NCG060354_MONITORING INFO_20190430

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IVCG,fvlp b3"/
DOC TYPE
El HISTORICAL FILE
9 MONITORING REPORTS
DOC DATE
❑ 3 D ) 6 oq 3U
YYYYMMDD

April 17, 2019
NC Department of Environment and Natural Resources
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Attention: Central Files
Subject: Discharge Monitoring Reports
NPDES General Permit No. NCG060000
COC# NCG060354 (Rl/R2)
Hospira, A Pfizer Company— Nash County
To Whom It May Concern:
Hospira
A 40 Company
R CE/V;zD
CENTi' AC F1l
dV!!}� S�CTloTj
Per the requirements of our general stormwater permit, the following documentation is
attached for your review:
✓ Storm water Discharge Monitoring Reports for Outfalls 004B, 005, 017A `
✓ Certified laboratory report
All required discharge characteristics (total suspended solids, pH, oil and grease, and
chemical oxygen demand) were within permitted ranges. Total rainfall was measured
with an on -site rain gauge for the duration of the event. We will continue to conduct
future sampling events based on the conditions indicated in our permit.
Please contact me at [phone] if you have any questions or I can provide any additional
information.
Sincerely,
Samuel Toke
Sr. Environmental Specialist
Hospira, a Pfizer company
4285 N. Wesleyan Blvd,
Rocky Mount, NC 27804

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 04/17/2019
CERTIFICATE OF COVERAGE NO. NCG06 0 3 5 4 SAMPLE COLLECTION YEAR 2019
FACILITY NAME — Hospira, a Pfizer company (Rocky Mount, FACILITY ACTIVITIES INCLUDE (check all that apply):
NC1 ❑ use/process meats ❑ use animal fats/byproducts
COUNTY Nash DISCHARGING TO SALTWATERS? ❑YES ®NO
PERSON COLLECTING SAMPLES Mike Lewis
LABORATORY Pace Analytical Lab Cert. # PASI-C #12, PASI-A #40 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall Z .4 or ❑ No discharge this period'
Outfall No.
- _
Sample Collected;'
= mo/dd/yr _
= TSS;
= mg/C
pH, :
..Standard units
- COD, i
= mg/L
Oil and Grease,
mg]L =
fecal Coliformf,
Colonies per lOQ ml
Enterococcil, r
Colonies per 100 ml
Benchmark
= --
,.100 or,50a.=
--Within 6.0.,-9.0 .
_ = 120 -
30
1000
_ 500 =
004B
03/25/19
11.8
7.27
43.7
<5.0
N/A
N/A
005
03/25/19
11.2
7.16
29.6
<5.0
N/A
N/A
017A
03/25/19
32.2
7.36
107
<5.0
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.
OutfalfNo:
_ -
Sample Collected,
mo/ild/yr
Oil and.Grease,.
mg/L
_ TSS,
mg/L .
- pH,
Standard units
- New Motor Oil Usage,
Annual average gal/mo
Benchmark
=
30
iD0 ar 504 -
6.0-9.0
-
N/A
N/A
N/A
N/A
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.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER ! 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 IE 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: NIA
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 27699-161LJI
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 Permi ee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.ore/Web/wa/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

Stormwater DMR Sampling
-�/;z 57-/19 / 7 L/ 0 6,1
11
Time pH Temperature
7, .-7 15. z c
Time pH Temperature
/ f,5o 7,1(e J6 .6 '°c
Time I pH I Temperature
0
Z c
Sampled by:

aceAnalytrcal
wwwpecefebxcom
April 03, 2019
Michael A. Lewis
Hospira, Inc. - Rocky Mount, NC
4285 N. Wesleyan Blvd.
Rocky Mount, NC 27804
RE: Project: STORMWATER
Pace Project No.: 92422923
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Dear Michael Lewis:
Enclosed are the analytical results for sample(s) received by the laboratory on March 27, 2019. The
results relate only to the samples included in this report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Matthew Brainard
[e-mail]
[phone]
Project Manager
Enclosures
cc: Samuel Toke, Hospira- Rocky Mount
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 1 of 14

aceAnalXicalo
w m..pacelabs.mm
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Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
CERTIFICATIONS
Project: STORMWATER
Pace Project No.: 92422923
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
South Carolina Certification #: 99006001
Louisiana/NELAP Certification # LA170028
Florida/NELAP Certification #: E87627
North Carolina Drinking Water Certification #: 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification #: 5342
VirginiafVELAP Certification #: 460221
North Carolina Wastewater Certification #: 12
Asheville Certification ID9
2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40
FloridalNELAP Certification #: E87648 South Carolina Certification #: 99030001
Massachusetts Certification #: M-NCO30 VrginiaNELAP Certification #: 460222
North Carolina Drinking Water Certification #: 37712
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 14

Pace Analytical Services, LLC
aceMalX cal •
6701 Conference Drive
Raleigh, ruc 27607
www.pmelaascom
(919)e34-49e4
SAMPLE ANALYTE COUNT
Project: STORMWATER
Pace Project No.: 92422923
Analytes
Lab ID Sample ID
Method
Analysts
Reported Laboratory
92422923001 OUTFALL 017
EPA 1664B
JMS
1 PAS!-C
SM 254OD-2011
MJP
1 PASI-A
SM 5220D-2011
GC
1 PASI-A
92422923002 OUTFALL 004B
EPA 1664B
JMS
1 PASI-C
SM 2540D-2011
MJP
1 PASI-A
SM 5220D-2011
GC
1 PASI-A
92422923003 OUTFALL 005
EPA 1664E
JMS
1 PASI-C
SM 254OD-2011
MJP
1 PASI-A
SM 5220D-2011
GC
1 PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 3 of 14

"Analytical e
www.pscafet+&WM
ANALYTICAL RESULTS
Pace Analytical Services, LLC '
6701 Conference Drive
Raleigh, NC 27607
[phone]
Project: STORMWATER
Pace Project No.: 92422923
Sample: OUTFALL 017 Lab ID: 92422923001 Collected: 03/25/19 19:39 Received: 03127119 10:25 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 1664B
Oil and Grease ND mg1L 5.0 1 03/29/19 07:30
2640D Total Suspended Solids Analytical Method: SM 254OD-2011
Total Suspended Solids 32.2 mg1L 5.0 1 03/28/19 14:22
5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand 107 mg1L 25.0 1 04/01/19 16:53 04/02/19 16:37
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 04/03/2019 04:14 PM without the written consent of Pace Analytical Services, LLC.
Page 4 of 14

acmnalytical
rrww.pacamba.cvm
ANALYTICAL RESULTS
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
(919)8344984
Project: STORMWATER
Pace Project No.: 92422923
Sample: OUTFALL 004B Lab ID: 92422923002 Collected: 03/25/19 20:08 Received: 03/27/19 10:25 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 1664B
Oil and Grease ND mglL 5.0 1 03/29/19 07:31
2540D Total Suspended Solids Analytical Method: SM 254OD-2011
Total Suspended Solids 11.8 mglL 2.7 1 03/28/19 14:23
6220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand 43.7 mglL 25.0 1 04/01/19 16:53 04/02/19 16:37
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in Full,
Date: 04/0312019 04:14 PM without the written consent of Pace Analytical Services, LLC.
Page 6 of 14

aceAnalytical
wwwpecelebscom
ANALYTICAL RESULTS
Pace Analytical Services, LLC ,
6701 Conference Drive
Raleigh, NC 27607
[phone]
Project: STORMWATER
Pace Project No.: 92422923
Sample: OUTFALL 005 Lab ID: 92422923003 Collected: 03/25/19 19:50 Received: 03/27/19 10:25 Matrix: Water
Parameters
HEM, Oil and Grease
Oil and Grease
2540D Total Suspended Solids
Total Suspended Solids
5220D COD
Chemical Oxygen Demand
Date: 04/03/2019 04:14 PM
Results Units Report Limit DF Prepared Analyzed GAS No. Qual
Analytical Method: EPA 1664B
ND mg1L 5.0 1 03/29/19 07:32
Analytical Method: SM 254OD-2011
11.2 mg1L 2.5 1 03/28/1914:23
Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
29.6 mg1L 25.0 1 0410111916:53 04102/1916:38
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC,
Page 6 of 14

aceAnalytical
WWWpa"ba.cam
QUALITY CONTROL DATA
Project: STORMWATER
Pace Project No.: 92422923
QC Batch: 466214 Analysis Method: EPA 1664B
QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease
Associated Lab Samples: 92422923001, 92422923002, 92422923003
METHOD BLANK: 2534260 Matrix: Water
Associated Lab Samples: 92422923001, 92422923002, 92422923003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Oil and Grease mg1L ND 4.8 03/29/19 06:57
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
LABORATORY CONTROL SAMPLE: 2534261
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Oil and Grease mg/L 38.5 36.7 96 78-114
MATRIX SPIKE SAMPLE: 2534262
92422923003 Spike MS MS % Rec
Parameter Units Result Conc. Result % Rec Limits Qualifiers
Oil and Grease mg1L ND 40 37.9 94 78-114
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/03/2019 04:14 PM without the written consent of Pace Analytical Services, LLC.
Page 7 of 14

acmnalytrcal
xww.pecabUcam
QUALITY CONTROL DATA
Project: STORMWATER
Pace Project No.: 92422923
Pace Analytical Services, LLC !
6701 Conference Drive
Raleigh, NC 27607
[phone]
QC Batch: 466068
Analysis Method:
SM 254OD-2011
QC Batch Method: SM 254OD-2011
Analysis Description:
25400 Total Suspended Solids
Associated Lab Samples: 92422923001,
92422923002, 92422923003
METHOD BLANK: 2533655
Matrix: Water
Associated Lab Samples: 92422923001, 92422923002, 92422923003
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg1L
ND 2.5 03/28/19 14:22
LABORATORY CONTROL SAMPLE:
2533656
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
251 242
96 90-110
SAMPLE DUPLICATE: 2533657
92422923001
Dup
Parameter
Units
Result
Result RPD Qualifiers
Total Suspended Solids
mg/L
32.2
33.5 4
SAMPLE DUPLICATE: 2533658
92422987003
Dup
Parameter
Units
Result
Result RPD Qualifiers
Total Suspended Solids
mg1L
ND
ND
Results presented an this page are In the unite Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/03/2019 04:14 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 14

aceAnaIXical"
tvww.pacgleea.cdrrr
QUALITY CONTROL DATA
Project: STORMWATER
Pace Project No.: 92422923
QC Batch: 466679 Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD
Associated Lab Samples: 92422923001, 92422923002, 92422923003
Pace Analytical Services, L.LC
6701 Conference Drive
Raleigh, NC 27607
[phone]
METHOD BLANK: 2536337 Matrix: Water
Associated Lab Samples: 92422923001, 92422923002, 92422923003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Chemical Oxygen Demand mg/L ND 25.0 04/02/19 16:36
LABORATORY CONTROL SAMPLE: 2536338
Spike LCS LCS % Rec
Parameter Units Cone. Result % Rec Limits Qualifiers
Chemical Oxygen Demand mg1L 750 746 99 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2536339 2536340
MS MSD
92423002001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 1230 100 100 1320 1320 94 92 90-110 C
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2536341 2536342
MS MSD
92423214001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 1730 100 100 1790 1800 56 66 90-110 1 M1
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/03/2019 04:14 PM without the written consent of Pace Analytical Services, LLG.
Page 9 of 14

Pace Analytical Services, LLC '
6701 Conference Drive
(_'!15ceAna0ca10 Raleigh, NC 27607
wwwpecelebacom [phone]
QUALIFIERS
Project: STORMWATER
Pace Project No.: 92422923
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL-Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270, The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/03/2019 04:14 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14

aceAnalyticat o
www.pecefs &="
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
(919)8344984
Project: STORMWATER
Pace Project No.: 92422923
Analytical
Lab Id Sample ID QC Batch Method QC Batch Analytical Method Batch
92422923001
OUTFALL 017
EPA 1664E
466214
92422923002
OUTFALL 004B
EPA 1664B
466214
92422923003
OUTFALL 005
EPA 1664E
466214
92422923001
OUTFALL 017
SM 254OD-2011
466068
92422923002
OUTFALL 004E
SM 254OD-2011
466068
92422923003
OUTFALL 005
SM 254OD-2011
466068
92422923001
OUTFALL 017
SM 5220D-2011
466679 SM 5220D-2011
92422923002
OUTFALL 0048
SM 5220D-2011
466679 SM 5220D-2011
92422923003
OUTFALL 005
SM 5220D-2011
466679 SM 5220D-2011
Date: 04/03/2019 04:14 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
466926
466926
466926
Page 11 of 14

Laboratory recelving sarnples:
Asheville ❑ Eden❑ Greenwood] Huntersvllle ❑ Raleigh(] Mechanicsville[]
wo#:92422923
Project g: II II
_ III IA I I�II�lI II
try
Courier: (]Fed Fx OUP's Ousps ®G1ent
❑ Commercial �2a a other: 02422023
CusfodySeal Present? []Yes • eMo Seals intact? Oyes BQ I
Date/Initgh Person F.raminlog Contents:,_
Packing Material: []Bubble Wrap C91kibbie Bags
If ❑None ❑' Other Biological Fraien7
Thermometer; r IlYes nNo f IN/A
w6un 10: Type of I= Wet [j8(Uo
Cooler Temp {'C):— Correction Factor: Ad ubtra C)
Cooler Temp Corrected ('C): . 0
USDA Regulated Sall (fg N/A, watarsampie)
Old samples alginate In a quarantine tone within the United States: CA, NY, or SC (check maps)?
Done
Temp should be above freezing to VC
OSareples out of temp crtterfa. Samples on ice, caaffng process
has hegun
DId samples odglnate from a foreign sourm (internationally,
IndudinR Hawafl and Puerto Rica]? ❑Yes ONo
Lnamorursma rrnseorr
LJYes
WNo
UNIA
I 1
Sarn leskdvedwithinHoldTime?
M
QNO
© A
2:
Short Hold Time Analysis <72hr,7
DES
PK.
QWA
3.
Rush Turn Around TlmeRequested?
Yu
A
4.
Suffident Volume?
Na
0NJA
5.
Correct Containers Used?
-Pace Containers Used?
0140
No
ON/A
N A
6.
Containers Intact?
o
N A
7.
Dissolved ana Is: Samples Field littered?
ny.
No
/A
a.
Sample labels Match COO
-includes Date/rime D/Anal Is Matrix
13&
❑No
ON/A
9.
Heads ceInVOAVlals >5-6mm)7
rs
No
SD.
TrlpSfankPresent?
[:Yes
ONo
SOM
I U.
Lot ioofsplit contatnt:rs; � TT
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
Date/rime:
Project Manager SRF Revlew: % )
Page 12 of 14
Date: 11,

Document Name: Document Revised: February 7, 2D18
Sample Condition Upon Recel t scUR page x of 2
8C8� Document No.: Issuing Authortty:
F-CAR-C"33-Rov.06 pace Carolinas QualitV Dance
*Check mark top half of box if pH and/or dechlorinatlon is
verified and within the acceptance range for preservation
samples.
Exceptions: VOA, Coliform, Tac, Oil end Grease, DRO/8015 (water) Doc, LLHg
"Bottom half of box Is to list number of bottle
Project l of ; 92422923
Cue flaie:
04/05/19
pM: 14WB
CLIENT; 91-140spira
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pH Adjustment fog for Preserved Samples
Sample tD Type of Preservative pH upon receipt Date preservation adjusted Time preservation I Amount orPrtservative lot It
adjusted added
Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy or this form Al be rent to the Narth Carolina DEHNR Certiftcation Office 114 Page 13 Of 14
Out of hold, incorrect preservative, out of temp, Incorrect containers,

CHAIN -OF -CUSTODY 1 Analytical Request Document
The Chatrrof-astody is a LEGAL DOCUMENT. An relevant fields must be completed accurately.
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f
January 8, 2019
NC Department of Environment and Natural Resources
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Attention: Central Files
Subject: Discharge Monitoring Reports
NPDES General Permit No. NCG060000
COC# NCG060354 (R1/R2)
Hospira, A Pfizer Company— Nash County
To Whom It May Concern:
A 4P Company
RECEIVED
JAN 2 2 2019
CENTRAL PILES
oWR SECTiol"1
Per the requirements of our general stormwater permit, the following documentation is
attached for your review:
✓ Storm water Discharge Monitoring Reports for Outfalls 004B, 005, 017A
✓ Certified laboratory report
All required discharge characteristics (total suspended solids, pH, oil and grease, and
chemical oxygen demand) were within permitted ranges. Total rainfall was measured
with an on -site rain gauge for the duration of the event. We will continue to conduct
future sampling events based on the conditions indicated in our permit.
Please contact me at [phone] if you have any questions or I can provide any additional
information.
Sincerely,
Samuel Toke
Sr. Environmental Specialist
Hospira, a Pfizer company
4285 N. Wesleyan Blvd.
Rocky Mount, NC 27804

