NCG060107_MONITORING INFO_20141106

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
w
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ a b 17 /) O L'
YYYYMMDD

RECEIVED
DEC o 5 2014
CENTRAL FILES
DWR SECTION
December 4, 2014
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
IaxoSmithOne
REC.
GlaxoSmithKline
fll
PO Box 13398
Five Moore Drive
Research Triangle Park
1E1�Iy' h
IDr�/i
North Carolina 27709-3398
SL
Tel. [phone]
www.gsk.com
Re: Semi -Annual Sampling for Stormwater Outfall
GlaxoSmithKline South Campus
DWQ General Permit NCG060000
Certificate of Coverage — NCG060107
Dear Sir/Madam,
Attached please find analytical results for the semi-annual stormwater sampling for the
GlaxoSmithKline (GSK) South Campus Outfall #1 and two copies of the Semi -Annual
Stormwater Discharge Monitoring Report. The sample analyses included TSS, COD, pH
and Oil and Grease (HEM). All parameters were within the Benchmark Values for
Analytical Monitoring published in the December 4, 2012 General Coverage Permit
NCG060000. The data sheets provide a summary of the sampling event and total rainfall
during the sampling event, which was conducted on November 6, 2014.
GSK no longer conducts pharmaceutical activities at this site, and staff had been
relocated from the property in 2011. No industrial activities occur at this site. Thus, on
today's date, GSK also plans to submit a Recission Request Form to NPDES Permit staff
in regard to the subject permit.
Please feel free to contact me at [phone] if you have any questions or need
additional information.
Best regards,
Lindsey Walata
Environmental Manager

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for.North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG060 1 4 -1 SAMPLE COLLECTION YEAR' c)"OV '1.
FACILITY NAME a- \Q,ko nl. �-�k-1 zK�� � FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Dom' V—d- -` ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? DYES K,NO
LABORATORY TE'—St N�-kQf- o Lab Cert. f#
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
Total event rainfal1'006" or ❑ No discharge this period3
. :
'Putfall No.::'�
'. - r -.� ..,z,
:Sample.,Coliected„'^<
mo dd'.:
/ /yr zY
, ;T55,.,
`3' •mg/L
r H, ,
r= Standard unitsiZl
=;COD,
.=;, mg/Lu,- ,
Oii°antl Grease,
sF mg/L�
Fecal Cbliformr,
Colonies per-100 ml;
wx nteracacci,
Coloiiies p�r100 ml .
Benchmark ,.
;
, 100 or 50
„'_With In:6 0 "9 0
120: a
`� ` k
30 , X'
- „ , 0 r;
100 :...
=� 00
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.
°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 LL no (ifyes• complete Part 6)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No
Sam le Collected
P `
mo/dd/yr,W
011 and,Grease
mg/Lw--
r � a
'' mg/L''..�.
,'; pH, "
`YStartdard'units
New Motor; 011 Usage,
Annual:average gal/mo
Benchmark �::
; 30
{
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.
5 WU-249
Last Revised: October 18, 2012
. Page 1 of 2

A
*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 DNIR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the caseof "'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 Permittee)
4 2-1631 Zo ! ¢-
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.or./web/wcl/ws/su/nj)dessw#tab-4
SWU-249 Last Revised: October 18, 2012
Pace 2 of 2

•
TestAmenca
THE LEADER IN ENVIRONMENTAL TESTING
ANALYTICAL REPORT
TestAmerica Laboratories, Inc.
TestAmerica Nashville
2960 Foster Creighton Drive
Nashville, TN 37204
Tel: [phone]
TestAmerica Job ID: 490-65831-1
Client ProjectlSite: Stormwater Kit
For:
GlaxoSmithKline
5 Moore Drive
Mail Stop 1.139A
Research Triangle Park, North Carolina 27709
Attn: Ryan McDonald
Rox"u-4 �r
Authorized for release by.
1112412014 9:16:37 PM
Roxanne Connor, Senior Project Manager
[phone]
[e-mail]
The test results in this report meet all 2003 NELAC and 2009 TNl requirements for accredited
Parameters, exceptions are noted in this report. This report may not be reproduced except in full,
and with written approval from the laboratory. For questions please contact the Project Manager
at the e-mail address or telephone number listed on this page.
This report has been electronically signed and authorized by the signatory. Electronic signature is
intended to be the legally binding equivalent of a traditionally handwritten signature.
Results relate only to the items tested and the sample(s) as received by the laboratory.

Client: GlaxoSmithKline
Project/Site: Stormwater Kit
Table of Contents
TestAmerica Job ID: 490-65831-1
Cover Page ..............................................
Table of Contents .........................................
Sample Summary .........................................
Case Narrative ...........................................
Definitions ...............................................
Client Sample Results ......................................
QC Sample Results ........................................
QC Association .................................... ....... .
Chronicle................................................
Method Summary ............... .......................... .
Certification Summary ......................................
Chain of Custody ..........................................
Receipt Checklists .........................................
1
2
3
4
5
6
7
10
11
12
13
14
16
Page 2 of 16
TestAmerica Nashville
11 /2412014

Sample Summary
Client: GlaxoSmithKline TestAmerica Job ID: 490-65831-1
Project/Site: Stormwater Kit
Lab Sample ID Client Sample ID Matrix Collected Received
490-65831-1 Stommater Kit Water 11/06/14 14:30 11/08114 08:20
TestAmerica Nashville
Page 3 of 16 11/24/2014

Case Narrative
Client: GlaxoSmithKline
Project/Site: Stormwater Kit
Job ID: 490-65831-1
Laboratory: TestAmerica Nashville
Narrative
Job Narrative
490-65931-1
Comments
No additional comments.
- t
TestAmerica Job ID: 490-65831-1
v
1_ 1
Receipt =
The sample was received on 11/8/2014 8:20 AM: the sample arrived in good condition, properly preserved and, where required, on ice.
The temperature of the cooler at receipt was 0.3° C. r
General Chemistry
Method(s) 410.4, SM 5220D: Due to the high concentration of chemical oxygen demand, one of the matrix spike 1 matrix spike duplicate
(MSIMSO) for batch 207960 could not be evaluated far accuracy and precision. The associated laboratory control sample (LCS) met
acceptance crlterla.
No additional analytical or quality issues were noted, other than those described above or in the Definitions/Glossary page.
Organic Prep
No analytical or quality issues were noted, other than those described in the Definitions/Glossary page.
TestAmerica Nashville
Page 4 of 16 11/24/2014

