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Home My WebLink AboutNCS000582_MONITORING INFO_20180125STORMWATER-DIVISION CODING -SHEET PERMIT NO. 000 5 DOC TYPE ❑ FINAL PERMIT L(MONITORING INFO ❑ APPLICATION ❑ COMPLIANCE ❑ OTHER DOC DATE y$ o YYYYM M DD STORjMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000582 Gel\/Fo SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 �� (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 Ennis -Flint (High Point facilit) F1LSS PERSON COLLECTING SAMPLE(S) na ha ur h e �JON CERTIFIED LABORATORY(S) ESC Lab Sciences, Inc. I Lab # Part A: Specific Monitoring Requirements COUNTY Guilford PHONE NO. ( 336) 475-6600 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall No. Date Sample Collected 50050 00530 00310 00340 00610 00400 Total Floc► if app.) Total Rainfall Total Susp. Solids (TSS) Biochem. Oxy. Demand 130D Chemical Oxy. Demand COD Ammonia as Nitrogen plj moldd/ yr MG inches m g/L m /L m /l, mg/l. SU benchmark -- — — 100 30 120 8.4 6.0 - 8.0 001 12/20/17 -- 0.4 31.3 7.9 72.8 0.324 7.5 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/TPII (Method 1664 SGT-11EM), if appl. Total Suspended Solids pll New Motor Oil Usage moldd/yr MG inches m I mg/1 unit al/mo Form S W U-247, last revised 2/2/2012 Page I of 2 STORM EVENT CIIARACTERIS`i'ICS: Date 12/20/17 Total Event Precipitation (inches): 0.4 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 Permitt (t ate) Form SW U-247, last revised 21212012 Page 2 of 2 4*ESC ANALYTICAL REPORT myESC .N/ December 29, 2017 o ebp f F Piedmont Geologic Sample Delivery Group: L959344 Samples Received: 12/22/2017 Project Number: 1716 # Description: Ennis Plint-High Point i Report To: Jonathan Murphrey 6003 Chapel Hill Road Suite 145 Raleigh, NC 27607 Entire Report Reviewed By: 4�� Heather J Wagner Technical Service Representative Results relaie only to the items tested or calibrated and are reported as sounded values. This test report shall not be reproduced, except in full, without written approval of the laboratory. Where applicable, sampling conducted by ESC is performed per guidance provided in laboratory standard operating procedures: 060302, 060303. and 060304, I —e TABLE OF CONTENTS ONE LAB. NATIONWIDE. Cp-. Cover Page Tc: Table of Contents Ss: Sample Summary Cn: Case Narrative Sr: Sample Results OUTFALL-01 L959344-01 Qc: Quality Control Summary Gravimetric Analysis by Method 2540 D-2011 Wet Chemistry by Method 350.1 Wet Chemistry by Method 410.4 Wet Chemistry by Method 5210 B-2011 GI: Glossary of Terms Al: Accreditations & Locations Sc: Sample Chain of Custody 1 Fr)2 3 090 Him mm E5 5 6 rCn] 6 �Sr 7 FO8 9 7G1 11 12 EAI 13 9 $c ACCOUNT: PROJECT: SDG: DATEMME: PAGE; Piedmont Geologic 1716 L959344 12l29l171711 2 of 14 SAMPLE SUMMARY ONE LAB. NATIONWIDE. OUTFALL-01 L959344-01 WW Collected by Collected dateltime Received dateltime Jonathan Murphrey 12/2011710:15 1212211708:45 Method 8aui1 Dilution Preparation Analysis Analyst dateltime dateltime Gravimetric Analysis by Method 2540 D-2011 WG1056957 1 12/23/17 09:47 1212311710:35 MMF Wet Chemistry by Method 350.1 WG1058137 1 12/29/1713 47 12129117 13:47 JER Wet Chemistry by Method 410.4 WG1057227 1 121241V 16:29 121241V 20.03 TH Wet Chemistry by Method 5210 B-2011 WG1056683 1 12/22/17 12:19 12127/1710:04 ARM 'Co FTC El FSr FC FG1 fiAl F ACCOUNT: PROJECT- $OG: DATElTIME PAGE: Piedmont Geologic 1716 L959344 12l29117 1711 3 of 14 CASE NARRATIVE ONE LAB. NATIONWIDE. Cp All sample aliquots were received at the correct temperature, in the proper containers, with the appropriate preservatives, and within method specified holding times, unless qualified or notated within the report. All MDL (LOD) and RDL (LOCO values reported for environmental samples have been Yc corrected for the dilution factor used in the analysis. All radiochemical sample results for solids are reported on a dry weight basis with the exception of tritium, carbon-14 and radon, unless wet weight was requested by the client. Ali Method and Batch Quality Control are within established criteria 55 except where addressed in this case narrative, a non-conformance form or properly qualified within the sample results. By my digital signature below, I affirm to the best of my knowledge, all problems/anomalies observed by the laboratory as having the potential to affect the quality of the data have been identified by the laboratory, and no information or data have been knowingly withheld that would affect the quality of the data. 4�4 Sr s Qc �GI Heather J Wagner eAl Technical Service Representative El ACCOUNT: PROJECT: SDG: DATEMME: PAGE: Piedmont Geologic 1716 L959344 12/2911717:ti 4 of 14 OUTFALL-01 SAMPLE RESULTS - 01 ONE LAB. NATIONWIDE. Collected dateltime: 12120111 10:15 L959344 Additional Information Result Units RP Analyte pH (On Site) 7.5 su FC Gravimetric Analysis by Method 2540 D-2011 FS Result Ouahfier RDL Dilution Analysis Batch Analyte ugll ugA date! time Suspended Solids 31300 2500 1 12123/201710:35 WGIO56957 [Cn] Wet Chemistry by Method 350.1 Result Oualifier RDL Dilution Analysis Batch ugA ug11 date 1 time FOAnalyte Ammonia Nitrogen 324 100 1 12/29/20171147 WGIO58137 Wet Chemistry by Method 410.4 2G1 Result Gualifier RDL Dilution Analysis Batch sAl Analyte ugA ugll date 1 time COD 72800 10000 1 12/24/2017 20:03 WGIO57227 FSCI Wet Chemistry by Method 5210 B-2011 Result Qualifier RDL Dilution Analysis Batch Analyte ugA ugll date 1 time BOD 7900 O 1020 1 i21271201710:04 WG1056683 ACCOUNT: PROJECT: SDG: DATEITIME: PAGE: Piedmont Geologic 1716 L959344 12/29/17 17:)1 5 of 14 WG1056957 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. Gravimetric Analysis by Method 2540 D-2011 L959344-01 Method Blank (MB) F (MB) R3276173-1 12/23/17 10:35 MB Result MB Qualifier MB MDL MB ROL Analyte ugll ugli ugll _ rc Suspended Solids U 350 2500 FS L959114-03 Original Sample (OS) • Duplicate (DUP) (OS) L959114-03 12123/1710:35 • (DUP) R3276173-4 12/23/17 10:35 FC Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits s Analyte ugll ugll % % Suspended Solids 21S000 202000 1 6.24 J3 5 L959294-01 Original Sample (OS) • Duplicate (DUP) 7G1 (OS) L959294-01 12/231171035 • (DUP) R3276173-5 1212311710:35 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits AI Analyte ug11 ugll % % Suspended Solids 265000 259000 1 2.29 5 FC1 Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) (LCS) R3276173-2 12/23/1710:35 • (LCSD) R3276173-3 12/23/17 1035 Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec, Rec. Limits LCS Quatlfier LCSD Qualifier RPD RPD Limits Analyte ug/l ugil ug1l % % % % % Suspended Solids 773000 B16000 788000 106 102 85.0-115 3.49 5 ACCOUNT: PROJECT: SDG: Piedmont Geologic 1716 L959344 DATEITIME: 12/29117 1711 PAGE: 6of14 WG1058137 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. Wet Chemistry by Method 350.1 L959344-01 Method Blank (MB) Cp (MB) R3276670-1 12/29/17 13:15 MB Result MB Oualifier MB MDL MB RDL z Analyte ugll ug11 ug1l — TC Ammonia Nitrogen U 31.7 100 T FS L958399-01 Original Sample (OS) • Duplicate (DUP) Fn] (OS) L958399-01 12/29/17 13:20 • (DUP) R3276670-4 12/29/17 13:22 Original Result DUP Result Dilution DUP RPD DUP Oualifier DUP RPD Limits 5 Sr Analyte ugh ugll % % — — Ammonia Nitrogen U 0.000 i 0 70 L959346-05 Original Sample (OS) • Duplicate (DUP) FGI (OS) L959346-05 12/29/17 14:00 • (DUP) R3276670-6 12/29/1714:01 Original Result DUP Result Dilution DUP RPD DUP Oualifier DUP RPD Limits AI Analyte ugll ugll % % Ammonia Nitrogen ^ 279 286 1 2.48 tOT� rs Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) (LCS) R3276670-2 12/29/17 13:17 • (LCSD) R3276670-3 12/29/171319 Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Oualifier LCSD Oualifier RPD RPD Limits Analyte ugll ugll ugll Al % % % % Ammonia Nitrogen 7500 7520 7070 100 94,2 90-110 6.21 20 T L959154-01 Original Sample (OS) • Matrix Spike (MS) (OS) L959154.07 12/29A713 23 • (MS) R3276670-5 12129/1713.25 Spike Amount Original Result MS Result MS Rec, Dilution Rec. Limits MS Oualifier Analyte ugh ugll ug11 % % Ammonia Nitrogen 5000 ND 5160 102 1 90-110 L959346-06 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) 1-959346-06 1212911714:03 • (MS) R3276670-7 12/29/1714:05 • (MSD) R3276670-8 1212911714:06 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec- Dilution Rec. Limits MS Qualifier MSD Oualifier RPD RPD Limits AnaMe ug11 ugll ugli ugll % % % % % AmmonlaNitrogen 5000 ND 4970 4780 99.3 95.6 1 90-110 378 20 ACCOUNT: PROJECT: SDG: Piedmont Geologic 1716 L959344 DATE/TIME: 12/29/1717:11 PAGE: 7of14 WG1057227 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. Wet Chemistry by Method 410.4 L959344-01 Method Blank (MB) i Cp (MS) P3275565-1 12/24/17 19:57 ❑ M3 Result MB Qualifier MB MDL MB ROL a Analyze ugll Ugn ug11 TC COD U 3000 10000 3 Ss L959344-01 Original Sample (OS) • Duplicate (DUP) 4 Cn (OS) L959344-01 12/24/17 20:03 • (DUP) R3275565A 12/24/17 20:03 Original Result DUP Result Dilution