NC0006564_Renewal (Application)_20190713

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69-- .4,- , .-',,_„_..,_ ,,.,_ROY COOPER
Governor ;
MICHAEL S.REGANQ�`:, ..s�
Secretary
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LINDA CULPEPPER NORTH CAROLIhNA
Director Environmental Quality
July 19, 2019
Stephen Gouge
Baxter Healthcare Corporation
PO Box 1390
Marion, NC 28752
Subject: Permit Renewal
Application No. NC0006564
Baxter Healthcare Corporation
McDowell County
Dear Applicant:
The Water Quality Permitting Section acknowledges the July 19, 2019 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit.The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
,SciteAu ti- IrR-8-
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
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Baxter
July 13, 2019
NC DENR / DWR / NPDES Unit
1617 Mail Service Center RECEIVED/NCDEQ/DWR
Raleigh, NC 27699-1617
Attention: Wren Thedford JUL 19 1019
Application for NPDES Permit NC0006564 Water Quality
Reference: Renewal
Permitting Section
To Whom It May Concern:
Baxter Healthcare requests the renewal of Permit NC0006564, which expires on 31 January
2019. Enclosed is the permit renewal package (original, signed) which includes EPA Form 1-1 ,
EPA Form-2C, Priority Pollutant Analysis analytical results, and associated documentation.
No significant manufacturing changes have occurred since the last renewal application.
Based on oil and grease results over the course of the current permit, we do not anticipate oil
and grease in our effluent. All oil and grease results analyzed under our current permit have
been at non-detectable levels. We would like to request removal, or reduced monitoring for this
requirement on the new permit.
If you have any questions or need additional information, please contact me at 828-756-6608.
Sincerely,
Stephen Gou e
Environmental Health & Safety Superintendent
Baxter Healthcare Corporation
PO Box 1390,Marion,NC 28752
T 828.756.4151

NC DEQ/ DWR/NPDES
Renewal Application Checklist
The followingitems are REQUIRED for all renewal packages:
4 p g
o A cover letter requesting renewal of the permit and documenting any changes at the facility since
issuance of the last permit. Submit one signed original.
J o The completed application form (copy attached), signed by the permittee or an Authorized
Representative. Submit one signed original.
NA
o If an Authorized Representative (such as a consulting engineer or environmental consultant)
prepares the renewal package, written documentation must be provided showing the authority
delegated to the Authorized Representative (see Part II.B.11.b of the existing NPDES permit).
✓ o A narrative description of the sludge management plan for the facility. Describe how sludge (or
other solids) generated during wastewater treatment are handled and disposed. If your facility has
no such plan (or the permitted facility does not generate any solids), explain this in writing. Submit
one signed original.
The following items must be submitted by any Municipal or Industrial facilities
discharging process wastewater:
o Industrial facilities classified as Primary Industries (see Appendices A-D to Title 40 of the Code of
Federal Regulations, Part 122) and ALL Municipal facilities with a permitted flow >_ 1.0 MGD must
submit a Priority Pollutant Analysis (PPA) in accordance with 40 CFR Part 122.21.
The above requirement does NOT apply to non-industrial facilities.
Send the completed renewal package to:
Wren Thedford
NC DENR/ DWR/ NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617

DESCRIPTION OF CONSOLIDATED FORM 1 PACKAGE
PERMIT APPLICATION FORMS TABLE OF CONTENTS
The Consolidated Permit Application Forms are: Section A.General Instructions
Form 1 -General Information (included in this part); Section B.Instructions for Form 1
Form 2-Discharges to Surface Water(NPDES Permits): Section C.Activities Which do Not Require Permits
2A.Publicly Owned Treatment Works(Reserved-not included in Section D.Glossary
this package),
Form 1 (two copies)
2B.Concentrated Animal Feeding Operations and Aquatic Animal
Production Facilities(not included in this package),
2C.Existing Manufacturing,Commercial,Mining,and Silvicultural
Operations(not included in this package),and
2D.New Manufacturing,Commercial,Mining,and Silvicultural
Operations(Reserved-not included in this package);
Form 3-Hazardous Waste Application Form (RCRA Permits-not
included in this package);
Form 4-Underground Injection of Fluids(U/C Permits-Reserved-
not included in this package);and
Form 5-Air Emissions in Attainment Areas(PSD Permits-Reserved not included in this package).
SECTION A-GENERAL INSTRUCTIONS
Who Must Apply NOTE: Certain activities no listed above also are subject to EPA
With the exceptions described in Section C of these instructions, administered environmental permit requirements. These include
Federal laws prohibit you from conducting any of the following activities permits for ocean dumping, dredged or fill material discharging, and
without a permit. certain types of air emissions. Contact your EPA Regional office for
NPDES (National Pollutant Discharge Elimination System Under the further information.
Clean Water Act, 33 U.S.C. 1251). Discharge of pollutants into the Table 1. Addresses of EPA Regional Contacts and States Within
waters of the United States.
the Regional Office Jurisdiction.
RCRA (Resource Conservation and Recovery Act, 42 U.S. C. 6901).
Treatment,storage,or disposal of hazardous wastes. REGION 1
UIC (Underground Injection Control Under the Safe Drinking Water Permit Contact, Environmental and Economic Impact Office, U.S.
Act, 42 U.S. C. 300f). Injection of fluids underground by gravity flow or Environmental Protection Agency, John F. Kennedy Building,
pumping. Boston,Massachusetts 02203,[phone],FTS 223-4635.
PSD (Prevention of Significant Deterioration Under the Clean Air Act, Connecticut, Maine, Massachusetts, New Hampshire, Rhode
72 U.S. C. 7401). Emission of an air pollutant by a new or modified Island,and Vermont.
facility in or near an area which has attained the National Ambient Air REGION II
Quality Standards for that pollutant.
Each of the above permit programs is operated in any particular State Permit Contact, Permits Administration Brach, Room 432, U.S.
by either the United States Environmental Protection Agency (EPA)or Environmental Protection Agency, 26 Federal Plaza, New York,
by an approved State agency. You must use this application form to New York 10007,[phone],FTS 264-9880.
apply for a permit for those programs administered by EPA. For those New Jersey, New York,Virgin Islands,and Puerto Rico.
programs administered by approved States, contact the State
environmental agency for the proper forms. REGION III
If you have any questions about whether you need a permit under any Permit Contact (3 EN 23), U.S. Environmental Protection Agency,
of the above programs, or if you need information as to whether a 6th & Walnut Streets, Philadelphia, Pennsylvania 19106, (215)
particular program is administered by EPA or a State agency,or if you 597-8816,FTS 597-8816.
need to obtain application forms, contact your EPA Regional office
(listed in Table 1). Delaware, District of Columbia, Maryland, Pennsylvania,
Upon your request, and based upon information supplied by you, EPA Virginia,and West Virginia.
will determine whether you are required to obtain a permit for a REGION IV
particular facility. Be sure to contact EPA if you have a question,
because Federal laws provide that you may be heavily penalized if Permit Contact, Permits Section, U.S. Environmental Protection
you do not apply for a permit when a permit is required. Agency, 345 Courtland Street, N.E.,Atlanta, Georgia 30365, (404)
Form 1 of the EPA consolidated application forms collects general 881-2017, FTS 257-2017.
information applying to all programs. You must fill out Form 1 Alabama, Florida, Georgia, Kentucky, Mississippi, North
regardless of which permit you are applying for. In addition, you must Carolina,South Carolina,and Tennessee.
fill out one of the supplementary forms (Forms 2- 5) for each permit
needed under each of the above programs. Item II of Form 1 will guide REGION V
you to the appropriate supplementary forms. Permit Contact (5EP), U.S. Environmental Protection Agency, 230
You should note that there are certain exclusions to the permit South Dearborn Street, Chicago, Illinois 60604, [phone],
requirements listed above. The exclusions are described in detail in FTS 353-2105.
Section C of these instructions. If your activities are excluded from Illinois,Indiana,Michigan,Minnesota,Ohio,and Wisconsin.
permit requirements then you do not need to complete and retum any
forms.
1-1

SECTION A-GENERAL INSTRUCTIONS (continued)
Table 1 (continued) Table 2(continued)
REGION VI 4(UIC) A reasonable time prior to con-
structionPermit Contact(6AEP),U.S.Environmental Protection Agency,First y the ecor orn for
wells; as directed
( ) by Director for existing wells.
International Building, 1201 Elm Street, Dallas,Texas 75270, (214) 5(PSD) Prior to commencement of con-
767-2765, FTS 729-2765. struction.
Arkansas,Louisiana,New Mexico,Oklahoma,and Texas.
REGION VII 'Please note that some of these forms are not yet available for use and
are listed as "Reserved" at the beginning of these instructions.
Permit Contact, Permits Branch, U.S. Environmental Protection Contact your EPA Regional office for information on current application
Agency, 324 East 11th Street, Kansas City, Missouri 64106, (816) • requirements and forms.
758-5955,FTS 758-5955. 21f your present permit expires on or before November 30, 1980, the
Iowa,Kansas,Missouri,and Nebraska filing date is the date on which your permit expires. If your permit
REGION VIII expires during the period December 1, 1980-May 31, 1981, the filing
date is 90 days before your permit expires.
Permit Contact (8E-WE), Suite 103, U.S. Environmental Protection
Agency, 1860 Lincoln Street, Denver, Colorado 80295, (303) Federal regulations provide that you may not begin to construct a new
837-4901,FTS327-4901. source in the NPDES program, a new hazardous waste management
Colorado, Montana, North Dakota, South Dakota, Utah, and facility, a new injection well, or a facility covered by the PSD program
Wyoming. before the issuance of a permit under the applicable program. Please
not that if you are required to obtain a permit before beginning
REGION IX construction, as described above, you may need to submit your permit
Permit Contact, Permit Branch (E-4), U.S. Environmental Protection application well in advance of an applicable deadline listed in Table 2.
Agency,215 Fremont Street,San Francisco,California 80295,(415) Fees
556-3450,FTS 556-3450.
Arizona, California, Hawaii, Nevada, Guam, American Samoa, The U.S. EPA does not require a fee for applying for any permit under
and Trust Territories. the consolidated permit programs. (However, some States which
administer one or more of these programs require fees for the permits
REGION X which they issue.)
Permit Contact (M/S 521), U.S. Environmental Protection Agency, Availability of Information to Public
1200 6th Avenue, Seattle, Washington 98101, [phone], FTS
399-7176. Information contained in these application forms will, upon request, be
Alaska, Idaho,Oregon,and Washington. made available to the public for inspection and copying. However, you
may request confidential treatment for certain information which you
Where to File submit on certain supplementary forms. The specific instructions for
each supplementary form state what information on the form, if any,
The application forms should be mailed to the EPA Regional office may be claimed as confidential and what procedures govern the claim.
whose Region includes the State in which the facility is located (see No information on Forms 1 and 2A through 2D may be claimed as
Table 1). confidential.
If the State in which the facility is located administers a Federal permit Completion of Forms
program under which you need a permit, you should contact the
appropriate State agency for the correct forms. Your EPA Regional Unless otherwise specified in instructions to the forms, each item in
office (Table 1) can tell you to whom to apply and can provide the each form must be answered. To indicate that each item has been
appropriate address and phone number. considered,enter"NA,"for not applicable,if a particular item does not fit
When to File the circumstances or characteristics of your facility or activity.
If you have previously submitted information to EPA or to an approved
Because of statutory requirements,the deadlines for filing applications State agency which answers a question, you may either repeat the
vary according to the type of facility you operate and the type of permit information in the space provided or attach a copy of the previous
you need. These deadlines are as follows:' submission. Some items in the form require narrative explanation. If
Table 2.Filing Dates for Permits more space is necessary to answer a question,attach a separate sheet
entitled"Additional Information."
FORM(permit) WHEN TO FILE
2A(NPDES) 180 days before your present NPDES Financial Assistance for Pollution Control
permit expires. There are a number of direct loans, loan guarantees, and grants
2B(NPDES) 180 days before your present NPDES available to firms and communities for pollution control expenditures.
permit expires2,or 180 days prior to start- These are provided by the Small Business Administration,the Economic
up if you are a new facility. Development Administration,the Farmers Home Administration,and the
2C(NPDES) 180 days before your present NPDES Department of Housing and Urban Development. Each EPA Regional
permit expires2. office (Table 1) has an economic assistance coordinator who can
2D(NPDES) 180 days prior to startup. provide you with additional information.
3(Hazardous Waste) Existing facility: Six months following
publication of regulations listing EPA's construction grants program under Title II of the Clean Water Act
hazardous wastes. is an additional source of assistance to publicly owned treatment works.
New facility: 180 days before Contact your EPA Regional office for details.
commencing physical construction.
1-2

SECTION B - FORM 1 LINE-BY-LINE INSTRUCTIONS
This form must be completed by all applicants. Table 3(continued)
Completing This Form Petroleum storage and transfer units with a total storage capacity
exceeding 300,000 barrels;
Please type or print in the unshaded areas only. Some items have Taconite ore processing plants;
small graduation marks in the fill-in spaces. These marks indicate the Glass fiber processing plants;and
number of characters that may be entered into our data system. The Charcoal production plants.
marks are spaced at 1/6" intervals which accommodate elite type (12
characters per inch). If you use another type you may ignore the marks. Item III
If you print, place each character between the marks. Abbreviate if
necessary to stay within the number of characters allowed for each item. Enter the facility's official or legal name. Do not use a colloquial name.
Use one space for breaks between words,but not for punctuation marks Item IV
unless they are needed to clarify your response.
Give the name, title, and work telephone number of a person who is
Item I thoroughly familiar with the operation of the facility and with the facts
Space is provided at the upper right hand corner of Form 1 for insertion reported in this application and who can be contacted by reviewing
of your EPA Identification Number. If you have an existing facility,enter offices if necessary.
your Identification Number. If you don't know your EPA Identification Item VII
Number, please contact your EPA Regional office (Table 1), which will
provide you with your number. If your facility is new (not yet List, in descending order of significance, the four 4-digit standard
constructed),leave this item blank. industrial classification (SIC)codes which best describe your facility in
terms of the principal products or services you produce or provide.
Item II Also, specify each classification in words. These classifications may
Answer each question to determine which supplementary forms you differ from the SIC codes describing the operation generating the
need to fill out. Be sure to check the glossary in Section D of these discharge,air emissions,or hazardous wastes.
instructions for the legal definitions of the bold faced words. Check SIC code numbers are descriptions which may be found in the
Section C of these instructions to determine whether your activity is "Standard Industrial Classification Manual" prepared by the Executive
excluded from permit requirements. Office of the President, Office of Management and Budget, which is
If you answer"no"to every question,then you do not need a permit,and available from the Government Printing Office,Washington, D.C. Use
you do not need to complete and return any of these forms. the current edition of the manual. If you have any questions
concerning the appropriate SIC code for your facility, Contact your
If you answer"yes"to any question,then you must complete and file the EPA Regional office(see Table 1).
supplementary form by the deadline listed in Table 2 along with this Item VII-A
form. (The applicable form number follows each question and is
enclosed in parentheses.) You need not submit a supplementary form if Give the name, as it is legally referred to, of the person, firm, public
you already have a permit under the appropriate Federal program, organization,or any other entity which operates the facility described in
unless your permit is due to expire and you wish to renew your permit. this application. This may or may not be the same name as the facility.
Questions (I)and (J)of Item II refer to major new or modified sources The operator of the facility is the legal entity which controls the facility's
subject to Prevention of Significant Deterioration (PSD) requirements operation rather than the plant or site manager. Do not use a
under the Clean Air Act. For the purpose of the PSD program, major colloquial name.
sources are defined as: (A) Sources listed in Table 3 which have the Item VIII-B
potential to emit 100 tons or more per year emissions; and (B)All other
sources with the potential to emit 250 tons or more per year. See Indicate whether the entity which operates the facility also owns it by
Section C of these instructions for discussion of exclusions of certain marking the appropriate box.
modified sources. Item VIII-C
Table 3. 28 Industrial Categories Listed in Section 169(1) of the Enter the appropriate letter to indicate the legal status of the operator
Clean Air Act of 1977 of the facility. Indicate "public" for a facility solely owned by local
Fossil fuel-fired steam generators of more than 250 million BTU per government(s)such as a city,town,county,parish,etc.
hour heat input;
Coal cleaning plants(with thermal dryers); Items VII-D-H
Kraft pulp mills;
Portland cement plants; Enter the telephone number and address of the operator identified in
Primary zinc smelters; Item VIII-A.
Iron and steel mill plants;
Primary aluminum ore reduction plants;
Primary copper smelters;
Municipal incinerators capable of charging more than 250 tons of refuse
per day;
Hydrofluoric acid plants;
Nitric acid plants;
Sulfuric acid plants;
Petroleum refineries;
Lime plants;
Phosphate rock processing plants;
Coke oven batteries;
Sulfur recovery plants;
Carbon black plants(furnace process);
Primary lead smelters;
Fuel conversion plants;
Sintering plants;
Secondary metal production plants;
Chemical process plants;
Fossil fuel boilers(or combination thereof)totaling more than 250 million
BTU per hour heat input.
1-3

SECTION B - FORM 1 LINE-BY-LINE INSTRUCTIONS (continued)
Item IX Item X1 (continued)
Indicate whether the facility is located on Indian Lands. Mid Continent Mapping Center Ark.,Ill.,Iowa,Kans.,La.,
National Cartographic Information Mich., Minn., Miss., Mo.,
Item X Center N. Dak.,Nebr.,Okla.,S.Dak.,
Give the number of each presently effective permit issued to the facility U.S.G.S. and Wis.
for each program or, if you have previously filed an application but 1400 Independence Road
have not yet received a permit, give the number of the application, if Rolla,Mo.65401
any. Fill in the unshaded area only. If you have more than one Phone No.[phone]
currently effective permit for your facility under a particular permit Rocky Mountain Mapping Center Alaska,Colo.,Mont.,N.Mex.,
program, you may list additional permit numbers on a separate sheet National Cartographic Information Tex.,Utah,and Wyo.
of paper. List any relevant environmental Federal (e.g., permits under Center
the Ocean Dumping Act, Section 404 of the Clean Water Act or the U.S.G.S.
Surface Mining control and Reclamation Act),State(e.g., State permits Stop 504,Box 25046 Federal Center
for new air emission sources in nonattainment areas under Part D of Denver,Co.80225
the Clean Air Act or State permits under Section 404 of the Clean Phone No.[phone]
Water Act),or local permits or applications under"other."
Item XI Western Mapping Center Ariz.,Calif.,Hawaii, Idaho,
National Cartographic Information Nev.,Oreg.,Wash.,American
Provide a topographic map or maps of the area extending at least to Center Samoa,Guam,and Trust
one mile beyond the property boundaries of the facility which clearly U.S.G.S. Territories
show the following: 345 Middlefield Road
Menlo Park,Ca.94025
The legal boundaries of the facility; Phone No.[phone]
The location and serial number of each of your existing and Item XII
proposed intake and discharge structures;
Briefly describe the nature of your business (e.g.,products produced or
All hazardous waste management facilities; services provided).
Each well where you inject fluids underground;and Item XIII
All springs and surface water bodies in the area, plus all drinking Federal statues provide for severe penalties for submitting false
water wells within 1/4 mile of the facility which are identified in the information on this application form.
public record or otherwise known to you.
18 U.S.C.Section 1001 provides that"Whoever,in any matter within the
If an intake or discharge structure, hazardous waste disposal site, or jurisdiction of any department or agency of the United States knowingly
injection well associated with the facility is located more than one mile and willfully falsifies, conceals or covers up by any trick, scheme, or
from the plant, include it on the map, if possible. If not, attach device a material fact, or makes or uses any false writing or document
additional sheets describing the location of the structure,disposal site, knowing same to contain any false, fictitious or fraudulent statement or
or well, and identify the U.S. Geological Survey (or other) map entry,shall be fined not more than$10,000 or imprisoned not more than
corresponding to the location. five years,or both."
On each map, include the map scale,a meridian arrow showing north, Section 309(c)(2) of the Clean Water Act and Section 113(c)(2) of the
I and latitude and longitude at the nearest whole second. On all maps Clean Air Act each provide that"Any person knowingly makes any false
of rivers, show the direction of the current, and in tidal waters, show statement, representation, or certification in any application, . . . shall
the direction of the ebb and flow tides. Use a 7-1/2 minute series map upon conviction, be punished by a fine of no more than $10,000 or by
published by the U.S. Geological Survey, which may be obtained imprisonment for not more than six months,or both."
through the U.S. Geological Survey Offices listed below. If a 7-1/2
minute series map has not been published for your facility site, then In addition, Section 3008(d)(3) of the Resource Conservation and
you may use a 15 minute series map from the U.S. Geological Survey. Recovery Act provides for a fine up to$25,000 per day or imprisonment
If neither a 7-1/2 nor 15 minute series map has been published for your up to one year, or both, for a first conviction for making a false
facility site, use a plat map or other appropriate map, including all the statement in any application under the Act, and for double these
requested information; in this case, briefly describe land uses in the penalties upon subsequent convictions.
map area(e.g.,residential, commercial). FEDERAL REGULATIONS REQUIRE THIS APPLICATION TO BE
You may trace your map from a geological survey chart, or other map SIGNED AS FOLLOWS:
meeting the above specifications. If you do, your map should bear a A. For a corporation, by a principal executive officer of at least the
note showing the number or title of the map or chart it was traced from. level of vice president. However, if the only activity in Item II which
Include the names of nearby towns,water bodies,and other prominent is marked "yes" is Question G, the officer may authorize a person
points. An example of an acceptable location map is shown in Figure having responsibility for the overall operations of the well or well field
1-1 of these instructions. (NOTE: Figure 1-1 is provided for to sign the certification. In that case, the authorization must be
purposes of illustration only, and does not represent any actual written and submitted to the permitting authority;
facility.)
B. For partnership or sole proprietorship, by a general partner or
U.S.G.S.OFFICES AREA SERVED the proprietor,respectively;or
Eastern Mapping Center Ala.,Conn.,Del.,D.C.,Fla., C. For a municipality, State, Federal, or other public facility, by
National Cartographic Information Ga.,Ind.,Ky.,Maine,Md., either a principal executive officer or ranking elected official.
Center Mass.,N.H.,N.J.,N.Y.,N.C.,
U.S.G.S. S.C.,Ohio,Pa.,Puerto Rico,
536 National Center R.I.,Tenn.,Vt.,Va.,W.Va.,
Reston,Va.22092 and Virgin Islands.
Phone No.[phone]
1-4

SECTION C - ACTIVITIES WHICH DO NOT RQUIRE PERMITS
I. National Pollutant Discharge Elimination System Permits Under II. Hazardous Waste Permits Under the Resource Conservation
the Clean Water Act. You are not required to obtain a NPDES permit and Recovery Act. You may be excluded from the requirement to
if your discharge is in one of the following categories, as provided by obtain a permit under this program if you fall into one of the following
the Clean Water Act (CWA) and by the NPDES regulations (40 CFR categories:
Parts 122-125). However, under Section 510 of CWA a discharge Generators who accumulate their own hazardous waste on-site
exempt from the federal NPDES requirements may still be regulated by for less than 90 days as provided in 40 CFR 262.34;
a State authority;; contact your State environmental agency to
determine whether you need a State permit. Farmers who dispose of hazardous waste pesticide from their
A. DISCHARGES FROM VESSELS. Discharges of sewage from own use as provided in 40 CFR 262.51;
vessels, effluent from properly functioning marine engines, laundry, Certain persons treating, storing, or disposing of small quantities
shower, and galley-sink wastes, and any other discharge incidental of hazardous waste as provided in 40 CFR 261.4 or 261.5;and
to the normal operation of a vessel do not require NPDES permits.
However, discharges of rubbish, trash, garbage, or other such Owners and operators of totally enclosed treatment facilities as
materials discharged overboard require permits, and so do other defined in 40 CFR 20.10.
discharges when the vessel is operating in a capacity other than as
a means of transportation,such as when the vessel is being used as Check with your Regional office for details. Please note that even if
an energy or mining facility, a storage facility, or a seafood you are excluded from permit requirements, you may be required by
processing facility,or is secured to the bed of the ocean,contiguous Federal regulations to handle your waste in a particular manner.
zone,or waters of the United States for the purpose of mineral or oil III. Underground Injection Control Permits Under the Safe
exploration or development. Drinking Water Act. You are not required to obtain a permit under
B. DREDGED OR FILL MATERIAL. Discharges of dredged or fill this program if you:
material into waters of the United States do not need NPDES Inject into existing wells used to enhance recovery of oil and gas
permits if the dredging or filling is authorized by a permit issued by or to store hydrocarbons (note, however, that these underground
the U.S.Army Corps of Engineers or an EPA approved State under injections are regulated by Federal rules);or
Section 404 of CWA.
Inject into or above a stratum which contains, within 1/4 mile of
C. DISCHARGES INTO PUBLICLY OWNED TREATMENT WORKS the well bore, an underground source of drinking water (unless
(P0T 40. The introduction of sewage, industrial wastes, or other your injection is the type identified in Item II-H, for which you do
pollutants into a POTW does not need an NPDES permit. You must need a permit). However, you must notify EPA of your injection
comply with all applicable pretreatment standards promulgated and submit certain required information on forms supplied by the
under Section 307(b)of CWA, which may be included in the permit Agency, and your operation may be phased out if you are a
issued to the POTW. If you have a plan or an agreement to switch generator of hazardous wastes or a hazardous waste
to a POTW in the future,this does not relieve you of the obligation to management facility which uses wells or septic tanks to dispose
apply for and receive an NPDES permit until you have stopped of hazardous waste.
discharging pollutants into waters of the United States.
IV. Prevention of significant Deterioration Permits Under the
(NOTE: Dischargers into privately owned treatment works do Clean Air Act. The PSD program applies to newly constructed or
not have to apply for or obtain NPDES permits except as modified facilities (both of which are referred to as "new sources")
otherwise required by the EPA Regional Administrator. The which increase air emissions. The Clean Air Act Amendments of 1977
owner or operator of the treatment works itself, however, must exclude small new sources of air emissions from the PSD review
apply for a permit and identify all users in its application. program. Any new source in an industrial category listed in Table 3 of
Users so identified will receive public notice of actions taken these instructions whose potential to emit is less than 100 tons per
on the permit for the treatment works.) year is not required to get a PSD permit. In addition, any new source
D. DISCHARGES FROM AGRICULTURAL AND SILVICULTURAL in an industrial category not listed in Table 3 whose potential to emit is
ACTIVITIES. Most discharges from agricultural and silvicultural less than 250 tons per year is exempted from the PSD requirements.
activities to waters of the United States do not require NPDES Modified sources which increase their net emissions (the difference
permits. These include runoff from orchards, cultivated crops, between the total emission increases and total emission decreases at
pastures, range lands, and forest lands. However, the discharges the source) less than the significant amount set forth in EPA
listed below do require NPDES permits. Definitions of the terms regulations are also exempt from PSD requirements. Contact your
listed below are contained in the Glossary section of these EPA Regional office(Table 1)for further information.
instructions.
1. Discharges from Concentrated Animal Feeding Operations.
(See Glossary for definitions of"animal feeding operations"and
"concentrated animal feeding operations." Only the latter
require permits.)
2. Discharges from Concentrated Aquatic Animal Production
Facilities. (See Glossary for size cutoffs.)
3. Discharges associated with approved Aquaculture Projects.
4. Discharges from Silvicultural Point Sources. (See Glossary
for the definition of "silvicultural point source.") Non point
source silvicultural activities are excluded from NPDES permit
requirements. However, some of these activities, such as
stream crossings for roads, may involve point source
discharges of dredged or fill material which may require a
Section 404 permit. See 33 CFR 209.120.
E. DISCHARGES IN COMPLIANCE WITH AN ON-SCENE
COORDINATOR'S INSTRUCTIONS.
1-5

