LA130RATORY CONTROL SAMPLE: 1737539 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Total Suspended Solids mglL 250 256 102 90-110 SAMPLE DUPLICATE: 1737540 92297983001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mglL 100 100 0 5 SAMPLE DUPLICATE: 1737541 92298172003 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mglL ND 6.7 5 Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit Is presented to the right or the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 05/31 /2016 03:51 PM without the written consent of Pace Analytical Services, Inc.. Page 11 of 18 acmnalytical. www.paaefabs.com QUALITY CONTROL DATA Project: Stormwater Pace Project No.: 92298172 QC Batch: WETA/27678 Analysis Method: EPA 351.2 QC Batch Method: EPA 351.2 Analysis Description: 351.2 TKN Associated Lab Samples: 92298172001, 92298172002, 92298172003, 92298172004, 92298172005, 92298172006 Pace Analytical Services, Inc. 9800 Kinsey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 METHOD BLANK: 17381" Matrix: Water Associated Lab Samples: 92298172001, 92298172002, 92298172003, 92298172004, 92298172005, 92298172006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, Kjeldahl, Total mglL ND 0.50 05/20/16 21:30 LABORATORY CONTROL SAMPLE: 1738145 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Nitrogen, Kjeldahl, Total mglL 10 10.2 102 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1738146 1738147 MS MSD 92297946001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone, Cone. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, Kjeldahl, Total mg1L 29.5 10 10 41.1 32.4 116 28 90-110 24 10 M6,R1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1738148 1738149 MS MSD 92297983002 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Cone. Result Result e% Rec °% Rec Limits RPD RPD Qual Nitrogen, Kjeldahl, Total mglL 0.75 10 10 13.6 9.5 128 88 90-110 35 10 M1,R1 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: 05/31/2016 03:51 PM without the written consent of Pace Analytical Services, Inc.. Page 12 of 18 aceAnalytical Hww.pacerabs.cam QUALITY CONTROL DATA Project: Stormwater Pace Project No.: 92298172 QC Batch: WETA127767 Analysis Method: EPA 353.2 QC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nitrite, preserved Associated Lab Samples: 92298172001, 92298172002, 92298172003, 92298172004, 92298172005, 92298172006 METHOD BLANK: 1743730 Matrix: Water Associated Lab Samples: 92298172001, 92298172002, 92298172003, 92298172004, 92298172005, 92298172006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, NO2 plus NO3 mg1L ND 0,020 05/27/16 16:17 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1743731 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Nitrogen, NO2 plus NO3 mg1L 2.5 2.5 99 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1743732 1743733 MS MSD 92297638003 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone, Cone. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mg1L 0.46 2.5 2.5 2.9 2.9 96 96 75-125 1 10 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1743734 1743735 MS MSD 92298172005 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mg1L 0.095 2.5 2.5 2.4 2.4 94 94 75-125 0 10 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: 05131/2016 03:51 PM without the written consent of Pace Analytical Services, Inc.. Page 13 of 18 to aceAnalytical wt w.pscelabs.corn QUALITY CONTROL DATA Project: Stormwater Pace Project No.: 92298172 QC Batch: WETA127727 Analysis Method: EPA 365.1 QC Batch Method: EPA 365.1 Analysis Description: 365.1 Phosphorus, Total Associated Lab Samples: 92298172001, 92298172002, 92298172003. 92298172004, 92298172005, 92298172006 METHOD BLANK: 1740546 Matrix: Water Associated Lab Samples: 92298172001, 92298172002, 92298172003, 92298172004, 92298172005, 92298172006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Phosphorus mg1L ND 0.050 05/26/1618:09 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 p04j875-9092 LABORATORY CONTROL SAMPLE: 1740547 Spike LCS LCS % Rec Parameter Units Cone, Result % Rec Limits Qualifiers Phosphorus mg1L 2.5 2.7 106 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1740548 1740549 MS MSD 92297906001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Cone. Result Result % Rec % Rec Limits RPD RPD Qual Phosphorus mglL 1.1 2.5 2.5 3.5 3.6 97 100 90-110 2 10 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1740550 1740551 MS MSD 92298172006 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Cone. Result Result % Rec % Rec Limits RPD RPD Qua[ Phosphorus mglL 0.084 2.5 2.5 2.6 2.9 99 111 90-110 11 10 M1,R1 Results presented on thls 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: 05/31/2016 03:51 PM without the written consent of Pace Analytical Services, Inc.. Page 14 of 18 aceAnalytical" mnrpaoL*ft0= QUALIFIERS Project: Stormwater Pace Project No.: 92298172 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 (704)875-9092 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, 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 ANALYTE QUALIFIERS M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. M6 Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to sample dilution. R1 RPD value was outside control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 05/31/2016 03:51 PM without the written consent of Pace Analytical Services, Inc.. Page 15 of 18 acmnalyticalo wwwpace/absaom QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Slormwater Pace Project No.: 92298172 Lab ID Sample ID QC Batch Method QC Batch 92298172001 1AB SM 2540D WET145036 92298172002 2AB SM 2540D WET145036 92298172003 3AB SM 2540D WET145036 92298172004 4AB SM 2540D WET145036 92298172005 5AB SM 2540D WET/45036 92298172006 6AB SM 2540D WET/45035 92298172001 1AB TKN+NO3+NO2 WET/45241 Calculation 92298172002 2AB TKN+NO3+NO2 WET/45241 Calculation 92298172003 3AB TKN+NO3+NO2 WET/45241 Calculation 92298172004 4AB TKN+NO3+NO2 WET145241 Calculation 92298172005 5AB TKN+NO3+NO2 WET145241 Calculation 92298172006 6AB TKN+NO3+NO2 WET/45241 Calculation 92298172001 IAS EPA 351.2 WETA127678 92298172002 2AB EPA 351.2 WETA/27678 92298172003 3AB EPA 351.2 WETA/27678 92298172004 4AB EPA 351.2 WETA127678 92298172005 5AB EPA 351.2 WETA/27678 92298172006 6AB EPA 351.2 WETA127678 92298172001 IIAB EPA 353.2 WETA/27767 92298172002 2AB EPA 353.2 WETA/27767 92298172003 3AB EPA 353.2 WETA/27767 92298172004 4AB EPA 353.2 WETA/27767 92298172005 5AB EPA 353.2 WETA/27767 92298172006 6AB EPA 353.2 WETA/27767 92298172001 1AB EPA 365.1 WETA/27727 92298172002 2AB EPA 365.1 WETA/27727 92298172003 3AB EPA 365.1 WETA/27727 92298172004 4AB EPA365.1 WETA/27727 92298172005 SAB EPA 365.1 WETA/27727 92298172006 6AB EPA 365.1 WETA/27727 Date: 05/31/2016 03:51 PM 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 2BO78 (704)875-9092 Analytical Method Analytical Batch Page 16 of 18 Document Name: Document Revised: 18FEB2016 e Sample Condition Upon Recei t SCUR Page 1 of 2 Document No.: Issuing Authority: ac _ eAnalytica! F-CHR-CS-003-rev.18 Pace Huntersville Quality Office Sample Condition Upon Client Name: Receipt Projet Courier: [-]Fed Ex ❑UPS ❑LISPS ❑Client ❑ Commercial []Pace []Other: Custody Seal Present? Packing Material: Thermometer; ❑Yes ❑NO Seals Intact? []Yes ❑No ❑Bubble Wrap ❑Bubble Bags ❑] None ❑ T1505 ❑ f� pe of Ice: OWet W0#:92298172 t111�l�lttl111 II1� illl I 92296172 Date/initials Person Examining [ontenfa��:'1� [-]Other: []Blue []None []Sam pies on Ice, cooling process has begun Correction Factor: 0.0'C Cooler Temp Corrected ('Cl Temp should be above freezing to 6'C USDA Regulated Soil ip N/A, water sample) Did samples originate In a quarantine zone within the United States; CA, NY, or SC (check maps)? []Yes ❑No Biological Tissue Frozen? ❑Yes ❑No -[]N/A Old samples originate from a foreign source (in;erdtionally, including Hawaii and Puerto Rico)? ❑Yes []NO COMMENTS: Chain of Custody Present? Y s QN. ❑N/A 1. Chain of Custody Filled Out? QYes ❑No ❑N/A 2. Chain of Custody Relinquished? . fes/ ❑No N/A 3. Sampler Name and/or Signature on COC7 . Ye [I No ❑N/A 4. Samples Arrived within Hold Time? ElYes No ❑N/A 5. Short Hold Time Analysis (02 hr.)? s N ❑N/A 6. Rush Turn Around Time Requested? ❑Yes No ❑N/A 7. Sufficient Volume? _-[Yes ❑No ❑N/A 8. Correct Containers Used? [jYes []NO ❑N/A 9. -Pace Containers Used? ❑Yes []NO ❑N/A Containers Intact? Yes []No ❑N A 10. Filtered Volume Received for Dissolved Tests? ❑Yes []NO i ❑N/A 11. Note If sediment is visible In the dissolved container Sample Labels Match COC? '[]Yes ❑No ❑N/A 12. 1 -Includes Date/rimeAD/Anal sis Matrix: 1 All containers needing acid/base preservation have been checked? .❑Yes []No ❑N/A 13. All.containers needing preservation are found to be in compliance with EPA recommendation? (HNO3, H2SO4, HCIc2; NaOH >9 Sulfide, NaOH>12 Cyanide) OYes []NO ❑N/A Exceptions: VOA, Coliform, TOC, Oil and Grease, � DRO/8015 {water) DOC,LLHg ❑Yes ❑No '❑N/A Samples checked for dechlorination •ifYes ❑No ❑N/A 14. Headspace in VOA Vials (>5-6mm)? ❑Yes QNO ❑N/A' 1S. Trip Blank Present? ❑Yes ❑No ❑N/A 16, Trip Blank Custody Seals Present? ❑Yes ❑No ❑N/A Pace Trip Blank Lot 0 (if purchased): CLIENT NOTIFICATION/RESOLUTION Person Contacted: Comments/Resolution: Date/Time: Field Data Required? []Yes ❑No Project Manager SCURF Review: J 1V47 // mate: l Project Manager SRF Review: �+ C / 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) Page 17 of 18 ., 2,Aw0jcar CHAIN -OF -CUSTODY / Analytical Request Document -.•,.. • The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section A Section 8 Section C Required Client Information: Required Project Information: Invoice Irfonmation: Pa e : t Of 1 Company: Dow CornirV Report To: Roper Peterson Attention: Address: 2914 Panerson St. Copy To: fke, 16t 4- fa C Lr Company Nam: Greensboro. NC 27407 Address: lato am Email: Purchase Order B: Pam Quota: Phone: Fax Project Name. Slormwaler Pace Project Manager: nicale qa3wrawsluppacelabs.rom. State 1 Location Requested Due Date: Pro)od 0; Pare Profile N: 4169.1 NC Requested Anal filtered IN 2 z +wrauc cone 9 s COLLECTED z Preservatives } Wad Wr Was. Wrt WW =1 z Piperp P °tl SAMPLE ID s = G 0 r CI m > a OL c7 START END w £ One Character per box. W.P. WP w w a i a a 0 {A-?, 8-91. -) any or O W Sample Ids must be unique rnsue zs K w w o m m v a m z a ¢ id a ct 0 n S y m C Q u ~ DATE TIME DATE TIME _ _ = 2 z OI12. r 4_ a Z 4: j 2 a 1 It e y 5 • Q `� { ' 7 .t 10 ' K� ,•t•' 'A s i 12': -H raz CCEP'fEO t3Y1AFFILtATON � DATE Tim•' .�BAMPLE CONDITIONS Q Wit 4YNID n �-� SAMPLER NAME AND Si -GNAT .IlRE.'.�,' - - - c e o A PRINT Name of SAMPLER: Ole_�?f Sa.J m = a $5 g 2 ,.8- m m 2 y �r SIG RE oT SAMPL DATE Signed: -/?-/ 4 OF —1 v � m rn m O` June 2, 2016 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Transmittal 2016 Semi -Annual Stormwater Dischargge Outfall Monitoring Report Permit No. NCS000077 Enclosed please find an original and one copy of the Semi -Annual Slorniwatcr Discharge Monitoring Report (DMIZ) for Permit No. NCS000077. The storniwater event in which the samples were collected occurred on Ma), 17, 2016. In the enclosed analytical report from face Analytical, the reported results were all within the permit limits. The pl-I values for each of the stormwater outfalls weiv tested on site on the day of collection and within the 15 minute time frame. The results met the desired benchmark value range and can be found in the attached stormwater discharge outfall (SDO) monitoring report. If you have questions or continents regarding this submittal, please contact Ronica Edgerton at 336-547-7120. Sincerely, A,,kk,,I: itzgerald Site Manager aceAnalXicale wwwpacafabsmm May 31, 2016 Rachel Pool DOW CORNING 2914 Patterson St Greensboro, NC 27407 RE: Project: Stormwater Pace Project No.: 92298172 Dear Rachel Pool: Pace Analytic al Services, Inc. 9800 Klncey Avo, Suite too Hunlera%illa. NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on May 18, 2016. 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, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com Project Manager Enclosures c,� %ccounts Payable, DDW Corning REPORTOf= LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, inc.. Page 1 of 18 Permit Number: NCS =l' l 1 Certificate of Coverage Number: NCG or STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT FACILITYNAME PERSON COLLECTING SAMPLE(S) [ ek . Qn CERTIFIED LABORATORY(S) J Lab _ Lab Part A. Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: eW j (Q (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY n PHONE (SIGNAL OF MWOTEE OR DESIGNEE) By this gnature, I certffy that this report is accurate complete to the best of my knowledge. .. Date zple� � � ♦ � -.-- ELI,:. M. i■� Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — yes & no (f ves. complett: Part B ) Part B: Vehicle Maintenance Activitv Monitoring Requirements Outfall \o. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&GITPH (Method,1W SGT-HEM), if appl. Total Suspended Solids pH New Motor 00 Usage mo/dd/vr MG inches mgA mzA Units galfmo Form SWU-246-0623I0 Page I of 2 STORM EVENT CHARACTERISTICS: Date Total Event Precipitation (inches): Event Duration (hours): v. (only if applicable — see permit.) (if more than one .st3rm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh. North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibQity of fines and imprisonment for knowing violations." (Sig nA a of Permittee) (Date) Form SWU-246-06231 Q Page 2 of 2 Dow Corning Confidential - INTERNAL May 17, 2016 Sampling beginning 9:05 am Dow Corning Stormwater event Rain gauge reading: 0.5 inches Outfall pH 1 7 2 7 3 7 4 7 5 7 6 7 Roger Peterson Dow Corning Waste Operator Paco Analytical Services, Inc. aceAnalytical o 8860 Kincsy Ave, Suite Hunt©rsville, NC 28078078 www.pacwabs.com (704)875-9092 CERTIFICATIONS Project: Stormwater Pace Project No.: 92298172 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification M 40 FioridalNELAP Certification M E87648 South Carolina Certification M 99030DD1 Massachusetts Certification #: M-NC030 VrglniafVELAP Certification M 460222 North Carolina Drinking Water Certification 0. 37712 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, oxcopt in Nil. without the written consent of Pace Analytical Services, Inc., Page 2 of 18 _I eAnaljftal ' mn++pacetabs.cam SAMPLE SUMMARY Project: Stormwator Pace Project No.: 92298172 Lab ID Sample ID Matrix Date Collected Date Recolvod 9229B172001 1AB Water 05117M6 09:05 05118/16 11:31 92298172002 2AB Water 05117/16 09:05 05118116 11:31 92298172003 3AB Water 05117/16 09:05 05118/16 11:31 92298172004 4AB Water 05/17116 09:05 05/18/16 11:31 92298172005 6AB Water 05117116 09:05 05118116 11:31 92298172006 6AB Water 05117/16 09.05 05118/16 11:31 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the writtep consent of Paco Analytical Services, Inc.. Pace Analytical Services, Inc. 9B00 Kinsey Awe. Suite 100 Huntersville, NC 28078 (704)875.9092 Page 3 of 18 ceAnalytical wwwpaoelebscom SAMPLE ANALYTE COUNT Pace Analytical Services, Inc. 9800 Kincey Ave, Suite 100 HunterSville, NC 28078 (704)875-9092 Project: Stormwater Pace Projea No.: 92298172 Analytes Lab ID Sampl© ID Method Analysts Reported Laboratory 9220B172001 1AB 9229B172002 2AS 92298172003 3AB 92298172004 4AB 92298172005 5AB 9229B172006 6AB SM 2540D MJP 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 BRJ 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 WRC 1 PASI-A SM 2540D MJP 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 BRJ 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 WRC 1 PASI-A SM 2540D MJP 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 BRJ 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 WRC 1 PASI-A SM 2540D MJP 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 BRJ 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 WRC 1 PASI-A SM 2540D MJP 1 PAS! -A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 BRJ 1 PASI-A EPA 353.2 DMN 1 PASI-A E13A 365.1 WRC 1 PASI-A SM 2540D MJY i PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 BRJ 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 WRC 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in WTI. without the written consent of Paco Analytical Services, Inc.. Page 4 of 18 aceAnalytical _l BWW,f78celatl3.CGrn ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 9229B172 Paco Analytical Services, Inc. 980D Kincey Ave. Suite 101) Huntersville, NC 2079 (704)875-9092 Samplo: 1As Lab ID: 92208172001 Collected: 05/17/16 09.05 Received: 05/18116 11:31 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 14.7 mg1L 3.3 1 05/10/16 10:45 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 1.1 mg1L 0.12 1 05/31/16 15:48 351.2 Total Kjeidahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 0.77 mg1L 0.50 1 05/20/16 21:48 7727-37-9 363.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.31 mg1L 0.020 1 05/27/16 16:30 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0,067 mgll_ 0.050 1 05126/1617:53 7723-14-0 Date: 05/31/2016 03:51 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of face Analytical Services, Inc-. Qual Page 5 of 18 Paco Analytical Services, Inc. 9$DO Kincey aceAnalytrcal s Hun srsville. NG 28D78 wwwpscelaftoom (744)875-9DB2 ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 92298172 Sample: 2AB Parameters Lab ID: 92298172002 Collected: 05/17/16 09:05 Results Units Report Limlt DF Received: 05/18/16 11:31 Matrix: Water Prepared Analyzed CAS No. Quol 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 11.7 mg1L 2.5 1 05119/16 10:46 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 0.81 mg1L 0.12 1 05/31/16 15:48 351.2 Total KJeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjoldahl, Total ND mg1L 0.50 1 05/20/16 21:51 7727-37-9 353.2 Nitrogen, NOVN03 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.37 mg1L 0.020 1 05/27/16 16:32 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus ND mg1L 0.050 1 0512611617:53 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/31/2016 03:51 PM without the written consent of Paco Analytical Services, Inc.. Page 6 of 18 h i aCeAna1jfta1 www.paW8b$.00m ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 92298172 Paco Analytical Smicos, Inc. 980D Kinsey Ave, Suite 100 Hunteraville, NC 28078 (704)875-9092 Sample: 3AD Parameters Lab ID: 8229B772003 Collected: 05117/16 09:05 Results Units Report Limit ❑F Received: 05/18/16 11:31 Matrix: Water Prepared Analyzed CAS No. Quaff 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids ND mg1L 5.6 1 05119/16 10:45 Total Nitrogen Calculation AnaVical Method: TKN+NO3+NO2 Calculation Total Nitrogen 0.36 mg1L 0.12 1 05/31/16 15:48 351.2 Total KJoidahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, KJeldahl, Total ND mg1L 0.50 1 05120/16 21:52 7727-37-9 353.2 Nitrogon, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.13 mg1L 0.020 1 05/27/16 16:33 365A Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus ND mg/L 0.050 1 0512611617:54 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in WTI, Date: 05/31/2016 03:51 Pr,4 without the written consent of face Analytical Services, Inc.. Page 7 of 18 c aceAnalytical xww.paceleDa.cam ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 92298172 Pace Analytical Services, Inc. 980o Kincey Ave, Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: 4AS Lab ID: 92298172004 Collected: 051171W 09:05 Received: 05/18116 11:31 Matrix: Water Parameters Results Units Repotl Limit DF Prepared Analyzed CAS No. Qual 2540D Total Susponded Solids Analytical Method: SM 2540D Total Suspended Solids 10.9 mg1L 2.7 1 05/19/16 10:46 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 0.26 mg1L 0.12 1 05/31/16 15:48 361.2 Total t(joldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total ND mglL 0.50 1 05/20/16 21:53 7727-37-9 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA353.2 Nitrogen, NO2 plus NO3 0.12 mg1L 0.020 1 05/27/16 16:34 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus ND mglL 0.050 1 0512611617:55 7723-14-0 gale: 05131/201603:51 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the writton consent of Pace Analytical Services, Inc.. Page 8 of 18 Paco Analytical Services, Inc. aceAnalyticalo 9BDD Kincey Ave. Suite 100 iiuntersville, NC 2907E www.pacafsbs.00m {704}975-8092 ANALYTICAL RESULTS Project: Stormwaler Pace Project ND.: 922913172 Sample: 5AB Parameters Lab ID: 922981720D5 Collected: 05117/1609:05 Results Units Report Limit DI= Received: 05/18/1611:31 Matrix: Water Prepared Analyzed CAS No. Qua$ 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids %1 mglL 2.7 1 05/19116 10:46 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 0.17 mglL 0.12 1 05/31/16 15:48 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total ND mglL 0.50 1 05/20/16 21:54 7727-37-9 353.2 Nitrogen, H021NO3 pros. Analytical Method: EPA353.2 Nitrogen, NO2 plus NO3 0.095 mg1L 0,020 1 05/27/16 16:35 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus Nd mg1L 0.050 1 0512611617:57 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/31/2016 03:51 PM without the written consent of Pace Analytical Services, Inc. Page 9 of 18 aceAnalytical4' wwrvpacetabs-mn ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 9279B172 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 ttuntersville, NC 28078 (704)B75-9092 Samplo: 6AI3 Lab ID: 92298172000 Collected: 05/17116 09:05 Received: 05/18/16 11:31 Maldx: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 41.0 mg1L 5.0 1 05/19/16 10:46 Total Nltregen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 0.62 mg1L 0.12 1 05/31/16 15:48 351.2 Total KJoldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total N0 mg1L 0.50 1 05/20/16 21:55 7727-37-9 353.2 Nltrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.20 mg1L 0.020 1 0512711616:38 366.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.084 mg1L 0.050 1 0512611617:58 7723-14-0 M1,R1 bate: 05/31/2016 03:51 PM REPORT OF LABORATORY ANALYSIS Phis report strall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 10 of 18 aWnalj cal o www.pacelabs.com QUALITY CONTROL DATA Project: Stormwater Pace Project No.: 92208172 QC Batch: WET145036 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92298172001, 92298172002, 922981720D3, 92298172004. 92298172005, 92298172006 METHOD BLANK: 1737538 Matrix: Water Associated Lab Samples: 9229B772001, 92298172002, 92298172003, 92298172004, 92298172005, 92298172008 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L NO 2.5 05/19/16 10:39 Pace Analytical Services, Inc. 9800 Kincey Ave. Sulle 100 Huntemville, NC 2847E (704)875-9092 LABORATORY CONTROL SAMPLE: 1737539 Spike LCS LCS % Rec. Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 256 102 90.110 SAMPLE DUPLICATE: 1737540 92297983001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mg1L 100 100 0 5 SAMPLE DUPLICATE: 1737541 92298172003 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mg1L ND 6.7 5 Results presented on this Pape are In lice units indicated by the "Units"cotumn except where an alternate Unit Is presented to the right al the result. REPORT OF LABORATORY ANALYSIS This report shall nol be reproduced, except in fu43. Dale: 0513112016 03:51 PM without the written consent of Pace Analytical Services, Inc.. Page 11 of 18 aceAnalytical. xww.paevabs.com QUALITY CONTROL DATA Project: Stormwater Pace Project No.: 92298172 QC Balch: WETN27678 Analysis Method: EPA 351.2 QC Balch Method., EPA 351.2 Analysis Description. 351.2 TKN Associated Lab Samples: 92298172001, 92298172002, 92298172003, 92298172004, 92298172005, 92298172006 METHOD BLANK: 1738144 Matrix: Water Associated Lab Samples: 92298172001, 92298172002, 92298172003, 92298172004, 92298172005, 92298172006 . Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, Kjeldahl,Total mglL N❑ 0.50 05120M621:30 Pace Analytical Services, Inc. 980D Kincey Ave. Suite loo Hunterawlle, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1738145 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Nitrogen, Kjeldahl, Total mglL 10 10.2 102 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1738146 1738147 MS MSD 02207946001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, Kjeldahl, Total mg1L 29.5 10 10 41.1 32.4 116 28 90-110 24 10 M6,131 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1738148 173B149 MS MSD 92297983002 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Cone. Result Result °h Rec % Rec Limits RPD RPD Qual Nitrogen, Kjeldahl, Total mg1L 0.75 10 10 13.6 9.5 128 88 90-110 35 10 M1,R1 Results presented on this page arc in the units Indicated by the "Wills' 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: 05/31/2016 03:51 f'M without the written consent of Pace Analytical Services, Inc.. Page 12 of 18 a111010 ytica! www.pet�faba.txxn QUALITY CONTROL DATA Project: Stormwater Pace Project No.: 92298172 QC Batch: WETA127767 Analysis Method: EPA 353.2 QC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nitrite, preserved Associated Lab Samples: 92298172001. 92298172002, 92298172003, 92298172004, 92298172005, 92298172005 METHOD BLANK: 1743730 Matrix: Water Associated Lab Samples: 92298172001, 92298172002, 92298172003, 9229B172004, 9229B172005, 92298172006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, NO2 plus NO3 mg1L ND 0,020 05/27/16 16:17 Paco Analytical Sorvicoa, Inc. 980D Kincey Ave. Suite ton Huntersville. NC 28078 (704)B75.9O92 LABORATORY CONTROL SAMPLE: 1743731 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Nitrogen, NO2 plus NO3 mg1L 2.5 2.5 99 90.110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1743732 1743733 MS MSD 9229763B003 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mg1L 0.46 2.5 2.5 2.0 2.9 96 96 75-125 1 10 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1743734 1743735 MS MSD 92298172005 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Cone, Result Result % Rec % Rec Limits RPD RPD Qual Ntlragen, NO2 plus NO3 mg1L 0.095 2.5 2.5 2.4 2.4 94 94 75.125 0 10 Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit is presented to the dght of the result, REPORT OF LABORATORY ANALYSIS This report shall not he reproduced, except in full, Date: 05131 /2016 03:51 I'M without the written consent of Paco Analytical Services, Inc.. Page 13 of 18 acoAnalOcal wwwwcWabs.00m QUALITY CONTROL DATA Project: Stormwater Pace Project No.: 92298172 QC Batch: WETA127727 Analysis Method: EPA 365.1 QC Batch Method: EPA 365.1 Analysis Description: 365.1 Phosphorus, Total Associated Lab Samples: 92298172001, 92298172002, 92208172003, 92298172004, 92298172006, 92298172006 METHOD BLANK: 1740546 Matrix: Water Associated Lab Samples: 92298172001. 