DUP RPD DUP Oualifier DUP RPD Limits 5 Sr Analyte ugll u911 % % COD 72800 72100 1 1.03 20 ®. L959393-01 Original Sample (OS) • Duplicate (DUP) r q, (OS) L959393-01 12/24/17 20:05 • (DUP) R3275565-7 12124/17 20:05 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Al Analyte ugA ugll % % COD 14300 13800 1 3,04 20 Fc Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) (LCS) R3275565-2 12/24/17 19:57 . (LCSD) R32755GS-3 12/24/17 19:57 Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits Analyze ugll ug71 ugA % X % % % COD 242000 235000 232000 97 96 90-110 1.08 20 L959348-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L959348-01 12/24/17 20M • (MS) R3275565-5 12/24/17 20:03 • (MSD) R3275565-6 12/24/17 20:03 Spike Amount Original Result MS Result MSD Result MS Rec, MSD Rec- Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits Analyze ugll ug11 ugA ugll % % % % % COD 400000 408000 755000 757000 86.6 87-3 1 80-120 0.355 20 ACCOUNT: Piedmont Geologic PROJECT: SDG: 1716 L959344 DATE/TIME: 12/29/17 1711 PAGE: 8of14 WG1056683 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. Wet Chemistry by Method 5210 B-2011 L959344-01 Method Blank (MB) 'Cp (MB) R3275960-1 12127/171ZO5 ❑ MB Result MB Qualifier MB MDL MB ROL Analyte ugll ugll ug11 �C ROD U 1000 1000� FS 4Cn L959340-01 Original` Sample (OS) - Duplicate (DUP) (OS) 1-959340-01 12/27/17 10:00 • (DUP) P3275960-5 12/27/17 10:02 Original Result DUP Result Dilution DUP RPD DUP 0ualifier DUP RPD Limns 5 Fri Analyze ugll ugll % % BOD 93800 97000 1 3 — --—T 30 L959362-01 Original Sample (OS) - Duplicate (DUP) FGI (OS) L959362-01 12/27/17 10:31 - (DUP) R3275960-6 12/27/17 1032 Original Result DUP Result Dilution . DUP RPD DUP Oualifier DUP RPD Limits Analyze ugtI ug11 % BOD 26200 18700 1 33 J3 30 — e Sc L959394-03 Original Sample (OS) - Duplicate (DUP) (OS) L959394-03 12/27/17 1117 - (DUP) R3275960-7 12/27117 11:19 Original Result DUP Result Analyte ugll ugll BCD 744000 670000 Laboratory Control Sample (LCS) Dilution DUP RPD DUP Oualifier DUP RPD Limits 10 10 30 (LCS) R3275960-2 12/27/17 09:52 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte ugll ugll % % BOD 198000 216000 109 84.6-115 ACCOUNT: PROJECT: SDG: DATEMME: PAGE: Piedmont Geologic 1716 L959344 1212911717:11 9 cf 14 WGIO56683 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE, Wet Chemistry by Method 5210 8-2011 �959344-01 Laboratory Control Sample (LCS) ' (LCS) R3275960-3 12127/171115 Cp ❑ Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte ugll ug11 % % F B00 198000 223000 113 84.6-115 FS Laboratory Control Sample (LCS) Rn (LCS) R3275960-4 12/27/17 12:01 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Oualifier Analyte ugll ugli % % Sr BOD i98000 222000 112 84.6-115 ACCOUNT: PROJECT: SDG: Piedmont Geologic 1716 L959344 DATElTIME: 12129117 17:11 PAGE: 10 of 14 GLOSSARY OF TERMS ONE LAB. NATIONWIDE. Guide to Reading and Understanding Your Laboratory Report The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not FPintended as a comprehensive explanation, and if you have additional questions please contact your project representative. 2 Abbreviations and Definitions ITC MDL Method Detection Limit. RDL Reported Detection Limit. 3 S5 Rec. Recovery. RPD Relative Percent Difference. SDG Sample Delivery Group. Fn] U Not detected at the Reporting Limit (or MDL where applicable►. Analyte The name of the particular compound or analysis performed. Some Analyses and Methods will have multiple analytes reported. F If the sample matrix contains an interfering material, or if concentrations of analytes in the sample are higher than the Dilution highest limit of concentration that the laboratory can accurately report, the sample may be diluted for analysis. If a value different than 1 is used in thisfield, the result reported has already been corrected for this factor. FC These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal Limits for the method and analyte being reported. Successful OC Sample analysis will target all analytes recovered or duplicated within these ranges. Original Sample The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) from a quality control sample. The Original Sample may not be included within the reported SDG. e This column provides a letter and/or number designation that corresponds to additional information concerning the result AI Qualifier reported. If a Qualifier is present, a definition per Qualifier is provided within the Glossary and Definitions page and potentially a discussion of possible implications of the Qualifier in the Case Narrative if applicable. The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. If there was FC no measurable result returned for a specific analyte, the result in this column may state -ND- (Not Detected) or "BDL" Result (Below Detectable Levels). The information in the results column should always be accompanied by either an MDI_ (Method Detection Limit) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect or report for this analyte. A brief discussion about the included sample results, including a discussion of any non -conformances to protocol Case Narrative (Cn) observed either at sample receipt by the laboratory from the field or during the analytical process. If present. there will be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report. Quality Control This section of the report includes the results of the laboratory quality control analyses required by procedure or Summary (Qc) analytical methods to assist in evaluating the validity of the results reported for your samples. These analyses are not being performed on your samples typically, but on laboratory generated material, This is the document created in the field when your samples were initially collected. This is used to verify the time and Sample Chain of date of collection, the person collecting the samples. and the anaiyses that the laboratory is requested to perform. This Custody sc) chain of custody also documents all persons (excluding commercial shippers) that have had control or possession of the samples from the time of collection until delivery to the laboratory for analysis. This section of your report will provide the results of all testing performed on your samples. These results are provided Sample Results {Sr) by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for each sample will provide the name and method number for the analysis reported. Sample Summary (Ss} This section of the Analytical Report defines the specific analyses performed for each sample ID, including the dates and times of preparation and/or analysis. Qualifier Description J3 The associated batch QC was outside the established quality control range for precision. Q Sample was prepared and/or analyzed past recommended holding time. Concentrations should be Considered minimum values. ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Piedmont Geologic 1716 L959344 12/29117 17:11 11 or 14 ACCREDITATIONS & LOCATIONS ONE LAB. NATIONWIDE. ESC Lab Sciences is the only envircnme,nlal laboratory accredaedlcerti`ed to support your wart nationwide from one location. One phone call, one paint of cc -.:act. one laboratory. No inner lab is as accessible Or prepared to handle your needs throughout the country. Our capacity and capability from our Single location laboratory is comparable to the collective totals of the ' network laboratories in our industry. The most significant ocnef+t to our 'ore location' design is the design of our laboratory campus. The model is conducive to accelerated productiviy. P decreasing turn -around time, and preventing cross contamination, thus proieciing sample integrity. Our focus on premium quality and prompt service allows us lobe YOUR LAB OF CHOICE. ' Not all certifications held by the laboratory are applicable to the results reported in the attached report. State Accreditations FC Alabama 40660 Nevada TN-03-2002-34 Alaska UST-080 New Hampshire 2975 FS Arizona AZ0612 New Jersey—NELAP TNO02 Arkansas 88-0469 New Mexico TNO0003 4 C� California 01157CA New York 11742 Colorado TN00003 North Carolina Env375 Connecticut PH-0197 North Carolina DW21704 SSC Florida E87487 North Carolina 7 41 Georgia NELAP North Dakota R-140 Georgia ` 923 Ohio—VAP 51-0069 C FO Idaho TN00003 Oklahoma 9915 Illinois 200008 Oregon Indiana C-TN-01 Pennsylvania 68-TN200002 68-02979979 F Iowa 364 Rhode Island 221 Kansas E-10277 South Carolina 84004 Kentucky' 90010 South Dakota n/a + Kentucky 15 Tennessee" 2006 Louisiana A130792 Texas T 104704245-07-TX y Maine TN0002 Texas' LABO152 SC Maryland 324 Utah 6157585858 Massachusetts M-TNO03 Vermont VT2006 Michigan 9958 Virginia 109 Minnesota 047-999-395 Washington C1915 Mississippi TN00003 West Virginia 233 Missouri 340 Wisconsin 9980939910 Montana CERT0086 Wyoming A21LA Nebraska NE-OS-15-05 Third Party & Federal Accreditations A2LA — ISO 17025 1461.01 AIHA-LAP,LLC 100789 A2LA — ISO 17025' 1461.02 DOD 1461.01 Canada 1461.01 USDA 5-67674 EPA—Crypto TN00003 ` Drinking Water '- Underground Storage Tanks ' Aquatic Toxicity ' ChemicaUMkcrobiological ° Mold nb Accreditation not applicable OL1r Locations ESC Lab Sciences has sixty-four diem support centers that provide sample pickup andlor the delivery of sa -pling supplies. If you would like assistan;e l;om one of our support offices. please contact our main office. ESC Lab Sciences performs all testing at our central laboratory. T WA r.a E r.1T NO OR rAN T rD so T wi NY ( v'n' jll � • • NV T NE T pq T UT o • •IA IL Ir+ ox _ CO vN T �-P' S KLt0 T T T N KYVA T T r`T •AZ Ni O� AR • T SC • Tx LA r`7S At GA T AK T T ' 9 FL ACCOUNT: PROJECT: SDG: DATE/Tli PAGE: Piedmont Geologic 1716 L959344 12/29/17 1711 12 of 14 CornF.