NCS000155_MONITORING INFO_20151014

STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO
0/1/,
5
DOC TYPE
❑ FINAL PERMIT
NMONITORING REPORTS
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ 2Gl'� (d f�
YYYYMMDD

v
GKN DRIVELINE
October 14, 2015
GKN Driveline North America, Inc.
Sanford Precision Forming Facility
4901 Womack Road
Sanford, North Carolina 27330, USA
RECEIVED
Division of Water Quality 4 2015
Surface Water Protection Section
ATTENTION: Central Files � 0L4&JY
1617 Mail Service Center F�tI1f
Raleigh, North Carolina 27699-1617
Subject: Permit No. NCS000155 Semi -Annual Stormwater Discharge Outfall
Analysis and Monitoring Reports
To Whom It May Concern:
Enclosed please find the Semi -Annual SDO Qualitative Monitoring Reports and
grab sample analysis monitoring report at the GKN Driveline Precision Forming
Facility indicating that permit limitations were not exceeded. This report is being
submitted in accordance with GKN Driveline NPDES Stormwater Permit No.
NCS000155. The report covers April 1, 2015 — September 30, 2015 reporting
period.
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.
If you have any questions regarding this letter or the enclosed please do not
hesitate to contact me at [phone].
Sincerely%
Kimberly A. Killian, CSHO, MESH
EHS-SDecialist
EXPECT>MORE

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 620 or SAMPLES COLLECTED DURING CALENDAR YEAR: /S
Cerlilicate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from
\j� the date the facility receives the sampling results from the laboratory.)
FACILITY NAME !/ COUNTY r
PERSON COLLECTING SAMPLEt&b i PHONE O. ( J
CERTIFIED LABORATORY(S) VL Lab #
Lab # (SIG ATUR V OF PERMITTEE OR DESIGNEE)
By this signs ure,1 certify that this report is accurate
complete to the best of my knowledge.
Part A: Specific Monitoring Requirements
Date
Sample
Collected
I,o!al,,
Rain a
Total
Suspended
Solids (TSS)
25,
►tc'r".1,
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Xno
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
'Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
NiG
inches
mg/I
mgA
Units
gallmo
Form SWU-246-112608
Page I of 2

STORM EVENT��C�H�ARRACTERISTICS:
Date9ta-'q.ty
Total Event Precipitation (inches):
Event Duration (hours): _� (only if applicable— see permit.)
(if more than one storm event was sampled)
Dale
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center"
Raleigh, North Carolina 27699-1617
"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>possibilily of finis and imprisonment for knowing violations."
(Date)
Form SWU-246-112608
Page 2 of 2

9
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit http://h2o.enr.state.nc.us/su/Forms Documents.htm#miscforms
Permit No.: N/C/
Facility Name: _
County: L
Inspector:i
Date of Inspection:
Time of Inspection:
or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/
Total Event Precipitation (inches): V ) 0
Was this a Representative Storm Event? (See information below) V] Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this
(Signature
1. Outfall D
Outfall No.
Receiving Stream:
Describe the indus
I certify thXthis report is accurate and complete to the best of my knowledge:
or Designee)
etc.) 3kA 44�1
within the outfall drainage area:
2. Color: Describe the color of t ischarge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: DescribeaW distinct odors that the discharge may have (i.e., smells strongly of oil, weak
"
chlorine odor, etc.): �t 1
Page I of 2
swu-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1/ 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
�1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
L
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5 W U-242-1 12608

a
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: httn://h2o:enr.state.ne.us/su/Forms Documents.htm#miscforms
Permit No.: N/C/,�
Facility Name:
County:
Inspectorr:�
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/
Was this a Representative Storm Event? (See information below) P Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be perfonned during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A sinele storm event may contain no to 10 consecutive hours of no orecioitation.
By this signature, I certify that/Ihis report is accurate and complete to the best of my knowledge:
(Signature c ee lmttee or Designee)
1. Outfall Description:
Outfall No. ��
Receiving Stream: f `'
Describe the industrial activities that
2. Color: Describe the color of
(light, medium, dark) as descriptors: _
within th/e outfall drainage area:
using basic colors (red, brown, blue, etc.) and tint
3, Odor: Descri e any distinct odors that the discharge may have (i.e.. smells strongly of oil, weak
chlorine odor, etc.): IMQ
Page 1 of 2
SWU 242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2� 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
0- 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes 0
9. Is there evidence of erosion or deposition at the outfall? Yes 0
10. Other Obvious Indicators of Stormwater Pollution:
L
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htto://h2o.enr.state.nc.us/su/Forms Documents.htm#miscforms
Permit No.: N/C/�
Facility Na e:
County:
Inspector:
Date of Inspection:
Time of Inspection:
/(6a/a/ 1 /1/—&/ or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/
Total Event Precipitation (inches) /LJ. ?7
Was this a Representative Storm Event? (See information below) P] Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event' is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
I
f Pep6i-tVe or Designee)
1. Outfall Description:
Outfall No. r%irA 3 Stru t
Receiving Stream:
Describe the industrial activities that
2. Color: Describe the color of
(light, medium, dark) as descriptors: _
3. Odor: Des
chlorine odor, etc-):
etc.) Ow
the outfa� 11 drainage
e using l/asic colors
brown, blue, etc.) and tint
distinct odors that the discharge may have (i.e., smells strongly of oil, weak
Page I of 2
SWU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: rll"\�
I J 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
D 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? I Yes No
�>
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
L
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Pagc 2 of 2
SWU 242-I12608

aceAnalytical e
eww.pacelabs.can
October 07. 2015
Kimberly Killian
GKN Driveline
4901 Womack Rd.
Sanford, NC 27330
RE: Project: STORMWATER
Pace Project No.: 92269282
Dear Kimberly Killian:
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on September 25, 2015.
This report is a summary of the results based upon our understanding of your data quality objectives.
Please contact us if itemized quality control results are needed. These results relate only to the
samples included in this report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Nicole Gasiorowski
[e-mail]
Project Manager
Enclosures
cc: Accoounts Payable, GKN Driveline Sanford
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page 1 of 9

laceAnalyfical"
a pacelab&cam
Project: STORMWATER
Pace Project No.: 92269282
Raleigh Certification IDs
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
CERTIFICATIONS
North Carolina Bioassay Certification #: 16
North Carolina Drinking Water Certification #: 37731
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Florida/NELAP Certification #: E87627
North Carolina Drinking Water Certification #: 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification #: 5342
West Virginia Certification #: 357
North Carolina Wastewater Certification #: 12
VirginiaNELAP Certification #: 460221
South Carolina Certification #: 99006001
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
North Carolina Wastewater Certification #: 40
Florida/NELAP Certification #: E87648
South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030
West Virginia Certification #: 356
North Carolina Drinking Water Certification #: 37712
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 9

