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NCG060105_MONITORING INFO_20181212
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V C& C)�o�I D 5 DOC TYPE ❑HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ jlolq o I a YYYYMMDD SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 30Nov18 CERTIFICATE OF COVERAGE NO. NCG060105 DEC I Z015 SAMPLE COLLECTION YEAR 2018 FACILITY NAME GlaxoSmithKline Zebulon FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Wake CEN i RAL 51LE8 ❑use/process meats ❑use animal fats/byproducts PERSON COLLECTING SAMPLES Joe_((Mark) Poythressi WR �EG"CION DISCHARGING TO SALTWATERS? DYES ®NO LABORATORY Microbac Laboratories Inc. Lab Cert. #NCDNR 11 & NCDOH 37714 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitorine Results Total event rainfall 1 0.3" or n Nn dkrhnrnp thic nprinrP Dutfall Now Sample Collected, VH,.. Standard units°.'' �4, COp; m' L,,;. 011 and Grease ; mg/L Fecal'Caliform ;' Colonies, ml Enterocotiil Colonies per 100 till . BencFimark... .. _� ;.100 or'50^' ""'Within 6.0-.9.0 ` 120 ". 30` 1000 500. , 005 11/12/18 3.17 7.6 <10 <5.00 N/A N//A 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any. outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ®no (if ves, complete Part B) 11 Part B: Vehicle Maintenance Area Monitoring Kesults: Only Tor tacinties averaging > 55 gal of new motor oil/month. i mb'Collected, Oil and,Grease, TSS, pH, New Motor Oil Usage, p.. Outfall No .Sam le /dd%yr mg/L - . mg/L + -Standard units Annual average. gal/mo Benchmark - 30 1001or'504 6.0 - 9.0 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. s For sampling periods with no"discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. ' r~� SW J-249 Last Revised: October,18, 2012 Paee 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION B. i 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 of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: I Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 11 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 I person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted F s, 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 Perm (Date) Z j r, Additional copies of this form may be downloaded at: http://portal.ncdenr.ore/web/wq/ws/su/npdessw#tab-4 a+ SWU-249 Last Revised: October, 18, 2012 Page 2 of 2 I GSK Mr. David Schaefer 1011 N. Arendell Avenue Zebulon, NC 27597 Project Special Information Case Narrative Rainfa[I: 0.3' Analytical Testing Parameters OMICROBACO :YMicrobac t.aboratories, Inca Fayetteville CERTIFICATE OF ANALYSIS K8 K0218 Project Name: Stormwater Sample - Semiannual Project 1 PO Number: NIA Received: 11113/2018 Reported: 11 /30/2018 Cl€ent Sample ID: Stormwater, grab Sample Matrix: Stormwater Collected By: Poythress Lab Sample ID: K81<0218-01 Collection Date: 11/12/2018 12:56 Wet Chemistry Result RL Units Note Prepared Analyzed Analyst Method: EPA 1664 Rev. B Oil & Grease (SGT-HEM) <5.00 5.00 mg1L 11/20/18 0838 TAB Method: SM 2640 D-2011 Total Suspended Solids 3.17 3,17 mglL 11/15/18 1123 MT Method: SM 5220 D-2011 COD, Total <10.0 10.0 mg/L 11115/18 1230 DC Field Samplingfresting Result RL Units Note Prepared Analyzed Analyst Method: Field Rainfall 0.30 inches 11/16/18 1204 11/27/18 1309 JMO Method: Field Observation Color Clear Odor None Clarity Clear Floating Solids Some Suspended Solids (Residue, Non -Filterable) None Foam None Oil Sheen None Erosion Evidence None Other Pollution Indicator; None Method: SM 2550 B-2010 Temperature, Field 9.9 Method: SM 4600 H+B-2011 11/16/18 1204 11/27/18 1309 JMO 11/16/18 1204 11/27/18 1309 JMO 11/16/18 1204 11/27/18 1309 JMO 11P16118 1204 11/271i8 1309 JMO 11/16/18 1204 11/27118 1309 JMO 11/16/18 1204 11/27/18 1309 JMO 11/16/18 1204 11/27/18 1309 JMO 11/16/16 1204 1IJ27118 1309 JMO 11116118 1204 11/27/18 1309 JMO 0.1 "C 11/12118 1256 JMP Microbac Laboratories, Inc. 2592 Hope Mills Rd 1 Fayetteville, NC 28306 1 910.864.1920 p I www.microbac.com Page 1 of 4 _ OMICROBACS �Microbac laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8K0218 Client Sample ID: Stormwater, grab Sample Matrix: Stormwater Collected By: Poythress Lab Sample ID: K81<0218-01 Collection Data: 11112/2018 12:56 Field Samplingrresting Result RL Units Note Prepared Analyzed Analyst pH, Field Test 7.6 1.0 pH Units 11/12/18 1256 imp Definitions MDL: Minimum Detection Limit RL: Reporting Limit Project Requested Certification(s) Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPDES Report Comments Reviewed and Approved By: Samples were received in proper condition and the reported results conform to ��I !L applicable accreditation standard unless otherwise noted. The data and information on this, and other accompanying documents, represents only the sample(s) analyzed. This report is incomplete unless all pages indicated Jeanne Overstreet in the footnote are present and an authorized signature is included. Client Relationship Specialist, Environmental Reported: 11130120IB 09:21 Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p I www.microbac.com Page 2 of 4 illn ulahed byr call, VMS. Avog]Vad byt 131glolural Doi* Time, LO I gllnq;klehvd by., Z Ma— Time Oat V TImt dunquf4hid by-. Do I TIM11, Rectivid 17 (Signaturo 61 ,PhTlild`- -7, (v ph Flold; TOMP.Mild q:—Tj-;1T9M? F12162:; WaterLbvo Wator Leval,W Fayetteville Division 259Z Hope Mills RoadL— Fayetteiville, NC 28306 (91D) 8641920T884-8774 fax CHAIN OF CUSTbby'RECORD PAGE I PF---I_. %1ENT MAMS &ADDR esr- /oil, ArWRIC 415' Poi J. PROJECT/ LOCATION! , +6rK0A4-re '!� rn U. 0 TYPEW ANALYSIS PREsrzRvA-Tio r f �Lj YSS 11�. 1, i 1 I CODE: N,= None 8 =:HNO3 (PH<2) + <BIC ++<<B 7�ic C='H=4 (p.H<2) + <S'C 0 = Ne OK + <8'C E - tN Acetate + -B*C F= HC[ G!; Sodium Thlo- NTAQTP9Rsom:- Its FAMPLUBY'. k 13ATG1MSTXDDQxSH1PMF4m: SWPLF-�TYPH 13ATE TIME DOW- GRAII P H PLOW TMP!C CHLORINE SULFIDE J. S +c rfft &3r.Ac r L 'Lab lnftlala-.). Tumdrou6d,flme: ':REGULAR RUSH commahta,dr Specla) Hazards; IS -DATA FOR.REG. COMPLIANCE FiURPdtE? NO YES-WHXH: k J G�C1L 'K8K0218' STORM WATER -QUALITATIVE MONITORING STORM SITE # DATE SAMPLED COLOR ODOR CLARITY FLOATING SOLIDS SUSPENDED SOLIDS FOAM OIL EROSION OR DEPOSITION AT THE OUTFALL OTHER OBVIOUS' INDICATORS OF STORMWATER , POLLUTION .leot(L Atle- ve5 � �0 �a /SHEEN /+o 40 2 3 r i i M TOTAL RAINFALL (inches): b , 3 f 4 i LF✓ 13 November 2017 Permitting Authority NCDEQ, Division of Water Quality Attn: Bradley Bennett 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Delegation of Signatory Authority for Reports �(o)G� zpMj uuj�- � o�� I, Troy Webb, Site Director of GlaxoSmithKline — Zebulon, NC (the "Company") do hereby approve of Jim Kenny, EHS Director, and David Schaefer, EHS Engineer, to be "Authorized Representatives" for all signatory requirements related to reports required by the general permit as stated in Part 111: Standard Conditions, Section B: General Conditions, 5.(b)(2) in our general permit NCG060000, certificate of coverage NCG060105. Sincerely, Troy Webb VP & Site Director GSK 1011 N. Arendell Avenue Zebulon, North Carolina 27597 RECEIVED APR 0 4 2018 CENTRAL FILES DWR SECTION SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 0 1 Z37L(vi 18 RECEIVED CERTIFICATE OF COVERAGE NO. NCGO60105 FACILITY NAME GlaxoSmithKline zebulon COUNTY Wake PERSON COLLECTING SAMPLES Joe (Mark) Poythress LABORATORY Microbac Laboratories, Inc. Lab Cert. #NCDNR 11 & NCDOH 37714 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR - 2018 JUN 0 8 2018 FACILITY ACTIVITIES INCLUDE (check all that apply): CENTI<A\L FILES •❑ use/process meats ❑ use animal fats/byprodUbM SECTION DISCHARGING TO SALTWATERS? []YES ®NO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 0.26" or n No discharge this neriod' � Outfali`Na _ Sample,C.oilected,l w TSS, mg/L . r e ' PH;- F,..x.. w:,iSii ndard.units �i[.Op 4 i, , . ^ ,:,� ' �mg/L t OilSantl:G'r`ease°^''Fecal a.::. ii,' .,mg/L,� , .,; W Coliform1 ,, . �. lw.. :Coloniesperal00:m1 Eriterococcil °?. :;.Coianidls per;100 m1� BerrcFimark' °s' r, ' s.k.: . 100 a�;50°' Within.6.0 =';9.0 "120. 30 r 1000 005 05/16/18 7.67 7.0 68.4 <5.00 N/A N//A 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at 2ny outfalls. You must still submit this discharge monitoring report with a checkmark here. 'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ®no Part B: Vehicle Maintenance Area Monitoring Results: only tar tacilities averaging > 55 gal of new motor oil/month. mo/dd/yr ,. mg/L se, T55. ° pH; 1 New Motor Oil Usage, Ou tfall�No'' � �„.SempleCollect Oil'antl^Greg a, �w ^ ' � 5tandard�unit`s�;. A � "� mg/L nnuai average gal/mo Benchmark1'?w ?