��rS'Nan:%/lddresS: Gilfinglnf4rmatiori: Analysis /Contal,terIPreservasivC cnalnolCui7nay part. Piedmont Geologic V'ESC 6003-145 Chapel Hill Road Raleigh,•NC 27607 L•A-9 S-C•I-E'-N•c•C•� c Y r V) nor � W CL ❑ Q C} .(,� Z � Ui 2 •- r O r • 17C415, Lebanon kd r YAOJ'I luier, ita ST;:: Fhchn S-7SYS6Se }L ti:680o-34T•5459 �. r,. rrs-T584559 e ❑' R*rt to: Email To: @P i6dmontgeologicxoia Pro;eet 4Cscript3on:. ytnel ri ore City/State Collected: q' fry ;A J✓� L !. f Phcriil: (9i9) 854-9740 Ar Client ProjcCt,Fs Lab Proje[t A D06'I Accmun+: PIEGEG template; Pretngin; Cdaler Gpllrrted b, {pdrttl: Skeli aciiitY.IGq P,O. h f Calletted by {sigh;6ie}; ` [inmedi rtely Pncked on Ice N ,_. Y Rushy {Lab FlUST Be riatifiedy m Sarnay,._._..........�_„r,206M _ —Two Day ....� ..._. .... `M T_ lrree fray Date Results Needed .Email? Flo yes — FA(? —rio _Yes Na; t Shipped Via. Simple ID Comp/Grab Mairl Depth Date Time. rartr5 F n. lraRi,mlranr s. ,i«etlib onWy I 17.14 1 11015 t 1 G� . r 'klatrix; SS GW-Groundwater WW-w3steWa[cr DW-DrinkinRWatt( GI�S� 7 Temp -Soil OT-Other pH FAmSrts: Flow Other Hold # y :, igg", Date::/ time: Received by: (Sir .-I �..J Samples returned via: ❑ UPS eondlilo'n_: (lab use only(}1/�f ;I -7a O ❑ FedFx 0 Courier ❑ (J[/ y : (5 i Date?: Time: Receiv V. uin Temp` aC bottles Aecelved: SJJ w 7 r, rPro�-lipft'uJishel �W COC'Seal intact: _y _kzWk- a,fti-atuj;eMt 14 te: lime: kcclved,tnrtah6V (S}I!natu" jjy. Date; nme: off C_liecked: NCF: i • • clien+: 5Dc �55)YY Cooler l(cceived/Opened On: J2/bZ-1,17 Tenip ralure.: i Rc'cciv4a hy: Kevin Turner Receipt, -Check List NP Yes No COC Seal Present-/ Intact? COC-Signed / Accurate?.' Bottles arrive intact? Correct bottles used? Sufficient volurne sent? IfAoplieable VOA Zero headspace? . Rreservation Correct,% Checked?' / PIEDMONT GEOLOGIC February 17, 2016 Mr. Glen White North Carolina Department of Environmental Quality Division of Energy, Mineral and Land Resources 450 West Hanes Mill Road, Unit 9 300 Winston-Salem, North Carolina 27105 RE: Accidental Discharge NPDES Stormwater Permit No. NCS000582 Ennis -Flint Manufacturing Facility 201 Old Thomasville Road, High Point, North Carolina Dear Mr. White: 6003-143 Chapel HH1 Rd RoWgt% NC 27607 P: 919-854-9700 P. 9IM54 9532 wwwpledmoNgeologlc com The purpose of this letter is to satisfy the 5-day reporting requirement in accordance with Part I11, Section 9 of the referenced permit. On February 12, 2016 at approximately 10:15 am, facility personnel observed that the water level in a stormwater retention pond had dropped to the bottom of the outlet valve, which indicated the valve had been opened. Water in the pond was observed to be at a higher level above the valve earlier in the week, but water contained in the pond was not discharged to the creek due a light emulsion on the surface. It is unknown when or who opened the valve. The quantity of the discharge is unknown, but estimated at 4,000 gallons. The source of the emulsion on the pond was discovered to be a tote of latex that was accidently punctured and leaked into a stormwater catch basin. The valve was closed immediately, and facility personnel contacted Haz-Mat Environmental Services of Charlotte, NC to mobilize crews and vacuum trucks to abate the spill. Approximately 18,575 gallons of water was pumped from the retention pond, and transported to the Haz-Mat Environmental Services centralized waste treatment facility in Charlotte, NC for disposal. Non -Hazardous Special Waste Manifests are attached. Facility personnel observed a milky discoloration in the receiving creek (Kennedy Mill Creek) under W. English Road and Westchester Drive, and west of Hodgin Street. Total solids, pH, and residual polymers were measured in a sample from the retention pond. The pH was reported as 7.8 standard pH units. Total solids and residual polymers were not detected in the wastewater sample. The laboratory report is attached. Piedmont Geologic, on behalf of Ennis -Flint contacted the NCDEQ by telephone on February 12, 2016 at 1:15 pm to report the discharge. When unable to reach the NCDEQ, Piedmont Geologic contacted NC Emergency Management to report the spill. Relevant site information was collected by Mike Bennett at Accidental Discharge Ennis -Flint, High Point February 17, 2016 approximately 5:00 pm. Additional information regarding the discharge was provided to Ron Boone, NCDWQ, Division of Water Resources during a telephone conversation on February 17, 2016. If you have any questions or need any additional information, please do not hesitate to call or e-mail. Sincerely, Tripp Loe, Joseph B. (Tripp) Lee, III, P.E. Senior Engineer Attachments cc: Ron Boone, NCDEQ, Division of Water Resources Martha Brown, Ennis -Flint PIEDMONT GEOLOGIC, P.C. HAZ,-;-MAT arm. Man€test" No: "..' V PX377 92MCHAFRLQTTE, N. PA'BOX 28237 EJYi4RGbIVTIlL (704) 332-5640 P.Q. No.. i FAX (704) 375-7183 Job No. NON -HAZARDOUS SPECIAL WASTE I.Section'l. GENERATOR IGeee+ewrcampkrren el section D GENERATOR LOCATION WORK CONTRACTED BY Bill To (If different from faformation at left) NAME t.,l�i "�5f! •: fir s ORIGINATING ADDRESS �t _ _ f s;NAME MAILING ADDRESS CITY wl, tIt.,Rt STATE * ZIP PHONE NO. ' ti•> : i; CONTACT NAME'S •+.l;; r DES. OF WASTE '»"ri i(al�:+.33tirLt E-!f,',• -. e. + i»t +tilriTC �t+c^r; 1. PETROLEUM CONTACT WATER 2. OFF -SPEC LIGHT OIL, DIESEL OR GAS 3. NON-HAZARDQUS LIQUIDS 4. SEDIMENT OR SOLIDS' 5. 55-GALLON DRUM REMOVED- SOLID OR EMPTY 6. 55-GALLON DRUM REMOVED- LIQUID 7. 8. 10. ARRWALTIME: DEPARTLRETIME: CITY" PHONE NO, CONTACT NAME STATE_ TIP^ Type GENERATQR'S CERTIFICATION: I hereby certify that the above mimed material is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state taw, has been properly described, classified and packaged, and is in proper condition for transportation according to appfica* regula5ons. GeneratodCustomer shall reimburse HAZ-MAT its -reasonable expenses and charges for handling, analong, loading, preparing; transporting, storing or caring for nonconforming or off 'spec waste, including costs of decontamination and cleaning of equipment Generator must notify HAZ MAT of any changes to the waste stream prior to shipment. /I LUIT Generator Authorized Agent Name — - -Signature &*MIW Dam HAZ- MAT ENVIRONMENTAL SERVICES P.O. BOX 37M • CHARLOTTE, N.C. 28237 - a. Driver NamelTdle b. Phone No c. Truck No. Hazardous Waste Transporter Permits . TRANSPORTERII e. Name- t Address g. Driver Name/Title- h, Phone No.- -- -- — i. Truck No. EPA NCR 000003186' j. Transporter II Permit Nos. EPA NCDD48461370 d. DworS nee %*MtDate Dtnvr "ra .. Ss"ag Dvro [SeW67n FACILITY INFORMATION CERTIFICAMOF-DiSPOSAL - Site Name: memll Servl es a. Phone No. 7t}4 332-5604 Physical,Address: 210 DaltvtiBvsnua b. Mailing' Address: - R.0. Box 37392 Charlotte: N.C.28208 Charlatta. N.C._2823T e, Discrepancy Inificallon Spa This is to ce* that ad ncntraradous r aleiiai ferruled fnm above kratbri has been received and v4 be dimosed of in a=dar+ce with appic bite bait. slate arid federal mgA&m in ft loaet>e 1Tra IB (1) Pwoiettm products ae t:Ierd- iib a bdn� misable fuel b r use n large hisral hares. (4 YYasle walers are to be Veated with pdymes; pH a4sk rr; and a clam In tion rays t vo# a disc 1 � Iktd6m. m for p eaabral separation, then into the CMUD sanitation sewer system under permit IUPfl5012. (3) Sk*as hum treatment systems are hauled to EPA, apprgnd facirtties far proper dispIsai. Manifest erb certificate of disposal are on.