Pace Analytical Services, Inc.
s 9800 Kincey Ave. Suite 100
aceMalytical Huntersville. NC 28078
wwwpaceleb&= [phone]
SAMPLE ANALYTE COUNT
Project:
Pace Project No.:
STORMWATER
92269282
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92269282001
Outfa1101 Back of PF
EPA 1664E
JMS
1
PASI-C
V�
SM 2540D
RC
1
PASI-R
SM 4500-H+B
MLS
1
PASI-A
92269282002
Outfall0i.3 �i1, `inA r/WI
EPA 1664E
JMS
1
PASI-C
SM 2540D
RC
1
PASI-R
SM 4500-H+B
MLS
1
PASI-A
92269282003
Outfall OiAuardhouse
EPA 1664E
JMS
1
PASI-C
1� *V Oa
�+`�
SM 2540D
RC
1
PASI-R
I1/1
SM 4500-H+B
MLS
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 9

aceAnalytical e
w pacelabscom
Project: STORMWATER
Pace Project No.: 92269282
Sample: Outfall 01 Back of PF
Parameters
Oil and Grease
Total Suspended Solids
pH at 25 Degrees C
Date: 10/07/2015 04:01 PM
ANALYTICAL RESULTS
Lab ID: 92269282001
Collected: 09/24/1518:43
Results
Units
Report Limit
DF
NO
mg/L
5.0
1
10.0
mg/L
5.0
1
6.9
Slid. Units
1.0
1
D6,
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Qualifiers
H6
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 4 of 9

aceAnalytical o
1Nvw.pacelabic:nn
Project: STORMWATER D 1
Pace Project No.:�92269282
Sample: Outfall 0b Guardhouse Lab ID: 92k
Parameters Results
Oil and Grease ND
Total Suspended Solids 12.8
pH at 25 Degrees C 7.0
Date: 10/07/201504:01 PM
ANALYTICAL RESULTS
ul
2003 Collected: 09124/1519:15
Units Report Limit DF Qualifiers
mg/L 5.0 1
mg/L 4.2 1
Sid. Units 1.0 1 H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 6 of 9

aceAnalytical
w ..pscelabs.wm
Project: STORMWATER
Pace Project No.: 92269282
Sample: Outfall 0/r)
Parameters
Oil and Grease
Total Suspended Solids
pH at 25 Degrees C
Date: 10/07/2015 04:01 PM
ANALYTICAL RESULTS
Lab ID: 92269282002 Collected: 09/24/15 18:55
Results Units Report Limit DF
ND mg/L 5.0 1
6.8 mg/L 5.0 1
7.0 Std. Units 1.0 1
H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Qualifiers
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)8759092
Page 5 of 9

laceAnalytical'
~pacelaas.wm
QUALIFIERS
Project: STORMWATER
Pace Project No.: 92269282
DEFINITIONS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[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.
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL- Adjusted Method Detection Limit.
PQL- Practical Quantization 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, unfounded 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, Styrene, and Vinyl chloride.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolem and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyze is a combined concentration.
LABORATORIES
PASI-A
Pace Analytical Services -Asheville
PASI-C
Pace Analytical Services - Charlotte
PASI-R
Pace Analytical Services - Raleigh
ANALYTE QUALIFIERS
D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits.
H6 Analysis initiated outside of the 15 minute EPA recommended holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/07/2015 04:01 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 9

Document Name: Sample Condition Upon
I Documeq Revised: May 15, 2015
lCal ^
Receipt S%R
Page 1 of 2'
Document No.:
Is uing Authorities:
,•' ,/'aCeMal
F-RAL-CS-001-rev.03
Pace alei h Quality Office
Client Name: C-T �}ylL At, *Page2
Courier (Circle): Fed Ex UPS USPS Client . Commercial Pace Other
Custody Seal on Cooler/Box Present: .yes no Seals intact: (."yes no
Packing Material: (� Bubble Wmp Bags I� Nonlherr
Circle Thermometer Used: IR G SN 208538 a of too: el lue None Samples on
IR Gun B N:122065371
2 is for Internal Use Only
process has begun
Temp Correction Faclor: Su Ad btract
c{I
Corrected Cooler Tamp.: L'1 , C
Temp should be above freezing to WO
C
Biological Tissue Is Frozen: Yes No wA
g
Comments:
Defeat! Initial$ of person a mining
k PrC
chat
Chain of Custody Present:
a No
OWA
1.
Chain of Custody Filled Out:
es ONO
OWA
2.'
Chain of Custody Relinquished:
es ONO
DNIA
3.
Sample Name 8 Signature on COC:
21Yes ON.
DNIA
4.
Sample Arrived within Hold Time:
rAs, ON,
ONO
5.
Short Hold Time Analysis <72hr :
Oros
❑WA
6.
Rush Turn Around Time Requested:
Oyes No
❑NIA
7.
Sufficient Volume:
ZYOS ONO
DNA
8.
Correct Containers Used:
-Pace Containers Used:
}lea ON*
( w ONO
DNIA
❑NIA
g.
Containers Intact:
es ONo
❑NIA
16.
Filtered volume received for Dissolved tests
Ores Elmo
N/A
11.
Sample Labels match CDC:
-Includes date/time/ID/Anal sis Matrix:
ea ONO
DNIA
12.
All containers needing preservation have been obacked.
All containers needing preservalion are found to be In
compllance with EPA recommendation.
exceptions: VOA mllrorm. TOC, O80, WWRO(waler)
_/
/ w ONO
- Yes ONO
as ONo
DNIA
DNIA
13.
Samples checked for dechlodnallon:
es ONo
❑WA
14.
Heads ace in VOA Vials >emm):
Oyes ONO
21NIA
15.
Trip Blank Present:
Trip Blank Custody Seals Present
Pace Trip Blank Lot N If purchased):,
Oyes ONO
Ely" ON.
EWA
AA
16.
Client Notiticatlonl Resolution: Field Data Req red? Y / N
Person Contacted: Datelfime:
Comments/ Resolution: u
SCURFISRF /"y"�^oste:lnVi'
Review:: INJ''r I"I Gh �I
Note: Whenever there Is a discrepancy affecting North Carolina compllance
samples, a copy of this form will be sent to the North Cnrollno DEHNR
Certification Office (i.o out of hold, incorrucl pmserval+10, Out of tamp.
Inoonect contorlars)
WHO# : 92269282
111111111111 I I II I II III
92269282