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 011012019
CERTIFICATE OF COVERAGE NO. NCG06 0 3 3 4 SAMPLE COLLECTION YEAR 2018
FACILITY NAME _ Hospira, a Pfizer company (Rocky Mount, FACILITY ACTIVITIES INCLUDE (check all that apply):
NC) _ ❑ use/process meats ❑ use animal fats/byproducts
COUNTY Nash DISCHARGING TO SALTWATERS? DYES ®NO
PERSON COLLECTING SAMPLES Mike Lewis
LABORATORY Pace Analytical Lab Cert. # PASI-C #12, PASI-A #40 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall 2 2.6 or ❑ No discharge this period3
OutfaWlYo..
Sample Collected,:.
mo/dd/yr
Tss;_ "=
mg/L
pH,
Standard units_
COD,
mg/L _
Oil and Grease,
mg/L
Fecal Coliforml,
Calonies,per 1od ml _
Enterococcif,
Colonies per 100 ml
Benchmark
_
-
100 or 504
Within 6.0 —9.0
120;
30 ."
1000
'500
0048
12/09/18
5.3
6.16
<25
<5.0
N/A
N/A
005
12/09/18
4.3
6.20
<25
<5.0
N/A
N/A
017A
12/09/18
30.8
6.16
<25
<5.0
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/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Wage,
Annual average gal/mo
Benchmark
- -
30
100 or 5V '
-6.0 -..9.0
-
N/A
N/A
N/A
N/A
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.
s F5r 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.
(ifyes, complete Part B)
SWt3-249 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 AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART it 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: N/A
Mail an original and one popy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results for 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 27699-161LJI
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."
// —
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wcl/ws/su/npdessw#tab`4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

Starmwater DMR Sampling
fr Sample i]ate :'{'; ,(vent Startgime t„
Event Rainfall
z. G j)
N.a .Yi Outfa_ll No. OD_46 {L�VP),I.
Time
pH
Temperature
Time
pH
Temperature
.ice r � �`i�l���s:4''+
IOutfall No.,OS� 7A�(R2•)�"
} ,,
Time
/zSS
pH
4./4
Temperature
4/,/ O(-
Sampled by: / �I;A /t=;

aceAnalytical
www.pWolaba.com
December 19, 2018
Michael A. Lewis
Hospira, Inc. - Rocky Mount, NC
4285 N. Wesleyan Blvd.
Rocky Mount, NC 27804
RE: Project: Stormwater
Pace Project No.: 92410210
Dear Michael Lewis:
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on December 11, 2018.
The results relate only to the samples included in this report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Matthew Brainard
[e-mail]
[phone]
Project Manager
Enclosures
cc: Samuel Toke, Hospira- Rocky Mount
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 1 of 14

Pace Analytical Services, LLC
i
��acl
MaIj ca! 6701 Confh, NC Drive'
Raleigh, NC 27607
swwPacawam" [phone]
CERTIFICATIONS
Project: Stormwater
Pace Project No.: 92410210
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
South Carolina Certification #: 99006001
Louisiana/NELAP Certification # LA170028
Florida/NELAP Certification #: E87627
North Carolina Drinking Water Certification #: 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification #: 5342
VirginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 14

} aL.UAnalytical
www.pacelab&com
SAMPLE ANALYTE COUNT
Project: Stormwater
Pace Project No.: 92410210
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92410210001
Outfall 017
EPA 16649
LGD
1
PASI-C
SM 254OD-2011
CRV
i
PASI-A
SM 522OD-2011
GC
1
PASI-A
92410210002
Outfall 004E
EPA 1664B
LGD
1
PASI-C
SM 254OD-2011
CRV
1
PASI-A
SM 5220D-2011
GC
1
PASI-A
92410210003
Outfalf 005
EPA 1664B
LGD
1
PASi-C
SM 254OD-2011
CRV
1
PASI-A
SM 5220D-2011
GC
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC,
Page 3 of 14

Iac
(
emalxicale
>.tMw.pacelab.00m
ANALYTICAL RESULTS
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Project: Stormwater
Pace Project No.: 92410210
Sample: Outfall 017 Lab ID: 92410210001 Collected: 12/09/18 12:55 Received: 12/11/18 08:10 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 166413
Oil and Grease ND mglL 5.0 1 12/14/18 16:20
2540D Total Suspended Solids Analytical Method: SM 254OD-2011
Total Suspended Solids 30.8 mglL 5.0 1 12/12/18 19:17
5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand ND mg/L 25.0 1 12/12/18 22:32 12/14/18 17:48
a
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 1211912016 06:55 PM without the written consent of Pace Analytical Services, LLC.
Page 4 of 14

aCeAnalj cal e
wwcrpacelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Project: Stormwater
Pace Project No.: 92410210
Sample: Outfall 004t3 Lab lD: 92410210002 Collected: 12/09/18 12:12 Received: 12111/18 08:10 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 1664B
Oil and Grease N❑ mg1L 5.0 1 12/14/18 16:20
2540D Total Suspended Solids Analytical Method: SM 254OD-2011
Total Suspended Solids 5.3 mg/L 2.5 1 12/12118 19:18
5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand ND mg/L 25.0 1 12/12/18 22:32 12/14/18 17:48
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/19/2018 06:55 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 14

aceAnalXical`
wwwpecel h&COm
ANALYTICAL RESULTS
Project: Stormwater
Pace Project No.: 92410210
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
(919)8344984
Sample: Outfall006 Lab ID: 92410210003 Collected: 12109/1812:35 Received: 12/11/1808:10 Matrix: Water
Parameters Results Units Report limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 1664E
Oil and Grease ND mg1L 5.0 1 12/14/18 16:20
2640D Total Suspended Solids Analytical Method: SM 2WD-2011
Total Suspended Solids 4.3 mg/L 2.5 1 12/12/18 19:18
5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand ND mg/t_ 25.0 1 12/12/18 22:32 12/14/18 17:49
Date: 12/19/2018 06:55 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 6 of 14

aceAnaliftal
www.pacalafcam
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92410210
OC Batch: 447692 Analysis Method: EPA 1664B
QC Batch Method: EPA 16649 Analysis Description: 1664 HEM, Oil and Grease
Associated Lab Samples: 92410210001, 92410210002, 92410210003
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
(919)834A984
METHOD BLANK: 2452998 Matrix: Water
Associated Lab Samples: 92410210001, 92410210002, 92410210003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Oil and Grease mg1L ND 5.0 12/14/18 16i20
LABORATORY CONTROL SAMPLE: 2452999
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Oil and Grease mg/L 40 33.3 83 78.114
MATRIX SPIKE SAMPLE: 2453000
92410210001 Spike MS MS % Rec
Parameter Units Result Conc. Result % Rec Limits Qualifiers
Oil and Grease mg/L ND 40 34.3 86 78-114
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in fO,
Date: 12119/2018 06:55 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 14

(�Ia'cmnalytical*
www.paoelaba.com
QUALITY CONTROL DATA
Project: Slormwater
Pace Project No.: 92410210
QC Batch: - 447158 Analysis Method: SM 254OD-2011
QC Batch Method: SM 254OD-2011 Analysis Description: 25400 Total Suspended Solids
Associated Lab Samples: 92410210001, 92410210002, 92410210003
METHOD BLANK: 2450524 Matrix: Water
Associated Lab Samples: 92410210001, 92410210002, 92410210003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 12/12/18 19:10
Pace Analytical Services, LLC
6701 Conference Drive -
Raleigh, NC 27607
[phone]
LABORATORY CONTROL SAMPLE:
2450525
Spike
LCS LCS
% Rec
Parameter
Units
Conc.
Result % Rec
Limits Qualifiers
Total Suspended Solids
mglL
250
230 92
90-110
SAMPLE DUPLICATE: 2450526
92410154001
Dup
Parameter
Units
Result
Result RPD
Qualifiers
Total Suspended Solids
mglL
162
135.
18 D6
SAMPLE DUPLICATE: 2450527
92410252002
Dup
Parameter
Units
Result
Result RPD
Qualifiers
Total Suspended Solids
mglL
ND
ND
Results presented on thla page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shell not he reproduced, except in full,
Date: 12/19/2018 06:55 PM without the written consent of Pace Analytical Services, LLC,
Page 8 of 14

Pace Analytical Services, LLC
s aiceAnalytrcal`
670Conference Drive
Raleigh, NC 27607
www.Pecefehs•c�om
[phone]
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92410210
QC Hatch: 447169
Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011
Analysis Description: 5220D COD
Associated Lab Samples: 92410210001, 92410210002,
92410210003
METHOD BLANK: 2450562
Matrix: Water
Associated Lab Samples: 92410210001, 92410210002,
92410210003
Blank Reporting
Parameter Units
Result Limit Analyzed
Qualifiers
Chemical Oxygen Demand mg1L
ND 25.0 12/14/18 17:43
LABORATORY CONTROL SAMPLE: 2450563
Spike LCS LCS % Rec
Parameter Units
Conc. Result % Rec Limits
Qualifiers
Chemical Oxygen Demand mg1L
750 769 103 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2450564 2450565
MS MSD
92409878002
Spike Spike MS MSD MS
MSD
% Rec
Parameter Units Result
Conc. Conc. Result Result % Rec
% Rec
Limits RPD Qual
Chemical Oxygen Demand mglL ND
100 100 123 115 109
102
90-110 6
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2450566 2450567
MS MSD
92409266016
Spike Spike MS MSD MS
MSD
% Rec
Parameter Units Result
Conc. Conc. Result Result % Rec
% Rec
Limits RPD Qual
Chemical Oxygen Demand mglL 45000
100 100 142 144 97
99
90-110 2
ug1L
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/1912018 06:55 PM without the written consent of Pace Analytica! Services, LLC.
Page 9of14

Pace Analytical SaNicea, LLC
,�acmnalyficale
6701 Confefence DrivesRaleigh, NC 27607
wwwpacwobs.com (919)B34-4984
QUALIFIERS
Project: Stormwater
Pace Project No.: 92410210
DEFINITIONS
OF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
NO - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MOIL -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270, The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenyla mine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
LABORATORIES
PASI-A Pace Analytical Services - Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/19/2018 06:55 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14

aceAnalytrcal o
www.pacMahs.com
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, LLC
6701 Conference drive
Raleigh, NC 27607
[phone]
Project: Stormwater
Pace Project No.: 92410210
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92410210001
Outfall 017
EPA 1664E
447692
92410210002
Outfall 004E
EPA 1664B
447692
92410210003
Outfall 005
EPA 1664E
447692
92410210001
Outfall 017
SM 254OD-2011
447158
92410210002
Outfall 004E
SM 254OD-2011
447158
92410210003
Outfall 005
SM 254OD-2011
447158
92410210001
Outfall 017
SM 5220D-2011
447169 SM 5220D-2011 447725
92410210002
Outfall 004B
SM 5220D-2011
447169 SM 5220D-2011 447725
92410210003
Outfall 005
SM 5220D-2011
447169 SM 5220D-2011 447725
REPORT OF LABORATORY ANALYSIS
This report shaft not be reproduced, except in full,
Date: 12/19/2018 06:55 PM without the written consent of Pace Analytical Services, LLC. Page 11 of 14

Laboratory receiving samples:
Ashevllle ❑ Eden[) Greenwood ❑ Huntersville ❑ Ralelgx Mechanicsville[]
Client Name: Project 0: WQ# • 92410210
6S j �N G �4GfL�
Courier: Fed Up9 LISPS Client
Commercial are Dther; �� 92410210
Custody. Seal Present? 62feso [:]NO Seals Intact? EFe, ❑No
Data/lnitlalr Perron Examining Corrten,•
Packing Material: E]Bubble Wrap 2eubble Bags ❑None ❑ Other BfologlcalTissue Frozen?
Thermom t r: ❑yes []NO [S UAr•-
2flR Gun IO: T� S tYFe of ice: met []8fue []None
Cooler Temp {'Cj: ea!, / Correction Factor: Add/Subtract
Temp should be above freering to S'C
Cooler Temp Corrected {'Cj: _ Qsamples out of tamp criteria. Samples on Ire, cooling process
has Iseeun
USDA Regulated Sall (9</A watersemple)
COMMEWS/SAMPLE DISCREPANCY Field Oate Requlred? ❑yes DNa
Lot lOofsphtcontainers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted: Date/Time:
Project Manager SCURF Review; Date: ! a- i t t l i h Page 12 of 14
Project Manager SRF Review: _ Date:

'Check mark top half of box if pH and/or dechlorination Is
verifled and within the acceptance range for preservation
samples.
Excaptlons: VOA, Coliform, TOE O11 and Grease, DRO/801S (water) DOC, Wig
**Bottom half of box Is to IM number of bottle
Project # Wp# : 9241 Q21 0
PM: MW8 Due Dale: 12/20/18
CLIENT: 81—Hoap 1 ra
pH Adjustment Log for Preserved
Samples
Semple ID Type•af Preservative pH upon receipt Date preservation adjusted
Time prerervatlon Amount of Preservative lot N
adjusted added
Page 13 Of 14
Note: Whenever there is a Mcrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DENNR Certlflatlon Of ca {Irm
n,.* nPhrtrr: --s {....... 1��.'. �. .�.•.. ...

CHW F-CUSTODY 1 Analytical Request Document
The ody is a LEGAL DOCUMENT. AU reword flelds must be =mpleted a=nat*.
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A $p Company
June 7, 2018
NC Department of Environment and Natural Resources
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Attention: Central Files
Subject: Discharge Monitoring Reports
NPDES General Permit No. NCG060000
COC# NCG060354 (RI/R2)
Hospira, A Pfizer Company— Nash County
To Whom It May Concern:
Per the requirements of our general stormwater permit, the following documentation is
attached for your review:
✓ Storm water Discharge Monitoring Reports for Outfalls 004B, 005, 017A
✓ Certified laboratory report
All required discharge characteristics (total suspended solids, pH, oil and grease, and
chemical oxygen demand) were within permitted ranges. Total rainfall was measured
with an on -site rain gauge for the duration of the event. We will continue to conduct
future sampling events based on the conditions indicated in our permit.
Please contact me at [phone] if you have any questions or I can provide any additional
information.
Sincerely,
Samuel Toke
Sr. Environmental Specialist
Hospira, a Pfizer company
4285 N. Wesleyan Blvd,
Rocky Mount, NC 27804

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted June 7. 2018
CERTIFICATE OF COVERAGE NO. NCG06 0 3 5 4 SAMPLE COLLECTION YEAR 2018
FACILITY NAME Hospira, A Pfizer Company. (Rocky Mount, NQ FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Nash ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES Mike Lewis DISCHARGING TO SALTWATERS? []YES ®NO
LABORATORY Pace Analytical Lab Cert. # PASI-C #12 , PASI-A #40
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall Z 1.1 or ❑ No discharge this period3
Outfall No.
Sample Collected,
rno/dd/yr
TSS,
mg/L -
pH,
=-_Standard units
COD;
mg/L
Oil and Grease,
mg/L
Fecal Coliform1,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
- 120
30
1000- -
50D
004E
05/16/18
3.6
6.90
<25
<5.0
N/A
N/A
005
05/16/18
14.8
7.06
29.0
<5.0
N/A
N/A
017A
05/16/18
15.0
6.36
66.0
<5.0
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 outfalis. 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.
Outfai l:No.
Sample Collected:
mo/dd/yr-,
Oil and Grease; _
'mg/L
TSS,
mg/L -
pH,
-Standard units:. `=
New MotorOil Usage,,
Annual average gal/mo°'°
Benchmark
-
-30
100 or 504
6.0 — 9.0
-
N/A
N/A
N/A
N/A
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.
(if yes, complete Part 8)
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 AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK €XCEEDENCES 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: _N/A
Mail an on inal and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results for 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 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 Perm
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S WU-249
Last Revised: October 18, 2012
Page 2 of 2