92298172002, 9220B172003, 92298172004, 92298172005, 92298172006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Phosphorus mg1L ND 0.050 05/2611618:09 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 tiunteraville, NC 28078 (704)875-9092 LABORATORY CONTROL_ SAMPLE: 1740547 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Phosphorus mg1L 2.5 2.7 106 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1740548 1740549 MS MSD 92297906001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Cone. Result Result % Roc % Rec Limits RPD RPD Qual Phosphorus mg1L 1.1 2.5 2.5 3.5 3.6 97 100 90-110 2 10 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1740550 1740551 MS MSD 92298172006 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Cone. Result Result % Rec % Rec Limits RPD RPD Quat Phosphorus mg1L 0.084 2.5 2.5 2.6 2.9 99 li1 90-110 11 10 M1,R1 Results presented on tills page are In the units indicated by ttte "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, Data: 05/3112016 03:51 PM without the written consent 01 Pace Analytical Services, Inc.. Page 14 of 18 Pace Analytical Services, Inc. KlnyAva. lOo aceAnalj cal BBpDHunemvlle, NC1je28078 (704)876-8082 QUALIFIERS Project: Stormwater Pace Project No.: 92298172 DEFINITIONS DF - Dilution factor, If reported, represents the factor applied to the reported data due to dilution of the sample aliquot. NO - 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 Mothod Detection Limit. PQL - Practical Quanlitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenythydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyle 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 Acroleln 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 ANALYTE QUALIFIERS M1 Matrix spike recovery exceeded QC IirnAs. Batch accepted based on laboratory control sample (LCS) recovery. M6 Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to sample dilution. Ri RPD value was outside control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. hate: 05/31/2016 03:51 PM without the written consent of Pace Analytical Services, Inc- Page 15 of 18 acoAnatXica! w w.pxdab&com QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Stormwaler Pace Project No.: 92298172 Paco Analytical Service 8800 Kinsey qva. Sulfa HuOtOraville, NC 28078 t704)875-9092 Analytical Lab ID Sample ID QC Batch Mothod QC Batch Analytical Mothod Batch 92298172001 1AB SM 2540D WET/45036 92298172002 2AB SM 2540D WET/45036 92298172003 3AB SM 2540D WET/45036 92298172004 4AB SM 2540D VVET145036 92298172006 SAB SM 2540D VVET145036 92298172008 GAB SM 2540D WET/45036 92298172001 1AB TKN+NO3+NO2 WET/45241 Calculation 92298172002 2AB TKN+NO3+NO2 WET/45241 Calculation 92298172003 3AB TKN+NO3+NO2 WET/45241 Calculation 92298172004 4AB TKN+NO3+NO2 WET/45241 Calculation 92298172ODS SAB TKN+NO3+NO2 WET/45241 Calculation 92298172008 SAB TKN+NO3+NO2 WET/45241 Calculation 92298172001 1 AB EPA 351.2 WETA/27678 92298172002 2AB EPA 351.2 WETA/27678 922981720D3 3AB EPA 351.2 VVETA/27678 92298172004 4AB EPA 351.2 WETA/27678 92298172005 SAB EPA 351.2 WETA/27678 92298172006 6AB EPA 351.2 WETA/27678 92298172001 1AB EPA 353.2 WETA/27767 92298172002 2AB EPA 353.2 WETA/27767 92298172003 3AB EPA 353.2 WETA127767 922981720D4 4AB EPA353.2 WETA/27767 92298172005 SAB EPA353.2 WETA/27767 92298172006 GAB EPA353.2 WETA/27767 922981720 DI 1AB EPA 365.1 WETA/27727 92298172002 2AB EPA 365.1 WETA/27727 922981720D3 3AB EPA 365.1 WETA/27727 92298172004 4AB EPA 365.1 WETA/27727 92290172005 SAB EPA 365.1 WETA/27727 92298172006 GAB EPA 365.1 WETA/27727 Dale: 05/31/2016 03:51 PM REPORT OF LABORATORY ANALYSIS phis report shall not be reproduced, except in fall, without the written consent of Pace Analylicaf Services, Inc.. Page 16 of 18 Document Name: Document Revised:18FEB2016 aCBAf)$lJ/flCr?I� Sample Condition Upon Recef t SCUR PaRe 1 of 2 Document No.: Issuing Authority: F-CHR-CS-003-rev.18 Pace Huntersville Quality Office Client Name: WOE : 92298172 1 .� 1 l ` ProJec Courier: Fed Ex UPS ❑USPS []client ti ❑ Commercial ❑Pace ❑Other: Z Custody Seal Present? ❑Yes ❑NG Seals Intact? Dyes ❑No ' Date/Initials Person Examining ConlenO11 , + Packing Material: ❑Bubble wrap ❑Bubble Bags ,QNone ❑Other: Thermometer: ❑ -1505 �_ - Pe of Ice: ❑4et ©Blue []None []Samples on Ice, cooling process hasbegun Correction Factor: 0.0'C Cooler Temp Corrected ('C): r Blological Tissue Frozen? Des ❑No -[]N/A Temp should be above freezing to 6'C USDA Regulated Soil ( Q N/A, water sample) Did samples originate Ka quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source jirtterd'ationally, I')Yes f-INo InctudlnR Hawaii and Puerto Rico)? []Yes ONO COMMENTS: Chain of Custody Present? Y s No N A I. Chain of Custody Filled Out? .& No []N/A 2. Chain of Custody Relinquished? 2 Yes No Q N A 3. 4. sampler Name and/or Signature on COC? a []No N A Samples Arrived within Hold Time? Myes No EINLA 5. Short Hold Time Analysis 472 hr.)? osGINJY UNIX 6. Rush Turn Around Time Requested? QYes No ONJA 7. Sufficlont Volume? Yes No EINIA 8. Correct Containers Used? dyes []No ❑N/A 9. -Pace Containers Used? . y s No N/A Containers Intact? QYes ❑No ❑N/A 10. Filtered Volume Received for Dissolved Tests? QYes QNo []NIA 11. Note If secilment Is visible In the dissolved container Sample Labels Match COC? _ '11Yes []No ❑N/A 12. -includes Date/Time/ID/Analysis Matrix: _ All containers needing acid/base preservation have been 13. checked? '❑Yes []NO [I N/A All.contalners needing preservation are found to be In compliance with EPA recommendation? (HNOs, HrSOs, HCIx2; NaOH >9 Sulfide, NaOti>12 Cyanide) []Yes ❑No ❑N/A Exceptions: VOA, Collform, TOC, Oil and Grease, __1 DRO/8015 (water) DOC,LLHg _ ❑Yes [:]NO "❑N/A Samples checked for dechlorination •[ Yes QNo QNLA 14. Heads ace in VOA Vials (>5-6mm)? []Yes ONO ❑N%A' 1S. Trip Blank Present? ❑Yes ❑No ❑N/A 16. Tdp Blank Custody Seals Present? ❑Yes [_]No []NIA Pace Trip Blank Lot If (If purchased): WENT NOTIFICATION/RESOLUTION Person Contacted: Corninents/Resolution: pate/Time: Field Data Required? ❑Yes ❑No Project Manager SCURF Review: ,��1 Date: 2Aj Project Manager SRF Review: /; I 1:1 _ Date: Note: Wheneverthere Is a discrepancy affecting North Carolina compliance samples, it copy of this Fenn will tie sent to the With Carolina OEIINIt Certification Office (€.e. -Out of hold, Incorrect preservative, out of ternp, Incorrect containers) Page 17 of 18 SCCtian A Required c7ier t udarma'ion_ Company. Dow comrq AddreSS: 2914 Pei:ersDn G're:tihpro, NC 27447 Pngne: Requ=ea Due'Jze: Fax SAMPLE ID Cn* Chzfb=r per b= (A-Z: 0-9 t , -) Ids M= be unique u H A 4 s 6 9 fk 10 5 11 12 r section B Required Prpj* Infan tsfam Rew. To: Ro= Peter..or+ Copy To. AA.G 1tc L � P`vied Name. St.-n�eola. PrOjecl 9. Pace PMfile tt 4169-1 a Z_ yarn CODE COLLECTED Preservatives } vft WW eWarn P..d a P Cw U d START END D � m CL c m' n2 ar ar �o � � z a •m o o rez.r TS c0i a V a p C 2 6 O c c�v n z r.7 = m � � = Q• W o 0 DATE MOM DATE TIMF m ! - - z z - .r c-1TIv (,6 as y `-.q,, I i) CHAIN -OF -CUSTODY ! Analytical Request Document fields The Chai)-of-Custody is a LEGAL DOCUMENT. AU relevant must be completed accurately. o co 0Section C Pl e,,,aiw 4nforrrmtiea: Page: Pace Ouosa: Pace Projoe! 7.7 '1, • : .. Ah b. I Lacedon �- . - NC a � ti - •y .s' 2 a 0 �2Z�i�l"7 C PLER i+ANEAND StG1YATt7RE U,*'r'? • .T t' zyr. � tr"''^ �"' :: � ••� ��-Y�.F•'•;s x:,. rT' - s C r� ci PRINT Name off SA9PL.E� } .S ' m ex SIG RE & SAARPL DATE Signed; 3 z a m Z c z -4 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS 600017 or SAMPLES COLLECTED DURING CALENDAR YEAR: 2-011, Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME aW COKtiMqr r0 COUNTY t l ► - PERSON COLLECTING SAMPL S) j- n ��E���pPH NE NO. ( - 1 CERTIFIED LABORATORY(S) Lab # Lab # DEC, 14 Z016 (SIGNATURE OF PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate CENTRAL FILES complete to the best of my knowledge. Part A: Specific Monitoring Requirements DWR SECTION Date Sample Collected Total Flow (if app.) Total Rainfall -. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ ves xno (if yes. complete Part B) Part B: Vehicle Maintenance Activitv Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches mg m Units al/mo Form S WU-246-0623 10 Page l of 2 STORM EVENT CHARACTERISTICS: Date 11 - Q -1 Total Event Precipitation (inches): 0. 11� Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Form SWU-246-062310 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS '000077 or Certificate of Coverage Number: NCG FACILITY NAME C +' i PERSON COLLECTING SAMPLE(S) fPto tefgon CERTIFIED LABORATORY(S) Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 0 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY i Ro PHONE NO. (3'3(t ) 5 c (SIGNAfTURE OF PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. i'Date11 1 Sample1 Collected Y Flow / 1 _ • Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Xno (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monito inp, Requirements Outfall No. Date Sample Collected 50050 00556 ; it. 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease , (if appl.) I `Non -polar; ,O&G/TPH (Method 1'664 ,$GT-HEM), if 4ppl. h Total Suspended Solids pH New Motor_ Oil Usage mo/dd/ r MG inches In Units allmo Form SWU-246-062310 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date q--1L-15 Total Event Precipitation (inches): 0• �?L Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable -- see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibili%y of fines and imprisonment for knowing violations." (Sign2ffo of Permittee) (Date) Form SWU-246-062310 Page 2 of 2 aceAnalytical" www.pacelabs.com April 30, 2015 Rachel Crowell DOW CORNING 2914 Patterson St Greensboro, NC 27407 RE: Project: Outfalls 4/14/15 Pace Project No.: 92245678 Dear Rachel Crowell: Pace Analytical Services, Inc. 9800 Kincey Ave. Suite too Huniersville, NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on April 15, 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, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com Project Manager Enclosures cc: Accounts Payable, DOw Corning p PCCR I 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 20 aoAnalyftal www.pacefabs.com Project: Outfalls 4/14/15 Pace Project No,: 92245678 Pace Analytical Services, Inc, 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 Asheville Certification las 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 Virginia/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.. Page 2 of 20 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 acmnalytical Huntersville, NC 28078 www.pacelabs.com (704)875.9092 SAMPLE SUMMARY Project: OutfallS 4114115 Pace Project No.: 92245678 Lab ID Sample ID Matrix Date Collected Date Received 92245678001 001 (A+B) Water 04/14/15 11:10 04/15/15 17:30 92245678002 002 (A+B) Water 04/14/15 11:10 04/15/15 17:30 92245678003 003 (A+B) Water 04/14/15 11:10 04/15/15 17:30 92245678004 004 (A+B) Water 04/14/15 11:10 04/15/16 17:30 92245678005 005 (A+B) Water 04/14/15 11:10 04/15/15 17:30 92245678006 006 (A+B) Water 04/14/15 11:10 04/15/15 17:30 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 20 aceAnalyiical www.pacelabs.mm SAMPLE ANALYTE COUNT Project: Outfalls 4114115 Pace Project No.: 92245678 Pace Analytical Services, Inc. 9800 KinceyAve. Suite i00 Huntersville, NO 28078 (704)875-9092 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92245678001 001 (A+B) SM 2540D JTJ 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 SER 1 PASI-A 92245678002 002 (A+B) SM 2540D JTJ 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 SER 1 PASI-A 92245678003 003 (A+B) SM 2540D JTJ 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA353.2 DMN 1 PASI-A EPA 365.1 SER 1 PASI-A 92245678004 004 (A+B) SM 2540D JTJ 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 JDA 1 PASI-A 92245678005 005 (A+B) SM 2540D JTJ 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 JDA 1 PASI-A 92245678006 006 (A+B) SM 2540D JTJ 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 JDA 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 4 of 20 aoAnalytical w mpacelabs.com ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Outfalls 4114115 Pace Project No.: 92245678 Sample: 001 (A+B) Lab ID: 92245678001 Collected: 04/14/15 11:10 Received: 04/15/15 17:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 25.7 mg/L 8.3 1 04/17/15 16:20 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 2.2 mg/L 0.12 1 04/29/15 15:11 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 1.9 mg/L 0.50 1 04/27/15 12:38 7727-37-9 353.2 Nitrogen, NO2/NO3 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.24 mg/L 0.020 1 04/24/15 17:46 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.37 mg/L 0.050 1 04/23/15 04:03 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/30/2015 02:04 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 20 aceAnalytical wwwpacerabs com ANALYTICAL RESULTS Project: Outfalls 4/14115 Pace Project No.: 92245678 Pace Analytical Services, Inc. 9800 KinceyAve. Suite too Huntersville, NC 28078 (704)875-9092 Sample: 002 (A+B) Parameters tab ID: 92245678002 Collected: 04/14/15 11:10 Results Units Report Limit DF Received: 04/15/15 17:30 Matrix: Water Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 36.3 mg/L 8.3 1 04/17/15 16:20 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 1.7 mg/L 0.12 1 04/29/15 15:11 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 1.5 mg/L 0.50 1 04/27/15 12:39 7727-37-9 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.20 mg/L 0.020 1 04/24/15 17:47 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.14 mg/L 0.050 1 04/23/15 04:05 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/30/2015 02:04 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 20 acmnalytical www.pacelabs.com ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Outfalls 4114115 Pace Project No.: 92245678 Sample: 003 (A+B) Lab ID: 92245678003 Collected: 04/14/15 11:10 Received: 04115/15 17:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 20.3 mg1L 8.3 1 04/17/15 16:21 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 2.4 mglL 0.12 1 04/29/15 15:11 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA351,2 Nitrogen, Kjeldahl, Total 2.2 mg/L 0.50 1 04/27/15 12:40 7727-37-9 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.19 mglL 0.020 1 04/24/15 17:48 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.20 mg1L 0,050 1 04/23/15 04:06 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in, Full, Date: 04/30/2015 02:04 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 20 aceAnalyfical wwwpacelabs.own ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Cutfalls 4114115 Pace Project No.: 92245678 Sample: 004 (A+B) Lab ID: 92245678004 Collected: 04/14/15 11:10 Received: 04/15115 17:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Total Suspended Solids Total Nitrogen Calculation Total Nitrogen 351.2 Total Kjeldahl Nitrogen Nitrogen, Kjeldahl. Total ' 353.2 Nitrogen, N021NO3 pres. Nitrogen, NO2 plus NO3 365A Phosphorus, Total Phosphorus Date: 04/30/2015 02:04 PM Analytical Method: SM 2540D 55.3 mg1L 8.3 1 0411711516:21 Analytical Method: TKN+NO3+NO2 Calculation 3.3 mg/L 0.12 1 04/29/1515:11 Analytical Method: EPA 351.2 3.1 mg1L 0.50 1 04/27/1512:44 7727-37-9 M1 Analytical Method: EPA 353.2 0.23 mg/L 0,020 1 04124/1517:49 Analytical Method: EPA 365.1 0.26 mg/L 0.050 1 04126/1513:39 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 8 of 20 O aceAnalytical www.pacelabs.rom ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Outfalls 4/14/15 Pace Project No.: 92245678 Sample: 005 (A+B) Lab ID: 92245678005 Collected: 04/14/15 11:10 Received: 04/15/15 17:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 62.0 mg1L 8.3 1 04/17/15 16:21 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 6.6 mglL 0.12 1 04/29/15 15:11 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 5.0 mg1L 0.50 1 04/27/15 12:47 7727-37-9 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.51 mglL 0.020 1 04/24/15 17:51 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.34 mglL 0.050 1 G412611513:41 7723-14-0 Date: 04/30/2015 02:04 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 9 of 20 e aceAnalytical www,patelahs.com ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Outfalls 4/14/15 Pace Project No.: 92245578 Sample: 006 (A+B) Lab ID: 92245678006 Collected: 04/14/15 11:10 Received: G4115115 17:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 79.3 mg1L 16.7 1 04/17/15 16:21 Total Nitrogen Calculation Analytical Method: TKN+NC3+NO2 Calculation Total Nitrogen 2.8 mg1L 0.12 1 04/29/15 15:11 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 2.6 mg/L 0.50 1 04/27/15 12:48 7727-37-9 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.22 mglL 0.020 1 04/24/15 17:52 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.23 mglL 0.050 1 04/26/1513:42 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in lull. Date: 04/30/2015 02:04 PM without the written consent of Pace Analytical Services, Inc.. Page 10 of 20 aceAnalytical o www.pacelabs.com QUALITY CONTROL DATA Project: Outfalls 4/14/15 Pace Project No.: 92245678 QC Batch: WET136912 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92245678001, 92245678002, 92245678003, 92245678004, 92245678005, 92245678006 METHOD BLANK: 1437833 Matrix: Water Associated Lab Samples: 92245678001, 92245678002, 92245678003, 92245678004, 92245678005, 92245678006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 04/17/15 16:11 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersvirle, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1437834 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 254 102 90-110 SAMPLE DUPLICATE: 1437835 92245806001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mg/L 196 194 1 5 SAMPLE DUPLICATE: 1437836 92245588001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mglL 112 D6 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: 04/30/2015 02:04 PM without the written consent of Pace Analytical Services, Inc.. Page 11 of 20 awnalytical wwwpacefabs corn QUALITY CONTROL DATA Project: Outfalls 4114/15 Pace Project No.: 92245678 QC Batch: WETA122704 Analysis Method: EPA 351.2 QC Batch Method: EPA 351.2 Analysis Description: 351.2 TKN Associated Lab Samples: 92245678001, 92245678002, 92245678003 METHOD BLANK: 1443696 Matrix: Water Associated Lab Samples: 92245678001, 92245678002, 92245678003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, Kjeldahl, Total mg/L ND 0.50 04/27/15 12:27 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersvitle, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1443697 Spike LCS LCS °% Rec Parameter Units Cone. Result °% Rec Limits Qualifiers Nitrogen, Kjeldahl, Total mg1L 10 10.1 101 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1443698 1443699 MS MSD 92245543002 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Cone. Result Result % Rec °% Rec Limits RPD RPD Qual Nitrogen, Kjeldahl, Total mg/L 0.64 10 10 11.4 10.5 108 99 90-110 8 10 Re5utls 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: 04/30/2015 02:04 PM without the written consent of Pace Analytical Services, Inc.. Page 12 of 20 aceAnalytical. ""pacebbs.cnm QUALITY CONTROL DATA Project: Outfalls 4114115 Pace Project No.: 92245678 QC Batch: WETAI22705 Analysis Method: EPA 351.2 QC Batch Method EPA 351.2 Analysis Description: 351.2 TKN Associated Lab Samples: 92245678004, 92245678005, 92245678006 METHOD BLANK: 1443700 Matrix: Water Associated Lab Samples: 92245678004, 92245678005, 92245678006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, Kjeldahl, Total mg/L ND 0.50 04/27/15 12:43 Pace Analytical Services, Inc. 9800 KinceyAve. Suite 1o0 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1443701 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Nitrogen, Kjeldahl, Total mg1L 10 10.8 108 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1443702 1443703 MS MSD 92245678004 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, Kjeldahl, Total mg1L 3.1 10 10 13.3 14.3 102 112 90-110 7 10 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1443704 1443705 MS MSD 92245686001 Spike Spike MS MSD MS MSO % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, Neldahl, Total mg/L 0.87 10 10 11.5 11.9 106 110 90-110 3 10 Results presented on this page are In the units Indicated by the -units" column except where an aftemate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/30/2015 02:04 PM without the written consent of Pace Analytical Services, Inc.. Page 13 of 20 acmnalytical wwpacdabs.com QUALITY CONTROL DATA Project: Outfalls 4/14/15 Pace Project No.: 92245678 QC Batch: VVFTA/22693 Analysis Method: EPA 353.2 QC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nitrite, preserved Associated Lab Samples: 92245678001, 92245678002, 92245678003, 92245678004, 92245678005, 92245678006 METHOD BLANK: 1443252 Matrix: Water Associated Lab Samples: 92245678001, 92245678002, 92245678003, 92245678004, 92245678005, 92245678006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, NO2 plus NO3 mg1L ND 0.020 04/24/15 17:29 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1443253 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Nitrogen, NO2 plus NO3 mg/L 2.5 2.5 102 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1443254 1443255 MS MSD 92246474001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mg1L 0.24 2.5 2.5 2.8 2.7 101 99 75-125 1 10 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1443256 1443257 MS MSD 92245495002 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mg/L 55.9 2.5 2.5 57.7 57.6 70 69 75-125 0 10 M6 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 he reproduced, except in full, Date: 04/30/2015 02:04 PM without the written consent of Pace Analytical Services, Inc.. Page 14 of 20 acmnalytical www.pacelabs corn QUALITY CONTROL DATA Project: Outfalls 4/14/15 Pace Project No.: 92245678 QC Batch: WETA122654 Analysis Method: EPA365.1 QC Batch Method: EPA 365.1 Analysis Description: 365.1 Phosphorus, Total Associated Lab Samples: 92245678001, 92245678002, 92245678003 METHOD BLANK: 1440783 Matrix: Water Associated Lab Samples: 92245678001, 92245678002, 92245678003 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersvi0e, NC 28078 (704)875-9092 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Phosphorus mg/L ND 0,050 04123/15 03:44 LABORATORY CONTROL SAMPLE: 1440784 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Phosphorus mg1L 2.5 2.7 108 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1440785 1440786 MS MSD 92246434001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Cone. Result Result % Rec % Rec Limits RPD RPD Quat Phosphorus mg1L 9.2 2.5 2.5 11.8 11.7 105 100 90-110 1 10 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1440787 1440788 MS MSD 92245289003 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD RPD Qual Phosphorus mg/L ND 2.5 2.5 2.7 2.7 107 107 90-110 0 10 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: 04/30/2015 02:04 PM without the written consent of Pace Analytical Services, Inc.. Page 15 of 20 aceAnalytical www.paoelabs.00m QUALITY CONTROL DATA Project: Outfalls 4114/15 Pace Project No.: 92245678 QC Batch: WETA122706 Analysis Method: EPA 365.1 QC Batch Method: EPA 365.1 Analysis Description: 365.1 Phosphorus, Total Associated Lab Samples: 92245678004, 92245678005, 92245678006 METHOD BLANK: 1443706 Matrix: Water Associated Lab Samples: 92245678004, 92245678005, 92245678006 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersvilie, NO 28078 (704)875-9092 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Phosphorus mg/L ND 0,050 04/26/1513:26 LABORATORY CONTROL SAMPLE: 1443707 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Phosphorus mg/L 2.5 2.7 107 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1443708 1443709 MS MSD 92246405001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Phosphorus mg1L 20.2 2.5 2.5 22.5 22.3 91 82 90-110 1 10 M6 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1443710 MS 92246680001 Spike Parameter Units Result Conc. Phosphorus mg1L 4.3 2.5 1443711 MSD Spike MS MSD MS MSD % Rec Max Conc. Result Result % Rec % Rec Limits RPD RPD Qual 2.5 6.8 6.8 99 100 90-110 1 10 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: 04/30/2015 02:04 PM without the written consent of Pace Analytical Services, Inc.. Page 16 of 20 PaceAnalytical - wraw mea1�M enm CHAIN -OF -CUSTODY I Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. Al relevant fields must be completed accurately. Section A Section B Section C Page: 2T % at / 0. Required Client Information: Required Project Information: Invoice Iniomtation: n 1906487 C TnY: N + Report To: Attention: l8i 6 Address 4 (P� E4 T Copy To: Company Name: REGULATORY AGENCY �O40 � �, � y r Address: r NPDES i� U57 i— GROUNDWATER j— RCRA (" DRINKING WATER r OTHER Email To: j� Pyyrchase order No.: Paco oudte YQ L't"r4 n Q t]L1 o �a1/ 4• C Q Rolm +ta: Phan : 33 4 5,,,-7 7z r z Fax: — Project Name; Pace Project Manager: Site Location STATE., Requested Due DaterTAT: Project Number; Paco Profile 0; Requested Analysis Filtered (YIN) Section Matrix Codes y z Required Clan[ Information MATRIX 1 CODE 9 COLLECTED Preservatives 3- Drinking Water DN! S U Oz water Waste Water wT WW v y m COMPOSITE EOOKRABSTART Product P 1 3 Z SoNsolid SL E u u SAMPLE ID Oil OL °' A- o s 1:1 wipe Air wP AR w ❑ — w a a w m H 0 Sample IDS MUST BE UNiOUE Tissue TS O 4 w H 9 m to U Other O7 X W J O Co 4 fn Q y= t C N 1 UJI0 N Z Z O y DA TIME DATE TIME _ _ = Pace Project No.! Lab I.D. 1 4- 11210 2 c Z //,10 u [ : '11la �- 3 4 —tr 4 r I/,/a 41y //:[u 7 9 10 44 12 ADDITIONAL COMMENTS RELINQUISHED BY 1 AFFIUATION DATE TIME A EPTED BY ! FILIATION DATE TIME SAMPLE CONDITIONS of ORIGINAL SAMPLER NAME AND SIGNATURE U o ^ c PRINT Name of SAMPLER; �]R3 a aJ 2 i E 1 m U T SIGNATURE of SAMPLER DATE Signed S t= Er rEs 1MMlDD,YYI;41c r N 'Impon:ml Nuw. By s 9—lg this furor you are accoonng Pace's NET 30 dny payment forms and agreeing to We tlurges of 1.5% per nwnft for f—O.C" not paid -I" 30 days. I F-ALL-0-020rev.07, 15-May-2007 Document Name: Document Revised: September 22. ZU14 A y ce rlal f tl' Sample Condition Upon Receipt SCUR 1 Pa e of 2 r Document Number: Issuing Authority: F-CHR-CS-003-rev-15 Pace Huntersville Quality Office Client Name: -r Courier: ❑ Fed Ex ❑ UPS[] USPS❑ Client❑ CommercialLa - Pace ther Custody Seal on Cooler/Box Present: El yes J9 no Seals yes no Packing Material: ❑ Bubble ❑ Bubble Bags Non Other Thermometer Used: IR Guv( Type of c W Blue None Samples on Ice, cooling process has begun Temo Correction Factor T1401 No Correction Corrected Cooler Temp.: -C Biological Tissue Is Frozen: Yes No �A Date and Initial!" pf pe) examining contents: Temp should be above Freezing to 6"C Comments: Chain of Custody Present: Yes ❑No ONIA 1. Chain of Custody Filled Out: No ❑NIA 2. kk,A Chain of Custody Relinquished: Yes ONO ❑NIA 3. Sam ler Name & Signature on COC: es ONO, ❑NIA 4. Samples Arrived within Hold Time: Oyes NIA 6. Short Hold Time Analysis <72hr : Oyes ONO ❑NIA 6. Rush Turn Around Time Requested. ❑Yes No ❑NIA 7. Sufficient Volume: Yes ❑No ❑NIA 8. Correct Containers Used: Yes ONO ❑NIA 9. -Pace Containers Used: Yes ON, ❑NIA Containers Intact: Yes ONO ❑N/A 10. Filtered volume received for Dissolved tests ❑Yes ❑No [afvrA 11. Sample Labels match COC: YlYes ONO ❑NIA 12, -includes date/time/ID/Analysis Matrix: A All containers needing preservation have been checked. Yea ❑Na ❑N1A 13. All containers needing preservation are found to be in Yes ❑No ❑NIA compliance with EPA recommendation. exceptions: VOA, calitoam, TOC, O&G. Wt-DRO (water) Dyes No Samples checked for dechlorination: ❑Yes -❑No A 14. Heads ace in VOA Vials >6mm : ❑Yes ONO OWA 15. Trip Blank Present: ❑Yee ONO A&A 16. Trip Blank Custody Seals Present ❑Yes ONO NIA Pace Trip Blank Lot # if urchased Client Notification/ Resolution: Person Contacted: DatefTime: Comments/ Resolution: SCURF Review: SRF Review: I kf NVI ( Date: 1 y 1 i Note: Whenever there is a discrepancy affecting North Carrot r; 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) Field Data Required? Y I N 1W��:� tw."'1.