CHAIN -OF -CUSTODY / Analytical Request Document
The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately.
� A 8.0.8 S!L nC
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SaWo ,NC 27MO
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Email: .killiancjmrokwcom
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Phew: 919 139 Fa
Project Name: Stommrmor
Pao Project Manager: rGeob. Iti bes.com.
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SIGNATURE o/ P R. -
DATE Signed:

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCSWO / 51 or
Certificate of Coverage Number: NCG
FACILITY NAME
PERSON COLLECTING SAMPLE i
CERTIFIED LABORATORY(S) %Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: /S
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY
PHONE
(SIGNATUOF PERMIT -TEE OR DESIGNEE) C.2
By this signs ure, I certify that this report is accurate
complete to the best of my knowledge.
om�
Outfall
Date
50050: •
- , e. -w
.a3..!' r ..+>;+3-kr..w
..
.�.1�" .>r'w;s.Y�:3
r+s.;a§. �v41.
2v?u .r 'k,.....Y�
6;.
.:.''�,y da .., .•^_,
No.
Sample
Collected -
Total
Flow..�fa,Raihfall
( " .PP)
-
Total
a , -�
Od &iGrease'
t','
r++, -„
Total c
•`""3
Su`apended+s„�
Total'I'6ad' 0,,*ry,pIIr�
},�°� T"s
t s n ' ,
"`ir',"�
n r J "'
av
n, ,t,:+tt
1
_�
sllw� y I„ ,p�
�
fv +.,1..:v,x
-w.
mo/dd/ r
M
to ehesM' S�,ln
� .em,_1
s d
N1'Z-R`�+'l'ym%
�
lUntts"sr"Mg
r y
r. � ,..,.E��.f..�;s
);r.
AID
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Xno
(if yes, complete Part B)
Part It: Vehicle Maintenance Activity Monitoring Requirements
OutfalljSanple
No.
lected
50050
xs.v t
1005562M `, 'r00530a
'A1
00400
Total Flow ..
(if applicable), ,
;Total Rainfall
a
Oi Nc Grease f�
.,, ^
Total v
Suspended
IpH Wit,
r
Niw MotUHOd
�Usa ,1-MR�^- N,
dd/ r
MG
inches
y
--t
4T0
:ce ffn
-rt'
/�Vr
a
n
ID
l J
on®
m
P
IRVN
'3n�
o
m
z:
0
Form SWU-246-112608
Page I of 2

$TORM EVENT CHARACTERISTICS:
Date9 �//"� �//[q
Total Event Precipitation (in hes): .'" ,0 hnhld L� f.�C:�N�L
Event Duration (hours): _� (only if applicable — see permit.) (J
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 belier, true, accurate, and complete. t am aware that there are significant penalties for submitting false information,
including thoossibility of ryr6s and.imprisonment for knowing violations."
2z�zl �- -
(Date)
Form SWU-246-112608
Nee 2 of 2

a
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http7//h2o.enr.state.nc.us/su/Forms Documents.htm#miscforms
Permit No.:
Facility Name: _
County:
Inspector:
Date of Inspection:
Time of Inspection:
I0jAD�/WI 1-7-�1 or Certificate of Coverage No.:
Total Event Precipitation (inches): V(0
Was this a Representative Storm Event? (See information below) 4a Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must he performed during a representative
storm event (requirements vary)..
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A sinele storm event may contain up to 10 consecutive hours of no precipitation.
By this signajdrre, I certify thA64is report is accurate and complete to the best of my knowledge:
(Signature
1. Out�� 011 D�
utfal]No.
Receiving Stream:
Describe the indus
or Designee)
2. Color: Describe the color of
(light, medium, dark) as descriptors: _
3. Odor: Describe
chlorine odor. etc.): C
etc.) 36 (146 I
within the outfall drainage area:
using basic colors (red, brown, blue, etc.) and tint
distinct odors that the discharge may have (i.e., smells strongly of oil, weak
Paee I of 2
SwU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
0 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
T'
1% 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
D112 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes F
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
L
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance onflling out thisform, please visit: htto://h2o.em.state.ne.us/su/Forms Documents.htm#miscforms
Permit No.:
Facility Nam : J
County: pie
Inspector:
Date of Inspection:
Time of Inspection:
�l{ -1 ff-1 /LI-5TS7 or Certificate of Coverage No.: N/C/G/_/_I /_/_/_/
Total Event Precipitation (inches): �
Was this a Representative Storm Event? (See information below) P Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event' is a storm event that measures greater than 0.1 inches of rainfall and that i
j is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has .
occurred. A sinele storm event may contain no to 10 consecutive hours of no precipitation.
By this signptt*e, I certify thayfhis report is accurate and complete to the best of my knowledge:
(Signature o e ttee or Designee)
1. Outfall Description:
Outfall No. _ tru ut
Receiving Stream: k `
Describe the industrial activities that o'
2. Color: Describe the color of
(light, medium, dark) as descriptors: _
3. Odor: Descri
chlorine odor. etc.):"/
area:
_.,tn
using basic colors (red, brown, blue, etc.) and tint
any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
Page 1 of 2
S WU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
2� 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where l is no solids and 5 is extremely muddy:
(., 1 1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes 0
9. Is there evidence of erosion or deposition at the outfall? Yes 0
10. Other Obvious Indicators of Stormwater Pollution:
1
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Paee 2 of 2
SWU-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htti),//h2o.enr.state.nc.us/su/Forms Documents htm#miscforms
Permit No.: N/C/ / /(ZO/! /�a�/ or Certificate of Coverage No.: N/C/G/_/_/_/_/ /_/
Facility Na e:77-
County:1
Phone No. l ni w qs>�
Inspector:
Date of Inspectio
Time of Inspectio
Total Event Precipitation (inches) -A,
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, Iyrtify that this re
p6rt is accurate and complete to the best of my knowledge:
(Signature of PeKve or Designee)
1. Outfall Description:
Outfall No. Ofa 33
Receiving Stream:
Describe the industrial activit
2. Color: Describe the color oftlp tschar a using basic colors (red, brown, blue, etc.) and tint
(' (light, medium, dark) as descriptors: no.ldllwd
3. Odor: Describ_ e any distinct odors that the discharge may have (i.e.. smells strongly of oil, weak
chlorine odor. etc.): l�%C,
Pape 1 of 2
SWU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1) 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1!] 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes nNo
8. Is there an oil sheen in the stormwater discharge? Yes 'No
T
9. Is there evidence of erosion or deposition at the outfall? /Yet No
10. Other Obvious Indicators of Stormwater Pollution:
I
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposidon maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Paee 2 of 2
SWU-242-112605