SECTION D - GLOSSARY
NOTE: This Glossary includes terms used in the instructions and in Forms 1, 2B, 2C, and 3. Additional terms will be included in the
future when other forms are developed to reflect the requirements of other parts of the Consolidated Permits Program. If you have any
questions concerning the meaning of any of these terms, please contact your EPA Regional office(Table 1).
ALIQUOT means a sample of specified volume used to make up a AREA PERMIT means a UIC permit applicable to all or certain wells
total composite sample. within a geographic area,rather than to a specified well,under 40 CFR
Section 122.37.
ANIMAL FEEDING OPERATION means a lot of facility (other than an
aquatic animal production facility) where the following conditions are ATTAINMENT AREA means, for any air pollutant, an area which has
met: been designated under Section 107 of the Clean Air Act as having
ambient air quality levels better than any national primary or secondary
A.Animals(other than aquatic animals)have been,are,or will be ambient air quality standard for that pollutant. Standards have been
stabled or confined and fed or maintained for a total of 45 days or set for sulfur oxides, particulate matter, nitrogen dioxide, carbon
more in any 12 month period;and monoxide, ozone, lead, and hydrocarbons. For purposes of the
B. Crops, vegetation,forage growth, or post-harvest residues are Glossary, "attainment area" also refers to "unclassifiable area," which
not sustained in the normal growing season over any portion of means for any pollutants, an area designated under Section 107 as
the lot or facility. unclassifiable with respect to that pollutant due to insufficient
information.
Two or more animal feeding operations under common ownership are
a single animal feeding operation if the adjoin each other or if they use BEST MANAGEMENT PRACTICES (BMP) means schedules of
a common area or system for the disposal of wastes. activities,prohibitions of practices,maintenance procedures,and other
management practices to prevent or reduce the pollution of waters of
ANIMAL UNIT means a unit of measurement for any animal feeding the United States. BMP's include treatment requirements, operation
operation calculated by adding the following numbers: The number of procedures,and practices to control plant site runoff,spillage or leaks,
slaughter and feeder cattle multiplied by 1.0; Plus the number of sludge or waste disposal,or drainage from raw material storage.
mature dairy cattle multiplied by 1.4; Plus the number of swine BIOLOGICAL MONITORING TEST means any test which includes the
weighing over 25 kilograms (approximately 55 pounds) multiplied by
0.4; Plus the number of sheep multiplied by 0.1; Plus the number of use of aquatic algal, invertebrate, or vertebrate species to measure
horses multiplied by 2.0. acute or chronic toxicity, and any biological or chemical measure of
bioaccumulation.
APPLICATION means the EPA standard national forms for applying
for a permit, including any additions, revisions, or modifications to the BYPASS means the intentional diversion of wastes from any portion of
forms;or forms approved by EPA for use in approved States, including a treatment facility.
any approved modifications or revisions. For RCRA, "application"also CONCENTRATED ANIMAL FEEDING OPERATION means an animal
means"Application,Part B." feeding operation which meets the criteria set forth in either(A)or(B)
APPLICATION, PART A means that part of the Consolidated Permit below or which the Director designates as such on a case-by-case
Applications forms which a RCRA permit applicant must complete to basis:
qualify for interim status under Section 3005(e) of RCRA and for A. More than the numbers of animals specified in any of the
consideration for a permit. Part A consists of Form 1 (General following categories are confined:
Information)and Form 3(Hazardous Waste Application Form).
1. 1,000 slaughter or feeder cattle,
APPLICATION, PART B means that part of the application which a
RCRA permit applicant must complete to be issued a permit. (NOTE: 2.700 mature dairy cattle(whether milked or dry cows),
EPA is not developing a specific form for Part B of the permit
application, but an instruction booklet explaining what information must 3.2500 swine each weighing over 25 kilograms
be supplied is available from the EPA Regional office.) (approximately 55 pounds),
APPROVED PROGRAM or APPROVED STATE means a State 4.500 horses,
program which has been approved or authorized by EPA under 40 5. 10,000 sheep or lambs,
CFR Part 123.
6.55,000 turkeys,
AQUACULTURE PROJECT means a defined managed water area
which uses discharges of pollutants into that designated area for the 7. 100,000 laying hens or broilers(if the facility has a
maintenance or production of harvestable freshwater, estuarine, or continuous overflow watering),
marine plants or animals. "Designated area" means the portions of 8.30,000 laying hens or broilers(if the facility has a liquid
waters of the United States within which the applicant plans to confine
the cultivated species, using a method of plan or operation (including, manure handling system),
but not limited to,physical confinement)which,on the basis of reliable 9.5,000 ducks,or
scientific evidence, is expected to ensure the specific individual
organisms comprising an aquaculture crop will enjoy increased growth 10. 1,000 animal units;or
attributable to the discharge of pollutants and be harvested within a
defined geographic area. B.More than the following numbers and types of animals are
confined:
AQUIFER means a geological formation, group of formations, or part 1.300 slaughter or feeder cattle
of a formation that is capable of yielding a significant amount of water
to a well or spring. 2.200 mature dairy cattle(whether milked or dry cows),
AREA OF REVIEW means the area surrounding an injection well 3.750 swine each weighing over 25 kilograms
which is described according to the criteria set forth in 40 CFR Section (approximately 55 pounds),
146.06.
4. 150 horses,
1-6

SECTION D - GLOSSARY (continued)
CONCENTRATED ANIMAL FEEDING OPERATION(continued) DIRECTOR means the EPA Regional Administrator or the State
5.3 000 shee or Iambs Director as the context requires.
p ,
6. 16,500 turkeys, DISCHARGE(OFA POLLUTANT)means:
7.30,000 laying hens or broilers(if the facility has A. Any addition of any pollutant or combination of pollutants to
continuous overflow watering), waters of the United States from any point source;or
8.9,000 laying hens or broilers(if the facility has a liquid B.Any addition of any pollutant or combination of pollutants to the
manure handling system), waters of the contiguous zone or the ocean from any point source
9. 1,500 ducks,or other than a vessel or other floating craft which is being used as a
10.300 animal units;AND means of transportation.
Either one of the following conditions are met: Pollutants are This definition includes discharges into waters of the United States
discharged into waters of the United States through a manmade, from: Surface runoff which is collected or channeled by man;
ditch flushing system or other similar manmade devise Discharges through pipes, sewers, or other conveyances owned by a
("manmade"means constructed by man and used for the purpose State, municipality,or other person which do not lead to POTW's;and
of transporting wastes); or Pollutants are discharged directly into Discharges through pipes, sewers, or other conveyances, leading into
waters of the United States which originate outside of and pass privately owned treatment works. This term does not include an
over, across, or through the facility or otherwise come into direct addition of pollutants by any indirect discharger.
contact with the animals confined in the operation. DISPOSAL (in the RCRA program) means the discharge, deposit,
Provided, however, that no animal feeding operation is a injection,jumping, spilling, leaking, or placing of any hazardous waste
concentrated animal feeding operation as defined above if such into or on any land or water so that the hazardous waste or any
animal feeding operation discharges only in the event of a 25 constituent of it may enter the environment or be emitted into the air or
year,24 hour storm event. discharged into any waters,including ground water.
CONCENTRATED AQUATIC ANIMAL PRODUCTION FACILITY DISPOSAL FACILITY means a facility or part of a facility at which
means a hatchery,fish farm, or other facility which contains, grows or hazardous waste is intentionally placed into or on land or water,and at
holds aquatic animals in either of the following categories,or which the which hazardous waste will remain after closure.
Director designates as such on a case-by-case basis: EFFLUENT LIMITATION means any restriction imposed by the
A. Cold water fish species or other cold water aquatic animals Director on quantities, discharge rates, and concentrations of
including, but not limited to, the Salmonidae family of fish (e.g., pollutants which are discharged from point sources into waters of the
trout and salmon) in ponds, raceways or other similar structures United States,the waters of the contiguous zone,or the ocean.
which discharge at least 30 days per year but does not include:
1. Facility which produce less than 9,090 harvest weight EFFLUENT LIMITATION GUIDELINE means a regulation published by
kilograms (approximately 20,000 pounds)of aquatic animals the Administrator under Section 304(b)of the Clean Water Act to adopt
or revise effluent limitations.
per year;and
2. Facilities which feed less than 2,272 kilograms ENVIRONMENTAL PROTECTION AGENCY (EPA)means the United
(approximately 5,000 pounds) of food during the calendar States Environmental Protection Agency.
month of maximum feeding. EPA IDENTIFICATION NUMBER means the number assigned by EPA
B.Warm water fish species or other warm water aquatic animals to each generator,transporter,and facility.
including, but not limited to, the Ameiuridae, Cetrachidae, and EXEMPTED AQUIFER means an aquifer or its portion the meets the
Cyprinidae families of fish (e.g., respectively, catfish, sunfish, and criteria in the definition of USDW, but which has been exempted
minnows) in ponds, raceways, or other similar structures which according to the procedures in 40 CFR Section 122.35(b).
discharge at least 30 days per year,but does not include:
1. Closed ponds which discharge only during periods of EXISTING HWM FACILITY means a Hazardous Waste Management
excess runoff;or facility which was in operation, or for which construction had
commenced, on or before October 21, 1976. Construction had
2. Facilities which produce less than 45,454 harvest weight commenced if (A) the owner or operator had obtained all necessary
kilograms (approximately 100,000 pounds) of aquatic Federal, State, and local pre-construction approvals or permits, and
animals per year. either (B1) a continuous on-site, physical construction program had
CONTACT COOLING WATER means water used to reduce begun, or (B2) the owner or operator had entered into contractual
temperature which comes into contact with a raw material, obligations, which could not be cancelled or modified without
intermediate product, waste product other than heat, or finished substantial loss,for construction of the facility to be completed within a
product. reasonable time.
CONTIANER means any portable device in which a material is stored, (NOTE: This definition reflects the literal language of the statute.
transported,treated,disposed of,or otherwise handled. However, EPA believes that amendments to RCRA now in
CONTIGUOUS ZONE means the entire zone established by the conference will shortly be enacted and will change the date for
United States under article 24 of the convention of the Territorial Sea determining when a facility is an"existing facility"to one no earlier
and the Contiguous Zone. than May of 1980; indications are the conferees are considering
October 30, 1980. Accordingly, EPA encourages every owner or
CWA means the Clean Water Act (formerly referred to the Federal operator of a facility which was built or under construction as of
Water Pollution Control Act) pub. L. 92-500, as amended by Pub. L. the promulgated date of the RCRA program regulations to file
95-217 and Pub.L.95-576,33 U.S.C. 1251 et seq. Part A of its permit application so that it can be quickly processed
DIKE means any embankment or ridge of either natural or manmade for interim status when the change in the law takes effect. When
materials used to prevent the movement of liquids, sludges, solids, or those amendments are enacted,EPA will amend this definition.)
other materials. EXISTING SOURCE or EXISTING DISCHARGER (in the NPDES
DIRECT DISCHARGE means the discharge of a pollutant as defined program) means any source which is not a new source or a new
below. discharger.
1-7

SECTION D - GLOSSARY (continued)
EXISTING INJECTION WELL means an injection well other than a NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
new injection well. (NPDES) means the national program for issuing, modifying, revoking
and reissuing, terminating, monitoring, and enforcing permits and
FACILITY means any HWM facility, UIC underground injection well, imposing and enforcing pretreatment requirements, under Sections
NPDES point source, PSD stationary source, or any other facility or 307, 318, 402, and 405 of CWA. The term includes an approved
activity (including land or appurtenances thereto) that is subject to program.
regulation under the RCRA,UIC,NPDES,or PSD programs.
NEW DISCHARGER means any building, structure, facility, or
FLUID means material or substance which flows or moves whether in installation: (A) From which there is or may be a new or additional
a semisolid,liquid,sludge,gas,or any other form or state. discharge of pollutants at a site at which on October 18, 1972, it had
GENERATOR means any person by site, whose act or process never discharged pollutants; (B) Which has never received a finally
produces hazardous waste identified or listed in 40 CFR Part 261. effective NPDES permit for discharges at the site;and(C)Which is not
a "new source." This definition includes an indirect discharger which
GROUNDWATER means water below the land surface in a zone of commences discharging into waters of the United States. It also
saturation. includes any existing mobile point source, such as an offshore oil
HAZARDOUS SUBSTANCE means any of the substances designated drilling rig, seafood processing vessel, or aggregate plant that begins
under 40 CFR Part 116 pursuant to Section 311 of CWA. (NOTE: discharging at a location for which it does not have an existing permit.
These substances are listed in Table 2c-4 of the instructions to Form NEW HWM FACILITY means a Hazardous Waste Management facility
2C). which began operation or for which construction commenced after
HAZARDOUS WASTE means a hazardous waste as defined in 40 October 21, 1976.
CFR Section 261.3 published May 19, 1980. NEW INJECTION WELL means a well which begins injection after a
HAZARDOUS WASTE MANAGEMENT FACILITY (HWM facility) UIC program for the State in which the well is located is approved.
means all contiguous land, structures, appurtenances, and NEW SOURCE (in the NPDES program) means any building,
improvements on the land, used for treating, storing, or disposing of structure, facility, or installation from which there is or may be a
hazardous wastes. A facility may consist of several treatment,storage, discharge of pollutants,the construction of which commenced:
or disposal operational units (for example, one or more landfills,
surface impoundments,or combinations of them). A/After promulgation of standards of performance under Section
306 of CWA which are applicable to such source;or
IN OPERATION means a facility which is treating,storing,or disposing
of hazardous waste. B/After proposal of standards of performance in accordance with
Section 306 of CWA which are applicable to such source,but only
INCINERATOR (in the RCRA program) means an enclosed device if the standards are promulgated in accordance with Section 306
using controlled flame combustion, the primary purpose of which is to within 120 days of their proposal.
thermally break down hazardous waste. Examples of incinerators are
rotary kiln,fluidized bed,and liquid injection incinerators. NON-CONTACT COOLING WATER means water used to reduce
temperature which does not come into direct contact with any raw
INDIRECT DISCHARGER means a non-domestic discharger material, intermediate product, waste product (other than heat), or
introducing pollutants to a publicly owned treatment works. finished product.
INJECTION WELL means a well into which fluids are being injected. OFF-SITE means any site which is not"on-site."
INTERIM AUTHORIZATION means approval by EPA of a State ON-SITE means on the same or geographically contiguous property
hazardous waste program which has met the requirements of Section which may be divided by public or private rights)-of-way, provided the
3006(c) of RCRA and applicable requirements of 40 CFR Part 124, entrance and exit between the properties is at a cross-roads
Subparts A,B,and F. intersection,and access is by crossing as opposed to going along,the
right(s)-of-way. Non-contiguous properties owned by the same
LANDFILL means a disposal facility or part of a facility where person, but connected by a right-of-way which the person controls and
hazardous waste is placed in or on land and which is not a land to which the public does not have access, is also considered on-site
treatment facility,a surface impoundment,or an injection well. property.
LAND TREATMENT FACILITY(in the RCRA program)means a facility OPEN BURNING means the combustion of any material without the
or part of a facility at which hazardous waste is applied onto or following characteristics:
incorporated into the soil surface;such facilities are disposal facilities if
the waste will remain after closure. A.Control of combustion air to maintain adequate temperature for
LISTED STATE means a State listed by the Administrator under efficient combustion;
Section 1422 of SDWA as needing a State UIC program. B/Containment of the combustion-reaction in an enclosed device
to provide sufficient residence the time and mixing for complete
MGD means millions of gallons per day.
combustion;and
MUNICIPALITY means a city, village, town, borough, county, parish, C/Control of emission of the gaseous combustion products.
district,association,or other public body created by or under State law
and having jurisdiction over disposal of sewage, industrial wastes, or (See also"incinerator"and"thermal treatment")
other wastes, or an Indian tribe or an authorized Indian tribal
organization, or a designated and approved management agency OPERATOR means the person responsible for the overall operation of
under Section 208 of CWA. a facility.
OUTFALL means a point source.
OWNER means the person who owns a facility or part of a facility.
1-8

SECTION D - GLOSSARY (continued)
PERMIT means an authorization, license, or equivalent control ROCK CRUSHING AND GRAVEL WASHING FACILITIES are facilities
document issued by EPA or an approved State to implement the which process crushed and broken stone, gravel, and riprap (see 40
requirements of 40 CFR Parts 122, 123,and 124. CFR Part 436, Subpart B, and the effluent limitations guidelines for
PHYSICAL CONSTRUCTION (in the RCRA program) means these facilities).
excavation, movement of earth, erection of forms or structures, or SDWA means the Safe Drinking Water Act (Pub. L. 95-523, as
similar activity to prepare a HWM facility to accept hazardous waste. amended by Pub.L. 95-1900,42 U.S.C.Section 300[t]et seq.).
PILE means any noncontainerized accumulation of solid, nonflowing SECONDARY INDUSTRY CATEGORY means any industry category
hazardous waste that is used for treatment or storage. which is not a primary industry category.
SEWAGE FROM VESSELS means human body wastes and the
POLLUTANT means dredge spoil, solid waste, incinerator residue, wastes from toilets and other receptacles intended to receive or retain
filter backwash, sewage, garbage, sewer sludge, munitions, chemical body wastes that are discharged from vessels and regulated under
waste, biological materials, radioactive materials (except those Section 312 of CWA, except that with respect to commercial vessels
regulated under the Atomic Energy Act of 1954, as amended 142 on the Great Lakes this term includes graywater. For the purpose of
U.S.C. Section 2011 et seq.]), heat, wrecked or discarded equipment, this definition,"graywater"means galley,bath,and shower water.
rocks, sand, cellar dirt and industrial, municipal, and agriculture waste
discharge into water. It does not mean: SEWAGE SLUDGE means the solids, residues, and precipitate
separated from or created in sewage by the unit processes of a
A.Sewage from vessels;or POTW. "Sewage" as used in this definition means any wastes,
B. Water, gas, or other material which is injected into a well to including wastes from humans, households, commercial
facilitate production of oil or gas, or water derived in association establishments, industries,and storm water runoff,that are discharged
to or otherwise enter a publicly owned treatment works.
with oil and gas production and disposed of in a well, if the well
used either to facilitate production or for disposal purposes is SILVICULTURAL POINT SOURCE means any discernable, confined,
approved by authority of the State in which the well is located, and discrete conveyance related to rock crushing, gravel washing, log
and if the State determines that the injection or disposal will not sorting, or log storage facilities which are operated in connection with
result in the degradation of ground or surface water resources. silvicultural activities and from which pollutants are discharged into
waters of the United States. This term does not include nonpoint
(NOTE: Radioactive materials covered by the Atomic Energy Act source silvicultural activities such as nursery operations, site
are those encompassed in its definition of source, byproduct, or preparation, reforestation and subsequent cultural treatment, thinning,
special nuclear materials. Examples of materials not covered prescribed burning, pest and fire control, harvesting operations,
include radium and accelerator produced isotopes. See Train v. surface drainage, or road construction and maintenance from which
Colorado Public Interest Research Group, Inc., 426 U.S. 1 there is natural runoff. However, some of these activities (such as
11976]•) stream crossing for roads) may involve point source discharges of
PREVENTION NOF SIGNIFICANT DETERIORATION (PSD) means dredged or fill material which may require a CWA Section 404 permit.
the national permitting program under 40 CFR 52.21 to prevent "Log sorting and log storage facilities" are facilities whose discharges
emissions of certain pollutants regulated under the Clean Air Act from result from the holding of unprocessed wood, e.g., logs or roundwood
significantly deteriorating air quality in attainment areas. with bark or after removal of bark in self-contained bodies of water(mill
ponds or log ponds) or stored on land where water is applied
PRIMARY INDUSTRY CATEGORY means any industry category intentionally on the logs(wet decking). (See 40 CFR Part 429, Subpart
listed in the NRDC Settlement Agreement(Natural Resources Defense J,and the effluent limitations guidelines for these facilities).
Council v. Train, 8 ERC 2120 iD.D.C. 1976], modified 12 ERC 1833 STATE means any of the 50 States, the district of Columbia, Guam,
(D.D.C. 1979]). the Commonwealth of Puerto Rico, the Virgin Islands, American
PRIVATELY OWNED TREATMENT WORKS means any device or Samoa,the Trust Territory of the Pacific Islands (except in the case of
system which is: (A) Used to treat waste from any facility whose RCRA), and the Commonwealth of the Northern Mariana Islands
operator is not the operator of the treatment works; and (B) Not a (except in the case of CWA).
POTW. STATIONARY SOURCE (in the PSD program) means any building,
PROCESS WASTEWATER means any water which, during structure, facility, or installation which emits or may emit any air
manufacturing or processing, comes into direct contact with or results pollutant regulated under the Clean Air Act. "Building, structure,
from the production or use of any raw material, intermediate product, facility, or installation" means any grouping of pollutant-emitting
finished product,byproduct,or waste product. activities which are located on one or more contiguous or adjacent
properties and which are owned or operated by the same person(or by
PUBLICLY OWNED TREATMENT WORKS or POTW means any person under common control).
device or system used in the treatment (including recycling and STORAGE (in the RCRA program) means the holding of hazardous
reclamation)of municipal sewage or industrial wastes of a liquid nature waste for a temporary period at the end of which the hazardous waste
which is owned by a State or municipality. This definition includes any is treated,disposed,or stored elsewhere.
sewers, pipes,or other conveyances only if they convey wastewater to
a POTW providing treatment. STORM WATER RUNOFF means water discharged as a result of rain,
snow,or other precipitation.
RENT means use of another's property in return for regular payment. SURFACE IMPOUNDMENT or IMPOUNDMENT means a facility or
RCRA means the Solid Waste Disposal Act as amended by the part of a facility which is a natural topographic depression, manmade
Resource Conservation and Recovery Act of 1976(Pub. L. 94-580, as excavation, or diked area formed primarily of earthen materials
amended by Pub.L. 95-609, 42 U.S.C.Section 6901 et seq.). (although it may be lined with manmade materials), which is designed
to hold an accumulation of liquid wastes or wastes containing free
liquids, and which is not an injection well. Examples of surface
impoundments are holding, storage, settling,and aeration pits, ponds,
and lagoons.
TANK (in the RCRA program) means a stationary device, designed to
contain an accumulation of hazardous waste which is constructed
primarily of non-earthen materials (e.g., wood, concrete, steel, plastic)
which provide structural support.
1-9

SECTION D - GLOSSARY (continued)
THERMAL TREATMENT (in the RCRA program)means the treatment WATERS OF THE UNITED STATES means:
of hazardous waste in a device which uses elevated temperature as
the primary means to change the chemical, physical, or biological A. All waters which are currently used, were used in the past, or
character or composition of the hazardous waste. Examples of may be susceptible to use in interstate or foreign commerce,
thermal treatment processes are incineration, molten salt, pyrolysis, including all waters which are subject to the ebb and flow of the
calcination, wet air oxidation, and microwave discharge. (See also tide;
incinerator"and"open burning"). B.All interstate waters,including interstate wetlands;
TOTALLY ENCLOSED TREATMENT FACILITY (in the RCRA C. All other waters such as intrastate lakes, rivers, streams
program) means a facility for the treatment of hazardous waste which (including intermittent streams), mudflats, sandflats, wetlands,
is directly connected to an industrial production process and which is sloughs, prairie potholes,wet meadows, playa lakes, and natural
constructed and operated in a manner which prevents the release of ponds, the use degradation, or destruction of which would or
any hazardous waste or any constituent thereof into the environment could affect interstate or foreign commerce including any such
during treatment. An example is a pipe in which waste acid is waters:
neutralized.
1. Which are or could be used by interstate or foreign
TOXIC POLLUTANT means any pollutant listed as toxic under Section travelers for recreational or other purposes,
307(a)(1)of CWA.
2. From which fish or shellfish are or could be taken and sold
TRANSPORTER (in the RCRA program) means a person engaged in in interstate or foreign commerce,
the off-site transportation of hazardous waste by air, rail, highway, or
water. 3. Which are used or could be used for industrial purposes
by industries in interstate commerce;
TREATMENT (in the RCRA program) means any method, technique,
or process, including neutralization, designed to change the physical, D.All impoundments of waters otherwise defined as waters of the
chemical, or biological character or composition of any hazardous United States under this definition;
waste so as to neutralize such waste, or so as to recover energy or E. Tributaries of waters identified in paragraphs (A)- (D) above;
material resources from the waste,or so as to render such waste non- The territorial sea;and
hazardous, or less hazardous; safer to transport, store, or dispose of;
or amenable for recovery,amenable for storage,or reduced in volume. F. Wetlands adjacent to waters (other than waters that are
UNDERGROUND INJECTION means well injection. themselves wetlands) identified in paragraphs (A) - (F) of this
definition.
UNDERGROUND SOURCE OF DRINKING WATER or USDW means
an aquifer or its portion which is not an exempted aquifer and: Waste treatment systems, including treatment ponds or lagoons
designated to meet requirement of CWA (other than cooling ponds as
A.Which supplies drinking water for human consumption;or defined in 40 CFR Section 423.11(m) which also meet the criteria of
this definition) are not waters of the United States. This exclusion
B. In which the ground water contains fewer than 10,000 mg/I applies only to manmade bodies of water which neither were originally
total dissolved solids. created in waters of the United States (such as a disposal area in
UPSET means an exceptional incident in which there is unintentional wetlands)nor resulted from the impoundments of waters of the United
and temporary noncompliance with technology-based permit effluent States.
limitations because of factors beyond the reasonable control of the WELL INJECTION or UNDERGROUND INJECTION means the
permittee. An upset does not include noncompliance to the extent subsurface emplacement of fluids through a bored, drilled, or driven
caused by operational error, improperly designed treatment facilities, well; or through a dug well,where the depth of the dug well is greater
inadequate treatment facilities, lack of preventive maintenance, or than the largest surface dimension.
careless or improper operation.
WETLANDS means those areas that are inundated or saturated by
surface or groundwater at a frequency and duration sufficient to
support, and that under normal circumstances do support, a
prevalence of vegetation typically adapted for life in saturated soil
conditions. Wetlands generally include swamps, marshes, bogs, and
similar areas.
1-10

