NCG030524_MONITORING INFO_20180713

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IvC&D3l75ay
DOC TYPE
F1 HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ (30A p-7 13
YYYYMMDD

Semi -'annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Resources General Permit No. NCG030000
Date submitted.
CERTIFICATE OF COVERAGE NO. N0003 0 SAMPLE COLLECTION YEAR Rot&
FACILITY NAME (nofE-X IftJ`(&z.f0,V1J&C-t SAMPLE PERIOD ❑Jan -June ❑July -Dec
COUNTY RECEIVED or © Monthly' UNE (month)
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. ii
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
JUL z�[ISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow []WaterSupply ❑SA
CENTRAL FILES 2Other
DWR SIrCTION
PLEASE REMEMBER TO SIGN.ON PAGES 2 AND/OR 3 -)
[?�No discharge this period ?2
Outfall No.
.. -
Date Sample'
1
Collected
(mo/dd/yr)
'; -
24 hour rainfall
amount; .
Inches
_ -•� -=� -- : ._
Total.Suspended Solids"
.; �
pH,
:
Standard units
-�' �. -
-
.Copper;
-.
Lead
-
'.
Zinc
Non -Polar 0&G/
Total Petroleum
Hydrocarbons
Total Toxic
s
Organics
Benchmarks =__?
_
100 mg/L or 50 mg/0
6.0 - 9.0 •
0:007 mg/L.
_ 0.03 mg/L '
0.067 mg/L
15 mg/L
1 mg/
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.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sitesmay 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, man ufacture.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 crystalmanufacture use the definitionas found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
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."
.. Name (Print name)
Title (Print title)
(Signature)
(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 mp,/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:
OutfaEl No.
Date -sample
Collected
(mo/dd/yr)
24-hour rainfall
amount , •. "
3
inche§_ . , _:.'
Non polar 0&G/TPH by
EPA:1664'(SGT=HEM).
Total'Suspended Solids-_ .
pH
Benchmarks-100
mg/Lori 50img/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 EXCEEDANCF 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 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 (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR 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 pr perly gather and evaluate the information submitted. Based on my. inquiry of the person or persons who manage the system, or
those persons directly responsi Ifor gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am awar a here are signifia4t penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Sign,?fure of Permittee)
7 ,�-19
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Resources General Permit No. NCG030000
Date submitted '773.1
CERTIFICATE OF COVERAGE NO. N0003 0 Z � Y
FACILITY NAME (Cp
COUNTY U-NiDff-
PERSON COLLECTING SAMPLES
LABORATORY rvVL(Ljj 64(- Lab Cert. # i �LQrJJ1Z
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR `2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or Monthly' month
RE DISCHARGING TO CLASS ❑ORW ❑ QW [:]Trout ❑PNA
❑Zero -flaw ❑Water Supply ❑SA
JUL 13 zm [j]Other
CENTkAt- I=IL.E-q PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -�
DV'JR SECTJ0f-
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organicss
Benchmarks =_=>
_
100 mg/L or 50 mg/L4
6.0 - 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
Do l
=t 5
34 m i_
0011A
, 0-1ll,� I
t 5
' 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.
4 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 Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
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 5tormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(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 mg/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?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
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 11 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 FRI NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFIC ? YES ZI NO ❑
REGIONAL OFFICE CONTACT NAME: aETI++aNY G&oz& nj Sr4✓ NIy- DumeyZ
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the tab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
1 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 responsibAe for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am awaye-Ml t there are signific t penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signap6re of Permittee) (Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG03 0 S Z 4- SAMPLE COLLECTION YEAR Zol L
FACILITY NAME 1EFTAN �n eL LM- ep_cvN --EATON " ' AMPLE PERIOD ❑ Jan -June ® July -Dec
COUNTY d — 141AID5 or ❑ Monthly! (month)
PERSON COLLECTING SAMPLES KE:?VIN N4oa12-.f1_ DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY M AC12.c> B 4 G -Lab Cert. # iLRttElD ❑Zero -flow ❑Water Supply ❑SA
C' �ln/:SV1r'
Comments on sample collection or analysis: XOther�--�
Part A: Stormwater Benchmarks and Monitoring Results
NOV 0 2 2016
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 3
CENTRAL FILES
DWR SECTION
n No discharge this period?2
Outfali 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/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks =_=>
_
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
DD !
09 1"6
, 4 ..,
. a mG
& . n
0
< S o
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmarl( 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.
A 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 Dat 1) /l/2012-10/31/2017 SWU-245, last revised /-0 25/2012
Page 1 of 3 _.�

.Facilities t' . '.ncorporate a solvent management plan into the Stormwater Pc n Prevention Plan may so certify, and the requirement for TTO. iitoring
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 Tf0 monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible forma naging compliance with the permit monitoring requirement far 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 title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDI_, <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 me/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?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
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: 1 you report a sample value in excess o the benchmark you must implement Tier 1 Tier 2 or Tier 3 responses. See General Permit text.
If p p t .Y p p
FOR PART AAND 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 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 on Ina! and one copy of this DMR including a!1 "No Discharge" reports, within 30 da s of receipt of the lab results(or 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. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(O Ip
(D te)
Permit Dat, 1/1/2012-10/31/2017
SWU-245, last revised 125/2012
Page 3 of 3

Eaton Crouse -Hinds LaGrangc
Mr, Kevin Moore
4758 E. Washington Street
LaGrange NC, 28551
(VMICRQBAC`
Fayetteville Division
Certificate of Analysis
Project; Stormwater sample - Semiannual Outfall # 1
"AMENDED"
Date Reported: 09/29/16
Date Received: 09/06/16
Date Sampled: 09/02/16
Sampled By: Moore
Outfall #l, grab
K610132-01
Analylc Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH
6.0
pH Units
09/02/16
12:00
Moore
pH
Temperature
22.7
°C
09/02/16
12:00
Moore
Field
Analyzed by: Mlcrobac Laboratories, Inc. - Fayetteville
Lead
<0.003
mg/L
09/ 16/16
14:32
JAW
EPA 200.7 Rev 4.4 1994
Oil & Grease (SGT-I1EM)
<5.00
mg/L
09/20/16
10:30
SW
EPA 1664
Total Suspended Solids
4,40
mg/L
09/09/16
13:47
AC
SM 2540 D-1997
Zinc
OA25
mg/L
09/16/16
14:32
JAW
EPA 200.7 Rev 4.4 1994
Analyzed by: Mlcrobac Laboratories, Inc. - Ohio Valley
Copper, Total
0.00740
mg/L
09/13/16
11:42
1Yl-1
E200.7
QC Batch Run - (Aficrabac l,ahoratories, lnc. - Fayetteville)
Analylc
Result
Units
Source
RPD
Limit
Lead
0.476
mg/L
K610190
65
200
Total Suspended Solids
13.8
mg/L
K610131
2
5
Total Suspended Solids
1.26
mg/L
K610144
50
5
Total Suspended Solids
8.42
mg/L
K610196
2
5
Lead
ND
mg/L
K610068
0
200
Lead
0.007
mg/L
K610190
13
200
Lead
0.247
mg/L
K610068
2
200
Zinc
0.010
mg/1-
K610068
18
10
Zinc
0.919
mg/L
K610190
0.7
10
Zinc
0.255
mg/L
K610068
2
10
Zinc
1.36
mg/1,
K610190
20
10
QC Batch RUU - (Aficrobac Laboratories, Inc. - Ohio tallev)
Analyte Result Units Source RPD Limit
Rainfall: 0.44"
Report amended on September 29, 2016 For work order K610132 that was originally reported on September 28, 2016 to correct field pH value.
Microbac Laboratories, Inc. Page 1 of 3
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 If I www.microbac.com