Stormwater DMR Sampling
ZA ff- OF F I a 7 f 'a I
06 l 0
v L 31 �,V
Maw.2
IM
Time
pH
Temperature
11,,ZZI'1211.7� y
1W AT
E -ur
agm� ir o (,rc
-T.", ["RINK
�j 40.u,�
, ::Aj:,."I! IlAk
Time
pH
Temperature
0-7'fO
'c-
f
jlj,�j a 1,7,
Time
pH
Temperature
ve
6,3(o
/5 .'2-'C-
Sampled by:
k'A

acMnalj&al o
www.poolobs.com
May 29, 2018
Michael A. Lewis
Hospira, Inc. - Rocky Mount, NC
4285 N. Wesleyan Blvd.
Rocky Mount, NC 27804
RE: Project: Stormwater
Pace Project No.: 92385203
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Dear Michael Lewis:
Enclosed are the analytical results for sample(s) received by the laboratory on May 17, 2018, The
results relate only to the samples included in this report.
i,
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
I:
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
� �
Matthew Brainard
[e-mail]
[phone]
Project Manager
Enclosures
cc: Samuel Toke, Hospira- Rocky Mount
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC, Page 1 of 14

Pace Analytical Services, LLC
�aaeMaOcalo 6741 Conference Drive
Raleigh, NC 27607
wiviv.peaetabsrom [phone]
CERTIFICATIONS
Project: Stormwater
Pace Project No.: 92385203
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, hluntersville, NC 28078
Louisiana/NELAP Certification # L.A170028
North Carolina Drinking Water Certification M 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Asheville Certification Ids
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
South Carolina Certification #: 99006001
Florida/NELAP Certification M E87627
Kentucky UST Certification #: 84
VirginiaNEL.AP Certification #: 460221
North Carolina Wastewater Certification M 40
South Carolina Certification #: 99030001
VirgintaNELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 14

lac,eAnalyfical'
wwwpacelahacom
SAMPLE ANALYTE COUNT
Project: Stormwater
Pace Project No.: 92385203
Pace Analytical Services, LLC
6701 Conference Drive
Ra$eiph, NC 27607
[phone]
Lab ID
Sample ID
Method
Analysts
Analytes
Reported
Laboratory
92385203001
Outfall 017
EPA 1664E
JMS
1
PASI-C
SM 2540D
NAL
1
PASI-A
SM 5220D
GC
1
PASI-A
92385203002
Outfall 004B
EPA 16648
JMS
1
PASI-C
SM 2540D
NAL
1
PASI-A
SM 5220D
GC
1
PASI-A
92385203003
Outfall 005
EPA 1664E
JMS
1
PASI-C
SM 2540D
NAL
1
PASI-A
5M 5220D
GC
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 14

Iac
(
eAnalyfical*
wxwp&wiabs.com
ANALYTICAL RESULTS
Pace Analytical Services, LL.0
6701 Conference Drive
Raleigh, NC 27807
[phone]
Project: Stormwater
Pace Project No.: 92385203
Sample: Outfall 017
Lab ID: 92385203001 Collected: 05/16/18 08:55
Received: 05/17118 15:25 Matrix: Water
Parameters
Results Units
Report Limit DF
Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664B
Oil and Grease
ND mglL
5.0 1
05/25/18 00:52
2640D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
15.0 mglL
6.2 1
05/23/18 18:54
5220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
66.0 mglL
25.0 1
05/25/18 16:38
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Dale: 05/29/2018 06:25 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 14

aceAnalytical
www.pacelaDsoom
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92385203
QC Batch: 412041 Analysis Method: SM 25400
QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 923B5203001, 92385203002, 92385203003
METHOD BLANK: 2285780 Matrix: Water
Associated Lab Samples: 92385203001, 92385203002, 92385203003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 05123/18 18:53
LABORATORY CONTROL SAMPLE:
2285781
Parameter
Units
Total Suspended Solids
mg1L
SAMPLE DUPLICATE: 2285782
Parameter
Units
Total Suspended Solids
mg1L
SAMPLE DUPLICATE: 2285783
Parameter
Units
Total Suspended Solids
mg/L
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 244 98 90-110
92385193001 Dup
Result Result RPD Qualifiers
5.8 6.0 3
h
92385304001 Dup
Result Result RPD Qualifiers
8.8 9.0 2
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/29/2018 06:25 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 14

aceAnalytical.
wwwpacelahsc M
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92385203
QC Batch: 412349 Analysis Method: EPA 1664B
QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease
Associated Lab Samples: 92385203001, 92385203002, 92385203003
METHOD BLANK: 2287426 Matrix: Water
Associated Lab Samples: 92385203001, 92385203002, 92385203003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Oil and Grease mg/L ND 5.0 05/25/18 00:49
LABORATORY CONTROL SAMPLE 8 LCSD: 2287427
Spike
Parameter Units Conc.
Oil and Grease mg/L 38.5
Pace A nalytica I Services, LLC
6701 Conference Drive,
Raleigh, NC 27607
[phone]
2287428
LCS LCSD LCS LCSD % Rec Max
Result Result % Rec % Rec Limits RPD RPD Qualifiers
37.8 38.1 98 99 78-114 1 30
f
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/29/2018 06:25 PM without the written consent of Pace Analytical Services, LLC.
Page 7 of 14

aceAnalXical
www.poolobs.com
ANALYTICAL RESULTS
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Project: Stormwater
Pace Project No.: 92385203
Sample: Outfall 0048
Lab ID: 92385203002 Collected: 05/16/18 07:02
Received: 05117/18 15:25 Matrix: Water
Parameters
Results Units
Report Limit
DF
Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664B
Oil and Grease
ND mg1L
5.0
1
05/25/18 00:52
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
3.6 mg/L
2.5
1
05/23/18 18:54
5220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
ND mg/L
25.0
1
05/25/18 16:38
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/29/2018 06:25 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 14

(�15'ceAnaljftalo
www.pecew a.com
ANALYTICAL RESULTS
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
{919)834-4984
Project: Stormwater
Pace Project No.: 92385203
Sample: Outfall 005 Lab iD: 92385203003 Collocted: 05/16/18 07:40 Received: 05/17/18 15:25 Matrix: Water
Parameters Results Units Report limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 16646
Oil and Grease ND mg1L 5.0 1 05/25/18 00:53
2540D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids 14.8 mglL 2,5 1 05/23/18 18:54
5220D COD Analytical Method: SM 5220D
Chemical Oxygen Demand 29.0 mg1L 25.0 1 05/25/18 16:38
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 05/29/2018 06:25 PM without the written consent of Pace Analytical Services, LLC.
Page 6 of 14

aceAnalytical'
, wxnepacelahacom
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92385203
QC Batch: 412405
Analysis Method: SM 52201)
QC Batch Method: SM 5220D
Analysis Description: 5220D COD
Associated Lab Samples: 92385203001, 92385203002, 92385203003
METHOD BLANK: 2287604
Matrix: Water
Associated Lab Samples: 92385203001, 92385203002, 92385203003
Blank Reporting
Parameter
Units Result Limit Analyzed
Chemical Oxygen Demand
mglL NO 25.0 05/25/18 16:38
LABORATORY CONTROL SAMPLE: 2287605
Spike LCS
Parameter Units Gone. Result
Chemical Oxygen Demand mglL 750 741
,
I MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2287606
I; MS
92384807001 Spike
Parameter Units Result Cone.
Chemical Oxygen Demand mg1L 272 100
Pace Analytical Services, I -LC
6701 Conference Drive
Ra{eigh, NC 27607
{919}634-4984
Qualifiers
LCS % Rec
% Rec Limits Qualifiers
99 90-110
2287607
MSD
Spike MS MSD MS MSD % Rec
Cone. Result Result % Rec % Rec Limits RPD Qual
100 380 363 88 91 90-110 1 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2287608 2287609
MS MSD
92385152001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Cone. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg1L 298 100 100 386 395 88 97 90-110 2 MI
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/29/2018 06:25 PM without the written consent of Pace Analytical Services, I.I.C.
Page 9 of 14

(:�;a'cmnalyficalo
www.pacW#bs.com
QUALIFIERS
Project: Stormwater
Pace Project No.: 92385203
DEFINITIONS
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27667
(919)&34-4984
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference .
r
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyle is a combined concentration.
LABORATORIES
PASI-A Pace Analytical Services - Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/29/2018 06:25 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14

aceAnab&cal'
www.pacelaftcom
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Project:
Pace Project No.:
Stormwater
92385203
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch Analytical Method Batch
92385203001
Outfall 017
EPA 1664E
412349
92385203002
Outfall 004E
EPA 1664E
412349
92385203003
Outfall 005
EPA 1664E
412349
92385203001
Outfall 017
SM 2540D
412041
92385203002
Outfall 004E
SM 2540D
412041
92385203003
Outfall 005
SM 2540D
412041
92385203001
Outfall 017
SM 5220D
412405
92385203002
Outfall 004E
SM 5220D
412405
92385203003
Outfall 005
SM 5220D
412405
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except In full,
Date: 05/29/2018 06:25 PM without the written consent of Pace Analytical Services, LLC. Page 11 of 14

Document Name:. Document Revised: February 7, 21 118
Sample Condition Up2n Rece!etiscuRl. Page 1 of 2 ;
_ CBAIIBijI�C� Document No.: Issutng Authorky:
F CAR•CS-033 Rev.Ofi Pace Carolinas Quallty Office
Laboratory receiving samples: : .
Asheville ❑ Eden❑ Greenwood ❑ Huntersville ❑ Ralelgb M hanicsvllle❑,,
Client Name:
(--WO#:92385203 i.
Project q,
Courier: F Ex UPS ii
USPS Cllent till "I I III
Commercial ace ❑ether: 923.85203
Custody seal Present? []Yes Seals intact? ❑Yes []No —�
Date/lnrtlals Person Examinln; Contslrts
Packing Material: []Bubble Wrap []Bubble Bags [tone ❑ Other 61o1031cal Tissue froze 7
Thermoma er: []Yes []No�IQ/A
Gun ID..T� f3f L Type of lca: []Wet []Blue ❑None
Cooler Temp ('C}: 'L XCapnection Factor: Add ubtra ('C) f
Temps be above freezing to 6'C
Cooler Temp Corrected ('C): Samples out of temp criteria. Samples on I a, cooling process
has begun
USDA Regulated Soil i�A, water sample)
Did samples or1 In 1 a quarantine tone within the United States: CA, NY, or SC (check mape)? Did samples originate from a forelgn source (Inte nally,
riv.. f �n�f„rllne Hau,an and 6veAe RFeo17 iwal F1e
Comments/Discrepancy.;
Chain of custadx Present?
r es
Na
13WA
I.
Samples Arrived voithl n H old T1 me?
_etes
No
N/A
2.
Short Hold Time Analysis lc72 he.)?
OYa
o
N/A
3.
Rush Turn Around Time Requested?
E11res
LIN.
CINJA
4.
suffidentVolumeT
XF.
cli.
N/A
5.
Correct Containers Used?
-Pace Containers Used?
Yes
❑No
No
❑N/A
ONJA
6. '
Containers intact?
2ft
QN*
QNLA
7.
Dissolved analysis: Samles Field Filtered?
Yes
No
A
S.
Sample labels Match COC7
-includes Date/Tlme ID Ana Is Matrix:
'-1Yeesss
QNo
©N/A
6.
Heads ace In VCIA Vials >S-6mm)?
13YO
nNo
N A
10.
Trip Blank Present?
Tri Blank Custody Seals Present?
Dyes
oyffs[]NO
❑No
Qr�,
N A
11.
KOMMENTS/SAMPLE DISCREPANCY
Person contacted:
Date/Time:
Lot ID of split containers:
Project Manager SCURF Review: _
Project Manager SRF Review:
Date: J
Date:
Field Data Required? J]Yes ONO
Page 12 of 14

�$
Document Name:
SaMpleCondidon Lle2 Race! SLUR
Document Revised: February 7, 2D38
Page ! of 2
Document No.;
FCAR-0-033-Rev.06
Issuing Authority:
Pace Carolfrias Quality Office
'Check mark top half of box If pH and/or dechlorination Is Project p
verified and within the acceptance range for preservation
samples.
Errcepdons: VOA, Coliform, TOC, Oil and Grease, DROIS015 (water) DOC, LLHg
"Bottom half of box is to list number of bottle
WO2385203.
pM: MWB Due Date: 05/29/118
CLIENT: 91-Hospira
1Z C
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4! a
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2
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9
10
pH Adjustment
Log for Preserved Samples
Sample 10
Type of preservative
pH upon retelpt
bate preservatlon ed)usted
Time preservnlon
adjusted
Amount of Presamtive
added
toil e
mote: whenever there is a discrepancy atracting Morlh Carolina compliance samples, a copy or this TOM will oe sent to the Horth Carolina OvINR cenincist on orrice (i.e.
Out of hold, incorrect preservative, out of temp, incorrect containers.
Page 13 of 14

CHAIN -OF -CUSTODY I Analytical Request Document
The Chain-of-Cuslody is a LEGAL DOCUMENT.
All reievard fields must be completed accurately -
Section A
section a
section C
Rimphed
Client
ReipAred ftojea trd=rWkmr
b aim Intonmilom-
Pwje:
carnihvw:
HDSW;L kw-4toft mu", NC
Repot TO: Kbensel LeW,
Adenbon:
AddreSS:
QRS It Weggjqw! Blvd.
Cqpl To.,
COMMI-NmM.
AO*V kftm "C 7=4
Addrmz:
ftookotm 0, -1 r;
—Ow— fi<rQj75-ZCI
P-1- 0-0-:
lFax
Pmoct Nmne; stoff"Ish"
r
Pow PfWa LbnaW ffwItCr".braffwIJVpacdat*.vprn,
Requestets Due Doe:
Pmpla 0:
Pam prolAo 8; 4M3.2
"C
(Too;.
�rm
Coot
COLLECTED
P reservaWes
we..gwre IAV
wl
SAMPLE ID
06
OL
START
END
One Charsew Per box.
W"
WZ. 0.9 7. -1
C—
OT
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WT
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'® iiiiiiiiiiiiiiiiliiiiiiiiiiiil
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PFAW Name of SAMPLER:
A LC
0 SCHATURE at SAMPLER: DATE -a 2
5g' 7

December 18, 2017
NC Department of Environment and Natural Resources
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Attention: Central Files
Subject: Discharge Monitoring Reports
NPDES General Permit No. NCG060000
COC# NCG060354 (R11R2)
Hospira, A Pfizer Company— Nash County
To Wham It May Concern:
RFr,i=oanCampgny
JAN 10 2018
lA;FORpA4TlON PROCESSING UNIT
Per the requirements of our general stormwater permit, the following documentation is
attached for your review:
✓ Storm water Discharge Monitoring Reports for Outfalls 004B, 005, 017A
✓ Certified laboratory report
All required discharge characteristics (total suspended solids, pH, oil and grease, and
chemical oxygen demand) were within permitted ranges. Total rainfall was measured
with an on -site rain gauge for the duration of the event. We will continue to conduct
future sampling events based on the conditions indicated in our permit.
Please contact me at [phone] if you have any questions or I can provide any additional
information.
Sincerely,
Samuel Toke
Sr. Environmental Specialist
Hospira, a Pfizer company
4285 N. Wesleyan Blvd.
Rocky Mount, NC 27804

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGO6OOOO
Date submitted December 19. 2017
CERTIFICATE OF COVERAGE NO. NCG06 0 5 5 4 SAMPLE COLLECTION YEAR 2017
FACILITY NAME Hospira, A Pfizer Company. [Rocky Mount, NQ FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Nash ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES Mike Lewis DISCHARGING TO SALTWATERS? ❑YES ®NO
LABORATORY Pace Analytical Lab Cert. # PASI-C #12 , PASI-A #40
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 .3 or ❑ No discharge this period'
Outfall No.
?Sample Collected;
mo/dd/ye
TSS,
mg/L
_ pH,
'Standard units _
= COD,
_ mg/L
Oil and Grease,
mg/L
Fecal Coliforml; _
Colonies per_ 00_ml...
- Enterococcil,
-: Colonies per 100 ml
Benchmark."
-
10d -or s
Within 6.0 —.9.0
`: '° 120 r
= = 30
I000_
500
004E
12/06/17
2.6
6.90
42.0
<5.0
N/A
N/A
005
12/06/17
<25.0
7.01
<5.0
<5.0
N/A
N/A
017A
12/06/17
1 4.9
1 7.74
35
<5.0
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.
Out#all No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
T55, -
mg/L -
pH,
Standard units '
New MotorOil Usage,
Annual average gal/mo
Benchmark
-
30-
300.o504
r
N/A
N/A
N/A
N/A
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.
(if yes, complete Part B)
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 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: N/A
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."
eV - zx—lym V ---1*76 /IF
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/we�bLwq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