Please print or type in the unshaded areas only
(fill-in areas are spaced for elite type, i.e., 12 characters/inch). For Approved. OMB No. 2040-0086. Approval expires 5-31-92
FORM U.S.ENVIRONMENTAL PROTECTION AGENCY I. EPA I.D. NUMBER
�r•E P�► GENERAL INFORMATION F NCD059140764 -TiA p
Consolidated Permits Program
GENERAL (Read the "General Instructions"before starting.) 1 2 13 14 15
LABEL ITEMS GENERAL INSTRUCTIONS
If a preprinted label has been provided,
I. EPA I.D. NUMBER affix it in the designated space.Review the
information carefully; if any of it is
incorrect cross through it and enter the
III. FACILITY NAME correct data in the appropriate fill-in area
below.Also,if any of the preprinted data is
absent (the area to the left of the label
PLEASE PLACE LABEL IN THIS SPACE space lists the information that should
V. FACILITY appear) please provide it in the proper fill-
MAILING LIST in area(s) below. If the label is complete
and correct you need not complete Items
I, Ill,V, and VI(except VI-B which must be
completed regardless). Complete all items
VI. FACILITY if no label has been proved. Refer to the
instructions for detailed item descriptions
LOCATION and for the legal authorization under which
this data is collected.
II. POLLUTANT CHARACTERISTICS
INSTRUCTIONS: Complete A through J to determine whether you need to submit any permit application forms to the EPA. If you answer"yes"to any
questions,you must submit this form and the supplemental from listed in the parenthesis following the question.Mark"X"in the box in the third column if
the supplemental form is attached. If you answer"no"to each question,you need not submit any of these forms. You may answer"no"if your activity is
excluded from permit requirements;see Section C of the instructions.See also,Section D of the instructions for definitions of bold-faced terms.
SPECIFIC QUESTIONS MARK"X" MARK
SPECIFIC QUESTIONS MARK"X"FORM
YES NO YES NO
ATTACHED ATTACHED
A. Is this facility a publicly owned treatment works B. Does or will this facility (either existing or
which results in a discharge to waters of the ❑ ® ❑ proposed) include a concentrated animal ❑ ® ❑
U.S.?(FORM 2A) feeding operation or aquatic animal
production facility which results in a discharge
16 17 18 to waters of the U.S.?(FORM 2B) 19 20 21
C. Is this facility which currently results in ® ❑ ® D. Is this proposal facility(other than those described ❑ ® ❑
discharges to waters of the U.S. other than in A or B above)which will result in a discharge
those described in A or B above?(FORM 2C) 22 23 24 to waters of the U.S.?(FORM 2D) 25 26 27
E. Does or will this facility treat,store,or dispose of F. Do you or will you inject at this facility industrial or
hazardous wastes?(FORM 3) ❑ ® ❑ municipal effluent below the lowermost stratum ❑ ® ❑
containing, within one quarter mile of the well
bore, underground sources of drinking water?
28 29 30 (FORM 4) 31 32 33
G. Do you or will you inject at this facility any H. Do you or will you inject at this facility fluids for
produced water other fluids which are brought to special processes such as mining of sulfer by the
the surface in connection with conventional oil or ❑ ® ❑ Frasch process,solution mining of minerals,in ❑ ® ❑
natural gas production, inject fluids used for situ combustion of fossil fuel,or recovery of
enhanced recovery of oil or natural gas,or inject geothermal energy?(FORM 4)
fluids for storage of liquid hydrocarbons?
(FORM 4) 34 35 36 37 38 39
I. Is this facility a proposed stationary source J. Is this facility a proposed stationary source
which is one of the 28 industrial categories listed which is NOT one of the 28 industrial categories
in the instructions and which will potentially emit ❑ ® ❑ listed in the instructions and which will potentially ❑ ® ❑
100 tons per year of any air pollutant regulated emit 250 tons per year of any air pollutant
under the Clean Air Act and may affect or be regulated under the Clean Air Act and may affect
located in an attainment area? FORM 5 40 41 42 or be located in an attainment are? FORM 5 43 44 45
III. NAME OF FACILITY
c SKIP Baxter Healthcare Corporation
1
15 16-29 30 69
IV. FACILITY CONTACT
A.NAME&TITLE(last, first, &title) B.PHONE(area code&no.)
2 Gouge, Stephen, Environmental Health & Safety 828 756 6608
Superintendent
15 16 45 46 48 49 51 52 55
V. FACILITY MAILING ADDRESS
A.STREET OR P.O. BOX
3 65 Pitts Station Road
15 16 45
B.CITY OR TOWN C.STATE D.ZIP CODE
c Marion NC 28752
4
15 16 40 41 42 47 51
VI. FACILITY LOCATION
A.STREET,ROUTE NO.OR OTHER SPECIFIC IDENTIFIER
c US Highway 221 at North Cove
5
15 16 45
B.COUNTY NAME
McDowell
46 70
C.CITY OR TOWN D.STATE E.ZIP CODE F.COUNTY CODE
c Marion NC 28752
6
15 16 40 I 41 42 47 51 52 54
EPA FORM 3510-1 (8-90) CONTINUED ON REVERSE

CONTINUED FROM THE FRONT
VII. SIC CODES 4-di•it, in order of.riorit
A.FIRST B.SECOND
c 2834 (specify) 7 (specify)
s 16 17 Pharmaceutical Preparations s ,s 19
C.THIRD D. FOURTH
(specify) 7 (specify)
7 7
1s 16 17 15 16 19
VIII. OPERATOR INFORMATION
A.NAME B.Is the name listed in Item
c Baxter Healthcare Corporation VIII-A also the owner?
8 E YES ❑ NO
18 19 55
C.STATUS OF OPERATOR(Enter the appropriate letter into the answer box;if"Other,"specify.) D.PHONE area code&no.)
F=FEDERAL M=PUBLIC(other than federal or state) p (specify) A 828 756 6608
S=STATE O=OTHER(specify)
P=PRIVATE 56 15 16 18 19 21 22 25
E.STREET OR PO BOX
65 Pitts Station Road
26 55
F.CITY OR TOWN G.STATE H.ZIP CODE IX. INDIAN LAND
c Marion NC 28752 Is the facility located on Indian lands?
B ❑YES ® NO
15 16 40 42 42 47 51
X. EXISTING ENVIRONMENTAL PERMITS
A.NPDES(Discharges to Surface Water) D. PSD(Air Emissions from Proposed Sources)
C T I NC0006564 C T 8
9 N 9 P
NCG060030
NCG210000
15 16 17 18 30 15 16 17 18 30
B.UIC(Underground Injection of Fluids E.OTHER(specify) (Specify)
C T ' c T 8 05600T12 Title V Air Permit
9 U 9
15 16 17 18 30 15 16 17 18 30
C. RCRA(Hazardous Wastes) E.OTHER(specify) _ (Specify)
C T I C
T 8 WQ0031725 Land Application of
9 R 9 WQ0010689 Solids
15 16 17 18 30 15 16 17 18 30
XI. MAP
Attach to this application a topographic map of the area extending to at least one mile beyond property boundaries. The map must
show the outline of the facility, the location of each of its existing and proposed intake and discharge structures, each of its
hazardous waste treatment, storage, or disposal facilities, and each well where it injects fluids underground. Include all springs,
rivers and other surface water bodies in the ma. area. See instructions for .recise re.uirements.
XII. NATURE OF BUSINESS •rovide a brief descri.tion
Baxter Healthcare Corporation, North Cove Facility, manufactures sterile liquid solutions in flexible bags for
intravenous therapy and other medical procedures.
XIII. CERTIFICATION (see instructions)
I certify under penalty of law that I have personally examined and am familiar with the information submitted in this application and
all attachments and that, based on my inquiry of those persons immediately responsible for obtaining the information contained in
the application, I believe that the information is true, accurate and complete. 1 am aware that there are significant penalties for
submitting false information, including the possibility of fine and imprisonment.
A. NAME&OFFICIAL TITLE (type or print) B.Sj NATUR C. DATE SIGNED
Stephen Gouge 07/13/2019
COMMENTS FOR OFFICIAL USE ONLY
c
C
15 16 55
EPA FORM 3510-1(8-90)

Disclaimer
This is an updated PDF document that allows you to type your information
directly into the form. This form is the most updated form currently available.
Note: You cannot save what you have typed unless you have the full Adobe
Professional version.
Instructions:
1. Type in your information
2. Print the completed form
3. Sign and date the printed copy
4. Mail the form to the address stated in the instructions
t,UiNL•DEQ/1
JWIL 19 2019
Water Quality
"Pitting Section

United States Office of EPA Form 3510-2C
Environmental Protection Enforcement Revised August 1990
Agency Washington,DC 20460 Previous editions
are obsolete
Permits Division
EPA Application Form 2C —
Wastewater Discharge
Information
Consolidated Permits Program
This form must be completed by all persons applying
for an EPA permit to discharge wastewater (existing
manufacturing, commercial, mining, and silvicultural
operations).
t�4) Printed on recycled paper

Paperwork Reduction Act Notice
The public reporting burden for this collection of information is
estimated to average 33 hours per response. This estimate
includes time for reviewing instructions, searching existing
data sources, gathering and maintaining the needed data, and
completing and reviewing the collecttion of information. Send
comments regarding the burden estimate or any other aspect
of this collection of information to the Chief, Information Policy
Branch (PM-223), US Environmental Protection Agency,
1200 Pennsylvania Avenue, NW, Washington, DC 20460, and
to the Office of Information and Regulatory Affairs, Office of
Management and Budget, Washington, DC 20503, marked
Attention: Desk Officer for EPA.
Printed on recycled paper

INSTRUCTIONS—FORM 2c
Application for Permit to Discharge Wastewater
EXISTING MANUFACTURING,COMMERCIAL, MINING.AND SILVICULTURAL OPERATIONS
This form must be completed by all applicants who check "yes" to "Maximum Daily" columns (columns 4-a-2 and 4-b-2). Report the
item II-C in Form 1. average of all daily values measured during days when discharge
occurred within the last year in the "Long Term Average" columns
Public Availability of Submitted Information. (columns 4-a-1 and 4-b-1).
Your application will not be considered complete unless you answer
every question on this form and on Form 1.If an item does not apply Item III-A
to you, enter"NA" (for not applicable) to show that you considered All effluent guidelines promulgated by EPA appear in the Federal
the question. Register and are published annually in 40 CFR Subchapter N. A
guideline applies to you if you have any operations contributing
You may not claim as confidential any information required by this process wastewater in any subcategory covered by a BPT, BCT, or
form or Form 1,whether the information is reported on the forms or BAT guideline. If you are unsure whether you are covered by a
in an attachment. This information will be made available to the promulgated effluent guideline, check with your EPA Regional office
public upon request. (Table 1 in the Form 1 instructions). You must check "yes" if an
Any information you submit to EPA which goes beyond that required applicable effluent guideline has been promulgated, even if the
by this form or Form 1 you may claim as confidential, but claims for guideline limitations are being contested in court.If you believe that a
information which is effluent data will be denied. If you do not assert promulgated effluent guideline has been remanded for
a claim of confidentiality at the time of submitting the information, reconsideration by a court and does not apply to your operations,
EPA may make the information public without further notice to you. you may check"no."
Claims of confidentiality will be handled in accordance with EPA's Item III-B
business confidentiality regulations at 40 CFR Part 2.
An effluent guideline is expressed in terms of production (or other
Definitions measure of operation) if the limitation is expressed as mass of
All significant terms used in these instructions and in the form are pollutant per operational parameter; for example, "pounds of BOD
defined in the glossary found in the General Instructions which per cubic foot of logs from which bark is removed," or "pounds of
accompany Form 1. TSS per megawatt hour of electrical energy consumed by smelting
furnace." An example of a guideline not expressed in terms of a
EPA ID Number measure of operation is one which limits the concentration of
Fill in your EPA Identification Number at the top of each page of pollutants.
Form 2c.You may copy this number directly from item I of Form 1. Item III-C
Item I This item must be completed only if you checked"yes"to item III-B.
You may use the map you provided for item XI of Form 1 to The production information requested here is necessary to apply
determine the latitude and longitude of each of your outfalls and the effluent guidelines to your facility and you cannot claim it as
name of the receiving water. confidential. However,you do not have to indicate how the reported
information was calculated. Report quantities in the units of
Item II-A measurement used in the applicable effluent guideline. The
The line drawing should show generally the route taken by water in production figures provided must be based on actual daily production
your facility from intake to discharge. Show all operations and not on design capacity or on predictions of future operations.To
contributing wastewater, including process and production areas, obtain alternate limits under 40 CFR 122.45(b)(2)(ii),you must define
sanitary flows, cooling water,and stormwater runoff.You may group your maximum production capability and demonstrate to the Director
similar operations into a single unit, labeled to correspond to the that your actual production is substantially below maximum
more detailed listing in item II-B. The water balance should show production capability and that there is a reasonable potential for an
average flows. Show all significant losses of water to products, increase above actual production during the duration of the permit.
atmosphere, and discharge. You should use actual measurements Item IV-A
whenever available; otherwise use your best estimate. An example
of an acceptable line drawing appears in Figure 2c-1 to these If you check"yes"to this question, complete all parts of the chart,or
instructions. attach a copy of any previous submission you have made to EPA
containing same information.
Item II-B
List all sources of wastewater to each outfall. Operations may be Item IV-B
described in general terms (for example, "dye-making reactor" or
You are not required to submit a description of future pollution
"distillation tower'). You may estimate the flow contributed by each control projects if you do not wish to or if none is planned.
source if no date are available. For stormwater discharges you may Item V-A,B,C,and D
estimate the average flow, but you must indicate the rainfall event
upon which the estimate is based and the method of estimation. For The items require you to collect and report data on the pollutants
for each ofyour all .Each of this item addresses
each treatment unit, indicate its size, flow rate, and retention time, discharged o ouff s ac part
and describe the ultimate disposal of any solid or liquid wastes not a different set of pollutants and must be completed in accordance
discharged.Treatment units should be listed in order and you should with the specific instructions for that part. The following general
select the proper code from Table 2c-1 to fill in column 3-b for each instructions apply to the entire item.
treatment unit. Insert"XX"into column 3-b if no code corresponds to General Instructions
a treatment unit you list. If you are applying for a permit for a
privately owned treatment works, you must also identify all of your Part A requires you to report at least one analysis for each pollutant
contributors in an attached listing. listed. Parts B and C require you to report analytical data in two
ways. For some pollutants, you may be required to mark"X"in the
Item II-C "Testing Required" column (column 2-a, Part C), and test (sample
A discharge is intermittent unless it occurs without interruption during and analyze)and report the levels of the pollutants in your discharge
the operating hours of the facility, except for infrequent shutdowns whether or not you expect them to be present in your discharge.For
for maintenance, process changes, or other similar activities. A all others, you must mark"X"in either the"Believe Present"column
discharge is seasonal if it occurs only during certain parts of the or the "Believe Absent" column (columns 2-a or 2-b, Part B, and
year. Fill in every applicable column in this item for each source of columns 2-b or 2-c,Part C)based on your best estimate,and test for
intermittent or seasonal discharges. Base your answers on actual those which you believe to be present. (See specific instructions on
data whenever available; otherwise, provide your best estimate. the form and below for Parts A through D.) Base your determination
Report the highest daily value for flow rate and total volume in the that a pollutant is present in or absent from your discharge on your
2C-1

FORM 2c— INSTRUCTIONS (continued)
Item V-A,B,C,and D(continued)
knowledge of your raw materials, maintenance chemicals, times, the collection of duplicate samples, etc. The time when you
intermediate and final products and byproducts, and any previous sample should be representative of your normal operation, to the
analyses known to you of your effluent or similar effluent. (For extent feasible, with all processes which contribute wastewater in
example, if you manufacture pesticides, you should expect those normal operation,and with your treatment system operating properly
pesticides to be present in contaminated stormwater runoff.) If you with no system upsets. Samples should be collected from the center
would expect a pollutant to be present solely as a result of its of the flow channel, where turbulence is at a maximum, at a site
presence in your intake water, you must mark"Believe Present"but specified in your present permit, or at any site adequate for the
you are not required to analyze for that pollutant. Instead, mark an collection of a representative sample.
'X'In the"Intake"column.
For pH,temperature,cyanide,total phenols,residual chlorine,oil and
A. Reporting. All levels must be reported as concentration grease,and fecal coliform,grab samples must be used. For all other
and as total mass. You may report some or all of the pollutants 24-hour composite samples must be used. However, a
required data by attaching separate sheets of paper minimum of one grab sample may be taken for effluents from holding
instead of filling out pages V-I to V-9 if the separate sheets ponds or other impoundments with a retention period of greater than
contain all the required information in a format which is 24 hours. For stormwater discharges a minimum of one to four grab
consistent with pages V-I to V-9 in spacing and in samples may be taken,depending on the duration of the discharge.
identification of pollutants and columns. (For example, the One grab must be taken in the first hour(or less)of discharge,with
11 data system used in your GC/MS analysis may be able to one additional grab (up to a minimum of four) taken in each
print data in the proper format.) Use the following succeeding hour of discharge for discharges lasting four or more
abbreviations in the columns headed "Units" (column 3, hours.The Director may waive composite sampling for any outfall for
Part A,and column 4,Parts B and C). which you demonstrate that use of an automatic sampler is infeasible
and that a minimum of four grab samples will be representative of
Concentration Mass your discharge.
ppm parts per million lbs pounds Grab and composite samples are defined as follows:
mg/1...milligrams per liter ton tons(English tons)
ppb parts per billion mg milligrams Grab sample: An individual sample of at least 100 milliliters
ugh ...micrograms per liter g grams collected at a randomly-selected time over a period not exceeding
kg kilograms 15 minutes.
T tonnes(metric tons)
Composite sample: A combination of at least 8 sample aliquots
All reporting of values for metals must be in terms of "total of at least 100 milliliters, collected at periodic intervals during the
recoverable metal,"unless: operating hours of a facility over a 24 hour period.The composite
must be flow proportional; either the time interval between each
(1) An applicable, promulgated effluent limitation or standard aliquot or the volume of each aliquot must be proportional to either
specifies the limitation for the metal in dissolved,valent,or total the stream flow at the time of sampling or the total stream flow
form;or since the collection of the previous aliquot. Aliquots may be
collected manually or automatically. For GC/MS Volatile Organic
(2) All approved analytical methods for the metal inherently Analysis (VOA), aliquots must be combined in the laboratory
measure only its dissolved form(e.g.,hexavalent chromium);or immediately before analysis. Four(4) (rather than eight) aliquots
(3) The permitting authority has determined that in establishing or grab samples should be collected for VOA.These four samples
case-by-case limitations it is necessary to express the should be collected during actual hours of discharge over a 24-
limitations on the metal in dissolved, valent, or total form to hour period and need not be flow proportioned.Only one analysis
carry out the provisions of the CWA. is required.
If you measure only one daily value, complete only the "Maximum The Agency is currently reviewing sampling requirements in light of
Daily Values" columns and insert '1' into the "Number of Analyses" recent research on testing methods. Upon completion of its review,
column (columns 2-a and 2-d, Part A, and column 3-a, 3-d, Parts B the Agency plans to propose changes to the sampling requirements.
and C). The permitting authority may require you to conduct Data from samples taken in the past may be used,provided that:
additional analyses to further characterize your discharges. For
composite samples, the daily value is the total mass or average All data requirements are met;
concentration found in a composite sample taken over the operating Sampling was done no more than three years before submission;
hours of the facility during a 24-hour period; for grab samples, the and
daily value is the arithmetic or flow-weighted total mass or average
concentration found in a series of at least four grab samples taken All data are representative of the present discharge.
over the operating hours of the facility during a 24-hour period.
Among the factors which would cause the data to be
If you measure more than one daily value for a pollutant and those unrepresentative are significant changes in production level,
values are representative of your wastestream, you must report changes in raw materials,processes,or final products,and changes
them. You must describe your method of testing and data analysis. in wastewater treatment. When the Agency promulgates new
You also must determine the average of all values within the last analytical methods in 40 CFR Part 136, EPA will provide information
year and report the concentration and mass under the "Long Term as to when you should use the new methods to generate data on
Average Values"columns(column 2-c,Part A,and column 3-c,Parts your discharges. Of course, the Director may request additional
B and C),and the total number of daily values under the"Number of information, including current quantitative data, if she or he
Analyses" columns (column 2-d, Part A, and columns 3-d, Parts B determines it to be necessary to assess your discharges.
and C).Also,determine the average of all daily values taken during
each calendar month, and report the highest average under the C. Analysis: You must use test methods promulgated in 40 CFR
"Maximum 30-day Values"columns(column 2-c, Part A, and column Part 136; however, if none has been promulgated for a particular
3-b,Parts B and C). pollutant, you may use any suitable method for measuring the level
of the pollutant in your discharge provided that you submit a
B. Sampling: The collection of the samples for the reported description of the method or a reference to a published method.Your
analyses should be supervised by a person experienced in description should include the sample holding time, preservation
performing sampling of industrial wastewater.You may contact your techniques,and the quality control measures which you used. If you
EPA or State permitting authority for detailed guidance on sampling have two or more substantially identical outfalls, you may request
techniques and for answers to specific questions. Any specific permission from your permitting authority to sample and analyse only
requirements contained in the applicable analytical methods should one outfall and submit the results of the analysis for other
be followed for sample containers, sample preservation, holding substantially identical outfalls. If your request is granted by the
2C-1
_J

FORM 2c— INSTRUCTIONS (continued)
Item V-A,B,C,and D(continued)
permitting authority, on a separate sheet attached to the application treatment works,determine your testing requirements on the basis of
form,identify which outfall you did test,and describe why the outfalls the industry categories of your contributors. When you determine
which you did not test are substantially identical to the outfall which which industry category you are in to find your testing requirements,
you did test. you are not determining your category for any other purpose and you
are not giving up your right to challenge your inclusion in that
D. Reporting of Intake Data: You are not required to report data category (for example, for deciding whether an effluent guideline is
under the "Intake" columns unless you wish to demonstrate your applicable) before your permit is issued. For all other cases
eligibility for a"net"effluent limitation for one or more pollutants,that (secondary industries, nonprocess wastewater outfalls, and
is, an effluent limitation adjusted bysubtractingthe average level of
1 nonrequired GC/MS fractions), you must mark "X" in either the
the pollutant(s) present inyour intake water, NPDES regulations q
P ( ) 9 Present" column (column 2-b) or the "Believed Absent"
"Believed reset
allow net limitations only in certain circumstances. To demonstrate
column(column 2-c)for each pollutant.For every pollutant you know
your eligibility, under the"Intake"columns report the average of the or have reason to believe is present in your discharge in
results of analyses on your intake water (if your water is treated concentrations of 10 ppb or greater, you must report quantitative
before use, test the water after it is treated), and discuss the data. For acrolein, acrylonitrile, 2,4 dinitrophenol, and 2-methyl-4, 6
requirements for a net limitation with your permitting authority. dinitrophenol, where you expect these four pollutants to be
Part V-A discharged in concentrations of 100 ppb or greater, you must report
quantitative data. For every pollutant expected to be discharged in
Part V-A must be completed by all applicants for all outfalls,including concentrations less than the thresholds specified above, you must
outfalls containing only noncontact cooling water or storm runoff. either submit quantitative data or briefly describe the reasons the
However,at your request,the Director may waive the requirement to pollutant is expected to be discharged.At your request the Director,
test for one or more of these pollutants, upon a determination that Office of Water Enforcement and Permits, may waive the
available information is adequate to support issuance of the permit requirement to test for pollutants for an industrial category or
with less stringent reporting requirements for these pollutants. You subcategory. Your request must be supported by data
also may request a waiver for one or more of these pollutants for representatives of the industrial category or subcategory in question.
your category or subcategory from the Director, Office of Water The data must demonstrate that individual testing for each applicant
Enforcement and Permits. See discussion in General Instructions to is unnecessary, because the facilities in question discharge
item V for definitions of the columns in Part A. The "Long Term substantially identical levels of the pollutant, or discharge the
Average Values" column (column 2-c) and "Maximum 30-day pollutant uniformly at sufficiently low levels. If you qualify as a small
Values"column(column 2-b)are not compulsory but should be filled business (see below) you are exempt from testing for the organic
out if data are available. toxic pollutants,listed on pages V-4 to V-9 in Part C.For pollutants in
Use composite samples for all pollutants in this Part,except use grab intake water,see discussion in General Instructions to this item.The
samples for pH and temperature. See discussion in General "Long Term Average Values" column (column 3-c) and "Maximum
Instructions to Item V for definitions of the columns in Part A. The 30-day Values"column (column 3-b) are not compulsory but should
"Long Term Average Values" column (column 2-c) and "Maximum be filled out if data are available. You are required to mark"Testing
30-Day Values"column(column 2-b) are not compulsory but should Required" for dioxin if you use or manufacture one of the following
be filled out if data are available. compounds:
Part V-B (a) 2,4,5-trichlorophenoxy acetic acid,(2,4,5-T);
Part V-B must be completed by all applicants for all outfalls,including (b) 2-(2,4,5-trichlorophenoxy)propanoic acid,(Silvex,2,4,5-TP)
outfalls containing only noncontact cooling water or storm runoff.You (c) 2-2,4,5-trichloro heno ethyl 2,2-dichloro ro ,(Erbon);
report quantitative data if the pollutant(s) in question is limited ( p ) y p Pionate ( )'
in an effluent limitations guideline either directly, or indirectly but (d) 0,0-dimethyl 0-(2,4,5-trichlorophenyl)phosphorothioate,(Ronnel);
expressly through limitation on an indicator(e.g., use of TSS as an
indicator to control the discharge of iron and aluminum). For other (e) 2,4,5,-trichlorophenol,(TCP);or
discharged pollutants you must provide quantitative data or explain (f) hexachlorophene,(HCP).
their presence in your discharge. EPA will consider requests to the
Director of the Office of Water Enforcement and Permits to eliminate If you mark "Testing Required" or "Believed Present," you must
the requirement to test for pollutants for an industrial category or perform a screening analysis for dioxins, using gas chromotography
subcategory.Your request must be supported by data representative with an electron capture detector.A TCDD standard for quantitation
of the industrial category or subcategory in question.The data must is not required. Describe the results of this analysis in the space
demonstrate that individual testing for each applicant is unnecessary, provided; for example, "no measurable baseline deflection at the
because the facilities in the category or subcategory discharge retention time of TCDD"or"a measurable peak within the tolerances
substantially identical levels of the pollutant or discharge the of the retention time of TCDD."The permitting authority may require
pollutant uniformly at sufficiently low levels. Use composite samples you to perform a quantitative analysis if you report a positive result.
for all pollutants you analyze for in this part, except use grab The Effluent Guidelines Division of EPA has collected and analyzed
samples for residual chlorine,oil and grease,and fecal coliform.The samples from some plants for the pollutants listed in Part C in the
"Long Term Average Values" column (column 3-c) and "Maximum course of its BAT guidelines development program. If your effluents
30-day Values"column (column 3-b) are not compulsory but should are sampled and analyzed as part of this program in the last three
be filled out if data are available. years, you may use these data to answer Part C provided that the
permitting authority approves, and provided that no process change
Part V-C or change in raw materials or operating practices has occurred since
Table 2c-2 lists the 34 "primary" industry categories in the lefthand the samples were taken that would make the analyses
column. For each outfall, if any of your processes which contribute unrepresentative of your current discharge.
wastewater falls into one of those categories,you must mark "X" in
"Testing Required"column(column 2-a)and test for(I)all of the toxic Small Business Exemption: If you qualify as a "small business",
metals, cyanide, and total phenols, and (2)the organic toxic you are exempt from the reporting requirements for the organic toxic
pollutants contained in Table 2c-2 as applicable to your category, pollutants, listed on pages V-4 to V-9 in Part C.There are two ways
unless you qualify as a small business(see below).The organic toxic in which you can qualify as a"small business."If your facility is a coal
pollutants are listed by GC/MS fractions on pages V-4 to V-9 in Part mine, and if your probable total annual production is less than
V-C.For example,the Organic Chemicals Industry has an asterisk in 100,000 tons per year, you may submit past production data or
all four fractions; therefore, applicants in this category must test for estimated future production (such as a schedule of estimated total
all organic toxic pollutants in Part V-C.The inclusion of total phenols production under 30 CFR § 795.14(c)) instead of conducting
in Part V-C is not intended to classify total phenols as a toxic analyses for the organic toxic pollutants. If your facility is not a coal
pollutant. If you are applying for a permit for a privately owned mine, and if your gross total annual sales for the most recent three
years average less than$100,000 per year(in second quarter 1980
2C-1

