NCG030552_MONITORING INFO_20160628

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ c) o I IO op C)l
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 4/za Zz5/ 4"
CERTIFICATE OF COVERAGE NO. NCG031) Z
FACILITY NAME .5e-PA1_R4-DQA-- 1=CTr2/ c—
COUNTY RoL-3ArJ
PERSON COLLECTING SAMPLES 30
LABORATORY &.oF- R►DLi— 1,44 Lab Cert. # BiRL - Zol 4o-0330
Comments on sample collection or analysis:
LAJ Kq&j,PLE- 7-b LSZb -ZdI (a - c_>) 3 17
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
SAMPLE PERIOD Jd Jan -June ❑ July -Dec
or ❑ Monthly' (month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [-]SA
K t;EI V ED [-]Other
JUN 3 0 2016 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
DWR SECTION
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Tatai
Total Petroleum
Hydrocarbons
Toxic
Organics;
Benchmarks =_->
-
-
100 mg/L or 50 mg/L
6.0 - 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance'foI h e parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report it �y eckmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible fo a At��.��f the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective bi chmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Da /1/2012-10/31/2017 SWU-245, last revised 5/2012
0 Page 1 of 3 0

Facilities *ncorporate a solvent management plan into the Stormwater P*n Prevention Plan may so certify, and the requirement for TTO Oitoring
may be wail ed. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), 1 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
JO��, PI J-a
Name (Print name)
Title (Print title)
L, -ze, za1�
(Signatur (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format "<XX m L" where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?T
Outfall No.
Date Sample
Collected'
(ma/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH
EPA 1664 - EMj
Total Suspended Solids
pH
Benchmarks =__>
mg/L
100 mg/L or 5o mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PARKA AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge"reports, within 30 days of receipt of the lab results for at end of monitorina period
in the case o "No Dischar e" reports) to;
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of *rmittee)
fie /Zg1zvl4,
(Date)
Permit Da 1* 0 /1/2012-10/31/2017 SWU-245, last revised 5/2012
Page 3 of 3 W

Semi-annual Stormwater Discharge Monitoriniz Report
for North Carolina Division of Water Quality 7-4
neral Permit No. NCG030000
Date submitted 1 S-
CERTIFICATE OF COVERAGE NO. NCG03_Q 5 S z
FACILITY NAME 5 C_ A tJe1 D eM
COU NTY Pt?,�,o 9
PERSON COLLECTING SAMPLES _.�o 14A
LABORATORY 11 , R, D6E LA-$ S Lab Cert. # J3Q L - zo15 --b 7 63
Comments on sample collection or analysis:
I -AA E .L b L..S I D- Z a l S— D 30 q 8
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Z D 1 S
SAMPLE PERIOD [] Jan -June © July -Dec
or ❑ Monthly) (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply []SA
[]Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
El No discharge this perlod?2
C.3
"011C
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches3
Total Suspended Solids
` ' ` pH,
Standard units
.a •
Copper
:.
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics5
Benchmarks ==_>
_
-
100 mg/L or 50 mg/L
6.0 - 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Da /1/2012-10/31/2017 SWU-245, last revise �.5/2012
Page 1 of 3 ce

Facilities tOd.
ncorporate a solvent management plan into the Stormwater POon Prevention Plan may so certify, and the requirement for TTOlitoring
may 1: wThe solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the Tf0 monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the Stormwater or areas which are exposed to rainfall or
Stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print itle)
(Signat (Date)
Note: Results must be reported in numerical format. Do not re ort Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mgIL", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z, or Tier 3 responses. See General Permit text
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per mont
rscharge this period ?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
3
Inches
Non -polar O H by
EPA (SGT-HEM)
_1664Benchmarks
Totai_Suspended Solids
pH,
=__>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Permit pate: 11/l/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: ff you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on final and one copy of this DMR including all "No Discharge" reports. within 30 dos of receipt of the lab results for at end of monitoring period
in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQCentral Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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�"ere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
1w15
(Date)
Permit Da/1/2012-10/31/2017 SWU-245, last revised 5/2012
0 Page 3 of 3