Definitions/Glossary
Client: GlaxoSmithKline TestAmerica Job ID: 490-65831-1
Project/Site: Stormwater Kit
C
Abbreviation These commonly used abbreviations may or may not be present in this report
a Listed under the "D" column to designate that the result is reported on a dry weight basis
%R Percent Recovery
CFL Contains Free Liquid
CNF Contains no Free Liquid
DER Duplicate error ratio (normalized absolute difference)
Dil Fac Dilution Factor
DL, RA, RE, IN Indicates a Dilution, Re -analysis, Re -extraction, or additional Initial metals/anion analysis of the sample
DLC Decision level concentration
MDA Minimum detectable activity
EDL Estimated Detection Limit
MDC Minimum detectable concentration
MDL Method Detection Limit
ML Minimum Level (Dioxin)
NC Not Calculated
ND Not detected at the reporting limit (or MDL or EDL if shown)
PQL Practical Quantitation Limit
QC Quality Control
RER Relative error ratio
RL Reporting Limit or Requested Limit (Radiochemistry)
RPD = Relative Percent Difference, a measure of the relative difference between two points
TEF Toxicity Equivalent Factor (Dioxin)
TEQ Toxicity Equivalent Quotient (Dioxin)
TestAmerica Nashville
Page 5 of 16 11/24/2014

Client Sample Results
Client: GlaxoSmithKline
ProjecttSite: Stormwater Kit
Client Sample ID: Stormwater Kit
Date Collected: 11106/14 14:30
Date Received: 11108/14 08:20
TestAmerica Job ID: 490-65831-1 L
Lab Sample ID: 490-65831-1
Matrix: Water
r.
General Chemistry
Analyte
Result Qualifier
RL
MDL Unit
D Prepared Analyzed
Dil Fac
HEM
ND
4.31
mg/L
11/20/1412:03 11/20/1412:03
1
Chemical Oxygen Demand
50.1
20.0
mg/L
11/21/14 12:12
1
PH
7.77
0.100
SU
11110M410:57
1
Temperature
21.1
0.100
Degrees C
11/10/14 10:57
1 ;
Total Suspended Solids
89.6
4.00
mg/L
11111114 17:15
1 e -�
L,
TestAmerica Nashville
Page 6 of 16 11/24/2014

QC Sample Results
Client: GlaxoSmithKline
TestAmerica Job ID: 490-65831-1
Project/Site: Stonnwater Kit
=.
Method: 1664A - HEM and SGT-HEM
Lab Sample ID: MB 490-20770711-A
Client Sample ID: Method Blank
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 207709
Prep Batch: 207707
RIB RIB
Analyte Result Qualifier
RL MDL Unit
D Prepared Analyzed Dil Fac
HEM ND
4.00 mg/L
1112011412:03 11/2011412:03 1
Lab Sample ID: LCS 490-20770712-A
Client Sample ID: Lab Control Sample
Matrix: Water
Prep Type: Total/NA
-
Analysis Batch: 207709
Prep Batch: 207707
1
Spike
LCS LCS
%Rm.
Ana"
Added
Result Qualifier
Unit
D %Rec Limits
F
HEM
41.7
38.85
mg1L
93 78 _ 114
Lab Sample ID: LCSD 490-20770713-A
Client Sample ID: Lab Control Sample Dup
-
Matrix: Water
Prep Type: TotallNA
Analysis Batch: 207709
Prep Batch: 207707
t
Spike
LCSD LCSD
%Rec. RPD
1
Ana"Added
Result Qualifier
Unit
D %Rec LEmtts RPD Limit
HEM
41.7
39.79
mg/L
95 78 _ 114 2 18
Lab Sample ID: 490-66293-R-1-A MS
Client Sample 1D: Matrix Spike
Matrix: Water
Prep Type: TOtalINA
Analysis Batch: 207709
Prep Batch: 207707
Sample Sample
Spike
MS MS
%Rec.
Ana" Result Qualifier
Added
Result Qualifier
Unit
D %Rec Limits
HEM 11.7
46.5
53.37
mg/L
90 78 _ 114
Method: 410.4 - COD
Lab Sample ID: MB 490-20796013
Client Sample ID: Method Blank
Matrix: Water
Prep Type: TOtalINA
Analysis Batch: 207960
MB MB
Analyte Result Qualifier
RL MDL Unit
D Prepared Analyzed Dil Fee
Chemical Oxygen Demand ND
20.o mg1L
11/21/14 12:12 1
Lab Sample 10: LCS 490-20796014
Client Sample ID: Lab Control Sample
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 207960
Spike
LCS LCS
%Rec.
Analyte
Added
Result Qualifier
Unit
D %Rec Limits
Chemist Oxygen Demand
50.0
51.79
mg/L
104 90 - 110
lLab Sample ID: LCSD 490-20796015
Client Sample ID: Lab Control Sample Dup
Matrix: Water
Prep Type: TotaUNA
Analysis Batch: 207960
Spike
LCSD LCS
%Rec. RPD
Anayte
Added
Result Qualifier
Unit
D %Rec Limits RPD Limit
Chemical Oxygen Demand
50.0
51.72
mg/L
103 90 - 110 0 20
TestAmerica Nashville
Page 7 of 16 11/24/2014

Client: GlaxoSmithKline
Project/Site: Stormwater Kit
Method: 410.4 - COD (Contint
Lab Sample ID: 490-65872-C-1 MS
I Matrix: Water
Analysis Batch: 207960
Ana"
Chemical Oxygen Demand
Lab Sample ID: 490-65831-1 DU
Matrix: Water
Analysis Batch: 207960
Analyte
Chemical Oxygen Demand
Sample Sample
Result Qualifier
ND
Sample Sample
Result Qualifier
50.1
Method: 9040C - pH
Lab Sample ID: 490-65748-M-1 DU
Matrix: Water
Analysis Batch: 204806
Sample Sample
Analyte Result Qualifier
LpH 6.79
Temperature 21.1
QC Sample Results
Spike MS MS
Added Result Qualifier Unit
50"0 64.25 mglL
Method: SM 2540D - Solids, Total Suspended (TSS)
Lab Sample ID: MB 490-205172/1
Matrix: Water
Analysis Batch: 205172
Ma MB
Analyte Result Qualifier RL
Total Suspended Solids ND 1.00
Lab Sample ID: LCS 490-20517212
Matrix: Water
Analysis Batch: 205172
f
Spike
L Ana"
Added
Total Suspended Solids 100
Lai, Sample ID: LCSD 490-20517213
Matrix: Water
Analysis Batch: 205172
•
~
TestAmerica Job ID: 490-65831-1
7
i
Client Sample ID: Matrix Spike
Prep Type: TotaUNA
~"
%Rec.
_7
D %Rec Limits
96 90 _ 110
_
Client Sample ID: Stormwater Kit
Prep Type: TotaUNA
f'
E;
DU DU RPD
Result Qualifier Unit D RPD Limit = :'
50.28 mg1L 0.5 -
DU DU
Result Qualifier Unit D
fi790 SU
21.10 Degrees C
Client Sample ID: Duplicate
Prep Type: Totai/NA
RPD
RPD Limit °et
0 20
a 20
Client Sample ID: Method Blank
Prep Type: TotaUNA
MDL Unit D Prepared Analyzed DII Fac
mg/L l 11111114 17:15 1
Client Sample ID: Lab Control Sample
Prep Type: TotaVNA
LCS LCS %Rec.
Result Qualifier Unit D %Rec Limits
97.10 mg1L 97 90 _ 11C
Client Sample 1D: Lab Control Sample Dup
Prep Type: Totai/NA
Spike LCSD LCSD %Rec. RPD
iAnalyte Added Result Qualifier Unit D %Roe Limits RPD Limit
f Total Suspended Solids 100 97.60 mg1L 97 90. 11C 1 20
Lab Sample ID: 490-65710-J-1 DU
Matrix: Water
Analysis Batch: 205172
Sample Sample
Analyte Result Qualifier
Total Suspended Solids 30.2
DU DU
Result Qualifier Unit
29.20 mg/L
Client Sample ID: Duplicate
Prep Type: TotaIINA
RPD
D RPD Limit
Y 3 20
TestAmerica Nashville
Page 8 of 16 11/24/2014