FORM 2c— INSTRUCTIONS(continued)
Item V-A,B,C,and D(continued)
dollars), you may submit sales data for those years instead of 40 CFR Part 122.22 requires the certification to be signed as follows:
conducting analyses for the organic toxic pollutants. The production
or sales data must be for the facility which is the source of the (A) For a corporation: by a responsible corporate official. For
responsiblecorporate official means(i)a
discharge. The data should not be limited to production or sales for purposes of this section, a
the process or processes which contribute to the discharge, unless president,secretary,treasurer,or vice-president of the corporation in
those are the only processes at your facility. For sales data, in charge of a principal business function, or any other person who
situations involving intracorporate transfer of goods and services,the performs similar policy- or decision-making functions for the
transfer price per unit should approximate market prices for those corporation, or (ii) the manager of one or more manufacturing,
goods and services as closely as possible. Sales figures for years production, or operating facilities employing more than 250 persons
after 1980 should be indexed to the second quarter of 1980 by using or having gross annual sales or expenditures exceeding$25,000,000
the gross national product price deflator (second quarter of (in second-quarter 1980 dollars), if authority to sign documents has
1980=100). This index is available in National Income and Product been assigned or delegated to the manager in accordance with
Accounts of the United States(Department of Commerce, Bureau of corporate procedures.
Economic Analysis). Note: EPA does not require specific assignments or delegation of
Part V-D authority to responsible corporate officers identified in
§122.22(a)(1)(i). The Agency will presume that these responsible
List any pollutants in Table 2c-3 that you believe to be present and corporate officers have the requisite authority to sign permit
explain why you believe them to be present.No analysis is required, applications unless the corporation has notified the director to the
but if you have analytical data,you must report it. contrary. Corporate procedures governing authority to sign permit
Note: Under 40 CFR 117.12(a)(2), certain discharges of hazardous applications may provide for assignment or delegation to applicable
substances (listed in Table 2c-4 of these instructions) may be corporate position under §122.22(a)(1)(ii) rather than to specific
exempted from the requirements of section 311 of CWA, which individuals.
establishes reporting requirements, civil penalties and liability for (B) For a partnership or sole proprietorship: by a general partner or
cleanup costs for spills of oil and hazardous substances.A discharge the proprietor,respectively;or
of a particular substance may be exempted if the origin,source,and
amount of the discharged substances are identified in the NDPES (C) For a municipality, State, Federal, or other public agency: by
permit application or in the permit, if the permit contains a either a principal executive officer or ranking elected official. For
requirement for treatment of the discharge, and if the treatment is in purposes of this section, a principal executive officer of a Federal
place. To apply for an exclusion of the discharge of any hazardous Agency includes(i)the chief executive officer of the Agency,or(ii)a
substance from the requirements of section 311, attach additional senior executive officer having responsibility for the overall
sheets of paper to your form,setting forth the following information: operations of a principal geographic unit of the Agency (e.g.,
Regional Administrators of EPA). Applications for Group II
1. The substance and the amount of each substance which may stormwater dischargers may be signed by a duly authorized
be discharged. representative (as defined in 40 CFR 122.22(b)) of the individuals
2. The origin and source of the discharge of the substance. identified above.
3. The treatment which is to be provided for the discharge by:
a. An onsite treatment system separate from any treatment
system treating your normal discharge;
b. A treatment system designed to treat your normal
discharge and which is additionally capable of treating the
amount of the substance identified under paragraph 1
above;or
c. Any combination of the above.
See 40 CFR§117.12(a)(2)and (c)published on August 29, 1979, in
44 FR 50766, or contact your Regional Office (Table 1 on Form 1,
Instructions),for further information on exclusions from section 311.
Item VI
This requirement applies to current use or manufacture of a toxic
pollutant as an intermediate or final product or byproduct. The
Director may waive or modify the requirement if you demonstrate
that it would be unduly burdensome to identify each toxic pollutant
and the Director has adequate information to issue your permit.You
may not claim this information as confidential; however, you do not
have to distinguish between use or production of the pollutants or list
the amounts.
Item VII
Self explanatory. The permitting authority may ask you to provide
additional details after your application is received.
Item IX
The Clean Water Act provides for severe penalties for submitting
false information on this application form.
Section 309(c)(2) of the Clean Water Act provides that"Any person
who knowingly makes any false statement, representation, or
certification in any application,... shall upon conviction, be punished
by a fine of not more than$10,000 or by imprisonment for not more
than six months,or by both."
2C-2

CODES FOR TREATMENT UNITS
PHYSICAL TREATMENT PROCESSES
1-A Ammonia Stripping 1-M Grit Removal
1-B Dialysis 1-N Microstraining
1-C Diatomaceous Earth Filtration 1-0 Mixing
1-D Distillation 1-P Moving Bed Filters
1-E Electrodialysis 1-Q Multimedia Filtration
1-F Evaporation 1-R Rapid Sand Filtration
1-G Flocculation 1-S Reverse Osmosis(Hyperfiltration)
1-H Flotation 1-T Screening
1-I Foam Fractionation 1-U Sedimentation(Settling)
1-J Freezing 1-V Slow Sand Filtration
1-K Gas-Phase Separation 1-W Solvent Extraction
1-L Grinding(Comminutors) 1-X Sorption
CHEMICAL TREATMENT PROCESSES
2-A Carbon Adsorption 2-G Disinfection(Ozone)
2-B Chemical Oxidation 2-H Disinfection(Other)
2-C Chemical Precipitation 2-I Electrochemical Treatment
2-D Coagulation 2-J Ion Exchange
2-E Dechlorination 2-K Neutralization
2-F Disinfection(Chlorine) 2-L Reduction
BIOLOGICAL TREATMENT PROCESSES
3-A Activated Sludge 3-E Pre-Aeration
3-B Aerated Lagoons 3-F Spray Irrigation/Land Application
3-C Anaerobic Treatment 3-G Stabilization Ponds
3-D Nitrification-Denitrification 3-H Trickling Filtration
OTHER PROCESSES
4-A Discharge to Surface Water 4-C Reuse/Recycle of Treated Effluent
4-B Ocean Discharge Through Outfall 4-D Underground Injection
SLUDGE TREATMENT AND DISPOSAL PROCESSES
5-A Aerobic Digestion 5-M Heat Drying
5-B Anaerobic Digestion 5-N Heat Treatment
5-C Belt Filtration 5-0 Incineration
5-D Centrifugation 5-P Land Application
5-E Chemical Conditioning 5-Q Landfill
5-F Chlorine Treatment 5-R Pressure Filtration j
5-G Composting 5-S Pyrolysis
5-H Drying Beds 5-T Sludge Lagoons
5-I Elutriation 5-U Vacuum Filtration
5-J Flotation Thickening 5-V Vibration
5-K Freezing 5-W Wet Oxidation
5-L Gravity Thickening
Table 2C-1

TESTING REQUIREMENTS FOR ORGANIC TOXIC POLLUTANTS INDUSTRY CATEGORY*
GC/MS FRACTION'
INDUSTRY CATEGORY
Volatile Acid Base/Neutral Pesticide
Adhesives and sealants X X X —
Aluminum forming X X X —
Auto and other laundries X X X X
Battery manufacturing X — X —
Coal mining X X X X
Coil coating X X X —
Copper forming X X X —
Electric and electronic compounds X X X X
Electroplating X X X —
Explosives manufacturing — X X —
Foundries X X X —
Gum and wood chemicals X X X X
Inorganic chemicals manufacturing X X X —
Iron and steel manufacturing X X X —
Leather tanning and finishing X X X X
Mechanical products manufacturing X X X —
Nonferrous metals manufacturing X X X X
Ore mining X X X X
Organic chemicals manufacturing X X X X
Paint and ink formulation X X X X
Pesticides X X X X
Petroleum refining X X X X
Pharmaceutical preparations X X X —
Photographic equipment and supplies X X X X
Plastic and synthetic materials manufacturing X X X X
Plastic processing X — — —
Porcelain enameling X — X X
Printing and publishing X X X X
Pulp and paperboard mills X X X X
Rubber processing X X X —
Soap and detergent manufacturing X X X —
Steam electric power plants X X X —
Textile mills X X X X
Timber products processing X X X X
'See note at conclusion of 40 CFR Part 122,Appendix D(1983)for explanation of effect of suspensions on testing requirements for primary
industry categories.
'The pollutants in each fraction are listed in Item V-C.
X=Testing required.
—=Testing not required.
Tabe 2C-2

TOXIC POLLUTANTS AND HAZARDOUS SUBSTANCES
REQUIRED TO BE IDENTIFIED BY APPLICANTS IF EXPECTED TO BE PRESENT
TOXIC POLLUTANT HAZARDOUS SUBSTANCES HAZARDOUS SUBSTANCES
Asbestos Dichlorvos Naled
Diethyl amine Napthenic acid
HAZARDOUS SUBSTANCES Dimethyl amine Nitrotoluene
Dintrobenzene Parathion
Acetaldehyde Diquat Phenolsulfonate
Allyl alcohol Disulfoton Phosgene
Allyl chloride Diuron Propargite
Amyl acetate Epichlorohydrin Propylene oxide
Aniline Ethion Pyrethrins
Benzonitrile Ethylene diamine Quinoline
Benzyl chloride Ethylene dibromide Resorcinol
Butyl acetate Formaldehyde Strontium
Butylamine Furfural Strychnine
Captan Guthion Styrene
Carbaryl Isoprene 2,4,5-T(2,4,5-Trichlorophenoxyacetic acid)
Carbofuran Isopropanolamine TDE(Tetrachlorodiphenyl ethane)
Carbon disulfide Kelthane 2,4,5-TP[2-(2,4,5-Trichlorophenoxy)propanoic acid]
Chlorpyrifos Kepone Trichlorofon
Coumaphos Malathion Triethanolamine
Cresol Mercaptodimethur Triethylamine
Crotonaldehyde Methoxychlor Trimethylamine
Cyclohexane Methyl mercaptan Uranium
2,4-D(2,4-Dichlorophenoxyacetic acid) Methyl methacrylate Vanadium
Diazinon Methyl parathion Vinyl acetate
Dicamba Mevinphos Xylene
Dichlobenil Mexacarbate Xylenol
Dichlone Monoethyl amine Zirconium
2,2-Dichloropropionic acid Monomethyl amine
Table 2C-3

HAZARDOUS SUBSTANCES
1.Acetaldehyde 74.Carbaryl 145.Formaldehyde
2.Acetic acid 75.Carbofuran 146.Formic acid
3.Acetic anhydride 76.Carbon disulfide 147.Fumaric acid
4.Acetone cyanohydrin 77.Carbon tetrachloride 148.Furfural
5.Acetyl bromide 78.Chlordane 149.Guthion
6.Acetyl chloride 79.Chlorine 150.Heptachlor
7.Acrolein 80.Chlorobenzene 151.Hexachlorocyclopentadiene
8.Acrylonitrile 81.Chloroform 152.Hydrochloric acid
9.Adipic acid 82.Chloropyrifos 153.Hydrofluoric acid
10.Aldrin 83.Chlorosulfonic acid 154.Hydrogen cyanide
11.Allyl alcohol 84.Chromic acetate 155.Hydrogen sulfide
12.Allyl chloride 85.Chromic acid 156.Isoprene
13.Aluminum sulfate 86.Chromic sulfate 157.Isopropanolamine
14.Ammonia 87.Chromous chloride dodecylbenzenesulfonate
15.Ammonium acetate 88.Cobaltous bromide 158.Kelthane
16.Ammonium benzoate 89.Cobaltous formate 159.Kepone
17.Ammonium bicarbonate 90.Cobaltous sulfamate 160.Lead acetate
18.Ammonium bichromate 91.Coumaphos 161.Lead arsenate
19.Ammonium bifluoride 92.Cresol 162.Lead chloride
20.Ammonium bisulfite 93.Crotonaldehyde 163.Lead fluoborate
21.Ammonium carbamate 94.Cupric acetate 164.Lead flourite
22.Ammonium carbonate 95.Cupric acetoarsenite 165.Lead iodide
23.Ammonium chloride 96.Cupric chloride 166.Lead nitrate
24.Ammonium chromate 97.Cupric nitrate 167.Lead stearate
25.Ammonium citrate 98.Cupric oxalate 168.Lead sulfate
26.Ammonium fluoroborate 99.Cupric sulfate 169.Lead sulfide
27.Ammonium fluoride 100.Cupric sulfate ammoniated 170.Lead thiocyanate
28.Ammonium hydroxide 101.Cupric tartrate 171.Lindane
29.Ammonium oxalate 102.Cyanogen chloride 172.Lithium chromate
30.Ammonium silicofluoride 103.Cyclohexane 173.Malathion
31.Ammonium sulfamate 104.2,4-D acid(2,4-Dichlorophenoxyacetic 174.Maleic acid
32.Ammonium sulfide acid) 175.Maleic anhydride
33.Ammonium sulfite 105.2,4-D esters(2,4-Dichlorophenoxyacetic 176.Mercaptodimethur
34.Ammonium tartrate acid esters) 177.Mercuric cyanide
35.Ammonium thiocyanate 106.DDT 178.Mercuric nitrate
36.Ammonium thiosulfate 107.Diazinon 179.Mercuric sulfate
37.Amyl acetate 108.Dicamba 180.Mercuric thiocyanate
38.Aniline 109.Dichlobenil 181.Mercurous nitrate
39.Antimony pentachloricle 110.Dichlone 182.Methoxychlor
40.Antimony potassium tartrate 111.Dichlorobenzene 183.Methyl mercaptan
41.Antimony tribromide 112.Dichloropropane 184.Methyl methacrylate
42.Antimony trichloride 113.Dichloropropene 185.Methyl parathion
43.Antimony tifluoride 114.Dichloropropene-dichloproropane mix 186.Mevinphos
44.Antimony trioxide 115.2,2-Dichloropropionic acid 187.Mexacarbate
45.Arsenic disulfide 116.Dichlorvos 188.Monoethylamine
46.Arsenic pentoxide 117.Dieldrin 189.Monomethylamine
47.Arsenic trichloride 118.Diethylamine 190.Naled
48.Arsenic trioxide 119.Dimethylamine 191.Naphthalene
49.Arsenic trisulfide 120.Dinitrobenzene 192.Naphthenic acid
50.Barium cyanide 121.Dinitrophenol 193.Nickel ammonium sulfate
51.Benzene 122.Dinitrotoluene 194.Nickel chloride
52.Benzoic acid 123.Diquat 195.Nickel hydroxide
53.Benzonitrile 124.Disulfoton 196.Nickel nitrate
54.Benzoyl chloride 125.Diuron 197.Nickel sulfate
55.Benzyl chloride 126.Dodecylbenzesulfonic acid 198.Nitric acid
56.Beryllium chloride 127.Endosulfan 199.Nitrobenzene
57.Beryllium fluoride 128.Endrin 200.Nitrogen dioxide
58.Beryllium nitrate 129.Epichlorohydrin 201.Nitrophenol
59.Butylacetate 130.Ethion 202.Nitrotoluene
60.n-Butylphthalate 131.Ethylbenzene 203.Paraformaldehyde
61.Butylamine 132.Ethylenediamine 204.Parathion
62.Butyric acid 133.Ethylene dibromide 205.Pentachlorophenol
63.Cadmium acetate 134.Ethylene dichloride 206.Phenol
64.Cadmium bromide 135.Ethylene diaminetetracetic acid(EDTA) 207.Phosgene
65.Cadmium chloride 136.Ferric ammonium citrate 208.Phosphoric acid
66.Calcium arsenate 137.Ferric ammonium oxalate 209.Phosphorus
67.Calcium arsenite 138.Ferric chloride 210.Phosphorus oxychloride
69.Calcium carbide 139.Ferric fluoride 211.Phosphorus pentasulfide
69.Calcium chromate 140.Ferric nitrate 212.Phosphorus trichloride
70.Calcium cyanide 141.Ferric sulfate 213.Polychlorinated biphenyls(PCB)
71.Calcium dodecylbenzenesulfonate 142.Ferrous ammonium sulfate 214.Potassium arsenate
72.Calcium hypochlorite 143.Ferrous chloride 215.Potassium arsenite
73.Captan 144.Ferrous sulfate 216.Potassium bichromate
Table 2C-4

HAZARDOUS SUBSTANCES
217.Potassium chromate 247.Sodium selenite 270.Trimethylamine
218.Potassium cyanide 248.Strontium chromate 271.Uranyl acetate
219.Potassium hydroxide 249.Strychnine 272.Uranyl nitrate
220.Potassium permanganate 250.Styrene 273.Vanadium penoxide
221.Propargite 251.Sulfuric acid 274.Vanadyl sulfate
222.Propionic acid 252.Sulfur monochloride 275.Vinyl acetate
223.Propionic anhydride 253.2,4,5-T acid(2,4,5- 276.Vinylidene chloride
224.Propylene oxide Trichlorophenoxyacetic acid) 277.Xylene
225.Pyrethrins 254.2,4,5-T amines(2,4,5-Trichlorophenoxy 278.Xylenol
226.Quinoline acetic acid amines) 279.Zinc acetate
227.Resorcinol 255.2,4,5-T esters(2,4,5 Trichlorophenoxy 280.Zinc ammonium chloride
228.Selenium oxide acetic acid esters) 281.Zinc borate
229.Silver nitrate 256.2,4,5-T salts(2,4,5-Trichlorophenoxy 282.Zinc bromide
230.Sodium acetic acid salts) 283.Zinc carbonate
231.Sodium arsenate 257.2,4,5-TP acid(2,4,5-Trichlorophenoxy 284.Zinc chloride
232.Sodium arsenite propanoic acid) 285.Zinc cyanide
233.Sodium bichromate 258.2,4,5-TP acid esters(2,4,5- 286.Zinc fluoride
234.Sodium bifluoride Trichlorophenoxy propanoic acid esters) 287.Zinc formate
235.Sodium bisulfite 259.TDE(Tetrachlorodiphenyl ethane) 288.Zinc hydrosulfite
236.Sodium chromate 260.Tetraethyl lead 289.Zinc nitrate
237.Sodium cyanide 261.Tetraethyl pyrophosphate 290.Zinc phenolsulfonate
238.Sodium dodecylbenzenesulfonate 262.Thallium sulfate 291.Zinc phosphide
239.Sodium fluoride 263.Toluene 292.Zinc silicofluoride
240.Sodium hydrosulfide 264.Toxaphene 293.Zinc sulfate
241.Sodium hydroxide 265.Trichlorofon 294.Zirconium nitrate
242.Sodium hypochlorite 266.Trichloroethylene 295.Zirconium potassium flouride
1 243.Sodium methylate 267.Trichlorophenol 296.Zirconium sulfate
244.Sodium nitrite 268.Triethanolamine 297.Zirconium tetrachloride
245.Sodium phosphate(dibasic) dodecylbenzenesulfonate
246.Sodium phosphate(tribasic) 269.Triethylamine
Table 2C-4(continued)

LINE DRAWING
Blue River Municipal
�90,000 GPD Water Supply Blue River
10,000 GPD
45,000 GPD 45,000 GPD 30,000 GPD Cooling Water
Raw Materials Fiber 15 000 D ein 20,000 Washing10,0000. Drying 5,000 GPD
10,000 GPD Preparation GPO y g GPD GPD ry g To Atmosphere
►
40,000 GPD 40,000 GPD 40,000 10,000 To Product
GPD GPD 5,000 GPD
r
Solid Waste Grit Neutralization Loss Waste
► ► Treatment
4,000 GPD Separator Tank 6,000 GPD
Plant#2
36,000 GPD 34,000 GPD Outfall 002
50,000 GPD
Waste
► Outfall 001
Stormwater Treatment 70,000 GPD+Stormwater
Max:20,000 GPD ► Plant#1
Schematic of Water Flow
Brown Mills,Inc.
City,County,State
Figure 2C-1

EPA I.D.NUMBER(copy from Item I of Form I) Form Approved.
NCD059140764 OMB No.2040.0086.
Please print or type in the unshaded areas only. Approval expires 3-31-98.
FORM U.S.ENVIRONMENTAL PROTECTION AGENCY
ZC 4./EPA EXISTING MANUFAAPPLICATION FOR PERMIT TO DISCHARGE WASTEWATER
CTURING,,COMMERCIAL,MINING AND SILVICULTURE OPERATIONS
NPDES Consolidated Permits Program
I.OUTFACE LOCATION
For each outfall,list the latitude and longitude of its location to the nearest 15 seconds and the name of the receiving water.
A.OUTFALL NUMBER B.LATITUDE C.LONGITUDE
(list) 1.DEG. 2.MIN. 3.SEC. 1.DEG. 2.MIN. 3.SEC. D.RECEIVING WATER(name)
001 35 50 14 81 59 55 North Fork Catawba
II.FLOWS,SOURCES OF POLLUTION,AND TREATMENT TECHNOLOGIES
A. Attach a line drawing showing the water flow through the facility.Indicate sources of intake water,operations contributing wastewater to the effluent,and treatment units
labeled to correspond to the more detailed descriptions in Item B.Construct a water balance on the line drawing by showing average flows between intakes,operations,
treatment units,and outfalls.If a water balance cannot be determined(e.g.,for certain mining activities),provide a pictorial description of the nature and amount of any
sources of water and any collection or treatment measures.
B. For each outfall,provide a description of:(1)All operations contributing wastewater to the effluent,including process wastewater,sanitary wastewater,cooling water,
and storm water runoff; (2)The average flow contributed by each operation; and (3)The treatment received by the wastewater. Continue on additional sheets if
necessary.
1.OUT- 2.OPERATION(S)CONTRIBUTING FLOW 3.TREATMENT
FALL b.AVERAGE FLOW b.LIST CODES FROM
NO.(list) a.OPERATION(list) (include units) a.DESCRIPTION TABLE 2C-1
Ground Water Neutralized
001 1.442 MGD 2-K
Cooling Ponds 0.175 MGD Pre-Screening 1-T
Boiler Feed Water Equalization
0.329 MGD 1-0
Sanitary Water Nutrient Addition
0.150 MGD N/A
Process Water 0.350 MGD Activated Sludge 3-A
Membrane Filtration
1-Q
Disinfection
2-H
(Sludge) Aerobic Digestor
5-A
(Sludge) Centrifuge
5-D
(Sludge) Land Application
5-P
OFFICIAL USE ONLY(effluent guidelines sub-categories)
EPA Form 3510-2C(8-90) PAGE 1 of 4 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
C.Except for storm runoff,leaks,or spills,are any of the discharges described in Items II-A or B intermittent or seasonal?
❑YES(complete the following table) NO(go to Section III)
3.FREQUENCY 4.FLOW
a.DAYS PER B.TOTAL VOLUME
2.OPERATION(s) WEEK b.MONTHS a.FLOW RATE(in mgd) (spec,t5 with unity)
1.OUTFALL CONTRIBUTING FLOW (.specify PER YEAR 1.LONG TERM 2.MAXIMUM 1.LONG TERM 2.MAXIMUM C.DURATION
NUMBER(list) (list) average) (speck-average) AVERAGE DAILY AVERAGE DAILY (in days)
Not Applicable
Ill.PRODUCTION
A.Does an effluent guideline limitation promulgated by EPA under Section 304 of the Clean Water Act apply to your facility?
YES(complete Item III-B) ❑NO(go to Section IV)
B.Are the limitations in the applicable effluent guideline expressed in terms of production(or other measure of operation)?
❑YES(complete Item III-C) NO(go to Section IV)
C.If you answered"yes"to Item III-B,list the quantity which represents an actual measurement of your level of production,expressed in the terms and units used in the
applicable effluent guideline,and indicate the affected outfalls.
1.AVERAGE DAILY PRODUCTION 2.AFFECTED OUTFALLS
a.QUANTITY PER DAY b.UNITS OF MEASURE c.OPERATION,PRODUCT,MATERIAL,ETC. (list otgfallnumbers)
(specify)
001
IV.IMPROVEMENTS
A. Are you now required by any Federal, State or local authority to meet any implementation schedule for the construction, upgrading or operations of wastewater
treatment equipment or practices or any other environmental programs which may affect the discharges described in this application?This includes,but is not limited to,
permit conditions,administrative or enforcement orders,enforcement compliance schedule letters,stipulations,court orders,and grant or loan conditions.
❑YES(complete the following table) ®NO(go to Item II'-B)
1.IDENTIFICATION OF CONDITION, 2.AFFECTED OUTFALLS 4.FINAL COMPLIANCE DATE
3.BRIEF DESCRIPTION OF PROJECT
AGREEMENT,ETC. ---
a.NO. b.SOURCE OF DISCHARGE a.REQUIRED b.PROJECTED
B. OPTIONAL: You may attach additional sheets describing any additional water pollution control programs (or other environmental projects which may affect your
discharges)you now have underway or which you plan.Indicate whether each program is now underway or planned,and indicate your actual or planned schedules for
construction.
❑MARK"X"IF DESCRIPTION OF ADDITIONAL CONTROL PROGRAMS IS ATTACHED
EPA Form 3510-2C(8-90) PAGE 2 of 4 CONTINUE ON PAGE 3