aceAnalytical o
wwrPacelai
October 07, 2015
Kimberly Killian
GKN Driveline
4901 Womack Rd.
Sanford, NC 27330
RE: Project: STORMWATER
Pace Project No.: 92269282
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Dear Kimberly Killian:
Enclosed are the analytical results for sample(s) received by the laboratory on September 25, 2015.
This report is a summary of the results based upon our understanding of your data quality objectives.
Please contact us if itemized quality control results are needed. These results relate only to the
samples included in this report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Nicole Gasiorowski
[e-mail]
Project Manager
Enclosures
cc: Acccounts Payable, GKN Driveline Sanford
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page 1 of 9

aceAnalytical
www.pecefeb&a
Project: STORMWATER
Pace Project No.: 92269282
Raleigh Certification IDS
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
Pace Analytical Services, Inc.
91100 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)8759092
Charlotte Certification IDS
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification M 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 #: E87648
Massachusetts Certification At: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
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
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 9

aceAnalytical e
e xpacdahu.=
SAMPLE ANALYTE COUNT
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntenn, lle, NC 28078
(704)8759092
Project:
Pace Project No.:
STORMWATER
92269282
Anaytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92269282001
Outfall 01 Back of PIIF�d
EPA 1664B
- JMS
1
PASI-C
U
�yj.AllR
SM 2540D
RC
1
PASI-R
n ,EU
SM 450D-H+B
MLS
1
PASI-A-
92269282002
OutfaII0i3 t�,"_ ,67f r4
' "
EPA 1664E
JMS
1
PASI-C
Q
SM 2540D
RC
1
PASI-R
SM 4500-H+B
MLS
1
PASI-A
92269282003
Outfall OAxuardhouse
EPA 1664B
JMS
1
PASI-C
6 ty'P CA
"'"
SM 2540D
RC
1
PASI-R
SM 4500-H+B
MLS
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the wnuen consent of Pace Analytical Services, Inc..
Page 3 of 9

aceAnalytical e
t wpacelab&oon,
Project: STORMWATER
Pace Project No.: 92269282
Sample: Outfall 01 Back of PF
Parameters
Oil and Grease
Total Suspended Solids
pH at 25 Degrees C
Date: 10/07/2015 04:01 PM
ANALYTICAL RESULTS
Lab ID: 92269282001 Collected: 09/24/1518:43
Results Units Report Limit DF
NO mg/L 5.0 1
10.0 mg/L 5.0 1
5.9 Sid. Units 1.0 1
W.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Qualifiers
MI
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 4 of 9

5ceAna1j6ca1e
a pecelebs corn
Project: STORMWATER ppp ��II
Pace Project No.:1$92269282 D, W�i1
Sample: Outfall Ot Guardhouse Lab ID: 92
Parameters Results
Oil and Grease ND
Total Suspended Solids 12.8
pH at 25 Degrees C 7.0
Date: 10/07/201504:01 PM
ANALYTICAL RESULTS
0
2003 Collected: 09/24/1519:15
Units Report Limit DF Qualifiers
mg/L 5.0 1
mg/L 4.2 1
Std. Units 1.0 1 H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28076
(704)8759092
Page 6 of 9

aceAnalytical e
w wpacalaas.cnm
Project: STORMWATER
Pace Project No.: 92269282
Sample: Outtall (l
Parameters
Oil and Grease
Total Suspended Solids
pH at 25 Degrees C
Date: 10/07/2015 04:01 PM
(ANALYTICAL RESULTS
�U✓ �av�"vlJ�p�
Lab ID: 92269282002 Collected: 09/24/15 18:55
Results Units Report Limit DF
ND mg/L 5.0 1
6.8 mg/L 5.0 1
7.0 Std. Units 1.0 1
111
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Qualifiers
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Hunlersville, NC 28078
(704)8759092
Page 5 of 9

aceAnalyticals
awwpacefaDacan
QUALIFIERS
Project: STORMWATER
Pace Project No.: 92269282
DEFINITIONS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(70I)875.9092
DF - 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.
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 ether, Styrene, and Vinyl chloride.
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
PAST -A Pace Analytical Services -Asheville
PASI-C Pace Analytical Services - Charlotte
PASI-R Pace Analytical Services - Raleigh
ANALYTE QUALIFIERS
D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits.
H6 Analysis initiated outside of the 15 minute EPA recommended holding time.
This report shall not be reproduced, except in lull,
Dale: 10/07/2015 04:01 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 9

Document Sample CondltlomUponDocumekReVIsed:
2015•'
J_/�
lC8!•
Recel L SCUR
10
..F'2CBM3
•Document
No.:'
IF-RAL-CS-001.rev.03
Pacee
Client Name: C7 vVit at,.
Courier (Circle): Fed Ex UPS
USPS Client .
Commercial Pace.
Other_
Custody Seal on Cooler/Box Present:
0 .yes no
Sealsinlact yes
El no
Packing Material:. Bubble Wrap -Raga Non�ther
Circle Thermometer Used: IR G SN• 206536 a of lee: et lue None
Be
IR Gun
:122065371
Internal Use Only
has begun
Temp Cofrectlon Factor: Add 'Subtract.
Corrected Cooler Temp:: �-
-Temp shouldbeabove treeing toWC
: C
131olo Ical Tlasue Is Frozen: Yes No wA
C g
Comments:
Gales! Inldais of persoe a mining
ro PF
ehae _
Chain of Custody Prasent:;
QW, ONO BONA
;1..
Chain of Custody F01od:Out
as ONO ,ONrA
2..
Chain of Custody Rell uished:
es ONO
ONfA
3.
Sam or Name & 5i nature on. CDC:.
Yes ONo
ONIA
4.
Sam -pies Arrived.vdmin Hold Time:
c4.. ON.
ONiA
S.
Short Hold Time -Analysis <72hr :
OYea G&
OwA
6.
Rush Turn Around TIme.Requested:
Oyes XN.
ON/A
7.
Sufficient Volume:
YOs 13NO
ONIA
8.
Correct Containers Used:
-Pace Containers Used:
ru ONO
pfes ONO
ON/A
ON/A
g.
Containers Intact:
ee ONO
ON/A
10.
Filtered volume received. for Dissolved tests
Ors. ONO
OWA
11.
Sample Labels match COO:
--Includes date/time/ID/Anal y sis Matrix:
ea ONO
OwA
12.
All eontal"is needing preservation have been Ulecked. - w ONO
All containersneedingpreservation are found to to IO - Y., ONO
compliance with EPA recommendation: - -"
Oxeepti0ns: VOA. Wrllorm. TOO, 0A0. W4ofio (water of ONO
❑NIA
ON/A
13.
Samples checked for dechlodnation:
es ONo
OWA
14.
Heads ece_in VOA Mats->6mm):
ONO
NIA
15.
Trip Blank Present:
Trip Blank Custody Seals Present
Pace Tri-.8tank Cot tl Ifpurchased):
_Ores
Ova, .ONO WA
OYOs _ ONO AwA
16.
Client Notification/ Resolution:
Person Contacted:
Comments/ Resolution:
_
Datemme:
Field Data Reqt
red? Y I N
SCURF ISRF
Ravlew
D
Date:gZ.SI��
-
I''I�¢E
Wo# : 92269282
Note: Whenever there Is a discrepancy affecting North Carolina compliance II II� I �II� I I'� I II BII
samples, a copy of We form will be sent to the North Cnrollno DEHNR
Codification Office (LO out of hold, incomict pmserval>ro. out of temp, 82288282
Incorrect contai-+ors)