_ ;, ;30. ':100-or50' 6:0 - 9.0 . . (ifyes, complete Part B) 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at aM outfalls, you must still submit this discharge monitoring report with a checkmark here. 'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. SWU-249 Last Revised: October 18, 2012 Page I of 2 *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 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 o "No Discharge" regortsl to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 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 Pefmittee) O 1 ---TL/N1-:r do( (Date) Additional copies of this form may be downloaded at:.http://portal.ncdenr.Qr�Lweb/wq/ws/su//portal. /n�dessw#tab-4#tab-4 t SWU-249 Last Revised: October 18, 2012 ". Page 2 of 2 ()MICROBACT Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8E0251 GSK Project Name: Stormwater Sample - Semiannual Mr. David Schaefer Project I PO Number: 4501333976 (2017) 1011 N. Arendell Avenue Received: 05/16/2018 Zebulon, NC 27597 Reported: 05/25/2018 Project Special Information Analytical Testing Parameters Client Sample ID: Stormwater, grab Sample Matrix: Stomp ater Collected By: Schaefer Lab Sample ID: K8E0251-01 Collection Date: 05/16/2018 8:00 Wet Chemistry Result RL Units Note Prepared Analyzed Analyst Method: EPA 1664 Rev. B Oil & Grease (SGT-HEM) <5.00 5.00 mg/L 05/17/18 0945 TAB Method: SM 2640 D-2011.., Total Suspended Solids 7.67 1.67 mg1L 05118/18 0944 MT Method: SM 5220 D-2011 COD, Total 68.4 10.0 mg1L - 05/21/18, 0905 oc Field Sampling/Testing Result RL Units Note Prepared Analyzed Analyst Method: SM 2550 B-2010 Temperature, Field 22 0.1 °C 05116118 0800 CLT Method. SM 4500 H+B-2011 pH; Field Test 7.0 1.0 pH Units 05116/18 0800 CLT Definitions MDL: Minimum Detection Limit RL: Reporting Limit Project Requested Certification(s) Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPDES Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p j www.microbac.com Page 1 of 3 f VMICROBAC® Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8E0251 Report Comments Reviewed and Approved By: Samples were received in proper condition and the reported results conform to �"'� �y applicable accreditation standard unless otherwise noted. 1- ,XAZlLxe. zJ The data and information on this, and other accompanying documents, represents Jeanne(overstreet only the sample(s) analyzed. This report is incomplete unless all pages indicated project Manager in the footnote are present and an authorized signature is included, jeanne.(iverstreet@microbac.com 05/25/2018 14:03 b Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 2 of 3 V F.ayefte.ville Divislon 2592 Hope Mfils Road - Fqett6vi1f6,-NC 28306 (910) 864494Q./ BB MICROS A C K8E0251 -CHAIN 0 F'CUSTODY RECORD :UEMT NAM% & ADDRESS: loll .F-Aa1cW, C. ;614 Pot PROJECT I LOCA1113M- U�) IL U TYPE OF ANALYSIS 'PRESERVATION (CODE w NJ E !` COMA = Ndhe' .13 "-,HkC3 (pH�12) + <B-C �C = H2SO4 (pLH<2) + 41C I D. - NaOH + 4-0;. E=ZN Acetate -+ <BIC F ti HC1 G MLSodlum Thlo CONTACT PgROOM 11fii),j I - 9- PHON61 AMPLED M DATRI MUM= OP SHIMMI. 600 Ar_ LAS ID I SAMPLF TYPE DATE. TIME COMP, 13ww PH F�DW, TMO-16 Loma S WUM A ArMQAhle r/1 0 0_ x:0 x If Lao injuais-+. ul]pggla�od ]rya Date TIM Date ilma a In Dais -n;;, Ror."d:. nitjurl, - ■t T Wkmm 3 Lt 4 � E� @LlnqmLshqd byt, DAW Time Rmad by. (aignkturalall fie ph Field: —7. 0 ph Plaid* Water Level ILI Ternp Field 1, IL J. ^I Temp Fleld'l: Water Level 02' d T6maround Hme: 'REGULAR Comments -or Spada] Hazards: IS DATA FOR REG.]COMPLIANCE PURPOtE?. .No YES 'WHICH: I Page 3 of 3 November 10, 2017 N.C. Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 SUBJECT: Permit No. NCG060000 Certificate of Coverage No. NCG060105 GlaxoSmithKline, Zebulon Facility Stormwater Sampling — Year 5, Period 2 Dear Bradley Bennett: laxoSmithKline VG( e Please find enclosed two copies of the SDO Monitoring Report and analytical results for the Year 5 — Period 2 monitoring period at representative outfall #5. Also attached is a summary of our Tier I response for the high TSS value recorded in 2017 period 1. The TSS of this sample is much improved. Finally, there is an additional summary of a non -significant spill event that occurred at our facility after the period 1 sample results were submitted. If you have any questions, please contact me at (919) 269-1966. Sincerely, David Schaefer EHS Engineer GSK 1011 N. Arendell Ave Zebulon, NC 27597 CC: Central Files, Central Office Stormwater and General Permits Unit RECEIVED NOV 2 `; 7_G-,! DVVR SECTION W:14.12 Water Stewardship (formerly 506-Water Mgmt) - GRS02611-Storm Waterl4-Monitoring120171Year 5 Period 21DWQ Report\Cover Ltr - 2017 period 2.doc SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 06Nov2017 CERTIFICATE OF COVERAGE NO. NCG060105 SAMPLE COLLECTION YEAR 2017 FACILITY NAME GlaxoSmithKline Zebulon FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Wake ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Joe (Mark) Poythress DISCHARGING TO SALTWATERS? ❑YES ®NO LABORATORY Microbac Laboratories Inc. Lab Cert. #NCDNR 11 & NCDOH 37714 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfail Z 0.10" or ❑ No discharge this period3 OutfilliNo 'Sample Collected, TSS; ►rg/L, pH; . Standard units �..mg/Lm ' ' xCO'D, f Qilsand Grease, g/ L"._ Fecal.Coliforml; h. Coionies,per 100cm1 . Enterococc�l, ° 3 Colonies er 100;m1' Benchmarkw'r ° 100 or,50° Witliin;6.0 _ 9 0 120 a ���; 430,1000 500 005 10/16/17 18.2 7.3 40.7 <5.00 N/A N//A 1 Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on-site,rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfill 1)Ni 1 Sample 611 cti d, Offantl Grease, . mg/L. - TSS, . �; mg/L'°:_Standard pH units :.- v New Motor Oil Usage, -. .. Annual aUerage:gal/mo fBed-6hma k , ` , > ..... .,-;30 4, a 100:or50.6:0-9 0 (if yes. complete Part B) ' Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on -site rain gauge. 9 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. .•0 SWU-249 Last Revised: October 18, 2012 Page] of 2 *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 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, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of iaw, 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) �Qlt�o� 11 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 .,r S WU-249 Last Revisad: October 18, 2012 Page 2 of 2 ` 0MICROBAC" Fayetteville Division Certificate of Analysis GSK, NAGMS Date Reported: 11/02/17 Mr. David Schaefer Project: Stormwater Sample -Semiannual Date Received: 10/16/17 1011 N. Arendell Avenue Date Sampled: I U/16/17 Zebulon NC, 27597 Sampled By: Poythress Stormwater, grab KU0530-0 t Analyte Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Microbac laboratories, Inc. - Fayetteville COD, Total 40.7 mg/L 10/25/17 11:00 JR SM 5220 D-1997 Oil & Grease (SGT-HEM) <5.00 mg/L 10/17/17 09:00 JR EPA 1664 PH, Field Test 7.3 pH Units 10/16/17 10:30 JMP SM 4500 H+B-2000 (Aqueous) Clarity Clear 11/02/17 12:23 JMO Field Observation Color Clear 11/02/17 12:23 JMO Field Observation Erosion Evidence None Detected 11/02/17 12:23 JMO Field Observation Floating Solids None Detected 11/02/17 12:23 ]MO Field Observation Foam None Detected 11/02/17 12:23 JMO Field Observation Odor None Detected 11/02/17 12:23 JMO Field Observation Oil Sheen None Detected 11/02/17' 12:23 JMO Field Observation Other Pollution Indicators None Detected 11/02/17 12:23 JMO Field Observation Rainfall 0.17 inches 11/02/17 12:23 JMO Field Total Suspended Solids 18.2 mg/L 10/18/17 15:29 TAB SM 2540D-1997 Temperature, field 17 °C 10/16/17 10:30 JMP SM 2550 B-2000 QC Batch Run - (Microbac Laboratories, Inc - Fayetteville) Analyte Result Units Source RPD Limit Total Suspended Solids 60.0 mg/L KU0549 0 5 Total Suspended Solids 156 mg/L KU0608 20 5 Total Suspended Solids 5200 mg/L K7J0663 2 5 COD, Total 6170 mg/L K7J0708 0.7 20 COD, Total 2310 mg/L KU0787 0.7 20 Rainfall: 0.17" Microbac Laboratories, Inc. Page 1 of 3 2592 Hope Mills Road j Fayetteville, NC 28306 1 910.864.1920 p 1910.864.8774 f I www.microbac.com r GSK, NAGMS Mr. David Schaefer 1011 N. Arendell Avenue Zebulon NC, 27597 State Certifications: NCDNR #11 NCDOH #37714 *M1CROBAC® Fayetteville Division Certificate of Analysis Project: Stormwater Sample - Semiannual Date Repotted: 11/02/17 Date Received: 10/16/17 Date Sampled: 10/16/17 Sampled By: Poythress Respectfully Submitted 1'1�tt4t� � yQ 1 r Jeanne Overstreet, Project Manager Thank you for your business. We invile yourfeedback on our level ofservice to ynu. Please contact the Division Manager, Rob Dormer at 910-864-1920 with any questions. You may also contact J. Trevor Boyce. President alpresidenl@micmbar.com Microbac Laboratories, Inc. Page 2 of 3 2592 Hope Mills Road I Fayetteville, NC 28306 1 910.864.1920 p 1910.864.8774 f I www.microbac.com nit tahad by: onto Time 1 Re ad telgntur■} I note Time o �� - lid: � 2 10-1 -1� �i ; 264U ■he y; Data ce ve by: Qna}ure) Gat■ ma 3 ¢m¢e ) 4 .