­922456781� 246678.. t Page 19 of 20 RECEIVED MAY 0.6 W5 CENTRAL FILES May 5, 2015 DWR SECTION Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Transmittal 2015 Semi -Annual Stormwater Dischargge Outfall Monitoring Report Permit No. NCS000077 . Enclosed please find an original and one copy of the Semi -Annual Stormwater Discharge Monitoring Report (DMR) for Permit No. NCS000077. The storrnwater event in which the samples were collected occurred on April 14, 2015. In the enclosed analytical report from Pace Analytical, the reported results were all within the permit limits. A visual inspection of the collected storrnwater samples was conducted, and it was noted that pollen was very evident within the collected samples. It is believed that the high pollen concentration is what attributed to the higher Total Suspended Solid values. The pH values for each of the stormwater outfalls were tested on site on the day of collection and within the 15 minute time frame. The results met the desired benchmark value range and can be found in the attached stormwater discharge outfall (SDO) monitoring report. If you have questions or comments regarding this submittal, please contact Ronica Edgerton at 336-547-7120. Sincerely, JP-eFitzge Site Manager Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 DEC 16 2015 CENNAL FILES DWR SECTION December 9, 2015 Transmittal 2015 Semi -Annual Stormwater Discharge Outfall Monitoring Report Permit No. NCS000077 Unclosed please find an original and one copy of the Semi -Annual Stormwater Discharge Monitoring Report (DMR) for Permit No. NCS000077. The stormwater event in which the samples were collected occurred on November 18, 2015. In the enclosed analytical report from Pace Analytical, the reported results were all within the permit limits. The pH values for each of the stormwater outfalls were tested on site on the day of collection and within the 15 minute time frame. The results met the desired benchmark value range and can be found in the attached Stormwater discharge outfall (SDO) monitoring report. If you have questions or comments regarding this submittal, please contact Ronica Edgerton at 336-547-7120. Sincerely, Jake Fitzgerald Site Manager ceAnalytica! www.pacebbs.com December 08, 2015 Rachel Pool DOW CORNING 2914 Patterson St Greensboro, NC 27407 RE: Project: Stormwater Pace Project No.: 92277009 Dear Rachel Pool Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on November 19, 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, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com Project Manager Enclosures cc: Accounts Payable, DOW Corning REPORT OF LABORATORY ANALYSfS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 19 Dow Corning Confidential - INTERNAL November 18, 2015 Beginning 11:30 pm Dow Corning Stormwater event Outfall pH 1 6.4 2 6.3 3 6.2 4 6.3 5 6.4 6 6.6 Roger Peterson Dow Corning Waste Operator �Icmnalytical. *W..pammbs.com Project: Stormwater Pace Project No.: 92277009 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)975-9092 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87W Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 Virginia/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.. Page 2 of 19 aceAnalytical o www.pacefabs.com SAMPLE SUMMARY Project: Stormwater Pace Project No.: 92277009 Lab ID Sample ID Matrix Date Collected Date Received 92277009001 001AB Water 1111811511:30 1111911512:00 92277009002 002AB Water 1111811511:30 11/1911512:00 92277009003 003AB Water 1111811511:30 11/1911512700 92277009004 004AB Water 11118/151130 11/19/1512:00 92277009005 005AB Water 1111811511:30 1111911512:00 92277009006 006AS Water 1111811511:30 1111911512:00 REPORT OF LABORATORY ANALYSIS This report shall not he 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 (704)875-9092 Page 3 of 19 aceAnalytical owpoce,ab&wn Project: Stormwater Pace Project No.: 92277009 Lab ID Sample ID 92277009001 001AB 92277009002 002AB 92277009003 003AB 92277009004 004AB 92277009005 005AB 92277009006 006AB Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 SAMPLE ANALYTE COUNT Method Analysts Analytes Reported Laboratory SM 2540D MJP 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 SER 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 SER 1 PASI-A SM 2540D MJP 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 SER 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 SER 1 PASI-A SM 2540D MJP 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 SER 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 SER 1 PASI-A SM 2540D MJP 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 SER 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 SER 1 PASI-A SM 2540D MJP 1 PASI-A TKN+NO3+NO2 Calculation KDF1 1 PASI-A EPA 351.2 SER 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 SER 1 PASI-A SM 2540D MJP 1 PASI-A TKN+NO3+NO2 Calculation K0171 1 PASI-A EPA 351.2 SER 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 SER 1 PAS1-A 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 19 Pace Analytical Services, Inc. aceAnalytica! 6 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 WWWP cefabscom (704)875-9692 ANALYTICAL RESULTS Project: Slormwater Pace Project No.: 92277009 Sample: 001AB Lab ID: 92277009001 Collected: 11/18/15 11:30 Received: 11/19/15 12:00 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method; SM 2540D Total Suspended Solids ND mglL 5.7 1 lil20I15 19:20 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen ND mglL 0.12 1 12/04/15 15:40 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total ND rnglL 0.50 1 11/25/15 02:30 7727-37-9 353.2 Nitrogen, NO2IN03 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.073 mg/L 0,020 1 12/04/15 11:48 355.1 Phosphorus, Total Analytical Method: EPA 355.1 Phosphorus 0.071 mglL 0.050 1 11/26115 05:10 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/08/2015 09:19 AM without the written consent of Pace Analytical Services, Inc.. Page 5 of 19 aceARalytical. wwwwP ela DDM ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Stormwater Pace Project No.: 92277009 Sample: 007AB Lab ID: 92277009002 Collected: 11/18/15 11:30 Received: 11/19/15 12:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 7.1 mg1L 2.5 1 11/20/15 19:20 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 0.82 mg/L 0.12 1 12/04/15 15:40 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen. Kjeldahl, Total 0.70 mg1L 0.50 1 11/25/15 02:31 7727-37-9 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA353.2 Nitrogen, NO2 plus NO3 0.12 mg1L 0.020 1 12/04/15 11:49 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus ND mg/L 0.050 1 11/26/15 05:11 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not he reproduced, except in full, Date: 12/08/2015 09:19 AM without the written consent of Pace Analytical Services, Inc.. Page 6 of 19 0 aceAnaVical www.pacelabs.com ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersvitte, NC 2BO78 (704)875-9092 Project: Slormwater Pace Project No.: 92277009 Sample: 003AB Lab ID: 92277009003 Collected: 11/18/15 11:30 Received: 11/19/16 12:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 11.7 mg/L 2.5 1 11/20/15 19:21 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen ND mg/L 0.12 1 12/04/15 15:40 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total ND mg/L 0.50 1 11/25/15 02:32 7727-37-9 353.2 Nitrogen, NO2IN03 pros. Analytical Method: EPA353.2 Nitrogen, NO2 plus NO3 0.061 mg/L 0.020 1 12/04/15 11:50 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus ND mg/L 0.050 1 11/26/15 05:11 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/08/2015 09:19 AM without the written consent of Pace Analytical Services, Inc.. Page 7 of 19 aceAnalytical. *WWPMlat &WM ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 92277009 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: 004AB Lab ID: 92277009004 Collected: 11/18/15 11:30 Received: 11/19/15 12:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 7,3 mg1L 2.5 1 11/20/15 19:21 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 0.31 mgfL 0,12 1 12/04/15 15:40 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total NO mg/L 0.50 1 11/25/15 02:32 7727-37-9 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA353.2 Nitrogen, NO2 plus NO3 0.066 mgtL 0.020 1 12/04/15 11:52 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus ND mg1L 0.050 1 11/26/15 05:12 7723-14-0 Date: 12/08/2015 09:19 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 8 of 19 aceAnalytical o *WW'Mcstabs.com ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 92277009 Pace Analytical Services, Inc. 9800 Kinsey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: 005AB Lab ID: 92277009005 Collected: 11/18/15 11:30 Received: 11/19/15 12:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua[ 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 5.7 mgIL 2.6 1 11/20/15 19:21 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen ND mgfL 0,12 1 12/04/15 15:40 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA351.2 Nitrogen, Kjeldahl, Total ND mg/L 0.50 1 11/25/15 04:05 7727-37-9 363.2 Nitrogen, NO2IN03 pres. Analytical Method: EPA353.2 Nitrogen, NO2 plus NO3 0.099 mg1L 0.020 1 12/04/15 11:55 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus ND mgIL 0.050 1 11/26/15 05:13 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/08/2015 09:19 AM without the written consent of Pace Analytical Services, Inc.. Page 9 of 19 Pace Analytical Services, Inc. aceMalytical' 9600 Kinsey Ave. Suite100 Huntersville, NC 28078078 www.pacafa MWM {704}875-9092 ANALYTICAL RESULTS Project: Stormwater Pace Project No.: 92277009 Sample: 006AB Parameters Lab ID: 92277009006 Collected: 11118115 11:30 Results Units Report Limit DF Received: 11/19/15 12:00 Matrix: Water Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 51.5 mg1L 9.6 1 11/20/15 19:21 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 0.60 mg1L 0.12 1 12/04/15 15:40 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total ND mg1L 0.50 1 11/25/15 04:06 7727-37-9 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.16 mg1L 0.020 1 12/04/15 11:56 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.11 mg1L 0.050 1 11/26115 05:14 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/08/2015 09:19 AM without the written consent of Pace Analytical Services, Inc.. Page 10 of 19 t . eAnalytical www.p=fabs.c m QUALITY CONTROL DATA Project: Stormwater Pace Project No.: 92277009 QC Batch: WET141543 Anatysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92277009001, 92277009002, 92277009003, 92277009004, 92277009005, 92277009006 METHOD BLANK: 1612576 Matrix: Water Associated Lab Samples: 92277009001, 92277009002, 92277009003, 92277009004, 92277009005, 92277009006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 11120/15 19:13 LABORATORY CONTROL SAMPLE: 1612577 Parameter Units Total Suspended Solids mg1L SAMPLE DUPLICATE: 1612578 Parameter Units Total Suspended Solids mg1L Paco AnatyticaI Services, Inc. 9600 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Spike LCS LCS % Rec Cone. Result % Rec Limits Qualifiers 250 244 98 90-110 92277083001 Dup Max Result Result RPD RPD Qualifiers 107 121 12 5 D6 SAMPLE DUPLICATE: 1612579 92277009001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mg1L ND ND 5 Results presented on this page are in the units Indicated by the "knits" column except where an alternate unit Ir presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/08/2015 09:19 AM without the written consent of Pace Analytical Services, Inc.. Pagel 1 of 19 aceAnalytilcal+a www.paMMb&=" QUALITY CONTROL DATA Project: Stormwater Pace Project No.: 92277009 QC Balch: WETA125485 Analysis Method: EPA 351.2 QC Batch Method: EPA 351.2 Analysis Description: 351.2 TKN Associated Lab Samples: 92277009001, 92277009002, 92277009003, 92277009004 METHOD BLANK: 1611575 Matrix: Water Associated Lab Samples: 92277009001, 92277009002, 92277009003, 92277009004 Blank Reporting Parameter Units Result Limit Analyzed Nitrogen, Kjeldahl, Total mg1L ND 0.50 11/25/15 02:07 Qualifiers Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1611576 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Nitrogen, Kjeldahl, Total mg1L 10 10.5 105 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1611577 1611578 MS MSD 92276984001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qua] Nitrogen, Kjeldahl, Total mg1L 41.4 10 10 52.9 51.6 115 102 90-110 2 10 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1611579 1611580 MS MSD 92276702003 Spike Spike MS Parameter Units Result Conc. Conc. Result Nitrogen, Kjeldahl, Total mg1L 1.5 10 10 12.5 MSD MS MSD % Rec Max Result % Rec % Rec Limits RPD RPD Qual 12.5 110 110 90-110 0 10 Results presented on this page are in the units indicated by the "tfnIts" column except where an attemate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12108/2015 09:19 AM without the written consent of Pace Analytical Services, Inc.. Page 12 of 19 aemnalXical www.p0c81abs.eom QUALITY CONTROL DATA Project: Stormwater Pace Project No.: 92277009 OC Batch: WETA125500 Analysis Method: EPA 351.2 OC Batch Method: EPA 351.2 Analysis Description: 351.2 TKN Associated Lab Samples: 92277009005. 92277009006 METHOD BLANK: 1612989 Matrix: Water Associated Lab Samples: 92277009005. 92277009006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, Kjeldahl, Total mg/L ND 0.50 11/25/15 03:52 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28076 (704)875-9092 LABORATORY CONTROL SAMPLE: 1612990 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Nitrogen, Kjeldahl, Total mg1L 10 10.6 106 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1512991 1612992 MS MSD 92277092002 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, Kjeldahl, Total mg1L ND 10 10 10.8 10.3 104 99 90-110 5 10 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1612993 1612994 MS MSD 92277009006 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc, Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, Kjeldahl, Total mg1L ND 10 10 11.1 10.8 107 104 90-110 3 10 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: 12/08/2015 09:19 AM without the written consent of Pace Analytical Services, Inc.. Page 13 of 19 aceAnalytical o www.paaelabs.com QUALITY CONTROL DATA Project: Stormwater Pace Project No.: 92277009 QC Batch: WETA125634 Analysis Method: EPA 353.2 QC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nitrite, preserved Associated Lab Samples: 92277009001, 92277009002, 92277009003, 92277009004, 92277009005, 92277009006 METHOD BLANK: 1619775 Matrix: Water Associated Lab Samples: 92277009001, 92277009002, 92277009003, 92277009004, 92277009005, 92277009006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, NO2 plus NO3 mg1L ND 0.020 12104t15 11:28 LABORATORY CONTROL SAMPLE: 1619775 Spike LCS Parameter Units Conc. Result Nitrogen, NO2 plus NO3 mg1L 2.5 2.4 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1619777 1619778 MS MSD 92277604001 Spike Spike MS Parameter Units Result Conc. Conc. Result Nitrogen, NO2 plus NO3 mg1L 15.1 2.5 2.5 17.1 Pace Analytical Services, Inc. 9800 Kinoey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LCS % Rec % Rec Limits Qualifiers 97 90-110 MSD MS MSD % Rec Max Result % Rec % Rec Limits RPD RPD Qual 17.1 82 84 75-125 0 10 MATRIX SPIKE 8 MATRIX SPIKE DUPLICATE: 1619779 1619780 MS MSD 92276991001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mg/L 0.13 2.5 2.5 2.4 2A 90 90 75-125 1 10 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: 12/08/2015 09:19 AM without the written consent of Pace Analytical Services, Inc.. Page 14 of 19 to aceAnalytical www.pacefabs oam QUALITY CONTROL DATA Project: Stormwater Pace Project No.: 92277009 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QC Batch: WETA125488 Analysis Method: EPA 365.1 QC Batch Method: EPA 365.1 Analysis Description: 365.1 Phosphorus, Total Associated Lab Samples: 92277009001, 92277009002, 92277009003, 92277009004, 92277009005, 92277009006 METHOD BLANK: 1611665 Matrix: Water Associated Lab Samples: 92277009001, 92277009002, 92277009003, 92277009004, 92277009005, 92277009006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Phosphorus mg1L ND 0.050 11/26/15 04:53 LABORATORY CONTROL SAMPLE: 1511666 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Phosphorus mg1L 2.5 2.6 106 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1611667 1611668 MS MSD 92276984001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Gone. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Phosphorus mglL 5.5 2.5 2.5 8.0 7.8 97 89 90-110 3 10 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1611669 1611670 MS MSD 92276697001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Phosphorus mglL 0.23 2.5 2.5 2.9 2.9 107 105 90-110 1 10 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: 1210812015 09:19 AM without the written consent of Pace Analytical Services, Inc.. Page 15of19 Pace Analytical Services, Inc. 9BOO Kincey Ave. Suite 1oa aceAnalXiml Huntersville, NC 28078 WWW'Paceisawcom (704)875-9092 QUALIFIERS Project: Stormwater Pace Project No.: 92277009 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-Dipheny)hydrazine 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, 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-Nitrosodiphenyla mine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNl accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services - Asheville ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/08/2015 09:19 AM without the written consent of Pace Analytical Services, Inc.. Page 16 of 19 aceAnalyiical www.pacdabs.com QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Nuntersville, NC 28078 (704)875.9092 Project: Slomrwater Pace Project No.: 92277009 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92277009001 001AB SM 2540D WET/41543 92277009002 002AB SM 2540D WET141543 92277009003 003AB SM 2540D WET141543 92277009004 004AB SM 2540D WET141543 92277009005 005AB SM 2540D WET141543 92277009006 006AB SM 2540D WET141543 92277009001 001AB TKN+NO3+NO2 WET141757 Calculation 92277009002 002AB TKN+NO3+NO2 WET141757 Calculation 92277009003 003AB TKN+NO3+NO2 WET/41757 Calculation 92277009004 004AB TKN+NO3+NO2 WET141757 Calculation 92277009005 OO5AB TKN+NO3+NO2 WET141757 Calculation 92277009006 006AB TKN+NO3+NO2 WET141757 Calculation 92277009001 001AB EPA 351.2 WETA/25485 92277009002 002AB EPA 351.2 WETA/25485 92277009003 003AB EPA 351.2 WETA/25485 92277009004 004AB EPA 351.2 WETA/25485 92277009005 005AB EPA 351.2 WETA/25500 92277009006 006AB EPA 351.2 WETA125500 92277009001 001AB EPA 353.2 WETA/25634 92277009002 002AB EPA 353.2 WETA/25634 92277009003 003AB EPA 353.2 WETA/25634 92277009004 004AB EPA 353.2 WETA125634 92277009005 005AB EPA 353.2 WETA/25634 92277009006 006AB EPA 353.2 WETA/25634 92277009001 001AB EPA 365.1 WETA/25488 92277009002 002AS EPA 365.1 WETA125488 92277009003 003AB EPA 365A WETA/25488 92277009004 004AB EPA 365.1 WETA/25488 92277009005 005AB EPA 365.1 WETA125488 92277009006 006AB EPA 365.1 WETA125488 Date: 12/08/2015 09:19 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 17 of 19 Document Name: Document Revised: November 17, 2015 Z,4rlalytfca!' Sample Condition Upon Receipt SCUR Page 1 of 2' Document Number: Issuing Authority: F-CHR-CS-003-rev.16.1 Pace Huntersville Quality Office Client Name, U lrU r (� - Page 2 of 21s for Internal Use Only Courier: ❑ Fed E)[] UPO USP❑ C ier❑ Commercir❑ ac Other y �Eles 4Lf no Seals intact: ❑ yes ❑ Custod Seal on Cooferl8ox Present:noPacking Material: ❑ Bubble Wrap le Bags ❑ None ❑ Other Thermometer Used: IR Gun 15 � Type of Ice: MO.) Blue None L�'Samples on ice, cooling process has begun Temp Correction tractor No Correction k,Z I t- Corrected Cooler Temp,: 'C Temp should be above freezing to 6*G Biological Tissue is Frozen: Yes No N! Date and Initials of person examin g 9 contents: "gip Comments: Chain of Custody Present: ❑ s ❑No ONIA 1. Chain of Custody Filled Out: ❑Yes o ❑NIA 2. A Chaln of Custody Relinquished; Yes o ❑NIA 3. Sam ler Name & Signature on COC: es No ❑NIA 4. Sam les Arrived within Hold Time: Yes ❑No ❑WA 5. Short Hold Time Analysis <72hr): ❑Yea o ❑_UA 6. Rush Turn Around Time Requested: ❑Yea ©No ❑NIA 7. Sufficient Volume: es ❑No ❑NIA 8. Correct .Containers Used: -Pace Containers Used: Yes No es ❑N ❑NIA ❑NIA 9, Containers Intact: Owrb&o ❑NIA 10._- Filtered volume received for Dissolved tests ❑Yes ONO 11. Sample Labels match COC: -includes date/lime/ID/Analysis Matrix: OYeB ONo ' ❑WA 12. /4n4 A l E 5µ r c A' ure-. T All contalners needing preservation have been checked. All containers needing preservation are found to be in compliance with EPA recommendation. exceptions: VOA, colirorm, TOC, O&G, WI-DRO (water) Yes ❑No OY/es ONO ❑Yes o ❑NIA ❑NIA 13. Nr .f frr }c AV 1 )j V Samples checked for dechlorination: Yes ONO ❑NIA 14. Heads ace in VOA Vials ( >6mm): Oyes ONO ❑ I 5. Trip Blank Present: Trip Blank Custody Seals Present Pace Trip Blank Lot # if purchased): ❑Yes ONO Dyes ONO ❑ A ©!A Client Notification/ Resolution: Field Data Required? Y I N Person Contacted: Date/Time: Comments/ Resolution: SCURF Review:1 PIWiL Date: 111�- S SRF Review: 1 01rv� (: Date: IF, -7' _ Note: Whenever there Is a discrepancy affecting North Carolina compliance samples, a copy of this form w€II be sent to the North Carolina DEHNR Certification Office ( Le out of hold, Incorrect preservative, out of temp, Incorrect containers) WOp:92277009 jl1111111111111111111111 r 0'y I� PaceAnalyhcal- CHAIN-OF-CUSTODY I Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT, All relevant fields must be completed accurately. 0 Section A Section B Section C Pago: of Required Client Information: Required Project Information: Invoice Information; 0. Company: + [ Report To: +�jQ ,i3/Tc C `•� A[Sarttion: 999502 Address: Copy To: A e— 1�L Vd(� Company Name: REGULATORY AGENCY �[ Address: NPDES r GROUNDWATER j DRINKING WATER + UST r RCRA I� OTl1ER5ft(M Ema1l To; Purchase Order No.: Paw 0-1. d 'ry SG u it ` Ralararica; 7 7K lkcqwaslocl oject Name: PP Site Location Z p- STATE. ��1////.�� Due DatefrAT: Project Number: Pn» Problo a: Requested Analysis Filtered (YIN) SQCtten D Matrix Ctxlef r y = Raqulrae Ctanl lnfarmnlwa MATRIX r GODF o tl COLLECTED Preservatives Y Drinking Water OW '^ O ZD W Water T R v Waste Water WW a CtxrMsrrE COTE w Z Product P S6115ohd 5L d t7 L) y } SAMPLE ID O1pe wP = " w N (A-Z. 0-9 ! : ) Air AR 111 G 4 ~ CI Sample IDs MUST SE UNIQUE Tissue TS 0 a ti m rn I V t/�I ;M Other 07 X O w O c T Ui O Z 4 4 O c U o Ca m t Q m DATE TIME DATE TIME 03 2 2 2 z Z Z O r Pace Project NG.1 Lab I.D. ( G "Ne 2 oa r 3 a 3 z-- A ~ , q13 51 60 "' AG -*- fi p 3 T a 4 B Q a .. 9 oo S- 3 to wr 12 Lwf .� ADDITIONAL COMMENTS RELINQUISHED BY I AFRIUAT10N DATE TIME �SCCEPTED BY I AFFILIATION DATE TIME SAMPLE CONDITIONS crry-� rr�� 11 SAMPLER NAME AND SIGNATURE ORIG�±IFVAL A PRINT Name of SAMPLER: V� £�,S ' q a m e j SIGNATUDATE Signed of SAMPLER: E m 0 m - ccrmn a m. V R g .