Oct.08.2015 04:20 PM Blue Rldqr', 11"',Ds.r Inc 2287260131 PAGE. 2/ 6
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
[e-mail]
Client :
Industrial Brokerage Services
P. O. Box 1263
Lenoir, NC 28645
Attention:
Customer Services
Date Received:
29-Sep-15
Report Date:
08-Oct-15
Sample Date:
29-Sep-1 5
HRL M:
BRI..-2015-0763
Lab Sample ID:
LS1D-2015-03098
Client Sample ID:
SW-Otitfmil
Analysis
Analysis
Parameter
Result MQL
Unit Method Time
Date Analysi
TSS
6.3 6.1
mg/I 2340D 1997 15:39
9/30/2015 KC1
pH
6.8 0.1
su 4500H+B 200 M05
9/29/2015 KC)
Reported By:
7ohnson, D.R. Wessinger
* Concentrations are below Minimum Quantifcatioti Llinit except where noted.
NC Laboratory Certificate No. 275
Page I of 3

Oct.,08.2015 04:20 PM Bluer Ridge Labs. Inc
228722013]._ PAGE. 3j &
Blue Ridge Labs
PO Box 2940
Lenoir, NC. 28645
828-728-0149
Client:
Industrial Brokerage Services
P. 0. Box 1263
Lenoir, NC 28645
Attention:
Customer Services
Date Received:
29-Sep-1 5
Report Date:
08-Oct-15
Sample Date:
29-Sep-15
BRL #:
BRL-2015-0763
Lab Samplc ID:
LSID-2415-03099
Client Samplc ID:
SW-Outfall
Parameter
Pb
Reported By:
Result MQL
* 0.01
[e-mail]
Analysis Analysis
Unit Method Time Date Analyst
mg/l 200.7 1994 14:35 10/8/2015 KCJ
S. nson, D.R. Wessinger
" Concentrntions are below Minimum Quantification Limit except where noted.
NC Laboratory Certifieate No. 279
Page 2 of 3

Oct_,08.2015 04.:.21'_PM R1 4,:..idge Labs. Inc 8227280131 PAGE. 4/-, • 6
Blue Ridge Labs
PO Sox 2940
Lenoir, NC 28645
828-728 01.49
[e-mail]
Client :
Industrial Brokerage Services
P. 0. Box 1263
Lenoir, NC 28645
Attention:
Customer Services
Date Received.
29-Sep-15
Report Date:
08-Oct-15
Sample Date:
29-Sep-15
BRL #:
BRL-2015-0763
Lab Sample 1D:
LSID-2015-03100
Client Sample 1D:
SW-Outfall
Analysis Analysis
Parameter
Result MQL Unit Method Time Date Analyst
Oil & Grease
5.4 5 moll 1664-A O&G 16.43 10/7/2015 KCJ
Reported By:
S. ,d'ohnson, D.R. Wessinger
Concentrations arc below Minimum Quantification Litnit except where noted.
NC Laboratory Certificate No. 275
Page 3 of 3

FOct:08.2015 04:21 PM Blue Ridge Labs. Inc 8287.'.n 31 'PAGE. 5/ 6
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149 [e-mail]
Data Qualifiers
The following is a list of data qualifiers used on Blue Ridge Labs' Reports. Any of the
qualifiers may make the data unacceptable for state reporting. Data qualifiers are
found in the results column and their definitions are as follows:
* The concentration found is below our minimum concentration value which is
reported in the MQL column.
*** The concentration reported is an estimated value. The result is above our
highest standard.
HT The sample was received out of hold time.
IC The sample was received in an improper container.
NC The sample was received without proper cooling.
NP The sample was received without proper preservatives.
IC The sample was received in an improper container.
H5 The VOC container was received with headspace present.
NR The sample was not run due to lab error.
UC Unable to confirm analysis due to insufficient sample being submtted.
D Sample was diluted due to physical problems with the sample.
J Value is an estimate from a library search using the nearest internal standard.
0