■ Qu ■ ■ : Date T Me Rece a y; ynature) Oa a Tlme 5 1 i - i 8 ph Flefd: � ph Field: I Tamp Fleld 1: is Tamp Flatd 2: 1 Wtttar Level 91 Water Leval #2 Fayetteville Divislon 2592 Mope Mills Road - Fayefteville, NC 28308 (910) 8641920 / 864-8774 fax CHAIN OF CUSTODY RECORD I PAGE -1 _ OF _ 1_ I�IAIDYh�I 'LIENTNAME A'ADDRESS: 5� 1 jo 1 r r� Ann t A I Leb,lcd Ac .? 7597 PO tF PROJECT1400AT10N: C b0-mll) (� CONTACT PERSON: u� A U,5cpp1d e4e1e PHONt r l r 3.1 t I �/ M LL GATE 1 METHOD DY SHIPMP_NT;/�0 r cry vi a :DATE TIMEy� cc)m areAa TYPE OF ANALYSIS PRESERVATION (CODE) ¢ � � _ ` o �.L CODE: A = Norle H m HNoB (pH<2) +<6■ C C = H2SO4 (pH<2) + <6'C 0 = NaOH + <G'C E = ZN Acefata + <B'C F = HCI G = Sodlum Thlo sUr.PtDi PH now I TFMP'C CHLORINEIX iAMPLEn BY, rrss 'LAS10 SAMPLE7YPE. / e 1a a Lab lnitials.-*- Turnaround time: REGULAR RUSH Comments or 5peolal Hazards: On -Q-z, IS DATA FOR REG, COMPLIANCE PURPOSE? NO YES WHICH: REVIEWED Page 3 of 3 r.y r GSK Zebulon Tier I Response: High TSS Year 5 Period 1 Representative Outfall Sample NCG060105 31Mar2017 — Stormwater sample taken by Microbac labs at GSK Zebulon representative outfall. On site pH reading of 6.8 is within parameters. 13Apr2017 — Stormwater analytical results received by GSK Zebulon from Microbac Laboratories on all required characteristics by permit NCG060105. The TSS level of 104 mg/L exceeds the benchmark value by 4 mg/L, triggering a Tier I response by GSK Zebulon. 24Apr2017 — Site Stormwater management inspection performed by David Schaefer, EHS Engineer, as required by Tier I response. Following trouble areas identified for action: • Two storm drains within pavement east of main site energy center show that one leading to other has high liquid level, seeming to indicate blockage. It was found later that this drain has a sump that is lower than the connecting pipe (probably to easily capture dry weather spills ). • Hill directly west of dust collector building shows large areas of exposed soil. Stormwater from hill eventually leads to storm drain system within gravel area near production building. ZrI • Storm water outfalls west of MDPI building (series of rip -rap depressions with steel pipes) are mostly filled with sediment. **Corrective actions identified and approved —see below.** • Representative Outfall was very clear (unlike date of sample 31Mar17). It was identified that the date of the sample, a nearby project to install a new manhole had caused trackout of soil into the roadways, very close to the representative outfall. While the roads had been cleaned since that date and may have allowed future samples to be within benchmark limits, it was decided to still move forward with other stormwater management correction projects. 01May17 — Meeting held to share results of stormwater management inspection with contractors to develop project plan. 07May17 — First item completed -- Edwards Inc. repaired erosion control fencing near South Admin emergency generator project and added additional straw bales. (Complete landscaping solution identified for hillside to be completed before end of year, after completion of project.) ***Delays for remaining projects.*** This site has complex vendor management and quote approval processes. Multiple quotes were requested, the approval process is slow, and then the vendors would schedule far out in advance or had to wait for other vendors (i.e. the storm drain cleaning service). However, we were always in talks regarding projects and drove to have them all completed. y 1� I V Week of 31Ju117 — Landcare adds riprap to storm drain entrance to system near gravel yard. Also, gravel bag filters are added to storm drains within gravel yard area and contractor gravel area to prevent sediment from entering stormwater system. 11 21Aug17 — Updated training in powerpoint format has been distributed to engineering staff, including references to erosion control. Site is also currently arranging a site visit by Tetratech for an erosion evaluation of the entire site. The sum of these actions should greatly reduce the total suspended solids in storm water outfalls. In addition, the site has much better awareness and is working harder to identify and control potential erosion issues, particularly those related to construction projects. FQrany q�es ons related to this Tier I response, please contact me at (919) 269-1966 0: David Schaefer, CHMM EHS Engineer GSK 1011 N Arendell Ave Zebulon, NC 27697 Email david.x.schaefer@gsk.com Non significant dye spill — Report dated 04May2017 On 01May17, it was discovered that a pink liquid was inside of the storm drain east of the main site energy center, just to the north of the rollup door entrance to the Chiller room. This was documented with a photograph. As EHS was aware of a pink dye being used on site to search for water leaks in the chill water closed loop, contact was made with CBRE to determine how the dye made its way into the storm drain. That evening, CBRE utility technicians used a pump to remove 55 gallons of the dyed water from the drain, finding it to not change the level much. The CBRE maintenance manager discovered the next morning that a chill water leak was occurring in Air Handler 90, which is positioned on the roof of the building. The air handler allows ambient condensate to enter the storm drains on the roof, which is acceptable. However, this chill water leak from the cooling coils was entering this very storm drain, and sending dyed water into the storm drain on a constant basis. CBRE contacted site based contractors for an expedited repair, and lined up Edwards Inc. to repair the leak the next morning, 03May2017. The leak in AH-90 was repaired at approximately 12:30 pm on 03May17, which halted the leak of pink liquid into the storm drain. The stormwater drain in question, and the stormwater drain just north of the drain outside of the rollup door (located in the alleyway between energy center and SD Mfg) both have deep pits, possibly to collect material like this before sending forward towards the outfall. The drain outside of the EC rollup door has a horizontal pipe near the top of the pit that will drain south towards the series of pipes and drains that enter site outfall #5, which is GSK's representative outfall, discharging to wetlands on GSK property and flowing towards Worth Hinton Road. As the pits must be full to a high level before sending water south toward the outfall, it is likely water from these pits only overfills the pits and flows toward the outfall during rain events or massive spills / leaks. From 01May17 to 04May17, no water flowed towards the outfall from this pits. The leak was collected into drums by CBRE using a sump pump 02May-04May17. The afternoon of 02May2017, Dave Schaefer EHS investigated the environmental impact of the leak. CBRE provided an SDS of the dye used (Kingscote Chemicals — Bright Dyes Industrial Red Liquid). This SDS showed that the dye contain 5-10% Basic Violet 10. This dye is non-biodegradeable, per an SDS of the pure substance sourced from Sigma Chemical. However, it is also not a marine pollutant. It was found that over the course of a year, approximately 1 gallon of this dye had been poured into the chill water closed loop system at various times — and much of it may have entered the storm water system from the time the leak from AH-90 had begun. After the discovery of the pink water in the storm water drain outside of the energy center 01May17, all efforts had been made to collect the dyed water present without discharging any more to the environment. However, prior to 01May17, the leak was not known, and dyed water is known to have entered the stormwater drains and pipes leading to outfall #5, and passing through the outfall into the wetlands. A gemba of the wetlands was conducted on 02May17 by David Schaefer EHS. He viewed the water in the shallow stream leading from the outfall, and saw a faint tinge of pink to the water. Three photos are attached in this file, and the pink tinge is not easily noticeable without historical reference. The surrounding soil and plant life did not show signs of staining. The level of the dye at this location is estimated to be 5 ppm or less, conservatively. The dyed water in the storm drain was determined to be - 50 ppm by CBRE utility technicians. The dilution of this water prior to entering outfall #5 is estimated to be at least 10x during a measureable storm event, which is likely conservative as 3 major branches of storm drain feed this outfall. This stream from outfall #5 combines with several other stormwater streams before finally leaving GSK property near Worth Hinton Road. This stormwater system will eventually join the Little River. As there are several dilutions prior