Stormwater DMR Sampling
ftiai: }A:. �i'•4fi"•M'}- ,. of - k+ . -,.•,,, Sam le$Date<< . ,,rv.'.,,i, ` <,y1 ,x-, :'. Syai rtT�m•rvnEvnt;,
4, r v ✓s, t s ,, c0 tfailNa004B
Time
pH
Temperature
Rut fall.IVo='OdS(F,CFJ: > y,
Time
pH
Temperature
Q�-
7, C)
0utfalllfVo 01,7A�(R2);, , F'
Time
pH
Temperature
o5VO
7 ,?
)7, 0 Q <1
i J
Sampled by: ,It 6� /
4e %7

r
IaceAnalyficalo
(�
Nwwpacdeba.com
December 13, 2017
Michael Lewis
Hospira, Inc. - Rocky Mount, NC
4285 N. Wesleyan Blvd.
Rocky Mount, NC 27804
RE. Project: Stormwater
Pace Project No.: 92365873
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Dear Michael Lewis:
Enclosed are the analytical results for sample(s) received by the laboratory on December 06, 2017.
The results relate only to the samples included in this report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Matthew Brainard
[e-mail]
(704 )875-9092
Project Manager
Enclosures
cc: Samuel Toke, Hospira- Rocky Mount
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 1 of 15

15'c ie A na /y tica /
wwwpacefeftcom
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
CERTIFICATIONS
Project: Stormwater
Pace Project No.: 92365873
Charlotte Certification Ms
9800 Kincey Ave. Ste 100, Muntersville, NC 28078
South Carolina Certification M 99006001
Louisiana/NELAP Certification # LA170028
Florida/NELAP Certification #: E87627
North Caroliiia Drinking Water Certification M 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification #: 5342
VirginiaNELAP Certification M 460221
North Carolina Wastewater Certification M 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification M 40
Florida1NELAP Certification #: E87648 South Carolina Certification M 99030001
Massachusetts Certification #: M-NCO30 VirginiaNELAP Certification M 460222
North Carolina Drinking Water Certification #: 37712
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, LLC, Page 2 of 15

IaceAnaljftalo
(�xww.pacelabs.own
Project: Stormwater
Pace Project No.: 92365873
Lab ID Sample ID
92365873001 Outfal 1017
92365873002 Outfall004B
92365873003 Outfall005
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
(919)8344984
SAMPLE ANALYTE COUNT
Method
Analysts
Analytes
Reported
Laboratory
EPA 16646
JMS
1
PASI-C
SM 2540D
SLt3
1
PASI-A
SM 5220D
SLB
1
PASI-A
EPA 1664E
,lMS
1
PASI-C
SM 2540D
SLB
1
PASI-A
SM 5220D
SLB
1
PASI-A
EPA 1664E
JMS
1
PASI-C
SM 2540D
NAL
1
PASI-A
SM 5220D
SLB
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 15

1
aceAnalytical o
www.paceleftcom
ANALYTICAL RESULTS
Project: Stormwater
Pace Project No.: 92365873
Pace Analytical Servlces, LLC
6701 Conference Drive
Raleigh, NC 27607
(919)834-49B4
Sample: Outfall 017
Parameters
Lab ID: 92365873001 Collected: 12/06/17 05:40
Results Units Report Limit DF
Received: 12/06/17 14:02 Matrix: Water
Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664E
Oil and Grease
ND mg1L
5.0 1
12/12/17 04:53
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
4.9 mg1L
2.6 1
12/11/17 18:07
5220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
35.0 mglL
25.0 1
12/12/17 17:06 M1,R1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/13/2017 06:17 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 15

Pace Analytical Services, LLC
lacieAnalyfical* 6701 Conference Drive
Raleigh, NC 27fi0707
wwwpacelebmom (91 9)834-49B4
ANALYTICAL RESULTS
Project: Stormwater
Pace Project No.: 92365873
Sample: Outfatt 004B
Parameters
Lab ID: 92365873002 Collected: 12/06/17 02:20
Results Units Report Limit DF
Received: 12/06117 14:02 Matrix: Water
Prepared Analyzed CAS No, Quat
HEM, Oil and Grease
Analytical Method: EPA 1664B
Oil and Grease
ND mg/L
5.0 1
12/12/17 04:54
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
2.6 mg/1-
2.5 1
12/11/17 18:0B
5220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
42.0 mg/L
25.0 1
12/12/17 17:06
REPORT Of LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12113/2017 06:17 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 16

Iac
(
eAnalyfical*
aorw.pacelaba.00m
ANALYTICAL RESULTS
Project: Stormwater
Pace Project No.: 92365873
Pace Analytical Servlces, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Sample: Outfali 005
Lab ID: 92365873003 Collected: 12106117 02:48
Received: 12/06/17 14:02 Matrix: Water
Parameters
Results Units
Report Limit OF
Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664B
Oil and Grease
NO mglL
5.0 1
12/12/17 04:54
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
NO mg/L
5.0 1
12/11/17 21:01
5220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
ND mg1L
25.0 1
12/12/17 17:06
Date: 12113/2017 06:17 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 6 of 15

Pace Analytical Services, LLC
IaceMallytical�
6701 Conference Drive
Raleigh, NC 27607
(�tnvw.patatsbacom
[phone]
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92365873
QC Batch: 390174
Analysis Method: SM 25401)
QC Batch Method: SM 2540D
Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92365873003
METHOD BLANK: 2i64901
Matrix: Water
Associated Lab Samples: 92365873003
Blank Reporting
Parameter
Units
Result Limit Analyzed Qualifiers
Total Suspended Solids
mg/L
ND 2.5 12/11/17 21:01
LABORATORY CONTROL SAMPLE: 2164902
Spike LCS LCS % Rec
Parameter
Units
Conc. Result % Rec Limits Qualifiers
Total Suspended Solids
mglL
250 226 90 90-110
SAMPLE DUPLICATE: 2164903
92365873003 Dup
Parameter
Units
Result Result RPD Qualifiers
Total Suspended Solids
mg/L
ND ND
SAMPLE DUPLICATE: 2164904
92365931003 Dup
Parameter
Units
Result Result RPD Qualifiers
Total Suspended Solids
mg/L
ND ND
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/13/2017 06:17 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 15

Pace Analytical Services, LLC
aceAnalytical 6701 Conference Drive
Raleigh, NC 27607
www.Pecdabacom [phone]
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92365873
QC Batch: 390150
Analysis Method:
SM 5220D
QC Batch Method: SM 5220D
Analysis Description:
5220D COD
Associated Lab Samples: 92365873001, 92365873002, 92365873003
METHOD BLANK: 2164789
Matrix: Water
Associated Lab Samples: 92365873001, 92365873002, 92365873003
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Chemical Oxygen Demand
mglL
ND 25.0 12/12/17 17:06
LABORATORY CONTROL SAMPLE:
2164790
Spike LCS
LCS % Rec
Parameter
Units
Cone. Result
% Rec Limits Qualifiers
Chemical Oxygen Demand
mglL
750 739
99 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2164791 2164792
MS MSD
92365972001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mglL ND 100 100 140 142 117 119 90-110 1 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2164793 2164794
MS MSD
92365873001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Conc. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mgfL 35.0 100 100 154 161 119 126 90-110 4 M1,R1
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12113/2017 06A 7 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 15

(�IacleAnalXicale
wwwpecetabscom
QUALIFIERS
Project: Stormwater
Pace Project No.: 92365873
DEFINITIONS
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
M D L -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Ge) - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
I W_r-i•WA 161:41=F!
PASI-A Pace Analytical Services - Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
R1 RPD value was outside control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
Date: 12113/2017 06:17 PM without the written consent of Pace Analytical Services, LLC. Page 11 of 15

(� laneAnalytical"
xww.pac Abacam
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Project:
Stormwater
Pace Project No.:
92365873
AnaWfcal
Lab ID
Sample ID
QC Batch Method
QC Batch Analytical Method Batch
92365873001
Outfall 017
EPA 1664B
390353
,92365873002
Outfall 004B
EPA 1664B
390353
92365873003
Outfall 005
EPA 1664B
390353
92365873001
Outfall 017
SM 2540D
390147
92365873002
Outfall 004B
SM 2540D
390147
92365873003
Outfall 005
SM 2540D
390174
92365873001
Outfa11017
SM 5220D
390150
92365873002
Outfall 004B
SM 5220D
390150
92365873003
Outfall 005
SM 5220D
390150
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
Date: 12/1312017 06:17 PM without the written consent of Pace Analytical Services, LLC. Page 12 of 15

I
Courier.
❑ Commerilal
Custody Seal
Packing Material:
Zhetmom r
KIR Gun
-Correction
nFFector:•
USDA Regulated Se
Did samples o! lrg�,ppal'
l—IYes Jwmo
Document
Document No,-.
FM-CS-033-Rev.03 I Pace ual Office
"ng4ampless . _ .. . . ........................ _.., _.._ ...... _ _ _ _ .... -.....
Iville ❑ Eden❑ Greenwood ❑ kuntemville ❑ RalelghX* Me6henlesvllle❑
CllentName, Pro�ct �O `• 92-
r� 365873
Fie UPS USOthPS er: Bent
t? ❑YesJo Seats tntact? []Yes No
pate/lArds s Parson Examining Contenw
[]Hubble Wrap k6bble Bags ❑None ❑ Other BlolcWcal Tissue Frozen?
D: ( Wet ❑give 13None ❑Yes []No %J A
TYpe of Its:
---Cgote►•7empCorrected (Y): _• ••_ .- Y .._ Temp should be-above#reezingtoVC•
[]Samples out of temp croda. Samples on ice, moan j process
hetbagun
{ N/A,water sample)
Ina uarantine zone within the LMIW States: CA,W,orSC(check mapsj? Did sampinsorljirotefromsforeijnsource
{Inte lly,
indudtre Nawalt and Puerto Rlmi? rTYes
C2lmmtrn D n .
Chaln of Cuttod Present?
No
N A
I.
Samples ArMd hhln Hold 1=7
Yes
Na
N ..
2.
Short Hold lime Uwtysls 477 hr.
Yet
N A
3.
Rush Turn Anyuntillime Requested?
171, res
Ho
N A
4.
Suff cientVOlu ?
DC
01.
ONIA
S.
Correct Contalne I used?
-Pace Contaln rs Used?
as
❑Na ©N/A
No N A
8.
Containers Intact
es
IJNo
MIA
7.
oksolved ana sls Samples Fleld Filtered?
n nia E
N A
S.
Sample Labels M chCOC7
-Includes Dal 1rmPDjAnxIySI1 Matrbt:
at
W
No ❑N/A
R.
?leads ate In WAIVIals 3-5-6mm ?
Yes
NotA10.
Trip Blank present
Tit BlankCusto SealsPresentT
{Yes
et
❑No11.
No
CUMNOTIFICA N/RESOWTION Field Data Requlred? LlYas UNo
Person Contacted: Date/Time:
Comments/Sample Iscrepancy:
Project Manager S XPRFRewlew., r ff Date: ) i foil _
Project Manager S if Review: i�l�J I - _ Data:i-
- —T
Note: Whenever there a diScreponcy afrectinj North Carolina compnonos sompks, a copy of this form will be tentto the North Carolina DEHNR GRHiatim ONIa (I.a.
out of hotd, incorrect prtervativa,out oftamp,IncorreRwntalnen}
r
Page 13 of 15

Document Name:
Document Revlsed: July 25, 2D17
V�^p'
Semple Condition Upon Recelpt(SCURI
Page 2 of 2
Document No.:
F-CAR-CS-03"ev.03
IuuingAuthorlty
Pace quality Office
M
phal(of box if pH and/or dechlorinatlon - ... - . Project
is within the acceptance range for
prmples.
of box is to list number of bottles
WO#:92365873 _
PM: MWB Due Dale: 12/19/17
CLIENT: 91-Hospire
III
lUUUUUlll,
I
Doom
ON
ORMIWO
ROWNIIIIIIIII
IMMOMMOMME
'age 14 of 15

MRSOMMEN
molls MRSEIREN
iiiii
RNMENNElsollsoll
Oil
ffffff,
og I F',
1 311, -." i ��

RECEIVED
APR 12 2017
CENTRAL FILES
April 4, 2017 DWR SECTION
NC Department of Environment and Natural Resources
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Attention: Central Files
Subject: Discharge Monitoring Reports
NPDES General Permit No. NCG060000
COC## NCG060354 (RL/R2)
Hospira, A Pfizer Company— Nash County
To Whom It May Concern:
A am Company
Per the requirements of our general stormwater permit, the following documentation is
attached for your review:
✓ Storm water Discharge Monitoring Reports for Outfalls 004B, 005, 017A
✓ Certified laboratory report
All required discharge characteristics (total suspended solids, pH, oil and grease, and
chemical oxygen demand) were within permitted ranges. Total rainfall was measured
with an on -site rain gauge for the duration of the event. We will continue to conduct
future sampling events based on the conditions indicated in our permit.
Please contact me at [phone] if you have any questions or I can provide any additional
information.
Sincerely,
Samuel Toke
Environmental Specialist
Hospira, a Pfizer company
4285 N. Wesleyan Blvd.
Rocky Mount, NC 27804

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted Aaril 4.2017
CERTIFICATE OF COVERAGE NO. NCG06 0 3 5 4 SAMPLE COLLECTION YEAR 2017
FACILITY NAME Hospira, A Pfizer Company. (Rocky Mount, NC) FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Nash ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES Mike Lewis DISCHARGING TO SALTWATERS? DYES ®NO
LABORATORY Pace Analytical Lab Cert. # PASI-C #12 , PASI-A #40
Fart A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 .9 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.Wiform',
Colonies per 100, nil
_ = Enterococci1,
Colonies per 100 nil
`_Benchmark:
-
=100 or50.4
Within 64- 9:0
__ - 120 `-
30 =
1000 - - .
500
004B
03/01/17
52.5
7.50
log
<5.0
N/A
N/A
005
03/01/17
21.2
7.82
48
27.3
N/A
N/A
017A
03/01/17
69.7
7.90
105
<5.0
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.
°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.
Outfall No.
Sample Collected,
= mo/dd/yr
Oil and: Grease,
mg/f
TSS,
mg/L
pH,
Standard units.
New Motor Oil Usage,
Annual average gal/mo
Benchmark
_ =
30
100 or 50
6.0 — 9.0
- -
N/A
N/A
N/A
N/A
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.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
r
(if yes, complete Part B)
.10
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

tFOy PA� RT 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: N A
Mail an original and one copy of this DMR, including aA "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, including the possibility of fines and imprisonment for knowing violations."
(Signature of
a r A0PCZ-L a.?Ai7
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wcl/ws/su/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

Stormwater DMR Sampling
Sample,Date Event Start Time Event Rainfall
17
2.0 r:a-
a r� ►1
Outfall No..0Q4B (LVP)
Time
pH
Temperature r
0.6tfall No. 005 (FCF)
Time
pH
% , &Z
Temperature
Outf5ll No. O17A,(R2)
Time
2-11-7
pH
7r %O
Temperature
/a. y tc-
Sampled by:

aceAnalytical o
www.pacelabs.com
Project: Stormwater
Pace Project No.: 92331956
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
South Carolina Certification #: 99006001
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
VirginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 14

Pace Analytical Services, LLC
aceAnalXical a 6701 Conference drive
Raleigh, NC 27607
www.pacelab&wm (919)B3449B4
ANALYTICAL RESULTS
Project: Stormwater
Pace Project No.: 92331956
Sample: Outfalt 004B
Lab ID: 92331956002 Collected: 03/01/17 20A0
Received: 03/02117 15:24 Matrix: Water
Parameters
Results Units
Report Limit DF
Prepared Analyzed CAS No. Qual
HUM, Oil and Grease
Analytical Method: EPA 1664B
Oil and Grease
ND mg1L
5.0 1
03/09/17 07:05
25406 Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
52.5 mg1L
6.2 1
03/06/17 13:32
5220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
108 mg1L
25.0 1
03/07/17 05:19
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/09/2017 03:35 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 14