.32
'll
Bit
OR
IN
-
a I
a I
m I
w I
I I
ITEM 0
11
CO)
Ej
tP
.4
S PLETYPE (GG )C� OUP]i
0
tot
WnE TEMP AT COLLECMN
SOF CONTNNERS
H2SO4
HNO3
KC1
NaOH
N&2S203
meftm
10Ow
I
1
IWAKWMARAW
WOR
x
x
x
PH
x
x
x
Oa a Groass by 1664
-----------
—
-
—
—
—
—
—
—
—
—
—
—
Ln
—Lj
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
TEMP m, C
R..W.lCNM..(YM)
(YIN)
S..Wd
cwl.,
0
(ym)
—
—
—
—
S..Pla,
t
(YIN)
2

r �'M
October 14, 2015
Division of Water Quality
Surface Water Protection Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
GKN Driveline North America, Inc.
Sanford Precision Forming Facility
4901 Womack Road
Sanford, North Carolina 27330, USA
RECEIVED
DEC 14 2015
bEWR4G'Q'NDc@1WAUrW
�e'�ltarnm
Subject: Permit No. NCS000155 Semi -Annual Stormwater Discharge Outfall
Analysis and Monitoring Reports
To Whom It May Concern:
Enclosed please find the Semi -Annual SDO Qualitative Monitoring Reports and
grab sample analysis monitoring report at the GKN Driveline Precision Forming
Facility indicating that permit limitations were not exceeded. This report is being
submitted in accordance. with GKN Driveline NPDES Stormwater Permit No.
NCS000155. The report covers April 1, 2015 — September 30, 2015 reporting
period.
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.
If you have any questions regarding this letter or the enclosed please do not
hesitate to contact me at [phone].
Lillian, CSHO, MESH
St
c)a'ECT>NfOIIE

S
Is -
October 14, 2015
Division of Water Quality
Surface Water Protection Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
GKN Driveline North America, Inc.
Sanford Precision Forming Facility
4901 Womack Road
Sanford, North Carolina 27330, USA
RECEIVED
DEC 14 2015
y�D�€—, }N�ryR,,LA�NDQQ'{IUyALyIDpfV �T
��I YJf4WIYVli�l'� �C"�ORWIi�I �141V V
Subject: Permit No. NCS000155 Semi -Annual Stormwater Discharge Outfall
Analysis and Monitoring Reports
To Whom It May Concern:
Enclosed please find the Semi -Annual SDO Qualitative Monitoring Reports and
grab sample analysis monitoring report at the GKN Driveline Precision Forming
Facility indicating that permit limitations were not exceeded. This report is being
submitted in accordance.with GKN Driveline NPDES Stormwater Permit No.
NCS000155. The report covers April 1, 2015 — September 30, 2015 reporting
period.
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.
If you have any questions regarding this letter or the enclosed please do not
hesitate to contact me at [phone].
i
Killian, CSHO, MESH
rx, cr>1010U

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS = / 5�; or
Certificate of Coverage Number: NCG
FACILITY NAME
PERSON COLLECTING SAMPLE
CERTIFIED LABORATORY(S)%15� Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR:/S
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY
PHONE n
(SIGNATUROF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Outf:tll
Date
500�0'
p,l . 71
_v4-..i.,-..h u6se
xA _ y:
"t
e ;'Gigi�O z�2:^`.�..'YN
st rrv..
r'�' 1'k,�..ri..
n ;'
i« A`.
J
}l.'..
No.
Sample
Collected
Total
Flow tf a
C PP),�Rs
TotalA "
Rainfall"
_ ' � y✓-:
Od°& Grease x
x
ys h.'��t � *�
Total
'f
Sus ended
P
Total Gead +h
Hfi
;eS,. .�...
.. _
. x <
.4Ru,rl,�.cS :15
°,z i -
Y+�!,r a�.a1.a:,;.. a«I
ry
.z`��h3....:i.i�F�SW.t�
nm/dd/vr
"M -
•inches �.°'
t .
- .�<. «
m
-_ ,
rm In%n }..,:
*, v,
;m 4 �
iUinlss
,y:. t>t
s+,...
ew7 . �-
. n ,< z
...s Srr r
fU I
l7
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Xno
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monilorine Requirements
e
ple
lected
50050
4 x`tr 8 "�
f00556 ` "
r00530X„ � �
t00400 .
"b$ „
Total Flow. -*Total
(if applicable)
Ra nfallw
„ ("> `
Od & Gr �e
4
i�& �'?'
tiTolal Will
tSuspcnded
Soltdst''...�,r ,�
ipH Y
K q 'Usa
et-'-ut'fr',.�+-..
Ne Motor Odtt
g FE
Rnioldd/yr
MG :�"inches+
. � �. ,tis
rm �.._� � t
R w wr ' ,r �M
(Umtg3 t, ,�N�
to
CS
n
m_
o
<
0
Form SWU-246-112608
Page I of 2