to leaving GSK property, it was also estimated that the level of dye in water leaving the GSK property is much less than 1 ppm, and is likely in a lower concentration in ppb. This dye is shown to not be a marine pollutant. While it is not biodegradeable, it is not especially toxic in the environment in low concentration per SDS. It is also not a hazardous substance, not a reportable quantity under section 311 of the Clean Water Act, nor is it in section 102 of CERCLA. While the dye also contains a small concentration of acetic acid, the acetic acid found in this spill will be on the same order as the dye concentration. Even if all of the dye poured exited the site at once, it would total less than 1 lb of acetic acid, much less than the reportable quantity of 5000 lb. For these reasons, GSK Zebulon EHS determined this spill to not meet the definition of a "Significant Spill" or "24 hour reporting" required notification to the NC Dept of Water Quality as described in section E of the NCG060000 general wastewater permit. This event does meet the definition of "other non-compliance" as defined in section E of the wastewater permit, and GSK Zebulon will report this instance during the next monitoring period of July - December 2017. Please direct any questions related to this incident to me at (919) 269-1966. David Schaefer EHS Engineer GSK 1011 N. Arendell Ave. Zebulon, NC 27597 david.x.schaefer@gsk.com 25Apr17 N.C. Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 SUBJECT: Permit No. NCG060000 Certificate of Coverage No. NCG060105 GlaxoSmithKline, Zebulon Facility Stormwater Sampling — Year 5, Period 1 Dear Bradley Bennett: WG laxoSmithKline RECEIVED MAY A 8 ?Q 17 CEN7'RAL FILES °WR SECTION Please find enclosed two copies of the SDO Monitoring Report and analytical results for the Year 5 -- Period 1 monitoring period at representative outfall #5. We have noted that the Total Suspended Solids sample result is over the benchmark level allowed by permit by 4 mg/L. Our site has begun a Tier I response to this result, having completed a site storm water management inspection that includes controls and observations that should improve the quality of the site storm water. The results of the Tier I response will be documented in the storm water pollution prevention plan as required by the permit. If you have any questions, please contact me at (919) 269-1966. Sin rely, David Schaefer ENS Engineer CC: Central Files, Central Office Stormwater and General Permits Unit r SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCGO60000 Date submitted 25APr17 CERTIFICATE OF COVERAGE NO. NCG060105 SAMPLE COLLECTION YEAR 2017 FACILITY NAME GlaxoSmithKline Zebulon FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Wake ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Joe (mark) Poythress DISCHARGING TO SALTWATERS? ❑YES ®NO LABORATORY Microbac Laboratories, Inc. Lab Cert. #NCDNR 11 & NCDOH 37714 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z 1.3" or ❑ No discharge this Aeriod3 Outfall3No. Sample Collected, p mo/dd/ r TsS, mg/L 'pH, Standard units '.COD, mg/L Oil and Grease, mg/L Fecal Collform• , Colonies per 100 ml Enterococcl , Colonies per 100 nil. Benchmark - 100 or.50 Within 6.0 — 9.0 120 30 • 1000 500 005 03/31/2017 104 6.8 46.8 <5.00 N/A N//A 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/ r Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo 'Benchmark - 30 100 or SO4 6.0.-9.0 - (if ves, complete Part B) 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. SWU-249 Last Revised: October 18, 20I2 Page 1 of 2 *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 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 o "No Discharge"' reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 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." 13 Q� R(('- jo I (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.ore/weblwg/ws/su/nr)dessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 c i OMICROBACO- Fayetteville Division Certificate of Analysis GSK, NAGMS Date Reported: 04/13/17 Mr. David Schaefer Project: Stormrvater Sample - Semiannual Date Received: 03/31/17 1011 N_ Arendell,Avenue Date Sampled: 03/31/17 Zebulon NC, 27597 Sampled By: Poythress Stormwater, grab K7C 1160-01 Analyte Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Micrpbac Laboratories, Inc. - Fayetteville COD, Total 46.8 mg/L 04/11/17 09:27 ELM SM 5220 D-1997 Oil & Grease (SGT-HEM) <5.00 mg/L 04/11/17 10:00 JR EPA 1664 B25 pH, Field Test 6.8 pH Units 03/31/17 09:40 !MP SM 4500 H+B-2000 (Aqueous) Clarity Some 04/06/17 10:49 BKS Field Observation Color Gray/Brown 04/06/17 10:49 BKS Field Observation Erosion Evidence None 04/06/17 10:49 BKS Field Observation Floating Solids None 04/06/17 10:49 BKS Field Observation Foam None 04/06/17 10:49 BKS Field Observation Odor None 04/06/17 10:49 BKS Field Observation Oil Sheen None 04/06/17 10.49 BKS Field Observation Other Pollution Indicators None 04/06/17 10:49 BKS Field Observation Rainfall ' <0.10 inches 04/06/17 10:49 BKS Field Total Suspended Solids 104 mg/L 04/03/17 10:01 TAB SM 2540 D-1997 S1 Temperature, field 16 6C 03/31/17 09:40 JMP SM 2550 B-2000 QC Batch Run - (mcrobac Laboratories, Inc-,rayetievine) Analyte Result Units Source RPD Limit COD, Total 1480 mg/L K7D0148 1 20 COD, Total 4010 mg/L K7D0134 0.5 20 Total Suspended Solids 2860 mg/L K7CI126 13 5 Total Suspended Solids 96.0 mg/L K7C1160 8 5 Rainfall: 1.3" 1 1 Microbac .�Laboratories, Inc. � Page 1 of 4 2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com GSK, NAGMS Mr, David Schaefer 1011 N. Arendell Avenue Zebulon NC, 27597 Notes and Definitions &)MICROBAC° Fayetteville Division Certificate of Analysis Project: Stormwater Sample -Semiannual S 1 Relative Percent Difference (RPD) outside accepted recovery limits B25 <1 Liter of sample analyzed State Certifications: NCDNR #11 NCDOH #37714 Date Reported: 04/13/17 Date Received: 03/31/ 17 Date Sampled: 03/31/17 Sampled By: Poythress Respectfully Submitted �.��1.✓Ga� �a+�GG.�i.P�c� Jeanne Overstreet, Project Manager Thank you for your business. We invite your feedback on our level of service to you. Please contact the Division Manager, Rob Dermer at 910-864-1920 with any questions. You ntay also contact J. Trevor Boyce, President alpraident@microbac.com Microbac laboratories, Inc. Page 2 of 4 i 2592 Hope Mills Road j Fayetteville, NC 28306 1 910.864.1920 p 1910.864.8774 f I www.microbac.com FRBAO Fayetteville Divlslon 2592 Hope Mills Road -Y Fayetteville, NC 25305 (91 O) 854-1920181 a.R774 fax *K7C1160* CHAIN OF CUSTODY RECORD :LIENT NAMB&AOOR855: '05a �p f /�/��jT�, le4gkW'!!jj G-.Ayy ./,l! POp FROJEC !LOCATION: I� tQ o pt 0 LL 0 TYPE OF ANALYSIS F'RES`ERVATI0N (C0DE) "' n • • d "l G01]E: A = None B = HNO3 (pH<2) + <B°C C = H2SO4 IPH<2j + <BIC 0 = N80H +<BIC E = ZN Acetate + r5'G F = HCI - G = Sodium Theo CONTACT PERSON: 1LU P.HONE; I�{ + 1AMPLED SY*, • P. r� DATA! METHOD OF SHIPMENT: % �tr0�ill� LA3 1 .� SAMPLE TYPE DATE ' TIME COMP GRAB FN FLtlYI TEMP'C C LCWHE SULFIDE + 1 0r C � � 3 '� - 10 .n 'V .00 2 �z Lab [nitlals—r Tumaround time: nilnqu had by: ale Tlms Reeelved 6y: (Slgmlure] Date 71ma z• o a u a a y: a s Time Rave ve y: S gna urel Re a Tim e 3 4 In a y: ace a ve i dy: s gnaLun} rata me 5 6 ph Field* ph Fluid: Water Level 91 Tamp Fluid 9: Temp Field 2:" Water Level #2 REGULAR RUSH Comments or'Speciai HazeMs: (} G Qm IS- DATA FOR REG. COMPLIANCE PURPOSE? NO_ YES WHICH: -qa�t /C) I Page 3 of STORM WATER -QUALITATIVE MONITORING 67,5 r- STORM SITE# DATE SAMPLED COLOR ODOR CLARITY FLOATING SOLIDS SUSPENDED SOLIDS FOAM OIL SHEEN EROSION OR DEPOSITION AT THE OUTFALL OTHER OBVIOUS INDICATORS OF STORMWATER POLLUTION 1 o e r w 71 d Q A) 0 2 3 TOTAL RAINFALL (inches): _ J Page 4 of 4 SEMI-ANNUAL. STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 07Dec16 CERTIFICATE OF COVERAGE NO. NCG060105 RECE'VMPLE COLLECTION YEAR 2016 FACILITY NAME GlaxoSmithKiine Zebulon DEC 19 201FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Wake ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Joe (Mark) Poythress CENTRAL FILENSCHARGING TO SALTWATERS? DYES ®NO LABORATORY Microbac Laboratories, Inc. Lab Cert. #NCDNR A &SECTION NCDOH 37714 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall ` 0.10" or U No discharge this period' Outfall.No. Collected, Sammo/ollected, T55, mg/L ` Sia H, ntlard unit C � m L Oil and Grease, m L Fecal Coliforml, Colonies per 100 ml Enterococcil Colonies'per 100 ml Benchmark "- "m . ,,_... 100.or 50° - Within 6.0 — 9.b_a ;; 120 "30 1000 S00 005 11/14/2016 2.8 7.1 <10 <5.00 N/A N//A Uniy dppnes W IdUHLIeb VIOL uac/pr UUe5s rntldlu. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no (if ves, complete Part B) Part u: veniciie Maintenance Area monitoring Kesuits: only for tacwties averaging > 55 gai of new motor on/month. MR �Outfall No: =' •r SamOle .Gollected; y Oil and'Grease, TSS, pH;, , New Motor.Oil Usage,' r ma/dd/yr 'mg/L ;; �. mg/L „Standard units.. Annual averagegalJmo ;. :. ,: . Benchmark , K.H. � - w p 3Of0 P' "" 100,or SO 5.0. 9.0' r UTIly dppiies w iaaiftles LfldL use/Process meats. , 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. SWU-249 Last Revised: October 18, 2012 Page I of 2 *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, NC 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, orthose 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) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/weblwglws/sulnpdessw#tab-4 SWU-249 I Last Revised: October 18, 2012 Page 2 of 2 0 M I CRO BAC"' Fayetteville Division Certificate of Analysis GSK, NAGMS Mr, David Schaefer Project: Stormwater Sample - Semiannual 1011 N. Arendell Avenue Zebulon NC, 27597 Stormwater, grab K6K0609-01 Date Reported: 11/30/16 Date Received: 11/14/16 Date Sampled: 11/14/16 Sampled By: Poythress Analyte • Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Micaobac Laboratories, Inc. - Fayetteville COD, Total <10.0 mg/L 11/23/16 09:20 ELM SM 5220 D-1997 Oil & Grease (SGT-HEM) <5A0 mg/L 11/30/16 16:36 SW EPA 1664 B25 pH, Field Test 7.1 pH Units 11/14/16 09:30 JMP SM 4500 H+B-2000 (Aqueous) Clarity Clear 11/19/16 15:16 JMO Field Observation Color Clear 11/19/16 15:16 JMO Field Observation Erosion Evidence None 11/19/16 15:16 JMO Field Observation Floating Solids None 11/19/16 15:16 JMO Field Observation Foam None 11/19/16 15:16 JMO Field Observation Odor None 11/19/16 15:16 JMO Field Observation Oil Sheen None 11/19/16 15.16 JMO Field Observation Other Pollution Indicators None 11/19/16 15:16 JMO Field Observation Rainfall <0.10 inches 11/19/16 15:16 JMO Field Total Suspended Solids 2.80 mg/L 11/15/16 11:00 JR SM 2540 D-1997 Temperature, field 14 °C 11/14/16 09:30 JMP SM 2550 B-2000 QC Batch Run - (Miawbar Laboratoli-, Inc- - F yea -ill,) Analyte Result Units' Source RPD Limit COD, Total ND mg/L K6K0839 20 Total Suspended Solids 79.0 mg/L K6K0640 7 5 Total Suspended Solids 52.0 mg/L K6K0634 14 5 Total Suspended Solids 2.00 mg/L K6K0589 0 5 Rainfall:.07" .I ",Notes and Definitions B25 <1 Liter ofsample analyzed Microbac Laboratories, Inc. Page 1 of 4 2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com GSK, NAGMS Mr. David Schaefer 1011 N. Arendell Avenue Zebulon NC, 2 75 97 State Certifications: NCDNR #11 NCDOH #37714 OMiCROBACe Fayetteville Division Certificate of Analysis Project: Stormwater Sample - Semiannual Date Reported: 11/30/16 Date Received: 11/14/16 Date Sampled: 11/14/16 Sampled By: Poythress 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 Dermer at 910-864-1910 with any questions. You may also contact J. Trevor Boyce, President aiprr-sident©microbac.com Microbac Laboratories, Inc. Page 2 of 4 2592 Hope Mills Road I Fayetteville, NC 28306 1 910.864.1920 p 1 910-864.8774 f I www.microbac.com she by Date T� Recelve(Slpt Dote Tlm■ 4.0"Irl r z P1 4Wo r Date TIMI Rac4lvod br. qne urk elk Thne 3 4 ftett"quiAllod Time I RLCIIV04 by., qna ai D1te T e 5 8 ph Maid: -ph Field: Water LQvel &t Temp Fleld 4:, Temp Fleld 2: Water Level #2. Fayetteville Division 2592 Hope MIl1s:Road — Fayetteville, NC 28305 (910) 864-19201864-877 !C R B O "K6K0609* CHAIN OF CUSTODY RECORD ENRON PAG E t Cu TNAM@A DAM.. I11 �J�� ( mw&I Re loll I •' geg&jgn V577 PO PROJECT ILOCATION: 1 C�i�t r,7 ��+Z J4A COHTACTPeRSo ff rr V W}TC' "p— LLI m CI � TYPE OF ANALYSIS PRESERVATION (CODE) 4 A �zzj '7 x w = com A . None 8 = HNO3 (pH<2) + <6■C C = H2SO4 (pH<2) +.<6'C o = NaOH +<S*C' E = ZN Acetate + -cft F = HC1 G = Sodium Thlo PHONE: p ?i1 f j ` �p r 0 — ,�✓� r p( 'T �l SAMPUD IDY: [ �X� DATH! METHOD OF SHIPMENT' l"i I cro MCI LAB ID L• SAMPLE TYPE DATE TIME COMP BRAN PH FLOW TFMP•C, CHLORINE SULFIDE? .C2 Lad inwais--y Turnaround time: REGULAR RUSH Comments orSpedal Hazards: .1, 0 ,-� IS'DATA FOR REG. COMPLIANCE PURPOSE? NO YES WHICH:' Page 3 of 4 STORM WATER - QUALITATIVE MONITORING STORM JiJTE # DATE SAMPLED COLOR ODOR CLARITY FLOATING SOLIDS SUSPENDED SOLIDS FOAM OIL SHEEN EROSION OR DEPOSITION AT THE OUTFAL.L OTHER OBVIOUS INDICATORS OF STORMWATER POLLUTION 1 clale Aan 2 3 TOTAL. RAINFALL (inches):. d * Page 4 of 4 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 13 June 2016 CERTIFICATE OF COVERAGE NO. NCG060105 FACILITY NAME GlaxoSmithKline Zebulon COUNTY Wake PERSON COLLECTING SAMPLES Joe (Mark) Poythress LABORATORY Microbac Laboratories, Inc. Lab Cert. #NCDNR 11 & NCDOH 37714 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2016 FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats []use animal fats/bypr ducts DISCHARGING TO SALTWATERS? [:)YES ®NO 4000000 PLEASE REMEMBER TO SIGN ON THE REVERSE Total event rainfall z 0.10" or ❑ No discharge this period3 Outfall No. Sample Collected, mo/,tld/,yr TSS, mg/il pFl, Standartl units COD, mg/,L Oil and Grease, mg/�L Fecal Coliform , Col_anies per 100 ml Enterococci , Colonies per 100 mi Benchmark - 100 or -OA Within 6A - 9A ®ff1-20 30 1000 500 005 05/17/06 19.2 8.6 21.1 <5.00 N/A N//A Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. CENTRAL F+ 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring dewwgg mark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no Part B: Vehicle Maintenance Area Monitoring Results: oniv for facilities averaging > 55 gal of new motor oil/month. �n (ifyes, complete Part B) 0 U111y dppnes w idUllMes VIM use/pruce» >>iedu. The total precipitation must be recorded using data from an on -site rain gauge. s For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. SWU-249 Last Revised: October 18, 2012 Pagc j_of 2 *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 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, NC 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." ature of Pe /5�2"U-,:qol6 (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 1 ON ` w 0MICROBAC01 Fayetteville Division C C-'---V `� 01V Certificate of Analysis GSK, NAGMS Date Reported: 06/10/16 Mr. David Schaefer Project: Stormwater Sample - Semiannual Date Received: 05/18/16 ] 011 N. Arendell Avenue Date Sampled: 05/17/16 Zebulon NC, 27597 Sampled By: Poythress Stormwater, grab K6E0771-01 Analyte Result Units Analyzed Analyzed By Method Qualifier Rnatyzed by: Microbac Laboratories, Inc. - Fayetteville COD, Total 21.1 mg/L 05/26/16 14:50 ELM SM 5220 D-1997 Oil & Grease (SGT-HEM) <5.00 mg/L 05/27/16 08:54 Sw EPA 1664 pH, Field Test 8.6 pH Units 05/17/16 16:00 JMP SM 4500 H+B-2000 (Aqueous) Clarity Clear 06/10/16 14:42 WO Field Observation Color Clear 06/10/16 14:42 JMO Field Observation Erosion Evidence None 06/10/16 14:42 JMO Field Observation Floating Solids None 06/10/16 14:42 JMO Field Observation Foam None 06/10/16 14:42 JMO Field Observation Odor None 06/10/16 14:42 JMO Field Observation Oil Sheen None 06/10/16 14:42 JMO Field Observation Other Pollution indicators None 06/10/16 14:42 JMO Field Observation Rainfall 0.15 inches 06/10/16 14:42 JMO Field Total Suspended Solids 19.2 mg/L 05/19/16 13:40 CCR SM 2540 D-1997 Sl Temperature, field 21 °C 05/17/16 16:00 JMP SM 2550 B-2000 QC Batch Run - (Mirrobac Laboratories, 1-- - Fayeveviile) Analyte Result Units Source RPD Limit COD, Total ND mg/L K6E0767 20 Total Suspended Solids 15.3 mg/L K6E0780 7 5 Total Suspended Solids 12.0 mg/L K6E0756 9 5 Total Suspended Solids 18.0 mg/I- �� j1 K6E0771 6 5 Notes and Definitions D NTR CTyoN S l Relative Percent Difference (RPD) outside accepted recovery limits Microbac Laboratories, Inc. Page 1 of 4 2592 Hope Mills Road I Fayetteville, NC 28306 1 910.864,1920 p 1 910-864.8774 f I www.microbac.com ty .., 1A &)MiCROBAC' Fayetteville Division Certificate of Analysis GSK, NAGMS Date Reported: 06/10/16 Mr. David Schaefer Project: Stormwater Sample - Semiannual Date Received: 05/18/16 1011 N. Arendell Avenue Date Sampled: 05/17/16 Zebulon NC, 27597 Sampled By: Poythress State Certifications: NCDNR #11 NCDOH 437714 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 Dermer at 910-864-1920 with any questions. You may also contact J. Trevor Boyce, President at president@microbac. rom Microbac Laboratories, Inc. Page 2 of 4 2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f E www.microbac.com Fayetteville Division 2592 Hope Mills Road -V Fayetteville, NC 28306 (910) 864-1920 5)`C *K6E0771*. CHAIN OF•CUSTODY RECORD ', �WWEM�91i� CLIENT NAME& ADDRESS: PC# PROJECT I LOCATION.' 96F TYPE OF ANALYSIS PRESERVATION CODE GSK. iStormwater - Sbm!Annual s .c CODE: A=-4°CONLY 1011 N Arendell.Ave CONTACT PERSON: 0 �. 8 = HNO3 (ph<2) + <4°C Zebulon NC 27597 Ms. Melissa Sequin a ... T , +�' .. C = H2SO4 (phe + <4°c PHONE NAME OF SAMPLER: 919-269-1591 L C9 �.