Pace Analytical Services, LLC
1 Conference Drive
aceAnalytical o 870 Raleigh. NC 277607
www.pacelabi.com [phone]
ANALYTICAL RESULTS
Project: Stormwater
Pace Project No.: 92331956
Sample: Outfall 005
Parameters
Lab ID: 92331956003 Collected: 03101/17 20:48
Results Units Report Limit DF
Received: 03/02117 15:24 Matrix: Water
Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664B
Oil and Grease
27.3 mg/L
5.0
1
03/09/17 07:06
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
21.2 mg/L
5.0
1
03/06/17 13:32
5220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
48.0 mg/L
25.0
1
03/07/17 06:19
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 0310912017 03:35 PM without the written consent of Pace Analytical Services, LLC. Page 6 4f 14

Pace Analytical Services, LLC
aceAnalytical ® 6701 Conference Drive
Raleigh, NC 27607
WWWpaC01ab&DG + [phone]
ANALYTICAL RESULTS
Project: Stormwater
Pace Project No.: 92331956
Sample: Outfall 017
Lab ID: 92331956001 Collected: 03/01/17 21:17
Received: 03/02/17 15:24 Matrix: Water
Parameters
Results Units
Report Limit OF
Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664B
Oil and Grease
ND mg/L
5.0 1
03/09/17 07:05
2540D Total Suspended Solids
Analytical Method: SM 25401)
Total Suspended Solids
69.7 mg/L
63 1
03/06/17 13:32
5220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
105 mg/L
25.0 1
03/07/17 06:19
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/09/2017 03:35 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 14

Pace AnalyticaI Services, t-LC
aceAnalytical m 6701 Conference Drive
Raleigh, NC 27607
wswvpaceiabs.com [phone]
SAMPLE ANALYTE COUNT
Project: Stormwater
Pace Project No,: 92331956
Lab ID
Sample ID
Method
Anaiysts
Analytes
Reported
Laboratory
92331956001
Outfall 017
EPA 1664B
JMS
1
PASI-C
SM 2540D
MLS
1
PASI-A
SM 5220D
CJH1
1
PASI-A
92331956002
Outfall 004B
EPA 1664E
JMS
1
PASI-C
SM 2540D
MLS
1
PASI-A
SM 5220D
CJH1
1
PASI-A
92331956003
Outfall 005
EPA 1664B
JMS
1
PASI-C
SM 2540D
MLS
1
PASI-A
SM 5220D
CJH1
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 14

acmnaljftal
www.pacels6s.00m
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92331956
QC Batch: 351407 Analysis Method: EPA 1664B
QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease
Associated Lab Samples: 92331956001, 92331956002, 92331956003
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
METHOD BLANK: 1949477
Matrix: Water
Associated Lab Samples: 92331956001, 92331956002, 92331956003
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Oil and Grease
mg/L
ND 5.0
03/09/17 07:02
LABORATORY CONTROL SAMPLE:
1949478
Spike LCS
LCS % Rec
Parameter
Units
Cone. Result
% Rec Limits Quatifiers
Oil and Grease
mg1L
40 38.2
96 78-114
MATRIX SPIKE SAMPLE: 1949479
92331956003 Spike MS MS % Rec
Parameter Units Result Cone. Result % Rec Limits Qualifiers
Oil and Grease mg1L 27.3 40 66.1 97 78-114
Results presented on this page are In the units Indicated by tho "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in fA,
Date: 03/09/2017 03:35 PM without the written consent of Pace Analytical Services, I.I.C. Page 7 of 14

acleAnalytical
www.pacelabs.com
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92331956
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
(919)834-49B4
QC Batch: 350861
Analysis Method:
SM 2540D
QC Batch Method: SM 2540D
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92331956001, 92331956002, 92331956003
METHOD BLANK: 1946377
Matrix: Water
Associated Lab Samples: 92331956001, 92331955002, 92331956003
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mglL
ND
2.5 03/06/17 13:29
LABORATORY CONTROL SAMPLE:
1946378
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mglL
250 250
100 90-110
SAMPLE DUPLICATE: 1946379
92332137001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg1L ND ND
SAMPLE DUPLICATE: 1946380
92331845001 Dup
Parameter Units Result Result
Total Suspended Solids mglL 7.0 7.9
RPD Qualifiers
13 D6
Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/09/2017 03:35 PM without the written consent of pace Analyticat Services, LLC, Page 8 of 14

aceAnalytical
tt+ww.paoetebs.com
QUALITY CONTROL DATA
Project: Stormwater
Pace Project No.: 92331956
QC Batch: 351015 Analysis Method: SM 5220D
QC Batch Method: SM 5220D Analysis Description: 5220D COD
Associated Lab Samples: 92331956001, 92331956002, 92331956003
METHOD BLANK: 1947121 Matrix: Water
Associated Lab Samples: 92331956001, 92331956002, 92331956003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Chemical Oxygen Demand mg1L ND 25.0 03/07/17 06:19
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
LABORATORY CONTROL SAMPLE:
1947122
Spike
LCS
LCS
% Rec
Parameter
Units
Conc.
Result
% Rec
Limits Qualifiers
Chemical Oxygen Demand
rng1L
750
747
100
90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1947123
1947124
MS
MSD
92332075001
Spike
Spike
MS
MSD
MS MSD % Rec
Parameter
Units Result
Conc.
Conc.
Result
Result
% Rec % Rec Limits RPD Qual
Chemical Oxygen Demand
mg/L 7240
7500
7500
7490
7540
3 4 90-110 1 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1947125 1947126
MS MSD
92331569001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc, Conc. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg1L 43.0 750 750 814 791 103 100 90-110 3
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/09/2017 03:35 PM without the written consent of Pace Analytical Services, LLC.
Page 9 of 14

aceAnalytical
www.pacelabs.com
QUALIFIERS
Project: Stormwater
Pace Project No.: 92331956
DEFINITIONS
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Defected at or above adjusted reporting limit.
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl other,
Aseparate vial preserved to a pH of 4.5 is recommended in SW846 Chapter 4 for the analysis ofAcrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamtne using Method 8270. The result reported for
each analyte is a combined concentration.
LABORATORIES
PASI-A Pace Analytical Services - Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory controt limits.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/09/2017 03:35 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14

aceAnalytical
wwwpacelab&=n
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Slormwater
Pace Project No.: 92331956
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Lab ID
Sample ID
QC Batch Method
QC Batch Analytical Method
92331956001
Outfall 017
EPA 1664B
351407
92331956002
Outfall 004B
EPA 1664B
351407
92331956003
Outfall 005
EPA 1664B
351407
92331956001
Outfall 017
SM 2540D
350861
92331956002
Outfall 004B
SM 2540D
350861
92331956003
Outfall 005
SM 2540D
350861
92331956001
Outfall 017
SM 5220D
351015
92331956002
Outfall 004E
SM 52200
351015
92331956003
Outfall 005
SM 5220D
351015
Date: 03/09/2017 03:35 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, LLC.
Analytical
Batch
Page 11 of 14

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Page 12 of 14
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PM! MWB Due Date! 03/13111
CLIENT: 91-waspira
Page 13 of 14

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pain-OF-CUSTODYAI Analyt-cal Request Document
AD relevant fields mutt be comvtelecj a=urately.
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Required Client lnfonmflon: Required Wb-"tk- Of
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A'�
Hospira..
A $p Company
December 14, 2016
NC Department of Environment and Natural Resources
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Attention: Central Files
Subject: Discharge Monitoring Reports
NPDES General Permit No. NCG060000
COU NCG060354 (R1/R2)
Hospira — Nash County
To Whom It May Concern:
Per the requirements of our general stormwater permit, the following documentation is
attached for your review:
✓ Storm water Discharge Monitoring Reports for Outfalls 004B, 005, 017A
✓ Certified laboratory report
All required discharge characteristics (total suspended solids, pH, oil and grease, and
chemical oxygen demand) were within permitted ranges. Total rainfall was measured
with an on -site rain gauge for the duration of the event. We will continue to conduct
future sampling events based on the conditions indicated in our permit.
Please contact me at [phone] if you have any questions or I can provide any additional
information.
Sincerely,
Samuel Toke
Environmental Specialist
Hospira, a Pfizer company
4285 N. Wesleyan Blvd.
Rocky Mount, NC 27804

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted December 14, 2016
CERTIFICATE OF COVERAGE NO. NCG06 0 3 5 4
FACILITY NAME —Hospira, Inc. (RockyLMount, Nam_
COUNTY Nash
PERSON COLLECTING SAMPLES Mike Lewis
LABORATORY Pace Analytical — Lab Cert. # PASI-C #12, PASI-A #40
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
FACILITY ACTIVITIES INCLUDE (check all that apply):
0 use/process meats [] use animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfail 2 .8 or [] No discharge this period'
t­_6Ut-fiirNo.
sanhOW'ItSll "et dL'
d id
'TS&I;
L
0 1, 1i T �
iTdG
il"Olif&r
Fecal
.- — , —
'jK
& .564
`0
M_=­
7A
�_30_
0040
12/04/16
3.7
7.17
<25
<5.0
N/A
N/A
005
12/04/16
4.5
7.79
<25
<5.0
N/A
N/A
017A
12/04/16
4.2
7.98
<25
<5.0
N/A
N/A
I Only applies to facilities that use/process meats.
2 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.
4 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? El yes 0 no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
OW511N&0Sample
Coll&_t6d
Oppdiiase;—
pH
-i vies
NeWMotor ,Oil .U95ge,�
._'Ann nii6l; a
.BincKmf —ark7ffigff
-2 E-
N/A
N/A
N/A
N/A
N/A
N/A
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.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(jtygs, complete Part 13)
SWU-249 Last Revised: October 18, 2012
Pagel of

*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: N/A
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receiAt 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."
/ 1a - 4�cFiyrd�i�- �a1�
(Signature of ermittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orp/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

June 16, 2016
NC Department of Environment and Natural Resources
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Attention: Central Files
Subject: Discharge Monitoring Reports
NPDES General Permit No. NCG060000
COC# NCG060354 (R1/R2)
Hospira — Nash County
To Whom It May Concern:
Hospira
A 4V Company
RECEIVED
JINN 2 4 2016
CENTRAL FILES
QWR SECTION
Per the requirements of our general stormwater permit, the following documentation is
attached for your review:
✓ Storm water Discharge Monitoring Reports for Outfalls 004B, 005, 017A
✓ Certified laboratory report
All required discharge characteristics (total suspended solids, pH, oil and grease, and
chemical oxygen demand) were within permitted ranges. Total rainfall was measured
with an on -site rain gauge for the duration of the event. We will continue to conduct
future sampling events based on the conditions indicated in our permit.
Please contact me at [phone] if you have any questions or I can provide any additional
information.
Sincerely,
L' . //__0
W. Eric Ferrell
Environmental Health and Safety Manager
Hospira, a Pfizer company
4285 N. Wesleyan Blvd.
Rocky Mount, NC 27804
�aoa3

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted June 16, 2016
CERTIFICATE OF COVERAGE NO. NCG06 0 3 5 4 SAMPLE COLLECTION YEAR 2016
FACILITY NAME Hosaira, Inc. [Rocky Mount, NC1_ FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Nash ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES Mike Lewis DISCHARGING TO SALTWATERS? []YES ®NO
LABORATORY Pace Analytical Lab Cert. # PASI-C #12 , PASI-A #40
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall .2 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
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or W
Within 6.0 — 9.0
120
30' �
1000
'500
004B
05/17/16
<2.6
7.56
49.0
0.632
N/A
N/A
005
05/17/16
<2.6
8.06
75.0
0.693
N/A
N/A
017A
05/17/16
8.1
8.00
96.0
0.708
N/A
2016
Only applies to facilities that use/process meats.
zThe total precipitation must be recorded using data from an on -site rain gauge. CENTRAL FILES
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. DWR SECTION
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, complete Part B)
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 504
6.0 — 9.0
-
N/A
N/A
N/A
N/A
N/A
N/A
l 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.
SWJ-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
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME: —N/A
Mail an original and one copy of this DMR, including al! "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."
U
(SignatuYe of Perm
!- c-,�,w4
(Date)
Additional copies of this form may be downloaded at: http:llportal.ncdenr.org/web/wqlws/su/npdessw#tab-4
-+ r
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

J/) 0610 (0 0 3 6-z/"
Stormwater DMR Sampling
Sample date Event Start Time Event Rainfall
Outfall No. 0048 (LVP)
Time
pH
Temperature
17, s�-
Outfall No. 005 (FCF)
Time
pH
Temperature
Outfali No. 017A (R2)
Time
pH
Temperature
Sampled by: ,/� A� -1// 7//(P

aceAnalj trcal.
w"paoelabam n
1
Project: STORMWATER
Pace Project No.: 92298323
Pace Analytical Services, Inc,
6701 Conference Drive
Raleigh, NC 27607
[phone]
Asheville Certification Ids
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina DCJnking Water Certification #: 37712
CERTIFICATIONS
North Carolina Wastewater Certification M 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc- Page 2 of 20

acmnaljftal.®
wm¢pacelebscam
SAMPLE ANALYTE COUNT
Project: STORMWATE=R
Pace Project No.: 92298323
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
[phone]
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92298323001
OUTFALL 004B
SM 2540D
SAM
1
PASI-A
SM 5220D
WRC
1
PASI-A
92298323002
OUTFALL 005
SM 2540D
SAM
1
PASI-A
SM 5220D
WRC
i
PASI-A
92296323003
OUTFALL 017
SM 2540D
SAM
1
PASI-A
5M 5220D
WRC
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page 3 of 20

Pace Analytical Services, Inc.
naa �7g f /�� f • 6701 Conference Drive
aneA!ralXi C1i Releigh,NC27607
wwwpacelabscam [phone]
ANALYTICAL RESULTS
Project: STORMWATER
Pace Project No.: 92298323
Sample: OUTFALL 004E Lab ID: 92298323001 Collected: 05/17/16 14:33 Received: 05/19/16 09A5 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 25400
Total Suspended Solids ND mg& 2.6 1 05/22/16 14:52
5220D COD Analytical Method: SM 5220D
Chemical Oxygen Demand 49.0 mglL 25.0 1 05/24/16 19:10
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/28/2016 0915 AM without the written consent of Pace Analytical Services, Inc.. Page 4 of 20

aceAnalytical®
MW..pealos.com
ANALYTICAL RESULTS
Project: STORMWATER
Pace Project No.: 92298323
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
[phone]
Sample: OUTFALL 005 Lab ID: 92298323002 Collected: 05/17/16 16:11 Recelved: 05/19/16 09:45 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
25400 Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids ND mg1L 2.6 1 05/22/16 14:53
5220D COD Analytical Method: SM 5220D
Chemical Oxygen Demand 75.0 mg1L 25.0 1 05/24/16 19:10
Date: 05/28/2016 09:15 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 5 of 20

aceAnalytical
www.pacalads.caro
ANALYTICAL RESULTS
Project: STORMWATER
Pace Project No.: 92298323
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
[phone]
Sample: OUTFALL 017 Lab ID: 92298323003 Collected: 05/17/16 19:04 Received: 05119116 09:45 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids 8.1 mg1L 2.8 1 05/22/16 14:53
52200 COD Analytical Method: SM 5220D
Chemical Oxygen Demand 96.0 mg1L 25.0 1 05/24/16 19:10
Date: 05/28/2016 09:15 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc„
Page 6 of 20

leAnalytical®
www.pacerahs.00m
QUALITY CONTROL DATA
Project: STORMWATER
Pace Project No.: 92298323
QC Batch: WETI45092 Analysis Method: SM 2540D
QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92298323001, 92298323002, 92298323003
METHOD BLANK: 1739705 Matrix: Water
Associated Lab Samples: 92298323001, 92298323002, 92298323003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg1L ND 2.5 05/22/16 14A8
Pace Anafytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
[phone]
LABORATORY CONTROL SAMPLE: 1739706
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Suspended Solids mg/L 250 230 92 90-110
SAMPLE DUPLICATE: 1739707
92298296001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg1L 84.9 65.8 25 D6
SAMPLE DUPLICATE: 1739708
92297976001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg1L 2400 1750 31 06
Results presented on this page are In the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/28/2016 09:15 AM without the written consent of Pace Analytical Services, Inc..
Page 7 of 20

aceAnalytical"
www.pacslabs.cam
QUALITY CONTROL DATA
Project: STORMWATER
Pace Project No.: 92296323
QC Batch: WETA127725 Analysis Method: SM 5220D
QC Batch Method: SM 5220D Analysis Description: 5220D COD
Associated Lab Samples: 92298323001, 92298323002, 92298323003
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
[phone]
METHOD BLANK: 1740534
Matrix: Water
Associated Lab Samples: 92298323001, 92298323002, 92298323003
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Chemical Oxygen Demand
mg/1-
ND 25.0
05/24/16 19:10
LABORATORY CONTROL SAMPLE:
1740535
^
Spike LCS
LCS % Rec
Parameter
Units
Cone. Result
% Rec Limits Qualifiers
Chemical Oxygen Demand
mg1L
750 724
97 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1740536 1740537
MS MSD
92297897001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone, Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 3410 15000 15000 17300 17300 93 93 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1740538 1740539
MS MSD
92298326001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Conc. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mglL 4570 7500 7500 10800 10800 83 83 90-110 0 M6
Results presented on this page are In the unite Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/28/2016 09:15 AM without the written consent of Pace Analytical Services, Inc..
Page 8 of 20