Eaton Crouse -Hinds LaGrange
Mr. Kevin Moore
4758 E. Washington Street
LaGrange NC, 28551
Notes and Definitions
V MICRQBAC`"
Fayetteville Division
Certificate of Analysis
Project: Stormwater sample - Semiannual Outfall # 1
Not detected at or above adjusted sample detection limit
State Certifications:
NCDNR f#II
NCDOH 437714
"AMENDED`*
Date Reported: 09/29/ 16
Date Received: 09/06/16
Date Sampled: 09/02/16
Sampled By: Moore
Respectfully Submitted
Bonnie K. Sanders, Senior Project Manager
Thank you for your business. We invite your feedhuck on our level of,cervice to you. Plruse conluct the Mvision Manager, Soh Dermer at 910-864-1920 with any
questions. You may also contact d. 1 rewr Boyce, PresJdew at president a 1pactubuc.cool
Microbac Laboratories, Inc.
Page 2 of 3
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com

A
Fayetteville Division 2592 Hope Mills Road — Fayetteville, NC 28306 (910) 864-1920186-e
�I'
CHAIN OF CUSTODY RECORD
PAGE
3
* K6f0132"
CLIENT NAME BADDRESS:
Eaton - Cooper Interconnect
4758 E. Washington St
La Grange NC 28551
POO
PROJECT I LOCATION:
Semi Anneal Storm Water
co
W
O
LL m
Q
TYPE OF ANALYSIS
PRESERVATION (CODE)
u
-o
'(9
U
z
(D
(rj
d
-
J
r
tL
CODE: A = None
B = HNO3 (gH<2) + <6°C
C = H2SO4 (pH<2) + <6°C
D = NaOH + <6°C
E = ZN Acetate + <6°C
F = HCI
G = Sodium Thio
CONTACT PERSON, Mr. Kevin Moore
EMAIL:
kevinbmoore@eaton, C..O&A
SAMPLED BY.
%f • n
M��
PHONE NUMBER: 252.566.0262
DATE 1 METHOD OF SHIPMENT:
SHIPMENT:.
g'' G l',,�� i&g- -q
LAB ID #
SAMPLE TYPE
DATE
TIME
COMP
GRAB
PH
FLOW
TEMP'C
RM
CHLORINE
SULFIDE
Stormwater
1
C
2
C
1
A
4k
ZZ •7
D J
S7D
r N
Lab
Rs n Wshed by:
�. /1 j
Date
9!6-qs
Time
Received by: (Sign
2
Date
�1
Time
ingulshed ay-
--
D
q- 6-
Time
�;
Re b_y:(S nature)
Da a
time
3
r✓6
Lx
hart ay:
� $
Date
- -16
Time
f
ei {Signature) •
r-r - 619
Date
-G-I �o
Time
is
ph Fiel &/—& , 0 ph Field: Water Level #1
Temp Field 1: ' f ' ' F: Temp Field 2: Water Level ;#2
�Z• 7 oG
G144&tF RAC- 9- 6,: -3C F-A 4n '!:;)-2-IG
Initkvs
Turnaround time: REGU RUSH
Comments or Special Hazards:
IS DATA FOEG. COMPLIA,WE PURPOSE?
NO YES VV WHICH:'7aA►►'�+�✓�T�
REVIEWED
Page 3 of 3 -