• ;�. E =ZN;Acetate + <4°c'. DATE! METHOD OF SHIPMENT: E 0 F = Sodium Thlo.. S t LAB ID # SAMPLE TYPE DATE TIME COMP GRAB Lab pH D.O. 'TEMP'C HLOSI Storrnwater 11( �(� : 0 0 X L—TTL RellnquNahed Data Time Rec Iv : (Signature) Data 1m 1: -� :� 2�J'� Rellnquished by ate Time seal ed . (Sign ro) Date Time 3 4DaW Rellnqulshad,by, Data lme acelved by: (Signature) me 5 6 Relinquished try; . Date me ace lved by: 15 gnature) Data Ima 7 8 Commerits or, Special Hazards`: Field pH: Rainfall: 7A�—r �4 Page 3 of 4 N STORM WATER - QUALITATIVE MONITORING - GSK STORM SITE # DATE SAMPLED COLOR ODOR CLARITY FLOATING SOLIDS SUSPENDED SOLIDS FOAM OIL SHEEN EROSION OR DEPOSITION AT THE OUTFALL OTHER OBVIOUS INDICATORS OF STORMWATER POLLUTION c ie�f p o � o ar e o A TOTAL RAINFALL (inches): Page 4 of 4 ail, I SEMI-ANNUAL. STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted f� 13 November 2015 CERTIFICATE OF COVERAGE; NO. NCGO60105 RECEIVE QAMPLE COLLECTION YEAR 2015 FACILITY NAME GlaxoSmithKline Zebulon NOV 2 3 2015 FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Wake ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Joe Mark PoythresEENTRAL FILESDISCHARGING TO SALTWATERS? []YES ®NO LABORATORY Microbac Laboratories, Inc. Lab Cert. #NCD VT1 &ECTION NCDOH 37714 PLEASE REMEMBER TO SIGN ON THE REVERSE Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z 0.10" or ❑ No discharge this period Outfall No Sam le Collected - p ' Y mo/_dd%yr TSS, mg/L. pH`,> ;; Standard units COD, mg/,L , Oil and Grease, mg/L,; ;, Fecal Coliform, Colonies per 100 mI Enterococci,, Colames per.100 ml..'. Benchmark ,. x .. 100 or 50 ;�; Within��6.0.- 9 0 , 13 :.:. ', 0 30 `_ .. n 1000 ,500 ., 005 10/27/15 1.0 6.8 <10:0 <5.00 N/A N//A VIIIy CJJJjJI1C, LLJ IGUIIILIUb LIIGL UZ)UIVI VLUJD IIICOLb. xThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no (ifyes, complete Part B) Part tf: vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. OutfalI No ` Samplexowie ied, , .' .' Oil'and Grease, TSS; PHA New Motor Oil Usage, i 60d/yr mg/L :;:'.. , mg/L Standard.units`_ Annual average gal/mo Benchmark.. - 30. 100 or 50 6:0 -- 9.0 - only Clpplle� LU IOL111LItlD LI dL U]l:/FJIVLX.�D I1MOLD. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. SWU-249 Last Revised: October 18, 2012 Pagel of 2 *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 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, INC 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 thu7possibility of fines and imprisonment for knowing violations." a r, � WRA, 1 44 (Signature of Pe' &ittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/sulnadQ sw#tab-4 r SWU-249 Last Revised: October 18, 2012 Page 2 of 2 November 13, 2015 N.C. Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 SUBJECT: Permit No. NCG060000 Certificate of Coverage No. NCG060105 GlaxoSm ith Kline, Zebulon Facility Stormwater Sampling - Year 3, Period 2 Dear Bradley Bennett: WlaxoSmithKline Please find enclosed two copies of the SDO Monitoring Report and analytical results for the Year 3 -- Period 2 monitoring period at representative outfall #5. If you have any questions, please contact me at (919) 404-6812. Sincerely, Melanie Szydlik-Hawkes EHS Director CC: Central Files, Central Office Stormwater and General Permits Unit Y:1506-Water MgmtU-Storm Waterl4-Monitoring120151Year 3 Period 21DAQ Report\Cover Ltr - 2015 Period 2.doc GSK, NAGMS Ms. Melissa Sequin loll N. Arendell Avenue Zebulon NC, 27597 State Certifications: NCDNR 911 NCDOH N37714 6)MICROBACv Fayetteville Division Certificate of Analysis Project: Stormwater Sample - Semi yrly Date Reported: 11/09/15 Date Received: 10/27/15 Date Sampled: 10/27/15 Sampled By: Poythress Respectfully Submitted Jeanne Overstreet, Project Manager Thank you for your business. We invite yourfeedback on our level of service to you. Please contact the Division Manager, Rob Dermer ai 910-864-1920 N ah any questions. You may also contact J. Trevor Boyce, President at presidem@microbac.cam .+ Microbac Laboratories, Inc. Page 2 of 4 2592 Hope Mills Road I Fayetteville, NC 28306 191b.864.1920 p 1 910.864.8774 f I www.microbac.com GSK, NAGMS Ms. Melissa Sequin 1011 N. Arendell Avenue Zebulon NC, 27597 &)MICROBAC" Fayetteville Division Certificate of Analysis Project: Stormwater Sample - Semi yrly Date Reported: 11/09/15 Date Received: 10/27/15 Date Sampled: 10/27/15 Sampled By: Poythress Stormwater, grab K5J 1029-01 Analyte Result Units Analyzed Analyzed By Method Qualifier Field Data Temperature 19. t °C 10/27/15 13:30 Poythress Field Mayzed by: Microbm Laboratories, Inc. - Fayetteville COD, Total <10.0 mg/L 11/02/15 10:00 DSK SM 5220 D-1997 Oil & Grease (SGT-HEM) <5.00 mg/L 10/30/15 10:00 SW EPA 1664 pH, Field Test 6.8 pH units 10/27/15 13:30 JMP SM 4500 H+13-2000 (Aqueous) Clarity Clear 11/09/15 14:27 JMO Field Observation Color None 11/09/15 14:27 JMO Field Observation Erosion Evidence None 11/09/15 14:27 JMO Field Observation Floating Solids None 11/09/15 14:27 JMO Field Observation Foam None 11/09/15 14:27 JMO Field Observation Odor None 11/09/15 14:27 JMO Field Observation Oil Sheen None 11/09/15 14:27 JMO Field Observation Other Pollution indicators None 11/09/15 14:27 JMO Field Observation Total Suspended Solids 1.00 mg/L 10/28/t5 16:00 Sw SM 2540 D-1997 QC Batch Run - (microbac Laboratories, Inc. - Fayenevine) Analyte Result Units Source RPD Limit COD, Total 15.7 mg/L K5K0003 48 20 COD, Total 67.8 mg/1,. K5J1151 4 20 COD, "Total 80.9 mg/L K5J1149 7 20 Total Suspended Solids 86.0 mg/L K5J1052 t2 5 Total Suspended Solids 98.0 mg/l. K5J1025 34 5 Rainfall: 0.10" Microbac Laboratories, Inc. Page 1 of 4 2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1 910.864.8774 f I www.microbac.com u STORM WATER - QUALITATIVE MONITORING STORM SITE # DATE SAMPLED COLOR ODOR CLARITY FLOATING SOLIDS SUSPENDED SOLIDS FOAM OIL SHEEN EROSION OR DEPOSITION AT THE OUTFALL OTHER OBVIOUS INDICATORS OF STORMWATER POLLUTION -C n ont Ale ot. 2 3 TOTAL RAINFALL (inches): Page 4 of 4 iiisionM- 259-211 H6 tteville CHAIN OF CUSTODY RECORD ANC'128306 (gam 864='1920.�/=864.8.--- *K5J1'029* PAGE CLIENT NAME & ADDRESS: PO# PROJECT I LOCATION: #OF TYPE OF ANALYSIS PRESERVATION CODE GSK IStormwater - SemiAnnual a �' CODE: A = <4°C ONLY 1011 N Arendell Ave CONTACT PERSON: O o B = HNO3 (ph<2) + <4°C Zebulon NC 27597 Ms. Melissa Sequin r to C = H2SO4 (ph<2) + <4°C PHONE: T LLj i D = NaOH + <4°C NAME OF SAMPLER: 919-269-1591 L 0. iz y E = ZN Acetate + e4°C l / DATE I METHOD OF SHIPMENT: May E F = Sodium Th70. $ N- =- LAB ID # SAMPLE TYPE DATE TIME COMP GRAB Lab pH D.O. TEMP °C F— U L) C7 ORI NE CHLORINE Stormwater 7.1 / 3 : 30 x - , 3 C � a by: Date Tlma Recalve (SI nature) Date Tlma [Reinhad /o - 5.' 2e nq ishad by: Data Time Received by:(Signature) Data Time 3 4 Relinquished by; pate Time Received by: (Signature) Date Time 5 6 Relinquished by: Date by: (Signature) Date Time 7 fime lRecelvoc! 8 - _71 Comments or Special Hazards: Field pH: Rainfall: o. 1 D j n> '2- fr Page 3 of 4 Z 1� SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCGO60000 Date submitted 5 June 2015 CERTIFICATE OF COVERAGE NO. NCG060105 SAMPLE COLLECTION YEAR 2015 FACILITY NAME GlaxoSmithKline Zebulon FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Wake ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Melissa Seguin DISCHARGING TO SALTWATERS? []YES ®NO LABORATORY Microbac Laboratories,_ Inc. Lab Cert. #NCDNR 11 & NCDOH 37714 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 0.60' or ❑ No discharge this period3 Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH,, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml I Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 '500 005 05/19/15 18.8 6.53 30.2 <5.00 N/A N//A 1 Only applies to facilities that use/process meats. ZThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at 2U outfalls. You must still submit this discharge monitoring report with a checkmark here. � / , 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. V iJ COD a.Clll 80111111C 9 2015 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no (if es complete Part B) lir;;i SECT1014 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. (AIFORPOUION PROCESSING UNIT Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark 30 100 or 504 6.0 — 9.0 - ECFIVE 1 Only applies to facilities that use/process meats. JUN ,,�'� ZThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any. outfalls, you must still submit this discharge monitoring report with a checkmark here. D�yt.p��} `` T ,0hj 1J+Y f t ii W V i Ii�1•! 