EPA I.D.NUMBER(copy from hem I of Form I)
CONTINUED FROM PAGE 2 NCD059140764
•
V.INTAKE AND EFFLUENT CHARACTERISTICS
A,B,&C: See instructions before proceeding—Complete one set of tables for each outfall—Annotate the outfall number in the space provided.
NOTE:Tables V-A,V-B,and V-C are included on separate sheets numbered V-1 through V-9.
D. Use the space below to list any of the pollutants listed in Table 2c-3 of the instructions,which you know or have reason to believe is discharged or may be discharged
from any outfall.For every pollutant you list,briefly describe the reasons you believe it to be present and report any analytical data in your possession.
1.POLLUTANT 2.SOURCE 1.POLLUTANT 2.SOURCE
Strontium Strontium is a naturally
occurring metal found in local
groundwater.
Sample pulled on 6/17/19 read
67.5 ug/L.
VI.POTENTIAL DISCHARGES NOT COVERED BY ANALYSIS
Is any pollutant listed in Item V-C a substance or a component of a substance which you currently use or manufacture as an intermediate or final product or byproduct'?
ElYES(1lsl all such pollulanis below) NO(go in Itcm
EPA Form 3510-2C(8-90) PAGE 3 of 4 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
VII.BIOLOGICAL TOXICITY TESTING DATA IIII
Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on any of your discharges or on a receiving water in
relation to your discharge within the last 3 years?
©YES(ident 'the test(s)and describe their purposes below) ❑NO(go to Section VIII)
Quarterly toxicity testing is carried out, as required by the current permit.
VIII.CONTRACT ANALYSIS INFORMATION
Were any of the analyses reported in Item V performed by a contract laboratory or consulting firm?
®YES(list the name,address,and telephone number of,and pollutants analyzed by, ❑NO(go to Section IX)
each such laboratory or firm below)
A.NAME B.ADDRESS C.TELEPHONE D.POLLUTANTS ANALYZED
(area code&no.) (list)
Pace Analytical 9800 Kincey Ave. Suite 100 704-875-9092 Oil and Grease, Ammonia,
Untersville, NC 28078 Total Nitrogen, Total
Phospherous, Priority
Pollutants.
Environmental Testing Solutions PO Box 7565 828-350-9364 Aquatic Toxicity
Asheville, NC 28802
Water Quality Lab and PO Box 1167 828-898-6277 Biological Oxygen Demand
Operations, Inc. Banner Elk, 28604
IX.CERTIFICATION
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 fine and imprisonment for knowing violations.
A.NAME&OFFICIAL TITLE(type or print) B.PHONE NO.(area code&no.)
Stephen Gouge (828) 756-6608
C.SIGN; c"),,,....\1, D.DATE SIGNED
07/13/2019
EPA Form 3510-2C(8-90) PAGE 4 of 4

PLEASE PRINT OR TYPE IN THE UNSHADED AREAS ONLY.You may report some or all of this information EPA I.D.NUMBER(copy from Item I of Form I)
on separate sheets(use the same format)instead of completing these pages. NCD05 914 0764
SEE INSTRUCTIONS.
OUTFALL NO.
V.INTAKE AND EFFLUENT CHARACTERISTICS(continued from page 3 of Form 2-C) on
PART A—You must provide the results of at least one analysis for every pollutant in this table.Complete one table for each outfall.See instructions for additional details.
3.UNITS 4.INTAKE
2.EFFLUENT (specifyifblank) (optional)
b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG.VALUE a.LONG TERM
a.MAXIMUM DAILY VALUE (if available) (if available) AVERAGE VALUE
1 1 d.NO.OF a.CONCEN- (1) b.NO.OF
1.POLLUTANT CONCENTRATION (2)MASS CONCENTRATION (2)MASS (1)CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
a.Biochemical Oxygen
Demand(>inD) 17.07 124.66 4.49 25.97 14 mg/L lbs
•
b.Chemical Oxygen 19.99 160.1 6.07 48.64 12 mg/L lbs
Demand(COD)
c.Total Organic Carbon NA
(TO(')
d.Total Suspended
Solids(TSS) 5.4 36.43 1.85 10.77 14 mg/L lbs
e.Ammonia(as N) 2.9 21.5 1.45 11.10 2 mg/L lbs
VALUE VALUE VALUE VALUE
f.Flow 1.24 1.04 31 MGD
g.Temperature VALUE VALUE VALUE VALUE
(winter) 27.1 24.7 12 °C
h.Temperature VALUE VALUE VALUE VALUE
(summer) 31.4 29.2 12 °C
MINIMUM MAXIMUM MINIMUM MAXIMUM
i.pH 6.5 7.5 6.5 7.5 12 STANDARD UNITS
PART B— Mark"X"in column 2-a for each pollutant you know or have reason to believe is present.Mark"X"in column 2-b for each pollutant you believe to be absent.If you mark column 2a for any pollutant which is limited either
directly, or indirectly but expressly, in an effluent limitations guideline, you must provide the results of at least one analysis for that pollutant. For other pollutants for which you mark column 2a,you must provide
quantitative data or an explanation of their presence in your discharge.Complete one table for each outfall.See the instructions for additional details and requirements.
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG.VALUE a.LONG TERM AVERAGE
AND a. b. a.MAXIMUM DAILY VALUE (if available) (ifavailable) VALUE
CAS NO. BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(if available) PRESENT ABSENT CONCENTRATION (2)MASS _CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
a.Bromide
(24959-67-9)
b.Chlorine.Total \/
Residual /\
c.Color X
d.Fecal Coliform X 6 0 0 10 9 13 #/10 0 mL
e.Fluoride X
(16984-48-8)
f.Nitrate Nitrite(as IV) /�X 20.6 1 mg/L
EPA Form 3510-2C(8-90) PAGE V-1 CONTINUE ON REVERSE

ITEM V-B CONTINUED FROM FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG.VALUE a.LONG TERM
AND a. b. a.MAXIMUM DAILY VALUE (if available) (ifavailable) AVERAGE VALUE
CAS NO. BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(if available) PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
g.Nitrogen. \ /
Total Organic(ai X 2 3.4 1 mg/L
h.Oil and X
Grease
i.Phosphorus \ /
(as P).Total X 2.8 1 mg/L
(7723-14-0)
j.Radioactivity
(1)Alpha.Total \X
(2)Beta,Total X
(3)Radium, />\
Total
(4)Radium 226, X
Total
k.Sulfate
(as SO,) X
(14808-79-8)
I.Sulfide
(as S)
m.Sulfite
(as S0,)
(14265-45-3)
n.Surfactants X
o.Aluminum,
Total X 191 1 ug/L
(7429-90-5)
p.Banum,Total \
(7440-39-3) n 18.4 1 ug/L
q.Boron,Total
(7440-42-8)
r.Cobalt.Total
(7440-48-4)
s.Iron.Total
(7439-89-6)
t.Magnesium,
Total 7690 1 ug/L
(7439-95-4)
u.Molybdenum.
Total X
(7439-98-7)
T.Manganese.
Total
(7439-96-5)
w.Tin,Total
(7440-31-5)
x.Titanium,
Total X
(7440-32-6)
EPA Form 3510-2C(8-90) PAGE V-2 CONTINUE ON PAGE V-3

EPA I.D.NUMBER(cap'fram Item l of Form I) OUTFALL NUMBER
CONTINUED FROM PAGE 3 OF FORM 2-C NCD059140764 001
PART C- If you are a primary industry and this outfall contains process wastewater.refer to Table 2c-2 in the instructions to determine which of the GC/MS fractions you must test for.Mark"X"in column 2-a for all such GC/MS
fractions that apply to your industry and for ALL toxic metals, cyanides,and total phenols. If you are not required to mark column 2-a(secondary industries, nonprocess wastewater outfalls, and nonrequired GC/MS
fractions), mark"X"in column 2-b for each pollutant you know or have reason to believe is present. Mark"X"in column 2-c for each pollutant you believe is absent. If you mark column 2a for any pollutant,you must
provide the results of at least one analysis for that pollutant.If you mark column 2b for any pollutant,you must provide the results of at least one analysis for that pollutant if you know or have reason to believe it will be
discharged in concentrations of 10 ppb or greater.If you mark column 2b for acrolein,acrylonitrile,2,4 dinitrophenol.or 2-methyl-4,6 dinitrophenol,you must provide the results of at least one analysis for each of these
pollutants which you know or have reason to believe that you discharge in concentrations of 100 ppb or greater.Otherwise,for pollutants for which you mark column 2b,you must either submit at least one analysis or
briefly describe the reasons the pollutant is expected to be discharged. Note that there are 7 pages to this part: please review each carefully. Complete one table(all 7 pages)for each outfall. See instructions for
additional details and requirements.
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(opunnal)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE (if available) VALUE(if available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(if available) REQUIRED PRESENT ' ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
METALS,CYANIDE.AND TOTAL PHENOLS
1M.Antimony,Total
(7440-36-0)
2M.Arsenic,Total
(7440-38-2)
3M.Beryllium,Total
(7440-41-7)
4M.Cadmium.Total
(7440-43-9)
5M.Chromium,
Total(7440-47-3)
6M.Copper,Total
(7440-50-8)
7M.Lead,Total
(7439-92-1)
8M.Mercury,Total
(7439-97-6)
9M.Nickel,Total �/
(7440-02-0) �\
10M.Selenium,
Total(7782-49-2)
11 M.Silver,Total
(7440-22-4)
12M.Thallium.
Total(7440-28-0)
13M.Zinc.Total
(7440-66-6) X 10.8 1 ug/L
14M.Cyanide,
Total(57-12-5)
15M.Phenols,
Total
DIOXIN
2,3,7,8-Tetra- X DESCRIBE RESULTS
chlorodibenzo-P-
Dioxin(1764-01-6)
EPA Form 3510-2C(8-90) PAGE V-3 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a, b. c. a.MAXIMUM DAILY VALUE (if available) VALUE(if-available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(if available) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—VOLATILE COMPOUNDS
1 V.Accrolein
(107-02-8)
2V.Acrylonitrile X
(107-13-1)
3V.Benzene
(71-43-2)
4V.Bis -methyl)Ether
(542-88-1)
5V.Bromoform
(75-25-2)
6V.Carbon X
Tetrachloride
rachloride
(56-23-5)
7V.Chlorobenzene
(108-90-7)
8V.Chlorodi-
bromomethane /X\
(124-48-1)
9V.Chloroethane
(75-00-3)
10V.2-Chloro-
ethylvinyl Ether >(
(110-75-8)
11 V.Chloroform
(67-66-3)
12V.Dichloro-
bromomethane X
(75-27-4)
13V.Dichloro-
difluoromethane
(75-71-8)
14V.1.1-Dichloro-
ethane(75-34-3)
15V.1.2-Dichloro-
ethane(107-06-2)
16V.1,1-Dichloro-
ethylene(75-35-4)
17V.1.2-Dichloro-
propane(78-87-5)
1,3-Dichloro-
propylene propyl
(542-75-6)
19V.Ethylbenzene
(100-41-4)
20V.Methyl
X
Bromide(74-83-9)
21V.Methyl X
Chloride(74-87-3)
EPA Form 3510-2C(8-90) PAGE V-4 CONTINUE ON PAGE V-5

CONTINUED FROM PAGE V-4
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(oyiinial)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE Of-available) VALUE(if available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVEDd.NO.OF a.CONCEN- (1) b.NO.OF
i availably REQUIRED PRESENT ABSENT (1) (1) ANALYSES TRATION b.MASS ANALYSES
U ) CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS
GC/MS FRACTION—VOLATILE COMPOUNDS(continued)
22V.Methylene
Chloride(75-09-2)
23V
1,1.2
Tetr chlor e X
Tetrachloroethane
(79-34-5)
24V.Tetrachloro-
ethylene(127-18-4)
25V.Toluene X
(108-88-3) _
26V.1.2-Trans-
` ,
Dichloroethylene X
(156-60-5)
27V.1,1,1-Trichloro-
ethane(71-55-6)
28V.1,1,2-Trichloro- X
ethane(79-00-5)
29V Trichloro-
ethylene(79-01-6)
30V.Trichloro- `
fluoromethane X
(75-69-4)
31V.Vinyl Chloride
(75-01-4)
GC/MS FRACTION—ACID COMPOUNDS
1A.2-Chlorophenol X
(95-57-8)
•
2A.2.4-Dichloro-
X
phenol(120-83-2)
3A.2,4-Dimethyl- X
phenol(105-67-9)
4A.4.6-Dinitro-0- X
Cresol(534-52-1)
•
5A.2,4-Dinitro-
phenol(51-28-5)
•
6A.2-Nitrophenol X(88-75-5)
•
7A.4-Nitrophenol X
(100-02-7)
8A.P-Chloro-M- X
Cresol(59-50-7)
9A.Pentachloro- X
phenol(87-86-5)
10A.Phenol
(108-95-2)
11 A.2.4,6-Trichloro-
phenol(88-05-2)
EPA Form 3510-2C(8-90) PAGE V-5 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(npnnnal)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE (if available) VALUE Of available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED d.NO.OF a.CONCEN- b.NO.OF
ilavailable REQUIRED PRESENT ABSENT (1) (1) (1) ANALYSES, TRATION b.MASS (1) ANALYSES
CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASSCONCENTRATION (2)MASS
GC/MS FRACTION—BASE/NEUTRAL COMPOUNDS
1B.Acenaphthene X
(83-32-9)
2B.Acenaphtylene X(208-96-8)
3B.Anthracene
(120-12-7)
4B.Benzidine �/
(92-87-5) /�
5B.Benzo(a)
Anthracene X
(56-55-3)
6B.Benzo(a) •
Pyrene(50-32-8)
7B.3.4-Benzo-
-
Fluoranthene X
(205-99-2)
8B.Benzo XPerylene(191-24-2)
96.Benzo(k)
Fluoranthene
(207-08-9)
10B.Bis)2-Cliloro-
erhosr)Methane
(111-91-1)
11 B.Bis(2-('lilnra-
erin'/)Ether
(111-44-4)
12B.Bis(2-
Chhnr'iisopropY0 X
Ether(102-80-1)
136.Bis(2-Erhel-
he<yl)Phthalate X
(117-81-7)
14B.4-Bromophenyl
Phenyl Ether >/
(101-55-3)
15B.Butyl Benzyt X
Phthalate(85-68-7)
16B.2-Chloro-
naphthalene X
• (91-58-7)
17B.4-Chloro-
phenyl Phenyl Ether �/
(7005-72-3) /\
18B.Chrysene >/
(218-01-9) /�
19B.Dibenzo(a.h)
Anthracene >/
(53-70-3) /�
206.1.2-Dichloro-
X
benzene(95-50-1)
21 B.1,3-Di-chloro-
benzene(541-73-1) X
EPA Form 3510-2C(8-90) PAGE V-6 CONTINUE ON PAGE V-7

CONTINUED FROM PAGE V-6
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE (if available) VALUE(ilavailable) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(iiavailable) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—BASE/NEUTRAL COMPOUNDS(continued)
22B.1,4-Dichloro-
benzene(106-46-7)
23B.3,3-Dichloro-
benzidine(91-94-1)
24B.Diethyl X
Phthalate(84-66-2)
25B.Dimethyl
Phthalate y
(131-11-3) /\
26B.Di-N-Butyl X
Phthalate(84-74-2)
27B.2.4-Dinitro-
toluene(121-14-2)
28B.2,6-Dinitro-
toluene(606-20-2)
29B.Di-N-Octyl X
Phthalate(117-84-0)
30B.1.2-Diphenyl-
hydrazine(as Azo-
benzene)(122-66-7)
31B.Fluoranthene
(206-44-0)
32B.Fluorene
(86-73-7)
33B.Hexachloro-
benzene(118-74-1)
34B.Hexachloro-
butadiene(87-68-3)
35B.Hexachloro-
cyclopentadiene \ ,
X
(77-47-4) I
36B Hexachloro-
ethane(67-72-1)
378.Indeno \ /
(1,2,3-cd)Pyrene y
(193-39-5) /\
38B.Isophorone
(78-59-1)
39B.Naphthalene X(91-20-3) _ ,
40B.Nitrobenzene
(98-95-3) X -
41 B.N-Nitro-
\ ,
sodimethytamine y
(62-75-9) /\
428.N-Nitrosodi-
N-Propylamine
(621-64-7)
EPA Form 3510-2C(8-90) PAGE V-7 CONTINUE ON REVERSE

•
CONTINUED FROM THE FRONT
2. MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(op/tonal)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b, c. a.MAXIMUM DAILY VALUE (if available) VALUE(ifavailahle) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(ifavailahle) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—BASE/NEUTRAL COMPOUNDS(continued)
43B.N-Nitro-
sodiphenylamine
(86-30-6)
44B.Phenanthrene
(85-01-8)
45B.Pyrene
(129-00-0)
46B.1,2,4-Tri-
chlorobenzene
(120-82-1)
GC/MS FRACTION—PESTICIDES
1 P.Aldrin
(309-00-2)
2P.a-BHC
(319-84-6)
3P.(3-BHC X
(319-85-7)
4P.y-BHC
(58-89-9)
5P.i-BHC
(319-86-8)
6P.Chlordane X(57-74-9)
7P.4.4'-DDT
(50-29-3)
8P.4.4'-DDE
(72-55-9)
9P.4,4'-DDD
(72-54-8)
10P.Dieldrin
(60-57-1)
11 P.a-Enosulfan
(115-29-7)
12P.)I-Endosulfan
(115-29-7)
13P.Endosulfan
Sulfate X
(1031-07-8)
14P.Endrin
(72-20-8)
15P.Endrin \ ,
Aldehyde y
(7421-93-4)
16P.Heptachlor X
(76-44-8)
EPA Form 3510-2C(8-90) PAGE V-8 CONTINUE ON PAGE V-9

EPA I.D.NUMBER(copy from Item I of Fenn I) OUTFALL NUMBER
NCD059140764 001
CONTINUED FROM PAGE V-8
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE (if available) VALUE(if available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(if available) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—PESTICIDES(continued)
17P.Heptachlor ` /
Epoxide X
(1024-57-3)
18P.PCB-1242
(53469-21-9)
19P.PCB-1254 \/
(11097-69-1) �\
20P.PCB-1221
(11104-28-2)
21P.PCB-1232
(11141-16-5)
22P.PCB-1248
(12672-29-6)
23P.PCB-1260
(11096-82-5)
24P.PCB-1016 \/
(12674-11-2) n
25P.Toxaphene
(8001-35-2)
EPA Form 3510-2C(8-90) PAGE V-9

c
WELL WELL WELL NORTH COVE WATER VALUE STREAM
1 3 5
Updated:10/23/09
90 GPM 150 GPM 650 GPM
♦ 1
WELL WELL WELL 1
9 11 12 Deionized Water Distilled Water Product
826 600 ' 350
650 GPM 650 GPM 650 GPM / / N I'
L ---; I +
1 DW Auxiliary(EBR,
CFT Backwash-34
Flush,Rinse,Waste)
Slowdowns-70 -250
Cation Regen.-25 /
RAW WATER 1 Anion Regen- 25 Silo Dumps- 10
1.442
Sterilization(SCW) / `
137 0^
Extruder Troughs i_
•
86
Cooling
Extruder Return Recirculation
79
Cooling Tower 1
NEUTRALIZATION
TANK
Cooling Tower 3 `
EVAPORATION
#1- EVAPORATION
-
Cooling Tower 7&8 #3 65
#7,8-
Cooling Tower 9
SPRAY PONDS ~
Cooling Tower 10&11 V
Water Softeners ` WWTP
Influent-745
Boiler Feedwater/ a Ponds-175
(..----)
Potable
329 Condensate Return
^'128
• • 1 ..."-
Sanitary/Domestic EFFLUENT TO RIVER
~1so 920
f

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.r.v,r,e.-

BAXTER HEALTHCARE CORPORATION
MARION, NC 28752
NC0006564
SLUDGE MANAGEMENT PLAN
Waste activated sludge is pumped to one of two aerobic digesters. The sludge is digested and
thickened by repeatedly allowing the solids to settle out and draining off the excess treatable
water. The digested sludge is then dewatered through a centrifuge to a 14%-20% cake.
Drainage from the sludge and wash down water from the centrifuge is pumped back to the
equalization basin for recirculation through the aeration basins and membrane filtration
process. The cake is conveyed to a dump trailer positioned under a roof at the centrifuge
dewatering building. Once this trailer is filled, it is picked up by Southern Soil Builders, Inc.
and transported to the Catawba County where it is land applied to four field sites totaling 80.8
net acres. Our sludge land application permit number is WQ0031725.
Stephen Gouge
Environmental Health & Safety Superintendent
Baxter Healthcare Corporation
PO Box 1390,Marion,NC 28752
T 828.756.4151

Pace Analytical Services,LLC
9800 Kincey Ave. Suite 100
aceAnalytical Huntersville,NC 28078
www.pacelabs.com [phone]
July 10, 2019
Accounts Payable
Baxter Healthcare Corporation
139 /6 Box
P.O. Pitt Station RECEIVED/NCDEQ/DWR
o 0 5
Marion, NC 28752
JUL 19 2019
Water Quality
Permitting Section
RE: Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
Dear Accounts Payable:
Enclosed are the analytical results for sample(s) received by the laboratory on June 18, 2019. 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.
Ifyou have anyquestions concerningthis report, please feel free to contact me.
P
Sincerely,
Chris Derouen
[e-mail]
[phone]
Project Manager
Enclosures
cc: Mr.Stephen Gouge,Baxter Healthcare Corporation
Accounts Payable,Baxter Healthcare Corporation
Mike Pisarik, Baxter Healthcare Corporation
Brian Valiquette, Baxter Healthcare Corporation
�epC �
, 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 41