NCDENR
r Stormwater Discharge Dutfall-.(SDD)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit. http�,//I)oi-tal.ncdenr.org/web/wgJws jsu./nodessw#tab-4
Permit No.: N/C/ /=/ _/�/�/�/_/ or Certificate of Coverage No.: N/C/G/D/31-Q1 / Z/1/
Facility Name: 4ppDER Te�•�G��/JV�'GT" (4� — �#TaA1A �oUSE-141ki S
County: L&NvI 4 Phone No. S' o &-- OZ6.Z-
Inspector:
Date of Inspection: q' 2 - ZcP1.6
Time of Inspection: 12 : dy P�
Total Event Precipitation (inches): • D/1I /ZA'M Ss&A&E Lf-D TIME of r657 /Sall
Was this a "Representative Storm Event" or "Measureable.Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
I some permits do not have this requirement. Please refer to these definitions, if applicable.
{ A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
4 and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is repre'sentativ'e for local storm events during the -sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By thi s� nature, erti that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. 001 Structure (pipe, ditch, etc.) J7)/7_e!k4
Receiving Stream: eL CZC-9K--
describe�he industrial activi ies th t occur within the outfall drainage area: A cA
OF 14-"139CW- 4- AiAST7G rNleGTioty &4yLDeo r Ducas
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light; medium'Aark) as descriptors: _
3. Odor: Describe any distinct odors,�hat the discharge may have (i.e., smells`strongly of oil,
weak chlorine odor, etc.): /Vows ZT,b-GT&b
4. Clarity:- Choose,the�numbef which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 iK, 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
] X 3 4 5
7. Is there any foam in the stormwater discharge? Yes , 'b
B. Is there an oil sheen in the stormwater discharge? Yes
9: is there evidence of erosion or deposition at the outfall? Yes o
10. Other Obvious Indicators of Stormwater Pollution:
List and describe � lom Ex j2 agFAVZ7> boxf"6 SA"I R I /N 4_
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

yr
Stormwater Discharge Outfall [SDO]
i Qualitative Monitoring Report
For guidance on filling out this form, please visit. http://portal.ncdenr.orglweb/wq/ws/sulnpdesswtttab-4
Permit No.: IV/C/ / /_/_/�/�/_/ or CertiUate`of Coverage No.: NjQ/G/0•/3/-/
Facilit Name" �".Lb/�Y/L Zn17't=P—CZ-111JAIa'-I'-r f AVA—,!5Arhlu
Y —
County:N�l,
Inspector
Date of Inspection:
Time of Inspection:
o !7' DArl
Phone No. 2 ✓Z
9
17 U
Total Event Precipitation (inches): FU N
Was this a "Representative Storm Event" or "Measureable Storm Event asrefined by the permit?
(See information below.) g
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during,a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events,duri, the sampling period, and the permittee
i obtains annroval from the local DWO Rep-ional Office.
By th s gnatur I c rtify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 142
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.) r-044
Receiving Stream:
Describe the industrial activiti s that occur within the outfall drainage area:
FJ� >2t-4 RAP7r? -F- P'7,0S`T/,- L/`/DL�'T/rysl rl�%acr�G:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium,.dark) as descriptors: �/0-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): AatC--y 7-
4. Clarity: Choose the number which best describes'the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 X 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? Yes 0
B. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes 'A
10. Other Obvious Indicators of Stormwater Pollution: \
List and describe iVoA% ✓&-/l
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU-242, Last modified 10/25/2012

Semi-annual Stormwater Discharge Monitoring Re ort
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG03 zT 2 A %C• /� S PLE COLLEC kON YEAR �� S
FACILITY NAME r �jL C7%, �N/�S LE PERIOD Jan -Junes ❑July -Dec
COUNTY ClIZ uwsa or ❑ Monthly _ (month)
PERSON COLLECTING SAMPLES t/V 0q0-6_ DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY M IC{Z 0 SA G _ Lab Cert. # ❑Zero -flow ❑Water Supply []SA
Comments on sample collection or analysis: Other
Part A: Stormwater Benchmarks and Monitoring Results
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,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
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
001
20
•,Sri
Bo
.p
-vdg
.002.
. 0+3
<5: 00
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.
4 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 Dat /1/2012-10/31/2017 SWU-245, last reviser' 125/2012
`' Page 1 of 3 t.'

Facilities t' ' incorporate a solvent management plan into the Stormwater Pc in Prevention Plan may so certify, and the requirement for TTC nitoring
may be waved. 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."
Name (Print name)
Title (Print title)
(Signature)
(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 melL", where XX is the numerical value _ofthe detection
limits reporting limit etc. iin 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 > 55 gal of new oil per month.
D No discharge this period?2
0utfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 su
X
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 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 (or 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
am aw[Lat here are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Permit Dat, /1/2012-10/31/2017 SWU-245, last revised `25/2012
�� Page 3 of 3 �.r