NPDS Reporting
Report To.
IB.4 Environmental
PO Box 1263
Lenoir, NC 28644
Blue Ridge Labs, Inc.
P.O. sox 2940
Lenoir, NC 28645
Telephone [phone] Fax [phone]
Chain of Custody
Groundwater Sanitary Landfill Hazardous Waste
UST/Trust Fund Reporting
Bill To:
SAME
Field
Industrial or QC State Reporting t/
Project Name: .5 C-)VA1t /AIC-
PO Number.
lee Present= OFN
Preservatives Lab Check
Sample ID
Sample
Type
Dale
Time
Time &
Temp
HR_MM
"C
Field
Sulfide
Check
Y N
Field
Sulfide
Pmsenl I
Removed
i Y N
Resid
Chlor
Field
Check
iY N
Field
echlorination
Y NN
pl-i
Resid
Chlor
I P or A
Temp
°C
Sampler
Initials
Analysis Requested
7!
Tssfl�h/ 6,
a. t
Reli uishe Date: Time: Rec ' y: Date: Time:
Upon submission of samples, client agrees that invoices are due al the time work is completed. Open accuunts are due 20 days following invoice date. A finance charge of 1.511%per month will be intposad on all pastue acmunts.
'When relinquishing samples to Blue Ridge Labs (BRL), buyer authorizes BRL to perform only the analysis iodicated above and also agrees to pay collection and attorney fcef iM account becomes delinquent. Blue Ridge Labs
ime Lrves the right to deny documcntaaon for any vrarlr where payrnenr has wit been made, in effect rendering drat Jura ansopported for regulatory purposes. DRL cannot guaratricc that any regulatory authority will aCcepl any nod:
sahnkitted, rhercfore it is the client's responsibility to request on this fomr appropriate tests. NC DENR Certified Lab #275
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Environmental
Services
October 9, 2015
Schneider Electric
105 Summit Park Drive
Salisbury, NC 28146
RE: Stormwater analysis for October 2015 event
Dear Mr. Pitel,
RECEIVED
NOV 12 2015
CENTRAL. FILES
DWR SECTION
IBS Environmental Services is pleased to submit the following analytical data for the stormwater
sampling event that occurred October 2015.
Thank you for letting 113S Environmental Services, assist you with your environmental and safety
concerns. We look forward to working with you on future projects. Should you have any questions
please do not hesitate to tail @ 1-800-768-9600.
Cordiall
G
David Haynes, REM, REPA, CFC
General Manager
Attachment:
P.O. Box 1263• Leiioir, NI 28645•Tel [phone]•Fax [phone]
;'0M& E-mail to [e-mail]

Environmental
Services
January 15, 2015
Schneider Electric
105 Summit Park Drive
Salisbury, NC 28146
RE: Stormwater analysis for December 2014 event
Dear Mr. Pitel,
RECEIVED
MAR.13 2015
DWTAL FILES
R SECTION
iBS Environmental Services is pleased to submit the following analytical data for the stormwater
sampling event that occurred December 2014.
Thank you for letting IBS Environmental Services, assist you with your environmental and safety
concerns. We look forward to working with you on future projects. Should you have any questions
please do not hesitate to call @ 1-800-768-9600.
Cordi4lly,
David Haynes, REM, REPA, CFC
General Manager
Attachment:
P.O. Box 1263• Lenoir, NC 28645•Tel [phone]•Fax [phone]
E-mail to [e-mail]

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted Zv S
CERTIFICATE OF COVERAGE NO. NCG03_ S S Z
FACILITY NAME r D C!
COUNTY Qp r—) �q •J
PERSON COLLECTING SAMPLES
LABORATORY_&,P Z WG12_ Uf$S Lab Cert. # {32L - 2p14 -OS� S
Comments on sample collection or analysis:
c LS1-2-014-o3G79
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _ 2-0 j g
SAMPLE PERIOD ❑ Jan -June 0 July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [_]SA
❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
'24-hour rainfall'
amount,
3
Inches
' F ..:.:.t:..'
Total Suspended Solids
pH,
Standard units
Copper
Lead
:
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics'
Benchmarks
200 mg/L or 50 mg/0
6.0 — 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
30 1
L�>
$. l
L ,cd-7— h
c>
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data'from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Da�./1/2012-10/31/2017 SWU-245, last revise 5/2012
0 Page 1of3 *