Pace Analytical Services,LLC
• 9800 Kincey Ave. Suite 100
aceAnalytical Huntersville,NC 28078
www.pacelabs.corn [phone]
CERTIFICATIONS
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
Atlanta Certification IDs
110 Technology Parkway Peachtree Corners,GA 30092 North Carolina Certification#:381
Florida DOH Certification#:E87315 South Carolina Certification#:98011001
Georgia DW Inorganics Certification#:812 Virginia Certification#:460204
Georgia DW Microbiology Certification#:812
Charlotte Certification IDs
9800 Kincey Ave.Ste 100,Huntersville,NC 28078 South Carolina Certification#:99006001
Louisiana/NELAP Certification#LA170028 Florida/NELAP Certification#:E87627
North Carolina Drinking Water Certification#:37706 Kentucky UST Certification#:84
North Carolina Field Services Certification#:5342 VirginiaNELAP Certification#:460221
North Carolina Wastewater Certification#:12
Asheville Certification IDs
2225 Riverside Drive,Asheville,NC 28804 North Carolina Wastewater Certification#:40
Florida/NELAP Certification#:E87648 South Carolina Certification#:99030001
Massachusetts Certification#:M-NC030 VirginiaNELAP Certification#:460222
North Carolina Drinking Water Certification#:37712
REPORT OF LABORATORY ANALYSIS
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Pace Analytical Services,LLC
® 9800 Kincey Ave. Suite 100
aceAnalytical Huntersville,NC 28078
www pacelabs.corn [phone]
SAMPLE ANALYTE COUNT
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92433386001 GRAB 1 EPA 1664B JMS 1 PASI-C
EPA 1664B JMS 1 PASI-C
92433386003 GRAB 3 EPA 625.1 BPJ 58 PASI-C
92433386004 GRAB 4 EPA 8151A MZP 11 PASI-GA
92433386005 GRAB 5 EPA 608.3 SEM 29 PASI-C
92433386006 GRAB 6 SM 4500-CN-E-2011 CJH1 1 PASI-A
92433386007 GRAB 7 EPA 300.0 Rev 2.1 1993 BRJ 1 PASI-A
SM 4500-CI-E-2011 NAL 1 PASI-A
92433386008 GRAB 8 EPA 200.7 Rev 4.4 1994 DS 28 PASI-A
92433386009 GRAB 9 EPA 624.1 CL 34 PASI-C
REPORT OF LABORATORY ANALYSIS
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aceAnalytical a
Pace Analytical Services,L 9800 Kincey Ave. Suit LC
00
Huntersville,NC 28078
wwwpacelabs.00m LC
[phone]
ANALYTICAL RESULTS
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
Sample: GRAB 1 Lab ID: 92433386001 Collected: 06/17/19 12:21 Received: 06/18/19 09:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM,Oil and Grease Analytical Method:EPA 1664E
Oil and Grease ND mg/L 4.8 1 06/20/19 07:19
1664 SGT-HEM,TPH Analytical Method:EPA 1664E
Total Petroleum Hydrocarbons ND mg/L 4.8 1 06/20/19 07:19
Sample: GRAB 3 Lab ID: 92433386003 Collected: 06/17/19 12:23 Received: 06/18/19 09:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
625 MSSV Analytical Method:EPA 625.1 Preparation Method:EPA 625.1
Acenaphthene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 83-32-9
Acenaphthylene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 208-96-8
Anthracene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 120-12-7
Benzo(a)anthracene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 56-55-3
Benzo(a)pyrene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 50-32-8
Benzo(b)fluoranthene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 205-99-2
Benzo(g,h,i)perylene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 191-24-2
Benzo(k)fluoranthene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 207-08-9
4-Bromophenylphenyl ether ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 101-55-3
Butylbenzylphthalate ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 85-68-7
4-Chloro-3-methylphenol ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 59-50-7
bis(2-Chloroethoxy)methane ND ug/L 9.9 1 06/19/19 11:32 06/19/19 19:27 111-91-1
bis(2-Chloroethyl)ether ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 111-44-4
2-Chloronaphthalene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 91-58-7
2-Chlorophenol ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 95-57-8
4-Chlorophenylphenyl ether ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 7005-72-3
Chrysene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 218-01-9
Dibenz(a,h)anthracene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 53-70-3
3,3'-Dichlorobenzidine ND ug/L 24.8 1 06/19/19 11:32 06/19/19 19:27 91-94-1
2,4-Dichlorophenol ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 120-83-2
Diethylphthalate ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 84-66-2
2,4-Dimethylphenol ND ug/L 9.9 1 06/19/19 11:32 06/19/19 19:27 105-67-9
Dimethylphthalate ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 131-11-3
Di-n-butylphthalate ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 84-74-2
4,6-Dinitro-2-methylphenol ND ug/L 19.8 1 06/19/19 11:32 06/19/19 19:27 534-52-1
2,4-Dinitrophenol ND ug/L 49.5 1 06/19/19 11:32 06/19/19 19:27 51-28-5
2,4-Dinitrotoluene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 121-14-2
2,6-Dinitrotoluene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 606-20-2
Di-n-octylphthalate ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 117-84-0
bis(2-Ethylhexyl)phthalate ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 117-81-7
Fluoranthene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 206-44-0
Fluorene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 86-73-7
Hexachloro-1,3-butadiene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 87-68-3
Hexachlorobenzene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 118-74-1
Hexachlorocyclopentadiene ND ug/L 9.9 1 06/19/19 11:32 06/19/19 19:27 77-47-4
REPORT OF LABORATORY ANALYSIS
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aceAnalvPcal a Pace Analytical Services,LLC
9800 Kincey Ave. Suite 100
Huntersville,NC 28078
M W.pacekbs.com [phone]
l
ANALYTICAL RESULTS
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
Sample: GRAB 3 Lab ID: 92433386003 Collected: 06/17/19 12:23 Received: 06/18/19 09:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
625 MSSV Analytical Method:EPA 625.1 Preparation Method:EPA 625.1
Hexachloroethane ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 67-72-1
Indeno(1,2,3-cd)pyrene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 193-39-5
Isophorone ND ug/L 9.9 1 06/19/19 11:32 06/19/19 19:27 78-59-1
Naphthalene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 91-20-3
Nitrobenzene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 98-95-3
2-Nitrophenol ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 88-75-5
4-Nitrophenol ND ug/L 49.5 1 06/19/19 11:32 06/19/19 19:27 100-02-7
N-Nitrosodimethylamine ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 62-75-9
N-Nitroso-di-n-propylamine ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 621-64-7
N-Nitrosodiphenylamine ND ug/L 9.9 1 06/19/19 11:32 06/19/19 19:27 86-30-6
2,2'-Oxybis(1-chloropropane) ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 108-60-1
Pentachlorophenol ND ug/L 9.9 1 06/19/19 11:32 06/19/19 19:27 87-86-5
Phenanthrene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 85-01-8
Phenol ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 108-95-2
Pyrene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 129-00-0
1,2,4-Trichlorobenzene ND ug/L 5.0 1 06/19/19 11:32 06/19/19 19:27 120-82-1
2,4,6-Trichlorophenol ND ug/L 9.9 1 06/19/19 11:32 06/19/19 19:27 88-06-2
Surrogates
Nitrobenzene-d5(S) 87 % 10-120 1 06/19/19 11:32 06/19/19 19:27 4165-60-0
2-Fluorobiphenyl(S) 77 % 15-120 1 06/19/19 11:32 06/19/19 19:27 321-60-8
Terphenyl-d14(S) 82 % 11-131 1 06/19/19 11:32 06/19/19 19:27 1718-51-0
Phenol-d6(S) 30 % 10-120 1 06/19/19 11:32 06/19/19 19:27 13127-88-3
2-Fluorophenol(S) 46 % 10-120 1 06/19/19 11:32 06/19/19 19:27 367-12-4
2,4,6-Tribromophenol(S) 89 % 10-137 1 06/19/19 11:32 06/19/19 19:27 118-79-6
Sample: GRAB 4 Lab ID: 92433386004 Collected: 06/17/19 12:24 Received: 06/18/19 09:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8151A CI Acid Herbicide Waters Analytical Method:EPA 8151A Preparation Method:EPA 8151A
2,4-D ND ug/L 5.0 1 06/24/19 07:20 06/25/19 18:48 94-75-7
Dalapon ND ug/L 10.0 1 06/24/19 07:20 06/25/19 18:48 75-99-0
2,4-DB ND ug/L 5.0 1 06/24/19 07:20 06/25/19 18:48 94-82-6
Dicamba ND ug/L 5.0 1 06/24/19 07:20 06/25/19 18:48 1918-00-9
Dichloroprop ND ug/L 5.0 1 06/24/19 07:20 06/25/19 18:48 120-36-5 J(M1)
Dinoseb ND ug/L 5.0 1 06/24/19 07:20 06/25/19 18:48 88-85-7
MCPA ND ug/L 1000 1 06/24/19 07:20 06/25/19 18:48 94-74-6
MCPP ND ug/L 1000 1 06/24/19 07:20 06/25/19 18:48 7085-19-0
2,4,5-T ND ug/L 5.0 1 06/24/19 07:20 06/25/19 18:48 93-76-5
2,4,5-TP(Silvex) ND ug/L 10.0 1 06/24/19 07:20 06/25/19 18:48 93-72-1
Surrogates
2,4-DCAA(S) 119 %. 10-155 1 06/24/19 07:20 06/25/19 18:48 19719-28-9
REPORT OF LABORATORY ANALYSIS
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Pace Analytical Services,LLC
0
9800 Kincey Ave. Suite100
aceAnalytical
Huntersville,NC 28078078
wwwpacelabs.com [phone]
1
ANALYTICAL RESULTS
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
Sample: GRAB 5 Lab ID: 92433386005 Collected: 06/17/19 12:25 Received: 06/18/19 09:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1 608 PCB Pest RVE Analytical Method:EPA 608.3 Preparation Method:EPA 608.3
Aldrin ND ug/L 0.050 1 06/20/19 19:57 06/21/19 22:41 309-00-2 J(M1)
alpha-BHC ND ug/L 0.050 1 06/20/19 19:57 06/21/19 22:41 319-84-6
beta-BHC ND ug/L 0.050 1 06/20/19 19:57 06/21/19 22:41 319-85-7
delta-BHC ND ug/L 0.050 1 06/20/19 19:57 06/21/19 22:41 319-86-8
gamma-BHC(Lindane) ND ug/L 0.050 1 06/20/19 19:57 06/21/19 22:41 58-89-9
Chlordane(Technical) ND ug/L 0.50 1 06/20/19 19:57 06/21/19 22:41 57-74-9
alpha-Chlordane ND ug/L 0.050 1 06/20/19 19:57 06/21/19 22:41 5103-71-9
gamma-Chlordane ND ug/L 0.050 1 06/20/19 19:57 06/21/19 22:41 5103-74-2
4,4'-DDD ND ug/L 0.050 1 06/20/19 19:57 06/21/19 22:41 72-54-8
4,4'-DDE ND ug/L 0.050 1 06/20/19 19:57 06/21/19 22:41 72-55-9
4,4'-DDT ND ug/L 0.050 1 06/20/19 19:57 06/21/19 22:41 50-29-3
Dieldrin ND ug/L 0.050 1 06/20/19 19:57 06/21/19 22:41 60-57-1
Endosulfan I ND ug/L 0.050 1 06/20/19 19:57 06/21/19 22:41 959-98-8 J(R1)
Endosulfan II ND ug/L 0.050 1 06/20/19 19:57 06/21/19 22:41 33213-65-9
Endosulfan sulfate ND ug/L 0.050 1 06/20/19 19:57 06/21/19 22:41 1031-07-8
Endrin ND ug/L 0.050 1 06/20/19 19:57 06/21/19 22:41 72-20-8
Endrin aldehyde ND ug/L 0.050 1 06/20/19 19:57 06/21/19 22:41 7421-93-4
Heptachlor ND ug/L 0.050 1 06/20/19 19:57 06/21/19 22:41 76-44-8
Heptachlor epoxide ND ug/L 0.050 1 06/20/19 19:57 06/21/19 22:41 1024-57-3 J(R1)
PCB-1016(Aroclor 1016) ND ug/L 0.50 1 06/20/19 19:57 06/21/19 22:41 12674-11-2
PCB-1221 (Aroclor 1221) ND ug/L 0.50 1 06/20/19 19:57 06/21/19 22:41 11104-28-2
PCB-1232(Aroclor 1232) ND ug/L 0.50 1 06/20/19 19:57 06/21/19 22:41 11141-16-5
PCB-1242(Aroclor 1242) ND ug/L 0.50 1 06/20/19 19:57 06/21/19 22:41 53469-21-9
PCB-1248(Aroclor 1248) ND ug/L 0.50 1 06/20/19 19:57 06/21/19 22:41 12672-29-6
PCB-1254(Aroclor 1254) ND ug/L 0.50 1 06/20/19 19:57 06/21/19 22:41 11097-69-1
PCB-1260(Aroclor 1260) ND ug/L 0.50 1 06/20/19 19:57 06/21/19 22:41 11096-82-5
Toxaphene ND ug/L 0.50 1 06/20/19 19:57 06/21/19 22:41 8001-35-2
Surrogates
Tetrachloro-m-xylene(S) 73 % 10-130 1 06/20/19 19:57 06/21/19 22:41 877-09-8
Decachlorobiphenyl(S) 84 % 10-130 1 06/20/19 19:57 06/21/19 22:41 2051-24-3
Sample: GRAB 6 Lab ID: 92433386006 Collected: 06/17/19 12:26 Received: 06/18/19 09:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1 4500CNE Cyanide,Total Analytical Method:SM 4500-CN-E-2011 Preparation Method:SM 4500-CN-E-2011
Cyanide ND mg/L 0.0080 1 06/22/19 10:30 06/23/19 12:48 57-12-5
Sample: GRAB 7 Lab ID: 92433386007 Collected: 06/17/19 12:27 Received: 06/18/19 09:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
300.0 IC Anions 28 Days Analytical Method:EPA 300.0 Rev 2.1 1993
Fluoride ND mg/L 0.10 1 06/19/19 04:42 16984-48-8 J(M1)
REPORT OF LABORATORY ANALYSIS
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Pace Analytical Services,LLC
Kincey Ave. Suite 100
aceAnalytical a 9800Huntersvvle,C 28078
www.paceebs.com [phone]
ANALYTICAL RESULTS
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
Sample: GRAB 7 Lab ID: 92433386007 Collected: 06/17/19 12:27 Received: 06/18/19 09:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
4500 Chloride Analytical Method:SM 4500-CI-E-2011
Chloride 159 mg/L 10.0 10 06/19/19 14:41 16887-00-6
Sample: GRAB 8 Lab ID: 92433386008 Collected: 06/17/19 12:28 Received: 06/18/19 09:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
200.7 MET ICP Analytical Method:EPA 200.7 Rev 4.4 1994 Preparation Method:EPA 200.7 Rev 4.4 1994
Aluminum 191 ug/L 100 1 06/20/19 23:55 06/23/19 05:49 7429-90-5
Antimony ND ug/L 5.0 1 06/20/19 23:55 06/23/19 05:49 7440-36-0
Arsenic ND ug/L 10.0 1 06/20/19 23:55 06/23/19 05:49 7440-38-2
Barium 18.4 ug/L 5.0 1 06/20/19 23:55 06/23/19 05:49 7440-39-3
Beryllium ND ug/L 1.0 1 06/20/19 23:55 06/23/19 05:49 7440-41-7
Boron ND ug/L 50.0 1 06/20/19 23:55 06/23/19 05:49 7440-42-8
Cadmium ND ug/L 1.0 1 06/20/19 23:55 06/23/19 05:49 7440-43-9
Calcium 15500 ug/L 100 1 06/20/19 23:55 06/23/19 05:49 7440-70-2
Chromium ND ug/L 5.0 1 06/20/19 23:55 06/23/19 05:49 7440-47-3
Cobalt ND ug/L 5.0 1 06/20/19 23:55 06/23/19 05:49 7440-48-4
Copper ND ug/L 5.0 1 06/20/19 23:55 06/23/19 05:49 7440-50-8
Iron ND ug/L 50.0 1 06/20/19 23:55 06/23/19 05:49 7439-89-6
Lead ND ug/L 5.0 1 06/20/19 23:55 06/23/19 05:49 7439-92-1
Magnesium 7690 ug/L 100 1 06/20/19 23:55 06/23/19 05:49 7439-95-4
Manganese ND ug/L 5.0 1 06/20/19 23:55 06/23/19 05:49 7439-96-5
Molybdenum ND ug/L 5.0 1 06/20/19 23:55 06/23/19 05:49 7439-98-7
Nickel ND ug/L 5.0 1 06/20/19 23:55 06/23/19 05:49 7440-02-0
Potassium ND ug/L 5000 1 06/20/19 23:55 06/23/19 05:49 7440-09-7
Selenium ND ug/L 10.0 1 06/20/19 23:55 06/23/19 05:49 7782-49-2
Silicon 10900 ug/L 100 1 06/20/19 23:55 06/23/19 05:49 7440-21-3
Silver ND ug/L 5.0 1 06/20/19 23:55 06/23/19 05:49 7440-22-4
Sodium 128000 ug/L 25000 5 06/20/19 23:55 06/24/19 01:19 7440-23-5
Strontium 67.2 ug/L 5.0 1 06/20/19 23:55 06/23/19 05:49 7440-24-6
Thallium ND ug/L 10.0 1 06/20/19 23:55 06/23/19 05:49 7440-28-0
Tin ND ug/L 5.0 1 06/20/19 23:55 06/23/19 05:49 7440-31-5
Titanium ND ug/L 5.0 1 06/20/19 23:55 06/23/19 05:49 7440-32-6
Vanadium ND ug/L 5.0 1 06/20/19 23:55 06/23/19 05:49 7440-62-2
Zinc 10.8 ug/L 10.0 1 06/20/19 23:55 06/23/19 05:49 7440-66-6
Sample: GRAB 9 Lab ID: 92433386009 Collected: 06/17/19 12:31 Received: 06/18/19 09:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
624 Volatile Organics Analytical Method:EPA 624.1
Benzene ND ug/L 1.0 1 06/24/19 23:35 71-43-2
Bromodichloromethane ND ug/L 2.0 1 06/24/19 23:35 75-27-4
Bromoform ND ug/L 2.0 1 06/24/19 23:35 75-25-2
REPORT OF LABORATORY ANALYSIS
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Date:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 7 of 41

Pace Analytical Services,LLC
__ aceAnalytical 0 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
wwwpacelabs.com [phone]
I
ANALYTICAL RESULTS
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
Sample: GRAB 9 Lab ID: 92433386009 Collected: 06/17/19 12:31 Received: 06/18/19 09:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
624 Volatile Organics Analytical Method:EPA 624.1
Bromomethane ND ug/L 2.0 1 06/24/19 23:35 74-83-9
Carbon tetrachloride ND ug/L 2.0 1 06/24/19 23:35 56-23-5
Chlorobenzene ND ug/L 2.0 1 06/24/19 23:35 108-90-7
Chloroethane ND ug/L 2.0 1 06/24/19 23:35 75-00-3
Chloroform ND ug/L 5.0 1 06/24/19 23:35 67-66-3
Chloromethane ND ug/L 2.0 1 06/24/19 23:35 74-87-3
Dibromochloromethane ND ug/L 2.0 1 06/24/19 23:35 124-48-1
1,2-Dichlorobenzene ND ug/L 2.0 1 06/24/19 23:35 95-50-1
1,3-Dichlorobenzene ND ug/L 2.0 1 06/24/19 23:35 541-73-1
1,4-Dichlorobenzene ND ug/L 2.0 1 06/24/19 23:35 106-46-7
1 1,1-Dichloroethane ND ug/L 2.0 1 06/24/19 23:35 75-34-3
1,2-Dichloroethane ND ug/L 2.0 1 06/24/19 23:35 107-06-2
1,1-Dichloroethene ND ug/L 2.0 1 06/24/19 23:35 75-35-4
cis-1,2-Dichloroethene ND ug/L 2.0 1 06/24/19 23:35 156-59-2
trans-1,2-Dichloroethene ND ug/L 2.0 1 06/24/19 23:35 156-60-5
1,2-Dichloropropane ND ug/L 2.0 1 06/24/19 23:35 78-87-5
cis-1,3-Dichloropropene ND ug/L 2.0 1 06/24/19 23:35 10061-01-5
trans-1,3-Dichloropropene ND ug/L 2.0 1 06/24/19 23:35 10061-02-6
Ethylbenzene ND ug/L 1.0 1 06/24/19 23:35 100-41-4
Methylene Chloride ND ug/L 5.0 1 06/24/19 23:35 75-09-2
1,1,2,2-Tetrachloroethane ND ug/L 2.0 1 06/24/19 23:35 79-34-5
Tetrachloroethene ND ug/L 2.0 1 06/24/19 23:35 127-18-4
Toluene ND ug/L 1.0 1 06/24/19 23:35 108-88-3
1,1,1-Trichloroethane ND ug/L 2.0 1 06/24/19 23:35 71-55-6
1,1,2-Trichloroethane ND ug/L 2.0 1 06/24/19 23:35 79-00-5
Trichloroethene ND ug/L 2.0 1 06/24/19 23:35 79-01-6
Trichlorofluoromethane ND ug/L 2.0 1 06/24/19 23:35 75-69-4
Vinyl chloride ND ug/L 2.0 1 06/24/19 23:35 75-01-4 1
Surrogates
4-Bromofluorobenzene(S) 97 % 70-130 1 06/24/19 23:35 460-00-4
Toluene-d8(S) 103 % 70-130 1 06/24/19 23:35 2037-26-5
1,2-Dichloroethane-d4(S) 92 % 70-130 1 06/24/19 23:35 17060-07-0
REPORT OF LABORATORY ANALYSIS
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Date:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 8 of 41

r
Pace Analytical Services,LLC
a 98o0 Kincey Ave. Suite 100
faceA�J. tical Hun ersv Ile,NC 28078
iwiwpacelabs.corn
[phone]
QUALITY CONTROL DATA
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
QC Batch: 482233 Analysis Method: EPA 1664E
QC Batch Method: EPA 1664B Analysis Description: 1664 HEM,Oil and Grease
Associated Lab Samples: 92433386001
METHOD BLANK: 2607679 Matrix: Water
Associated Lab Samples: 92433386001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Oil and Grease mg/L ND 4.8 06/20/19 06:37
LABORATORY CONTROL SAMPLE: 2607680
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Oil and Grease mg/L 38.5 37.2 97 78-114
MATRIX SPIKE SAMPLE: 2607681
92432650001 Spike MS MS %Rec
Parameter Units Result Conc. Result %Rec Limits Qualifiers
Oil and Grease mg/L ND 38.5 39.4 99 78-114
MATRIX SPIKE SAMPLE: 2607682
92433386001 Spike MS MS %Rec
Parameter Units Result Conc. Result %Rec Limits Qualifiers
Oil and Grease mg/L ND 38.5 37.6 97 78-114
Results presented on this page are in the units indicated by the"Units"column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Po P P
Date:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 9 of 41

Pace Analytical Services,LLC
a 9800 Kincey aceAnalytical Hunters vle.v C 28078
www.pacelabs.corn [phone]
i
QUALITY CONTROL DATA
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
QC Batch: 482234 Analysis Method: EPA 1664E
QC Batch Method: EPA 1664B Analysis Description: 1664 SGT-HEM,TPH
Associated Lab Samples: 92433386001
METHOD BLANK: 2607683 Matrix: Water
Associated Lab Samples: 92433386001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Petroleum Hydrocarbons mg/L ND 4.8 06/20/19 06:37 1
LABORATORY CONTROL SAMPLE: 2607684
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers I
Total Petroleum Hydrocarbons mg/L 19.2 19.9 104 64-132
MATRIX SPIKE SAMPLE: 2607685
92432650001 Spike MS MS %Rec
Parameter Units Result Conc. Result %Rec Limits Qualifiers
Total Petroleum Hydrocarbons mg/L ND 19.2 21.2 110 64-132
MATRIX SPIKE SAMPLE: 2607686
92433386001 Spike MS MS %Rec
Parameter Units Result Conc. Result %Rec Limits Qualifiers
Total Petroleum Hydrocarbons mg/L ND 19.2 20.3 105 64-132
Results presented on this page are In the units Indicated by the"Units"column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
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Date:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 10 of 41

I
aceAnalytical
Pace Analytical Services,LLC
e 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
100
savwpecekbs corn [phone]
QU
ALITY CONTROL DATA
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
QC Batch: 482465 Analysis Method: EPA 200.7 Rev 4.4 1994
QC Batch Method: EPA 200.7 Rev 4.4 1994 Analysis Description: 200.7 MET
Associated Lab Samples: 92433386008
METHOD BLANK: 2608754 Matrix: Water
Associated Lab Samples: 92433386008
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Aluminum ug/L ND 100 06/23/19 05:09
Antimony ug/L ND 5.0 06/23/19 05:09
Arsenic ug/L ND 10.0 06/23/19 05:09
Barium ug/L ND 5.0 06/23/19 05:09
Beryllium ug/L ND 1.0 06/23/19 05:09
Boron ug/L ND 50.0 06/23/19 05:09
Cadmium ug/L ND 1.0 06/23/19 05:09
Calcium ug/L ND 100 06/23/19 05:09
Chromium ug/L ND 5.0 06/23/19 05:09
Cobalt ug/L ND 5.0 06/23/19 05:09
Copper ug/L ND 5.0 06/23/19 05:09
Iron ug/L ND 50.0 06/23/19 05:09
Lead ug/L ND 5.0 06/23/19 05:09
Magnesium ug/L ND 100 06/23/19 05:09
Manganese ug/L ND 5.0 06/23/19 05:09
Molybdenum ug/L ND 5.0 06/23/19 05:09
Nickel ug/L ND 5.0 06/23/19 05:09
Potassium ug/L ND 5000 06/23/19 05:09
Selenium ug/L ND 10.0 06/23/19 05:09
Silicon ug/L ND 100 06/23/19 05:09
Silver ug/L ND 5.0 06/23/19 05:09
Sodium ug/L ND 5000 06/24/19 01:13
Strontium ug/L ND 5.0 06/23/19 05:09
Thallium ug/L ND 10.0 06/23/19 05:09
Tin ug/L ND 5.0 06/23/19 05:09
Titanium ug/L ND 5.0 06/23/19 05:09
Vanadium ug/L ND 5.0 06/23/19 05:09
Zinc ug/L ND 10.0 06/23/19 05:09
LABORATORY CONTROL SAMPLE: 2608755
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Aluminum ug/L 5000 4760 95 85-115
Antimony ug/L 500 470 94 85-115
Arsenic ug/L 500 442 88 85-115
Barium ug/L 500 476 95 85-115
Beryllium ug/L 500 476 95 85-115
Boron ug/L 500 484 97 85-115
Cadmium ug/L 500 464 93 85-115
Calcium ug/L 5000 4700 94 85-115
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:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 11 of 41

Pace Analytical Services,LLC
aceAnalytical a 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
wew.pacslebs.com [phone]
1
QUALITY CONTROL DATA
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
LABORATORY CONTROL SAMPLE: 2608755
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Chromium ug/L 500 477 95 85-115
Cobalt ug/L 500 469 94 85-115
Copper ug/L 500 484 97 85-115
Iron ug/L 5000 4840 97 85-115
Lead ug/L 500 462 92 85-115
Magnesium ug/L 5000 4760 95 85-115
Manganese ug/L 500 474 95 85-115
Molybdenum ug/L 500 446 89 85-115
Nickel ug/L 500 465 93 85-115
Potassium ug/L 5000 4750 I 95 85-115
Selenium ug/L 500 471 94 85-115
Silicon ug/L 2500 2440 97 85-115
Silver ug/L 250 241 96 85-115
Sodium ug/L 5000 4660 I 93 85-115
Strontium ug/L 500 466 93 85-115
Thallium ug/L 500 455 91 85-115
Tin ug/L 500 470 94 85-115
Titanium ug/L 500 468 94 85-115
Vanadium ug/L 500 478 96 85-115
Zinc ug/L 500 462 92 85-115
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2608756 2608757
MS MSD
92432679001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Aluminum ug/L 221 5000 5000 5400 5620 103 108 70-130 4
Antimony ug/L ND 500 500 499 522 100 104 70-130 4
Arsenic ug/L ND 500 500 492 503 98 100 70-130 2
Barium ug/L 6.5 500 500 481 499 95 99 70-130 4
Beryllium ug/L ND 500 500 510 531 102 106 70-130 4
Boron ug/L 323 500 500 832 862 102 108 70-130 3
Cadmium ug/L ND 500 500 456 472 91 94 70-130 4
Calcium ug/L 29900 5000 5000 33600 34500 73 91 70-130 3
Chromium ug/L 5.3 500 500 482 500 95 99 70-130 4
Cobalt ug/L ND 500 500 468 487 93 97 70-130 4
Copper ug/L 17.5 500 500 540 560 105 108 70-130 4
Iron ug/L 150 5000 5000 4910 5110 95 99 70-130 4
Lead ug/L ND 500 500 451 467 90 93 70-130 4
Magnesium ug/L 79800 5000 5000 83100 84500 66 94 70-130 2 J(M1)
Manganese ug/L 5.7 500 500 476 494 94 98 70-130 4
Molybdenum ug/L ND 500 500 458 476 91 95 70-130 4
Nickel ug/L ND 500 500 458 474 91 94 70-130 3
Potassium ug/L 37900 5000 5000 43100 44600 104 134 70-130 3 J(M1)
Selenium ug/L ND 500 500 520 538 104 108 70-130 3
Silicon ug/L 1040 2500 2500 3620 3750 103 108 70-130 3
Results presented on this page are In the units indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 12 of 41