� ERE N tMMIDDlYY]: ` 'Imponanl Nato: By signing fts corm you are vicepl—j Paca's NET 30 day payrrgnl temis and agreeing to Cato Ixurgas of 1.5% per atonlAf0r g iMaites not PZe hin 30 days. F-ALL-0-020rev.07, 15-May-2007 May 19, 2014 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Transmittal 2014 Semi -Annual Stormwater Dischargge Outfall Monitoring Report Permit No. NCS000077 Enclosed please find an original and one copy of the Semi -Annual Stormwater Discharge Monitoring Report (DMR) for Permit No. NCS000077. The stormwater event in which the samples were collected occurred on April 7, 2014. The results of the samples showed that pH values were slightly under the benchmark for Outfall 1, 2 and 4. There was nothing out of the ordinary during the time of the sampling which would have resulted in a pH less than 6. It has been determined that the pH value needs to be tested within 15 minutes of collecting the sample in order to receive the most accurate phi results. Pace Analytical has been conducting this test outside of the desired time frame window which has the potential to invalidate the pH value results. We will be re-collecting stormwater samples from the 3 outfalls that failed to meet the benchmark, test within the 15 minute time frame and re -submit the supplemental results. All future testing of the pH analysis will be conducted on site for all outfalls. If you have questions or comments regarding this submittal, please contact Ronica Edgerton at 336-547-7120. Sincerely, ake4Figerald Site Manager Riscj����Q Mnv .. 4 Dw�igOILZS f aceAnalytical • WWW4M celahs.00rn April 24, 2014 Rachel Crowell DOW CORNING 2914 Patterson St Greensboro, NC 27407 RE: Project: OUTFALLS Pace Project No.: 92196743 Dear Rachel Crowell: Pace Analytical Services, Inc. 9800 Kincey Ave. Suite too Huntersvilie, NC 28078 (704)875.9092 Enclosed are the analytical results for sample(s) received by the laboratory on April 09, 2014. 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, J aa4-- @ °,-4 Tabitha M Dacal tabitha.dacal@pacelabs.com Project Manager Enclosures cc: Accounts Payable, DOW Corning 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 20 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS WMI -7 or SAMPLES COLLECTED DURING CALENDAR YEAR: a� Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME TXW COI` 11'l -- &P e h S b lr PERSON COLLECTING SAMPLE(S '►""rsoyl CERTIFIED LABORATORY(S) Lab # Lab # Part A: Specific Monitoring Requirements COUNTY &u(1TUiY PHO O. S�94i-`71,:�O (SIG PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. f DateCollected Sample Total Flow (ff :,, • �:� l� ►I Eno it 1 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes &no (if yes, complete Part B) Part B: Vehicle Maintenance Activitv Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches Units al/mo Form SWU-246-062310 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date y'--7 `I 4 f, �, f f Total Event Precipitation (inches): ' Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 1� 4- � 5 /u l y (Signs re of Pe ' ) (Date) Form SWU-246-062310 Page 2 of 2 aceAnaJytical wwo pwalabs.aom Project: OUTFALLS Pace Project No.: 92196743 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)975.9082 Asheville Certification IDs 2225 Riverside Dr., Asheville, NC 28804 Florid a/N ELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 VirginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 20 aceAnalytical wwwpacelabs m SAMPLE SUMMARY Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: OUTFALLS Pace Project No.: 92196743 Lab ID Sample ID Matrix Date Collected Date Received 92196743001 OUTFALL 1 Water 04/07/14 10:30 04/09/14 16:15 92196743002 OUTFALL 2 Water 04/07/14 10:30 04/09/14 16:15 92196743003 OUTFALL 3 Water 04/07/14 10:30 04/09/14 16:15 92196743004 OUTFALL 4 Water 04/07/14 10:30 04/09/14 16:15 92196743005 OUTFALL 5 Water 04/07/14 10:30 04/09/14 16:15 92196743006 OUTFALL 6 Water 04/07/14 10:30 04/09/14 16:15 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 20 aceAnalytical wwwpacelabs.mrn SAMPLE ANALYTE COUNT Project: OUTFALLS Pace Project No.: 92196743 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 26078 (704)875-9092 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92196743001 OUTFALL 1 SM 2540D WRC 1 PASI-A EPA 9040 MDW 1 PASI-A 40CFR PART 432.2 EWS t PASI-A EPA 351.2 JDA 1 PASi-A EPA 353.2 EWS 1 PASI-A EPA 365.1 JDA 1 PASI-A 92196743002 OUTFALL 2 SM 2540D WRC 1 PASI-A EPA9D40 MDW 1 PASI-A 40CFR PART 432.2 EWS 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA 353.2 EWS 1 PASI-A EPA365.1 JDA 1 PASI-A 92196743003 OUTFALL 3 SM 2540D WRC 1 PASI-A EPA9040 MDW 1 PASI-A 40CFR PART 432.2 EWS 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA353.2 EWS 1 PASI-A EPA365.1 JDA 1 PASI-A 92196743004 OUTFALL 4 SM 2540D WRC 1 PASI-A EPA 9040 MDW 1 PASI-A 40CFR PART 432.2 EWS 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA 353.2 EWS 1 PASI-A EPA365.1 JDA 1 PASI-A 92196743005 OUTFALL 5 SM 2540D WRC 1 PASI-A EPA 9040 MDW 1 PASI-A 40CFR PART 432.2 EWS 1 PASI-A EPA 351.2 JDA t PASI-A EPA 353.2 EWS 1 PASI-A EPA 365A JDA 1 PASI-A 92196743006 OUTFALL 6 SM 2540D WRC 1 PASI-A EPA 9040 MDW 1 PASI-A 40CFR PART 432.2 EWS 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA 353.2 EWS 1 PASI-A EPA 365.1 JDA 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 4 of 20 aceAnalytical. rwwpacalabs.00m ANALYTICAL RESULTS Project: OUTFALLS Pace Project No.: 92196743 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: OUTFALL 1 Lab ID: 92196743001 Collected: 04/07/14 10:30 Received: 04/09/14 16:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Oual 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids ND mg1L 2.5 1 04/14/14 17:10 9040 pH Analytical Method: EPA 9040 pH 4.9 Std. Units 0.10 1 04/10/14 11:29 H6 Total Nitrogen Calculation Analytical Method: 40CFR PART 432.2 Total Nitrogen 1.1 mg1L 0.12 1 04/24/14 15:24 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA351.2 Nitrogen, Kjeldahl, Total 1.0 mg1L 0.50 1 04/22/14 10:44 7727-37-9 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA353.2 Nitrogen, NO2 plus NO3 ND mg/L 0.020 1 04/22/14 17:30 366.1 Phosphorus, Total Analytical Method: EPA365.1 Phosphorus 0.11 mg[L 0.050 1 04/20/1410:27 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/24/2014 03:26 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 20 aceAnalytical. www.pacefabs.com ANALYTICAL RESULTS Project: OUTFALLS Pace Project No.: 92196743 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: OUTFALL 2 Parameters Lab ID: 92196743002 Collected: 04/07/14 10:30 Results Units Report Limit DF Received: 04/09/14 16:15 Matrix: Water Prepared Analyzed CAS No. Qual 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 4.8 mglL 2.5 1 04/14/14 17:11 9040 pH Analytical Method: EPA 9040 pH 5.5 Std. Units 0.10 1 04/10/14 11:35 H6 Total Nitrogen Calculation Analytical Method: 40CFR PART 432.2 Total Nitrogen ND mglL 0.12 1 04/24/14 15:24 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA351.2 Nitrogen, Kjeldahl, Total ND mg1L 0.50 1 04/22/14 10:45 7727-37-9 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.078 mg1L 0.020 1 04/22/14 17:31 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.087 mg1L 0.050 1 04/20/14 10:29 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/24/2014 03:26 PM without the written consent of Pace Analytica$ Services, Inc.. Page 6 of 20 aceAnalytical. wwwpecelaftmu ANALYTICAL RESULTS Project: OUTFALLS Pace Project No.: 92196743 Pace Analytical Services, Inc. 9B00 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: OUTFALL 3 Lab ID: 92196743003 Collected: 04/07/14 10:30 Received: 04/09/14 16:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 4.7 mg1L 2.5 1 04/14/14 17:11 9040 pH Analytical Method: EPA 9040 pH 6.4 Std. Units 0.10 1 04/10/14 11:41 H6 Total Nitrogen Calculation Analytical Method: 40CFR PART 432.2 Total Nitrogen 0,13 mglL 0.12 1 04/24/14 15:24 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total ND mg1L 0.50 1 04122114 10:48 7727-37-9 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.11 mg1L 0.020 1 04/22114 17:33 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.095 mglL 0.050 1 04/20/14 10:30 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 04/24/2014 03:26 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 20 aceAnalytical www.pacelahs.wm ANALYTICAL RESULTS Project: OUTFALLS Pace Project No.: 92196743 Pace Analytical Services, Inc. 9800 Kinsey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 Sample: OUTFALL 4 Lab ID: 92196743004 Collected: 04/07/14 10:30 Received: 04/09/14 16:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 254011) Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 119 mg1L 5.0 1 04/14/14 17:12 9040 pH Analytical Method: EPA 9040 pH 5.6 Std, Units 0.10 1 04I10114 11:51 H6 Total Nitrogen Calculation Analytical Method: 40CFR PART 432.2 Total Nitrogen 0.22 mg/L 0,12 1 04/24/14 15:24 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total ND mglL 0,50 1 04/22/14 10:49 7727-37-9 353.2 Nitrogen, NO2IN03 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 ND mglL 0,020 1 04/22/14 17:34 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.079 mg1L 0.050 1 04/20/14 10:30 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/24/2014 03:26 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 20 0 aceAnalytical mvw.pawabs.com ANALYTICAL RESULTS Project: OUTFALLS Pace Project No.: 92196743 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: OUTFALL 5 Parameters Lab ID: 92196743005 Collected: 04/07/14 10:30 Results Units Report Limit DF Received: 04/09/14 16:15 Matrix: Water Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 59.0 mg1L 5.0 1 04/14/14 17:12 9040 pH Analytical Method: EPA 9040 pH 6.7 Std. Units 0.10 1 04/10/14 11:57 H6 Total Nitrogen Calculation Analytical Method: 40CFR PART 432.2 Total Nitrogen 0.88 mg1L 0.12 1 04/24/14 15:24 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 0.72 mglL 0,50 1 04/22/14 10:49 7727-37-9 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.17 mg/L 0,020 1 04/22/14 17:43 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.27 mg(L 0.050 1 04/20/14 10:31 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 04/24/2014 03:26 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 20 aceAnalXical w"pecelabs.00m ANALYTICAL RESULTS Project: OUTFALLS Pace Project No.: 92196743 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 Sample: OUTFALL 6 Lab ID. 92196743006 Collected: 04/07/14 10:30 Received: 04/09114 16:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed GAS No. Oual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids ND mg1L 2.5 1 04/14/14 17:13 9040 pH Anatyli cal Method: EPA9D40 pH 6.5 Sid. Units 0.10 1 04/10/14 12:08 H6 Total Nitrogen Calculation Analytical Method: 40CFR PART 432.2 Total Nitrogen 0.15 mg1L 0.12 1 04/24/14 15:24 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA351.2 Nitrogen, Kjeldahl, Total ND mg1L 0.50 1 04/22/14 10:50 7727-37-9 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA353.2 Nitrogen, NO2 plus NO3 0.14 mg1L 0.020 1 04/22/14 17A6 365.1 Phosphorus, Total Analytical Method: EPA365.1 Phosphorus ND mg1L 0,050 1 04/20/14 10:33 7723-14-0 Date: 04/24/2014 03:26 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 20 e aceAnalytical www.pacelabs.WM QUALITY CONTROL DATA Project: OUTFALLS Pace Project No.: 92196743 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 QC Batch: WET130508 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 25400 Total Suspended Solids Associated Lab Samples: 92196743001, 92196743002. 92195743003, 92196743004, 92196743005. 92196743006 METHOD BLANK: 1178002 Matrix: Water Associated Lab Samples: 92196743001, 92196743002, 92196743003, 92196743004, 92196743005, 92196743006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 04/14/14 17:03 LABORATORY CONTROL SAMPLE: 1178003 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 242 97 80-120 SAMPLE DUPLICATE: 1178004 92196659003 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mglL 7240 7100 2 10 SAMPLE DUPLICATE: 1178005 92196736003 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mg1L 35.8 39A 10 10 Date: 04/24/2014 03:26 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 11 of 20 laneAnalytical" www.pm*aU=n QUALITY CONTROL DATA Project: OUTFALLS Pace Project No.: 92196743 QC Batch: VVET/30441 Analysis Method: EPA9040 QC Batch Method: EPA 9040 Analysis Description: 9040 pH Associated Lab Samples: 92196743001, 92196743002, 92196743003, 92196743004, 92196743005, 92196743006 SAMPLE DUPLICATE: 1175325 92196630001 Dup Max Parameter Units Result Result RPD RPD pH Std. Units 5.2 4.9 SAMPLE DUPLICATE: 1175326 92196649001 Dup Parameter Units Result Result RPD pH Std. Units 7.9 7.8 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/24/2014 03:26 PM without the written consent of Pace AnaSytical Services, Inc.. 6 Max RPD 2 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Qualifiers 20 D6,H6 Qualifiers 20 D6,H6 Page 12 of 20 aceAnapkal www.peceIMs.00m QUALITY CONTROL DATA Project: OUTFALLS Pace Project No.: 92196743 QC Batch: WETA118745 Analysis Method: EPA 351.2 QC Batch Method: EPA 351.2 Anatysis Description: 351.2 TKN Associated Lab Samples: 92196743001, 92196743002, 92196743003, 92196743004, 92196743005, 92196743006 METHOD BLANK: 1181828 Matrix: Water Associated Lab Samples: 92196743001, 92196743002, 92196743003, 92196743004, 92196743005, 92196743006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, Kjeldahl, Total mg1L ND 0.50 04/22/14 10:27 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1181829 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Nitrogen, Kjeldahl, Total mg[L 10 9.2 92 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1181830 1181831 MS MSD 92197157005 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, Kjeldahl, Total mg1L 3.7 10 10 13.5 12.5 98 89 90-110 7 20 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1181832 1181833 MS MSD 92196738001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, Kjeldahl, Total mg/L 174 100 100 272 269 98 96 90-110 1 20 Date: 04/24/2014 03:26 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 13 of 20 s acmnalytical wwwpacelab&com QUALITY CONTROL DATA Project: OUTFALLS Pace Project No.: 92196743 QC Balch: WETA118774 Analysis Method: EPA 353.2 QC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nitrite, preserved Associated Lab Samples: 92196743001, 92196743002, 92196743003, 92196743004 METHOD BLANK: 1183139 Matrix: Water Associated Lab Samples: 92196743001, 92196743002, 92196743003, 92196743004 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, NO2 plus NO3 mg7L ND 0.020 04/22/14 17:00 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 10o Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1183140 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Nitrogen, NO2 plus NO3 mg7L 2.5 2.5 101 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1183141 1183142 MS MSD 92196461001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mglL 0.66 2.5 2.5 3.1 3.1 98 96 75-125 1 20 MATRIX SPIKE 8, MATRIX SPIKE DUPLICATE: 1183143 1183144 MS MSD 92196570001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone, Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mglL 0.24 2.5 2.5 2.5 2.5 91 91 75-125 1 20 Date: 04/24/2014 03:26 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical services, Inc.. Page 14 of 20 acmnalytical o wwwpacefa1mcom QUALITY CONTROL DATA Project: OUTFALLS Pace Project No.: 92196743 QC Batch: WETA118775 Analysis Method: EPA 353.2 QC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nitrite, preserved Associated Lab Samples: 92196743005, 92196743006 METHOD BLANK: 1183145 Matrix: Water Associated Lab Samples: 92196743005, 92196743006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, NO2 plus NO3 mglL ND 0.020 04/22/14 17:38 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1183146 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Nitrogen, NO2 plus NO3 mg1L 2.5 2.4 97 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1183147 1183148 MS MSD 92196743005 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 M91L 0.17 2.5 2.5 2.5 2.5 94 93 75-125 1 20 Date: 04/24/2014 03:26 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 15 of 20 aceAnallytical e www.pacelabitcorn QUALITY CONTROL DATA Project: OUTFALLS Pace Project No.: 92196743 QC Batch: WETA118748 Analysis Method: EPA 365.1 QC Batch Method: EPA 365.1 Analysis Description: 365.1 Phosphorus, Total Associated Lab Samples: 92196743001, 92196743002, 92196743003, 92196743004, 92196743005, 92196743006 METHOD BLANK: 1181871 Matrix: Water Associated Lab Samples7 92196743001, 92196743002, 92196743003, 92196743004, 92196743005, 92196743006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Phosphorus mg/L ND 0.050 0412011411:10 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1181872 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Phosphorus mg1L 2.5 2.6 102 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1181873 1181874 MS MSD 92197509004 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD RPD Qual Phosphorus mg/L 92.7 2.5 2.5 93.7 93.9 39 47 90-110 0 20 M6 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1181875 1181876 MS MSD 92196743001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Conc. Result Result % Ree % Rec Limits RPD RPD Qual Phosphorus mg1L 0.11 2.5 2.5 2.6 2.6 98 99 90-110 1 20 Date: 04/24/2014 03:26 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 16 of 20 !I•PaceAna!'hical' �` ww,sacslats.com Section A Required Client Informations Section B Required Project Wormation: Report To: COPY To: Name: o ' CHAIN -OF -CUSTODY 1 Analytical Request Document o The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. p CV dl Page: of 0. Section C Invoice Information: Section D Matrix Codes RequWmdG,ent Intormatmn MATRIX !LODE - Drinking Water DW 8 COLLECTED Water wr Waste Water WW § 0 C SMITE COMPOSITE Product p EOraaa w Soillsdid SL 0 SAMPLE ID Od OLWIP 0 W fA-Z, 0-9 1r} Air AR AR Iw a Z Sample IDS MUST BE UNIQUE Tissue TS O w a H Other OT X w ZO Q. a tL w ¢ O 1_ N DATE TIME DATE TIME u 17939�19 ne: REGULATORY AGENCY r NPOES i— GROUND WATER r DRINKING WATER r— UST rT RCRA (— OTHER Site Location U — STA TE: Requested Analysis Filtered (YIN) 2 Preservatives i m � H L � U o 2 to Mz Q z 2 O K Pace Project Nod Lab I.D. jl ADDITIONAL COMMENTS I A RELINQUISHED BY 1 AFFILIATION I DATE I TIME I ACCEPT O BY / AOILiATION I DATE I TIME I , SAMPLE CONDITIONS ORIGINAL SAMPLER NAME AND SIGNATURE PRINT Name of SAMPLER: SIGNATURE of SAMPLER: 'Important hole: ey signing W9 kxm you are accepting Pace's NET 30 day paymem terns and agreeing to late charges of I.S% par month for any invokes not paid vvOhm 30 days. RR _z N N F-ALL."20rev,07, 15-May-2007 Document Name: Document Revised: April 07. 2014 ceAtwoical' Sample Condition Upon Receipt SCUR Page 1 of 2 Document Number: Issuing Authority: F-CHR-CS-003-rev.14 Pace Huntersville Quality Office Client Name:a', Courier: ❑ Fed Ex ❑ UPS❑ USPS❑ Client[] Commercial Pace Other O t[on 1 p 0-100i Custody Seal on CoolerlSox Present: ❑ yes na 5eals intact: ❑ yes ❑ no Nam Packing Material: ❑ Bubble Wrap ❑ Bubble Bags None ❑ Other Thermometer Used: IR Gun T1102 Te0corrar-tinn Type of Ice: et Blue None �S mples on ice, cooling process has begun Temn Correction Factor T1102 T1301: Nn Cnrrortinn Corrected Cooler Temp.: •C Biological Tissue is Frozen: Yes Now Date and I Is of�pperson examining o/ tr114 contents Temp should be above freezing to 6'C Comments: Chain of Custody Present: Yes ❑No ❑NIA 1, Chain of Custod Filled Out: Yes ❑No ❑N/A 2. Chain of C ustody Rel ing uished: Y s ❑No ❑N/A 3. Sam ler Name & Signature on COC: es ❑No ❑NIA 4. Samples Arrived within Hold Time: Yes [--]No ❑NrA 5. Short Hold Time Analysis <72hr : ©Yes No ❑NIA 6, Rush Turn Around Time Requested: (Dyes No ❑NIA 7. Sufficient Volume: dyes ❑No ❑NIA g. Correct Containers Used: Yes ❑No ❑NIA 9, -Pace Containers Used: �dYes ❑No ❑NIA Containers intact: yes ❑No ❑NIA 10, Filtered volume received for Dissolved tests ❑Yes ❑No NIA 11. Sample Labels match COC: Dyes No ❑NIA 12,100 Nr%O+�5'S b5} tN "All -Includes dateltime/ID/Anal sis Matrix: All containers needing preservation have been checked. [--]No ❑NIA 1$, All containers needing preservation are found to be in /Yea p'lYes ❑No ❑NIA compliance with EPA recommendation. r exceptions: VOA, coliform, TOC, O&G, W-DRO (water) Dyes A140 Samples checked for dechlorination: es ❑No ❑NIA 14. Meads ace in VOA Vials >6mm : Dyes ❑No NIA 15. Trip Blank Present: Dyes ❑No A 16. Trip Blank Custody Seals Present Dyes ❑No NIA Pace Trip Blank Lot # ifpurchased): Client Notification/ Resolution: Field Data Required? Y I N Person Contacted: U3 i Datefrime: ' `y Comments/ Resolution: 'i V- kC. 7 I-P'� �(1.IS N Q 1 SCURF Review: riy Date: 4 SRF Review: Date: I LA-Cl- IL4 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 W0# : 92196743 112116743 Page 19 of 20 May 19, 2014 Division of Water Quality Attn: Central Piles 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Transmittal 2014 Semi -Annual Stormwater Discharge Outfall Monitoring Report Permit No. NCS000077 Enclosed please find an original and one coppyy of the Semi -Annual Stormwater Discharge Monitoring Report (DMR) for Permit No. NCS000077. The stormwater event in which the samples were collected occurred on Ape it 7, 2014. The results of the samples showed that pH values were slightly under the benchmark for Outfall 1, 2 and 4. There was nothing out of the ordinary during the tirne of the sampling which would have resulted in a pH less than 6. It has been determined that the pld value needs to be tested within 15 minutes of collecting the sample in order to receive the most accurate pl-I results. Pace Analytical has been conducting this test outside of the desired time frame window which has the potential to invalidate the pH value results. We will be re-collecting stormNvater samples from the 3 outfalls that failed to meet the benchmark, test within the 15 minute time frame and re -submit the supplemental results. All future testing of the pH analysis will be conducted on site for all outfalls. If you have questions or comments regarding this submittal, please contact Ronica Edgerton at 336-547-7120. Sincerely, ake Pitzgcraid Site Manager aceAnalytical www.paoWabs,WM April 24, 2014 Rachel Crowell DOW CORNING 2914 Patterson St Greensboro, NC 27407 RE: Project: OUTFALLS Pace Project No.: 92196743 Dear Rachel Crowell: Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NG 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on April 09, 2014. 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, Tabitha M Dacal tabitha.dacal@pacelabs.com Project Manager Enclosures cc: Accounts Payable, OOW Corning P,CC All 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 20 Page 1 of 1 Dow Corning Corporation Greensboro [Greensboro Plant] - 2914 Patterson Street Greensboro, NC 27407 Originator: RACHEL CROWELL [RDCROWEL] Phone : 336-547-7166 Miscellaneous Shipping Request MSR ## 120515 Date Created : 2014-05-19 Ship to: NC Division of Water Quality NC Div Of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 USA Contact Name: Central Files Contact Phone: 919-807-6300 Shipping Information: Weight: Carrier: UPS Tracking Number: Containers: Transport: next day air Payment PRPD Cost Center: 10198 Shipment Value: 0 Shipped by . The requisitioner is responsible for attaching Material Safety Data Sheet(s) to the shipping documents Special Shipping Instructions: NEXT DAY AIR Description: 2014 Semi -Annual Stormwater DMA http://intranetapp/returnorder/msr_report.asp?From=MSR&Recld=120515 5/19/2014 June 23, 2014 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Transmittal 2014 Semi -Annual Stormwater Discharge Outfall Monitoring Report Permit No. NCS000077 Please see below an addendum to the original and one copy of the Dow Corning Greensboro Semi -Annual Stormwater Discharge Monitoring Report (DMR) for Permit No. NCS000077 from May 19, 2014. The stormwater event in which the samples were collected that occurred on April 7, 2014 led to results of the samples showing pH values that were'slightly under the benchmark for Outfalls 1, 2 and 4. The review onsite did not reveal any out of the ordinary activities during the time of the sampling which would have resulted in a li less than 6. It was later determined that the pH values need to be tested within 15 minutes of collecting the samples in order to receive the most accurate pH results. The stormwater samples were re -collected from the 3 outfalls that failed to meet the benchmark on June 19, 2014 and tested the pH values within the 15 minute time frame. The chart below shows the pH results, which met the desired benchmark value range. Outfall Number pH Results 1 7.47 2 6.16 4 6.16 If you have questions or comments regarding this submittal, please contact Ronica Edgerton at 336-547-7120. Sincerely, RECEIVED Jake Fitzgerald JUN 2 5 c914 Site Manager VvxEtn � FORMATION PROCESSING UNIT DOW CORNING f Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 jjFcF,NF-° a�C. 10 J014 OWR CTtiON December 8, 2014 Transmittal 2014 Semi -Annual Stormwater Discharge Outfall Monitoring Report Permit No. NCS000077 Enclosed please find an original and one copy of the Semi -Annual Stormwater Discharge Monitoring Report (DMR) for Permit No. NCS000077. The stormwater event in which the samples were collected occurred on November 11, 2014. In the enclosed analytical report from Pace Analytical, the reported results were all within the permit limits. The pl-1 values for each of the story neater outfalls were tested on site on the day of collection and within the 15 minute time frame. The results met the desired benchmark value range and can be found in the attached stormwater discharge outfall (SDO) monitoring report. If you have questions or comments regarding this submittal, please contact Ronica Edgerton at 336-547-7120. Sincerely, Jake Fitzgerald Site Manager aceAnalytical wwwpacelebs.com November 25, 2014 Rachel Crowell DOW CORNING 2914 Patterson St Greensboro, NC 27407 RE: Project: STORM WATER Pace Project No.: 92224866 Dear Rachel Crowell: Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on November 10, 2014. 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, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com Project Manager Enclosures cc: Accounts Payable, SOW Corning �Q NCcft TNI. eveo�A�o' REPORT OF LABORATORY ANALYSIS This report shall nat be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 20 7 Permit Number: NCS 7.7 Certificate of Coverage Number: NCG or STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT FACILITY NAME Y PERSON COLLECTING SAMPLE( CERTIFIED LABORATORY(S} Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 0XI (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY i PHONIC NO. (SIG ATURE OF I MMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. 