STORM EVENT CHARACTERISTICS:
Dalcq 1
��
Total Event Precipitation (inches): CKJK ��NAA ,4 L� 1�4N G✓+�
Event Duration (hours): _� (only if applicable — see permit.) Q
(if more than one storm event was sampled)
Dale
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 thoossibility of fip6s and imprisonment for knowing violations."
(Date)
Form SWU-246-112608
Paee 2 of 2

a
Stormwater Discharge Outfall (SDO) .
Qualitative Monitoring Report
For guidance on filling out this form, please visit: httl)://h2o.enr.state.nc.us/su/Forms Documents htm#miseforms
Permit No.:
Facility
County:
Inspecto
Date of
Time of
N/C/a/14UM/ I /15-/-:9 or Certificate of Coverage No.: N/C/G/_/_/_/_/_/ /
Total Event Precipitation (inches): , 10
Was this a Representative Storm Event? (See information below) RI Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event' is a storm event that measures greater than 0.1 inches of rainfall and that 1
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A sinele storm event may contain up to 10 consecutive hours of no precipitation.
By this sign4pfre, I certify th/tl is report is accurate and complete to the best of my knowledge:
(Signature of Pi*mittee or Designee)
1. Outf�Jl D�
OutfallNo.
Receiving Stream:
Describe the indus
etc.)u10 LdPVC�.7
within the outfall drainage area:
2. Color: Describe the color of t ischarge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe ayly distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): l
Page I of 2
SWO-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes . No
10. Other Obvious Indicators of Stormwater Pollution:
I
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant funher investigation.
Page 2 of 2
SwU-242-112608

a
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: httl2://h2o.enr.state.nc.us/su/Forms Documents htm#miscforms
Permit No.:
Facility Nam
County:
Inspector:
Date of Inspection:
Time of Inspection:
�lQ�lgllL/TS7 or Certificate of Coverage No.: N/C/G/_/_/ /_/_/_/
Total Event Precipitation (inches): �a_7_-
Was this a Representative Storm Event? (See information below) P Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be per during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has .
occurred. A sinele storm event may contain up to 10 consecutive hours of no precipitation.
By this signplyfe, I certify thajyfhis report is accurate and complete to the best of my knowledge:
(Signature o�r%ttittee or Designee)
1. OutfallDescription:Description:
Outfall No. tru ur
Receiving Stream:
Describe the industrial activities that of
2. Color: Describe the color of
(light, medium, dark) as descriptors: _
3. Odor: D
chlorine odor, etc
area:
_.,V
using basic colors (red, brown, blue, etc.) and tint
any distinct odors that the discharge may have (i.e.. smells strongly of oil, weak
Nee 1 of 2
S WU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
V 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where l is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes 0
10. Other Obvious Indicators of Stormwater Pollution:
L
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htti),//h2o.em.state.nc.us/su/Forms Documents.htm#miscforms
Permit No.: N/C/
Facility N e:
County:
Inspector:
Date of Inspection:
Time of Inspection:
/a/Z/a/ / or Certificate of Coverage No.:
Total Event Precipitation (inches)/// ?7
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I c&dfy that this report is accurate and complete to the best of my knowledge:
of PeKtVe or Designee)
1. . Outfall Description:
Outfall No. 0 3
Receiving Stream:
Describe the industrial activiti
etc.) DiYU)
2. Color: Describe the color oft ischar e using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: � PA1 /, �rh 4 i ,r ll—w)
3. Odor: Describ_ e gny distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): CYEQ
Page 1 of 2
SWU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1) 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes nNo
8. Is there an oil sheen in the stormwater discharge? Yes 'No
9. Is there evidence of erosion or deposition at the outfall? 'Y No
L.-
10. Other Obvious Indicators of Stormwater Pollution:
L
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Paee 2 of 2
S W U-242-112608

aceAnalytical
~pecafabs.con,
October 07, 2015
Kimberly Killian
GKN Driveline
4901 Womack Rd.
Sanford, NC 27330
RE: Project: STORMWATER
Pace Project No.: 92269282
Pace Ana"cal Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)8759092
Dear Kimberly Killian:
Enclosed are the analytical results for sample(s) received by the laboratory on September 25, 2015.
This report is a summary of the results based upon our understanding of your data quality objectives.
Please contact us if itemized quality control results are needed. These results relate only to the
samples included in this report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Nicole Gasiorowski
[e-mail]
Project Manager
Enclosures
cc: Accoounts Payable, GKN Driveline Sanford
REPORT OF LABORATORY ANALYSIS
This report shalt not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page 1 of 9

aceAnalytical a
ewxpacelaas�m
Project: STORMWATER
Pace Project No.: 92269282
Raleigh Certification IDs
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
Pace Analytical Services, inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[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
South Carolina Certification #: 99006001
Asheville Certification IDs
2225 Riverside Drive, Asheville, INC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
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
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 9

Pace Analytical Services, Inc.
mmalytiml ® 9800 Kincey Ave. Suite 100
Huntersville, NC 28078078
w 'Pscafe0.smm [phone]
&T--UJI11IM11TW1i lI=111XIIII1111JzIfi
Project:
Pace Project No.:
STORMWATER
92269282
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboretory
92269282001
Outfall 01 Back of P1F
EPA 1664B
JMS
1
PASI-C
SM 2540D
RC
1
PASI-R
SM 4500-H+B
MLS
1
PASI-A
92269282002
-Outfall 0{3 rPW
EPA1664B
JMS
1
PASI-C
SM 2540D
RC
1
PASI-R
SM 4500-H+B
MLS
1
PASI-A
92269282003
Outfall OAuarrlhouse
EPA 1664B
JMS
1
PASI-C
tyjA.t ��
SM 2540D
RC
1
PASI-R
SM 4500-H+B
MLS
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This fepon shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page 3 of 9

aceAnalytical e
awxpecde0.cmm
Project: STORMWATER
Pace Project No.: 92269282
Sample: OuHall 01 Back of PF
Parameters
Oil and Grease
Total Suspended Solids
pH at 25 Degrees C
ANALYTICAL RESULTS
Lab ID: 92269282001
Results Units
ND mg/L
10.0 mg/L
5.9 Std. Units
Collected: 09/24/ 15 18:43
Report Limit DF Qualifiers
5.0 1
5.0 1
1.0 .1 D6, H6
REPORT OF LABORATORY ANALYSIS
Pace Anatytical Servlces, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
This report shall not be reproduced, except in full,
Date: 10/07/2015 04:01 PM without the written consent of Pace Analytical Services, Inc.. Page of 9

aceAnalytical e
~cPacelouicwn
Project: STORMWATER
Pace Project No.:�B2269282
D
Sample: Outfall 0 Guardhouse
Lab ID: 92 k
Parameters
Results
Oil and Grease
ND
Total Suspended Solids
12.8
pH at 25 Degrees C -
7.0
Date: 10/07/2015 04:01 PM
ANALYTICAL RESULTS
ul
2003 Collected: 09/24/1519:15
Units Report Limit DF Qualifiers
mg/L 5.0 1
mg/L 4.2 1
Sid. Units 1.0 1 H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services. Inc..
Pace Ana"cal Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 6 of 9