Pace Analytical Services, Inc.
® 6701 Conference Drive
acanaiytical
Raleigh, NC 2760707
WWWpacelabs.com
[phone]
QUALIFIERS
Project: STORMWATER
Pace Project No.: 92298323
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL-Adjusted Method Detection Limit.
PQL - Practical Qua ntitation Limit.
RL- Reporting Limit.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(0) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether, Styrene, and Vinyl chloride.
A separate vial preserved to a pH of 4.5 is recommended in SW846 Chapter 4 for the analysis ofAcrolein and Acrytonitrile by EPA
Method 8260.
N-Nitrosodiphenylemine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
ANALYTE QUALIFIERS
06 The precision between the sample and sample duplicate exceeded laboratory control limits.
M6 Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to sample dilution.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/28/2016 09:15 AM without the written consent of Pace Analytical Services, Inc.. Page 9 of 20

acaAnalyfical
www.pecefabs.com
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
(919)B34-4984
Project: STORMWATER
Pace Project No.: 92298323
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92298323001
OUTFALL 004B
SM
25400
WET145092
92298323002
OUTFALL 005
SM
2540D
WET145092
92298323003
OUTFALL 017
SM
2540D
WET145092
92298323001
OUTFALL 004B
SM
5220D
WETA127725
92298323002
OUTFALL 005
SM
5220D
WETA127725
92298323003
OUTFALL 017
SM
52200
WETA127725
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05128/2016 09:15 AM without the written consent of Pace Analytical Services, Inc..
Page 10 of 20

UucumeM Name: . uocument neviseo: 401 etb[ult)
/ /Cif 11J/�ICar+ Sample Condition Upon Recel t(SCUR) Page 1 of 2
Document No.: Issuing Authority:
F-RAL-CS-0o1-rev,05 Pace Raleigh Quality Office
Page 2 Df 2 for Internal Use ONLY'
Cllent Name: ,
Pro,-^' u-
wo#:9229932
Courier: PFEx UPS ❑usps Client
Commercial ❑Other: �1lCustody Seat Present'? ❑MAYes No Seals Intact? E)Yes No $323
­namns contents. _am lV
Packing Material: ❑Bubble Wrap []Bubble Bags None []ether:
Thermometer: IR SN: 122065387 ❑IR SN:122065371 Ty a of Ice: owet [:]Blue[]None❑5ampleson Ice, coolingPracess has begun
Correction Factor:OVC Cooler Temp Corrected ('C): Biological Tissue Frozen? ❑Yes ❑No VN/A
1"emp should be above fr ezing to VC
USDA Regulated Soil ( N/A, water sample)
Uld sarnples riginate in aqua rantine zone within the United States: CA, NY, or5C (check maps)? Did samples originate from a foreign source (Inter tlonally,
❑vw X. including Hawaii and Puerto RICO)? ❑yes Na
COMMENTS: ---
Chain of Custody Present?
OYPS
No
❑N/A
1,
Chain of Custody Filled Out?
Yes
No
EINJA
2.
Chain of Custody Relinquished?
r
No
❑N/A
3.
Sampler Name and/or Signature on COC?
Yes
No
QNJA
4.
Samples Arrived withIn Hold Time?
Yes
No
N A
S.
5hort Hold Time Analysis (<72 hr)?
❑Yei
No
Q N/A
6,
Rush Turn Around Ttme Requested?
Yes
No
QNfA .
7.
Sufficient Volume?
Yes
UNo
N/A
8.
Correct Containers Used?
es
❑No
❑N/A
9.
-Pace Contalners Used?
es
No
QN/A
Containers Intact?
Yes
LJNo
QNJA
10.
Filtered Volume Received for Dissolved Tests?
Yes
QNo
D41A
11. Note if sediment Is visible In the dissolved container
Sample labels Match COC?
LQYes
ONo
❑NJA
12,
i_-in cludesOate/Time/ID/Anal sy is Matrix:
A!i wntainets tie MIA gacid/base preservation have been
tnocktdr
❑yes
❑NP
[]N/A,11
13.
containers needing preservation are found to be in
[/
compljante with EPA recommendation?
J
(HNO3, H,SO+, HCI<2; NaOH>9 Sulfide, NaOH>12 Cyanide)
s
❑No
ON/A
Exceptions; VOA, Collform, TOC, Oil and Grease,
Wy,
DRO/8015 (water) DOC,LLHg
s
❑No
N/A
Samples checked for dechlorination
fes
❑No
Q N/A
14,
Headspace in VOAVIaIs >5.6mmj?
❑Yes
❑No
CkA
15.
Trip Blank Present?
❑Yes
❑No
N/A
16,
Trip Blank Custody Seals Present?
©yes
❑No
N/A
Pace Trip Blank Lot tt (If purchased):
CLIENT NOTIFICATION/RESOLUTION
Person Contacted:
Comments/Resolution:
Date/ ime:
Fleid Data Required? []Yes ❑No
Project Manager SCURF Review; Date: f� 1 (�
._,_.ITT!
Project Manager SRF Review: _ i�O l _ Date:`ji (G
Note: whenever there is a dlscrepancy affecting North Carolina compllame samples, a copy of this form will be sent to the North aroltna DEHNR Certification Office (i.e.
Out of hold, incorrect preservative, out of temp, Incorrect containers)
Page 11 of 20

Cotrrler:
❑ commercial
/ ,PaCeAr73lyt!•Cr?I
uuCURrent Name:
Condition Upon Recel
Document No.:
F•RAL-CS•001•rev,05
uocurnent rrevisea: 4t)t- uzuio
Page 1 of 2
Issuing Authority:
Pace Raleigh Ctuality Office
page 2 of 2 Per internal Use ONLY
Client Name; �- ��2 •`,J�
a
PrDi"wo# : QJ229
Fed Ex ❑UPS ❑LISPS ❑Cllent
Pace ❑Other:
Custody Seal Preserll? Dyes PN0 Seals Intact? Des ONO
Packing Material: ❑Bubble Wrap []Bubble Bags oNone []Other:
Thermometer 1R SN: 122065387 ❑IR SN:122065371 Ty a of Ice: t vet ❑blue ❑None
Correction factor: DVC Cooler Temp Corrected ('C);
Temp should be above fr ezing to 6°C
USDA Regulated Soil ( N/A, water sample)
Uri samples tiginate in a quarantine zone within the United States: CA, NY, or SC (check maps)?
L[Ykrs la
92298323
9�2��t1
—arnunrng Contentsi I�+ IV
[]Samples on Ice, cooling process has begun
Biological Tissue Frozen? ❑Yes []NO VN/A
Did samples originate from a foreign source (Inter tlonally,
Including Hawaii and Puerto Rlco)? ❑Yes o
COMMENTS:
Chain of Custody Present?
Plyes
QNO
N/A
1.
Chain of Custody Filled Out?
Yes
No
N/A
'2.
Chain of Custody Relinquished?
Y s
El No
❑NIA
1 3.
Sampler Name and/or Signature on COC?
Yes
oNo
D N/A
4.
Samples Arrived within Hold Time?
Yes[]No
DyLA
5.
Short Hold Time Analysis (<72 hr)?
Dy6i
No
N/A
6,
Rush Turn Around Time Re uested?
Dyes
No
N/A
7.
Sufficient Volume?
Yes
No
N/A
8,
Correct Containers Used?
es
[]No
[]N/A
9,
-Pace Containers Used?
Jes
❑No
QNIA
Containers Intact?
Yes
No
EINIA
10,
FiNered Volume Received for Dissolved Tests?
Uyes
allo
A
11, Note if sediment is visible In the disso ved container
Sample Labels Match COC?
i Yes
)]Na
❑N/A
12.
r
Includes Date/lime/iD/Analysis Matrix:
i r.untainer s needing acid/base preservation have been
13.
rFleckr:d)
❑AS
ONO
©NJA
Ad containers needing preservation are found to be in
(/
r-orripliance with EPA recommendation?
J
iHNL7r, It,5O4, IiCIcZ; NaOH >9 Sulfide, NaOH>12 Cyanide]
s
❑No
❑N/A
Exceptions: VOA, Colfform, TOC, Oil and Grease,URO/8015
Vy's
(water) OOC,LLHg
❑No
❑N A
Sam ;es checked for d"Norination
pflees
ONo
N A
14•
Headspace in VOAV1al5 (>S•6mrrti?
❑Yes
❑No
/A
15,
Trip Blank Present?
❑Yes
❑No
N/A
16•
Trip Blank Custody Seals Present?
[]Yes
❑No
NJA
Pace Trip Blank Lot P (If purchased):
CLIENT NOTIFICATION/RESOLUTION Fleid Data Required? []Yes ❑14o
Person Contacted: Date/rime:
Comments/Resolution:
Project Manager SCURF Review; Date:
Project Manager SRF Review: _ Yli�l Date: z
Note: Whenever there Is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carat na DEHNR Certification Office (i.e.
Chat of hula, incorrect preservative, out of temp, incorrect containers)
Page 12 of 20

CHAIN -OF -CUSTODY ! Analytical Request Document
- The Chain-of-Cttstody is a LEGAL DOCUMENT. All relevant 6efds must be Campfeted accurately.
.0. / _^
Section A S.ctlw, BI , I , L4 - v Se Zitan C
Ragnked Cffent Intonation: Requlred Project 4tromtetion: brrotce bdomagon:
Comp"'. Hasplra 41G.-ROCK WunL NO Report Ta Michael L.exns AttenIM
ALWr a: 4285 N. NVe Iqm elvd Copy To: Compmy Name
Rocky Mourtt, NC 27aW
Address
-
Emaif MktU i.kr"5 t
purchase Order #.
Pace thole:
Pam: PSM77.54M lFacK
Prp)=Name: steer—ww
Pam Prcgw morwoor: matthlwtxautertl pacetabr•mm.
'S' '!L'oialiori=;','eatu•.
Rogkmmad Duo Data:
Projeo 0
?am Prattle #:
NO
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":R..
'Ad
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YJN
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$
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COLLECTED
Preservatives
Ixtrna caoE
pnoete Nnxr Cw -
.�
z
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w
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m
SAMPLE ID O OL
=
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SA4,ERNAWS AN 5i N"j RE � - _. �r`'s' s .� : •:x
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61GNA7GRE rrf SAMPLER:
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DATE Sipnee: 4g.��
` '
rm J�-

J"i-p ENCO Laboratories
Accurate. Timely. Responsive, .innovative.
4810 Executive Park Court, Suite 111
Jacksonville FL, 32216-6069
Phone: [phone] FAX: [phone]
Friday, May 27, 2016
Pace Analytical (PA007)
Attn: Matthew Brainard
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
RE: Laboratory Results for
Project Number: Stormwater, Project Name/Desc: 92298323
ENCO Workorder(s): SZ02199
Dear Matthew Brainard,
Enclosed is a copy of your laboratory report for test samples received by our laboratory on
Friday, May 20, 2016.
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 Jacksonville.
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,
Chris Tompkins
Project Manager
Enclosures)
Page 14 of 20
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 1 of 7

�uco
www.encolabs.com
SAMPLE SUMMARY/LABORATORY CHRONICLE
Client ID: OUTFALL 004E
Lab ID: BZO2199-01
Sampled: 05/17/16 14:33 Received: 05/20116 11:00
Paramelte
Hold Bat ,/ljme(s}
Prep DatelTfine(s]
EPA 1664B
06/14/16
05/24/16
15:13 05/25/16 18:39
Client ID: OUTFALL005
Lab ID: SZO2199.02
Sampled: 05/17/16 16:11 Received: 05/20/16 11:00
Pa-MMI6(
Hold Date]Time(s}
Prep Date/Timers]
Anillvsls Date/Time(s)
EPA 1664E
06/14/16
05/24/16
15:13 05/25/16 18:39
Client ID: OUTFALL 017
Lab ID: BZo2199-03
Sampled: 05/17/16 14:04 Received: 05/20/16 11:00
Parameter
EPA 1664E
06/14/16
05/24/16
Analysis Datelmme(s)
15:13 05/25/16 18:39
Page 15 of 20
FINAL This report reiates only to the sample as received by the laboratory, and may only be reproduced In full, Page 2 of 7

CSco
www.encolabs.com
SAMPLE DETECTION SUMMARY
No positive results detected.
Page 16 of 20
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced M full. Page 3 of 7

www.encolabs.com
ANALYTICAL RESULTS
Description: OUTFALL 004B Lab Sample 10:BZ02199-01
Matrix: Water Sampled: 05/17/1614:33
Project: 92298323 Sampled By:
Classical Chemistry Parameters
Received: 05/20 J 16 11:00
Work Order, BZ02199
^ - EWOJackswWfle crf~ analyze [AC" 4421
.
Analyte fCAS Numberl Results
Flaq
Units
,QE MDL pQk
Batch
Method Ana .d gy Notes
Oil & Grease (HEM) [C-0007]^ 0.632
U
mg/L
0.263 0.632 1.32
6E24002
EPA 1664B 05/25/16 18:39 SMA
Description: OUTFALL 005
Lab Sample ID, BZ02199-02
Received: 05/20/16 11:00
Matrix: Water
Sampled:05/17/16 16:11
Work Order: B202199
Project: 92298323
Sampled By:
Classical Chemistry Parameters
^ - EvCO.Iackmnvflle cerdhed afBryte (NC 4421
'
Analyte [CAS Numberl Results
ERR
Units
PE MDL pgb
Adtrh
Method Analyzed gy Notes
Oil & Grease (HEM) [C-OD07]^ 0.693
LI
mg/L
0.289 0.693 1.44
6E24002
EPA 16646 05/25/16 18:39 SMA
Description: OUTFALL 017
Lab Sample 1D:BZ02199-03
Received: 05/20/16 11:00
Matrix: Water
Sampled:05/17/16 14:04
Work Order: BZ02199
Project: 92298323
Sampled By:
Classical Chemistry Parameters
^ - EIVCOJackswm7k cerdRed analyze [AC 442]
Analvte—rCAS Numbed Results
E&Q
Units
RE RU M
Batch
Method Anted N=
Oil & Grease (HEM) [C 0007)^ 0.708
u
mg/L
0.295 0.708 1.47
6E24002
EPA 1664E 05/25/16 18:39 SMA
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in felt,
Page 17 of 20
Page 4 of 7

www.encola bs.com
QUALITY CONTROL DATA
Classical Chemistry Parameters - Quality Control
Batch 6E24002 - EPA 1664A
Blank (6E24002-BLK1)
Prepared: 05/24/2016 15:13 Analyzed: 05/25/2016 18:39
Spike Source %REC
RPD
.Analm
Result
Flao
RGL
Units
Level Result D/aREC Limits RPD
Limit Notes
Oil & Grease (HEM)
0.613
U
1.28
mg/L
LCS (6E24002-BS1)
Prepared: 05/24/2016 15:13 Analyzed: 05/25/2016 18:39
Spike Source %REC
RPD
.AnahMe
Result
Flan
PAX
units
Level Result "/oREC Limits RPD
Limit Notes
Oil & Grease (HEM)
154
5.00
mg/L
159 97 78-114
LCS Dup (6E24002-BSDi)
Prepared: 05/24/2016 15:13 Analyzed: 05/25/2016 18:39
Spike Source °/DREC
RPD
Anal
Result
Elaa
PM
Wilts
Level Result D/eREC Limits RPD
LL%jt Notes
Oil & Grease (HEM)
156
5.00
mg/L
160 98 78-114 2
18
Matrix Spike (6E24002-MSi)
Prepared: 05/24/2016 15:13 Analyzed: 05/25/2016 18:39
Source: OZO2144-01
Spike Source D/oREC
RPD
Analvte
Result
Elaa
P_0..1.
flints
Level Result D/DREC Limits RPD
Um(t Notes
Oil & Grease (HEM)
155
5.00
mg/L
148 2.40 U 105 78-114
Page 18 of 20
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced In full. Page 5 of 7