Pace Analytical Services,LLC
aceAnalytical a 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelebs.com [phone]
I
QUALITY CONTROL DATA
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2608756 2608757
MS MSD
92432679001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Silver ug/L ND 250 250 256 265 102 106 70-130 3
Sodium ug/L 679000 5000 5000 665000 689000 -296 187 70-130 4 J(M1),L
Strontium ug/L 473 500 500 918 955 89 96 70-130 4
Thallium ug/L ND 500 500 433 447 86 89 70-130 3
Tin ug/L ND 500 500 480 494 96 99 70-130 3
Titanium ug/L ND 500 500 479 500 95 99 70-130 4
Vanadium ug/L ND 500 500 497 516 99 103 70-130 4
Zinc ug/L 41.8 500 500 493 515 90 95 70-130 4
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2608758 2608759
MS MSD
92433433002 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Aluminum ug/L 277 5000 5000 5320 5370 101 102 70-130 1
Antimony ug/L ND 500 500 510 510 101 101 70-130 0
Arsenic ug/L 14.0 500 500 494 495 96 96 70-130 0
Barium ug/L 154 500 500 635 639 96 97 70-130 1
Beryllium ug/L ND 500 500 506 506 101 101 70-130 0
Boron ug/L 863 500 500 1400 1390 107 106 70-130 0
Cadmium ug/L ND 500 500 476 476 95 95 70-130 0
Calcium ug/L 45300 5000 5000 51000 50500 116 104 70-130 1
Chromium ug/L ND 500 500 487 486 97 97 70-130 0
Cobalt ug/L 15.1 500 500 494 493 96 96 70-130 0
Copper ug/L ND 500 500 502 502 100 100 70-130 0
Iron ug/L 174 5000 5000 5020 5000 97 97 70-130 0
Lead ug/L ND 500 500 473 473 94 95 70-130 0
Magnesium ug/L 5920 5000 5000 11100 11000 103 102 70-130 1
Manganese ug/L 571 500 500 1060 1050 97 95 70-130 1
Molybdenum ug/L 41.4 500 500 500 500 92 92 70-130 0
Nickel ug/L 21.7 500 500 495 494 95 95 70-130 0
Potassium ug/L 9150 5000 5000 14400 14400 105 105 70-130 0
Selenium ug/L ND 500 500 524 521 105 104 70-130 1
Silicon ug/L 3420 2500 2500 6110 6150 107 109 70-130 1
Silver ug/L ND 250 250 248 247 99 99 70-130 0
Sodium ug/L 13600 5000 5000 18700 18600 101 100 70-130 0
Strontium ug/L 512 500 500 993 991 96 96 70-130 0
Thallium ug/L ND 500 500 465 469 93 94 70-130 1
Tin ug/L ND 500 500 490 490 98 98 70-130 0
Titanium ug/L 9.4 500 500 482 489 95 96 70-130 1
Vanadium ug/L 7.9 500 500 506 507 100 100 70-130 0
Zinc ug/L 33.9 500 500 507 506 95 94 70-130 0
Results presented on this page are In the units Indicated by the"Units"column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 13 of 41

f
i Pace Analytical Services,LLC
e 9800 Kincey Ave. Suite 100
aceAnalytical Huntersville,NC 28078
www.paoelabs.corn [phone]
QUALITY CONTROL DATA
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
QC Batch: 483002 Analysis Method: EPA 624.1
QC Batch Method: EPA 624.1 Analysis Description: 624 MSV
Associated Lab Samples: 92433386009
METHOD BLANK: 2611058 Matrix: Water
Associated Lab Samples: 92433386009
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
1,1,1-Trichloroethane ug/L ND 2.0 06/24/19 23:17
1,1,2,2-Tetrachloroethane ug/L ND 2.0 06/24/19 23:17
1,1,2-Trichloroethane ug/L ND 2.0 06/24/19 23:17
1,1-Dichloroethane ug/L ND 2.0 06/24/19 23:17
1,1-Dichloroethene ug/L ND 2.0 06/24/19 23:17
1,2-Dichlorobenzene ug/L ND 2.0 06/24/19 23:17
1,2-Dichloroethane ug/L ND 2.0 06/24/19 23:17
1,2-Dichloropropane ug/L ND 2.0 06/24/19 23:17
1,3-Dichlorobenzene ug/L ND 2.0 06/24/19 23:17
1,4-Dichlorobenzene ug/L ND 2.0 06/24/19 23:17
Benzene ug/L ND 1.0 06/24/19 23:17
Bromodichloromethane ug/L ND 2.0 06/24/19 23:17
Bromoform ug/L ND 2.0 06/24/19 23:17
Bromomethane ug/L ND 2.0 06/24/19 23:17
Carbon tetrachloride ug/L ND 2.0 06/24/19 23:17
Chlorobenzene ug/L ND 2.0 06/24/19 23:17
Chloroethane ug/L ND 2.0 06/24/19 23:17
Chloroform ug/L ND 5.0 06/24/19 23:17
Chloromethane ug/L ND 2.0 06/24/19 23:17
cis-1,2-Dichloroethene ug/L ND 2.0 06/24/19 23:17
cis-1,3-Dichloropropene ug/L ND 2.0 06/24/19 23:17
Dibromochloromethane ug/L ND 2.0 06/24/19 23:17
Ethylbenzene ug/L ND 1.0 06/24/19 23:17
Methylene Chloride ug/L ND 5.0 06/24/19 23:17
Tetrachloroethene ug/L ND 2.0 06/24/19 23:17
Toluene ug/L ND 1.0 06/24/19 23:17
trans-1,2-Dichloroethene ug/L ND 2.0 06/24/19 23:17
trans-1,3-Dichloropropene ug/L ND 2.0 06/24/19 23:17
Trichloroethene ug/L ND 2.0 06/24/19 23:17
Trichiorofluoromethane ug/L ND 2.0 06/24/19 23:17
Vinyl chloride ug/L ND 2.0 06/24/19 23:17
1,2-Dichloroethane-d4(S) % 91 70-130 06/24/19 23:17
4-Bromofluorobenzene(S) % 98 70-130 06/24/19 23:17
Toluene-d8(S) % 102 70-130 06/24/19 23:17
LABORATORY CONTROL SAMPLE: 2611059
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers 1
1,1,1-Trichloroethane ug/L 20 18.2 91 70-130
1,1,2,2-Tetrachloroethane ug/L 20 19.0 95 60-140
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:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 14 of 41

Pace Analytical Services,LLC
e 9800 Kincey Ave. Suite 100
aceAnalytical Huntersville,NC 28078
www.pacelabs.cvm [phone]
QUALITY CONTROL DATA
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
LABORATORY CONTROL SAMPLE: 2611059
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
1,1,2-Trichloroethane ug/L 20 19.4 97 70-130
1,1-Dichloroethane ug/L 20 18.8 94 70-130
1,1-Dichloroethene ug/L 20 16.1 81 50-150
1,2-Dichlorobenzene ug/L 20 18.5 92 65-135
1,2-Dichloroethane ug/L 20 18.0 90 49-155
1,2-Dichloropropane ug/L 20 19.2 96 35-165
1,3-Dichlorobenzene ug/L 20 17.7 88 70-130
1,4-Dichlorobenzene ug/L 20 18.6 93 65-135
Benzene ug/L 20 19.6 98 65-135
Bromodichloromethane ug/L 20 19.8 99 65-135
Bromoform ug/L 20 18.4 92 70-130
Bromomethane ug/L 20 15.2 76 15-185
Carbon tetrachloride ug/L 20 19.0 95 70-130
Chlorobenzene ug/L 20 18.7 94 65-135
Chloroethane ug/L 20 16.2 81 40-160
Chloroform ug/L 20 18.8 94 70-135
Chloromethane ug/L 20 16.9 84 1-205
cis-1,2-Dichloroethene ug/L 20 19.3 97 68-146
cis-1,3-Dichloropropene ug/L 20 19.5 98 25-175
Dibromochloromethane ug/L 20 19.0 95 70-135
Ethylbenzene ug/L 20 19.6 98 60-140
Methylene Chloride ug/L 20 18.4 92 60-140
Tetrachloroethene ug/L 20 18.3 91 70-130
Toluene ug/L 20 19.3 96 70-130
trans-1,2-Dichloroethene ug/L 20 18.3 91 70-130
trans-1,3-Dichloropropene ug/L 20 18.8 94 50-150
Trichloroethene ug/L 20 19.0 95 65-135
Trichlorofluoromethane ug/L 20 16.2 81 50-150
Vinyl chloride ug/L 20 14.1 70 5-195
1,2-Dichloroethane-d4(S) % 98 70-130
4-Bromofluorobenzene(S) % 100 70-130
Toluene-d8(S) % 99 70-130
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2611060 2611061
MS MSD
92433386009 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
1,1,1-Trichloroethane ug/L ND 20 20 19.2 18.4 96 92 52-162 5
1,1,2,2-Tetrachloroethane ug/L ND 20 20 17.5 18.3 88 92 46-157 5
1,1,2-Trichloroethane ug/L ND 20 20 18.4 20.1 92 101 52-150 9
1,1-Dichloroethane ug/L ND 20 20 18.4 18.1 92 91 59-155 2
1,1-Dichloroethene ug/L ND 20 20 19.0 18.3 95 91 1-234 4
1,2-Dichlorobenzene ug/L ND 20 20 19.0 18.4 95 92 18-190 3
1,2-Dichloroethane ug/L ND 20 20 17.0 16.7 85 84 49-155 2
1,2-Dichloropropane ug/L ND 20 20 20.2 19.4 101 97 1-210 4
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:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 15 of 41

Pace Analytical Services,LLC
aceAnalytical a 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
QUALITY CONTROL DATA
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2611060 2611061
MS MSD
92433386009 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
1,3-Dichlorobenzene ug/L ND 20 20 18.9 18.1 95 90 59-156 5
1,4-Dichlorobenzene ug/L ND 20 20 19.1 18.2 95 91 18-190 4
Benzene ug/L ND 20 20 19.8 20.0 99 100 37-151 1
Bromodichloromethane ug/L ND 20 20 20.0 20.2 100 101 35-155 1
Bromoform ug/L ND 20 20 22.4 21.5 112 107 45-169 4
Bromomethane ug/L ND 20 20 15.4 14.9 77 74 1-242 4
Carbon tetrachloride ug/L ND 20 20 20.1 19.6 101 98 70-140 2
Chlorobenzene ug/L ND 20 20 18.9 19.0 95 95 37-160 0
Chloroethane ug/L ND 20 20 20.4 21.1 102 105 14-230 3
Chloroform ug/L ND 20 20 19.0 18.3 95 91 51-138 4
Chloromethane ug/L ND 20 20 19.5 18.7 98 93 1-273 5
cis-1,2-Dichloroethene ug/L ND 20 20 18.1 17.5 90 88 45-174 3
cis-1,3-Dichloropropene ug/L ND 20 20 19.9 20.4 100 102 1-227 2
Dibromochloromethane ug/L ND 20 20 19.6 19.1 98 96 53-149 2
Ethylbenzene ug/L ND 20 20 19.3 19.1 96 96 37-162 1
Methylene Chloride ug/L ND 20 20 15.6 15.5 78 78 1-221 1
Tetrachloroethene ug/L ND 20 20 22.1 21.3 111 107 64-148 4
1 Toluene ug/L ND 20 20 19.2 19.1 96 95 47-150 0
trans-1,2-Dichloroethene ug/L ND 20 20 18.5 18.1 93 91 54-156 2
trans-1,3-Dichloropropene ug/L ND 20 20 19.1 19.5 96 97 17-183 2
Trichloroethene ug/L ND 20 20 20.2 20.3 101 102 70-157 0
Trichlorofluoromethane ug/L ND 20 20 19.5 18.0 98 90 17-181 8
Vinyl chloride ug/L ND 20 20 20.1 21.0 101 105 1-251 4
1,2-Dichloroethane-d4(S) % 90 89 70-130
4-Bromofluorobenzene(S) % 98 100 70-130
Toluene-d8(S) % 96 97 70-130
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:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 16 of 41

Pace Analytical Services,LLC
e 9800 Kincey Ave. Suite 100
aceAnalytical Huntersville,NC 28078
www.pacelabs.corn [phone]
QUALITY CONTROL DATA
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
QC Batch: 482362 Analysis Method: EPA 608.3
QC Batch Method: EPA 608.3 Analysis Description: 608 PCB Pest Red Vol
Associated Lab Samples: 92433386005
METHOD BLANK: 2608241 Matrix: Water
Associated Lab Samples: 92433386005
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
4,4'-DDD ug/L ND 0.050 06/21/19 23:45
4,4'-DDE ug/L ND 0.050 06/21/19 23:45
4,4'-DDT ug/L ND 0.050 06/21/19 23:45
Aldrin ug/L ND 0.050 06/21/19 23:45
alpha-BHC ug/L ND 0.050 06/21/19 23:45
alpha-Chlordane ug/L ND 0.050 06/21/19 23:45
beta-BHC ug/L ND 0.050 06/21/19 23:45
Chlordane(Technical) ug/L ND 0.50 06/21/19 23:45
delta-BHC ug/L ND 0.050 06/21/19 23:45
Dieldrin ug/L ND 0.050 06/21/19 23:45
Endosulfan I ug/L ND 0.050 06/21/19 23:45
Endosulfan II ug/L ND 0.050 06/21/19 23:45
Endosulfan sulfate ug/L ND 0.050 06/21/19 23:45
Endrin ug/L ND 0.050 06/21/19 23:45
Endrin aldehyde ug/L ND 0.050 06/21/19 23:45
gamma-BHC(Lindane) ug/L ND 0.050 06/21/19 23:45
gamma-Chlordane ug/L ND 0.050 06/21/19 23:45
Heptachlor ug/L ND 0.050 06/21/19 23:45
Heptachlor epoxide ug/L ND 0.050 06/21/19 23:45
PCB-1016(Aroclor 1016) ug/L ND 0.50 06/21/19 23:45
PCB-1221 (Aroclor 1221) ug/L ND 0.50 06/21/19 23:45
PCB-1232(Aroclor 1232) ug/L ND 0.50 06/21/19 23:45
PCB-1242(Aroclorug/L ND 0.50 06/21/19 23:45
1242) 9
PCB-1248(Aroclor 1248) ug/L ND 0.50 06/21/19 23:45
PCB-1254(Aroclor 1254) ug/L ND 0.50 06/21/19 23:45
PCB-1260(Aroclor 1260) ug/L ND 0.50 06/21/19 23:45
Toxaphene ug/L ND 0.50 06/21/19 23:45
Decachlorobiphenyl(S) % 71 10-130 06/21/19 23:45
(S)
Tetrachloro-m-xylene % 71 10-130 06/21/19 23:45
Y
LABORATORY CONTROL SAMPLE: 2608242
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
4,4'-DDD ug/L 0.25 0.23 94 31-141
4,4'-DDE ug/L 0.25 0.23 91 30-145
4,4'-DDT ug/L 0.25 0.32 129 25-160
Aldrin ug/L 0.25 0.11 44 42-140
alpha-BHC ug/L 0.25 0.22 90 37-140
alpha-Chlordane ug/L 0.25 0.19 78 45-140
beta-BHC ug/L 0.25 0.24 94 17-147
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:07/10/2019 11:03AM without the written consent of Pace Analytical Services,LLC. Page 17 of 41

Pace Analytical Services LLC
yt ,
e
9800 Kincey Ave. Suite100
aceAnalytical
Huntersville,NC 28078078
wwwpacelebs.com [phone]
I
QUALITY CONTROL DATA
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
LABORATORY CONTROL SAMPLE: 2608242
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers 1
delta-BHC ug/L 0.25 0.22 86 19-140
Dieldrin ug/L 0.25 0.22 87 36-146
Endosulfan I ug/L 0.25 0.20 79 45-153
Endosulfan II ug/L 0.25 0.23 90 1-202
Endosulfan sulfate ug/L 0.25 0.20 81 26-144
Endrin ug/L 0.25 0.22 90 30-147
Endrin aldehyde ug/L 0.25 0.23 92 50-150
gamma-BHC(Lindane) ug/L 0.25 0.23 90 32-140
gamma-Chlordane ug/L 0.25 0.22 87 45-140
Heptachlor ug/L 0.25 0.21 84 34-140
Heptachlor epoxide ug/L 0.25 0.21 85 37-142
Decachlorobiphenyl(S) % 86 10-130
Tetrachloro-m-xylene(S) % 91 10-130
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2608243 2608244
MS MSD
92433386005 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
4,4'-DDD ug/L ND 0.25 0.25 0.22 0.17 88 66 31-141 28
4,4'-DDE ug/L ND 0.25 0.25 0.20 0.15 82 60 30-145 31
4,4'-DDT ug/L ND 0.25 0.25 0.32 0.26 129 106 25-160 19
Aldrin ug/L ND 0.25 0.25 0.089 0.065 36 26 42-140 31 J(M1)
alpha-BHC ug/L ND 0.25 0.25 0.23 0.18 93 72 37-140 25
alpha-Chlordane ug/L ND 0.25 0.25 0.18 0.13 71 52 45-140 31
beta-BHC ug/L ND 0.25 0.25 0.21 0.16 84 65 17-147 26
delta-BHC ug/L ND 0.25 0.25 0.20 0.15 81 59 19-140 31
Dieldrin ug/L ND 0.25 0.25 0.20 0.14 78 58 36-146 30
Endosulfan I ug/L ND 0.25 0.25 0.18 0.13 72 53 45-153 31 J(R1)
Endosulfan II ug/L ND 0.25 0.25 0.22 0.16 88 64 1-202 31
Endosulfan sulfate ug/L ND 0.25 0.25 0.22 0.16 86 64 26-144 29
Endrin ug/L ND 0.25 0.25 0.20 0.15 81 61 30-147 28
Endrin aldehyde ug/L ND 0.25 0.25 0.21 0.17 86 69 50-150 21
gamma-BHC(Lindane) ug/L ND 0.25 0.25 0.20 0.15 80 59 32-140 31
gamma-Chlordane ug/L ND 0.25 0.25 0.21 0.18 85 72 45-140 16
Heptachlor ug/L ND 0.25 0.25 0.19 0.14 74 56 34-140 28
Heptachlor epoxide ug/L ND 0.25 0.25 0.19 0.14 77 57 37-142 31 J(R1)
Decachlorobiphenyl(S) % 89 74 10-130
Tetrachloro-m-xylene(S) % 80 56 10-130
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:07/10/2019 11:03AM without the written consent of Pace Analytical Services,LLC. Page 18 of 41

Pace Analytical Services,LLC
aceAnalytical tJ 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelebs.com [phone]
QUALITY CONTROL DATA
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
QC Batch: 481995 Analysis Method: EPA 625.1
QC Batch Method: EPA 625.1 Analysis Description: 625 MSS
Associated Lab Samples: 92433386003
METHOD BLANK: 2606336 Matrix: Water
Associated Lab Samples: 92433386003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
1,2,4-Trichlorobenzene ug/L ND 5.0 06/19/19 16:12
2,2'-Oxybis(1-chloropropane) ug/L ND 5.0 06/19/19 16:12
2,4,6-Trichlorophenol ug/L ND 10.0 06/19/19 16:12
2,4-Dichlorophenol ug/L ND 5.0 06/19/19 16:12
2,4-Dimethylphenol ug/L ND 10.0 06/19/19 16:12
2,4-Dinitrophenol ug/L ND 50.0 06/19/19 16:12
2,4-Dinitrotoluene ug/L ND 5.0 06/19/19 16:12
2,6-Dinitrotoluene ug/L ND 5.0 06/19/19 16:12
2-Chloronaphthalene ug/L ND 5.0 06/19/19 16:12
2-Chlorophenol ug/L ND 5.0 06/19/19 16:12
2-Nitrophenol ug/L ND 5.0 06/19/19 16:12
3,3'-Dichlorobenzidine ug/L ND 25.0 06/19/19 16:12
4,6-Dinitro-2-methylphenol ug/L ND 20.0 06/19/19 16:12
4-Bromophenylphenyl ether ug/L ND 5.0 06/19/19 16:12
4-Chloro-3-methylphenol ug/L ND 5.0 06/19/19 16:12
4-Chlorophenylphenyl ether ug/L ND 5.0 06/19/19 16:12
4-Nitrophenol ug/L ND 50.0 06/19/19 16:12
Acenaphthene ug/L ND 5.0 06/19/19 16:12
Acenaphthylene ug/L ND 5.0 06/19/19 16:12
Anthracene ug/L ND 5.0 06/19/19 16:12
Benzo(a)anthracene ug/L ND 5.0 06/19/19 16:12
Benzo(a)pyrene ug/L ND 5.0 06/19/19 16:12
Benzo(b)fluoranthene ug/L ND 5.0 06/19/19 16:12
Benzo(g,h,i)perylene ug/L ND 5.0 06/19/19 16:12
Benzo(k)fluoranthene ug/L ND 5.0 06/19/19 16:12
bis(2-Chloroethoxy)methane ug/L ND 10.0 06/19/19 16:12
bis(2-Chloroethyl)ether ug/L ND 5.0 06/19/19 16:12
bis 2-Eth Ihex I)Phthalate ug/L ND 5.0 06/19/19 16:12
( Y Y 9
Butylbenzylphthalate ug/L ND 5.0 06/19/19 16:12
Chrysene ug/L ND 5.0 06/19/19 16:12
Di-n-butylphthalate ug/L ND 5.0 06/19/19 16:12
Di-n-octylphthalate ug/L ND 5.0 06/19/19 16:12
Dibenz(a,h)anthracene ug/L ND 5.0 06/19/19 16:12
Diethylphthalate ug/L ND 5.0 06/19/19 16:12
Dimethylphthalate ug/L ND 5.0 06/19/19 16:12
Fluoranthene ug/L ND 5.0 06/19/19 16:12
Fluorene ug/L ND 5.0 06/19/19 16:12
Hexachloro-1,3-butadiene ug/L ND 5.0 06/19/19 16:12
Hexachlorobenzene ug/L ND 5.0 06/19/19 16:12
Hexachlorocyclopentadiene ug/L ND 10.0 06/19/19 16:12
Hexachloroethane ug/L ND 5.0 06/19/19 16:12
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:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 19 of 41

Pace Analytical Services,LLC
Kincey Ave. Suite 100
aceAnalytical a 9800Huntersvvle,C 28078
www.Pacelabs.com [phone]
QUALITY CONTROL DATA
i
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
METHOD BLANK: 2606336 Matrix: Water
Associated Lab Samples: 92433386003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Indeno(1,2,3-cd)pyrene ug/L ND 5.0 06/19/19 16:12
Isophorone ug/L ND 10.0 06/19/19 16:12
N-Nitroso-di-n-propylamine ug/L ND 5.0 06/19/19 16:12
N-Nitrosodimethylamine ug/L ND 5.0 06/19/19 16:12
N-Nitrosodiphenylamine ug/L ND 10.0 06/19/19 16:12
Naphthalene ug/L ND 5.0 06/19/19 16:12
Nitrobenzene ug/L ND 5.0 06/19/19 16:12
Pentachlorophenol ug/L ND 10.0 06/19/19 16:12
Phenanthrene ug/L ND 5.0 06/19/19 16:12
Phenol ug/L ND 5.0 06/19/19 16:12
Pyrene ug/L ND 5.0 06/19/19 16:12
2,4,6-Tribromophenol(S) % 93 10-137 06/19/19 16:12
2-Fluorobiphenyl(S) % 82 15-120 06/19/19 16:12
2-Fluorophenol(S) % 49 10-120 06/19/19 16:12
Nitrobenzene-d5(S) % 83 10-120 06/19/19 16:12
Phenol-d6(S) % 31 10-120 06/19/19 16:12
Terphenyl-d14(S) % 101 11-131 06/19/19 16:12
LABORATORY CONTROL SAMPLE&LCSD: 2606337 2606338
Spike LCS LCSD LCS LCSD %Rec Max
Parameter Units Conc. Result Result %Rec %Rec Limits RPD RPD Qualifiers
1,2,4-Trichlorobenzene ug/L 50 38.6 38.2 77 76 44-142 1 50
2,2'-Oxybis(1-chloropropane) ug/L 50 35.3 35.5 71 71 36-166 0 30
2,4,6-Trichlorophenol ug/L 50 47.7 50.3 95 101 37-144 5 58
2,4-Dichlorophenol ug/L 50 47.0 47.4 94 95 39-135 1 50
2,4-Dimethylphenol ug/L 50 42.8 43.6 86 87 32-120 2 58
2,4-Dinitrophenol ug/L 250 252 261 101 104 1-191 3 132
2,4-Dinitrotoluene ug/L 50 43.5 45.6 87 91 39-139 5 42
2,6-Dinitrotoluene ug/L 50 46.2 48.0 92 96 50-158 4 48
2-Chloronaphthalene ug/L 50 47.2 45.2 94 90 60-120 4 24
2-Chlorophenol ug/L 50 40.2 40.5 80 81 23-134 1 61
2-Nitrophenol ug/L 50 46.1 45.6 92 91 29-181 1 55
3,3'-Dichlorobenzidine ug/L 100 91.8 91.5 92 92 1-262 0 108
4,6-Dinitro-2-methylphenol ug/L 100 104 109 104 109 1-181 5 30
4-Bromophenylphenyl ether ug/L 50 41.7 45.7 83 91 53-127 9 43
4-Chloro-3-methylphenol ug/L 100 87.2 93.8 87 94 22-147 7 73
4-Chlorophenylphenyl ether ug/L 50 44.5 47.7 89 95 25-158 7 61
4-Nitrophenol ug/L 250 123 125 49 50 1-132 2 131
Acenaphthene ug/L 50 42.1 42.9 84 86 47-145 2 48
Acenaphthylene ug/L 50 43.8 44.6 88 89 33-145 2 74
Anthracene ug/L 50 43.6 44.5 87 89 27-133 2 66
Benzo(a)anthracene ug/L 50 47.0 48.2 94 96 33-143 3 53
Benzo(a)pyrene ug/L 50 48.0 50.1 96 100 17-163 4 72
Benzo(b)fluoranthene ug/L 50 52.5 54.1 105 108 24-159 3 71
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:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 20 of 41

Pace Analytical Services,LLC
e
9800 Kincey Ave. Suite 100
aceAnalytical Huntersville,NC 28078
www.pecelabs.com [phone]
QUALITY CONTROL DATA
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
LABORATORY CONTROL SAMPLE&LCSD: 2606337 2606338
Spike LCS LCSD LCS LCSD %Rec Max
Parameter Units Conc. Result Result %Rec %Rec Limits RPD RPD Qualifiers
Benzo(g,h,i)perylene ug/L 50 47.7 52.4 95 105 1-219 10 97
Benzo(k)fluoranthene ug/L 50 46.3 47.5 93 95 11-162 3 63
bis(2-Chloroethoxy)methane ug/L 50 41.3 40.9 83 82 33-184 1 54
bis(2-Chloroethyl)ether ug/L 50 39.3 38.8 79 78 12-158 1 108
bis(2-Ethylhexyl)phthalate ug/L 50 44.4 49.7 89 99 8-158 11 82
Butylbenzylphthalate ug/L 50 47.6 54.7 95 109 1-152 14 60
Chrysene ug/L 50 40.8 41.9 82 84 17-168 3 87
Di-n-butylphthalate ug/L 50 41.2 42.0 82 84 1-120 2 47
Di-n-octylphthalate ug/L 50 47.6 47.9 95 96 4-146 1 69
Dibenz(a,h)anthracene ug/L 50 47.2 51.8 94 104 1-227 9 126
Diethylphthalate ug/L 50 41.9 43.6 84 87 1-120 4 100
Dimethylphthalate ug/L 50 44.0 46.1 88 92 1-120 5 183
Fluoranthene ug/L 50 44.3 42.4 89 85 26-137 4 66
Fluorene ug/L 50 44.2 46.3 88 93 59-121 5 38
Hexachloro-1,3-butadiene ug/L 50 35.4 35.0 71 70 24-120 1 62
Hexachlorobenzene ug/L 50 41.0 43.6 82 87 1-152 6 55
Hexachlorocyclopentadiene ug/L 50 33.4 34.6 67 69 25-150 4 30
Hexachloroethane ug/L 50 30.2 31.1 60 62 40-120 3 52
Indeno(1,2,3-cd)pyrene ug/L 50 48.1 53.2 96 106 1-171 10 99
Isophorone ug/L 50 38.7 39.4 77 79 21-196 2 93
N-Nitroso-di-n-propylamine ug/L 50 37.2 38.6 74 77 1-230 4 87
N-Nitrosodimethylamine ug/L 50 27.5 27.1 55 54 25-150 1 30
N-Nitrosodiphenylamine ug/L 50 40.0 43.0 80 86 25-150 7 30
Naphthalene ug/L 50 40.7 40.6 81 81 21-133 0 65
Nitrobenzene ug/L 50 38.0 37.3 76 75 35-180 2 62
Pentachlorophenol ug/L 100 101 108 101 108 14-176 7 86
Phenanthrene ug/L 50 42.5 43.9 85 88 54-120 3 39
Phenol ug/L 50 21.7 21.8 43 44 5-120 1 64
Pyrene ug/L 50 46.0 55.2 92 110 52-120 18 49
2,4,6-Tribromophenol(S) % 92 104 10-137
2-Fluorobiphenyl(S) % 84 83 15-120
2-Fluorophenol(S) % 53 52 10-120
Nitrobenzene-d5(S) % 82 80 10-120
Phenol-d6(S) % 34 34 10-120
Terphenyl-d14(S) % 88 105 11-131
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:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 21 of 41