Client GlaxoSmithKline
Project/Site: Stormwater Kit'
QC Sample Results
TestAmerica Job ID: 490-65831-1
Method: SM 2540D - Solids, Total Suspended (TSS) (Continued)
Lab Sample ID: 49"5831-1 DU
Client Sample ID: Stormwater Kit
Matrix: Water
Prep Type: TotallNA
Analysis Batch: 205172
Sample Sample DU DU
RPD
Analyte
Result Qualifier Result Qualifier
Unit D RPD Limit
;v
Total Suspended Solids
89.6 96.40
mglL 7 20
f
Yr
a
�i
TestAmerica Nashville
Page 9 of 16 11/24/2014

Client: GlaxoSmithKline
Project/Site: Stormwater Kit
General Chemistry
Analysis Batch: 204806
Lab Sample ID
Client Sample ID
49G-65748-M-1 DU
Duplicate
490-65831-1
Stormwater Kit
LCS 490404806/1
Lab Control Sample
Analysis Batch: 205172
Lab Sample ID
Client Sample ID
490-65710-1-1 DU
Duplicate
490-65831-1
Stormwater Kit
490-65831-1 DU
Stormwater Kit
LCS 490-205172/2
Lab Control Sample
LCSD 490-20517213
Lab Control Sample Dup
MB 490-20517211
Method Blank
Prep Batch: 207707
QC Association Summary . D�,
TestAmerica Job ID: 490-65831-1
Prep Type
Matrix
Method
Prep Batch yes
TotaVNA
Water
9040C
U
ToWINA
Water
9040C
TotallNA
Water
9040C
r E
Prep Type
Matrix
Method
Prep Batch
TotallNA
Water
SM 2540D
Total/NA
Water
SM 2540D
TotaVNA
Water
SM 2540D
TotallNA
Water
SM 2540D
TctaUNA
Water
SM 2540D
TctaUNA
Water
SM 2540D
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method
Prep Batch
— -
490-65831-1
Stormwater Kit
TotaVNA
Water
1664A
'
490-66293-R-1-A MS
Matrix Spike
TotaVNA
Water
1664A
LCS 490-20770712-A
Lab Control Sample
TotaUNA
Water
1664A
c i
LCSD 490-207707/3-A
Lab Control Sample Dup
TotaVNA
Water
1664A
MB 490-20770711-A
Method Blank
TotaVNA
Water
1664A
Analysis Batch: 207709
FLab Sample ID
Client Sample ID
Prep Type
Matrix
Method
Prep Batch
490-65831-1
Stormwater Kit
TataIMA
Water
1664A
207707
490-66293-R-1-A MS
Matrix Spike
TotaVNA
Water
1664A
207707
LCS 490-20770712-A
Lab Control Sample
ToWVNA
Water
1664A
207707
i LCSD 490-207707/3-A
Lab Control Sample Dup
TotaIMA
Water
1664A
207707
i MB 490-20770711-A
Method Blank
TotaI/NA
Water
1664A
207707
Analysis Batch: 207960
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method Prep Batch
490-65831-1
Stormwater Kit
TotaUNA
Water
410.4
490-65831-1 DU
Stormwater Kit
TotaUNA
Water
410.4
490-65872-C-1 MS
Matrix Spike
TotaVNA
Water
410.4
LCS 490-20796014
Lab Control Sample
Total[NA
Water
410.4
LCSD 490-20796015
Lab Control Sample Dup
TotaUNA
Water
410.4
MB 490-207960/3
Method Blank
TotaVNA
Water
410.4
TestAmerica Nashville
Page 10 of 16 11/24/2014

Client: GiaxoSmithKiine
Project/Site: Stormwater Kit
Client Sampie ID: Stormwater Kit
Date Collected: 11106/14 14:30
Date Received: 11/08/14 08:20
Lab Chronicle
TestArnerica Job ID: 490-65831-1
to
Lab Sample ID: 490-65831-1
Matrix: Water
l w✓' :
Batch
Hatch
DO
Initial
Final
Hatch
Prep Type
Type
Method
Run Factor
Amount
Amount
Number
TotaVNA
Analysis
1664A
1
890 mL
960 mL
207709
Total/NA
Prep
1564A
890 mL
960 mL
201707
Total1NA
Analysis
410.4
1
2 mL
2 mL
207960
Tot@VNA
Analysis
9040C
1
20 mL
204806
Totai(NA
Analysis
SM 2540D
1
250 mL
1000 mL
205172
Laboratory References:
TAL NSH = TestAmerica Nashville, 2960 Foster Creighton Drive, Nashville, TN 37204, TEL [phone]
Page 11 of 16
Prepared
or Analyzed
Analyst
Lab
111201141203
BAD
7ALNSH
3
'.^�• _
1112011412:03
BAD
TAL NSH
�
11/21114 12:12
MSJ
TAL NSH
11/10/14 10:57
SJM
TAL NSH
11/11/14 17:15
CRM
TAL NSH
A
TestAmerica Nashville
11 /24/2014

Method Summary
�_ 1
Client: GlaxoSmithKline
TestArnerica Job ID: 490-65831-1
Project/Site: Stormwater Kit
Method Method Description
Protocol
Laboratory
1664A HEM and SGT-HEM
1664A
TAL NSH
410.4 COD
MCA4MN
TAL NSH
9040C pH
SW846
TAL NSH
T
SM 2540D Solids, Total Suspended (TSS)
SM
TAL NSH
Protocol References:
1664A = EPA-821-98-002-�
MCAVVW = "Methods For Chemical Analysis OF Water And Wastes", EPA-600I4-79-020, March 1983 And Subsequent Revisions.
SM = "Standard Methods For The Examination Of Water And Wastewater",
SW846 ='Test Methods For Evaluating Solid Waste, PhysicaUChemical Methods", Third Edition, November 1986 And Its Updates.
_
3
Laboratory References:
a
TAL NSH = TestAmerica Nashville, 2960 Faster Creighton Drive, Nashville, TN 37204, TEL (615)72"177Ewa
a
TestAmerica Nashville
Page 12 of 16 11/24/2014