C,
www.encolabs.com
FLAGS/NOTES AND DEFINITIONS
B The analyte was detected in the associated method blank.
D The sample was analyzed at dilution.
J 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 concentration 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 (PQL) 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 (8594D or greater
confidence) to make a "tentative identification".
P Greater than 250% concentration difference was observed between the primary and secondary GC column.
The lower concentration is reported.
Page 19 of 20
FINAL Thls report relates Only to the sample as received by the laboratory, and may only be reproduced in full. Page 6 of 7

Chain of Custody
Work (#der: 92298323
Workorder Name: STORMVVATER
Results Requested By:
1!!;ac'e
! xe.
6/3112016 IZ4
775-
Matthey
Pace
Braina
"'tyt . P.O. I R 1-0
9800
cay Suite 100
Monte
'He, NC 28078 4 V e
Phone
7104)875-3O92
ire P�-
EMU:
[e-mail] Pic krc--.
5 2 7 t (p
State -Tsample
Origin: Fp;esarlvvd M"6rs--Izll
M
LAS USE ONLY
a
511712016 1433
92298323001
Water
Z
X
2
ALL005
511IM016 16:11
92298323002
Water
Z
x
3
�tMALLAV
SM 712016 14:04
92298323003
Water
x
4
5
MsEl
�4--VW—M
Tranafe!s
I
Released By
Daterrime
Received By
DatelThme
Z 0 e-)
to -A.
2
3
Gooier'
Tern perature on Receipt -G Custosi Seal'7)or N Received
on ice or N Samples Into Y or N
May 19. 2016 2:15-.46 PM
FMTALL-G-002rev.00 24MwrhZW9 Page 1 of 1

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted December 28, 2015
CERTIFICATE OF COVERAGE NO. NCG06 0 3 5 4 SAMPLE COLLECTION YEAR 2015
FACILITY NAME Hospira, Inc. (Rocky Mount, NC] FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Nash ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES Mike Lewis DISCHARGING TO SALTWATERS? ❑YES ®NO
LABORATORY Pace Analytical Lab Cert. # PASI-C #12 , PASI-A #40
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
Total event rainfall z .1 or ❑ No discharge this period;
Outfall No.
Sample `Col lected;TSS,
mo/dd/yr
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform , ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
-Benchmark
-
- 100 or50
Within 6.0 — 9.0
120
30
1000
500
004E
12/14/15
8.0
6.95
<25
<5.0
N/A
N/A
005
12/14/15
<2.8
7.21
<2S
<5.0
N/A
N/A
017A
12/14/15
30.2
7.74
<25
<5.0
N/A
N/A
1 Only applies to facilities that use/process meats. ��� 15 ZQ1�
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 dischaMe . i r ort with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water clasg""Me 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
-
N/A
N/A
N/A
N/A
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.
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.
[ifyes• complete Part BJ
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 AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART it 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: N/A
Mail an original and one copy of this DMR, including all "No Discharge" rep_arts, within 30 days of receipt of the lab results for at end of
monitoringperiod 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:
"l 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."
( Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.ore/web/wq/ws/su/nodessw#tab-4
SWU-249 Last Revised: October 18, 2012
-Page 2 of 2

2a15'
December 28, 2015
NC Department of Environment and Natural Resources
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Attention: Central Files
Subject: Discharge Monitoring Reports
NPDES General Permit No. NCG060000
COC# NCG060354 (RI/R2)
Hospira — Nash County
To Whom It May Concern:
P)
Hospira
A 4V Company
Per the requirements of our general stormwater permit, the following documentation is
attached for your review:
✓ Storm water Discharge Monitoring Reports for Outfalls 004B, 005, 017A
✓ Certified laboratory report
All required discharge characteristics (total suspended solids, pH, oil and grease, and
chemical oxygen demand) were within permitted ranges. Total rainfall was measured
with an on -site rain gauge for the duration of the event. We will continue to conduct
future sampling events based on the conditions indicated in our permit.
Please feel free to contact me at [phone] if you have any questions.
Sincerely,
fZ.z�-►f
Samuel Toke
Environmental Engineer
Hospira, a Pfizer company
4285 N. Wesleyan Blvd.

h
F 3 1
ceAnalyticalo
www.pacela6acam
SAMPLE ANALYTE COUNT
Project: STORMWATER
Pace Project No.: 92280208
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
[phone]
Lab ID
Sample ID
Method
Analysts
Analytes
Reported
Laboratory
92280208001
OUTFALL 0048
EPA 1664B
JMS
1
PASI-C
SM 2540D
MDW
1
PASI-A
SM 5220D
WRC
1
PASI-A
92280208002
OUTFALL 005
EPA 1664E
JMS
1
PASI-C
SM 2540D
MDW
1
PASI-A
SM 5220D
WRC
1
PASI-A
92280208003
0UTFALL 017
EPA 1664B
JMS
1
PASI-C
SM 25400
MDW
1
PASI-A
SM 5220D
WRC
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page 3 of 13

r ,
aceftljftal
www.pacelabs,cam
ANALYTICAL RESULTS
Project: STORMWATER
Pace Project No.: 92280208
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
(919)B34-4984
Sample: OUTFALL 004E
Lab ID: 92280208001 Collected: 12/14/15 15:25
Received: 12116115 13:05 Matrix: Water
Parameters
Results Units
Report Limit DF
Prepared Analyzed CAS No. Quaff
HEM, Oil and Grease
Analytical Method: EPA 1664B
Oil and Grease
ND mg/L
5.0 1
12/23/15 07:23
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
8.0 mg1L
5.7 1
12/21/15 12:15 D6
5220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
ND mg/L
25.0 1
12123/15 15:30
Date: 12/24/2015 08:35 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 4 of 13

aceftlj cal
www.pacelahs.corn
ANALYTICAL RESULTS
Project: STORMWATER
Pace Project No.: 92280208
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
[phone]
Sample: OUTFALL 005
Lab ID: 92280208002 Collected: 12/14115 15:40
Received: 12/16/15 13:05 Matrix: Water
Parameters
Results Units
Report Limit DF
Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664E
Oil and Grease
ND mg/L
5.0 1
12/23/15 07:23
25400 Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended SOWS
ND mg1L
2.8 1
12/21/15 12:18
5220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
ND mg1L
25.0 1
12/23/15 15:30
Date: 12/24/2015 08:35 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 5 of 13

t
Pace Analytical Services, Inc.
e
a An��ir�
Ic, An
6701 Conference Drive
Raleigh, NC 27607
7
w•pweWb&cam
(919)8344984
ANALYTICAL RESULTS
Project: STORMWATER
Pace Project No.; 92280208
Sample: OUTFALL 017
Lab ID; 92280208003 Collected: 12114/15 16:40
Received: 12/16/15 13:05 Matrix: Water
Parameters
Results Units Report Limit DF
Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664B
Oil and Grease
ND mg1L 5.0 1
12/23/15 07:23
2640D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
30.2 mg1L 5.0 1
12/21/15 12:19
5220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
ND mg1L 25.0 1
12/23/15 15:30
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Dale: 12/24/2015 08:35 AM without the written consent of Pace Analytical Services, Inc.. Page 6 of 13

Stormwater DMR Sampling
MlMa.Moffiafe.;. `M m r.n Rainfall.""'I
Pr
�6 ML utf5IT-qr ".1
Time
pH
Temperature
0 . r
Time
pH
Temperature
OC
I rN 617 A
RT(_R
O P,
Time
pH
7,
Temperature
Sampled by: 00l�p i�-/�`i/1 S

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted June 3, 2015
CERTIFICATE OF COVERAGE NO. NCG06 0 3 5 4 SAMPLE COLLECTION YEAR 2015
FACILITY NAME Hospira, Inc. (Rocky Mount, NQ FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Nash ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES Mike Lewis DISCHARGING TO SALTWATERS? DYES ®NO
LABORATORY Pace Analytical Lab Cert. # 67
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall .3 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 Conform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
Soo
004B
4/30/15
<3.3
6.17
<25
<5.0
N/A
N/A
005
4/30/15
<2.5
6.46
<25
<5.0
N/A
N/A
017A
4/30/15
16.0
6.88
127
<5.0
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.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4
COD
"a
WWOO
e ♦I7k_'Fi V II.. 1.✓'
J'ti082015
bee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. DWR SECTION
INFORMATION PROCESSING Aff
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)
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 504
6.0 — 9.0
-
N/A
N/A
N/A
N/A
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.
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 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 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: N/A
Mail an on Ina! and one copy of this DMR including all "No Discharge" re,ports within 30 days of receipt of the lab results for 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 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."
4..5 -14tJE-aolSS
(Date)
Additional copies of this form may be downloaded at: http://r)ortal.ncdenr.ore/web/wq/ws/su/nr)dessw#tab-4
r SWU--249
Last Revised: October 18, 2012
Page 2 of 2

aceAnalytical`
www wwelabs.com
Michael Lewis
Hospira, Inc. - Rocky Mount, NC
4285 N. Wesleyan Blvd.
Rocky Mount, NC 27804
Project: STORMWATER B89-594585
Pace Project No.: 92247860
Samplo: POND 004E
Laboratory Report
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
[phone]
Page 1 of 1
Report Date: 05/06/2015
Date Received: 04/30/2015
Lab ID: 92247060001 Collected: 04/30/15 oa:05 Matrix: Water
Parameters
Results
Units
Report Limit
Analyzed Qualifiers
Oil and Grease
ND
mg1L
5.0
05/06/15 08:56
Total Suspended Solids
ND
mglL
3.3
05/05/15 09:53
Chemical Oxygen Demand
NO
mglL
25.0
05/06/15 09:40
Sample: POND 005
Lab ID:
92247860002 Collected:
04/30/15 08:13 Matrix: Water
Parameters
Results
Units
Report Limit
Analyzed Qualifiers
Oil and Grease
ND
mg1L
5.0
05/06/15 08:57
Total Suspended Solids
NO
mg1L
2.5
05/05/15 09:54
Chemical Oxygen Demand
ND
mglL
25.0
05/06/15 09:40
Sample: POND 017 Lab lD: 92247860003 Collected: 04/30/15 09:40 Matrix: Water
Parameters
Oil and Grease
Total Suspended Solids
Chemical Oxygen Demand
Reviewed by:
Nicole Benjamin
Results Units
NO mg1L
16.0 mglL
127 mglL
[e-mail]
Raleigh Certification IDs
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification M 67
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
South Carolina Certification #: 99006001
Asheville Certification iDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87W
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
Report Limit
Analyzed Qualifiers
5.0
06/06/15 08:57
5.6
05/05/15 09:54
25.D
05/06/15 09:40
North Carolina Bioassay Certification #: 16
North Carolina Drinking Water Certification #: 37731
FloridalNELAP Certification #: E87627
Kentucky UST Certification #: 84
West Virginia Certification #: 357
VirginialVELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
West Virginia Certification #: 356
VirginiaNELAP Certification #: 460222
Page 1 of 3

Documont Name; Sae Condition Uporl
Sample
Oecurnent Ftev(sad April 04, 2013
; 'PG�BARaICRI
Reae! t SCUR
Ps e,1 of
t
Dacument No.:
Issuing:Authorititis ' , .
'
F;,RA1--C8-001-rov:02
Pace Ashevllle Qud(it ',QHlce' :.. _ ,4....:•
Client Name
_
Where Received: i iuntersyl(lo Asheviflo
❑ 0 �]' Eden �
Ralelgh
Courier jClrcle): Fad Ex UPS USPS lient Cominerclsl Paco
Custody Seal on Coolor/Box Present:
.t3lher.
0 yes no Seals intact; Dyes
0 no.
..
Packing Metorlal: ❑ Bubble Wrap Bub ago , Nona .. , Othor .______�. _
Circle Thermometer Used: ER Gun ;12�2�653671 f lco: W t Blue None
=r=
Samples on ice, Cooling process has begun, , i +`
......
....... r:..`. "... ,-r; - IR•Gun B 82Q1i5S7t
Tomp Corra6tlon Factor: Add ubtract
C
Dato and lnitlals of parsonaxemlhft
Corroded CoolerTernp:: C
Biological Tissue Is Frozen: Yes N WA
oo to [Pro iv #lo
chock:
Temp should be abovo freezing to &'C
conunonta:
Chllin of Custod' . Present:
Yor quo ❑rlfA
1-,
'
Chaln.of Cuiitid`; Fllted.,0ut:
Yea L7No
❑N1A
2,
Chafrraf.Gusto'` +' ftelln Ulshed:
aa, ON.
❑WA
3.
" r
and •le f Nhm6 R SI nature on COC:
as ©No , ,❑WA
4.
Samples Arrived withln Hold Tlmo:
Yoe LINO C3NIA
S.:
It
Short Hold'TIM6 Ar 4 sis' -472hr :
OYea 'o
OKIA
6.
Rush Turn Around Time Requested:
Ilya, o
❑WA
7.
Sufficient Volume:
PYss. ONO
DWA
6.
Correct Containers Used:
fYet ❑No
EINIA
9.
-Paco Contaltiera,Used:
es ❑No
❑NIA
Contalners inlg'dt'' "
Yes ON-
❑WA
M.
Flltered volume;recelved for'Dlssolved tests
Mas .❑Na
NIA
11,
Sample Lai ems rit tch OC:
is QNo
❑WA
12,
t
t
i
-I 1k AN
-includes dateltirn D/Anal sls Matrix
Alicontalners noeding pos'ervatlon have boon checked.
( as ❑Nn
❑NlA
13.
x 1
1+
Ail containers r)eeding preservation are found to be in
©No
❑WA
�om�llanCre with PF)1 reommv daflon,
r„T+,r•
' `�._
r w a r
it r L .. a i 1 3 •
9X�o tbw i la; CCllfom} .Toc, Ow' WI-DRO (water
as ❑ho
dechlorinatlon:
Yes ONo
OWA
14.
Sam los checked.for
Heads 0 a In,-VbA.^ etis >6mm :
❑Yea ONO
PWA
15,
i 1
Trip Blank Present;
❑Yoe ONO
4A
16,
Vl
Trlp Blank Custody Seals Present
QYes ONO
G6A
Pace Trip Blank Lot # t urchased :
Client Notif•icatlon/. Ftesolutlon:
Date/Time,
%: PBrSofi't�ntacted:• --
Commont ,IF2esalylttt
SCURF!$ftF
Rev(aw
} Note---Whstt�il'ihnte°f:
i}}` salfif3)e1,''rei6opy18f$
..• Ir �+11'`oh7r<gi��'r'�r?�flt� (li,
Date: 0d 3 cif t
1,JY o
a disoropency affecting North. Carolina Compllonce
fothi vAll be sent to the Norlh Carollna DEHNR
:oul of }told, Incorrect Woservative, out of temp.
Incer(Iiict oontalners) -
Field Data Required? Y ' N"-"
�i
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92247860
Page 2 of 3 1