[r'e. (4) fAs treatrrterrt syaism open an a rrst in, tkst cut basis and product stmuld be processed widtin sewn days, SIG FIE OFFACIUTYAGENT: ~ l?ATE' MONTH DAY- - YEAR.. = ORIGINAL - FINAL TAD. • YELLOW - DISPOSER • Per% - tST T.S.D. - GOLD - GEWRATOR Analysis of Pond Water Written By: Nick Sayre -Smith Date: 2/17/16 Facility: Ennis Flint — Latex Factory Location: 201 Old Thomasville Rd High Point, NC Method: A quart sample of pond water was collected on 2/12/16, A 2 mL solution was prepared by diluting with methyl ethyl ketone (MEK) in a 10:1 ratio. A blank of the same MEK was run, and was then followed by the diluted pond water sample. The results of the blank and the pond water sample were compared on the basis of methyl methacrylate (MMA) and butyl acrylate (BA) concentrations. The samples were run on a Thermo Scientific Trace 1310 Gas Chromatographer using a Zebron ZB-5 Capillary column. The pH and percent of non-volatile mass (NVM) of the pond sample were also tested. The pH was tested using an Accumet 110 pH meter. The percent of NVM was tested using a Sartorius Moisture Analyzer Mark 3 at a temperature of 150 °C. The following is our calibration curve: Calibration Cali�aiio etails MMA Calbrabon Type Lin OlfsW (CO) 00000 Evaluation Type Area Slope (C f) 0.0002 Number otCahbrabal Points 0 Curve (C2) 0.0000 Number of disabled Calibration Points 0 R uaro 0.9989 Calit>ratiii ,lot MMA 200 MMA Exlemal FroW..Oetxlcr ¢ 0.160 0.16C. 0.140 d o.taa a 0.080 J O6G 0-040 ]-02G 0.000 0 125 25o 375 500 625 750 875 t0U0 110o Art�ount C$lihrsti� esults � No. Infection Name Ca6txabw X Value Y Value Y Value Area Height Level pXmin PA. FrontDetector FrontDetedor FmntDetector FrontDetector FrontDetector M 1 10(09M.92D0 ` - 0.1838 = D.1838.. _ _ 0 i &1 5:552 rP`s < 2 500` , ;,� `� 465-I600 00927 _-> 0D927 :0.093 -142:7914; 3' 2DOM 03 :4 0.0420..' -'tQ.0420 O.D42 R-gA248- 4 ' 100 $04 '_ ==98:0000 0.0205 - ., 0.02D5 :3 :; _ - 0.021 70.603' 0' 40DW 0:: 4 _ --0. Results 4.00 3.50 3.00 2.50 2.00 1.50 Blank FrontDetector 0-0 1.0 2.0 3.0 4.0 5.O 60 7.0 A AO 1n Time 4 00 Pond Water (2112) FrontDetector 5A 3.50 a 3.00 s a 2.50 p�h O �. • OC3 2.00 1.50 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 10.0 Time min Figure 1. A comparison of the chromatograms of the blank MEK sample and the diluted pond water sample. It is evident that there are MMA & BA impurities in the MEK blank due to column contamination. Table 1. Amounts of BA and MMA Run Name Concentration MMA (ppm) Concentration BA (ppm) Blank MEK 12.6280 7.4600 MEK + Pond Water (10:1) 11.5972 4.7755 As indicated by the table, the pond water sample contributed no additional response to either MMA or BA. Therefore, we conclude that there must have been no MMA or BA in the pond water, or, at least, in low enough concentrations as to be indiscernible by our detector. Table 2. pH, % solids, and Monomer Concentrations pH 7.80 Percent of Solids 0.00% [MMA] (by mass) 0 ppm [BA] (by mass) 0 ppm Conclusion: Our machine has found no detectable traces of MMA or BA in the pond water. Also, we have found no traces of solids, and the pH is 7.80. Summary of Comments on CCF02172016_0001.pdf Page: 1 Number: 3 Author, rcombes Subject: Stich Note Date: 2/17/2016 2:11:24 PM Quantity not legible on printed copy Manifest number 73225 is 6500 Gallons •ia HAZ-MATManifest No. 73231 r RO. BOX ENVIRONMENTAL R NMENTRLSERVICES NC. 28237 (704) 332-5600 P.O. No. FAX (704) 375-7183 Job No. - NON -HAZARDOUS SPECIAL WASTE Section 1. GENERATORrc�,�,�nar,w GENERATOR LOCATION grORll fir d TRAC EDBrom lntrnmat!an s! teR) �. I'tt'..i i•:rlttt ORIGINATING ADDRESS r.! : =jii i !wl't 3 e tiw i' t i NAIVE MAILING ADDRESS CITY i<1 Ir it""s1 STATE ZIP PHONE NO. ADDRESS CITY PHONE NO. R STATT ZiP CONTACT NAME 1. rnot tt• CONTACT NAME DES. OF WASTE: 'V,t+t i 1.L7-*41liri4 t+cl� t L"+..i <>, i1�!"i+ _ 7 m m No. Type Units Quantity Section 11. INVOICE 1NFORMATiON GALLONS DRUMS DE t=TION UANTITY LINE 1. PETROLEUM CONTACTWATER 2. OFF -SPEC LIGHT OIL, DIESEL OR GAS 3. NON+UVARDOUS LIQUIDS J ' 4. SEDIMENT OR SOLIDS' 5. 55-GALLON DRUM REMOVED - SOLID OR EMPTY 6, 55-GALLON DRUM REMOVED - LIQUID 7. 8. 9. 10. ARRIVALTIME: DEPARTURETIME: GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR Part.261 or any appricabie state taw, has been property described. classified and packaged, and Is In proper oondRian for transportation accorcling to applicaNe regress. Generator/Customer shall reimburse HAZ-MAT its reasonable expenses and charges for handling, analyzing, [wading, preparing, transporting, storing or caring -for nonconforming or off spec waste, including costs of decontemination and cleaning of equipment. Generator must notify HAZ-MAT of any changes to the waste stream prior to shipment. Generator Authorized Agent Nam - Signature .Seedori-llli 11LANSPORIMR. HAZ—MAT TRANSPORTER l ENVIRONMENTAL SERVICES e. Nance P.O. BOX 37392 • CHARLOTTE, N.C. 28237 f. Address a. Driver Name/Title g. Driver NamefTftle b, Phone No c. Truck No. Hazardous Waste Transporter Permits h. Phone No. i. Truck No. EPA NCR 0WOD3186 r F j. Transporter Il Permit Nos: EPA Nt DO"1370TI . d._r t. i �i. . viiw S Srtp ttstl wm Or m shorwd Doti rSectinn,ITON AND- CERTIFICATE `OF DISPOSAL - Site Name: HA&Mid EmimnmeMl,Sabd es a. Phone No. 704-332-6600 Physical Address: 21.0 )7allon Am. us b. Meilirng Ad�ess. PO. -Bog 37392 Chgdgjj% N.C. 28237 e: Discrepancy Indication Spann--- Ths is b My lraf arell MMrara tW msler d rentoAd Dam above ba W haS been M=Md and Will be Gapm. W of]n a000�darm vft aI 11c-d11e lord, state and federat reg talons in tt o iriaviig ma r. (1) Patide+m poduas are"' I- ib a ber+e1 1 MW t1r91 tof use In taros h1ISrtul 11AM s R Wain vrdW are to be traiiled weh pit niM pH airs, ad a flow.13 t Ilion ttays tl>l * a faoNad at lotab Rsk3n br pe4esIrriert aWratm, then Into the CMUD sanitation sewer system under penTit IUP06011 (3) Sludges from treatment systems am hauled to EPA. approved faalities for pr disposal, Manifest aid outifirale"of d VDsal are on Be, (4) Our "&nent system open0l; an a *M in, lust out basis andpvduct should be pooessad wbin seven days. ISIGNATUREOFFAcuryAGENr I DATE Page: 2 QNumber: 1 Author: rcombes Subject: Sticky Note Date: 2/17/2016 2:12:01 PM Quantity not legible on printed copy Manifest number 73231 is 3100 Gallons HAZ-MAT 73234 Manifest No:�rENVIRONMENTAL SERVICES P P.O. BOX 37392 • CHARLOTTE, N.C. 28237 fifflIADVAOM P.O. No. (704) 332-5600 FAX (704) 375-7183 Job No.. -- NON -HAZARDOUS SPECIAL WASTE Section I. GENERATOR w...w.nos.�u , GENERATOR LOCATION WORK CONTRACTED BY f r 1 ! •.�' E� `l eill TO (It different frorrl information at left) NAME ORIGINATING ADDRESS NAME MAILING ADDRESS ADDRESS a CITY STATE ZIP CITY STATE ZIP F1 lti ti 1 PHONE NO. PHONE NO. Nor' (":'f,r{►•� CONTACTNAME CONTACT NAME j� 11-{itlii€tit*li S +'` .• .1'.{t� l.N „i•,Ie-r • t•'ti DES. OF WASTE: m =❑ No. Type Units Quantity Section U. UW010E INFORMATION GALLONS DRUMS DESCRIPTION QUANTITY LINE TOTAL 1, PETROLEUM CONTACT WATER 2 OFF -SPEC LIGHTOIL,DIESELORGAS 3. NON -HAZARDOUS LIOU{DS � '�•-` 4. SEDIMENT OR SOLIDS' S. 55-GALLON DRUM REMOVED - SOLID OR EMPTY 6. 55•GALLON DRUM REMOVED - LIQUID 7. 8. - 9. 10. ARRIVALTIME: t> :i vr" DEPARTURETIME: GENERATOR'S CERTIFICATION: I hereby certly that the above named material is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, -has been properly desaihed, classified and packaged, and is In proper condition for transportation according to applicable regulations. GeneratedCustomer shall reimburse HAZ-MAT. its reasonable expenses and charges for handling, anatyring, krading, preparing, transp irting, storing or caring for nonconforming or off spec waste, Including Costs of decontamination and cleaning of equipment Generates must rcgy HAZ-MAT of arty changes to fhe waste stream pries to shipmam. o Generator Aullicd ed Agent- Name Signature �" r , Section ill _TRANSPORTER HAZ-MAT TRANSPQRTER Il ENVIRONMENTALSERVICES e. Name P.O. BOX 37392 • CHARLOTTE, N.'C. 28237 f. Address a. Driver NamefTille • _ t, L i .. k' f =+'t` g. Driver Name/Title b. Phow No ' ;' ` c. Tnxk No. Hazardous Waste Transporter Permits h. Phone Na. i. Truck No. EPA NCR ODMIX1186 J. Transporter It Permit Nos. EPA NCfO1370 i M } i • 1 — — t , r3 r_ ! Fr d s.Lw.A ,1" - pMr Steen ftadd Dole S M!! FACILIT—,Y:.INFORMATION-AND=CERTIRCATE OF.DISP.OSAL" Site Name: Hai -Mat Environmental 8gDM a. Phone No. 794-332-56tJ0 Physical Address: 210 Dalton Avenueb. Mailing Address: p.Q• Box 373t32 dotte. N.C, 28237 a: Discrepancy Indication'Spa- lies "s b ae * tiet aI norgarard= ..wa i snored tom ativre bmtori has bow, &-d vA be dsposed of in wr r 1arree va aerie kcat, state and bdarA m9A* m h the Flowing craw, (1) Pehkw produds are ido a b ,rill m sable W fix use i1 urge itdtm16 bm m (2) Wasle Yam are to be ta*d vA polymers, pH atliai$ and a t oaAri hen dons tuough a d wAed or k0tton son for pd eernimrt separation. Om into the CMUD sartttation sewer try permit IUP#5012. (3) Sludges from hutment systems are hatred to E.P.A. approved radtitin for {roper disposal: Man_ [lest and a ntfcate:of disposat are on Gies (4) Orr treabrra>t operates at Erst t>f;s>5 days. system a�, out and product simoiAd be pror�ssed vritivn seven SIGNATURE OF FACILrTYAGErd'r' DAft MONTH- DAY YEAR ORK U L - FWL T.S.O. - YELLOW • DEPOSER • PINN --13T U.M. - GOLD - GENERATOR Page: 3 QNumber: 1 Author: rcombes Subject: Sticky Note Date: 2/17/2016 2:12:30 PM Quantity not legible on printed copy Manifest number 73234 is 3500 Gallons MiZowAUr 1W19%?MW.4 HAZ-MAT ENVIRONMENTAL SERVICES P.O. BOX 37392 • CHARLOTTE, N.C. 28237 (704) 332-5600 FAX (704) 375-7183 NON -HAZARDOUS SPECIAL WASTE CIENMUM11 LOCATION NAME..34�. ORIGINATING ADDRESS i}t•`�••; i titH'e.E z• !