Certification Summary
Client GlaxoSmithKline
Project/Site: Stormwater Kit
Laboratory: TestAmerica Nashville
Unless otherwise noted, all analytes for this laboratory were covered under each certification below.
i Authority
North Carolina (WWlSW)
The following analytes are included in this report, but certification is not offered by the governing authority:
Analysis Method Prep Method Matroc Analyte
L9040C Water Temperature
Program EPA Region Certification ID
State Program 4 387
TestAmerica Job ID: 490-65831-1
Expiration Date
12-31-14
TestAmerica Nashville
Page 13 of 16 11/24/2014

TestAmeriaa
TkiE LEADER IN ENVIRONMENTAL TESTING
Nashville, TN COOLER RECEIPT FORM
Cooler Receivedlop � d On: 1102014 @ 0&20 4.. Chain of CUSfodY
1. Tracking # 5x I _ —I (last 4 digits, FsdEx)
Courier: FedEx IR Gun ID 17960357
2. Temperature of rep. sample or temp blank when opened:-Dogrees Celsius
3. If Item #2 temperature is 0°C or less, was the representative sample or temp blank frozen? YES NO.*€
4. Were custody seals on outside of cooler? &MAO... NA
If yes, how many and where:
S. Were the seals Intact, signed, and dated correctly? / Yi;,6,..NO...NA
6. Were custody papers inside cooler? Q9 ... NO ... NA
I certify that I opened the cooler and answered questions 1-6 fintial3 y
T. Were custody seals on containers: YES and Intact YES ... No &
Were these signed and dated correctly? YES ... NtZ
8. Packing mat'I used? bb[ewra astic g Peanuts Vermiculite Foam Insert Paper Other None
9. Cooling process: 1 pac Ice (direct contact) Dryice Other None
Monit�"Itn10. Did all containers arrive In good (unbroken)? ( Y15►..NO... NA
11. Were all container labels complete (#, date, signed, pros., etc)? YE NO ... NA
11 Did all container labels and tags agree with custody papers? ..NO...NA
13a. Were VOA vials received? YES. Ob ... NA
b. Was there any observable headspace present in any VOA vial? YES...N
14. Was there a Trip Blank in this cooler? YES"(�q..NA If multiple coolers, sequence
1 certify that 1 unloaded the cooler and answered ouestions 7-14 (Intial) _
15a. On pres'd bottles, did pH test strips suggest preservation reached the correct pH [oval? y1=5�A1O..NA
b. Did the bottle labels Indicate that the correct preservatives were used 6 ...NO ... NA
16. Was residual chlorine present? YES..& ... NA
€ certify that I checked for chlorine and pH as per SOP and answered questions 15.16 (ntialj f7[ 1 r"T
17. Were custody papers properly filled out (Ink, signed, etc)? AP -NO —NA
18. Did you sign the custody papers In the appropriate place? NO ... MA
19. Were correct containers used for the analysts requested? ..NO ... MA
20. Was sufficient amount of sample sent In each container?
21. Were there Non -Conformance Issues at login? YES.. NO Was a NCM generated? YE ..NO `
BIS = Bmken in shipment
Cooler Receipt Form.doc LF-I Revised 11/28/I2
End of Form
Page 14 of 16 11/24/2014

@,
Loc. 490
65831
Chain of Custody Record TtAmmicp
,1,s,A7A�t � [se��rAc-.gasneo,
Cllentlttforrftatlorl ��^'� �a'�b`�
Lab PM,
Conpo.Rolmnne
Ca.rEerTraddso a
4904M41.6854,1
Ryan McDonald -1. 13
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Login Sample Receipt Checklist
Client: GlaxoSmithKJine
Job Number: 490-65831-1
r•.
Login Number: 65831
List Source: TestAmerica Nashville -
List Number. t
Creator: Huskey, Adam'
Question
Answer Comment
Radioactivity wasn't checked or is <!= background as measured by a
True
survey meter.
The cooler's custody seal, if present, is intact.
True
Sample custody seals, if present, are intact.
NIA
The cooler or samples do not appear to have been compromised or
True
tampered with.
Samples were received on ice.
True
Cooler Temperature is acceptable.
True
Cooler Temperature is recorded.
True
COC is present.
True
COC is filled out in ink and legible.
True
COC is filled out with all pertinent information.
True
Is the Field Sampler's name present on COC?
True
There are no discrepancies between the containers received and the COC.
True
Samples are received within Holding Time.
True
Sample containers have legible labels.
Trie
Containers are not broken or leaking.
True
Sample collection dateltimes are provided.
True
Appropriate sample containers are used.
True
Sample bottles are completely filled.
True
Sample Preservation Verified.
True
There is sufficient vol- for all requested analyses, ind. any requested
True
MSlMSDs
Containers requiring zero headspace have no headspace or bubble is
True
<6mm (1/4 ).
`
Multiphasic samples are not present.
True
Samples do not require splitting or compositing.
True
Residual Chlorine Checked.
True
TestAmerica Nashville
Page 16 of 16 11/24/2014

June 24, 2014
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Semi -Annual Sampling for Stormwater Outfall
GlaxoSmithKtine South Campus
DWQ General Permit NCG060000
Certificate of Coverage=--NCG0601-0T -
Dear Sir/Madam,
W 0
GlaxoSmithKtine
GlazoSmithKline
PO Box13398
Five Moore Drive
Research Triangle Park
North Carolina 27709-3398
www.gsk.com
Attached are the analysis for the semi-annual stormwater sampling for the
GlaxoSmithKtine South Campus Outfall #l, and two copies of the Semi -Annual
Stormwater Discharge Monitoring Report. The analytes included TSS, COD. pH and Oil
and Grease (HEM). TSS was above the Benchmark Values for Analytical Monitoring,
published in the December 4, 2012 General Coverage Permit NCG060000, at 140 mg/L.
In accordance with the subject permit requirements, Tier One actions were promptly
implemented. GlaxoSmithKtine performed a stormwater management inspection on June
4, 2014, evaluated potential causes of the TSS exceedance, and took additional measures
to minimize the potential for this exceedance to recur. All actions taken as a result of the
exceedance have been recorded in the Stormwater Pollution Prevention Plan (SPPP.) The
data sheets provide a summary of the sampling event and total rainfall during the
sampling event on May 15.2014.
There have been no reportable releases or discharges of pollutants to the ground on the
G1axoSmithKline campuses through the 2014 calendar year to date.
If you have questions, please feel free to contact me at [phone].
Respectfully,
Lindsey Walata, PG
Environmental Manager, RTP
GlaxoSmithKtine