Pace Analytical Services,LLC
aceAnalytical0
9800 Kinsey Ave. Suite 100
Huntersville,NC 28078
eww.pacelebs.00m [phone]
i
QUALITY CONTROL DATA
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
QC Batch: 30729 Analysis Method: EPA 8151A
QC Batch Method: EPA 8151A Analysis Description: 8151A GCS Herbicides
Associated Lab Samples: 92433386004
METHOD BLANK: 138570 Matrix: Water
Associated Lab Samples: 92433386004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
2,4,5-T ug/L ND 5.0 06/25/19 17:21
2,4,5-TP(Silvex) ug/L ND 10.0 06/25/19 17:21
2,4-D ug/L ND 5.0 06/25/19 17:21
2,4-DB ug/L ND 5.0 06/25/19 17:21
Dalapon ug/L ND 10.0 06/25/19 17:21
Dicamba ug/L ND 5.0 06/25/19 17:21
Dichloroprop ug/L ND 5.0 06/25/19 17:21
Dinoseb ug/L ND 5.0 06/25/19 17:21
MCPA ug/L ND 1000 06/25/19 17:21
MCPP ug/L ND 1000 06/25/19 17:21
2,4-DCAA(S) %. 88 10-155 06/25/19 17:21
LABORATORY CONTROL SAMPLE: 138571
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
2,4,5-T ug/L 10 8.2 82 31-150
2,4,5-TP(Silvex) ug/L 10 8.1 I 81 35-138
2,4-D ug/L 10 8.5 85 29-145
2,4-DB ug/L 10 9.5 95 24-145
Dalapon ug/L 10 10.5 105 31-120
Dicamba ug/L 10 8.0 80 45-139
Dichloroprop ug/L 10 8.4 84 54-139
Dinoseb ug/L 10 8.3 83 10-182
MCPA ug/L 1000 1320 132 25-147
MCPP ug/L 1000 1070 107 10-169
2,4-DCAA(S) %. 106 10-155
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 138572 138573
MS MSD
92433386004 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
2,4,5-T ug/L ND 10 10 5.0 6.3 50 63 10-158 22
2,4,5-TP(Silvex) ug/L ND 10 10 5.2 I 6.3 I 52 63 10-156
2,4-D ug/L ND 10 10 5.1 6.6 51 66 10-156 25
2,4-DB ug/L ND 10 10 5.6 6.7 56 67 24-145 18
Dalapon ug/L ND 10 10 6.7 I 7.8 I 67 78 31-120
Dicamba ug/L ND 10 10 5.2 7.0 52 70 45-139 29
Dichloroprop ug/L ND 10 10 5.0 6.5 50 65 54-139 26 J(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:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 22 of 41

Pace Analytical Services,LLC
e 9800 Kincey Ave. Suite 100
aceAnalytical Huntersville,NC 28078
www.pacelabs.com [phone]
QUALITY CONTROL DATA
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 138572 138573
MS MSD
92433386004 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Dinoseb ug/L ND 10 10 5.2 1.6 I 52 16 10-174
MCPA ug/L ND 1000 1000 941 I 1220 94 122 25-147
MCPP ug/L ND 1000 1000 ND 956 I 74 96 10-169
2,4-DCAA(S) %. 65 87 10-155
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:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 23 of 41

Pace Analytical Services,LLC
0 9800 Kincey Ave. Suite 100
aceAnalytical Huntersville,NC 28078
w Wpacelabs.corn [phone]
QUALITY CONTROL DATA
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
QC Batch: 481955 Analysis Method: EPA 300.0 Rev 2.1 1993
QC Batch Method: EPA 300.0 Rev 2.1 1993 Analysis Description: 300.0 IC Anions
Associated Lab Samples: 92433386007
METHOD BLANK: 2606245 Matrix: Water
Associated Lab Samples: 92433386007
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fluoride mg/L ND 0.10 06/19/19 03:59
uo g
1 LABORATORY CONTROL SAMPLE: 2606246
Spike LCS LCS %Rec 1
Parameter Units Conc. Result %Rec Limits Qualifiers
Fluoride mg/L 2.5 2.6 103 90-110
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2606247 2606248
MS MSD
92433386007 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Fluoride mg/L ND 2.5 2.5 2.4 2.3 91 88 90-110 3 J(M1)
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2606249 2606250
MS MSD
92432935011 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Fluoride mg/L 0.060 I 2.5 2.5 2.4 2.4 93 93 90-110 0
Results presented on this page are In the units Indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 24 of 41

1
Pace Analytical Services,LLC
e 9800 Kincey Ave. Suite 100
Y ce alyti al Huntersville,NC 28078
wwirpecaMbaearri [phone]
QUALITY CONTROL DATA
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
QC Batch: 481983 Analysis Method: SM 4500-CI-E-2011
QC Batch Method: SM 4500-CI-E-2011 Analysis Description: 4500 Chloride
Associated Lab Samples: 92433386007
METHOD BLANK: 2606306 Matrix: Water
Associated Lab Samples: 92433386007
Blank Reporting
Po 9
Parameter Units Result Limit Analyzed Qualifiers
Chloride mg/L ND 1.0 06/19/19 13:39
1 LABORATORY CONTROL SAMPLE: 2606307
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Chloride mg/L 20 20.6 103 90-110
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2606308 2606309
MS MSD
92433233001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Chloride mg/L 11.1 10 10 21.2 21.2 101 101 90-110 0
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2606310 2606311
MS MSD
92433233002 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Chloride mg/L 7.4 10 10 18.0 17.8 106 104 90-110 1
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:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 25 of 41

Pace Analytical Services,LLC
e 9800 Kincey Ave. Suite 100
aceAnalytical Huntersv lle,NC28078
vmmipacetabs.com [phone]
i
QUALITY CONTROL DATA
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
QC Batch: 482740 Analysis Method: SM 4500-CN-E-2011
QC Batch Method: SM 4500-CN-E-2011 Analysis Description: 4500CNE Cyanide,Total
Associated Lab Samples: 92433386006
METHOD BLANK: 2609887 Matrix: Water
Associated Lab Samples: 92433386006
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Cyanide mg/L ND 0.0080 06/23/19 12:40
LABORATORY CONTROL SAMPLE: 2609888
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Cyanide mg/L 0.1 0.11 106 80-120
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2609889 2609890
MS MSD
92433690002 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Cyanide mg/L ND 0.1 0.1 0.096 0.097 95 96 80-120 1
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2609891 2609892
MS MSD
92433713002 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Cyanide mg/L ND 0.1 0.1 0.078 0.092 71 85 80-120 17 J(M1),
J(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:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 26 of 41

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite100
Huntersville,NC 28078078
www.pacelabs.com [phone]
QUALIFIERS
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
DEFINITIONS
DF-Dilution Factor,if reported,represents the factor applied to the reported data due to dilution of the sample aliquot.
ND-Not Detected at or above adjusted reporting limit.
TNTC-Too Numerous To Count
MDL-Adjusted Method Detection Limit. 1
PQL-Practical Quantitation Limit.
RL-Reporting Limit-The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S-Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270.The result for each analyte is
a combined concentration.
Consistent with EPA guidelines,unrounded data are displayed and have been used to calculate%recovery and RPD values.
LCS(D)-Laboratory Control Sample(Duplicate)
MS(D)-Matrix Spike(Duplicate)
DUP-Sample Duplicate
RPD-Relative Percent Difference
NC-Not Calculable.
SG-Silica Gel-Clean-Up
U-Indicates the compound was analyzed for,but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited.Contact your Pace PM for the current list of accredited analytes.
TNI-The NELAC Institute.
LABORATORIES
PAST-A Pace Analytical Services-Asheville
PASI-C Pace Analytical Services-Charlotte
PASI-GA Pace Analytical Services-Atlanta,GA
ANALYTE QUALIFIERS
I The reported value is between the laboratory method detection limit and the laboratory practical quantitation limit.
J(M1) Estimated Value.Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample(LCS)
recovery.
J(R1) Estimated Value.RPD value was outside control limits.
L Off-scale high.Actual value is known to be greater than value given.
REPORT OF LABORATORY ANALYSIS
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Date:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 27 of 41

Pace Analytical Services,LLC
aceAnalytical 9800 kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: FINAL EFF 6-17-19
Pace Project No.: 92433386
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92433386001 GRAB 1 EPA 1664B 482233
92433386001 GRAB 1 EPA 1664E 482234
92433386005 GRAB 5 EPA 608.3 482362 EPA 608.3 482639
92433386004 GRAB 4 EPA 8151A 30729 EPA 8151A 30880
92433386008 GRAB 8 EPA 200.7 Rev 4.4 1994 482465 EPA 200.7 Rev 4.4 1994 482494
92433386003 GRAB 3 EPA625.1 481995 EPA625.1 482242
92433386009 GRAB 9 EPA624.1 483002
92433386007 GRAB 7 EPA 300.0 Rev 2.1 1993 481955
92433386007 GRAB 7 SM 4500-CI-E-2011 481983
92433386006 GRAB 6 SM 4500-CN-E-2011 482740 SM 4500-CN-E-2011 482792
REPORT OF LABORATORY ANALYSIS
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Date:07/10/2019 11:03 AM without the written consent of Pace Analytical Services,LLC. Page 28 of 41

f- Document Name: Document Revised:February 7,2018
1° Sample Condition Upon Recelpt(SCUR) Page 1 of 2
/ - aceAnatyticat Document No.: Issuing Authority:
F-CAR-CS-033-Rev.06 Pace Carolinas Quality Office
Laboratory receiving samples:
Asheville 0 Eden❑ Greenwood❑ Huntersville 0 RaleighO Mechanicsville❑
Sample Condition Client Name: O# : 92433386
Upon Receipt Project#: W
Qx�r
Courier: ed Ex ❑UPS DIMS DClient III
1111111 11111111111
Commercial ,Pace ❑Other:
9243 386
Custody Seal Present? Dyes 'No Seals Intact? Dyes ,'No --I I-//�{/
Date/Initials Person Examining Contents:_
Packing Material: ❑Bubble Wrap 2113ubble Bags ❑None ❑ Other Biological Tissue Frozen?
Dyes ❑No �N/A
Thermometer: Type of Ice: j7�Wet ❑Blue ❑None
pIR Gun ID:��TD�
Cooler Temp(°C): S.2117.3 Correction Factor:Add/Subtract(°C) Pro Temp should be above freezing to 6°C
Cooler TempCorrected(°C): 5.2 2•3 ❑Samples out of temp criteria.Samples on ice,cooling process
7 has begun
USDA Regulated Soil (gf N/A,water sample)
Did samples originate in a quarantine zone within the United States:CA,NY,or SC(check maps)? Did samples originate from a foreign source(internationally,
!]Yes ❑No including Hawaii and Puerto Rico)?Oyes ONo
Comments/Discrepancy:
Chain of Custody Present? Des ONo ON/A 1.
Samples Arrived within Hold Time? gJyes ONo ❑N/A 2.
Short Hold Time Analysis(<72 hr.)? Oyes No ON/A 3.
Rush Turn Around Time Requested? Dyes No ON/A 4.
Sufficient Volume? Oyes ONo ON/A 5.
Correct Containers Used? Oyes ONo ON/A 6.
-Pace Containers Used? Oyes ONo ON/A
Containers Intact? Oyes ❑No ON/A 7.
Dissolved analysis:Samples Field Filtered? Oyes C jNo ON/A 8.
Sample Labels Match COC? IJYes ONo ON/A 9.
-Includes Date/Time/ID/Analysis Matrix: Orr
Headspace in VOA Vials(>5-6mm)? ❑Yes 113No ON/A 10.
Trip Blank Present? ❑Yes qiNo ON/A 11.
Trip Blank Custody Seals Present? Oyes ONo 1:1N/A
COMMENTS/SAMPLE DISCREPANCY Field Data Required? Dyes 1No
Lot ID of split containers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted: Date/Time:
C
Project Manager SCURF Review: Z Date:
//'//"1
Project Manager SRF Review: `� Date: C/14'
Page 29 of 41

O z LO CO 'I 01 Vr t. Lk) rV r✓
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a
PaceArl�ly?jar CHAIN-OF-CUSTODY I Analytical Request Document "6....... The Chain-of-Custody is a LEGAL DOCUMENT.All relevant fields must be completed accurately. rI
lti
m
Section A Section B Section C al
a
Required Client Information: Required Project Information: Invoice Information: Page: 1 Of 1
Company. Baxter Healthcare Corporation Report To Stephen Gouge Attention.
Address Hwy 221N Pitts Station Rd Copy To Company Name.
Marton,NC 28752 Address'. Regulatory Agency
Emal stephen gouge(gbaxter.coin Purchase Order II Pace Quote
Phone. [phone] IFax Project Name Final Eff Pace Project Manager chrislopher derouen(apacelabs corn. State I Location
Requested Due Date. Protect#. Pace Profile# 93.4
Requested Analysis Filtered(YIN)
_ 27 Z_
MATRIX CODE P. O COLLECTED Z Preservatives r
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ADDITIONAL COMMENTS RELINQUISHED BY I AFFIUAIION DATE TIME ACCEPTED BY I AFFILIATION DATE TIME SAMPLE CONDITIONS
I
SAMPLER NAME AND SIGNATURE
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PRINT Name of SAMPLER: C m
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SIGNATURE of SAMPLER: DATE Signed: `w y Z oo Z n A Z

aceAnalytical. ANALYTICAL REPORT Cp
National Center for Testing 8 Innovation June 25, 2019
2Tc
3
SS
Pace Analytical - Asheville, NC
4
Sample Delivery Group: L1111526 Cn
Samples Received: 06/21/2019 5Sr
Project Number: 92433386
6
Description: Final Eff 6-17-19 Qc
Site: 002 7
GI
Report To: Christopher Derouen
2225 Riverside Drive 8AI
Asheville, NC 28804
9
SC
Entire Report Reviewed By: ��r"""""" . LQw�
�VvX
Nancy McLain
Project Manager
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.Where applicable,sampling conducted by Pace National
is performed per guidance provided in laboratory standard operating procedures:060302,060303,and 060304.
4
4 it
s
) ellilli.. ..,,, <000000., amet _iftimitip, , c
1
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ACCOUNT: PROJECT SDG: DATE/TIME: PAGE:
Pace Analytical-Asheville,NC ,.4";'"+i L1111526 06/25/19 21:13 1 of 10

TABLE OF CONTENTS ONE LAB.NATIONWIDE. at
Cp:Cover Page I,
Tc:Table of Contents 2 t Cd
Ss:Sample Summary 3
Cn:Case Narrative 4
3
Sr:Sample Results 5 Ss
GRAB 2 L1111526-01 5 4
Cn
Qc:Quality Control Summary 6
OP Pesticides by Method 8141B 6 5Sr
GI:Glossary of Terms 7
6
AI:Accreditations& Locations 8 Qc
Sc:Sample Chain of Custody 9
GI
C
AI
9
SC
Page 33 of 41
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pace Analytical-Asheville,NC 92433386 L1111526 06/25/19 21:13 2 of 10

iiimmummummummillimiamosmommemiiimmemmi
SAMPLE SUMMARY ONE LAB.NATIONWIDE. ilk
Collected by Collected date/time Received date/time
GRAB 2 L1111526-01 GW 06/17/1912:22 06/21/1909:00
CO
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time 2
Tc
OP Pesticides by Method 8141B WG1301100 1 06/24/19 16:25 06/24/19 23:46 HMH Mt.Juliet,TN
Ss
4
Cn
5
Sr
6
Qc
7
GI
8
AI
9
SC
Page 34 of 41
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pace Analytical-Asheville,NC 92433386 L1111526 06/25/19 21:13 3 of 10

CASE NARRATIVE ONE LAB.NATIONWIDE 11,
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 2
the report. Where applicable,all MDL(LOD)and RDL(LOQ)values reported for environmental samples Tc
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 3
or properly qualified within the sample results. By my digital signature below, I affirm to the best of my Ss
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.
1 5
Sr
6
)1 GI
Nancy McLain
Project Manager Al
9
Sc
Page 35 of 41
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pace Analytical-Asheville,NC 92433386 L1111526 06/25/19 21:13 4 of 10

iimmilmimilmusiiimmilisimimmi
GRAB 2 SAMPLE RESULTS - 01 ONE LAB.NATIONWIDE. ilt
Collected date/time: 06/17/19 12:22 t1111526
OP Pesticides by Method 8141E 1
Result Qualifier MDL RDL Dilution Analysis Batch ( Cp I
Analyte ugh ug/I ugh' date/time
Azinphos-Methyl U J3 0.348 1.00 1 06/24/2019 23:46 WG1301100 Tc
Demeton,-0 and-S U J3 0.341 2.00 1 06/24/2019 23:46 WG1301100
Ethyl Parathion U J3 0.292 1.00 1 06/24/2019 23:46 WG1301100 3
SS
Methyl parathion U J3 0.257 1.00 1 06/24/2019 23:46 WG1301100
(S)Triphenyl Phosphate 63.8 42.0-129 06/24/2019 23:46 WG1301100 4
Cn
Sr
6
Qc
7
GI
cAI
9
Sc
Page 36 of 41
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pace Analytical-Asheville,NC 92433386 L1111526 06/25/19 21:13 5 of 10

WG1301100 QUALITY CONTROL SUMMARY ONE LAB.NATIONWIDE. ilk
OP Pesticides by Method 81418 L1111 5 2 6-01
Method Blank(MB)
(MB)R3424351-1 06/24/19 21:40 Cp
MB Result MB Qualifier MB MDL MB RDL 2
Analyte ug/1 ugh ug/1 Tc
Azinphos-Methyl U 0.348 1.00
Demeton,-0 and-S U 0.341 2.00 3
SS
Ethyl Parathion U 0.292 1.00
Methyl parathion U 0.257 1.00
4
(S)Triphenyl Phosphate 80.4 42.0-129 Cn
s
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) Sr
(LCS)R3424351-2 06/24/19 22:11•(LCSD)R3424351-3 06/24/19 22:43
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec.Limits LCS Qualifier LCSD Qualifier RPD RPD Limits C C
Analyte ug/I ug/I ugh % % % % %
Azinphos-Methyl 5.00 3.72 3.88 74.4 77.6 43.0-142 4.21 20 GI
Demeton,-0 and-S 2.50 1.94 2.00 77.6 80.0 22.0-150 3.05 24
Ethyl Parathion 5.00 3.51 3.63 70.2 72.6 42.0-134 3.36 20 8AI
Methyl parathion 5.00 3.53 3.68 70.6 73.6 43.0-135 4.16 20
(S)Triphenyl Phosphate 75.0 74.2 42.0-129
9
Sc
L1111526-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS)L1111526-01 06/24/19 23:46•(MS)R3424351-4 06/25/19 00:18•(MSD)R3424351-5 06/25/19 00:49
Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec.Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte ug/I ugh ugh ug/I % % % % %
Azinphos-Methyl 5.00 U 2.00 4.20 40.0 84.0 1 29.0-157 J3 71.0 20
Demeton,-0 and-S 2.50 U 0.959 2.20 38.4 88.0 1 30.0-152 J3 78.6 20
Ethyl Parathion 5.00 U 1.95 4.11 39.0 82.2 1 30.0-138 J3 71.3 20
Methyl parathion 5.00 U 1.83 4.13 36.6 82.6 1 28.0-142 J3 77.2 20
(S)Triphenyl Phosphate 49.2 812 42.0-129
Page 37 of 41
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pace Analytical-Asheville,NC 92433386 L1111526 06/25/19 21:13 6 of 10

GLOSSARY OF TERMS ONE LAB.NATIONWIDE. JO
Guide to Reading and Understanding Your Laboratory Report C
The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not p
intended as a comprehensive explanation,and if you have additional questions please contact your project representative.
2
Abbreviations and Definitions Tc
MDL Method Detection Limit.
RDL Reported Detection Limit. 3SS
Rec. Recovery.
RPD Relative Percent Difference. a
SDG Sample Delivery Group. Cn
Surrogate(Surrogate Standard)-Analytes added to every blank,sample,Laboratory Control Sample/Duplicate and
(S) Matrix Spike/Duplicate;used to evaluate analytical efficiency by measuring recovery.Surrogates are not expected to be 5
detected in all environmental media. Sr
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 6QC
reported.
If the sample matrix contains an interfering material,the sample preparation volume or weight values differ from the
Dilution standard,or if concentrations of analytes in the sample are higher than the 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 this field,the GI
result reported has already been corrected for this factor.
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 QC Sample analysis will target all analytes recovered or Al
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 9
sample.The Original Sample may not be included within the reported SDG. SC
This column provides a letter and/or number designation that corresponds to additional information concerning the result
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
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 MDL
(Method Detection Limit)or RDL(Reporting Detection Limit)that defines the lowest value that the laboratory could detect
or report for this analyte.
Uncertainty Confidence level of 2 sigma.
(Radiochemistry)
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.
This section of the report includes the results of the laboratory quality control analyses required by procedure or
Quality Control analytical methods to assist in evaluating the validity of the results reported for your samples.These analyses are not
Summary(Qc) 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 analyses that the laboratory is requested to perform.This
Custodyhain of custodyalso documents all persons(excludingcommercial shippers)that have had control or possession of the
(Sc)( ) samples from th time of collection until delivry 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.
Page 38 of 41
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pace Analytical-Asheville,NC 92433386 L1111526 06/25/19 21:13 7 of 10

ACCREDITATIONS & LOCATIONS ONE LAB.NATIONWIDE. ilk
•
Pace National is the only environmental laboratory accredited/certified to support your work nationwide from one location.One phone call,one point of contact,one laboratory.No other 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 benefit to our one location design is the design of our laboratory campus.The model is conducive to accelerated productivity,decreasing Cp
turn-around 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.
'Accreditation is only applicable to the test methods specified on each scope of accreditation held by Pace National. 2
Tc
State Accreditations
. _ ..- 3
Alabama 40660 Nebraska NE-OS-15-05 Ss
Alaska 17-026 Nevada TN-03-2002-34
Arizona AZ0612 New Hampshire 2975 a
Arkansas 88-0469 New Jersey—NELAP TN002 Cn
California 2932 New Mexico' n/a
Colorado TN00003 New York 11742
5
Connecticut PH-0197 North Carolina Env375 Sr
Florida E87487 North Carolina' DW21704
Georgia NELAP North Carolina' 41
6
Georgia' 923 North Dakota R-140 QC
Idaho TN00003 Ohio—VAP CL0069
Illinois 200008 Oklahoma 9915
Indiana C-TN-01 Oregon TN200002 GI
Iowa 364 Pennsylvania 68-02979
Kansas E-10277 Rhode Island LA000356 I
Kentucky" 90010 South Carolina 84004 Al
Kentucky' 16 South Dakota n/a
Louisiana 4130792 Tennessee 2006
9
Louisiana' LA180010 Texas 7104 7 04 2 4 5-18-1 5 SC
Maine TN0002 Texas' LAB0152
Maryland 324 Utah TN00003
Massachusetts M-TN003 Vermont VT2006
Michigan 9958 Virginia 460132
Minnesota 047-999-395 Washington C847
Mississippi TN00003 West Virginia 233
Missouri 340 Wisconsin 9980939910
Montana CERT0086 Wyoming A2LA
•
Third Party Federal Accreditations
A2LA—ISO 17025 1461.01 AIHA-LAP,LLC EMLAP 100789
A2LA—ISO 17025' 1461.02 DOD 1461.01
Canada 1461.01 USDA P330-15-00234
EPA—Crypto TN00003
'Drinking Water 2 Underground Storage Tanks 'Aquatic Toxicity °Chemical/Microbiological 'Mold `Wastewater n/a Accreditation not applicable
Our Locations
Pace National has sixty-four client support centers that provide sample pickup and/or the delivery of sampling supplies.If you would like assistance from one of our support offices,please contact
our main office.Pace National performs all testing at our central laboratory.
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OR MNallillellst•
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Page 39 of 41
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pace Analytical-Asheville,NC 92433386 L1111526 06/25/19 21:13 8 of 10

Chain of Custody E047
— ace Analytical
1 , Samples were sent directly to the Subcontracting Laboratory. State Of Origin: NC, www vaexlaos corn
Cert. Needed: 7Yes l I No
Workorder: 92433386 Workorder Name: FINAL EFF 6-17-19 Owner Received Date: 6/18/2019 Results Requested By: 6/25/2019
Report To ]Subcontract To _ Requested Analysis
1 Chris Derouen
Pace Analytical Asheville
2225 Riverside Dr �/
Asheville NC 28804 i�cc. /�/a.7-te.+a /
Phone[phone] g
/20G S 4e.h.---.,n /<a(
7/4. J..fct IN 37e2Z a
G15 - 75k-sksy
Preserved Containers
- - - o
3
a
Sample Collect
Item Sample ID Type DateiTlme Lab ID Matrix to LAB USE ONLY
1 GRAB 2 PS .6/17/2019 12.22 92433386002 Water - X _ )1 1 I ! /61
2
3
'4
5
__ _ I _ Comments _
Transfers Releas By Date(Tlme Received By Datemme
' �_ 4l
2
3 /?-) 114n Y t A.tu poi Uilla,.lJ
Cooler Temperature on Receipt pip I °C CustodySeai` Y r N Receiv d on Ice or N Samples Intact Y or N
—*In order to maintain client confidentiality, location/name of the samp ' g site, sampler's name and signature may not be provided on this COC document
This chain of custody is considered complete as is since this information is available in the owner laboratory.
114/SW G'O> :N33Ej e 11,
Thursday.June 20.2019 4:45 16 PM FMT-ALL-C-002rev.00 24March2009 Page 1 of 1
Page 40 of 41

Pace Analytical National Center for Testing & Innovation
Cooler Receipt Form
Client: ?A' N SDGtt: J u
Cooler Received/Opened On: 6/A/19 Temperature: 1'43
Received By: Brittany Maxwell
Signature IV?g all
Receipt Check List NP Yes No
COC Seal Present / Intact?
COC Signed /Accurate? 7'
Bottles arrive intact?
Correct bottles used?
Sufficient volume sent?
If Applicable
VOA Zero headspace?
Preservation Correct/Checked? _
Page 41 of 41