1 r Datet� Samplei Collected i • '.� / ■ �/ + ��� 1. I r Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if a 1. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches Units gallmo Form SWU-246-062310 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date Total Event Precipitation (inches): 0. a Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Sign a of Permittee) (Date) zy Form SWU-246-062310 Page 2 of 2 aceAnalytical o www.pacelaucom Project: STORM WATER Pace Project No.: 92224866 Pace Analytical Services, Inc. 980D Kincey Ave. Suite 100 Huntersvitle, NC 28078 (704)875-9092 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87548 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 VirginiaNEL.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.. Page 2 of 20 aceAnalytical • *WW..pacelab&=n Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersvilie, NC 28078 (704)875-9092 SAMPLE SUMMARY Project: STORM WATER Pace Project No.: 92224866 Lab ID Sample ID Matrix Date Collected Date Received 92224866001 OUTFALL 1 Water 11/06/14 10:00 11/10/14 15:22 92224866002 OUTFALL 2 Water 11/06/14 10:00 11/10/14 1512 92224866003 OUTFALL 3 Water 11/06/14 10:00 11/10/14 15:22 92224866004 OUTFALL 4 Water 11/06/14 10:00 11/10/14 15:22 92224866005 OUTFALL 5 Water 11/06/14 10:00 11/10/14 15:22 92224866006 OUTFALL 6 Water 11/06/14 10:00 11/10/14 15:22 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 20 aceAnalytical *W44calab&c= SAMPLE ANALYTE COUNT Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Pace Project No.: STORM WATER 92224866 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92224866001 OUTFALL 1 SM 2544D TEP 1 PASI-A TKN+NO3+NO2 Calculation EWS 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 355.1 JDA 1 PASI-A 92224866002 OUTFALL 2 SM 25400 TEP 1 PASI-A TKN+NO3+NO2 Calculation EWS 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 JDA 1 PASI-A 92224866003 OUTFALL 3 SM 2540D TEP 1 PASI-A TKN+NO3+NO2 Calculation EWS 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 JDA 1 PASI-A 92224866004 OUTFALL 4 SM 2540D TEP 1 PASI-A TKN+NO3+NO2 Calculation EWS 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 JDA 1 PASI-A 92224866005 OUTFALL 5 SM 2540D TEP 1 PASI-A TKN+NO3+NO2 Calculation EWS 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 JDA 1 PASI-A 92224866006 OUTFALL 6 SM 2540D TEP 1 PASI-A TKN+NO3+NO2 Calculation EWS 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 JDA 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 4 of 20 aceAnalytical www.peaelabs.=n ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: STORM WATER Pace Project No.: 92224866 Sample: OUTFALL 1 Lab ID: 92224866001 Collected: 11/06/14 10:00 Received: 11/10/14 15:22 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Total Suspended Solids Total Nitrogen Calculation Total Nitrogen 351.2 Total Kjeldahl Nitrogen Nitrogen, Kjeldahl, Total 353.2 Nitrogen, N021NO3 pros. Nitrogen, NO2 plus NO3 365.1 Phosphorus, Total Phosphorus Date: 11/25/2014 10:34 AM Analytical Method: SM 2540D ND mg1L 2.7 1 11/1111405:17 Analytical Method: TKN+NO3+NO2 Calculation 0.79 mg1L 0.12 1 11/25114 10:33 Analytical Method: EPA 351.2 ND mg1L 0.50 1 11/22/14 09:58 7727-37-9 M1 Analytical Method: EPA 353.2 0.42 mg1L 0.020 1 11/19/14 20:51 Analytical Method: EPA 365.1 ND mg1L 0.050 1 11/21/14 10:51 7723-14-0 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 20 aceAnalytical *W..peoelab&WM ANALYTICAL RESULTS Project: STORM WATER Pace Project No.: 92224866 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 Sample: OUTFALL 2 Lab ID: 92224866002 Collected: 11/06/14 10:00 Received: 11/10/14 15:22 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 6.2 mg1L 2.7 1 11/11/14 05:17 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 1.7 mg/L 0.12 1 11/25/14 10:33 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 0.86 mg1L 0.50 1 11/22/14 10:01 7727-37-9 363.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.81 mg1L 0.020 1 11/19/14 20:54 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.053 mg1L 0.050 1 11/21/1410:52 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/25/2014 10:34 AM without the wntten consent of Pace Analytical Services, Inc.. Page 6 of 20 acmnalj6cal *ww.pacelabs.com ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kinsey Ave, Suite 100 Hunters ille, NC 28078 (704)875-9092 Project: STORM WATER Pace Project No.: 92224866 Sample: OUTFALL 3 Lab ID: 92224866003 Collected: 11IM14 10:00 Received: 11/10/14 15:22 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids ND mg1L 7A 1 11/11/14 05:17 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 2.0 mglL 0.12 1 11/25/14 10:33 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 1.1 mg/L 0.50 1 11/22/14 10:02 7727-37-9 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA353.2 Nitrogen, NO2 plus NO3 0.88 mg1L 0.020 1 11/19/14 20:55 365.1 Phosphorus, Total Analytical Method: EPA365.1 Phosphorus 0.067 mgll- 0.050 1 11/21/14 10:54 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 11/25/2014 10:34 AM without the written consent of Pace Analytical Services, Inc.. Page 7 of 20 acmnalytical. www.pacefiftcom ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: STORM WATER Pace Project No.: 92224866 Sample: OUTFALL 4 Lab ID: 92224866004 Collected: 11/06/14 10:00 Received: 11/10114 15:22 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Quat 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 5.1 mg/L 2.8 1 11/11/14 05:18 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen ND mglL 0.12 1 11/25/14 10:33 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total ND mg1L 0.50 1 11/22/14 10;03 7727-37-9 353.2 Nitrogen, N021NO3 prey. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.073 mg1L 0.020 1 11/21/14 00:44 365.1 Phosphorus, Total Analytical Method: EPA365.1 Phosphorus ND mg1L 0.050 1 11/21/14 10:58 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/25/2014 10:34 AM without the written consent of Pace Analytical Services, Inc.. Page 8 of 20 e acmnalytical www.pacelabs.c m ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite too Huntersville, HC 28078 (704)875-9092 Project: STORM WATER Pace Project No.: 92224866 Sample: OUTFALL 5 Lab ID: 92224866005 Collected: 11/06/14 10:00 Received: 11/10/14 15:22 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 5.8 mg1L 2.8 1 11/11/14 05:18 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 0.93 mgfL 0.12 1 11/25/14 10:33 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total ND mg1L 0.50 1 11/22/14 10:03 7727-37-9 363.2 Nitrogen, NO2IN03 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.71 mg1L 0.020 1 11/21/14 00:47 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.050 mg1L 0.050 1 11/21/14 10:58 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/25/2014 10:34 AM without the written consent of Pace Analytical Services, Inc._ Page 9 of 20 aceAnalytical *W..yacelab&C= ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: STORM WATER Pace Project No.: 92224866 Sample: OUTFALL 6 Lab ID: 92224866006 Collected: 11106Ii4 10:00 Received: 11/10/14 15:22 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Oual 2540D Total Suspended Solids Total Suspended Solids Total Nitrogen Calculation Total Nitrogen 351.2 Total Kjeldahl Nitrogen Nitrogen, Kjeldahl, Total 353.2 Nitrogen, N021NO3 pros. Nitrogen, NO2 plus NO3 365.1 Phosphorus, Total Phosphorus Date: 11/25/2014 10:34 AM Analytical Method: SM 2540D 7.8 mg/L 2.8 1 11/11/14 05:18 Analytical Method: TKN+NO3+NO2 Calculation 1.4 mg/L 0.12 1 11/25/14 10:33 Analytical Method: EPA 351.2 0.98 mg1L 0.50 1 11/22/14 10:04 7727-37-9 Analytical Method: EPA353.2 0.46 mg1L 0,020 1 11/21/14 00:48 Analytical Method: EPA 365.1 0.080 mg1L 0.050 1 11/21/14 10759 7723-14-0 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 20 e aceAnalytical www.pecefabs.wm QUALITY CONTROL DATA Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: STORM WATER Pace Project No.: 92224866 QC Batch: WET134197 Analysis Method: SM 2WD QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92224866001, 92224866002, 92224866003, 92224866004, 92224866005, 92224866006 METHOD BLANK: 1326717 Matrix: Water Associated Lab Samples: 92224866001, 92224866002, 92224866003, 92224866004, 92224866005, 92224866006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 11/11/14 05:14 LABORATORY CONTROL SAMPLE: 1326718 Spike LCS LCS % Rec. Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 246 98 90-110 SAMPLE DUPLICATE: 1326719 92224901001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mg1L 666 622 7 10 SAMPLE DUPLICATE: 1326720 92224866003 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mglL ND ND 10 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: 11/25/2014 10:34 AM without the written consent of Pace Analytical Services, Inc.. Page 11 of 20 acMnalytical www.pacefabs.cam QUALITY CONTROL DATA Project: STORM WATER Pace Project No.: 92224866 QC Batch: WETA120976 Analysis Method: EPA 351.2 QC Batch Method: EPA 351.2 Analysis Description: 351.2 TKN Associated Lab Samples: 92224866001, 92224865002, 92224866003, 92224866004, 92224866005, 92224856006 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 METHOD BLANK: 1333588 Matrix: Water Associated Lab Samples: 92224866001, 92224866002, 92224866003, 92224866004, 92224866005, 92224866006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, Kjeldahl, Total mg/L ND 0.50 11/22/14 09:56 LABORATORY CONTROL SAMPLE: 1333589 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Nitrogen, Kjeldahl, Total mg1L 10 9.9 99 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1333592 1333593 MS MSD 92224873001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, Kjeldahl, Total mg/L 59.2 50 50 114 125 110 132 90-110 9 10 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1333649 1333650 MS MSD 92224866001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, Kjeldahl, Total mg/L ND 10 10 11.9 11.1 115 107 90-110 7 10 M1 Results presented on this page are In the units Indicated 6y 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: 11125/2014 10:34 AM without the written consent of Pace Analytical Services, Inc.. Page 12 of 20 aceAnalytical t VW..Patelab&wn QUALITY CONTROL DATA Project: STORM WATER Pace Project No.: 92224866 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QC Batch: WETA120983 Analysis Method: EPA 353.2 QC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nitrite, preserved Associated Lab Samples: 92224866001, 92224866002, 92224866003 METHOD BLANK: 1334319 Matrix: Water Associated Lab Samples: 92224866001, 92224866002, 92224866003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, NO2 plus NO3 mg1L ND 0,020 11/19/14 20:21 LABORATORY CONTROL SAMPLE: 1334320 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Nitrogen, NO2 plus NO3 mg1L 2.5 2.4 97 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1334321 1334322 MS MSD 92225470001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc, Result Result % Rea % Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mglL ND 2.5 2.5 2.3 2.2 93 86 75-125 7 10 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1334323 1334324 MS MSD 92225470002 Spike Spike MS MSD MS MSD % Roc Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mg1L ND 2.5 2.5 2.4 2.4 97 96 75-125 1 10 Results presented on thla 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: 11/25/2014 40:34 AM without the written consent of Pace Analytical Services, Inc.. Page 13 of 20 aceAnalytical ~pacelabs.am QUALITY CONTROL DATA Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: STORM WATER Pace Project No.: 92224866 QC Batch: WETA121006 Analysis Method: EPA 353.2 QC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nitrite, preserved Associated Lab Samples: 92224866004, 92224866005, 92224866006 METHOD BLANK: 1335500 Matrix: Water Associated Lab Samples: 92224866004, 92224866005, 92224866006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, NO2 plus NO3 mg/L ND 0.020 11/21/14 00:41 LABORATORY CONTROL SAMPLE: 1335501 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Nitrogen, NO2 plus NO3 mglL 2.5 2.5 98 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1335502 1335503 MS MSD 92224866004 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mglL 0.073 2.5 2.5 2.5 2.5 98 98 75-125 0 10 Results presented on this page are In the unIts Indicated by the "Units" column except wherean alternate unit is presented to the right of the result, REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/25/2014 10:34 AM without the written consent of Pace Analytical Services, Inc. Page 14 of 20 lacieAnalytical WWWpaCBiBbAt?m Project: STORM WATER Pace Project No.: 92224866 QC Batch: WETA120957 QC Batch Method: EPA 365.1 Associated Lab Samples: 92224866001, 92224866002 METHOD BLANK: 1332573 Associated Lab Samples: 92224866001, 92224866002 Parameter Units Phosphorus mg/L LABORATORY CONTROL SAMPLE: 1332574 Parameter Units Phosphorus mglL QUALITY CONTROL DATA Analysis Method: Analysis Description: Matrix: Water EPA 365.1 365.1 Phosphorus, Total Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 10o Huntersville, NC 28078 (704)875-9092 Blank Reporting Result Limit Analyzed Qualifiers ND 0.050 11/21/14 10:31 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 2.5 2.6 102 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1332575 1332576 MS MSD 92224108007 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Phosphorus mg1L 8.5 2.5 2.5 11.1 11.0 102 97 90-110 1 10 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1332577 1332578 MS MSD 92224094007 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qua] Phosphorus mg1L 19.15 2.5 2.5 32.7 31.8 523 489 90-110 3 10 M6 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 he reproduced, except in full, Date: 11/25/2014 10:34 AM without the written consent of Pace Analytical Services, Inc.. Page 15 of 20 aceAnalytical %".Pacews.cam QUALITY CONTROL DATA Project: STORM WATER Pace Project No.: 92224866 QC Batch: WETA120958 Analysis Method: EPA 365.1 QC Batch Method: EPA 365.1 Analysis Description: 365.1 Phosphorus, Total Associated Lab Samples: 92224866003, 92224866004, 92224866005, 92224866006 METHOD BLANK: 1332590 Matrix: Water Associated Lab Samples: 92224866003, 92224866004, 92224866005, 92224866006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Phosphorus mglL ND 0.050 11/2111410:53 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Hunlersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1332591 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Phosphorus mg/L 2.5 2.5 102 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1332592 1332593 MS MSD 92224866003 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Phosphorus mg1L 0.067 2.5 2.5 2.6 2.6 102 100 90-110 2 10 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: 11/25/2014 10:34 AM without the written consent of Pace Analytical Services, Inc.. Page 16 of 20 CHAIN -OF -CUSTODY / Analytical Request Document aceAnalytrca! The Chain -of -Custody is a LEGAL DOCUMENT. All relevant Cletds must be completed accurately. e 0 N Section A Section B Section C Page: of Required Client Infonna9on: Required Project Information: Invoice Information: C«npanyt DnW c , I✓/3 n Report To: Attention: 1841864 Address• / y [ n( - Cagy To: Company Name: REGULATORY AGENCY Gtvris towN ! u C .27 O7 AOtlr°u' 1 NPOES r- GROUNDWATER r DRINKING WATER i UST r RCRA r OTHER Email To' , 1 ,jrnlly purchase Order No.: . sI • P 1 Fax: project Name: �e P� Manaw Site Location STA TE. Requested pus Dato1TAT: Project Number. Pan PnAip i. 1 _ I l Requested Analysis Filtered (YM) Section D Matrix Codas e z Roraulndcwm Inwn%vlor! MATRIX f coca s COLLECTED Preservatives 3- Drinking Water OW ct water w r V waste water WW Product y sm SURT SoiVSofid SL c i� w +.r SAMPLE ID °t oL WipeWipeC u �; �- z .. m m Li} (A-Z. AR i Ar AR G w a o Sample IDs MUST SE UNIQUE Tissue TS O a i m et r U u Other OT V a r a z Z m m ~ LL O j 2 D = X Z trs Z t M = DATE TIME DATE TIME 4 tY Pace Project Not Lab I.D. 21 'J; t I 1 1 o; 00,16-, 3 D 1 11L� 10-' 0 YK b11—b A ; In CzXQ 7 8 4 ,a 12 ADDITnONALCOMMENTS RELINQU laYlAFFILIATION DATE TIME ACCEPTED BYIAFFILIATION DATE TUNE SAMPLE CONDITIONS i• •I`% 'to-)9 >i •i SAMPLER NAME AND SIGNATURE ORIGINAL Z. ` g a = PRINT Name of SAMPLER: p E 'I -c E g air SIGNATURE of SAMPLER: DATE Signed {MMIpONn. -- h E rn 'Lff4mant Note: 9y sanmp Inks tam you err ottauxV Penh NET 30 day payrnem remre one aFoeahp to tare charges of 1.5% om more+ for any krmims not paid rain 30 days, F-ALl-CI-023rev.07. 1 5-May-2007 �aCeftoiW' V VV4111VIIL 1\MII,V. Condition Upon Recoil Document Number: F-CHR-CS-003-rev.15 ...._....._..- -- -Page 1 of 2 _ Issuing Authority: Pace Huntersville Quality Office Client Name: Dow r;1,4At' Courier: ❑ Fed Ex ❑ UPS[] USPS❑ Client❑ Commercial P- Other O Ili T��.--.' n C�stady Seal on CoolerlBox Present: ❑ ye nof DIN Seals intact: ❑ yes ❑ na Packing Material: ❑ Bubble V[)p ❑ Bubble Bags ❑ None Other Thermometer Used: IR Gun 14f31 Type of Ice: 1! t Blue None • 0--samples on ice, cooling process has begun Temp Correction Factor T1401 No Correction Corrected Cool or Temp.: • �- •C Biological Tissue Is Frozen: Yes NodA7 Dateand InIS t person , Ining contents: 0 la Temp should be abgve freezing to 6'C - Comments: Chain of Custody Present: Imes ONO ONIA 1. Chain of Custody Filled Out: QYes (ONO ❑NIA 2. i — _ L �ic•fj Plw , Chain of Custody Relinquished: 04 ONO LIMA 3. Sampler Name & Signature on COC: ❑Yes lsWo ❑NIA 4. v %1 Samples Arrived within Hold Time: UK. ❑N, El NIA 5. Short Hold Time Analysis <72hr : Oyes ©d ❑NIA 6. Rush Turn Around Time Requested: Oyes 191(o ❑NIA 7. Sufficient Volume: Gi4l [IN, ❑NIA 8. Correct Containers Used: Ines ❑No ❑NIA 9. -Pace Containers Used: 6 4es ONO ❑NIA Containers Intact: Des ONO ❑NIA 10, Filtered vplume.received for Dissolved -tests .. ❑Yes ONO ❑ IA 11. 12. 1 f''�' f ' [s SD 1 D I-1 �r Sample Labels match COC: ❑Yes C3 o ❑NIA i'U •-v P -Includes datettimel141Analysis Matrix: y _ ,. }` _ i_,= A,I contulners needir-,7 u„ ya se.`sn t:avo hs : : t ^r :xJ. •. =- -,- t f C3 e's ONO 'DNIA All containers needing preservation are found to be in compliance with EPA recommendation. 1es No I ❑NA �� i; U .��5 • • Meplionc VOA, coliformr. TOC. OdG, wl-0110 (water) ❑��eY/�s Im �� Fitz y �' G ,j/, �� `� [ �• t V I�G Samples checked for dechlorination: lUfes .❑No ❑NIA 14, Heads ace in VOA Vials >6mm : ❑Yes Etwo ruA 15. Trip Blank Present: ❑Yes ONO 1941A 16. Trip Blank Custody Seals Present ❑Yes ONO ©IA Pace Trip Blank Lot # (if purchased):_. Cliont Notification! Resulutioii: Field Cm,, Required? Y .I N Person Contacted: Daterfime: Comments/ Resolution: ZZ ` •1 - ` (`(�)r ' �� SCURF Review: '� Date: I 1 Place label here SRF Review: �i��iL7 Date: = W�# : g2224�66 • Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR III�Il�I�l� 11111111 Certification Office (1.e out of hold, incorrect preservative, out of temp, I Ij incorrect containers) I« 82224866 Page 19 of 20 l December 8. 2014 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh. North Carolina 27699-1617 Transmittal 2014 Semi -Annual Stormwatcr Discharge Outfall Monitoring Report Permit No. NCS000077 Enclosed please find an original and one cope of the Semi -Annual Stormwater Discharge Monitoring Report (DMR) for Permit No. NCS000077. The stormwater event in which the samples were collected occurred on November 11. 2014. In the enclosed analytical report from Pace Analytical.. the reported results were all within the permit limits. The pH values for each of the storniNvater outfalls were tested on site on the day ofcollection and within the 15 minute time frame. The results met the desired benchmark value range and can be found in the attached stormwater discharge outfall (SDO) monitoring report. If you have questions or comments regarding this submittal. please contact Ronica Edgerton at 336-547-7120. Sincerely. hA '4'1j Jakc Fitzgerald Site Manager d fPkeAnalyiical wwwpacefabs.cont i November 25, 2014 Rachel Crowell DOW CORNING 2914 Patterson St Greensboro, NC 27407 RE: Project: STORM WATER Pace Project No.: 92224866 Dear Rachel Crowell: Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on November 10, 2014. 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, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com Project Manager Enclosures cc: Accounts Payable, DOW Corning Q.pCC! Fp�� 5 I' '9eORA� REPORT OF LABORATORY ANALYSIS This report shall not he reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 20 Page 1 of 1 Dow Corning Corporation Greensboro [Greensboro Plant] - 2914 Patterson Street Greensboro, NC 27407 Originator, RONICA EDGERTON [RSEDGERT] Phone : 336-547-7120 Miscellaneous Shipping Request MSR # 103762 Date Created : 2012-04-04 Ship to: Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 USA Contact Name: Ms. Jennifer Jones Contact Phone: 919-807-6379 Shipping Information: Weight: 0.1 lb Carrier: Tracking Number: Containers: Transport: Payment PRPD Cost Center: Shipment Value: 0 Shipped by . The requisitioner is responsible for attaching Material Safety Data Sheet(s) to the shipping documents Special Shipping Instructions: Next Day Air Description: Dow Corning Greensboro - Stormwater Qualitative and Quantitative Data Eltr-�11[90\1911 Vt7 DO LR 9 2012 - wATgH QUALITY http://intranetapp/returnorder/msr report.asp?From=MSR&Reeld=103762 4/4/2012 DOW CORNING April 4, 2012 Ms. Jennifer Jones Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 RE: Dow Corning Greensboro Qualitative and Quantitative Data Dear Ms. Jones: Enclosed is the data for the 2011- 2006 Stormwater information. If you have any questions regarding the information, please contact Mrs. Ronica Edgerton at (336) 547-7120. Sincerely, DOW CORNING CORPORATION Ronica Edgert n EHS&S Engineer r November 3, 2011 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Transmittal 2011 Semi -Annual Wd Half) Stormwater Discharge Outfall Monitoring Report Permit No. NCS000077 Enclosed please find an original and one copy of the Semi -Annual Stor•mwater Discharge Monitoring Report (DMR) for Permit No. NCS000077. Samples of a representative storm event were obtained on September 21, 2011. The results of the samples showed that the Total Suspended Solids benchmark values were exceeded for Outfalls 2, 5, and 6 and slightly exceeded for pH for Outfalls 5 and 6. It was investigated and determined that for Outfall No. 2, the grass had been cut the previous day which may have elevated the dirt and debris levels in the stormwrater sewer. There has also been on -going construction activity in the vicinity of Outfalls 5 and 6. The secondary containment area contained dirt residue that would have attributed to the elevated Total Suspended Solids when lire sample was taken. This area was pressure washed and cleaned to remove the dirt residue. Another set of samples for Outfalls 2, 5 and 6 were obtained during a storm event which occurred on October 19, 2011. The results of these tests were all within the benchmark value limits. If you have questions or comments regarding this submittal, please contact Ronica Edgerton at 336- 547-7120. Sincerely, Pamela Berry Site Manager STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS 000 0 ' or Certificate of Coverage Number: NCG FACILITY NAME ^ DG�`r (- rp; r)cl - Gfe 5Sbwo PERSON COLLECTING SAMPLE(g) P�yj R.;;Ar.4 CERTIFIED LABORATORY(S) I`Lab # ram.. o Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 261f (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY GE[ J k rG'f P N . (33� .1 (SIGNA PERM E OR DESIGNEE) By this signature, I certify thak this report is accurate complete to the best of my knowledge. • 1 Date11 Sample Collected I 1 1 r 1 ' 1 - • I ® s / Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes x no (if yes, complete Part $) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches mgA mo Units gwmw Form S) U-246-062310 h _ _ . . / `.j STORM EVENT CHARACTERISTICS: Date " ! At Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date C?Jli Total Event Precipitation (inches): Q • L Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Ralei;h, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Permit{ee) (Date] I Form SWU-246-062310 n- -- 1 _r IN I .PaceAnalj ftal l w mpacelabs.com Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)823-8921 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersvtlle, NC 28078 (704)875-9092 Project: SAMPLING 9121 Pace Project No.: 92102935 Sample: OUTFALL 2 Lab ID: 92102935002 Collected: 09121111 09:35 Received: 09/22111 14:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 132 mg1L 8.3 1 0912311i 22:36 9040 pH Analytical Method: EPA 9040 pH 8.4 Sid. Units 0.10 1 09/28/11 15:50 HIS Total Nitrogen Calculation Analytical Method: 40CFR PART 503 Nitrogen 3.6 mglL 0.60 1 09129/11 10:57 7727-37-9 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351,2 Nitrogen, Kjeldshl, Total 1.7 mg1L 0.50 1 10/03/11 11:15 7727-37-9 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 1.8 mg1L 0.20 1 10/04/11 17-'0B 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.25 mg1L 0.050 1 10/04/11 09:00 7723-14-0 Date: 10/05/2011 02:05 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analyticat Services, Inc.. Page 6 of 17 a Paco Analytical Services, Inc. Pace Analytical Services, Inc. Paco Analytical Services, Inc. aceftlyrrcal 205 East Meadow Road - Suite A 2225 Riverside Dr, 980D KinceyAve. Suite 10D ` www.paco)abs.com Eden, NC 2728E Asheville, NC 28804 Hunlersville, NC 26076 (336)623-6921 (828)254-7176 (704)875-9092 f ANALYTICAL RESULTS Project: SAMPLING 9121 Pace Project No-: 92102935 Sample: OUTFALL 3 Lab iD: 92102935003 Collected: 09/21111 09:50 Received: 09/22/11 14:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 11.9 mg/t_ 4.4 1 09123/11 22:37 9040 pH Analytical Method: EPA 9040 pH 8.6 Std. Units 0.10 1 09/28/11 15:50 H6 Total Nitrogen Calculation Analytical Method: 40CFR PART 503 Nitrogen 3.2 mg1L 0.60 1 09/29111 10:57 7727-37-9 361.