#iY` i3 rt WORT{ CONTRACTED BY Bill To (If different from information at left) Manifest No. 73230 P.O. No. ire till Job No. MAILING ADDRESS _ _ ADDRESS CITY STATE ZIP CITY STATE - ZIP PHONE NO.� 'r:`.s t ri 3 PHONE NO. CONTACT NAME`,tCF. 1 •trkYkka' T - # ft t CONTACT NAME_ �4• i} i„_ r.e'4 i.ri''\ ti1'a 1!' :.Yj �'7'i:-i]i YIi 'fi m m❑ DES. OF WASTE: NO. Type Uru'is Quantity 10. ARRIVALTIME: GENERATOR'S CERTIFICATION: I hereby ceitlfy that the above named material is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, dassified and packaged, and is In proper condition for transportobon according to applicable regulations. GeneratDdCuswrner shag reimburse HAZ-MAT ifs reaswable expenses and charges for handling, analyzing, leading, preparing, trMporting. storing or caring for nonconforming or off spec waste, including costs of decontamination and cleaning of equipment. Generator must notify HAZ-MAT of any cnartges to the waste 6tream prior to shipment.. Generator Authorized Agent Name Signature si�ru.oae HAZ~ MAT TRANSPORTER II ENVIRONMENTAL SERVICES e, Name_ — P.O. BOX 37392 • CHARLOTTE, N.C. 28237 f. Address a. Driver Name/Title— g. Driver Name/Tide b. Phone -No c—Truck No. Hazardous Waste Transporter Permits <x Phone No. I. Truck No -- -- EPA NCR 00MI86 ° j. Transporter If Permit Nos. EPA NCO048461370 d. User spnp0ire S olio; onr« spialae ship MM Dab Section' 7 e.. , ; FAOLITYriNFaRMAT ON,AND CERTLFICAT`E..QF D SPOSAL Site Name: i Sendcos a. Phone No. 7D4$Z-5C04 Physical Address: 210 Dalton Avenete b. Mailing Address:_ P.O. Box 37 Charlotte. N.C; 28206 e: Discrepancy Indication Space This ie ID aer* fief of rn0=xdxa mdarenlaued team ebure beetan hn bam mmkoad and wilbe of it ammbrra w#h (1) P*d9Ym pmdkids are blerdrid iMo a' elra rekr abta W far use in laps Industrial buries. (2) Who wmn ace to be beelad wkh Pohrkas, pH a . and a tbaafarrl Oren lows frao a dsaaked air tata m system lir pvtoomnt sep Ow into the CMUD sandation sewer system under permit IUP#WI2., (3) Stud* from ireatmarit systems are hauled to ERA. approved facilities far proper deposal. MarYifest and r 'ifi, ;te of dsposaf are on fife. (4) Our treatrrrekit system operaWs on a fret in; fast out clams and prodkid #&Ad be processed within seven days. SIGNATURE OF P=C ITYAGENT DATEMONTH DAY YEAR am QNumber: 1 Author: rcombes Subject: Sticky Note Date: 2/17/2016 2:13:07 PM Quantity not legible on printed copy Manifest number 73230 is 5475 Gallons STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT \\�/ f .. Permit Number NCS 000582 FACILITY NAME Ennis -Flint (High Point facility) PF,RSON COI.,LEC'I'ING SAMPLE(S) Jonathan Murphrey CERTIIA ED LABORATORY(S) Environmental Science Corp Lab # 375 Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2016 n (This monitoring report shall be received by the Division no later than 30 daom Il the date the facility receives the sampling results from the laboratory, COUNTY GUiIFOI PHONE NO. ( 336) 475-6600 SIGNATURE OF PERMITTEE OR DESIGNEE REOUIRED ON PAGE, 2. os` Outfall Date 50050 00530 00310 00340 00610 00400 No. Sample Collected Total Flow if a Total Rainfall 'total Susp. Solids (TSS) Biochem. Oxy. Demand (BOD Chemical Oxy. Demand COD Ammonia as Nitrogen PH mo/ddl r MG inches m IL m IL m IL mg/L SU benchmark -- -- -- 100 30 120 8.4 6.0 - 8.0 001 06/28/16 -- 0.12 112 105 590 4.38 8.8 [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/TPFI (Method 1664 SGT-HEM), if appl. Total Suspended Solids PH New Motor Oil Usage molddlyr I MG inches m /l m Il unit allmo Form S W U-247, Iasi revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 6/28/16 Total Event Precipitation (inches): 0.12 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." 00, (Signature of Per tee) Form SWIJ-247, last revised 21212012 Page 2 of 2 *BSc L-A-B SCIEIY-CF:S ANALYTICAL REPORT July 08, 2016 Piedmont Geologic Sample Delivery Group: Samples Received: Project Number: Description. - Site: Report To: L844386 06/30/2016 1616 Ennis Flint - High Point HIGH POINT, NC Mr. Pete Dressel 6003 Chapel Hill Road Suite 145 Raleigh, NC 27607 Entire Report Reviewed By: Brian Ford Technical Service Representative Results retate only to the items tested or calibrated and are reported as rounded values. This test report shall not be reproduced. except in lull, without written approval of the laboratory. Where applicable, sampling conducted by ESC is performed per guidance provided In laboratory standard operating procedures: 060302, 060303, and O60304. myESC TABLE OF CONTENTS ONE LAB. NATIONWIDE. RP 'Cp: Cover Page 1 2Tc: Table of Contents 2 3Ss: Sample Summary 3 4Cn: Case Narrative 4 3Ss 'Sr: Sample Results 5 OUTFALL 001 L844386-01 5 Fnj 6Qc: Quality Control Summary 6 Fr Gravimetric Analysis by Method 2540 D-2011 6 Wet Chemistry by Method 350.1 y FC Wet Chemistry by Method 410.4 8 Wet Chemistry by Method 5210 B-2011 9 FGI 'GI: Glossary of Terms 11 EAI "Al: Accreditations & Locations 12 9Sc: Chain of Custody 13 95C ACCOUNT: PROJECT: SSG: DATEiTIME: PAGE: Piedmont Geologic 1616 L844386 07/08/1616:28 2 of 13 SAMPLE SUMMARY ONE LAB. NATIONWIDE. J0 Collected by Collected dateltime Received dateltime OUTFALL 001 L844386-01 GW Jonathan Murphey 06/2811609:55 0613071609:00 Method Batch Dllulion Preparation Analysis Analyst dateltime date/time Gravimetrtc Analysis by Method 2540 D-2011 WGBES814 1 07/05/16 07:43 07105l16 08:17 JM Wet Chemistry by Method 350 1 WG896594 1 07/08/16 11:41 0710811611:47 DR Wet Chemistry by Method 410.4 WG684949 1 07/01/16 07:04 07101AG 10:15 AMC Wet Chemistry by Method 5210 B-2011 WG884753 1 06/30/16 14:10 0710546 11:52 ARM ACCOUNT: PROJECT: SaG: DATE/TIME: PAGE: Piedmont Geologic 1616 L844386 0710819616:28 3 of 13 CASE NARRATIVE ONE LAB, NATIONWIDE All MDL (LOD) and RDL (LOG) values reported for environmental samples have been corrected for the dilution factor used in the analysis. All Method and Batch Quality Control are within established criteria except where addressed in this case narrative, a non-conformance form or properly qualified within the sample results. By my digital signature below, I affirm to the best of my knowledge, ali problems/anomalies observed by the laboratory as having the potential to affect the quality of the data have been identified by the laboratory, and no information or data have been knowingly withheld that would affect the quality of the data. J Brian Ford Technical service Representative Sample Handling and Receiving The following samples were prepared and/or analyzed past recommended holding time. Concentrations should be considered minimum values. ESC Sample ID Project Sample ID Method L844386-01 OUTFALL 001 5210 B-2011 ACCOUNT: PROJECT: SDG: DATEITIME: PAGE: Piedmont Geologic 1616 L844386 07/08/16 16:28 4 of 13 O U T F A L L 001 SAMPLE RESULTS - 01 ONE LAB. NATIONWIDE. .Collected.dateltime: 06/28116 D9:55 L844386 Additional Information Result Units Cp Analyse � psi (On Size) 8.8 su ITC Gravimetric Analysis by Method 2540 D-2011 FSS Result Qualifier RDL Dilution Analysis Batch Analyte ugA ugll date 1 time -- Fn Suspended Solids 112000 2500 1 07/05/2015 08:17 WG895814 Wet Chemistry by Method 350.1 Result Qualifier RDL Dilution Analysis Batch Analyze ugll ugll date I Lime _ _— _ CtC Ammonia Nitrogen 4380 250 1 07/08/2016 11-47 WG886594 Chemistry by Method 410.4 EWet Result Qualifier RDL Analysis Analyte ugA ugA date 1 time — ------ — COD 590000 — —Dilution 10000 — 1 07/011201610:15 —Batch WG864949 FC] Wet Chemistry by Method 5210 B-2011 Result Qualifier RDL Dilution Analysis Batch Analyze ugA ugll date 1 time BOD 105000 33300 1 071051201611-52 WG884763 ACCOUNT: PROJECT: 5DG: DATEMME: PAGE: Piedmont Geologic 1616 L844386 07/08/16 z6:28 5 of 13 WG885814 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. - Grevimetric Analysis by Method 2540 D-2011 L844386-01 Method Blank (MB) 'C (MB) R3147616-1 07/05/16 08:17 MO Result i Qualifier MR MDL MR RDL Analyte ugll ugp ugh — Suspended Solids U _ 350 2500 L844193-01 Original Sample (OS) • Duplicate (DUP) (OS) L844193-01 07/05/16 08:17 • (DUP) P3147616-4 07/05/16 08:17 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Anaiyte ugll ugll % % T Suspended Solids 1100D 11300 1 2.25 T S L844336-01 Original Sample (OS) • Duplicate (DUP) (OS) L844386-01 C7105116 08:17 • (DUP) R3147616-5 07/05i16 08:17 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Anaiyte ugly ugll % % w Suspended Solids _ 112000 109000 1 2.71 5 Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) (LCS) R3147616-2 07/05116 08:17 • (LCSD) R3147616-3 07/05/16 08:17 Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits Analyle ugll ugll ugll % % % % % Suspended Solids 773000 840000 840000 109 109� 85D-115 _ 0.000 5 ACCOUNT: PROJECT: SDG: DATEITIME: PAGE: Piedmont Geologic 1616 L844386 07/08/1616:28 6 of 13 WG886594 QUALITY CONTROL SUMMARY ONE LAB, NATIONWIDE. 