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06_10 O -A SAMPLE COLLECTION YEAR . 1 A
FACILITY NAME C��oxOSn���L�+* _ FACILITY ACTIVITIES INCLUDE (check all that apply):.
COUNTY �V��r-+�� nn ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? []YES . ®NO
LABORATORY eL'4,k-- �ri cr.Lab Cert. # �$7
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 13 -V 't 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,10D ml',
I Enterococci ,
,, Colonies per 10D'ml' ;99
Benchmark
-
100 or 50
Within 6.0—.9.0120
.30 .-
'1000'S00
o f
05 1 %S I l
1 0
--► , o
D
Nit�'
N
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 5D
6:0'=9.0
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 aU 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.
(ifyes, complete Part B)
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 ANY ONE OUTFALL? YES ❑ NO Ej
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one col2y oI this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results or at end o
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 MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my'knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) .
24 T,,,, , Z D 14—
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org%weblwg/wsjsu/npdessw#tab:4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 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
monitorinq 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 MUSTSIGN 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 relief, 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/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06 0 % O 1 SAMPLE COLLECTION YEAR _ Q01"-k
FACILITY NAME C�R\o xOSk,.s'%r,Q-- FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES NOr''`'�� �5� DISCHARGING TO SALTWATERS? []YES ®NO
LABORATORY % 0` iri cr.Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall it or ❑ No discharge this period
Outfall No.!
Sample Collected,
ma/dd/yr°.
". T55,iCDD,
�:" mg/L'i'`: ,
:.° Standard:units
�h +
v mg ,
bll''an`d'Giease,
'Y , i mg/L°i
Fecal Coliform ,
Calonies`per:'1DD mh
a -` Eriterococci ; `' '
Colonies per
Benchmark :.
100 or 50...
ti: Within 6:0 = 9.D .
;w . - }:'12d f
r s;4 'N 30 ..
1000
01
05 %S 1
1 4
­1,0
Z,
N
e.3
eJ
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 -yes, compldte Part By
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall Na
Sample Collected,
ni'n/dd/y`r `
O!E„and Grease, , .
mg/L; :
TSS,
mg/Ll
,pH,
Standard units.'':
New Motor Oil Usage,.,
Annual average `gal/no f,
Benchmark
30' °
100 or'50
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.
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

0
TestAmencla 1E
THE LEADER IN ENVIRONMENTAL TESTING
ANALYTICAL REPORT
Q
TestArnerica Laboratories, Inc.
TestAmerica Nashville
2960 Foster Creighton Drive
Nashville, TN 37204 a
Tel: [phone]
TestAmerica Job ID: 490-53195-1
Client Project/Site: Stormwater
For:
GlaxoSmithKline
5 Moore Drive �J?�
Mail Stop 1.139A
Research Triangle Park, North Carolina 27709
Attn: Ryan McDonald
FWMF!"', r4-ir �; - Wt '_' MUMIT"l—
Authorized for release by.
513012014 12:37.43 PM
Heather Baker, Project Manager 1
[phone]
[e-mail]
Designee for
Roxanne Connor, Senior Project Manager
[phone]
[e-mail]
the test results in this report meet all 2003 NELAC and 2009 TNI requirements for accredited
)arameters, exceptions are noted in this report. This report may not be reproduced except in full,
ind with written approval from the laboratory. For questions please contact the Project Manager
it the e-mail address or telephone number listed on this page.
This report has been electronically signed and authorized by the signatory. Electronic signature is
ntended to be the legally binding equivalent of a traditionally handwritten signature.
results relate only to the items tested and the sample(s) as received by the laboratory.

Client: GlazoSmithKline
ProjecVSite: Stormwater
Table of Contents
TestAmerica Job ID: 490-53195-1
Cover Page .............................................. 1
Table of Contents ......................................... 2
Sample Summary ......................................... 3
Case Narrative ........................................... 4
Definitions ............................................... 5
Client Sample Results ...................................... 6
QC Sample Results ........................................ 7
QC Association ........................................... 10
Chronicle................................................ 11
Method Summary ......................................... 12
Certification Summary ...................................... 13
Chain of Custody .......................................... 14
Receipt Checklists ......................................... 16
TestArnerica Nashville
Page 2 of 16 5/30/2014

Client: GlaxoSmithKine Sample Summary TestAmerica Job ID: 490-53195-1 �
Project/Site: Stormwater Ci M7
Lab Sample ID Client Sample ID
490-53195-1 SSormwater
Matrix
Water
Collected Received
05/15114 14:40 05116114 05:30
0
TestAmerica Nashville
Page 3 of 16
5/30/2014

Case Narrative
Client: GlaxoSmithKline
ProjectlSite: Stormwater
Job ID: 490-53195-1
Laboratory: TestArnerica Nashville
Narrative
Job Narrative
490-53195-1
Comments
No additional comments
TestAmerica Job ID: 490-53195-1
Receipt
The sample was received on 5/16/2014 8:30 AM; the sample arrived in good condition, properly preserved and, where required, on ice.
The temperature of the cooler at receipt was 14.50 C.
Except
The following sample(s) was received at the laboratory outside the required temperature criteria: Storrnwater (490-53195-1). The client
was contacted regarding this issue, and the laboratory was instructed to proceed with analysis.
General Chemistry
Method($) 410.4: The matrix spike (MS) recoveries for batch 163895 were outside control limits. Sample matrix interference and/or
non -homogeneity are suspected because the associated laboratory control sample (LCS) recovery was within acceptance limits.
No additional analytical or quality issues were noted, other than those described above or in the Definitions/Glossary page.
Organic Prep
No analytical or quality issues were noted, other than those described in the Definitions/Glossary page.
TestAmerica Nashville
Page 4 of 16 5/30/2014

Definitions/Glossary
WE
Client: GlaxoSmithlgine
TestArnerica Job ID: 490-53195-1
ProjectlSite: Stormwater
Qualifiers
General Chemistry
Qualifier Qualifier Description
F I MS andlor MSD Recovery exceeds the control limits
Glossary
o�
Abbreviation These commonly used abbreviations may or may not be present in this report
G Listed under the "D" column to designate that the result is reported on a dry weight basisi1-
%R Percent Recovery
CNF Contains no Free Liquid
a
DER Duplicate error ratio (normalized absolute difference)
Dil Fac Dilution Factor
DL, RA, RE, IN Indicates a Dilution, Re -analysis, Re -extraction, or adarbonal InRial metalslanion analysis of the sample
DLC Decision level concentration
MDA Minimum detectable activity
EDL Estimated Detection Limit
MDC Minimum detectable concentration
MDL Method Detection Limit
ML Minimum Level (Dioxin)
NC Not Calculated
ND Not detected at the reporting limit (or MDL or EDL if shown)
PQL Practical Quarditation Limit
QC Quality Control m
RER Relative error ratio
RL Reporting Limit or Requested Limit (Radiochemistry)
RPD Relative Percent Difference, a measure of the relative difference between two points
TEF Toxicity Equivalent Factor (Dioxin)
TEQ Toxicity Equivalent Quotient (Dimdn)
TestAmerica Nashville
Page 5 of 16 5/30/2014