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Michael Lewis
Hospira, Inc. - Rocky Mount, NC
4285 N. Wesleyan Blvd.
Rocky Mount, NC 27804
Project: STORMWATER
Pace Project No.: 92251306
Sample: OUTFALL 0048
Parameters
Oil and Grease
Total Suspended Solids
Chemical Oxygen Demand
Sample: OUTFALL 006
Laboratory Report
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
[phone]
Page 1 of 1
Report Date: 06/02/2015
Date Received: 05/22/2015
Lab ID: 92251306001 Collected: 05/21/15 14:46 Matrix: Water
Results Units Report Limit Analyzed Qualifiers
ND mglL 5.0 05/28/15 08:35
52.5 mg1L 12.5 0512611512:19
52.0 mg1L 25.0 06/02/15 09:40
Lab ID: 92251306002 Collected: 05/21/15 15:09 Matrix: Water
Parameters
Results
Units
Report Limit
Analyzed Qualifiers
Oil and Grease
ND
mg1L
5.0
05/28/15 08:35
Total Suspended Solids
22.6
mg1L
5.0
05/26/15 12:19
Chemical Oxygen Demand
102
mg1L
25.0
06/02/15 09:40
Sample: OUTFALL 017
Lab ID:
92251306003 Collected:
05/21/15 15:25 Matrix: Water
Parameters
Results
Units
Report Limit
Analyzed Qualifiers
Oil and Grease
ND
mg1L
5.0
05/28/15 08:36
Total Suspended Solids
17.0
mg1L
6.2
05/26/15 12:20
Chemical -Oxygen Demand
ND
mg/L
25.0
06/02/15 09:40
Reviewed by:
Taylor Ezell
[e-mail]
Raleigh Certification IDs
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 6342
North Carolina Wastewater Certification #: 12
South Carolina Certification M 99006001
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
FtoridalNELAP Certification #: E87W
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
North Carolina Bioassay Certification #: 16
North Carolina Drinking Water Certification #: 37731
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
West Virginia Certification #: 357
VirginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
West Virginia Certification #: 356
VirginiaNELAP Certification #: 460222
Page 1 of 4

document Name; Sample Condition Upon
Document Revised: AprI104, 2013
c3C8Af18ICal
Revel t SCiJR
Page ior 2
1
Document No.:
issuing A0hodtles:
'
F-RAL-C 1001-rev.02
race Asheville Qual QffECe
Client Name:
Where Received: [] Huntersville [] Asheville Eden Raleigh
Courier (Circle): • Fed Fx UPS USPS Client Commercial Other
Custody Seal on Cooler/Box Present: (] yes ff,.— no Seals Intact: [] yes ❑ no
Packing Material: Bubble Wrap [j Bubble Begs No Other
Circle Thermometer Used: (R Chun SN:122066387Type of Ice: Blue None [J Somptes on ice, cooling process has begun
IR Gun Beek Lin HNA21tfl88171
Temp Correction Factor: Add I Subl t
Corrected Cooler Tem p•: G
Temp should be above freazb,g io 0',
1F = 7- C
Blological Tissue le Frozen: Ye: No NSA
Comments;
Ba o and in a s o poraon exsmin ng
con to 113morvatio
check:
Chdln of Custody Present
Yes .No
❑WA
f.
Chain of Custod fllled Out
13N6
druA
2.
. Reiln dished:
Chain or Cugpdy
Y No
❑WA
3.
Sampler Name & Signature on COO:
11yetA5No
❑NIA
4.
Samples Arrived within Hold Time:
m 0No
WA
5.,
Short Hold Time Anal is' ci2hr :
❑Yw o
NIA
B.
Bush Turn Around Time Requested.,
❑Y No
❑WA
7.
Sufficient Volume:
vas No
OWA
8.
Correct Containers Used:
-Pace Containers Used:
04,l`INo
®Y/ No
❑WA
❑NiA
6.
Containers Intact:
Kee Otb
❑WA
10.
FI1lered volume received for Dissolved tests
❑Ys No
MWA
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Sample Labels match COC;
-Inclwles dat0Alme11D1AnaI Is Matrtu
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Al contalners needing preservation have been checked.
All bontalners needing prowrvalton are found to be In
k omppence with EPA recommendatlon,
ex uona oA, 9diform. Toc, o&*, wmRO star
G 4,CINo ❑wA
wes ONa ❑WA
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Sam las checked for de lorinatlon:
OYss ONo
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14.
Heads aoe In VOA Vials >6mm :
Oyes OW
WA
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Trip Blm* Present:
Trip Blank Custody Seals Present
Page Trip Blank Lot# 11urchased
❑Ysa ❑No
Oyes ❑No
JWA
WA
16,
Client Notiftcatlonl Resolutton: Mold Data Requlred7 Y 1 N
Person Cantacte& Dateffime:
C:ommantst Resolution:
SCURFISRF
Review::
Note. 'Nhenever there Is a discrepancy affecting Nnrlh Camllne compliance
samples, a copy of this form will be sent to the North Caroline DEHNR
C.olliicatia:; e.jMcn (1.e out of hold, Inoorrect preakuvatto, out of tamp,
incorrect oontolners)
Pleoe label hem
305
WO#:92251306
111111111111M111111�
Page 2 of 4 ;

�)Q,^Xner,t Name: Sample Condition Upnn Document Revised: April 04, 2013
C8/I!k?I ICt?l� Rf cel t SOUR Page 2 of 2
Document No.: Issuing Authorities:
P-RAL-CS-001-rev.02 Pace Ashevllle quality office
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125 ml Plastic Unp: BP4U
250 ml Plastic Unp: BP3U
500 mt Plastic Unp: BP2U
1 Liter Plastic Unp: BPI
250 ml Plastio-1,112SO4: BP35
250 ml Piastic HNO3: 8P3N
250 Ml Piastic ZN Acetate: BP3Z
250 ml Plasll^ N80H: BP3C
Vlilde mouthed glass Jar unp: WGFU
1 Liter Amber Unp; A01 U
40 ml VOA H2804: DG9S
i Liter Amber HCl: A01H
5035 IQt: VOAK
600 mi Amber Unp; A02U
VPH I Gas Kit ; VIGK
1 Liter Amber H2SO4: A01 S
126 ml Sterne Plastic: SPBT
250 ml Amber H2804: AG38
260 ml Sterile Plastic: S02T
250 ml Amber NH4CL: AG3A
40 ml VOA HCI: DG9H
40 ml VOID Na28203: VG9T
40 ml VOA Unp: VG9U
Page 3 of 4

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Stormwater DMR Sampling
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Time pH Temperature
Sampled by: 71,1?
0

Hospira
June 3, 2015
NC Department of Environment and Natural Resources
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Attention: Central Files
Subject: Hospira, Rocky Mount, NC - Discharge Monitoring Reports
NPDES General Permit No. NCG060000
COC# NCG060354 (R1/R2)
To Whom It May Concern:
Per the requirements of our general stormwater permit, the following documentation is attached for
your review:
✓ Storm water Discharge Monitoring Report for Outfalls 004B, 005, 017A
✓ Storm water Discharge Monitoring Report Addendum for Outfalls 004B, 005, 017A
✓ Certified laboratory reports
The discharge characteristics of total suspended solids (TSS), oil and grease, and pH were within the
permitted benchmark values for all representative outfalls, while chemical oxygen demand (COD)
exceeded the permitted benchmark value at outfall SW017A. Total rainfall was measured with an
on -site rain gauge for the duration of the event.
During the time of sample, the COD value for the SWO17A was observed at 127 mg/L, exceeding
the permitted benchmark value of 120 mg/L.
As required in our storm water permit, a Tier I response was initiated and potential causes of the
high COD value were investigated. During review of the drainage area and outfall, excessive
vegetation was noted at the storm water outfall, with vegetation debris and algae observed in the
pipe upstream from the sampling point. No contributing sources from industrial activity were
observed.
The corrective action and verification below have been were implemented, with details of the
investigation available in the Tier I investigation, documented in the site storm water plan:
1) The outfall piping and surrounding area were cleared of vegetation and algae
2) All representative outfalls were resampled at a representative storm event to confirm
concentrations below permitted benchmark values (values enclosed in DMR addendum).
Please feel free to contact me at [phone] if you have any questions.
Sin ly,
Rich Titus
Engineering Director
Hospira, Inc.
4285 N. Wesleyan Blvd.
Rocky Mount, NC 27804
P.O. Drawer 2226 Rocky Mount, NC 27602-2226 252/977-5111

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 01 06 15
CERTIFICATE OF COVERAGE NO. NCG06 0 3 3 4 SAMPLE COLLECTION YEAR 2014
FACILITY NAME Hospira Inc (Rocky Mount, NC1 FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Nash ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES Mike Lewis DISCHARGING TO SALTWATERS? []YES ®NO
LABORATORY Pace Analylical Lab Cert. # 67
PLEASE REMEMBER TO SIGN ON THE REVERSE -�
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall2 0.7 or ❑ No discharge this period
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/Ln,
pH,
Standard units
COD,
mg/L,;
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500'
004B
11/23/14
11.8
6.73
51.0
<5.0
N/A
N/A
005
11/23/14
3.1
6.85
97.0
<5.0
N/A
N/A
017A
11/23/14
38.0
7.42
60.0
<5.0
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.
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 ar 504
6.0 — 9.0
-
N/A
N/A
N/A
N/A
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.
14
(if yes. complete Part B)
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 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: N/A
Marl on original and one copy of this MR, 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, including the possibility of fines and imprisonment for knowing violations."
(Signature
(Date)
Additional copies of this form may be downloaded at. http://portal.ncdenr.ore/web/wg/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

Hospira
December 31, 2014
NC Department of Environment and Natural Resources
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Attention: Central Files
Subject: Discharge Monitoring Reports
NPDES General Permit No. NCG060000
COC## NCG0600354 (R 1 /R2)
Hospira —Nash County
To Whom It May Concern:
Per the requirements of our general stormwater permit, the following
documentation is attached for your review:
✓ Storm water Discharge Monitoring Reports for Outfalls 004B, 005, 017A
✓ Certified laboratory report
All required discharge characteristics (total suspended solids, pH, oil and grease,
and chemical oxygen demand) were within permitted ranges. Total rainfall was
measured with an on -site rain gauge for the duration of the event. We will
continue to conduct future sampling events based on the conditions indicated in
our permit.
Please contact me at [phone] if you have any questions.
Sincerely
Rich Titus
z
X1
n
0
Engineering Director
m
Hospira, Inc.
0
d9
4285 N. Wesleyan Blvd.
<
Rocky Mount, NC 27804
Z cs
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❑
Enclosures
P.O. Drawer 2226 Rocky Mount, NC 27802-2226 252/977-5111

A
aceAnalytical.
www.pacela tc m
Laboratory Report
Michael Lewis
Hospira, Inc. - Rocky Mount, NC
4285 N. Wesleyan Blvd.
Rocky Mount, NC 27804
Project: Stormwater
Pace Project No.: 92226961
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
[phone]
Page 1 of 1
Report Date: 12/04/2014
Date Received: 11/24/2014
Sample: Pond 004B
Lab ID: 92226961001 Collected:
11/23/14 14:32 Matrix: Water
Parameters
Results Units
Report Limit
Analyzed Qualifiers
Oil and Grease
ND mg1L
5.0
11/26/14 07:28
Total Suspended Solids
11.8 mg1L
3.8
11/29/14 11:58
Chemical Oxygen Demand
51.0 mg1L
25.0
12/02/14 14:30
Sample: Pond 005 Lab ID: 92226961002 Collected: 11/23/14 17:02 Matrix: Water
Parameters
Results Units
Report Limit
Analyzed Qualifiers
Oil and Grease
ND mglL
5.0
11/26/14 07:29
Total Suspended Solids
3.1 mg/L
2.5
11/29/14 11:58
Chemical Oxygen Demand
97.0 mg/L
25.0
12/02/14 14:30
Sample: Pond 017A Lab ID: 92226961003 Collected: 11/23/14 16:19 Matrix: Water
Parameters
Oil and Grease
Total Suspended Solids
Chemical Oxygen Demand
Reviewed by:
Nicole Benjamin
Results Units
ND mg/L
38.0 mg1L
60.0 mg/L
nic;[e-mail]
Raleigh Certification IDs
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
South Carolina Certification #: 99006001
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Flodda/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
Report Limit
Analyzed Qualifiers
5.0
11 /26/14 07:29
25.0
11/29/14 11:58
25.0
12/02/14 10:24
North Carolina Bioassay Certification #: 16
North Carolina Drinking Water Certification #: 37731
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
West Virginia Certification #: 357
Virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification C 40
South Carolina Certification #: 99030001
West Virginia Certification #: 356
Virginia/VELAP Certification #: 460222
Page 1 of 3

Document Name: Sample Condition Upon
Document Revised: April 04, 2013
�. aceAria lca!"
Receipt SOUR
Pao 1 of 2
r
Document No.;
Issuing Authorities:
F- ,CS-001-rev.02
Pace Asheville Quell Office
Client Name. 11 U
Where Received: 0 Huntersville o Asheville Eden [a/Ralelgh­
Courier (Circle): Fed Ex UPS USPS Client Commercial Paco , Other
Custody Seal on Cooler/Box Present: [] yes no Seats Intact: Z yes ❑ no
Packing fytaterlr#I; Bubble Wrap B s None Other
Circle Thermometer Used; IR Gun 9 •i2 66387T of loo:(Wet Blue None D Samples on Ice, cooling process has begun
I Gun Back b5971_
Temp Correction Factor. Add ubtmct
C
Dat—elmd linlfflf—#sot pinion examtntng
Corrected Coo torTemp.: C
Biological Tissue Is Frozen: Yes No
chi 1 r �lPre ry E
TemF ahpuld be above freezing to 6'c
Comments:
Chain of Custody Present.
Yes- ONo
- QNrA
1:
Chain of Custody -Filled Out:
Afy, ON)
awri
2.
Chain or Custody Relin Uished:
ea ON..
❑NrA
3.
$am for Name & Alsinature on COG:
16Yca QNo
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4.'
Sam lea Arrived within Hold Time:
Yea qNo
OWA
5.
Short Hold Time Anal sls• &72hr :
❑Yes KND
EIWn
0.
Rush Tum Around Time Requested:
Oyas' NP
❑wA
7.
Sufilcient Volume:
yea 11No
qWA
8.
Correct Contalners Used:
gYos C1N1
❑WA
0.
-Pace'Containers Used:
Yea ❑No
©WA
Containers Intact:
Yes ❑Na
DIVA
10.
Filtered volurne•rscelved for Dissolved tests
OYes ❑ e
A6
11.
Sample Labels match COC:
Yes glee
pWA
12.
-includes dateltimsllDjAnal sIs Matrix;
All conlalners needing preservation have been .healed.
�Yas C1No
❑wA
13.
All oontalners needing preservation are found to be in
DMc
QNIA
compliance with EPA recommendation.
7'
axoepilom' V0A, golifoTM, TOC,O&G.WI.ORp let
Yes ONO
Sam lea checked for dechlodnatlon:
Yes ❑No
13WA
14.
Hoada ace In VOA Vials >Ornm :
©yes ❑No
NIA
1&,
Trip Blank Present:
❑Yee ONO
WA
18,
Trip Blank Custody Seats Present
❑Yes ❑No
YJNIA
Paco Trl p Blank Lot i1 H urchosod :
Client Notif[catlon7 Resolution: Field Data Roqulrsd? Y 1 N
Person Contacted: Da(elTlme:
Comments! Resolution:
i �� it-�j-I`S - ■V -- - -_
SCURF 13RF Date,.. 92 . 2696.1:
Review::
Note; Whanaver there Is adisorepanoyaffecting North Carolina compliance
samples, a copy of thin form wilt be sent to the North Carollna DEHNIZ I I jjjl I I + j
Cefificallon•Office (La out of hold, incorrect preservative, out of temp, 220
Irioorrect contalnera)
Page 2of3 !

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gxAnaljdcalu
"' www.pttcetahs.com
8701 Conforence Drina, Raleigh, NO 27607
ph: [phone], tax; [phone]
NCWW Cert#67, NCDW Certd37731
Report Results
Company: I�>�' p t.
Attn: OF-✓r„°�J
Phone: ;zl-
Fax:
Sampled by (signature): �--
Chain of Custody
w.o: # 922.2Co9(a I
Bill To: r
Project Reference:
Prajt3ot Number:
Purchase order 9:48 6r ' 50) 9f C7
�t'Standard Report Delivery
❑ Rush Report Delivery (w/surchargo)
"A umh pro]etls are sub]ect to prior approval by
tho taborblory
Requested Due note:
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Date
Time
Hocelpt Ct)ndttlans ( [xnY]
❑ 4t2°C ❑ Temp: q—°C
Res. Chlodne:
D Absent ❑ 1'resant ❑ rJa
Acid preset. <2?
❑ Yes ❑ Na ❑ n/a
Base pnlserv. >124
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Page 3 of 3

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Stormwater DMR Sampling
Sample Date
Event Start Time
Event Rainfall
l/-2
3
'i
Oufall No. 004B (LVP)
Time
pH
Temperature
I '13 2-
� . 7 3
Oufall No. 005 (KF)
Time
pH
Temperature
! -7o Z
/ 2. 7
Oufall ,No. 017A (R2)
Time
pH
Temperature
1(0+9
`7.qz
/f-od�c
�x3
Sampled by: ,� (—o //
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