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 2.1 mg1L 0,50 1 10/03/11 11:17 7727-37-9 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 1.1 mg/L 0.20 1 10/04/11 17:09 366.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.19 mg1L 0.050 1 10/04/11 09:01 7723-14-0 Date: 10/05/2011 02:05 PM REPORT OF LABORATORY ANALYSIS Page 7 of 17 This report shall not be reproduced, except in Full, without the written consent of pace Analytical Services, Inc.. laceAnal�/fical " J` wwwpacelahs.com t i Project: SAMPLING 9121 Pace Project No.: 92102935 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 2728E (336)823-8921 Paco Analytical Services, Inc. 2225 Riverside dr. Asheville, NC 28B04 (82B)254.7176 ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 KineeyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: OUTFALL 4 La6 iD: 92102935004 Collected: 09/21/11 09:55 Received: 09/22/11 14:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 15.7 mg1L 6.0 1 09/23111 23:56 D6 9040 pH Analytical Method: EPA 9040 pH 8A Sid. Units 0.10 1 09128/11 15:50 H6 Total Nitrogen Calculation Analytical Method: 40CFR PART 503 Nitrogen 1.4 mg/L 0.60 1 09/29/11 10:57 7727-37-9 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 0.76 mglL 0.50 1 10/03/11 11:18 7727-37-9 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.64 mg1L 0.20 1 10/04/11 17:11 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.057 mg1L 0.050 1 10/04/11 09:02 7723-14-0 Date: 10/05/2011 02:05 PM REPORT OF LABORATORY ANALYSIS Page 8 of 17 This report shall not 6e reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. ror JaceAnalj/�icaI J` - w4sw.pacelabs.00m Project: SAMPLING 9121 Pace Project No.: 92102935 Paco Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NG 27288 (336)623-8921 Paco Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 ANALYTICAL RESULTS Pace Analytical Services, Inc. 980D Kincey Ave. Suite IoD Huntersville, NC 28078 (704)875-9092 Sample: OUTFALL 5 Lab ID: 92102935005 Collected: 09/21/11 10:00 Received: 09/22/11 14.30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 260 mg/L 15.1 1 09/23/11 23:56 9040 pH Analytical Method: EPA 9040 pH 9.2 Std. Units 0.10 1 09/28/11 15:50 H6 Total Nitrogen Calculation Analytical Method: 40CFR PART 503 Nitrogen 4.7 mg1L 0.60 1 09/29/11 10:57 7727-37-9 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 3.8 mgtL 0.50 1 10/03/11 11:21 7727-37-9 363.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.98 mg1L 0,20 1 10/04/11 17:12 365.1 Phosphorus, Total Analytical Method: EPA 365A Phosphorus 0.38 mg/L 0.050 1 10/04/11 09:03 7723-14-0 Date: 10/05/2011 02:05 PM REPORT OF LABORATORY ANALYSIS Page 9 of 17 This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. /-aceAnal�/�rca! l` www-pac0abs.aorn 1 1 Project: SAMPLING 9/21 Pace Project No.: 92102935 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (338)623-8921 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28B04 (B28)254-7176 ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 10o Huntersvilte, NC 28078 (704)B75-9092 Sample: OUTFALL 6 LabID: 92102935006 Collected: 09/21/11 10A0 Received: 09/22/11 14:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 681 mg1L 13.7 1 09/23/11 23:56 9040 pit Analyticat Method: EPA 9040 pH 9.1 Std. Units 0.10 1 09128/11 15:50 H6 Total Nitrogen Calculation Analytical Method: 40CFR PART 503 Nitrogen 5.4 mg1L 0.60 1 09/29/11 10:57 7727-37-9 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahi, Total 4.2 mg1L 0.50 1 10/03/11 11:22 7727-37-9 353.2 Nitrogen, N021NO3 Ares. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 1.1 mg1L 0.20 1 10/04/11 17:13 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.36 mglL 0.050 1 10/04/11 09:05 7723-14-0 Date: 10/05/2011 02:05 PM REPORT OF LABORATORY ANALYSIS Page 10 of 17 This report shall not be reproduced, except in Full, without the written consent of Pace Analytical Services, Inc.. acoAnaljdiical wwwpacolabs.cem i Project: SAMPLING 9l21 Pace Project No.: 92102935 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Pace Analytical Services, Inc. 2225 Riverside dr. Asheville, NC 28804 (828)254-7176 QUALITY CONTROL DATA QC Batch: WETI18007 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92102935001, 92102935002, 92102935003 METHOD BLANK: 663961 Matdx: Water Associated Lab Samples: 92102935001, 92102935002, 92102935003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 09/23/11 22:32 LABORATORY CONTROL SAMPLE. 663982 Parameter Units Total Suspended Solids mg/L SAMPLE DUPLICATE: 663963 Parameter Total Suspended Solids Units mglL Paco Analytical Services, Inc. 9800 KinceyAve. Suite too Huntersville, NC 28078 (704)B75-9092 Spike LCS LCS % Rec Cone. Result % Rec Limits Qualifiers 250 258 103 80-120 92103006001 Dup Max Result Result RPD RPD Qualifiers ND ND 10 Date: 10/05/2011 02:05 PM REPORT OF LABORATORY ANALYSIS Page 11 of 17 This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. aceAnalXical rnaw.pacelabs.00m 1 Project: SAMPLING 9121 Pace Project No.: 92102935 Pace Analytical Services, Inc. 205 East Meadow Road - Suite Eden, NC 27288 (336)623.6921 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QUALITY CONTROL DATA QC Balch: WET118008 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92102935004, 92102935005, 92102935006 METHOD BLANK: 663964 Matrix: Water Associated Lab Samples: 92102935004, 92102935005, 92102935006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 09/23/11 23:55 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite too Huntersville, NC 28078 (704)875-9D92 LABORATORY CONTROL SAMPLE: 663965 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mglL 250 246 98 80-120 SAMPLE DUPLICATE: 663966 Parameter Total Suspended Solids 92102935004 Dup Units Result Result mg1L 15.7 18.3 Max RPD RPD Qualifiers 15 10 D5 Date: 10/05/2011 02:05 PM REPORT OF LABORATORY ANALYSIS Page 12 of 17 This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. CeAna c81 - rrr.mwala.ram CHAIN -OF -CUSTODY 1 Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately, sREGULATORY A�G-ENOY UST RCRA T- OTHER IA . 1: 1. • a■■■■■■■■■■■■ Drinkirg Water • • water WT •. SAMPLE ID il OL Wipe WP eEE ■��� ° ■■■■e■■■■■■■■■ EM■■■■■■MEMO■ � e � N: _ _ ■■r»c■■■■■E�■■■■■O■■ f r ■■■■■■■■■■MOO r� er.�Or. ■■�r� • . �■■■■�■■■■■■■■ ■■■■■MOO■■■OM �21-ftl Lo ' �� iion 'Important Note: By Signav ft farm you are aocapwv Pace's NET 30 day paymira temp and aGn•Bra to Late QJ a of 1 SY — —Wr ; '....,.. -L-"-_ uocument Name: uocurnGrrl r%Cv{snu..ru+y cy, e-., i Sample Condition Upon Recel t Page 1 of 2 ZAMIXal' SCUR Issuing Authority: Document Number: 9 y: F-CHR-CS-03-rev.05 Pace Huntersville Quality Office Client Name: r�SProject # 2/c„4S Where Received: [Huntersville ❑ Asheville (] Eden Courier: ❑ Fed Ex ❑ UPS❑ USPS❑ Client❑ CommercialEg" Pace Other D `TlIt.j�'r Custody Seal on Cooler/Box Present: ❑ yes 1-1❑ no Seals Intact: yes no �� . Prof�ate�. .�.: Packing Material: ❑ Bubble Wrap ❑ Bubble Bags ER"'None (] Other Thermometer Used: IR Gun T7102 Type of Ice:5e%t\ Blue None Samples on ice, cooling process has begun rmmn Cnrrac4inn Factor Add / Subtract 0 'C Corrected Cooler Temp.: C p•' hemp should be above freezing to WC Biological Tissue Is Frozen: Yes No NIA Comments: Date and Initial of person examining contents: el_ Q - Uk Chain of CustodX Present: 91 es ON, ❑N!A 1, Chain of Custody Filled Out: RVI� 2 -N, ❑NIA 2. W CA Chain of Custody Re1in q wished: (s ❑No ❑NIA 3,� 5 Q+� TKN t NO�t tvD3OC Sampler Name & Signature on COC: 8 rles ONO ❑NIA 4. Samples Arrived within Hold Time: l�res ONO ❑NIA 5. Short Hold.Time Analysis <72hr : Oyes ErNo ❑NIA 6• lush Turn Around Time Requested.- ❑Yes 24 ❑NIA 7. Sufficient Volume: Kes ❑No ❑NIA t3. Correct Containers Used: -Pace Containers Used: Yes ON, B<,, [IN, ❑NIA ❑NIA 9.'"• ---#-� OL* :ontainers Intact: 7res [:)No ❑NIA 10. :filtered volume received for Dissolved tests ❑Yes ❑No 061A 11. iample Labels match COC: -Includes date/time/ID/Analysis Matrix: ❑Yes trio ❑NIA 12. C1b ACALP- oc VVV•,P— pl>\ S0.Mp�e- \ 111 containers needing preservation have been checked. 1il containers needing preservation are found to be in :ompliance with EPA recommendation. !xceptions: VOA, collform, TOC, O&G, WI•DRO (water) ON, Yes ON. []Yes ❑No ❑NIA ❑N!A 13. Initial when completed Samples checked for dechtodnation: ©Yes ❑No 14. A' %po leadspace in VOA Vials >6mm : ❑Yes ❑No EMIA 15. Ak S(nV'0\e— pinasphalu5 "CAN Trip Blank Present: Frip Blank Custody Seals Present 'ace Trip Blank Lot # if purchased): ❑Yes ❑No ❑Yes ❑No I IIA �UA 16. "lient Notification/ Resolution: Field Data Required? Y ! N Person Contacted: Date[Time: Comments/ Resolution: X C'�- "tNO SCURF Review: JDate: 9 2!/ SRF Review: Date: Z3 Jote: Whenever th a discrepancy affecting North Carolina compliance samples, a copy Is form will be sent to the North Carolina DEHNR 'ortification Office (Le out of hold, Incorrect preservative, out of temp, Incorrect containers) eAnalj cal. www.pstelahs.00m November 03, 2011 Mr. Phil Rumley DOW CORNING 2914 Patterson St Greensboro, NC 27407 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A RE: Project: Outfalls 2, 5, 6 Pace Project No.: 92104821 Dear Mr. Rumley: Eden, NC 2728E (338)823-8921 Pace Analytical Services, Inc. 2225 Riverside trr. Asheville, NC 28804 (828)254-7176 Pace Analytical Services, Inc. 9800 XinceyAva, Suite 100 Huntorsville, NC 28078 Enclosed are the analytical results for sample(s) received by the laboratory on October 20, 2011. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards, where applicable, unless otherwise narrated 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. Per client request, report re -issued November 11, 2011 to update sample collection date from 10/12/11 to 10/19/11. If you have any questions concerning this report, please feel free to contact me. Sincerely, �z Kevin Godwin kevin.godwin@pacelabs.com Project Manager Enclosures cc: Accounts Payable, DOW Corning rACCRfi REPORT OF LABORATORY ANALYSES This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, Inc.. (704)B76-9092 Page i of 13 eAnalytical sxm!Facela6s.aom Project: Outfalis 2, 5, 6 Pace Project No.: 92104821 Pare Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 2728E (338)523-8921 Asheville Certification IDs 2225 Riverside Dr., Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification M. M-NC030 North Carolina Drinking Water Certification #: 37712 North Carolina Wastewater Certification #: 40 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 2BB04 (828)254-7176 CERTIFICATIONS South Carolina Certification #: 99030001 Virginia Certification M 00072 West Virginia Certification #: 356 VirglnaNELAP Certification #: 460147 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. 980D KlnceyAve. Suite 100 Hunlersville, NC 28078 (704)875-9092 Page 2of13 d Pace Analytical Services, Inc. Pace Analytical Services, Inc. Pace Analytical Services, Inc. _ aceAnalytical 205 East Meadow Road - Suite A 2225 Riverside Dr. 9aU0 Kincey Ave. Suite 100 r www.pacelabs.com Eden, NC 27288 Asheville, NC 20B04 Huntersville, NC 28076 (336)823-8921 (828)254.7176 (704)875-9092 J SAMPLE SUMMARY Project: Outfalls 2, 5, 6 Pace Project No.: 92104821 Lab ID Sample ID Matrix Date Collected date Received 92104821001 Outfall #2 Water 10/19/11 09:20 10/20/11 14:10 92104821002 Outfall #5 Water 10/19/11 09:40 10/20/11 14:10 92104821003 Outfall #6 Water 10M9111 09:50 10/20/11 14:10 REPORT OF LABORATORY ANALYSIS Page 3 of 13 This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. ,PaceAna1 i�ca1 l` wwwpacefabs.com I Project: Outfalls 2, 5, 6 Pace Project No.: 92104821 Lab ID Sample ID 92104821001 Outfall #2 92104621002 Outfall #5 92104821003 Outfall #6 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)B23-8921 Pace Analytical Services, Inc. 2226 Riverside Dr. Asheville, NC 20B04 (828)264.7176 SAMPLE ANALYTE COUNT Method SM 2640D EPA 9040 40CFR PART 503 EPA 351.2 EPA 353.2 EPA 365.1 SM 2540D EPA 9040 40CFR PART 503 EPA 351.2 EPA 353.2 EPA 365.1 SM 2540D EPA 9040 40CFR PART 503 EPA 351.2 EPA 353.2 EPA 365.1 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services. Ino.. Analysts GW1 EWS EWS JDA DMN JDA GW1 EWS EWS JDA DMN JDA GWt EWS EWS JDA DMN JDA Pace Analytical Services, Inc. 9800 KinceyAve. Suite i0D Huntersvllle, NC 28078 (704)876-9092 Analytes Reported Laboratory 1 PAS! -A 1 PASI-A 1 PASI-A 1 PASI-A 1 PAS! A 1 PASI-A 1 PASI-A 1 PASI-A 1 PASI-A 1 PAS! A 1 PASI-A 1 PASI-A 1 PASI-A 1 PASIA 1 PAS! A i PASI-A 1 PASI-A 1 PASI-A Page 4 of 13 - PaceAnal.Xical www.pacetabs.com i Project: Outfalls 2, 5, 6 Pace Project No.: 92104821 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (330)823.8921 Pace Analytical Services, Inc. 2226 Riverside Dr. Asheville, NC 28804 (828)254-7176 ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9082 Sample: Outfall #2 Lab lD: 92104821001 Collected: 10/19/11 09:20 Received: 10/20/11 14:10 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids NO mg1L 7.8 1 10/20/11 23:58 9040 pH Analytical Method: EPA 9040 pH 7.2 Std. Units 0.10 1 10/21/11 11:10 H6 Total Nitrogen Calculation Analytical Method: 40CFR PART 503 Nitrogen NO mg/L 0.70 1 10/21/11 13:47 7727-37-9 361.2 Total KJeldahl Nitrogen Analytical Method: EPA351.2 Nitrogen, KJeldahl, Total ND mg/L 0.50 1 10/29/11 10:53 7727-37-9 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 NO mg/L 0.20 1 11/01/11 15:11 366.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.096 mg/L 0.050 1 10/31/11 16:02 7723-14-0 Date: 11/03/2011 11:00AM REPORT OF LABORATORY ANALYSIS Page 5 of 13 This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc„ laceAnalj6ca( ►swwpaoela6s.cnm 1 Project: Out(alls 2, 5, 6 Pace Project No.: 92104821 Paco Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 2728B (336)623.8921 Paco Analytical Services, Inc. 2225 Riverside dr. Ashav€lle, NC 20804 (828)254-7170 ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 KlnceyAva, Suite 100 HuntersviiJe, NC 28078 (704)B75-9092 Sample: Outfali #5 Lab ID: 92104821002 Collected: 10/19/11 09:40 Received: 10/20/11 14:10 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 32.7 mg/L 5.6 1 10/20/11 23:58 9040 pH Analytical Method: EPA 9040 pH 6.9 Std. Units 0.10 1 10/21/11 11:10 H6 Total Nitrogen Calculation Analytical Method: 40CFR PART 503 Nitrogen ND mg1L 0.70 1 10/21/11 13:47 7727-37-9 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total ND mg1L 0.50 1 10129/11 10:55 7727-37-9 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 ND mg1L 0.20 1 11/01/11 16:12 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.082 mg/L 0.050 1 10/31111 16:02 7723-14-0 Date: 11/03/2011 11:00AM REPORT OF LABORATORY ANALYSIS Page 6 of 13 This report shell not be reproduced, except In full, without the written consent of Pace Analytical Services, Inc.. 117AIceAnalXical . www.pacelabs.cam , Project: Outfalls 2, 5, 6 Pace Project No.: 92104821 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27268 (338)823.8921 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28604 (628)264.7176 ANALYTICAL RESULTS Pace Analytical Services, Inc. 98DD KlnceyAve. Suite 100 Huntersvllle, NC 28078 (704)975-9092 Sample: Outfall #6 Lab ID: 92104821003 Collected: 10/19/11 09:50 Received: 10/20111 14:10 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 9.6 mgp- 3.2 1 10/20/11 23:59 9040 pH Analytical Method: EPA 9040 PH 7.1 Std. Units 0.10 1 10/21/11 11:10 H6 Total Nitrogen Calculation Analytical Method: 40CFR PART 503 Nitrogen ND mg1L 0.70 1 10/21/11 13:47 7727-37-9 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahi, Total ND mg1L 0.50 1 10/29/11 10:57 7727-37-9 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 ND mg1L 0.20 1 11/01/11 15:13 365.1 Phosphorus, Total Analytical Method: EPA365.1 Phosphorus ND mg1L 0.050 1 10/31/11 16:03 7723-14-0 Date: 11/03/2011 11:00AM REPORT OF LABORATORY ANALYSIS Page 7 of 13 This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. rPaceAnal'rtical www.pacelabs.com Project: Outfalls 2, 5, 6 Pace Project No.: 92104821 Paco Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QUALITY CONTROL DATA QC Batch: WET/18327 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92104821001. 92104821002, 92104821003 Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 METHOD BLANK: 676048 Matrix: Water Associated Lab Samples: 92104821001, 92104821002, 92104821003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 10/20/11 23:57 LABORATORY CONTROL SAMPLE: 676049 Spike LCS LCS % Rec Parameter Units Cone. Result % Roe Limits Qualifiers Total Suspended Solids mg/L 260 248 99 80-120 SAMPLE DUPLICATE: 676050 Parameter Total Suspended Solids 92104821001 Dup Units Result Result mg1L ND ND Max RPD RPD Qualifiers 10 H1 Dale: 11/03/2011 11:00AM REPORT OF LABORATORY ANALYSIS Page 8 of 13 This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, Inc.. ® Pace Analytical Services, Inc, Pace Analytical Services, Inc. aceAnalytical 205 East Meadow Road SulteA 2225 R€versida Dr. rswwwc&labs.com Eden, NC 27288 Asheville, NC 28804 (336)923.8921 (828)254.7176 1 QUALITY CONTROL. DATA Project: Outfalls 2, 5, 6 Pace Project No.: 92104621 Pace Analytical Services, Inc. 9800 KlnceyAve. Suite 100 Huntersville, NC 28078 (704)B75-9092 QC Batch: WET/18333 Analysis Method: EPA 9040 QC Batch Method: EPA 9D40 Analysis Description: 9D40 pH Associated Lab Samples: 92104821001, 92104821002, 92104821003 SAMPLE DUPLICATE: 676114 92104337001 Dup Max Parameter Units Result Result RPD RPD Qualifiers pH Std. Units 6.5 6.5 1 20 H6 SAMPLE DUPLICATE: 676115 92104337002 Dup Max Parameter Units Result Result RPD RPD Qualifiers pH Std. Units 7.1 6.9 2 20 H6 Date: 11/03/2011 11:00 AM REPORT OF LABORATORY ANALYSIS Page 9 of 13 This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. �acl`9Analj6cale "W..pacelads.00m 1 Project'. Outfalls 2, 5, 6 Pace Project No.: 92104821 Pace AnalylicaI Services, Inc. 205 Easl Meadow Road - Suite A Eden, NC 27288 (336)823.8921 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 2e804 (828)254-7176 QUALITY CONTROL DATA QC Batch: WETA110859 Analysis Method: EPA 351.2 QC Batch Method: EPA 351.2 Analysis Description: 351.2 TKN Associated Lab Samples: 92104821001, 92104821002, 92104821003 Pace Analytical Services, Inc. 9BOO Kincey Ave. Suite 1oo Huntersville, NC 28078 (704)875.9092 METHOD BLANK: 679579 Matrix: Water Associated Lab Samples: 92104821001, 92104821002, 92104821003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, Kfeldahl, Total mg1L ND 0.50 10/29/11 10:37 LABORATORY CONTROL SAMPLE: 6795BO Spike LCS LCS % Rec Parameter Units Cane. Result % Rec Limits Qualifiers Nitrogen, Kjeldahl, Total mg1L 10 9.8 98 90-110 MATRIX SPIKE SAMPLE: 6795B1 92104721003 Spike MS MS %Rec Parameter Units Result Cone. Result % Rec Limits Qualifiers Nitrogen, Kjeldahl, Total mg1L 3.4 10 14.2 108 90-110 MATRIX SPIKE SAMPLE: 679583 92104821001 Spike MS MS % Rec Parameter Units Result Cone. Result % Rec Limits Qualifiers Nitrogen, Kjeldahl, Total mg1L ND 10 10.8 108 90-110 SAMPLE DUPLICATE: 679582 92105170001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Nitrogen, Neldahl, Total mg/L 1.3 1.3 4 20 SAMPLE DUPLICATE: 679584 92104821002 Dup Max Parameter Units Result Result RPD RPD Qualifiers Nitrogen, Kjeldahl, Total mg/L ND ND 20 Date: 11/03/2011 11:00AM REPORT OF LABORATORY ANALYSIS Page 10 of 13 This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, Inc.. 1aceAnalytical0 wwwpaasJabacarn Project•. Outfalls 2, 5, 6 Pace Project No.: 92104821 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27286 (336)823-8921 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7178 QUALITY CONTROL DATA QC Batch: WETA110880 Analysis Method: EPA 353.2 QC Batch Method: EPA 353.2 Analysts Description: 353.2 Nitrate + Nitrile, preserved Associated Lab Samples: 92104821001, 92104821002, 92104821003 METHOD BLANK: 680856 Matrix: Water Associated Lab Samples: 92104821001, 92104821002, 92104821003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, NO2 plus NO3 mg1L ND 0.20 11101/11 14:43 LABORATORY CONTROL SAMPLE: 6BO857 PaceAnalytical Services, Inc. 9300 Kincey Ave. Suite 10o Huntersville, NC 28078 (704)876.9092 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Nitrogen, NO2 plus NO3 mgll. 5 5.0 99 90410 MATRIX SPIKE SAMPLE: 680858 92104941007 Spike MS MS % Rec Parameter Units Result Cone. Result % Rec Limits Qualifiers Nitrogen, NO2 plus NO3 mg/L ND 5 5.3 106 90-110 MATRIX SPIKE SAMPLE: 680860 92104941010 Spike MS MS % Rec Parameter Units Result Cone, Result % Rec Limits Qualifiers Nitrogen, NO2 plus NO3 mg1L 0.38 5 5.6 104 90-110 SAMPLE DUPLICATE: 680859 92104941007 Dup Max Parameter Units Result Result RPD RPD Qualifiers Nitrogen, NO2 plus NO3 mg1L NO ND 20 SAMPLE DUPLICATE: 680861 92104941010 Dup Max Parameter Units Result Result RPD RPD Qualifiers Nitrogen, NO2 plus NO3 mg1L 0.38 0.37 2 20 Date: 11/03/2011 11:00AM REPORT OF LABORATORY ANALYSIS Page 11 of 13 This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, Inc.. ,�aceAnalXical WM..pacota8s.com Project: Outfalls 2, 5, 6 Pace Project No.: 92104821 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)823-8921 Paco Analytical Services, Inc. 2225 Riverside Ur. Asheville, NC 28804 (628)254-7176 QUALITY CONTROL DATA QC Batch: WETA/10869 Analysis Method: EPA 365.1 QC Batch Method: EPA365.1 Analysis Description: 365.1 Phosphorus, Total Associated Lab Samples: 92104821001, 92104821002, 92104821003 METHOD BLANK: 680310 Matrix: Water Associated Lab Samples: 92104821001, 921048210D2, 92104821003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Phosphorus mg/L ND 0.050 10/31/1115:57 LABORATORY CONTROL SAMPLE: 680311 Pace Analytical Services, Inc, 0800 KlnceyAve. Suite 1o0 Huntersvllle, NC 28078 (704) 875-8092 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Phosphorus mg/L 2.5 2.5 101 90-110 MATRIX SPIKE SAMPLE: 680312 92104786001 Spike MS MS % Rec Parameter Units Result Cone. Result % Rec Limits Qualifiers Phosphorus mg/L 4.7 2.5 7.2 100 90-110 MATRIX SPIKE SAMPLE: 680314 92105163001 Spike MS MS % Rec Parameter Units Result Cone. Result % Rec Limits Qualifiers Phosphorus mg/L 31.5 2.5 34.1 103 90-110 SAMPLE DUPLICATE: 680313 92104798001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Phosphorus mg/L 13.2 13.1 1 20 SAMPLE DUPLICATE: 680315 92106163002 Dup Max Parameter Units Result Result RPD RPD Qualifiers Phosphorus mg/L 0.081 ND 20 Date: 11/03/2011 11:00AM REPORT OF LABORATORY ANALYSIS Page 12 of 13 This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. "Anal ftal a www.pacefabs.com r Project: Outfalls 2, 5, 6 Pace Project No.: 92104821 DEFINITIONS Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)523-8921 QUALIFIERS Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Pace Analytical Services, Inc. 9800 KlnceyAve. Suite loo Huntersvllle, NC 28078 DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes In sample preparation, dilution of the sample aliquot, or moisture content. 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. S - Surrogate 1,2-Diphenylhydrazine (8270 listed analyze) decomposes to Azobenzene. 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 - Nol Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. N-Nitrosodiphanylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyze is a combined concentration. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analyzes. LABORATORIES PASI-A Pace Analytical Services -Asheville ANALYTE QUALIFIERS H1 Analysis conducted outside the EPA method holding time. H6 Analysis initiated more than 15 minutes after sample collection. (704)875-9D92 Date: 11/03/2011 11:0DAM REPORT OF LABORATORY ANALYSIS Page 13 of 13 This report shall not be reproduced, except in full, vfithout the written consent of Pace Analytical Services, Inc.. .Pacekialyiical' www.paeelabs.cem Section A Recuired Client Information: CHAIN -OF -CUSTODY 1 Analytical Request Document The Chainof-lZiustody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section B Section C Raauired Protect Information: Im. i- In+­� Page: or Com+ Report To: Attention: i t {/� 2 620 i 3panrry t n r L i1 fc ! i t .• r Lr r• :' t Address: t K' �u I Company Name: REGULATORY n • -` _, V, ,., _ ��fZ rJ { N4 �, M Address: r NPDES f GROUND WATER DR{NK�NG WATER r- UST r R CfL4 OTHER Email To: , f� n purchase Order No.: Pact quote Reference: Phone: Fax: ; Project Name: { Paco Prick Pam Manager % t -' 5 Location STA7E f J C Requested Due DatwTAT: Project Number. Paw Protfe # Requested Analysis Filtered (YIN) Section D Matrix Codes Required Client Informi MATRIX 1 COOE o COLLECTED Preservatives a' Drinking water OW q u 11 o Water WT wastewater WW m comp) ITE COMPaSi U Product P - start ErtafGRtiB j Z SoiVSolid SL 0 p y SAMPLE lD � � W Wipe WF, (A-Z, 0-9 J ,-i Air AR p 0- H Sample IDs MUST BE UNIQUE Tissue TS d a � F m {a Other OT X LLj m n $ a u a n KJ a LL p = a) W q y TIME DATF TIME z r z z Q ,w Ir Pace Project NoJ Lab I.D. 2 r"S`]� �,"• 1! cut s 4 5 6 7 S 9 J12 1 1 1 1 1 1 ++M ADDITIONAL COMMENTS RELINQUISHED BY!AFFILWTION DATE / TIME ACCEPTED BY I AFRLIATION DATE A J TIME SAMPLE CON DITIONS I J � ll It L iC'� fVli2ti • r SAMPLER NAME AND SIGNATURE aj C.�,jm PRINT Name of SAMPLER. ��yy } _ ! n ? z SIGNATURE of SAMPLE" 1� DATE Signed q E . rL`�1 {MM11i N 'Important Note: By signing this farm you are accep8mg Paw's NET 30 day Payment [arras and agreeing to faie charges of t .5% 1 month for any invoices rot paid within 30 ". r-A i i Document Name: Document Revised: July 29, 2011 �dCeAnalyliCal Sample Condition Upon Receipt SCUR Page i of 2 Where Received: Document Number: Issuing Authority. F-CHR-CS-03-rev,05 Pace Huntersville Quality Office Client Name: Project # ZHuntersville ❑ Asheville [] Eden Courier: ❑ Fed Ex ❑ UPS❑ USPS❑ Client❑ C merclaC Pace Other Wtrdna k- o �I. , ro 2- ex Custody Seal on Cooler/Box Present: ❑ yes no Seals intact: ❑ yes ❑ no �?