Facilities ncorporate a solvent management plan into the Stormwater Pr>�on Prevention Plan may so certify, and the requirement for TTO Sitoring
may t w d. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and relief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
— _�y �, �I t
Name (Print name)
4�
Title (Pri title}
(Signat (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they -must be reported in the format, "<XX mgil.", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. S eneral Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of oil per month.
No discharge this period?2
Outfall No.
Date Sample
1
Collected
(mo/dd/yr)
24-hour rainfall
amount,
a
Inches
n-polar O&G/TPH by
EPA 1664 (SGT-HEM)
Totafrsuspended.Sollds ,
pH .
Benchmarks ===>
-
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 sU
Footnotes fr Part A also apply to this Part B
* See 9.gni6ral Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature gfPermittee)
©�S
(date)
Permit Da/1/2012-10/31/2017 SWU-245, last revise '5/2012
Page 3 of 3

Blue Midge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149 [e-mail]
Client :
Industrial Brokerage Services
P. O. Box 1263
Lenoir, NC 28645
Attention:
Customer Services
Date Received:
30-Dec-14
Report Date:
09-Jan-15
Sample Date:
29-Dec-14
BRL ##:
BRL-2014-0875
Lab Sample ID:
LSID-2014-03879
Client Sample ID:
SW-Outfall
Analysis
Analysis
Parameter
Result MQL
Unit Method Time
Date Analyst
TSS
* 12.5
mgll SM 19 2540D 17:03
12/30/2014 KCJ
pH
5.1 HT 0.1
su SM 19th 4500 12.01
12/30/2014 KCJ
Reported By:
S. 3*3ohnson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 1 of 3

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149 [e-mail]
Client:
Industrial Brokerage Services
P. O. Box 1263
Lenoir, NC 28645
Attention:
Customer Services
Date Received:
30-Dec-14
Report Date:
09-7an-15
Sample Date:
29-Dec-14
BRL #:
BRL-2014-0875
Lab Sample ID:
LSID-2014-03880
Client Sample ID:
SW-Outfall
Analysis Analysis
Parameter Result MQL Unit Method Time Date Analyst
Pb * 0.01 moll EPA 200.7 12:32 1/9/2015 1CC1
Reported By:
S. J. nson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 2 of 3

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client :
Industrial Brokerage Services
P. O. Box 1263
Lenoir, NC 28645
Attention:
Customer Services
Date Received:
30-Dec-14
Report Date:
09-Jan-15
Sample Date:
29-Dec-14
BRL #:
BRL-2014-0875
Lab Sample ID:
LSID-2014-03881
Client Sample ID:
SW-Outfall
Parameter
Oil & Grease
[e-mail]
Analysis Analysis
Result MQL Unit Method Time Date
* 5 mgll 1664-A O&G 14:03
8/2015
Reported By:
S. J. nson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 3 of 3
Analyst
KC!

Blue .Midge Labs
PO Box 2940
Le►toir, NC 28645
828-728-0149 [e-mail]
Data Qualifiers
The following is a list of data qualifiers used on Blue Ridge Labs' Reports. Any of the
qualifiers may make the data unacceptable for state reporting. Data qualifiers are
found in the results column and their definitions are as follows:
* The concentration found is below our minimum concentration value which is
reported in the MQL column.
*** The concentration reported is an estimated value. The result is above our
highest standard.
HT The sample was received out of hold time.
IC The sample was received in an improper container.
NC The sample was received without proper cooling.
NP The sample was received without proper preservatives.
IC The sample was received in an improper container.
HS The VOC container was received with headspace present.
NR The sample was not run due to lab error.
UC Unable to confirm analysis due to insufficient sample being submtted.
D Sample was diluted due to physical problems with the sample.
J Value is an estimate from a library search using the nearest internal standard.