Client: GlaxoSmithKiine
Project/Site: Stormwater
Client Sample Results
TestAmerica Job ID: 490-53195-1
—
Client Sample ID: Stormwater
Lab Sample ID: 490-53195-1
Date Collected: 05/15114 14:40
Matrix: Water
Date Received: 05116/14 08:30
Q
General Chemistry
Analyte
Result Qualifier RL MDL
Unit
D Prepared Analyzed Dil Fac
HEM
NO
3,69
mglL
05/2711415:46 0512711415:46 1
Chemical Oxygen Demand
NO
20.0
mg1L
05/21114 11:54 1
PH
7.08
0.100
SU
0512811412:10 1
r ,
Temperature
21.6
0.100
Degrees C
05/28114 12:10 1
! j
[�
Total Suspended Solids
140
4.00
mglL
05/18/14 14:31 1
TestAmerica Nashville -
Page 6 of 16 5/30/2014

QC Sample Results
Client: GlaxoSmithKline
TestAmerica Job 1D: 490-53195-1
ProjectlSite: Stormwater
Method: 1664A - HEM and SGT-HEM
Lab Sample ID: MB 490-16613011-A
Client Sample ID: Method Blank
..:
Matrix: Water
Prep Type: TOtalINA
Analysis Batch: 165132
Prep Batch: 165130
MB MB
Analyte Result Qualifier
RL MDL Unit
D Prepared Analyzed Dii Fac
HEM NO
4.00 mg1L
05/27/1415:46 05/27/1415:46 1
Lab Sample ID: LCS 490-16513012-A
Client Sample ID: Lab Control Sample
Matrix: Water
Prep Type: TOtalINA
Analysis Batch: 165132
Prep Batch: 165130
Spike
LCS LCS
%Ree.
Analyte
Added
Result Qualifier
Unit
D %Rec Limits
r
HEM
41.7
38.02
mg1L
91 78 _ 114
Lab Sample ID: LCSD 490-16513013-A
Client
Sample ID: Lab Control Sample Dup
Matrix: Water
Prep Type: TDtalINA
Analysis Batch: 165132
Prep Batch: 165130
Spike
LCSD LCSD
%Rec. RPD-1
Analyte
Added
Result Qualifier
Unit
D %Rec Limits RPD Limit
HEM
41.7
37.60
mglL
—
90 78 _ 114 1 18
Lab Sample ID: 490-5361 O-G-1-A MS
Client Sample ID: Matrix Spike
Matrix: Water
Prep Type: TOtalINA
Analysis Batch: 166132
Prep Batch: 165130
Sample Sample
Spike
MS MS
%Rec.
Analyte Result Qualifier
Added
Result Qualifier
Unit
D %Rec Limits
HEM NO
47.6
44.88
mglL
94 78. 114
Method: 410.4 - COD
Lab Sample ID: MB 490-16389513
Client Sample ID: Method Blank
Matrix: Water
Prep Type: TOtalINA
Analysis Batch: 163895
MB MB
Analyte Result Qualifier
RL MDL Unit
D Prepared Analyzed Dil Fac
Chemical Oxygen Demand NO
20.0 mg1L
05/21/14 11:54 1
Lab Sample ID: LCS 490-16389514
Client Sample ID: Lab Control Sample
Matrix: Water
Prep Type: TOtalINA
Analysis Batch: 163895
Spike
LCS LCS
%Rec.
Analyte
Added
Result Qualifier
Unit
D %Rec Limits
Chemical Oxygen Demand
50.0
46.57
mg/L
93 90 - 110
Lab Sample ID: LCSD 490-16389515
Client
Sample ID: Lab Control Sample Dup
Matrix: Water
Prep Type: TOtalINA
Analysis Batch: 163895
Spike
LCSD LCSD
%Rec. RPD
Analyte
Added
Result Qualifier
Unit
D %Rec Limits RPD Limit
Chemical Oxygen Demand
50.0
47.65
mglL
95 90 _ 110 2 20
TestAmerica Nashville
Page 7 of 16 5/30/2014

QC Sample Results
M
Client: GlaxoSmithKline
Project/Site: Stormwater
TestAmerica Job ID: 490-53195-1
Method: 410.4 - COD (Continued)
Lab Sample ID: 490-53099-A-1 MS
Client Sample ID: Matrix Spike
Q
Matrix: Water
Prep Type: TotalINA
Analysis Batch: 163895
❑
Sample Sample
Spike
MS MS
%Roc.
Analyte
Result Qualifier
Added
Result Qualifier
Unit
D %Rec Limits
Chemical Oxygen Demand
ND
50.0
56.89 F1
mg1L
89 94- 110
e
Lab Sample ID: 490-53399-B-1 MS
Client Sample ID: Matrix Spike
Matrix: Water
Prep Type: TotalINA
Analysis Batch: 163895
0
Sample Sample
Spike
MS MS
%Rec.
Analyte
Result Qualifier
Added
Result Qualifier
Unit
D %Rec Limits
Chemical Oxygen Demand
20,2
50.0
60.24 F1
mg/L
80 90- 110
Lab Sample ID: 490-53333-D-2 DU
Client Sample ID: Duplicate
Matrix: Water'
Prep Type: TotaIINA
j,')
Analysis Batch: 163895
_. ..
Sample Sample
DU DU
RPD
Analyte
Result Qualifier
Result Qualifier
Unit
D RPD Limit
l �
Chemical Oxygen Demand
ND
NO
mglL
NC 20
U�
Method: 9040C - DH
Lab Sample ID: 490-53195-1 DU Client Sample ID: Stormwater
Matrix: Water Prep Type: TotalINA
Analysis Batch: 165279
Sample Sample DU DU RPD
Analyte Result Qualifier Result Qualifier Unit D RPD Limit
pH 7.08 7.090 SU 0.1 20
Temperature 21.6 21.60 Degrees C 0 20
Method: SM 2640D - Solids, Total Suspended (TSS)
Lab Sample ID: MB 490-16337411
Client Sample ID: Method Blank
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 163374
MB NIB
Analyte
Result Qualifier
RL MDL Unit
D Prepared Analyzed Dil Fac
Total Suspended Solids
ND
1.00 mg1L
05/18/14 14:31 1
Lab Sample ID: LCS 490-16337412
Client Sample ID: Lab Control Sample
Matrix: Water
Prep Type: TotalINA
Analysis Batch: 163374
Spike
LCS LCS
%Rec.
Analyte
Added
Result Qualifier
Unit D %Rec Limits
Total Suspended Solids
100
98.60
mglL 99 90 - 110
Lab Sample ID: LCSD 490-16337413
Client Sample ID: Lab Control Sample Dup
Matrix: Water
Prep Type: TotalINA.
Analysis Batch: 163374
Spike
LCSD LCSD
%Rec. RPD
Analyte
Added
Result Qualifier
Unit D %Rec Limits RPD Limit
Total Suspended Solids
100
97.10
mg1L 97 90- 110 2 20
TestAmedca Nashville -
Page 8 of 16 5/30/2014