�t, .. t Po),gfame` Packing Material: ❑ Bubble Wrap ❑ Bubble Bags E<None ❑ Other Thermometer Used: IR Gun T1102 Type of ice DWe Blue None ❑ Samps on ice, coaling process has begun Temp Correction Factor Add / Subtract 0 'C Corrected Cooler Temp.: C rem should be above freezing to WC Biological Tissue Is Frozen: Yes No NIA Comments: pate and In tials of persq c n contents:I -haln of Custody Present: es ❑No ❑NIA 1, chain of Custody Filled Out: es ❑No ❑NIA 2, chain of Custody Relln uished: es No ❑NIA 3. lam ler Name & Signature on COC: Wes ❑No ❑NIA 4. iamples Arrived within Hold Time: es ❑No ❑NIA 5, Short Hold Time Anal is <72hr : ❑Yes No ❑NIA 6. 17. Rush Turn Around Time Requested: ❑Yes dNo ❑NIA 3uff)cient Volume: es ❑No ❑NIA B. 'orrect Containers Used: -Pace Containers Used: Al ❑No 4Y. No ❑NIA ❑NIA g. ,'ontainers Intact: ffys ❑No QVK 10, -filtered volume received for Dissolved tests ❑Yes ❑No ❑NIA 11. iample Labels match COC: -Includes dateltime/ID/Ana! sis Matrix: eslvo ❑NIA 12NID nK tit containers needing preservation have been checked. kit containers needing preservation are found to be in :ompliance with EPA recommendation. •xceptions: VOA, coiiform, TOC, O&G. WI-ORO (water) Yes ❑No Yes ❑No ❑Yes ❑No ❑NIA ❑NIA 13. Initial when cwmple S lam les checked for dechlorination: []Yes IrNo ❑NIA likaWya -leadspace in VOA Vials >6mm : ❑Yes ❑No NI 15. Frip Blank Present: Frip Blank Custody Seals Present 'ace Trip Blank Lot # if purchased): ❑Yes ❑No ❑Yes ❑No 7NIA 16. ;Ifent Notification/ Resolution: Field Data Required? Y ! N Person Contacted: Datefflme: Comments/ Resolution: CL-:- f Vu sc., �.. ( A S f �F•�C iCURF Review: bate: Io eo it I SRF Review: /� pate: Itp zi / dote: Whenever the s a discrepancy affecting North Carolina compliance samples, a copy of this form be sent to the North Carolina DEHNR ;ertification Office (Le out of hold, incorrect preservative, out of temp, incorrect containers) From: Behm, Pamela Sent: Friday, March 30, 2012 11:16 AM To: Jones, Jennifer Subject: 2012 draft 303(d) list We submitted the draft list to EPA this morning for approval. The list sent to EPA includes the impairments for 16-11-14-2a, see below. Fluoride, selenium, and cyanide has been moved to the AU 16-11-14-2c because the TMDL was developed to address the discharge specifically, so I don't think that needs to be a component of your permit. Hope this helps! If you have any other questions, give me a call. Thanks, Pam 2012 North Carolina 303(d) List -Category 5 'lOrvdigi[ilNate sFie 0303QUOZUI; _ — --- Ri e[Iy�Fa ]+ RU Numbey% Nfiret: Deacrlpl%r+ J T Category Rating Use Reason for Rating > 16.11-14-La South Buffalo Creek From source to McConnell Rd Lrrvkat tote Units claszmcnilan I category Parameter Year 15.4 FW Miles WS•V;NSW 5 5 Impaired Aquatic Life Fair Bioclassiflcation Ecological/biological integrity FishCom 2012 + 5 Impaired Aquatic Life Fair Biocla5sification Ecological/biological Integrity Benthos 2008 > 16-11-14.2b South Buffalo -Crack From McConnell Rd to U$ 70 4.7 FW Miles WS-V,NSW 5 5 Aquatic Life Poor Bioclassification Ecological/biological Integrity FishCorn 1998 -Impaired > 16-11-14.2c South Buffalo Creek From US 70 to Buffalo Creek 4.8 FW Miles WS-V;NSW s 5 Impaired Aquatic Life Standard Violation Copper 2008 5 Impaired Aquatic Life Standard Violation zinc 2008 E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties. Q 15-11-(3.5)a Reedy Fork(including Lake Brandt and Lake Townsend below nor 1 Water Quality Standards Aquatic Life Lake Brandt No Criteria Exceeded Aquatic Life 760.0 F%P Acres 2008 WS- III;NSW,CA 1 Water Quality Standards Water Supply No Criteria Exceeded Water Supply 2008 Q 16-11-(3.5)b needy Fork{including Lake Brandt and Lake Townsend below nor 3n Chlorophyll a Lake Townsend Potential Standards Violation Aquatic Life 1,404.7 FW Acres 2008 WS- III;NSW,CA 3a Turbidity Potential Standards Violation Aquatic Life 2008 1 Water Quality Standards Water Supply No Criteria Exceeded Water Supply 2008 Q 16-11-14-2a South Buffalo Creek 3t Cyanide From source to McConnell Rd Data Inconclusive Aquatic Life 15.4 FW Miles 1997 C;NSW 4s Ecological/biological Integrity Benthos Fair Bioclassification Aquatic Life 2008 2008 1 Ecological/biological Integrity FishCom Good -Fair Bioclassification Aquatic Life 2004 3a Fecal Coliform (recreation) Potential Standards Violation Recreation 2008 3t Flouride Data Inconclusive Aquatic Life 1997 3t Selenium Data Inconclusive Aquatic Life 1997 1 Water Quality Standards Aquatic Life No Criteria Exceeded Aquatic Life 2008 Q 16-11-14-2b 5 South Buffalo Creek Ecologicallbiological Integrity FishCom From McConnell Rd to US 70 Poor Bioclassification Aquatic Life 4.7 FW Miles 2003 C;NSW 1998 Q 16-11-14-2c 4b South Buffalo Creek Ammonia From US 70 to Buffalo Creek Data Inconclusive Aquatic Life 4.8 FW Miles 2000 C;NSW 2000 5 Copper Standard Violation Aquatic Life 2008 2008 4s Ecologicallbiological Integrity FishCom Poor Bioclassification Aquatic Life 1994 2008 3a Fecal Coliform (recreation) Potential Standards Violation Recreation 2008 5 Zinc Q 16-11-5-1-(2) Unnamed Tributary at Guilford College 5 Ecologicallbiological Integrity Benthos Standard Violation Aquatic Life From dam at Guilford College bathing lake to Horsepen Creek Poor Bioclassification Aquatic Life 2008 2008 1.3 FW Miles WS-III;NSW 2001 2006 NC 2010 Integrated Report 5-303(d) List EPA Approved Aug 31, Z010 0 10/20/2010 Page 14 of 372 o�ow"w NCOENR - mtultmdljtmdls x oaw W6DE R - mtu(assessment x 1® portal: ncdenr,nrgjcJdocument x © portal.ncdenr•org/cjdocument x r. NCOENR - DWQ -Contacts:.....+: tOPatal.ncderr.orglweb/w9/pS/mtu/tmditmdts#CapeFear • EPA Approved: 9116/1997 a n� • Final TMDL Document: Contact MTU �� Iloith Buffalo Geek - Fecal (olifoi ra • PoUutant: FecalColiforn n I Y • Assessment Units 16-11-14-1al, 16-11-14-la2 Map + b • EPA Approved: 4/28/2004 v • FlnatTMDL Document ..-- .............. e. ftlheast Creek ` 41 • Pollutant: FecalColiform �I — • Assessment Units: 16-41-1-17-(0.7)a, 16-41-1-17-(0.7)bi, 16-41-1-17-(0.7)b2 Map t • EPA Approved: 9/12/2302 5 • Flnal7MDL Document Richland and Muddy (leeks • Pollutant: FecalCnlifurm • Assessment Unit: 17-7-(0.5), 17-7-(4), 17-9-(1), 17.9-(2) Map _ • EPA Approved: 5117/2094 I • Fin a[TMDL Document . y u � {' Roberson Geek • Pollutant: Total Phosphorus} • Assessment Units: 16-38-(5), 16-(37.5)b Map • EPA Approved 1/1312004 • FIWTMDL Document South Ballale Geek 1 • Pollutants: Flouride, Cyanide, Selanlum • EPA Approved: 9/16/1997 { • FinalTMDL Document, Contact/ATU Town Up anch ' • Pollutant: FecalCollform } • Assessment Units: 16-171Aap • EPA Approved: 9/16/2002 _ 3 • FinaITMDL Document .. ................. s. Return to top ° u bv.l �^--� Reedy Fork Frorn SR 2128 to a point 0.4 mile 4.2 FW Nafiles WS-111;NSW downstream of Moores Creek 5 Ecological/biological Integrity FishCom Fair Bioclassification Aquatic Life 2004 2006 Q 16-11-(9)b Reedy Fork (Hardys From Buffalo Creek to Haw River 8.6 FW Miles QNSW Mill Pond) 5 Fecal CoLform (recreation) Standard Violation Recreation 20t1R 2064 5 Zinc Standard Violation Aquatic Life 2008 2008 Q 16-11-14-2a South Buffalo Creek From source to McConnell Rd 15.4 FW Miles C;NSW 4s Ecological/biological Integrity Benthos Fair Bioclassification Aquatic Life 2008 2008 Q 16-11-14-2b South Buffalo Creek From McConnell Rd to US 70 4.7 FW Miles C;NSW 5 Ecological/biological integrity FishCom Poor Bioclassification Aquatic Life 2003 1998 Q 16-11-14-2c South Buffalo Creek From US 70 to Buffalo Creek 4.8 FW Miles C;NSW 4b Ammonia Data Inconclusive Aquatic Life 2000 2000 5 Copper Standard Violation Aquatic Life 2008 2008 4s Ecological/biological Integrity FishCom Poor Bioclassification Aquatic Life 1994 2008 5 Zinc Standard Violation Aquatic Life 2008 2008 Q 16-11-5-1-(2) Unnamed Tributary From dam at Guilford College bathing lake 1.3 FW Miles WS-III;NSW at Guilford College to Horsepen Creek 5 Ecological/biological Integrity Benthos Poor Bioclassification Aquatic Life 2001 2006 Cape Fear River Basin Headwaters Haw Riper Watershed 0303000202 Q 16-(1)a HAW RIVER From source to SR 2109 7.8 FW Miles C;NSW 5 Ecological/biological Integrity Benthos Fair Bioclassification Aquatic Life 1998 2000 Q 16-(1)b HAW RIVER From SR 2109 to SR 2426 12.5 FW Miles C;NSW 5 Copper Standard Violation Aquatic Life 2008 2008 Q 16-7a Little Troublesome From source to Reidsville WWTP 3.5 FW Miles C;NSW Creek 5 EcologicaUbiological Integrity Benthos Fair Bioclassification Aquatic Life 1994 2000 Q 16-6-(3) Troublesome Creek From dam at Lake Reidsville to Haw River 1.8 FW Miles C;NSW 5 Low Dissolved Oxygen Standard Violation Aquatic Life 2008 2010 NC 2010 Integrated Report Category 4 and 5 303(d) List EPA Approved Aug 31, 201 9/20/2010 Page 4 of 145 2012 Draft North Carolina 303(d) List -Category 5 Category Rating Use Reason for Rating Parameter Year _] > 16-11-14-2b South Buffalo Creek From McConnell Rd to US 70 4.7 FW Miles WS-V;NSW 5 5 Impaired Aquatic Life Poor Bioclassification Ecological/biological Integrity FishCom 1998 '1 > 16-11-14-2c South Buffalo Creek From US 70 to Buffalo Creek 4.8 FW Miles WS-V;NSW 5 5 Impaired Aquatic Life Standard Violation Copper 2008 5 Impaired Aquatic Life Standard Violation Zinc 2008 > 16-(1)cl HAW RIVER From SR 2426 to Troublesome Creek at US29 7.3 FW Miles WS-V;NSW 5 5 Impaired Aquatic Life Standard Violation ^ Copper - ' ""_20i]8` > 16-(1)c2 HAW RIVER From Troublesome Creek at US29 to NC87 13.9 FW Miles WS-V;NSW 5 Impaired Aquatic Life T Standard Violation Turbidity 2012 _] y 16-6-(3) Troublesome Creek From dam at Lake Reidsville to Haw River 1.8 FW Miles Ws-V;NSw 5 5 Impaired Aquatic Life Standard Violation Low Dissolved Oxygen 2010 > 16-7a Little Troublesome From source to Reidsville WWTP Creek 3.5 FW Miles Ws-V;IVSW 51_ Impaired Aquatic Life Fair Bioclassification Ecological/biological Integrity Benthos 2000 > 16-(1)a HAW RIVER From source to SR 2109 7.8 FW Miles WS-V;NSW 5 Impaired Aquatic Life Fair Bioclassification Ecological/biological Integrity Benthos 2000 Friday, February 10, 2012 Draft NC 303(d) List- Comments due March 12, 2012 Page 5 of 177 r June 6, 2011 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Transmittal 2011 Semi -Annual Stormwater Discharge 4utfall Monitoring Report Permit No. NCS000077 Enclosed please find an onggfinal and one copy of the Semi -Annual Stormwater Discharge Monitoring Report (DMR) for Permit No. NCS000077. The stormwater event in which the samples were collected occurred -on May 12, 2011. In the enclosed analytical report from Pace Analytical, the reported results were all within the permit limits. If you have questions or comments regarding this submittal, please contact Ronica Edgerton at 336- 547-7120. Sincerely, Pamela Berry Site Manager STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 0QQ0 7'7 FACILITY NAME aVy rni 7 — , QtIt PERSON COLLECTING SAMP (S) d i CERTIFIED LABORATORY(S) _ f�'r�A1(r t� n l LLab ab #�� Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 10 /! (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) .'K AIN 1 NO 20 (SI NA O PE ITTEE DESIGNEE) By this signatu , I certify that report is accurate complete to the best of my lmowl e. . Date Sample Collected� .-� T 'i , � t r Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Zno (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected '50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall 07 & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ MG inches unit Pump Form SWU-247-062310 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date Total Event Precipitation (inches): 0.3 Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Armitrtde) (D& Form SWU-247-062310 Page 2 of 2 aOrkin lytical wxw.wWabs.=n May 27, 2011 Mr. Phil Rumley DOW CORNING 2914 PAtterson St Greensboro, NC 27407 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 RE: Project: STORMWATER OUTFALLS 1-5 Pace Project No.: 9294176 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite ioo Hunters0le, NC 28078 (704)875-9D92 Dear Mr. Rumley: Enclosed are the analytical results for sample(s) received by the laboratory on May 13, 2011. The results relate only to the samples included in this report. Results reported herein conform to the most current NELAC standards, where applicable, unless otherwise narrated 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, Kevin Godwin kevin.godwin@pacelabs.com Project Manager Enclosures oc: Accounts Payable, DOW Corning REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, tne.- .«oA a nelac �: Page 1 of 16 Pace Analytical Services, Inc. Pace Analytical Services, Inc. IC, Analytical205 East Meadow Road - Suite A 2225 Riverside Dr. Analjftal w,wpacalabs� Eden, NC 27288 Asheville, NC 28804 (338)623-8921 (828)254-7178 CERTIFICATIONS Project: STORMWATER OUTFALLS 1-5 Pace Project No.: 9294176 Asheville Certification IDs 2225 Riverside Dr., Asheville, NC 28B04 Connecticut CertificatlOn #: PH-0106 FloridalNELAP Certification #: E87648 Massachusetts Certification #: M-NC030 New Jersey Certification #: NC011 North Carolina Bioassay Certification M 9 North Carolina Drinking Water Certification #: 37712 North Carolina Wastewater Certification M 40 Pennsylvania Certification #: 66.0357E South Carolina Bioassay Certification #: 09030002 South Carolina Certification #: 99030001 Virginia Certification M 00072 West Virginia Certification #: 356 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. �`nelac� Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 Page 2 of 16 a'Cewww4wcelabs.comAnaly�lca! 2 58East Meadow Road a Suite A Pace Analyt2225 RivIr0s. Inc. erside Dr. Eden, NC 27288 Asheville, NC 28804 1 (338)623.8921 (828)254-7178 I SAMPLE SUMMARY. Project: STORMWATER OUTFALLS 1-5 Pace Project No.: 9294176 Lab ID Sample ID Matrix Date Collected Date Received 9204176001 OUTFALL 1 Water 05/12/11 21:04 05/13/11 13:12 9294176002 OUTFALL 2 Water 05/12/11 21:04 05/13/11 13:12 9294176003 OUTFALL 3 Water 05/12/11 22:35 05/13/11 13:12 9294176004 OUTFALL 4 Water 05/12/11 23:06 05113/11 13:12 9294176005 OUTFALL 5 Water 05/12111 23:04 05/13/11 13:12 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, Inc,. nelac Pace Analytical Services, Inc. 9800 Kincey Ava. Suite 100 Hunleravitle, NC 28078 (704)875-8092 Page 3 of 16 Paco 205 Eest Meadow Road - Suite A Pace Analytical aceAnalytical Riverside Dr. wwwpscelebs COm Eden, NC 27288 Asheville, NC 28804 I(338)623-8921 (828)254-7176 SAMPLE ANALYTE COUNT Project: STORMWATER OUTFALLS 1-5 Pace Project No.: 9294176 Lab ID Sample ID Method Analysts Pace 9800 Kiocey Ave. Suite 100 Nuntersviiie, NC 28078 (704)875-9092 Analyles Reported Laboratory 9294176001 OUTFALL 1 SM 25401) GW1 1 PASI-A EPA 9040 SAJ 1 PASI-A 40CFR PART 503 SAJ 1 PASI-A EPA 351.2 JDA 1 PAS1-A EPA 353.2 DMN 1 PASI-A EPA 365.1 LEP 1 PASI-A 9294176002 OUTFALL 2 SM 2540D GW1 1 PASI-A EPA0040 EWS 1 PASi-A 40GFR PART 503 SAJ 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 LEP 1 PASI-A 9294176003 OUTFALL 3 SM 2540D GW1 1 PASI-A EPA 9040 EWS 1 PASI-A 40GFR PART 503 SAJ 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 LEP 1 PASI-A 9294176004 OUTFALL 4 SM 2540D GW1 1 PASI-A EPA 9040 EWS 1 PASI-A 40GFR PART 503 SAJ 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 LEP 1 PASI-A 9294176005 OUTFALL 6 SM 2WD GW1 1 PASI-A EPA9040 EWS 1 PASI-A 40CFR PART 503 SAJ 1 PASI-A EPA 351.2 JDA 1 PASI-A EPA 353.2 DMN 1 PASI-A EPA 365.1 LEP 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.. :nelac; Page 4 of 16 Analytical" wwwpacelabs.mn Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623.6921 Project: STORMWATER OUTFALLS 1-5 Pace Project No.: 9294176 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254.7176 ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Wnoey Ave. Suite too Huntersville, NC 28076 (704)875-9D92 Sample: OUTFALL 1 Lab ID: 9294176001 Collected: 05/12/11 21:04 Received: 05/13/11 13:12 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No, Qual 25400 Total Suspended Solids: Analytical Method: SM 2540D Total Suspended Solids 14.0 mg1L 8.3 1 05/19/11 16:02 9D40 pH Analytical Method: EPA9040 pH 6.4 Std. Units 0,10 1 05/20/11 15:14 H6 Total Nitrogen Calculatfon Analytical Method: 40CFR PART 503 Nitrogen 8.7 mgfL 0.60 1 05/23/11 14:05 7727-37-9 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 6.6 mg1L 0.50 1 05/24/11 10:25 7727-37-9 M1 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA353.2 Nitrogen, NO2 plus NO3 3.2 mgfL 0.10 1 05/17/11 16:26 365.1 Phosphorus, Total Analytical Method: EPA365.1 Phosphorus 0.20 mgfL 0.050 1 05/25/11 12:05 7723-14-0 Date: 05127/2011 02:46 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. ao .. eoarn uAnelac` Page 5 of 16 ice Ana ljdcal j -- wwrv�aaslabs.com 1 Pace Anayytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Project: STORMWATER OUTFALLS 1-5 Pace Project No.: 9294176 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 ANALYTICAL RESULTS Paco Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: OUTFALL 2 Labill): 9294176002 Collected: 05/12/11 21:04 Received: 05/13/11 13:12 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D Total Suspended Sollds Analytical Method: SM 2540D Total Suspended Solids 6.7 mg1L 4.2 1 05/19/11 16:02 9040 pH Analytical Method: EPA 9040 PH 7.4 Sid. Units 0.10 1 05126/11 14:30 HIS Total Nitrogen Calculation Analytical Method: 40CFR PART 503 Nitrogen 1.1 mgfL 0,60 1 05/23/11 14:05 7727-37-9 351.2 Total Kjoldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, KJeldaht, Total 0.64 mg1L 0.50 1 05/24111 10:26 7727-37-9 353.2 Nitrogen, ND21NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.43 mg1L 0.10 1 05M7111 16:29 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.052 mg1L 0.050 1 05/25/11 12:07 7723.14-0 Date: 05/27/2011 02:46 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. ,me ac Page 6 of 16 aceAnabdical wwwpacelabs.corn 1 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (338)623-8921 Project: STORMWATER OUTFALLS 1-5 Pace Project No.: 9294170 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 288D4 (828)254-7176 ANALYTICAL RESULTS Paco Analytical Services, li 9B00 Kincey Ave. Suite 1 Huntersville, NC 280 (704)875-90 Sample: OUTFALL 3 Lab ID: 92941760D3 Collected: 05112/11 22:35 Recelved: 05/13/11 13:12 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 8.3 mg1L 4.2 1 05/19/11 16:03 9D40 pH Analytical Method: EPA9040 pH 7.1 Sid. Units 0.10 1 05/26/11 14:30 1-16 Total Nitrogen Calculation Analytical Method: 40CFR PART 503 Nitrogen 2.9 mglL 0.60 1 05/23/11 14:05 7727-37-9 351.2 Total KJeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldehl, Total 1.2 mg1L 0.50 1 05/24/11 10:30 7727-37-9 353.2 Nitrogen, NOVH03 pros. Analyticat Method: EPA353.2 Nitrogen, NO2 plus NO3 1.7 mg/L 0.10 1 05/17/11 16:30 366.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus ND mg►L 0.050 1 05/26/11 12:07 7723-14-0 Date: 05/27/2011 02:46 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc- .coa.� sor" neC.- Page 7 of 16 aceAnatjftal "W..pacelebs.00m Paco Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Project: STORMWATER OUTFALLS 1-5 Pace Project No.: 9294176 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite lo0 HUntersville, NC 28076 (704)875-9092 Sample: OUTFALL 4 Lab ID: 9294176004 Collected: 05/12/11 23:06 Received: 05113/11 13:12 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids ND mgfL 4.2 1 05/19/11 16:03 9040 pH Analytical Method: EPA 9040 pH 6.9 Sid. Units 0.10 1 05/26/11 14:30 H6 Total Nitrogen Calculation Analytical Method: 40CFR PART 503 Nitrogen 2.5 mg1L 0.60 1 05/23111 14:05 7727-37-9 351.2 Total KjeldahI Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 1.1 mg1L 0.50 1 05/24/11 10:31 7727-37-9 353.2 Nitrogen, NO2IM03 pros. Analytical Method: EPA353.2 Nitrogen, NO2 plus NO3 1.5 mg1L 0.10 1 05/17/11 16:32 365.1 Phosphorus, Total Analytical Method: EPA 365A Phosphorus ND mg1L 0.050 1 05/25/11 12:06 7723-14-0 Date: 05/27/2011 02:46 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of PaceAnalyt}cal Services, Inc.. �-nelac; Page 8 of 16 aceAna4ftal " wawPacefatts.com I Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623.8921 Project: STORMWATER OUTFALLS 1-5 Pace Project No.: 9294176 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NO 28B04 (828)254-7176 ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite loo Huntersville. NO 28078 (704)875-9092 Sample: OUTFALL 5 Lab ID: 9294176005 Collected: 05/12111 23:04 Received: 05/13/11 13:12 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids ND mg1L 4.2 1 05119/11 16:03 SD40 pH Analytical Method: EPA9040 pH 7.2 Std. Units 0.10 1 05/26/11 14:30 H6 Total Nitrogen Calculation Analytical Method: 40CFR PART 503 Nitrogen 0.64 mg1L 0.60 1 05/23/11 14:05 7727-37-9 351.2 Total Kjoldahl Nitrogen Analytical Method: EPA351.2 Nitrogen, Neldahl, Total ND mg1L 0.50 1 05/24/11 10:32 7727-37-9 363.2 Nitrogen, NO2IN03 pros. Analytical Method: EPA353.2 Nitrogen, NO2 plus NO3 0.42 mg1L 0.10 1 05117/11 16:33 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus ND mglL 0,050 1 05/25/11 12:09 7723.14-0 Date: 05/27/2011 02:46 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. o,.. «,,o nelac Page 9 of 16 aceAnalytical www..pKetabs.com f I Paco Analytical Services, Inc. 205 East Meadow Road - Suite Eden, NC 27288 (336)623.8921 Project: STORMWATER OUTFALLS 1-5 Pace Project No.: 9294176 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QUALITY CONTROL DATA QC Batch: WET116446 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 9294176001, 92941760D2, 9294176003, 9294176004, 9294176005 METHOD BLANK: 608891 Matrix: Water Associated Lab Samples: 9294176001, 9294176002, 9294176003, 9294176004, 9294176005 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 05/19/11 15:58 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 608892 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 240 96 80-120 SAMPLE DUPLICATE: 60B893 Parameter Total Suspended Solids Date: 05/27/2011 02:46 PM 9294489001 Units Result mg1L 40.3 Dup Max Result RPD RPD Qualifiers 41.3 2 10 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. . `nelac Page 10 of 16 IeAna4dcal� wwwpacal4bs oom F Paco Analytical Services, Inc. Paco Analytical Services, Inc. 205 East Meadow Road - Suite A 2225 Riverside Dr. Eden, NC 27288 Asheville, NC 28804 (336)623-8921 (828)254-7176 Project: STORMWATER OUTFALLS 1-5 Pace Project No.: 9294176 QC Batch: 1NET116459 QC Batch Method: EPA 9040 Associated Lab Samples: 0294176001 SAMPLE DUPLICATE: 609136 Parameter Units PH Std. Units QUALITY CONTROL DATA Analysis Method: EPA9040 Analysis Description: 9040 pH Paco Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 9294009002 Dup Max Result Result RPD RPD Qualifiers 7.5 7.5 0 20 H6 SAMPLE DUPLICATE; 609137 9293996002 Dup Max Parameter Units Result Result RPD RPD Qualifiers PH Std. Units 6.5 6.5 0 20 H6 Date: 05/27/2011 02:46 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, Inc.. a.. nefac Page 11 of 16 o Pace Analytical Services, Inc. Pace Analytical Services, Inc. Pace Analytical Services, Inc. 'dl 205 East Meadow Road - Suite A 2225 Riverside Dr. 9800 Kincey Ave. Sulle Too Edan, NC 27288 Asheville, NC 28BD4 Huntereville, NG 28078 (336)823-8921 (828)254-717fi (704)875-9092 QUALITY CONTROL DATA RMWATER OUTFALLS 1-5 176 T/16501 Analysis Method: EPA 9040 A 9040 Analysis Description: 9040 pH 9294176002,9294176003,9294176004,9284176005 610489 9294176002 Dup Max Units Result Result RPD RPD Qualifiers Std. Units 7.4 7.4 0 20 H6 610490 9294359001 Dup Max Units Result Result RPD RPD Qualifiers Std. Units 5.8 5.8 0 20 H6 aceAnalj c WM'W.PCQb8.00n7 Project: STO Pace Project No.: 9294 QC Balch: WE QC Batch Method: EP Associated Lab Samples SAMPLE DUPLICATE: Parameter PH SAMPLE DUPLICATE: Parameter PH Dale: 05/27/2011 02:46 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. r .cro.c. ne�ac Page 12 of 16 o Paco Analytical Services, Inc. Paco Analytical Services, Inc. Pace Analytical Services, Inc. In eAf781i eal 205 East Meadow Road - Suite A 2225 Riverside Dr. 9800 Kiacey Ave. Suite ioo www.A Mabscom Eden, NC 27288 Asheville, NC 28BD4 Hunlersville, NC 28078 r (336)623-8921 (828)254-7176 (704)875-9092 QUALITY CONTROL DATA Project: STORMWATER OUTFALLS 1-5 Pace Project No.: 9294176 QC Batch: - WETA19744 Analysis Method: EPA 351.2 QC Batch Method: EPA 351.2 Analysis Description: 351.2 TKN Associated Lab Samples: 9294176001, 9294176002, 9294176003, 9294176004, 9294176005 METHOD BLANK: 610084 Matrix: Water Associated Lab Samples: 9294176001, 9294176002, 9294176003, 9294176004, 9294176005 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, Kjeldahl, Total mg1L ND 0.50 05/24/11 10:19 LABORATORY CONTROL. SAMPLE: 610085 Spike LCS LCS °% Rec Parameter Units Conc. Result % Rec Limits Qualifiers Nitrogen Kjeldahl Total mg1L 10 9.5 95 90-110 MATRIX SPIKE SAMPLE: 610088 9294176001 Spike MS Parameter Units Result Conc. Result W Nitrogen, Kjeldahl, Total mg1L 5.5 10 16.9 MATRIX SPIKE SAMPLE: 610088 92943410D2 Spike MS Parameter Units Result Conc. Result Nitrogen, Kjeldahl, Total mg1L 93.5 10 105 SAMPLE DUPLIGATE. 