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. INFORi�$ATION I�:`�OCESS1ldG UM17 SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *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 ATANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an on inal and one cojoX 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, NC 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 Pe (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr,or /web/wg/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 Fayetteville Division .2592 Hope Mills Road Fayetteville, NC 28306 (910) 864-1920 / F **M I11 CHAIN OF CUSTODY RECORD IIIDIIIG�IICIVIIIIPIIIII CLIENT NAMES'ADDRESS: G53< ; 1011-'N Arendell.Ave Zebulon NO 27597 POD PROJEC7ILOCATION: StormWater- SemiAnnual #OF B a T 1 T L ., E ' S„ TYPE OFANAL.YSIS PRESERVATION CODE W � ;,6 O �' .O m L.l.. '- d CODE: A = <4°C ONLY B = HNO3 (ph<2) + <4°C C = H2SO4 (ph<2) + <4°C D = NaOH + <4°C E = ZN Acetate + <4°C F = Sodium Thio. CONTACT PERSON: Ms. Melissa Sequin PHONE; 919-269-1591 NAME OF SAMPLER: GATE! METHOD OFSHiPMENT:' LAB ID # SAMPLE TYPE DATE TIME COMP GRAB Lab pH D.O. TEMP 'C CHLORINE d 1 Stormwater 3 C < a I L pate Time R al y: (Signature) Date Time 1 =R61inquishad za ? �Z 2 -ao-I q a� p a Time Recelved by: (Signature) pate Time 3 4 Relinquished y: Date Time.� Received by: (Slgnaturat Date Time 61 1 6 Relinquished by; Date Time Received by: (Signature). pale Time 7 8. Comments or Special Hazards: Field pH: , 0 �Coh� 2 i 4C 1��15 l� Rainfall: Page 2of5 .�6 STORM WATER - QUALITATIVE MONITORING - GSK' STORM SITE # DATE SAMPLED COLOR ODOR CLARITY FLOATING SOLIDS SUSPENDED SOLIDS FOAM OIL SHEEN EROSION OR DEPOSITION AT THE OUTFALL OTHER OBVIOUS INDICATORS OF STORMWATER POLLUTION 1 e,,Ibf lk)o a—. G e--,'' 40 dA e-- Q D(A e— VUD ► l P— lc TOTAL RAINFALL (inches): © II _ p Page 3of5 GSK Ms. Melissa Sequin 1011 N. Arendell Avenue Zebulon NC, 27597 6)MICROBAC" Fayetteville Division Certificate of Analysis Project: Stormwater Sample - Semi yrly Date Reported: 05/28/15 Date Received: 05/20/15 Date Sampled: 05/19/15 Sampled By: Rob Stormwater, grab K5E0668-01 Analyte Result Units Analyzed Analyzed By Method Qualifier Field Data Temperature 24.6 °C 05/19/15 06:55 Rob Analyzed by: Microbac Laboratories, Inc. - Fayetteville COD, Total 30.2 mg/L 05/26/15 10:25 DSK Oil & Grease (SGT-HEM) <5.00 mg/L 05/26/15 16:00 MLW pH, Field Test 6.5 pH Units 05/19/15 06:55 RWD Clarity Clear s:, 05/28/15 11:33 JMO Color Colorless ;Isc 05/28/15 11:33 JMO Erosion Evidence Some :xz; 05/28/t5 11:33 JMO Floating Solids None !bsA... 05/28/15 11:33 JMO Foam None 05/28/t5 11:33 JMO Odor None 05/28/15 1.1:33 JMO Oil Sheen None 05/28/15 11:33 JMO Other Polution Indicators None 05/28/15 11:33 JMO Total Suspended Solids 18.8 mg/L 05/21/15 13:45 MLW Rainfall: 0.6" Field SM 5220 D-1997 EPA 1664 SM 4500 H+B-2000 . (Aqueous) Field Observation Field Observation Field Observation Field Observation Field Observation Field Observation Field Observation Field Observation SM 2540 D-1997 Microbac Laboratories, Inc. Page 1 of 5 2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1 910.864,8774 f I www.microbac.com NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: hhUp:1112ortal.ncdenr.org/web/wq/ws%su/npdessw#tab-4 Permit No.: H/C/ G / 0 / 6 / 0 / 0 / 0 / Q / or Certificate of Coverage No.: Facility Name: GlaxoSmithl{line - Zebulon County: W Phone No. (919)-269-5 Inspector: Micah Da'Fiil 1cm Date of Inspection: 10 Jun 14 Time of Inspection: 12:10 AM _ AUG 0 7 2nid CENTRAL fiILEs Total Event Precipitation (inches): .57" DWQ/BOG Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) , - m 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. I j 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 during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signaWre, I certify that this report is accurate and complete to the best of my knowledge: I jut i (Sigt) ture olfermittee or Designee) (pFnfry Ev-ro,r 44 31.7ut l� Page 1 of 2 5WU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. 001 Structure (pipe, ditch, etc.) Pipe Receiving Stream: Little River Describe the industrial activities that occur within the outfall drainage area: Pharmaceutical Manufacturing 2. Color: Describe the color of the discharge using basic colors (red; brown, blue, etc.) and tint (light, medium, dark) as he Light Brown 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 � 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 a 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: 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes C o 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Ncn P 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 REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 31 Jul 2014 CERTIFICATE OF COVERAGE NO. NCG060105 SAMPLE COLLECTION YEAR 2014 FACILITY NAME GlaxoSmithKline, Zebulon FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Wake ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Micah Day. DISCHARGING TO SALTWATERS? ❑YES ®NO LABORATORY ENCO Laboratories Lab Cert. # NC 591 and NC 442 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 3 Total event rainfall z or ❑ No discharge this Period Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococc! , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 Soo 005 06/10/14 69 7.8 42 <2.40 N/A N/A 1 Only applies to facilities that use/process meats. zThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New. Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 - t yes. complete Part B) Only applies to facilities that use/process meats. xThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at gny outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES 1N 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 monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 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, incjuding the possibility Ofines and imprisonment for knowing violations." (Signature of U�- Y (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/_w_s/su/npdessw#tab-4 S WU-249 Last Revised: October 18, 2012 Page 2 of 2 & ENCO Laboratories Accurate. Timer. Responsive. Innovative. 102-A woodwinds Industrial Court Cary NC, 27511 Phone: 919.467,3090 FAX: 919.467.3515 Wednesday, June 25, 2014 Atlantic Environmental Associates (AT025) Attn: Candice Moore 2483 Reliance Ave. Apex, NC 27539 RE: Laboratory Results for Project Number: [none], Project Name/Desc: GSK Zebulon Stormwater ENCO Workorder(s): C4018SO Dear Candice Moore, Enclosed is a copy of your laboratory report for test samples received by our laboratory on Wednesday, June 11, 2014. Unless otherwise noted in an attached project narrative, all samples were received in acceptable condition and processed in accordance with the referenced methods/procedures. Results for these procedures apply only to the samples as submitted. The analytical results contained in this report are in compliance with NELAC standards, except as noted in the project narrative. This report shall not be reproduced except in full, without the written approval of the Laboratory. This report contains only those analyses performed by Environmental Conservation Laboratories. Unless otherwise noted, all analyses were performed at ENCO Cary. Data from outside organizations will be reported under separate cover. If you have any questions or require further information, please do not hesitate to contact me. Sincerely, �ee Link Thrower Project Manager Enclosure(s) HPOL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 1 of B CeNS100) www.encolabs.com SAMPLE SUMMARY/LABORATORY CHRONICLE CiientID: GSKZebulonOutfalll Lab ID: C401850-01 Sampled: 06/10/1412:10 Received: 06/11/14 13:20 Parameter Hold Date/Time(s) Prep Date/Time(sl Analysis Date/Timefs) EPA 1664E 07/08/14 06/19/14 1127 06/23/14 10:20 SM 2540D-1997 05/17/14 06/12/14 14:04 06/12/14 14:04 SM 5220D-1997 07/08/14 06/13/14 12:59 06/13/14 16:00 FINAL This report relates only to the sample a5 re" d by the laboratory, and may only be reproduced in full. Page 2 of 8 N � www.encolabs.com SAMPLE DETECTION SUMMARY Client IDt GSK Zebulon Outfall 1 Lab ID: C401850-01 Analvbe ReSVIts nag LDI .L Units Hqthod Notes Chemical Oxygen Demand Total Suspended Solids 42 10 10 mg/L SM 5220D-1997 69 1.0 1.0 mg/L SM 254OD-1997 FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 3 of 8 ceunly!"090)) www.encolabs.corn ANALYTICAL RESULTS Description: GSK Zebulon Outfall 1 Lab Sample ID:C401850-01 Received: 06/11/14 13:20 Matrix: Water Sampled:06/10/14 12:10 Work Order: C401650 Project: GSK Zebulon Stormwater Sampled By: Mike Outlaw Classical Chemistry Parameters ^ - EACi7 Cary certrfred arralyte [AC 591J Analvte [CAS Numberl Results Fig UnM Pf lU MLL Eatch Mg]]iod Analyzed py notes Chemical Oxygen Demand 42 mg/L 1 10 10 4F13015 SM 522OD-1997 06/13/14 16:00 30C [ECL-0035]A Total Suspended Solids [ECL-01691A 69 mg/L 1 1.0 1.0 4F12005 SM 254OD-1997 06/12/14 14:04 MMR Classical Chemistry Parameters ^ - ENCOJaeksmvelle certified anayte [ARC 442] Analyte FCAS Numberl Results Flao Units DF MDL }OL Batch Method Analyzed l� Notes Oil & Grease(HEM)[C-0007]^ < 2.40 mg/L 1 2.40 5.00 4F19008 EPA 1664B 05/23/14 10:20 M3F FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 4 of 8 Ce 0104,00) www.encolabs.com QUALUIT CONTROL DATA Classical Chemistry parameters - Quality Control Batch 4F12005 - NO PREP Blank (4F12005-BLKI) Prepared & Analyzed: 06/12/2014 14:04 Spike Source °/aREC RPD .Analv[e Rewit Elao POLL Units Level Rmlt a/eREC Limits RPD Limit Notes Total Suspended Solids 1.0 U 1.0 mg/L LCS (41`12005-SS1) Prepared & Analyzed: 06/12/2014 14:04 Spike Source a/°REC RPD jr alrte Result Flag POL Units Level Result %REC Limits RPD Liffft Notes Total Suspended Solids 98 1.0 mg/L 100 98 60-120 Duplicate (41`12005-13UPI) Prepared & Analyzed: 06/12/2014 14:04 Source: C401636-02 Spike Source °/aREC RPD .Analvte Result Elm POL Units Level Result %REC Limits RPD Limit Note Total Suspended Solids 7.6 1.0 mg/L 8.8 15 10 QM-12 Duplicate (41`1200-13UP2) Prepared & Analyzed: 06/12/2014 14:04 Source: C401850-01 Spike Source °/aREC RPD Analvte Result Flag POLL Units Level Result a/aREC Limits RPD Iftnuft Notes Total Suspended Solids 68 1.0 mg/L 69 0.6 10 Satd14F13015 - Same Blank (4F13015-BLKI) Prepared: 06/13/2014 12:59 Analyzed: 06/13/2014 16:00 Spike Source °/aREC RPD junalyte Result Flao P9L Units Level bus °/aREC Limits RPD Limit Notes Chemical Oxygen Demand 10 U 10 mg(L LCS (4F13015-BSI) Prepared: 06/13/2014 12:59 Analyzed: W1312014 16:00 Spike Source °/aREC RPD .Analvte Result Raw POI, Units Level Result a/°REC Limits RPD kLmft Nis Chemical Oxygen Demand 490 10 mg/L 500 97 90-110 Matrix Spike (4F13015-MS1) Prepared: 06/13/2014 12:59 Analyzed: 06/13/2014 16:00 Source: C406608-02 Spike Source a/cREC RPD -Analv2e Result Flaa POL Units Level Result %REC Limits RPD Umk Notes Chemical Oxygen Demand 550 10 mg/L 500 50 100 90-110 Matrix Spike Dup (41`13015-M501) Prepared: 06/13/2014 12:59 Analyzed: 06/13/2014 16:00 Source: C406608-02 Spike Source °/aREC RPD .Analyte Resudit F.laq POL Units Level Result 0/6REC Limits RPD Lima Notes Chemical Oxygen Demand 560 10 mg/L 500 50 102 90-110 2 10 Classical Chemistry Parameters - Quality Control Batch 4P19008 - EPA 1664A Blank (4F19008-BLKI) Prepared: 06/19/2014 13:27 Analyzed: 06/23/2014 10:20 Spike Source %REC RPD Analvte Result Flag PPDL Units level Result °/aREC Limits RPD umft Notes Oil & Grease (HEM) 2.40 U 5.00 mg/L FINAL This report relates only to tite sample as recemved 6y the laboratory, and may only be reproduced in Tull. Page 5 of 8 Ce NS 0 0) www.encolabs.com QUALITY CONTROL DATA Classical Chemistry Parameters - Quality Control Bate 4F19008 - EPA 1664A - Continued LCS (4F19008-BSl) Prepared: 06/19/2014 13:27 Analyzed: 06/23/2014 10:20 Spike Source O/oREC RPD 1lnalvte Result Flaq POL units Level Result D/uREC Limits RPD Limft Notes Oil & Grease (HEM) 37.1 5.00 mg/L 41.1 90 78-114 LCS Dup (4F39008-BSD3) Prepared: 06/19/2014 13:27 Analyzed: 06/23/2014 10:20 Spike Source D/oREC RPD -Analvte Result i3aq PPOL Units Level Result °/aREC Limits RPD) Limit Notes Oil & Grease (HEM) 36.6 5.00 mg/L 41.2 89 78-114 1 18 Matrix Spike (4F39008-MS1) Prepared: 06/19/2014 13:27 Analyzed: 06/23/2014 10:20 Source: B402862-06 Spike Source %REC RPD Analvt9 Result Flag PAL Units Level Result D/oREC Limits RPD i !t Notes Oil & Grease (HEM) 17200 365 mg/L 2940 10800 217 78-114 QM-02 HNAL This report retates only to the sample as received by the laboratory, and may only be reproduced In full. Page 6 of 8 www.encolabs.com FLAGS/NOTES AND DEFINITIONS B The analyte was detected in the associated method blank. D The sample was analyzed at dilution. I The reported value is between the laboratory method detection limit (MDL) and the laboratory method reporting limit (MRL), adjusted for actual sample preparation data and moisture content, where applicable. U The analyte was analyzed for but not detected to the level shown, adjusted for actual sample preparation data and moisture content, where applicable. E The concentraton indicated for this analyte is an estimated value above the calibration range of the instrument. This value is considered an estimate. MRL Method Reporting Limit. The MRL is roughly equivalent to the practical quantitation limit (PQQ and is based on the low point of the calibration curve, when applicable, sample preparation factor, dilution factor, and, in the case of soil samples, moisture content. N The analysis indicates the presence of an analyte for which there is presumptive evidence (85% or greater confidence) to make a "tentative identification". QM-02 The RPD and/or percent recovery for this QC spike sample cannot be accurately calculated due to the high concentration of analyte inherent in the sample. QM-12 Precision between duplicate samples was outside acceptance limits. FINAL This report relates only to the sample as reoeNed by the laboratory, and may only be reproduced in full. Page 7 of 8 Sample Chain of Custody Form Acct#: AT025 Prelog #: C401850 Client Atlantic Environmental Associates (A Project#/Reference: GSK Zebulon Stormwater Contact: Candice Moore Required TAT: 10 Ship To: 2483 Reliance Ave. ENCO Contact: Link Thrower Apex, NC 27539 102-A Woodwinds Industrial Court Cary, NC 27511 Report To: 2483 Reliance Ave. Apex, NC 27539 Apex, NC 27539 LabEVumbery_„ ; `[]aterTrne S;iimple,a�; Sample ID AnalyseslCon'6iners C401850-01 j j{,(�il JZ 1 QAkJGSK Zebulon Outfall 1 Analyses: COD SM5220D , O&G 1664E , TSS SM2540D Containers: 2 - 1 LA+H2SO4 . 1 - 1 LP, 1 - 250mLP+H2SO4 S cooled sy: Temp: efFn a she Datefrime: 7 / r I It Condition: _Acceptable _Unacceptable via ater7i e: Notes-----------_—.._---_------------'------- Containers in this sample kit may contain Chemical preservatives as required by the EPA procedures, In'armaiion concerning the materials can be found -below ❑O NOT rinse containers prior to use' When filling preserved containers, use caution not to inhale vapors that may be ca.tsed in the chemical reat;zior, between trig sample and the preservaMcs Colley samples in a well-venntated area . or lake appropriate precautions to avoid eniosure to these fumes See cautions below pertaining to the hailing of these materials It is the shipper's responsibility to ensure that the samples are packed in such a manner to prevent breakage and that any required temperature is maintained during transit until receipt at the laboratory A temperature biank has been Included to measure the ambient temperature of the cooler upon rc<erpt at the iat Please do no,. remove this container from the tooter. but pack along with the samples in a similar manner This bottle contains deionrzod water only. The information below are PRECAUTICNARY STATEMENTS ONLY! All paenpat hazards posed by these mzteoals have 1101 been addressed For additional infarmalion cr assistance. please contact your organization's safety profasiaral Cautions & Abbreviations HCl : Hydrochloric Acid - STRONG ACID! Avoid skin and eye Contact If contact is madeflush affected aroas immediately with wn3tar. HNO3 Nitnc Acid - STRONG ACIOt STRONG OXIDIZER' Avoid skin and eye contact. If contact is mi rush affected areas imraediiii with r,aler. H3PO4: Phosphoric Acid - STRONG ACID' Avoid skin and eye contact If contact is made flush affected areas Immedately vfith water H2SO4 - Sutfurc Acid - STRONG ACID! Avoid skin and eye contact If contact is mace fvsh aimmediatelyected areas immediately W;itr water. Aso Acid Ascorbic Acid -Avoid skin and eye coi If coni is made. flush af:ecled areas immediately with water ZnAc : Zinc Acetate c Avoid skin and eye contact_ If contact is made: Slush affected areas immediately with water. NaH504 : Sodium Thiosu16W- Avoid skin and eye contact. If cdiiiact is made, flush afi l©d areas immediately with water NaOH: Sodium Hydroxide -STRONG CAUSTIC! Avoid shin and eye contact If canfact is made, flush aftocteciareas immediately with water. Page 8 of 8 Mel Methanol - Avoid skin and eye contact If coni is made l affected areas Immediately with water July 31, 2014 N.C. Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 SUBJECT: Permit No. NCG060000 Certificate of Coverage No. NCG060105 GlaxoSmith Kline, Zebulon Facility Stormwater Sampling — Year 2, Period 1 Dear Bradley Bennett: WG laxoSmithKline Please find enclosed, two copies of the SDO Monitoring Report, SDO Qualitative Monitoring Report, and analytical results for the Year 2 — Period 1 monitoring period at representative outfall # S. If you have any questions, please contact me at (919) 269-1513. Sincerely, Nicholas Sebastiani ENS CC: Central Files, Central Office Stormwater and General Permits Unit ZA506-Water Mgmt1STORMWATER120141monitoring event 2014 period Ldoc