0 Wet Chemistry by Method 350.1 L844386-01 Method Blank (Me) Cp (MB) R3148474-1 07/08/16 11:20 MB Result MB Qualifier MB MDL MB RDL Analyte ugll ugll ugll — ---- -�— — LL - y--- -��— El Ammonia Nitrogen U 38.0 250 3 SS L844344-06 Original Sample (OS) • Duplicate (DUP) QCn (OS) L844344-06 07/08/1511:26 • (DUP) R3143474-4 07708/16 11:28 Origlnai Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits S Analyte ugll ugll % _ % Ammonia Nitrogen ND 0.000 1 0 20 L844348-04 Original Sample (OS) • Duplicate (DUP) 7G1 ((DS) L844348-04 07/09/1611-41 • (DUP) R3148474-6 C770811611:42 Original Result DUP Result Dilution DUP RPD Analyte ugll ugll % DUP Qualifier DUP RPD Limits % Ammonia Nitrogen ND 0.000 1 0 20 9Sc Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) (LCS) R3148474-2 07/08/16 11:22 • (LCSD) R3148474-3 07/08/15 11:23 Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec, Limits LCS Qualifier LCSD Qualifier RPD RPD Limits Analyte ugll ugA ugll % % % % % Ammcmia Nitrogen 7500 7850 7400 105 99 90-110 5 20 L844348-02 Original Sample (OS) • Matrix Spike (MS) (OS) L844348-02 07/08/16 11:31 • (MS) R3148474-5 07/08/16 1133 Spike Amount Original Result MS Result MS Rec. Dilution Rec, Limits MS Qualifier Analytc ugll ugll ugA % % —� Ammonia Nitrogen _ 10000� ND 9860 99 1 90-110 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) • (MS) R3148474-7 07ICS116 12:17 • (MSD) R3148474-8 07/08/16 12:19 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Oualifier RPD Analyte ugll ugll ugll % % % % Ammonia Nitrogen 10000 20100 — 20100 102 101 1� 90-110 E 1 0 RPD Limits 20 ACCOUNT: PROJECT: SDG: Piedmont Geologic 1616 L844386 DATE/TIME: 07/08/16 16:2 8 PAGE: 7of13 WG884949 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. Wet Chemistry by Method 410,4 L844386-01 Method Blank (MB) E (MB) R3147049-1 07/01/16 10:09 MB Result MB Qualifiet MB MDL MB RDL Analyte ug/I ug/I ug/I -- - - - - - - - - - - — - - -- -- 1 C COD U _ s 3000 10000 L844O89-01 Original Sample (OS) • Duplicate (DUP) (OS) L844089-01 07/01/16 1010 • (DUP) R3147049-4 07/01/16 10:10 Original Result DUP Result Dilution DUP RPO DUP Qualifier DUP RPD Limits Analyte ugll ug/I % COD 983000 937000 50 5.00 20 L844393-01 Original Sample (OS) • Duplicate (DUP) (OS) L844393-01 07101A6 10:15 • (DUP) R3147049-7 07/01/16 10:15 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte ugll Ugll %— COD 766000 766000 1 0.000 20 Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) (LCS) R3147049-2 07/01/16 10:09 • (LCSD) R3147049-3 07/01/16 10:09 Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec, Rec, Limits LCS Quailfier LCSD Qualifier RPD RPD Limits Analyte ugll ugll ugll % % % % % COD T 242000 230000 230000 95.0 95.0 90,0-110 0.000 20� L84428O-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L844280-01 07/01/16 10710 • (MS) R3147049-5 07/01/16 10:10 • (MSD) P3147049-6 07/01/16 10:11 Spike Amount Original Result MS Result MSD Result MS Rec, MSD Rec. Dilution Rec, Limits MS Qualifier MSD Qualifier RPD RPD Limits Analyte ugll ug/I ugil ugll % % % - % % COD 400000 73000 418D00 415000 85.0 86.0 1 80.0-120 0.000 20 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Piedmont Geologic 1615 L844386 07/08/1616:28 8 of 13 WG884763 Wet Chemistry by Method 5210 B-2011 Method Blank (MB) (MB) P3147523-1 07/05/16 13:11 MB Result IAB Qualifier MB MOL MB RDL Analyte ugll ug/I ugll 80D U 1000 1000 L844231-01 Original Sample (OS) • Duplicate (DUP) QUALITY CONTROL SUMMARY L844396.01 (OS) L844231-01 07/05/16 10.49 • (DUP) P3147523-5 07/05/1610:49 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte ugll ugll % % — BOD — —ND 0.000 1 — 0 30 L844383-02 Original Sample (OS) • Duplicate (DUP) ONE LAB. NATIONWIDE. �Cp �Tc FS Fn F 7G1 Fc {(DS) L844383-02 OWO5116 11:31 • (OUP) R3147523-6 07/05/1611:49 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte ugll Ug/I % %— BCD 5000 6900 1 31 Pt 30 L844402-02 Original Sample (OS) • Duplicate (DUP) (OS) L844402-02 07/05/1613:06 • (DUP) R3147523-7 07/05/1613:07 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte ugll ugll % --- % -� - — ND 3400 1 200 BOO P1 30 Laboratory Control Sample (LCS) (LCS) R3147523-2 07/05/16 10:27 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte ugll ugh % BOO 198000 191000 96.6 84.6-115 Laboratory Control Sample (LCS) (LCS) R3147523-3 07/05/16 12:09 Spike Amount LCS Result LCS Rec Rec. Limits LCS Qualifier Analyte Ugll ugll % - - - ---'— — T � ro 80D 198000 211000 106 84.6-115 ACCOUNT: PAGE: 9 of 13 PROJECT: SDG: DATE/TIME: Piedmont Geologic 1616 L844366 07108/1616:28 WG884763 QUALITY CONTROL SUMMARY ONELAB.NATIONWIDE. Wet Chemistry by Method 5210 B-2011 L844385.01 Laboratory Control Sample (LCS) (LCS) R3147523-4 07/05/16 13:09 C p 5pike Amount LCS Rusult LCS Rec. Rec. Limits LCS Qualifier Analyte ugA ugll _ % -- - - - -- - - — — -- - - .. - — - ---- TC Boo -- .4 -- - — 198000 199000 101- --- 84.6-115 FS Fn] Pr FGI aAl r Sc ACCOUNT: PROJECT: SDG: DATElTIMrt PAGE: Piedmont Geologlc 1616 L844386 07/0611616:28 10 of 13 GLOSSARY OF TERMS ONE LAB. NATIONWIDE. 4V Abbreviations and Definitions SDG Sample Delivery Group. Ed MDL RDL Method Detection Limit. Reported Detection Limit Tc ND Not detected at the Reporting Limit (or MDL where applicable). U Not detected at the Reporting Limit (or MDL where applicable). 3Ss RPD Relative Percent Difference. Original Sample The non -spiked sample fn the prep batch used to determine the Relative Percent Difference (RPD) from a quality control sample. The Original Sample may not be included within the reported SDG. rqn Rec. Recovery. Fr Qualifier Description IE E The analyte concentration exceeds the upper limit of the calibration range of the instrument established by the initial calibration (KAL). P1 RPD value not applicable for sample concentrations less than 5 times the reporting limit. EAI r qC ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Piedmont Geologic 1616 L844386 07/08/16 16:28 11 of 13 ACCREDITATIONS & LOCATIONS ONE LAB.NATIONWiDE. ESC Lab Sciences is the caly environmental laboratcryaccreditedlcertified to support your weri rahorr ida from one location. One phone call, one pcf.t of contact, one laboratory. No omen lab is as accessible or prepared to handle your needs throughout the country, Our capacityand capabrily from our single location laboratory is comparable to the collective totals of the ne;work laboratories in our industry. The mast significant venelit to our'one location' design is the design of our laboratory campus. The model is conducive to accelerated productiviy, B decreasing turn -around time, and preventing cross contamination, thus protecting sample integrity. Our focus on premium quality and prompt service allows us to he YOUR LAB OF CHOICE. " Not all certifications held by the laboratory are applicable to the results reported in the attached report. State Accreditations FC Alabama 40660 Nevada TN-03-2002-34 3 Alaska UST-080 New Hampshire 2975 S5 Arizona AZO612 New Jersey-NELAP TNO02 Arkansas 88-0469 New Mexico TNO0003 Fn California 01157CA New York U742 Colorado TN00003 North Carolina Fnv375 Conneticut PH-0197 North Carolina DW21704 s Sr Florida E87467 North Carolina' 41 Georgia NELAP North Dakota R-140 Georgia ` 923 Ohio-VAP CLOO69 C ro Idaho TNO0003 Oklahoma 9915 Illinois 200008 Oregon TN200002 FGI Indiana C-TN-01 Pennsylvania 68-02979 Iowa 364 Rhode Island 221 Kansas E-10271 South Carolina 84004 Kentucky' 90010 South Dakota nla Kentucky' 16 Tennessee" 2006 Louisiana A130792 Texas T 104704245-07-TX Maine TN0002 TexassLABO152 FS Maryland 324 Utah 61S759SES8 Massachusetts M-TNO03 Vermont VT2006 Michigan 9958 Virginia 109 Minnesota 047-999-395 Washington C1915 Mississippi TN00003 West Virginia 233 Missouri 340 Wisconsin 9980939910 Montana CERT0086 Wyoming A21-A Nebraska NE-OS-15-05 Third Party & Federal Accreditations A2LA - ISO 17025 1461.01 AIHA 100789 A21-A - ISO 17025' 1461.02 DOD 1461.01 Canada 1461.01 USDA S-67674 EPA-Crypto TN0000 drinking Water ' Underground Storage Tanks ' Aquatic Toxicity ' ChemicaVMiaobiologicat ' Mold ^ Accreditation not applicable Our Locations ESC Lab Sciences has sixty -loco dlent suppc : centers tha; provide sampe pickup and/or the delivery of sa^piing supplies. If you would li'<e assistance from a ;e of our support oflices, please contact our main cSide- ESC Lab Sciences performs all testing at our central laboratory. �.f. rAT O R 1.7 V VVY T iu so • r;i ♦ r.r • • ♦ rry raE • i T T ♦ c*t + eF T u• — UT ♦ t ! T tv F t • �1 ^^T a 41 �r-- RT •Az rJr.4 `� nr� • • ;C cr.r.A • M me 1�/' -� � T • +• �- • i O IN ACCOUNT: PROJECT: SDG: DATEfrIME PAGE: Piedmont Geologic 167E L844386 07/08A616:28 12 of 13 P� lvri- - Billing Information: Analysis Container Preser -+ative Chain of Cv5todr Pige Piedmont Geologk Accounts Payable 6003 Chape[Hill Rd Ste 145 SC. 6003 Chapel Hill Road Suite 145 Raleigh, NC 27607 Raleigh, NC 27607 L-A-6 S -C-L- 0: •N •C- E. S 12065 LebenOn R4 TN 3712 Mount hilitt, 21.1 Report to� Email To: pldressel@pledmantgeologic.com Mr. Pete Dressel Phone: 615458-5855 Phone: 800-757-5959 615-75fl-5859 Project city/state Description: Ennis Flint - High Point Collected:#,);, A - V 4 Client Project n Lab Project a Phone: 919-854-9700 lip G1 1i Fax:. 