I
Blue Ridge Labs, Inc.
\
_�
P.O. Box 2940
Lenoir, NC 28645
Telephone [phone] Pax [phone]
Chain of Custody
NYDS Reporting Groundwater
Sanhary Landfill Hazardous Waste Industrial or QC 4iii State Reporting
E f`
UST/Trust Fund Reporting
Report To:
I&S Environmental
Bill To:
SAME Project Name: ,S C.A1V 1Jb 6'k 4/d cTAlc
PO Box 1263
Lenoir, NC 28644
PO Ntunber:
— _. Ice Present: WN
Field Preservatives Lab Check
Sample ID
Sample
Type
Date
Time
Time do
Temp
HR:MM
°C
Field
Sulfide
Check
Y N
Field
Sti. Ade
Present /
Removed
Y N
Resid
C:h.lor
Field
Cheok
Y N
Field
Dechlorination
Y N
pX
Resid
Chlor
PorA
Temp
°C
Sampler
Initials
Analysis Retluested
Gel - o VOW(
W
0/21
J-
-4�
Reli ui ed y: Date: Time: Re By Dater Time:
i
Upon submission of stimplcs, client agrese that invoices are clue It the time work is completed, Open accounts are due 20 days fallowing invoice date. A finam echarga of 1.5% par month will be imposed on all padue accounts.
When relinquishing somplet to Blue Ridge Labs (BRL), buyer authori= SRL co pt:afann only the analysis indicated above and also agrees to pay collection and attorney feefihe account becomes delinquent. Blue Ridge Lobs
revemes the right to deny documentation for Any work where payment has not been made., in cf a rendering (het data unsupponed for regulatory purposes. 8RL won of guarantee that any regulatory authority will acmpt any work
submittc4, therefbre it is the client's rtsponsibility to request on this form appropriate MM. NC DEN Certified Lab B275

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted z a / Zc, J.i'
CERTIFICATE OF COVERAGE NO. NCG03 0 5 Z
FACILITY NAME
COUNTY (b_
PERSON COLLECTING SAMPLES o►, n P i ►-c _
LABORATORY BLv E Q, 0 L P_ LAB4 Lab Cert. fi
Comments on sample collection or analysis:
1-6 �,4�+•(�L� 1 D L s? -
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Z d. A
SAMPLE PERIOD gg Jan -June ❑ July -Dec
or LJ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]zero -flow ❑Water Supply ❑SA
RECEIVED
❑Other
OCT 0 2 2014 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 �
CENTRAL FILES
DWR SECTION No discharge this period?'
Outfall No.
Date Sample
Collected a
(ma/dd/yr)
24-hour rainfall
amount,
inches3
Total Suspended Solids
A pH,
Standard units
';
Copper
' `
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxlc
Organics s
Benchmarks =__>
_
-
100 mg/L or 50 mg/L
6.0 -- 9r0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
-.cP7 - its
a
�. a�7,� `
/, 5�--
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
` See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469,12; for electronic crystal manufacture use the definition as found in 40 CFR 469,22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Da./1/2012-10/31/2017 SWU-245, last revised '5/2012
0 Page 1 of 3

Facilities incorporate a solvent management plan into the Stormwater Pon Prevention Plan may so certify, and the requirement for TfO.itoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
.�vkly PI
Name (Print name)
S,4FeT�. �.>y,A_._ �4���r n-ti4,aAG.!
Title (Pri t titlDr"i
e)
ai 2 Zb%
(Sign re) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must b_e resorted in the format, "<XXmf:W, where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 5 new oi�per month.
n No dischome this period?2
Outfall No.1
Date Sample
,
collected
(mo/dd/yr)
24'-hour ra
unt,
a
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM) -
Total Suspended Solids
11 . � ; .
_ pH,
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cony of this DMR, including all "No Discharge" reports, within 30 days,o(receipt the lab results (or at end of monitoring period
in the case of "No Discharge" renortsJ to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
Permit Dato/1/2012-10/31/2017 0
qL-, q /zo//f
(Date)
SWU-245, last revised�5/2012
Page 3 of 3

Blue Ridge ,Laps
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client: Industrial Brokerage Services
p. O. Box 1263
Lenoir, NC 28645
Attention: Customer Services
pate Received:
21-Jul-14
Report Date:
01-Aug-14
Sample Date:
21-1ul-14
BRL #:
BRL-2014-0479
Lab Sample ID:
LSID-2014-02200
Client Sample ID:
SW - Outfall
Parameter
Result MQL
TSS
10
pH
6.9 HT 0.1
blueridgelabslenoirGgmail.c.,t ,t
Analysis
A u !:� psis
unit Method -rime
1) .('. An
»ill SM19 2540D 11.18
7/2- : 1114 KC
su SM19th 4500 16:15
7/21 : 1114 kcj
Reported By:
S Johnson, D-R_ Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No, 2�4
Page l of 3