Eaton Crouse -Hinds LaGrange
Mr. Kevin Moore
4758 E. Washington Street
LaGrange NC, 28551
Rainfall:.58"
State Certifications:
NCf)NR #11
NCDOH #37714
6)MICROBAC'
Fayetteville Division
Certificate of Analysis
Project: Slormwater sample - Semiannual Outfall # I
Date Reported: 04/22/16
Date Received: 04/14/16
Date Sampled: 04/12/16
Sampled By: Moore
Respectfully Submitted
Jeanne Overstreet, Project Manager
Thank you for your business. We invite your feedback on our level ofservice to you. Please contact the Division Manager, Rob Uermer at 910-864-1920 with any
questions, You tray also contact J. Trevor Boyce, President at presidentCla microbac.coni
Microbac Laboratories, Inc.
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com

Fayetteville Division 2592 Hope Mills Road — Fayetteville, NC 28306 [phone] / 864-8774 far
(i6>MfCR0BAC-.,
CHAIN OF CUSTODY RECORD
PAGE 1 OF
I�d�@W611M�VAY
CLIENT NAME& ADDRESS:
Eaton -Cooper Interconnect
4758 E. Washington St
LaGrange NC 28551
PO#
PROJECT! LOCATION:
Semi Annual Storm Water
UJJ
m
U.
O
TYPE OF
ANALYSIS
PRESERVATION (CODE)
l�
i j
7
J
CL
Ul
r
m
O
(')
E
m
L
�
CODE: A =None
B = HNO3 (pH<2) + <6°C
C = H2SO4 (pH<2) + <6'C
D = NaOH + <6°C
E = ZN Acetate + <6°C
F = HCl
G = Sodium Thio
corrracrPeRsoN: Mr. Kevin Moore
EMAIL;
kevinbmoore eaten. Cc r4
SAMPLED BY:
PHONE NUMBER: 252.566.0262
DATE 1 METHOD OF SHIPMENT:
LAB ID #
SAMPLE TYPE
DATE
TIME
COMP
GRAB
PH
FLOW
TEMP *C
CHLRORINE ES
SULFIDE
Stormwater
x
�
1
CfLP
2
C
-2
1
A
b
-� v✓ , r�
�f 12 Zorn
17. 2
17 Z
Lab I111was
Turnaround time
Rol shed by:
r
Date
9/3�v C
Time
R tl by: (signal ur
2
Date
Time
e qu shed b
/Date /
TI
c by: jStgnaturej V
Dale
R qu shed by:
Time
Retelv4d by: gnat e)
Data
Time '
jDale
5
6
ph Field: se I o ph Fleld: Water Level #1
Temp Field 1: 7Zb P Temp Field 2: Water Level #2
. 58
REGULAR RUSH
Comments or Special Hazards: REVIEWED
�-15�1Cv
IS DATA FOR EG. COMPLIANCE PURPOSE?
NO YES WHICH:'('`''y���

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted O V-30h 5'
CERTIFICATE OF COVERAGE NO. NCG030524
FACILITY NAME _Cooper Interconnect
COUNTY Lenoir
PERSON COLLECTING SAMPLES _Mike Graham
LABORATORY_Microbac Lab Cert. ## _11 NCDENR
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _2015
SAMPLE PERIOD ® Jan -June ❑ July -Dec
❑ Monthly' (month)
c5.rr"won-O CLASS ❑ORW ❑HQW []Trout ❑PNA
�1ij���� ❑Zero -flow ❑Water Supply ❑SA
®Other_C; Sw, NSW
CENTRAL. FILES
DWR SECTIQWASE 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,
inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks -_->
_
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
i mg/L
001
07/13/15
1.00
9.33
6.5
0.0110
0.00600
0.0200
<5.00
NA
' 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.
3 The total precipitation roust 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 Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the 5tormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be wafved. 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 5tormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(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 mg 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 I, 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?1
Outfafl No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
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, Ver 2, or Tier 3 responses. See General Permit text
f 1-
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 EXCEEDANCES 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 -(or of end of monitoring_
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
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
4'1 7% lS
(Signature of Permittee) (Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3