QC Sample Results
Client: GlaxoSmithKline TestAmerica Job ID: 490-53'.
ProjectlSite: Stormwater
Method: SM 2640D - Solids, Total Suspended (TSS) (Continued)
Lab Sample ID: 490-53081-B-1 DU
Client Sample ID: Duplicate
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 163374
Sample Sample
DU DU
RPD
Anallyte
Result Qualifier
Result Qualifier
Unit
D RPD Limit
Total Suspended Solids
67.6
70.80
mg/L
5 20
Lab Sample ID: 490-53230-E-1 DU
Client Sample ID: Duplicate
Matrix: Water
Prep Type: Total1NA
Analysis Batch: 163374
Sample Sample
DU DU
RPD
Analyte
Result Qualifier
Result Qualifier
Unit
D RPD Limit
Total Suspended Solids
133
138.0
mg1L
4 20
TestAmerica Nashville
2
U
J
7
Page 9 of 16 5/30/2014

QC Association Summary
Client: GlaxoSmithKIine
Project/Site: Stotmwater
TestAmerica Job ID: 490-53195-1
General Chemistry
Analysis Batch: 163374
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method Prep Batch
490-53081-8-1 DU
Duplicate
TctaYNA
Water
SM 2540D
490-53195-1
Stormwater
TotaYNA
Water
SM 2540D
490-53230-E-1 DU
Duplicate
TotaVNA
Water
SM 2540D
LCS 490-16337412
Lab Control Sample
TctaM
Water
SM 2540D
LCSD 490-16337413
Lab Control Sample Dup
Totam
Water
SM 2540D
MB 49D-16337411
Method Blank
TotaVNA
Water
SM 25400
Analysis Batch: 163895
Lab Sample 1D
Client Sample ID
Prep Type
Matrix
Method Prep Batch
490-53099-A-1 MS
Matrix Spike
TotaVNA
Water
410.4
490-53195-1
Stormwater
Total/NA
Water
410.4
490-53333-D-2 DU
Duplicate
TotaVNA
Water
410.4
490-53399-B-1 MS
Matrix Spike
TotaVNA
Water
410.4
LCS 490-16389514
Lab Control Sample
TotaM
Water
410.4
LCSD 490-16389515
Lab Control Sample Dup
TotaVNA
Water
410.4
MB 490-16389513
Method Blank
TotaVNA
Water
410.4
Prep Batch: 165130
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method
Prep Batch
490-53195-1
Stormwater
Total/NA
Water
1664A
490-53610-Cr1 A MS
Matrix Spike
TotaVNA
Water
1664A
LCS 490-i65130l2-A
Lab Control Sample
Totem
Water
1664A
LCSD 490-16513013-A
Lab Control Sample Dup
TOWNA
Water
1664A
MB 490-16513011-A
Method Blank
TotaMA
Water
1664A
Analysis Batch: 165132
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method
Prep Batch
490-53195-1
Stormwater
TotaYNA
Water
1664A
165130
490-53610-G1-A MS
Matrix Spike
TotalfNA
Water
1664A
165130
LCS 490-16513012-A
Lab Control Sample
TotaVNA
Water
1664A
165130
LCSD 490-16513013-A
Lab Control Sample Dup
TolaM
Water
1664A
165130
MB 490-16513011-A
Method Blank
TotallNA
Water
1664A
165130
Analysis Batch: 165279
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method
Prep Batch
490-53195-1
Stormwater
TotaYNA
Water
9040C
490-53195-1 DU
Stormwater
TotaVNA
Water
9040C
LCS 490-16527911
Lab Control Sample
TotaVNA
Water
9040C
IMI
TestAmerica Nashville .
Page 10 of 16 5/30/2014

Client: GlaxoSmithVJine
ProjecUSite: Stormwater
Client Sample ID: Stonmwater
Date Collected: 0511511414:40
Date Received: 05/16114 08:30
Lab Chronicle
TestAmerica Job ID: 490-53195-1
Lab Sample ID: 490-53195-1
Matrix: Water
Batch
Batch
Dil
Initial
Final
Batch
Prep Type
Type
Method
Run Factor
Amount
Amount
Number
TotaVNA
Analysis
IWAA
1
1040 mL
960 mL
65132
TotaVNA
Prep
1664A
1040 mL
960 mL
165130
TotaVNA
Analysis
410.4
1
2 mL
2 mL
163895
TotaVNA
Analysis
9040C
1
20 mL
165279
TotaVNA
Analysis
SM 25400
1
250 mL
1 DD0 mL
163374
Laboratory References:
TAL NSH = TestAmerica Nashville, 2960 Foster Creighton Drive, Nashville, TN 37204, TEL [phone]
Prepared
or Analyzed
Analyst
Lab
F927I14 15:46
BAD
TAL NSH
u
05127/14 15:46
BAD
TAL NSH
05121114 11:54
MSJ
TAL NSH
05/28114 12:10
SJM
TAL NSH
05/18/14 14:31
Cl2M
TAL NSH
TestAmerica Nashville
0
Page 11 of 16
5/30/2014

Method Summary
Client: GlaxoSmithKline
Projecti'Site: Stormwater
TestAmerica Job ID: 490-53195-1
Method
Method Description
Protocol
Laboratory
1664A
HEM and SGT-HEM
1664A
TAL NSH
410.4
COD
MCAWW
TAL NSH
9040C
pH
SW846
TAL NSH
SM 2540D
Solids, Total Suspended (rSS)
SM
TAL NSH
Protocol References:
1664A = EPA-821-98-002
MCAWW = "Methods For Chemical Analysis Of Water And Wastes", EPA-60014-79-020, March 1983 And Subsequent Revisions.
SM = "Standard Methods For The Examination Of Water And Wastewater",
SW846 = "Test Methods For Evaluating Solid Waste, Physical/Chemical Methods", Third Edition, November 1986 And Its Updates.
Laboratory References:
TAL NSH = TestAmerica Nashville, 2960 Foster Creighton Drive, Nashville, TN 37204, TEL [phone]
TestAmerica Nashville
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Page 12 of 16 5/30/2014