610087 9294176002 Dup Parameter Units Result Result RPD Nitrogen, Kjeldahl, Total mg1L 0.64 0.58 10 MS % Rec % Rec Limits Qualifiers 113 90-110 M1 MS % Rec °% Rec Limits Qualifiers 113 90-110 M6 Max RPD Qualifiers 20 SAMPLE DUPLICATE: 610089 9294347001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Nitrogen, Kjeldahl, Total mglL 91.5 93.6 2 20 Date: 05/27/2011 02:46 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. rielac; Page 13 of 16 o Paco Analytical Services, Inc. Pace Analytical Services, Inc. aceAna4 tical 205 East Meadow Road - Suite A 2225 Riverside Dr. www,p cokbs.com Eden, NC 27288 Asheville, NC 28804 (336)623-8921 (828)254-7176 QUALITY CONTROL DATA Project: STORMWATER OUTFALLS 1-5 Pace Project No.: 9294176 QC Batch: WETA19711 Analysts Method: EPA 353.2 QC Batch Method: EPA 353.2 Analysts Description: 353.2 Nitrate + Nitrite, preserved Associated Lab Samples: 9294176001, 9294176002, 9294176003, 9294176004, 9294176005 METHOD BLANK: 607474 Matrix: Water Associated Lab Samples: 9294176001, 9294176002, 9294176003, 9294176004, 9294176005 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, NO2 plus NO3 mg1L ND 0.10 05117/11 16:01 LABORATORY CONTROL SAMPLE: 607475 Parameter Units Nitrogen, NO2 plus NO3 mg1L MATRIX SPIKE SAMPLE: 607476 Parameter Units Nitrogen, NO2 plus NO3 mglL MATRIX SPIKE SAMPLE: 607478 Parameter Units Nitrogen, NO2 plus NO3 mg/L SAMPLE DUPLICATE: 607477 Parameter Nitrogen, NO2 plus NO3 SAMPLE DUPLICATE: 607479 Parameter Nitrogen, NO2 plus NO3 Date: 05127/2011 02:46 PM Pace Analytical Services, Inc. 9800 Kincey Ave, Suite 1o0 Huntersvillo, NC 28078 (704)875-9092 Spike LCS LCS % Rec Cone. Result % Rec Limits Qualifiers 5 5.3 106 90-110 9293613002 Spike MS MS % Rec Result Cone. Result % Rec Limits Qualifiers 5.5 5 11.8 128 90.110 M1 9293513001 Spike MS MS % Rec Result Conc. Result % Rec Limits Qualifiers 60.0 5 63.1 62 90-110 M1 9293613002 Dup Units Result Result mglL 5.5 5.4 9293513001 Dup Units Result Result mg1L 60.0 59.8 Max RPD RPD Qualifiers 1 20 Max RPD RPD Qualifiers 0 20 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. nelac� Page 14 of 16 aceAnalytical renepaoslabs.txrn I Paco Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Project: STORMWATER OUTEALLS 1-5 Pace Project No.: 9294176 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QUALITY CONTROL DATA QC Batch: WETAI9751 Analysis Method: EPA 365.1 QC Batch Method: EPA 365.1 Analysis Description: 365.1 Phosphorus, Total Associated Lab Samples: 92941760D1, 9294176002, 92941760D3, 92941760D4, 9294176005 METHOD BLANK: 610226 Matrix: Water Associated Lab Samples: 9294176001, 92941760D2, 9294176003, 9294176004, 9294176005 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Phosphorus mglL ND 0.050 0512511112:01 LABORATORY CONTROL SAMPLE: 610226 Pare Analytical Services, Inc. 9800 Kinsey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Phosphorus mglL 2.5 2.6 103 9D•110 MATRIX SPIKE SAMPLE: 610227 9294359005 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Quallfiers Phosphorus mglL 1.3 2.5 3.2 76 90-110 M1 SAMPLE DUPLICATE: 610228 9294176001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Phosphorus mglL 0.20 0.20 1 20 Date: 05/27/2011 02:46 PM 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 16 ® Paco Analytical Services, Inc. aceAnalXical 205 East Meadow Road - Suite A WwwpWombscom Eden, NC 27288 (338)623-8921 QUALIFIERS Project: STORMWATER OUTFALLS 1-5 Pace Project No.: 9294176 DEFINITIONS Pare Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Pace Analytical Services, Inc. 980D Kinsey Ava. Sutra 10D Huntersville, NC 28078 OF - Dilution Factor, If reported, represents the factor applied to the reported data due to changes In sample preparation, dilution of the sample aliquot, or moisture content. NO - 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. S - Surrogate 1,2-Dlphenythydrazine (8270 listed analyte) decomposes to Azobenzene. 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 Get - Clean -Up U - Indicates the compound was analyzed for, but not detected. N-Nilrosodiphenytamine decomposes and cannot be separated from Dlphenylamine using Method 8270. The result reported for each anslyte Is a combined concentration. Pace Analytical is NELAP accredited. Contact your Pace PM for the current list of accredited analytes. LABORATORIES PASI-A Pace Analytical Services -Asheville ANALYTE QUALIFIERS H6 Analysis Initiated more than 15 minutes after sample collection. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. M6 Matrix spike and Matrix spike duplicate recovery not evaluated against control iimits due to sample dilution. (704)875-9092 Date: 05/27/2011 02:46 PM REPORT OF LABORATORY ANALYSIS Page 16 of 16 This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. °rielac �. AMlyf MI - Section A Regnfrod 04wg IrQoetr Mm- CHAIN-0E-CUSTODY ! Analytical Request Document T e Ckg&mif-� is a LEGAL DOCUMEArr. M ret %wd faft roust be completed > . Secdn a secu= C Re**W Project W*mat = brine ee Irdermahfflx ryr of u .•Npj3Fs r- GROUNDWATERDRINIQNG WATER OTHER ♦ A ' • MEW. ■��Qs�■■■��r■■■■■■■■■ ■e■e■■■■■■■■■ © �■■■■■■�■■■■■■■■ ■eee■■■■■■■■■� e■�■■■■�■■■■■■■■■ eee■■■�■�■■�■ �■ © ■■■■■■■■�■�/������ ■iE■EN■■■■■t■ FORM 'Iw9WWd Note: Bp si0ni q Vft bn yet an &=no% PaWs NET 30 day pgcclacq t- and apr•akcp to Iat• aurpo of 1.5% p rff& c for any mwlm roc Pad wmsn 30 dayL FALL-Q420MwDa,12-Q6t 2007 Samplef • f Upon • S+f JF Y.. FaceAnalytica!" Client Name: `7,,,t L�rN���. Project # 7 Ce �Itrrr�tZ� Where Received: Huntersville ❑ Asheville ❑ Eden Courier: ❑Fed Ex ❑UPS ❑ USPS ❑ Client ❑Commercial Pace Other Custody Seat on Cooler/Box present: ❑ Yes (. no Seals intact: ❑ yes ❑ no ploiiatjie;i Packing Material: ❑ Bubble Wrap ❑Bubble Bags Pallone ❑Other Thermometer Used: IR Gun: T1101 Type of Ice: 8Blue None [Samples on ice, cooling process has begun Temp Correction Factor: Add / Subtract 0 •C Corrected Cooler Temp.:C Biological Tissue Is Frozen: Yes o Date and ! alpof rs n examining content Temp should be above freezing to 6°C Comments: Chain of Custody Present: Yes ONO ❑WA 1. Chain of Custody Filled Out: Yes ❑No ❑NIA 2. Chain of Custody Relinquished: Yes ONO ❑NIA 3. Sampler Name & Signature on COC: ❑Yes ONO ❑NIA 4. Samples Arrived within Hold Time: PfYes ❑No ❑NIA 5. Short Hold Time Anal Is J<72hr : ❑Yes ONO ❑wA 6, Rush Turn Around Time Requested: Dyes No ❑NIA 7. Sufficient Volume: 0 Yes ❑No ❑NIA 8, Correct Containers Used: Yes ONO flllff ❑NIA 9, -Pace Containers Used: Yes ONO ❑NIA Containers Intact: Yes []No ❑N/A 10. Filtered volume received for Dissolved tests ❑Yes ONO NIA 11, Sample Labels match COC: t Y✓ No EINIA 12. -Includes date/time/lD/Anal sis Matrix: /�^+ All containers needing preservation have been checked. Yes ❑No ❑NIA 13. All containers needing preservation are found to be in Yes ❑No ❑NIA compliance with EPA recommendation. exceptions: VOA, collform. TOC, O&G, Wi-DRO (water) ❑Yes ONO Initial when tom feted Samples checked for dechlorination: Yes ONO ❑NIA 14. Heads ace in VOA Vials >6mm : ❑Yes ❑No NIA 15. d Gw� 4L Trip Blank Present: ❑Yes ONO NIA 16. Trip Blank Custody Seals Present ❑Yes ONO NIA Pace Trip Blank Lot # if purchased Client Notification/ Resolution: Field Data Required? Y I N Person Contacted: Daterrime: Comments! Resolution: SCURF Review: 1 Date: SRF Review: Data: 1 .r Note: Whenever th s a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (Le out of hold, incorrect preservative, out of temp. Incorrect containers) F-CHR-CS-003-rev.03 13Apr2011 s d SIA7Z Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: htt:/Ih2o.enr.state.ne.us/su/l,oi-nis Doe uments.htmlimiscforms Permit No.: N/CIS % I / or Certificate of Coverage No.: N/C/G/ 1 I I l_l_l Facility Name: _ w Gd cwj t j l County: ro tj lL Phone No. Inspector: ti. G rv. 1 !�j Date of Inspection: S I, I (I Time of Inspection: ,.._2 3 • 6 _ Total Event Precipitation (inches): 6 , 2 Was this a Representative Storm Event? (See information below) [Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Pertnittee or Designee) 1. Outfall Description: Outfall No. S_ Structure (pipe, ditch, etc.) Receiving Stream: k Describe the industrial activities that occ r i within the outfall drainage area: % r MA a( -,I Al 1 {Y � i + (X U C'o ko f At Q 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.): No SWU-242-1 12608 Page I of 2 4, Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: l.% 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 0 2 3 4 5 5. 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: 2 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 No 10. Other Obvious Indicators of Stormwater Pollution: List and describe 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-242-112608 s,r StA7[o Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out thisform, please visit: http://h2o.enr.state.ne.us/su/Forms_ Documents.htm#miseforms Permit No.: N1C/S 010/ 0 /_Z 7l_I Facility Name: 4QQ% j C-4 0- t rI County: QU kt �0A-D,..... Inspector: G ,sntal Date of Inspection: X' 'A. Time of Inspection: ? 3 • 3 d Total Event Precipitation (inches): 0. or Certifica a of Coverage No.: NICIGI 1_I_l_I 1_I Cn - riA n- t l d nt Phone No. 7 - -7 16 0 Was this a Representative Storm Event? (See information below) [}/ Yes ❑ No Please check your permit to verify if Qualitative Monitoring »lust be petforn:ed during a representative storm event (requirements vary). 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 Q 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: kA (Signature of Permittee or Des gnee) 1. Outfall Description: Outfall No. q Structure (pipe, ditch, etc.) �i P e.. Receiving Stream: 16 G fX-P, 1 c Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: C. I e�1- 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): Page t of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: G) 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: (D 2 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 Co 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe a d MP-2 Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosioa/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 Sw93-242-1 1260 B Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this forum, please visit: http://h2o.enr.state.nc.us/su/ForFns Documents.htm#miscforms Permit No.: NICIS151 a /0or Certificate of Coverage No.: NICIGI Facility Name: County: [,s n & 0.n _ _ Phone No. L 6 Inspector: Date of Inspection: z Time of Inspection: 2 'Z . I T Total Event Precipitation (inches): 0.3- ---_ Was this a Representative Storm Event? (See information below) Ej"Ws ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative slot -in event (requirements vary). 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or 1. Outfall Description: Outfall No. Structure (pipe, ditch, etc.) Receiving Stream: 6 Li != 4' l�S n C_ Describe the industrial activities that occur within the outfall drainage area: 4- rtd �k +Q�,A-�-5 �., C 2. Color: Describe the color of the d (light, medium, dark) as descriptors: using basic colors (red, brown, blue, etc.) and tint 3. Odor: Describe any distinct odors th t the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 6 N O- M a.�e,p Page t of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 6 2 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: V 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 8. Is there an oil sheen in the stormwater discharge? Yes T5 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe Mo tto_ Dilc'—c onf Note: Low clarity, high solids, and/or the presence of foam, oils licen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242-112608 Stormwater Discharge Dutfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http./Ah2o.enr.state.nc.us/stVForms_Documents.htm#miseforms Permit No.: N/C/S / vl6l o / 7 / 7 / / or Certificate of Coverage No.: N/C/G/_/_/ 1 / / / Facility Name: meaty] COP-rqi�JQ JCi County: G 7 Phone No. S 47" i G O Inspector: G Date of Inspection: S- t l z 111 Time of Inspection: 2 3� 60 T Total Event Precipitation (inches): O .3 Was this a Representative Storm Event? (See information below) Yes ❑ No Please check your perntit to verify if Qualitative Monitoring nrust be perforated during a representative storm event (requirements vaty). A "Representative Storm Event" is a storm event that treasures 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Perntittee or Designee) 1. Outfall Description: 4utfall No. Structure (pipe, ditch, etc.) t P C Receiving Stream: �that L i�outf Describe the industrial activitieccur within thll drainage area: -- 2. Color: Describe the color of the disc] arge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: c. �_R.(L- 3. Odor: Describe any distinct odors that the chlorine odor, etc.): may have (i.e., smells strongly of oil, weak Page 1 of 2 SWU-242-112608 t ;-O"' 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: a2 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: 61 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where i is no solids and 5 is extremely muddy: 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil slieen 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 nla �1 c poLRA 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. 5WU-242-112608 Page 2 of 2 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http://h2o.enr.state.nc.us/su/Forms Documents.htln#miscforms Permit No.: or Certificate of Coverage No.: NICIGI l_l_I_l_I_l Facility Name: D,01,1 CoP.Wjtgq CA ROOrA+IQ rj County: (�V ,(-(� P-n I Phone No. .S 47 ' 7 1 O D Inspector. e- V e Date of Inspection: S I'Z I I Time of Inspection: 3 5� _ Total Event Precipitation (inches): O. 3 Was this a Representative Storm Event? (See information below) 0 Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be petforrned during a representative storm event (requirements vary). 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge. (Signature of Permittee or 1. Outfall Description: n Outfall No. I Structure (pipe,,ditch, etc.) P1 PC - Receiving Stream: n G reel` Describe the industrial activities that occur within the outfall drainage area: Iy� k:rr t�l lk�ni� t #�nJ�c>c�nl� n�e���6l�rnnJ�S't6ni Q(L04Jc.'�'tdN �f4G��`�� 2. Color: Describe the color of the (light, medium, dark) as descriptors: I 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.): d� D Page t of 2 SWU-242-1 12608 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: O 2 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: 0 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: n 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes (Ndl 8. Is there an oil sheen in the stormwater discharge? Yes N� 9. is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe nln M2.+ W4&c? 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 s WU-242-1 9 260 B Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this fomi, please visit: htt r:/Ilt2o.etir.state.ue.tts/sulhornts Docutnettts.hun#rniscforms Permit No.: NICI Facility Name: L County: Inspector: Date of Inspection: Time of Inspection e— KU or Certificate of Coverage No.: N/C/GI / / l l 1_/ Total Event Precipitation (inches): 40. 9,'S— No. Was this a Representative Stone Event? (See information below) If Yes ❑ No Please check }join• perirtil to verify if Qualitative Mottitot•it:g nrttsi be peifot►lted ditritig a representative storm event (requirements vary). 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Perrttittee or 1. Outfall Description: Outfall No. St uctut•e (pipeditch, etc.) Receiving Stream: d Describe the industrial activities that occ�withijj the outfall drainage area: Mt1 2. Color: Describe the color of the (light, medium, dark) as descriptors: —A usilig basic colors (red, brown, blue, etc.) and lint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): d Page I of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: C2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: a 2 3 4 5 6. Suspended Solids: Choose the number which best describes the aniount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes f o� 8. is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes si_.i 10. Otlier Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposum. These conditions warrant further investigation. Page 2of2 5 WU-242-1 1260 B Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance oufilliug out thisfortn, please visit: http://h2o.enr.state.nc.us/su/Forms Docutnents.htin#miscforms Permit No.: NICI 1_I_I_I_I I / or Certificate of Coverage No.: NIGGI_l_l_l_l_l_I Facility Name: ]Dow CoD-MI'w3 County: Cpy t -Ra �_______ Phone No. - 7" 7 1 d 0 Inspector: C Date of Inspection: e, I I lIt I _ Time of Inspection: l O • O Total Event Precipitation (inches) 0.qs Was this a Representative Storm Event? (See information below) � Yes ❑ No Please check your permit to verify if Qualitative Monitoring trust be petformed during a representative storm event (requirements vary). 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: .r N (Signature of Permittee or Designee) 1. Outfall Description: Outfall No. Structure (pipe, ditch, etc.) Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: c1R(N�. 2. Color: Describe the color of the discharge usin basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 1_ t oV� Z,k � 3. Odor: Describe any distinct od that the discharge may h ve (i.e., smells strongly of oil, weak chlorine odor, etc.): Page i of 2 S%VU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 (2) 3 4 5 S. 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: G) 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: 01 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes (to ) 9. Is there evidence of erosion or deposition at the outfall? Yes TD 10. Other Obvious Indicators of Stormwater Pollution: List and describe 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 S W U-242-112608 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http://h2o.enr.state.ne.us/su/Fortns_Documents.htmtlmiscforms Permit No.: NICI_l_l_I I I_I_I Facility ] County: Inspecto Date of 1 Time of Inspection: r ertificate of Coverage No.: N/C/G/ / l_l_l_I l Total Event Precipitation (inches): ®, 9s C Was this a Representative Storm Event? (See information below) X1 Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be petfor►ned during a representative storm event (requirements vary). A "Representative Storm Event" is a storm event that treasures 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfall Description: p n Outfall No. tructure (pipe, ditch, etc.) r f iq Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 1c Idyl 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: b An w o 3. Odor: Describe any distinct chlorine odor, etc.): f� that the discharge may, have (i.e., smells strongly of oil, weak SWU-242-112608 Page t of 2 4. Clarity: Choose the number which best describes the clarity of the discharge, where I 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: ( 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: Q 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes SD 8. 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 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 2of2 SN%rU-242-11260R Dow Corning INTERNAL STORMWATER OUTFALL SEMI-ANNUAL MONITORING DATASHEET Outfall Numbers: 1-5 ' Inspected by: ��,[ L I Date: UAC- ---�iUo jaTgTime: �� - '�0 T 1 Z - 6O Pr—. Discharge Characteristics: Outfall Outfall Outfall Outfall Outfall #01 #02 #03 #04 #05 Color ;tit l AK -- Odor Clarity Floating Solids Suspended Solids C� (} G IL Foam Oil Sheen 11 Other Indication of Stormwater Pollution Iz— b�� Completed Forms are kept hp the Errniro;*t117emal Coordinator Page 1 of I Printed copies are uncontrolled documents for general information only. Dow Coming INTERNAL STORMWATER OUTFALL SEMI-ANNUAL MONITORING DATASHEET Outfall Numbers: 1-5 Inspected by: Ke l(e S , -f2�Coj� Date: MOV. zl 8 2aTime: z-oU r m Discharge Characteristics: Outfall Outfall Outfall Outfall Outfall #01 #02 #03 #04 #05 Color f� Ili ✓. ✓ ✓ Odor Clarity Floating Solids Suspended Solids Foam Oil Sheen Other Indication of StormNvater Pollution NonlE A101VE AMV67 111cn.11 Completed Forms are kept b), the 1,"rn41-017nmental Coordinator Page 1 of 1 Printed copies are uncontrolled documents for eeneral information only Dow Coming ENTEiRNAL STORMWATER OUTFALL SEMI-ANNUAL MONITORING DATASHEET Outfall Numbers: 1-5 Inspected by: �� S , A Date: (13-DI D e Time: Z I PM ��►n.t� S �a � o�c, 1(( Discharge Characteristics: Outfall Outfall Outfall Outfall Outfall #01 #02 #03 004 #05 Color �f Odor ry �A Clarity Floating Solids PiM V Suspended Solids Foam IV Oil Sheen �l Other Indication of Stormwater Pollution IU07J yV,,k N O N t� f niE ComlVeled Forms are kept by the Environmental Coordinator Page I of I Printed copies are uncontrolled documents for general information only, Dow Corning INTERNAL STORMWATER OUTFALL SEMI-ANNUAL MONITORING DATASHEET Outfall Numbers: 1-5 Inspected by: Kef kl- S, cA Date: NOV. 13, 2rn '7 Time: IU o0 6L_,.n -Pennyy .J �Discharge,.Cr1haracteristics• � - = t�.'��� � E-Outfall �'f� �Outfall� - kOutfall� ,� - �fOuffall� �� utial! n 6' K. Color Odor is v// � ✓ 1 ;/ Clarity Floating Solids Suspended Solids Foam Oil Sheen j N t � ✓ ✓ t/ Other Indication of Stormwater Pollution ' t t Q d ;4 er Pa Completed Forms are kept by the Environmental Coordinator Page 1 of 1 Printed copies are uncontrolled documents for general information only. Dow Coming INTERNAL STORMWATER OUTFALL SEMI-ANNUAL MONITORING DATASHEFT Outfall Numbers: 1-5 Inspected by: Kam) I e- &'t Date: (0 12.,q 10 7 Time: 5 *. 2-o PM Discharge c 004t� 11F. -J, 40E, Color Odor Clarity Floating Solids Suspended Solids Foam Oil Sheen Other Indication of Stormwater Pollution NoNc; N 0 AX Completed Forms are kept by the Environmental Coordinator Page I of I Printed copies are uncontrolled documents for general information only. Dow Coming INTERNAL STORMWATER OUTFALL SEMI-ANNUAL MONITORING DATASHEET Outfall Numbers: 1-5 inspected by: Kevin Musser Date: ^o1z7/oL Time: q: r{5 AM - la : 20 h-Ml Ked le Reecc 9� +D�sct�",ge�Character,�stics r✓ ,Outfal'1 F "Ou#falvl�, ° Outfall�� #Outfailt;Oulfall i . ' : ,. v. F �'� #01 #02 K #03 #05 - Z + � L ? ; �' � _ Color OK orL Odor arc b� Clarity 0 K- 0 k- 0 K 6 fC Floating Solids 0 K- 6 o K- b Suspended Solids O— 0 k- o 0 K- a K' Foam OK oIC_ ojC OIL o K. Oil Sheen 6K o SUM,N'r bIL 0KC SNP N oTGWIAV-4 6eGA-N, c, WO-0 o b F— 4 Other Indication of Stormwater Pollution SOME TA K KEJ40V-' uvo-9 io gga W AS fJ0J-1E;D U13701G `rtMT W A S UMaQ IF 'De bit i s iN -p4vvxautLq s ED r0A AND ARauND Completed Forms are kept by the Environmental Coordinator Page 1 of 1 Printed copies are uncontrolled documents for general information only. Greensboro Site Environmental Manual Revision: 0 Appendix 5 Effective Date: 03 DECO l STORMWATER OUTFALL, INSPECTION FORM Supercede Date: NONE STORMWATER OUTFALL SEMI-ANNUAL MONITORING DATASHEET Outfall Numbers: 1-5 Inspected by: ti r Date: 6-16-06 Time: 3:30-4:OOPM Kevin J Musser Discharge Characteristics: Outfall #0I Outfall #02 Outfall #03 Outfall #04 Outfall #05 Color Clear Clear Clear Clear Clear Odor None None None None None Clarity Clear Clear Clear Clear Clear Floating Solids None None None None None Suspended Solids None None None None None Foam None None None None None Oil Sheen None None None None None Other Indication of Stormwater Pollution Tar Tar None None None Conrpleled Porm.v are kept by the Istnvironnie►wil Coorditioloi- Pace I of 1 Page 1 of 1 Dow Corning Corporation Greensboro [Greensboro Plant] - 2914 Patterson Street Greensboro, NC 27407 Originator: RONICA EDGERTON [RSEDGERT] Phone:336-547-7120 Miscellaneous Shipping Request MSR # 99685 Date Created: 201 1-10-04 Ship to: Stormwater and General Permits 1617 Mail Service Center Raleigh, NC 27600-1617 USA Contact Name: Mr. Bradley Bennett Contact Phone: 919-807-6368 Shipping Information: Weight: 0.1 lb Carrier: Tracking Humber: Containers: Transport: Payment PRPD Cost Center: Shipment Value: 0 Shipped by . The requisitioner is responsible for attaching Material Safety Data Sheet(s) to the shipping documents Special Shipping Instructions: UPS Ground Description: Dow Corning 2011 Stormvater Permit Application and Supplemental Information http://intranetapp/returnorder/nisr_report.asp?From=MSR&Reeld=99685 10/4/2011 w�- NC®ENR North Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor Ms. Jane Waldorn Dow Corning Corporation 2914 Patterson St Greensboro, NC 27407 Dear Permittee: Division of Water Quality Coleen H. Sullins Director September 2, 2011 Subject: NPDES Stormwater Permit Coverage Renewal Dow Corning Corporation Permit Number NCS000077 Guilford County Dee Freeman Secretary Your facility is currently covered for stormwater discharge under NPDES Permit NCS000077. This permit expires on April 26, 2012. To assure consideration for continued coverage under your individual permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find an individual permit Renewal Application Form, Supplemental Information request, and Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. Until your permit renewal is completed and you receive a new permit, please continue to comply with all conditions and monitoring requirements in your expired NPDES Stormwater permit. The application and supplement must be completed and returned to DWQ by October 29, 2011. Failure to request renewal within this time period will result in delay of your permit renewal and may result in a civil assessment. Discharge of stormwater from your facility without coverage under a valid stormwater NPDES permit would constitute a violation of NCGS 143-215.1 and could result in assessments of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at (919)-807-6368 or brian.lowther@ncdenr.gov. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files Winston Salem Regional Office -,6171i Service Center, Raleigh, `9orth Carolina 27699-1617 Localior: 512 N. Salisbury St Raleigh, North Carolina 27604 Phone: 919-807-63001 FAX, 919-8n7-64921 Customer Service 1.877-673-6748 Interne' www.nc,aterquality.org An Fqu; Opoortupity t At trrnabve klici cmp3oyer None rthCarofina ;itr w /y y20�MrEgo9 Permit Coverage off` Renewal Application Form " National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCS000077 The following is the information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information Owner / Organization Name: Owner Contact: Mailing Address: Phone Number: Fax Number: E-mail address: * Reissued Permit will be mailed to the owner address Dow Corning Corporation Ms. Jane Waldorn 2914 Patterson St Greensboro, NC 27407 (336)547-7202 Facility/Permit Contact Information Facility Name: Dow Corning Corporation Facility Physical Address: 2914 Patterson St Greensboro, NC 27407 Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Discharge Information Receiving Stream South Buffalo Creek Stream Class: Basin: Sub -Basin: Number of Outfalls: WS-V;NSW Cape Fear River Basin 03-06-02 Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know ( for information on these waters refer to http://h2o.enr.state.nc.us/su/lmpaired Waters TMDL/ ) CERTIFICATION I certify that I am familiar with the information contained in the application and that to the best of my knowledge and belief such information is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carol=na 27699-1617