919rfl54-9532, 1616 PIEGEO-1616 J 0" LJ r4' tn V1 ' a, Collected by (print): Site/Facility 10 P P.O. H A tnum. PlEGE5 HIGH POINT, NC x.'1 X X 0 z tAJ i a'_ .4 T�m�plate:T11004 Wefogfi�:'P.542777 db Col v signatur 9" Rush ? J Lab MU ST Be Not Ified) - Same Day ................ .200% Date Results Needed Email? No X Yes — Next Day ............................. 100% . TSR: 350 - Jimmy Hunt, r lm46diately V/ — Two Day _ ................. 50% FAX? Yes No. I tn in_ !, T. . !B.. Packed 6' y on N — Three Da ............................ 25% —No of 4 101'' N I J 5�1' d'yl a: Fed EXGround;.'L ntrs Sample ID Comp/Grab Matrix Depth Date Time 0 U z Rem JConta.ln.nTSAMP1e 9 (lab only) 617 955 4 X. .'.X _.'X 7 UZ ;V #4. Warr J. Matrix: 55 - Soil G W - Grou ndwater WW - WasteWater DW - brinki[ng Water OT - other 8.8Temp Remarks: pH Flow Other Hold # Reli9qiuisheclby: (Sig tu •/Z411 Date: Time: Received by: (signature) Samples r riled via: El UPS Condit] ---n(lab ldse'only) _7 L edEx 0 Courier CI. —I t Relinquished by: Date: Time; Received by: (51gnettire)��t P.' A Bottles R d:, T C ecq v! N 417`4 D e: Time; lb R'F'r.- ed r la N (slkfiature) Date: 0 Timie:'i'; 7 pH Checked NCV ._ �T�OI2.�ti-.��'V�,TIYE� DISC S{ARCS OUTFACE (SDO) �i V V�$XIIORING REPORT Permit Number NCS 000582 JAN 14 2016 CENTRAL FILES DWR SECTION FACILITY NAME Ennis -Flint (High Point facility) _ PERSON COLLECTING SAMPLE(S) Jonathan Murphrey CERTIFIED LABORATORY(S) Environmental Science Corp. Lab # 375 Lab # Part A: Specific Monitoring Requirements W7 Name SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 (This monitoring report shall be received by the Division no later than 30 dayvu the date the facility receives the sampling results from the laboratory.l;;�- COUNTY Guilford PHONE NO. ( 336) 475-6600 s SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall No. Date Sample Collected 50050 00530 00310 00340 00610 00400 Total Flow if a Total Rainfall Total Susp. Solids SS Biochem. Oxy. Demand (BOD) Chemical Oxy. Demand COD Ammonia as Nitrogen pH mo/dd/ r MG inches m IL m L m /L mg/L SU benchmark -- — -- 100 30 120 8.4 6.0 - 8.0 001 12/22/ 15 0.55 42.0 <3.33 17.1 <0.250 8.0 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&GfTPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids phI New Motor Oil Usage moldd/ r MG inches m /I m /l unit al/mo Form SWU-247, Iasi revised 21212012 Page I of 2 STORM EVENT CHARACTERISTICS: Date 12/22/15 Total Event Precipitation (inches): 0.55 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." elz Zff6ye (Signs ure of Per ( ate) Form SW U-247, last revised 21212012 Page 2 of 2 *ESC ANALYTICAL REPORT mvESC -A-B 5-C-I-E.N-C.E.S December 31, 2015 J Piedmont Geologic Sample Delivery Group: Samples Received: Project Number: Description: L808650 12/23/2015 1551 Ennis -Flint High Point Stormwater Report To: Mr. Pete Dressel 6003 Chapel Hill Road Suite 145 Raleigh, NC 27607 Entire Report Reviewed By: V"'e-`^-J J Chris McCord Technical Service Representative Results relate only to the items tested or calibrated and are reported as rounded values. This test report shall not be reproduced, except in full, without written approval of the laboratory. Whc:e applicable, sampling conducted by ESC is performed per guidance provided in laboratory standard operating procedures: 060307, 060303, and 060304. ,4 TABLE OF CONTENTS ONE LAB. NATfONWIDE. 'Cp: Cover Page 2Tc: Table of Contents 3Ss: Sample Summary 4Cn: Case Narrative 5Sr: Sample Results Ot ETFALL-001 L808650-01 6Qc: Quality Control Summary Giavimetric Analysis by Method 2540 D-2011 Wet Chemistry by Method 350.1 Wet Chemistry by Method 410A Wet Chemistry by Method 5210 B-2011 7GI: Glossary of Terms "Al: Accreditations & Locations 9Sc: Chain of Custody 1 2 3 4 5 5 6 6 7 9 10 12 13 14 ACCOUNT: PROJECT: SDG: DATEMME: PAGE: Piedmont Geologic 1551 L808650 12f3145 IE07 2 of 1A SAMPLE SUMMARY ONE LAE. NATIONWIDE. OUTFALL-001 L808650-01 WW Collected by Collected date/time Received dateltime JonathanMurphrey 1212211507:10 121231507:20 Method Batch Dilution Preparation Analysis Analyst dateltime dateltime Gravimetnc Analysis by Method 2540 0-2011 WG838486 1 12128l1510:21 12/2811511:14 JER Wet Chemistry by Method 350.1 WG839290 1 12l31l15 01:51 i213V15 01:57 JAL Wet Chemistry by Method 410.4 WG838796 1 12/29/15 08:53 1212911512:12 JER Wet Chemistry by Method 5210 B-2011 WG838037 1 1212311512:20 12/28/15 09:30 RTB ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Piedmont Geologic 1551 L80865o 1213145 11:07 3 of 14 CASE NARRATIVE ONE LAB. NATIONWIDE_ All sample aliquots were received at the correct temperature, in the proper containers, with the FP appropriate preservatives, and within method specified holding times. All MDL (LOD) and RDL (LOO) values reported for environmental samples have been corrected for the dilution factor used in the FC1 analysis. All Method and Batch Quality Control are within established criteria except where addressed in this case narrative, a non-conformance form or properly qualified within the sample results. By my digital signature below, I affirm to the best of my knowledge, all problems/anomalies observed by the rss] laboratory as having the potential to affect the quality of the data have been identified by the laboratory, and no information or data have been knowingly withheld that would affect the quality of the data. F—sr F C-L I �'j GI �—J71 Chris McCord EAI Technical Service Representative gSc ACCOUNT: PROJECT: SDG: DATEMME: PAGE: Piedmont Geologic 1551 L808650 12/3W511:07 4 of 14 OUTFALL-001 SAMPLE RESULTS - 01 ONE LAB. NATIONWIDE. Collected dote/time: 12/22115 07:10 L808650 Additional Information Units FPResult Analyte pH (On Site) 8 su El Gravimetric Analysis by Method 2540 D-2011 3 Ss Result Qualifier RDL Dilution Analysis Batch Analyte ugA ugA date 1 time a Cn Suspended Solids 42000 J3 2500 1 121281201511:14 WG838486 Wet Chemistry by Method 350.1 Result Qualifier RDL Dilution Analysis Batch ugA ugll date 1 time FCAnalyte Ammonia Nitrogen ND 250 1 12/31/201501:57 WG839290 , Wet Chemistry by Method 410.4 Result Qualifier RDL Dilution Analysis Batch Analyte ugA Ug11 date 1 time F COD 17100 10000 1 1212912G1512:12 WG638796 FC Wet Chemistry by Method 5210 B-2011 Result Qualifier RDL Dilution Analysis Batch Analyte ugA ugA date 1 time BOD ND 3330 1 12/281201509:30 WCS38037 ACCOUNT: PROJECT: SDG: DATEMME: PAGE: Piedmont Geologic 1551 L808650 12/31/15 11:07 5 of 14 WG838486 QUALITY CONTROL SUMMARY ONELAB.NATIONWIDE, Grovimetric Analysis by Method 2540 D-2011 L808650-01 Method Blank (MB) , (MB) 12/28/1511:14 MB Result M8 Oualirier MB RDL Analyte mg/l m gll Suspended Solids ND 2.50 L808487-02 Original Sample (OS) • Duplicate (DUP) (OS) 12/2811511:14 - (DUP( 12/28/15 11:14 Original Result DUP Resull Dilution DUP RPD DUP Oualifier DUP RPD Limits Analyte mgli mgll % % Suspended Solids 4880 4420 1 9.89 J3 5 L808650-01 Original Sample (OS) • Duplicate (DUP) (OS)12128/15 11:14 • (DUP) 12/28/15 11:14 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte r i mgll % % Suspended Solids 42.0 46.0 1 9.09 J3 5 Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) (LCS) 12/28/15 11:14 • (LCSD) 12128/15 11:14 Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits Analyte mgll mgll mgll % % % % % Suspended Solids 773 820 836 106 108 85.0-115 1.93 5 ACCOUNT: PROJECT: SDG: DATElTIME: PAGE: Piedmont Geologic 1551 LSO9650 1213l/1511:07 6 of 14 WG839290 QUALITY CONTROL SUMMARY ONE LAB.NATIONWlDE. Wet Chemistry by Method 350.1 L808650-01 Method Blank (MB) R (MB) 12/31/15 00:52 MS Result MB Qualifier MB RDL Analyte mgll mg1l FC1 Ammonia Nitrogen ND 0.250 FS a L808420-01 Original Sample (OS) • Duplicate (DUP) (OS) 12/31115 01:05 • (DUP) 12/31/15 01:07 C n Original Result DUP Result Dilution Analyte mg11 mgll DUP RPD % DUP Qualifier DUP RPD Limits % Isr Ammonia Nitrogen 0.189 0,176 1 0 20 L808615-09 Original Sample (OS) • Duplicate (DUP) 7G1 (OS) 12/31/15 01:45 • (DUP) 120/15 01:47 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte mgll mgA % % sA{ Ammonia Nitrogen 0.0600 0.0700 1 0 20 LaDoraiory �-oniroi aampie • L_aDoraiory troniroi z:)ampie uupiicaie It tv-)u) (LCS)12/31115 00:57 • (LCSD) 12/31/15 01:00 Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits Analyte mgll mgll mgll % % % % % Ammonia Nitrogen 7.50 7,36 6.95 98 93 90-110 6 20 L808421-01 Original Sample (OS) • Matrix Spike (MS) (OS)12/31/15 01:10 • (MS)12131115 01:12 Spike Amount Original Result MS Result MS Rec. Dilution Rec. Limits MS Qualifier Analyte mgll mgA mgll % % Ammonia Nitrogen 10.0 0.136 10.4 103 1 90-110 El ACCOUNT: PROJECT: SDG: Pledmont Geologic 1551 LB08650 DATEMME: PAGE: 12/31/1511:07 7 of 14 WG839290 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. Wet Chemistry by Method 350.1 L808650-01 L808615-10 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) 12/31/15 01:50 • (MS) 12/31/15 01:52 • (MSD] 12/31/15 01:55 Cp. Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Oualifier MSD Oualifler RPD RPD Limits FTC Analyte mg1l mg1l mgll mglt % % % X, % Ammonia Nitrogen 10.0 0.0980 9.72 10.3 96 102 1 90-110 6 20 El El 55r 7G1 aAl r Sc ACCOUNT: PROJECT: SDG: Piedmont Geologic 1551 L908650 DATEITIME: 12/31/1511:07 PAGE: 8 or,a WG838796 QUALITY CONTROL SUMMARY ONE LAD. NATIONWIDE. Wet Chemistry by Method 410.4 L808650-01 Method Blank (M8) T Cp (MD)12/29/15 12:10 ❑ MB Result MB Qualifier MB RDL Analyte mg/l mgll FC COD ND 1&0 E L808724-02 Original Sample (OS) • Duplicate (DUP) (CS) 12/29/15 12,13 • (DUP) 12/29/15 12:13 FCn] Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits SSr Analyte m0jl mgll % % COD 82.7 81.4 1 0.723 5 Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) 7G1 (LCS) 12/29/15 12:11 • (LCSD) 12/29/15 12:11 Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec, Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits Analyte mgA mgll mgli % % % % % Doi COD 242 237 231 97.9 95.5 90.0-110 2.56 5 I qC L808725-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) 12/29/15 12:14 • (MS) 12/29/15 12:14 • {MSD} 1212911512:14 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits Analyte mgll mgll mgll [Tigll % % % % % COD 400 112 501 502 97.3 97.5 1 90.0-110 0.199 5 ACCOUNT: PROJECT: 5DG: DATE/TIME: PAGE: Piedmont Geologic 1551 L808650 12/31/1511:07 9 of 14 WG838037 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE, Wet Chemistry by Method 5210 8.2011 L808650-01 Method Blank (MB) FP(I41B} 12/28/15 12:43 MS Result i Qualifier M8 RDL z Analyte mgll mgll Tc BOD ND 100 FS L8O85O1-01 Original Sample (OS) • Duplicate (DUP) (OS) 12/28/15 09:18 • (DUP)12128115 09:19 Fn Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits 5 Analyte mgll mgrl % % Sr SOD 5.30 4.90 1 8 30 L8O8649-02 Original Sample (OS) • Duplicate (DUP) (OS) 12/28/15 09:34 • (DUP)12/28/15 09:36 LEI Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyse mgll mg.n % % 3Ai BOD 1.30 1.10 1 0 30 9Sc L8087O6-01 Original Sample (OS) • Duplicate (DUP) (0S)12128/15 10:28 • (DUP) 12/28/15 10:29 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte i ni % % BOD 0.740 1,40 1 0 30 L8O8725-02 Original Sample (OS) • Duplicate (DUP) (0S)1212811511:52 • (DUP) 12/28/15 11:54 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte mgli mgll % % BOD 7.20 6.20 1 15 30 ACCOUNT: PROJECT: SDG: DATEITIME: PAGE: Piedmont Geologic 1551 L808650 12/31/1511:07 10 of 14 WG838037 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. Wet Chemistry by Method 5210 8-2011 L808650-01 Laboratory Control Sample (LCS) (LCS)12/28/15 09:01 E Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte mgA mgll % % TC I] BOD 198 193 97.3 84.6-115 3 Ss Laboratory Control Sample (LCS) (LCS)12/28/15 10:15 LEI Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier 5 Analyte mgrl mg11 % % Sr BOD 198 194 97.8 84.6-115 Laboratory Control Sample (LCS) 7G1 {LCS} 12/2IIl15 12:41 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte mgll mgll % % oAl BOD 198 200 101 84.6-115 r qC ACCOUNT: PROJECT: Piedmont Geologic 1551 SD& L8013650 DATEITIME: 12/31/15 11:07 PAGE: 11 of 14 GLOSSARY OF TERMS ONE LAB. NATIONWIDE. $ Abbreviations and Definitions SDG Sample Delivery Group. ITPI MDL RDL Method Detection Limit, Reported Detection Limit. ITC ND,U Not detected at the Reporting Limit (or MDL where applicable). RPD Relative Percent Difference. (dry) Results are reported based on the dry weight of the sample. (this will only be present on a dry Iss] Original Sample report basis for soils]. The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) rCn] from a quality control sample. The Original Sample may not be included within the reported SDG. (S) Surrogate (Surrogate Standard) - Analytes added to every blank, sample, Laboratory Control Sample/Duplicate and Matrix Spike/Duplicate; used to evaluate analytical efficiency by measuring Sr recovery. Surrogates are not expected to be detected in all environmental media. Rec. Recovery. sQC SDL Sample Detection Limit. MOL Unadj. MOL Method Ouantitation Limit. Unadjusted Method Ouantitation Limit. Qualifier Description £A! J3 The associated batch OC was outside the established quality control range for precision. Fsc ACCOUNT: PROJECT: SDG: ❑ATElTIME: PAGE: Piedmont Geologic 1551 L808650 12l31AS 11:07 12 or 14 ACCREDITATIONS & LOCATIONS ONE LAB. NATIONWIDE. ESC Lab Sciences is the cnly environme,ital laboratory accredltedlcertl tied to support your wor'<nationi from one location. One phone call, cne point of contact, one laboratory. No other lab is as accessible of prepared to handle your needs throughout the country. Our capacity and capability from our single location laboratory is comparable to the collective totals of the network lanoratories in out industry_ The most significant oerefit to our "one location" design is the design of our laboratoy campus. The model is conducive tc accelerated productiviy, 17p] decreasing turnaround time, and preventing cross contamination. thus protecting sample integrity. Our focus on premium quality and prompt service allows us to be YOUR LAB OF CHOICE. Not all certifications held by the laboratory are applicable to the results reported in the attached report. State Accreditations Fc Alabama_ 40660 Nevada TN_-03-2002-34 3 Alaska UST-080 New Hampshire _ 2975 SS Arizona A20612 New Jersey—NELAP TNO02 Arkansas 88-0469 New Mexico TN00003 FCn]California 01157CA New York 11742 Colorado TN00003 North Carolina Env375 Conneticut PH-0197 North Carolina 6W21704 SSr Florida E87487 North Carolina_ 7 41 Georgia NELAP North Dakota R-140 Georgia' 923 Ohio —YAP CL0069 FO Idaho IN_000_03 Oklahoma 9915 Illinois 200.008 Oregon TN200002 Indiana C-TN-01 Pennsylvania 68-02979 FG Iowa 364 Rhode Island 221 Kansas E-10277 South Carolina 84004 Kentucky' 90010 South Dakota n1a Kentucky' 16 Tennessee" 2006 Louisiana A20792 Texas T 104704245-07-TX y Maine TN0002 Texas 5 LABO152 SC Maryland 324 Web 6157SB5958 Massachusetts M-TNO__03 Vermont VT2006 Michigan 9958 Virginia 109 Minnesota 047-999-395 Washington C1915_ Mississippi TN00003 West Virginia 233 Missouri 340 Wisconsin 9980939910 Montana CERT0086 Wyoming A21-_A Nebraska NE-OS-15-05 Third Party & Federal Accreditations A2LA—ISO17025 1461.01 AIHA 10_078_9 A21-A — 150 17025' 1461.02 DOD 1461.01 Canada 1461.01 USDA S-67674 EPA—Crypto TN00003 ` Drinking Water e. Underground Storage Tanks 3 Aquatic Toxiuy ' ChemicaVMicrobioiogical s Moid " Accreditation not applicable Our Locations ESC Lab Sciences has sixty-four client suppert centers that provide sampe pickup andlor the delivery of sampling supplies. Ifyou would like assistance from orie of our support offices, please contact our main office. ESC Lab Sciences performs all testing at our central laboratory. NA MT pR rs V II] Sa • WI � rY'Y � YJY NY Mel T ' UT T 11P r• CA CO + - +� T r:ti T lY • T ♦ ♦ _r * .l" Ott •AZ NFrI 0. Ar4p + SC • ' T T IS AL GA AK T • b FL ACCOUNT: PROJECT: SDG: DATF-MME, PAGE: Piedmont Geologic 1551 L 808650 1213715 1W7 13 of 14 Company Name/Address: Piedmont Geologic 6003-145 Chapel Hill Road Raleigh, NC 27607 Billing Informal Inn: Analysis / Container f Preservative Chnla of CustcCy PaiCr -I- of _ W"ESC I.. A.o to-C.I-E-N-C.I-.S � � tar W "0 _ :q- _U) , iV) ��+• m d to -J 0 �� u 3 WW IL N Q 0 () Z. u a N t 1 = Z IV5S Il Mn�tNW. tw m77 o.: 615-7SF•Sitse ►h pt—;906.767.5:59 �• ra,:t15.71as.s� no - Rep On to: Pete l3ressel Email To: pjdressel@piedmontgeologic.cam Project Ennis -Flint High Poi8tormwater Description: City/Stalnt ef � C011CNcd; f1i Yiint �f C (C f Phor,L: (919) B54-9700 Faye Client Project It 1551 Lab Project a B115 cath ed by [print); Site/Faciiityl❑ a P,O. u accinumrPIEGEO Template: P elogin: s Goolar: Collected [si IaturP : g ) Imntgdlal�IY QWC:Z4 h PackL•rlonice N YThree - Rush? (Lair MUST Be Notifiiedl Same Day ................. ..... ..... 2D0% ;re.[Dar ......................._...ADO% �7w DAY ...... .....................-.50% Day....._. 25% _.... Date Results Needed Email? Nt) YCS __ No. FAX? No Yes — — of r Shlpped,Yia; 5amolc ID Como/Grab htaIrir • Depth Date Time tiittf5 F.m(innla.nln.nI s 0. r il.b wr41 Du►�f,t�-pe>< rob WT jZ L is Ja e X k _ Vj .Ll r I _t _1 , • Matri> : SS - Soil GW - Groundwater ww - wasleWaw Ow • UrInkIng water OT - other pH 810 Temp Remarks: Flow Other Hold II Fela ishetl by : (SI t lure shedby:(5i at re Dale: Date: Time: Recei Time; a by: (Signature} F13 vcby: ' �^ ► Samples rrtumed via: ❑ UPS Fcdfx ❑Courier .0 Bottles Received:Reli Temp 0?'3 c � Condition: (tab use ordy) !! '� Ga[ 5wdhniaGt: _✓ N NA. Re irq (shed by'(SEyliature})' T= - �` Date: Time: RecCl ed arlablv/r�Signaturej t}ate' t1me: 1 � �5 D?90 pH. Checked: 7-111 z ;