Certification Summary
Client: GlaxoSmithKine TestAnnerica Job ID: 490-53195 1
Project/Site: Stormwater
Laboratory: TestAmerica Nashville
All certifications held by this laboratory are listed. Not all certifications are applicable to this report.
Authority
Program
EPA Region
Certification ID
Expiration Data
A21LA
1SO11EC 17025
0453.07
12-31-15
Alaska (UST)
State Program
10
UST-087
07-24-14
Arizona
State Program
9
AZO473
05-05-15
Arkansas DEQ
State Program
6
W0737
04-25-15
California
NELAP
9
1168CA
10-31-14
Connecticut
State Program
1
PH-0220
12-31-15
Florida
NELAP
4
E87358
06-3N14
Illinois
NELAP
5
200010
12-09-14
Iowa
State Program
7
131
05-01-14'
Kansas
NELAP
7
E-10229
10-31-14
Kentucky (UST)
State Program
4
19
06-30-14
Louisiana
NELAP
6
30613
06-30-14
Maryland
State Program
3
316
03-31.15
Massachusetts
State Program
1
M-TN032
06-30-14
Minnesota
NELAP
5
047-999-345
12-31-14
Mississippi
State Program
4
NIA
06-30-14
Montana (UST)
State Program
8
NA
02-24-20
Nevada
State Program
9
TN00032
07-31-14
New Hampshire'
NELAP
.1
2963
'10-09-14
New Jersey
NELAP
2
TN965
M30-14
New York
NELAP
2
11342
03-31-15
North Carolina DENR
State Program
4
387
12-31-14
North Dakota
State Program
8
R-146
06-30-14
Ohio VAP
State Program
5
CL0033
10-16-15
Oklahoma
Stale Program
6
9412
08-31-14
Oregon
NELAP
10
TN200001
0429-15
Pennsylvania
NELAP
3
68-00585
06-30-14
Rhode Island
Stale Program
1
LA0002SS
12-30-14
South Carolina
State Program
4
84009 (002)
02-23-17
Tennessee
State Program
4
2008
02-23-17
Texas
NELAP
6
T104704077
08-31-14
USDA
Federal
S-46469
10-30-16
Utah
NELAP
8
TN00032
07-31-14
Virginia
NELAP
3
460152
06-14-14
Washington
State Program
10
C789
07-19-14
West Virginia DEP
State Program
3
219
02-28-15
Wisconsin
State Program
5
998020430
08-31-14
Wyoming (UST)
A&A
8
453.07
12-31-15
Expired certification is currently pending renewal and is considered valid.
TestAmerica Nashville
Page 13 of 16 5/30/2014

TestAmedca
THE LEADER IN ENARONAeENTAL TESTING
Nashville, TN
COOLER RECEIPT FORM
Cooler Receivediopened ((O��n 5/16/2014 Cos. 0830
1. Tracking #_ 549 (last 4 digits, FedEx)
111111111111111111111111Custody
I Courier: FedEx IR Gun ID 17960357
i2- Temperature of rep. sample or temp blank when opened:1 Degrees Celsius
E
3. If Item #2 temperature is 0°C or less, was the representative sample or temp blank frozen? YES No...�l
i
4. Were custody seals on outside of cooler? YES-0-NA
If yes, how many and where:
5. Were the seals intact, signed, and dated correctly? YES ... NO...1119
6. Were custody papers inside cooler? )a ... NO ... NA
I certify that I opened the cooler and answered questions 1-6 fintlaD
7. Were custody seals on containers: YES and Intact YES...NO..j
Were these signed and dated correctly? YES ... NO ... ro
S. Packing mat'I used? BuQ;2p PI is Peanuts Vermiculite Foam Insert Paper Other None
9. Cooling process: Ice I c6k Ica (direct contact) Dryice Othe None
10. Did all containers arrive In good condition (unbroken)? YES ..NO...NA
11. Ware all container labels complete (#, date, signed, pres., etc)? •4!n�..NO... NA
12. Did all container labels and tags agree with custody papers? AMD..NO... NA
13a. Were VOA vials received?
YES_. .NA
b. Was there any observable headspace present in any VOA vial? YES ... NO..®
14. Was there a Trip Blank In this cooler? YES ... NO..Aq� If multiple coolers, sequence #
I certify that I unloaded the cooler and answered questions 7-14 fintial)
15a, On pres'd bottles, did pH test strips suggest preservation reached the correct pH level? O.NO..NA
b. Did the bottle labels Indicate that the correct preservatives were used ZD.NO... NA
16. Was residual chlorine present? YES..�P..NA
I certify that 1 checked for chlorine and vH as oar SOP and answered questions 15.16 fintlall
17. Were custody papers properly filled out (ink, signed, etc)?
—E5 .NO...NA
18. Did you sign the custody papers In the appropriate place?
4g).NO...NA
19. Were correct contarners used for the analysis requested?
, �,NO... NA
20. Was sufficient amount of sample sent in each container?
4!j!P..N0.,.NA
I certify that I entered this ororect into LIMAS and answered questions 17-20'fintiall eW>-.
21. Were there Non -Conformance issues at login? P{�E ?Was a
BIS = Broken in shipment
Cooler Receipt Form.doo LF-1
End of Form
Page 14 of 16
.�+'k 5.ro'r7
generated?..#
i
Revised I1M/2012
5/30/2014

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°RefumToCOent DDl Lab �AfdrlvaFor Mwrdrs
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7.

Fil
Login Sample Receipt Checklist
Client: GlaxoSmithKline
Login Number: 53195
List Number: 1
Creator: McBride, Mike
Question
Answer Comment
r- -
�•1 1
Job Number: 490-53195-1 1 J
List Source: TestArnerica Nashville N
_l°I
Radioactivity wasn't checked or is </= background as measured by a
True
survey meter.
The cooler's custody seal, if present, is intact.
Sample custody seals, if present, are intact.
NIA
NIA
The cooler or samples do not appear to have been compromised or
True
tampered with,
Samples were received on ice.
True
Cooler Temperature is acceptable.
True
Cooler Temperature is recorded.
True 14.5
COG is present.
True
~_ ;
COG is filled out in ink and legible.
True
E N
COG is filled out with all pertinent information.
True
Is the Field Samplers name present on COC?
True
There are no discrepancies between the containers received and the COC.
True
Samples are received within Holding Time.
True
Sample containers have legible labels.
True
Containers are not broken or leaking.
True
Sample collection dateltimes are provided.
True
Appropriate sample containers are used.
True
Sample bottles are completely filled.
True
Sample Preservation Verified.
True
There is sufficient vol. for all requested analyses, Incl. any requested
True
MS/MSDs
Containers requiring zero headspace have no headspace or bubble is
True
<6mm (114"),
Multiphasic samples are not present.
True
Samples do not require spE"itting or compositing.
True
Residual Chlorine Checked.
True
TestAmerica Nashville
Page 16 of 16 5/30/2014