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client : lndusrrial Brokerage Services .
P. O. Box 1263
Lenoir, NC 28645
Attention: Customer Services
blueridgelabsienoirftmail.c 1 11
Date Received:
2l-Jul-14
Report Date:
01 •Aug-14
Sample Date:
21 Aul-14
URL #:
BRL-2014-0479
Lab Sample ID.
LSID-2014-02201
Client Sample ID:
SW - Outfall
Parameter
Result MQL Unit Method
Pb
0.01 mgd EPA 200.7
Reported By:
Analysis
A r .;'cis
Time
D °.I
15 :50
7/25 '. 014
S. J. on, D.R. Wessinger
" Concentrations are below Minimum Quantification i,imit except where noted_
NC Laboratory Certificate No. 275
Page 2 of 3

Blue Ridge Labs
.PQ:,Box 2940
,Lenoir, NC 28645
828-728-0149
Client: industrial Brokerage Services
P. O. Box 1263
Lcnoir, NC 28645
Attention: Customer Services
Date Received:
21-Jul-14
Report Date:
01-Aug-14
Sample Date:
21-Jul-14
BRL #:
BRL-2014-0479
Lab Sample ID:
LSID-2014-02202
Client Sample XD:
SW - OutfalI
Parameter
Oil & Grease
Reported By:
Result MQL
1.5 1
blueridgelabslenoirOgmail.c 1 11
Analysis N li.sis
Unit Method Time D: I: Ana I yst
mg/l 1664-A O&G 14:20 7130 : 14 KC
0 A;; �,-
S. 'nson, D.R. Wessinger
* Concentrations are below inimum Quantification Limit except where noted_
NC Laboratory Certificate No- 275
Page 3 of 3

Data Qualifiers
The following is a list of data qualifiers used on Blue Ridge Labs' Reports. Any( i' '-.tie
qualifiers may make the data unacceptable for state reporting. Data qualifiers :: ie
found in the results column and their definitions are as follows:
* The concentration found is below our minimum concentration value whit I s
reported in the MQL column.
*** The concentration reported is an estimated value. The result is above oG
highest standard_
HT The sample was received out of hold time.
IC The sample was received in an improper container.
NC The sample was received without proper cooling.
NP The sample was received without proper preservatives.
IC The sample was received in an improper container.
HS The VOC container was received with headspace present.
NR The sample was not run due to lab error.
UC Unable to confirm analysis due to insufficient sample being submtted.
D Sample was diluted due to physical problems with the sample_
J Value is an estimate from a library search using the nearest internal star, :i i d.

NPDS Reporting
Report To:
1BS Environruental
PO Box 1263
Lenoir, NC 28644
Blue Ridge Labs, Inc.
P-0. Box 2940
Lenoir, NC. 28645
Telephone [phone] Fax [phone] [3 I
Chain of Custody
Caroundwater Sanitary Landfill Hazardous Wasle
UST/Trust Fund Reporting
Bill To'.
SAME
Field
Industrial or QC
State Reporting L�
Project Name: SC�j�rl E+G >✓CTi�,'�
PO Number:
Ice Present ]T
Preservatives Lab Check
SampletD
Sample
Type
[date
Time
Time &
Ternp
HR:MM
°C
Field
Sulfide
Check
Y N
Field
Suffidia
Present/
Removed
Y N
Resid
ChIor
);field
Check
Y N
Field
Dechlorination
Y N
pH
Resid
Chlor
PorA
Temp
°C
Sampler
Initials
Analysis Requested
41
G �
alul Go,
i
Rnlinqui-skij By, Date: Time -
_ ... 4 si4
711
v owrng tnvorce dale. A fmance charge of 1.5% per month will be imposed on all pmdue accounts.
When relinquishing samples to 81uc Ridge Labs (RRL), buyer authorizes BRL to perform only the analysis indicated above and alyo agrees to pay collection and auorney feef the aecounl becornes delinquent. Bloc Ride Labs
reserves the right to deny do-wriemtion for any work %There payment has not been made, in effect rendering That data nnsnpported for regulatory purposes. BkL caiutat guarantee that any regulatory authority will accept any.wurk
submitted, therefore it is bit client's responsibility to request on this farm appropriate tests. NC DENP Certified Lah 9275