aceAnalytical e
n paceMir&com
Project: STORMWATER
Pace Project No.: 92269282
Sample: Outfall 016
Parameters
Oil and Grease
Total Suspended Solids
pH at 25 Degrees C
Date: 10/07/2015 04:01 PM
ANALYTICAL RESULTS
Lab ID: 92269282002
Results Units
ND mg/L
6.8 mg/L
7.0 Std. Units
Collected: 09/24/ 15 18:55
Report Limit DF
5.0 1
5.0 1
1.0 1
H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
w1thout the written consent of Pace Analytical Services, Inc..
Qualifiers
Pace Analytical Services, Inc.
9800 Kincey Awe. Suite 100
Hunterswille, NC 28078
(704)e75-9092
Page 5 of 9

aceAnalytical e
aww.pacelabs.00m
QUALIFIERS
Project: STORMWATER
Pace Project No.: 92269282
F-1441:tlllle7:S9
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Hunlersville, NC 28078
[phone]
DF - 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. .
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
POL - 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 analyze 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, 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 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
PAST -A Pace Analytical Services - Asheville
PASI-C Pace Analytical Services - Charlotte
PASI-R Pace Analytical Services - Raleigh
ANALYTE QUALIFIERS
D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits.
HIS Analysis initiated outside of the 15 minute EPA recommended holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/07/2015 04:01 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 9

Document Name: Sample Condition Upon
Documej Revised: May 15, 2015
/ f'BCBMa�lC21•
Receipt (SCUR)
Page 1.6f.2'
Document No:
Is uingAuthorities:
"' .w-°-^ • ^^
F-RAL-CS-0017rev.03
Pace. alai h QualityMe
� ^
'Page 2
Client Name: C-�- N
Vr lyy.,J
� n Z
Courier (Circle): Fed Ex UPS
USPS Client
. Commercial Pace
Other
-Custody Seal on Cooler/Box Present:
.yes . no
Seab Intact fYyes
no
Packing Material:- Bubble Wrop Bags I/ None
Circle Thermometer Used: IR G- SN• 2g853a a of Ice: et lue None
- Sempleaon
IR Gun
122085371
21s for InternalUse Only
process hasbcgun
'Temp Correction Factor: Ad Sobtraot.
•-Confedad Cooler7emp:: L
-Temp should be above freezing to WC
�C .
C Biological Tissue Is Frozen: vas Na wA
Comments:
Dates C InlNdals Fpersono mining
chsci _
Chainofeustod Prasenl:;
EJAS ONO
OWA
;1.,
Chain of Custody FfllodlOut:
es ONO
OWA
2..
Chain of Custody Relinquished:
jaly.. ON.
Orion
3..
_
Sampler Name & Si nalufeonCOC::
res ,ONO
Oxin
4.
Samples Arrived.wi thin Hold Time:
yes ONO
ONIA
5.
Short Hold Time Analysis 472hr :
Ores PAO
Own
U.
-
Rush TurnAround Tlme.Re quested:
Oros No
EWA
7.
SuNGenl Volume:
zlyyos ONo
ONtk
8.
Correct Containers Used:
-Pace Containers' Used:
,)arras ON.
( as ON*
O NIA'
❑NIA
8.
_
Contalners Intact: _
e! ONO
❑NIA
10.
Flltered.@olurne received. for Dissolved tests
Oyes ONO
WA
11.
-
Sampla;Labels match COO:
-Includes date/tlrneliD/Ana -sis Matrix:
w ONO
OwA
12.
,
All oontelners nea—Ing press rya lion have been Wsmed. w ONO
All containers; needing piesewvstlen are found to be In Wes ONO
cornotancewlth GOA recpmmandellon: -
exceptions: VOA. ootronn. TOO, O80, W4DRO(weter) et ONO
ONIA
❑ WA
13.
Sarriples chocked for dechtorination:
J24es ONO
OWA
14.
Heads ace.In VOA Mats >(lmm):
ONo
wA
15.
Trip Blank Present: ..
Trip blank Custody Seals Present
Pace Trip Blank Lot #. If urchased
_Oyes
Oyes ONO E!!NIA
❑res . ONO 'C]wA
16,
Client Notification/ Resolution:
Person Contacted:
Comments/ Resolution: �^
Datemme:
Field Data RsqL
red? Y I N
.
SCURF (SRF
Review::
%
oala:
q ZS,
!S
WO 97.269282
Note: Whenever there Is a discrepancy eHecling North Czrelina oomp11anc0
samples, a copy of this form will be sent to the North Carotin DEHNR lid'
Cedincellon Office (i.o out of hold, incovocl pmservelNO. out of temp, 82'L89282
Incorrect containws)

ai CHAIN -OF -CUSTODY / AnalyticalRequest Document
The Chain -of -Custody is a LEGAL DOCUMENT. M relevant fields must be completed accumtey.
Seedon A. Section B Section C
Page: 1 Of t
Repaint CUM lnforn ticn: Requited Project edomiction' hwolae lnfon.1flon:
COmpary. GKN Dmarme ReponTo; iDffan entiote
Address 4901 Wom3ck Re. Cop) To: Conn, Na ec .
Address
Stedad, NC 27330
Emait: kknbertywlanftItrdrNo1ina.cvn
Pinfase Orderx.,
Pan Ouole:
Ptwro:(919AS3.21M jlcz
project Name:'. Sbiimalei
Pete Project Maneper nieob. ioipw`sk lapa.nin.
:Q 'S]:'L:a.?'sT:':°Store /L'oeatloni[�.,'• ': _ne
RoWasled Cud Date:-
project A:
pon Profit R:
NC
W.
terY ^4
-s
2
8
COLLECTED
Preservatives
woad Cool
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9,
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n a
START
END
$
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SIGNATURE of SARPtd:fi:

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS t!J ©w / sr-5— or
Certificate of Coverage Number: NCG
FACILITY NAME L�/—AJ altt into
PFRSON COLLECTING SAMPLE(S . MR
CERTIFIED LABORATORY(S) '+ Lab N
t Lab q
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: I J
('Phis monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY �7
PHONE, NO. , )
(SIGNATURE(SIGNATL)REP,F PERMITTEE OR DESIGNEE) r T�
By this signattirle, I certify that this report is accurate
complete to the best of my knowledge. CM00
Outfall
Date
50050
No.
Sample
Collected
Total -
Flow (if app.)
Total
Rainfall
Oil &Grease
,Solids
Total
Suspended
p s
(TSS)
Total Lead
pH
art, " '
.tldw, ,.� �
qor' `
, `
(yS{ .
mo/dd/ r
MG
inches
mg""•'`c
inmp'
m
-
Q5 1
tit A
A 1 :2
5.9
N
t.
-blqh7S
N
3
Does 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 Activity Monitoring Requirements
Outfall
No.
Dal `
Sample
Collected
`5110511
T6taPFlow�t`
`0 s ` (ifapphc�ble)`.�
DIG - -
TotalgRamfa`II
+,1
tuchcs?-''''!:
[III)SSfi
Oil X, Grease
[Q0530�
Total
Suspended
Solids
[I)114011
pH
New Motor Oil
Usage
_.. .
mo/dd/ r."
m+ �.
[Uti"its
—
t 'JI/In0
Form SWU-246-112608
Page I of 2

STORM WENT CIIARACTERISTICS:
Date , ��
Total Event Precipitation (inches): -1i�—
Event Duration (hours):, S (only if applicable - see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable - see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, tinder 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 ma�e the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and befier, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the p itsibility of fines apd imprisonment for knowing violations."
(Date)
Form SWU-246-112608
Page 2 of 2

GKN DRIVELINE
April 10, 2015
Division of Water Quality
Surface Water Protection Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
GKN Driveline North America, Inc.
Sanford Precision Forming Facility
4901 Womack Road
Sanford, North Carolina 27330, USA
Rr�Cot�--IVED
APR 2 0 2015
CENTRAL FILES
DWR SECTION
Subject: Permit No. NCS000155 Semi -Annual Stormwater Discharge Outfall
Analysis and Monitoring Reports
To Whom It May Concern:
Enclosed please find the Semi -Annual SDO Qualitative Monitoring Reports and
grab sample analysis monitoring report at the GKN Driveline Precision Forming
Facility indicating that permit limitations were not exceeded. Previous
exceedance of the benchmark at Outfall 002 has not repeated. Additionally the
copper and zinc samples included in this report are not required by the current
permit, but were sampled to benchmark other GKN facilities in NC.
This report is being submitted in accordance with GKN Driveline NPDES
Stormwater Permit No. NCS000155. The report covers October 1, 2014 — March
31, 2015 reporting period.
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.
If you have any questions regarding this letter or the enclosed please do not
hesitate to contact me at [phone].
Sincerely,
Killian, CSHO, MESH
EXPECT>MORE

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htto://h2o.enr.state.nc.us/su/Forms Documents.htm#miseforms
Permit No.: NICI /fplr lQl i /,5/ / or Certificate of I
Facility Name: '(; L0 f;I.V l ,Ae-
County: 4f.I' Phone No.
Inspector: A MM_iVc-
Date of Inspection:
Time of Inspection: �ti'•
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that i
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
i occurred. A single storm even[ may contain up [0 10 consecutive hours of no precipitation.
By this signatttr6 I certify that£ 's report is accurate and complete to the best of my knowledge:
(Signature of Ee'rmittee or Designee)
1. O utfall-Descri p ti o n:
Outfal] No./ Sw t
Receiving Stream: t ITif
Describe the industrial activities that
> 56e D kA
the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: P ULiA t 4 p n5 �1 iYt91 t� -l041 6061d
3. Odor: Describ jny distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): 4�(/
Page 1 of 2
SWU-242-312608

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
(9 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 D2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 20 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes INo )
9. Is there evidence of erosion or deposition at the outfall? Yes DNq
10. Other Obvious Indicators of Stormwater Pollution:
L
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU--242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report,
For guidance on filling out this form, please visit: htto://h2o.enr.state.ne.us/su/Forms Documents.htm#miscforms
Permit No.: N/C/j
Facility Name:
County:
Inspector: N
Date of Inspection:
Time of Inspection:
or Certificate of Coverage No.: N/CIGI_l_l_l_l_l_l
Total Event Precipitation (inches): 0,17-
Was this a Representative Storm Event? (See information below) [M Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, IXrtify that this
1. Outfall 91
Outfall No. im
Receiving Stream:
I
or Designee)
vities
2. Color: Describe the color of the
(light, medium, dark) as descriptors: _Wi
3. Odor: De
chlorine odor, etc.)
and complete to the best of my knowledge:
ditch, etc.) l�ft✓iPJiQ
the outfall drainage
using basic colors (red, brown, blue, etc.) and tint
,any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
/lime
Page l of 2
Sv.'U-242-I12606

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
I 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
L
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S WU-242- 112608

a
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: httn:/lh2o.enr.state.nc.us/su/Forms Documents. htm#miscforms
Permit No.: N/C/
Facility Name: —
County:
Inspector
Date of Inspection:
Time of Inspection:
_&:/ or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/
Total Event Precipitation (inches): , et// 7
No.
Was this a Representative Storm Event? (See information below) M Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that i
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, l4:�ertify that thisy6port is accurate and complete to the best of my knowledge:
(Signature of Pe mitttte or Designee)
1. Outf Il Description:
Outfall No.
Receiving Stream:�
Describe the industrial activit
2. Color: Describe the color of the
(light, medium, dark) as descriptors: G
etc.) (A1166
the outfall drainage area:
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page 1 of 2
SwU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 �3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 2 � 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes nNo
9. Is there evidence of erosion or deposition at the outfall? Yes DNo
10. Other Obvious Indicators of Stormwater Pollution:
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-112608

aceAnalytical
wwwpscstsb&ccrn
March 24, 2015
Kimberly Killian
GKN Driveline
4901 Womack Rd.
Sanford, NC 27330
RE: Project: Stormwater 3/14/15
Pace Project No.: 92241314
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)8759092
Dear Kimberly Killian:
Enclosed are the analytical results for sample(s) received by the laboratory on March 16, 2015. This
report is a summary of the results based upon our understanding of your data quality objectives.
Please contact us if itemized quality control results are needed. These results relate only to the
samples included in this report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Nicole Gasiorowski
[e-mail]
Project Manager
Enclosures
cc: Accoounts Payable, GKN Driveline Sanford
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page 1 of 9

aceAnalytical e
w .pacelabt=
Project: Stonnwater 3/14115
Pace Project No.: 92241314
Raleigh Certification IDs
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[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
South Carolina Certification #: 99006001
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florda/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
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
Virginia/VELAP 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 9

aceAnalytical e
e>•w.pacelabsmm
!• ulI;J��cl`J_\A�IxK�1�L` I
Project: Stormwater 3114115
Pace Project No.: 92241314
Pace Ana"cal Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Lab ID
Sample ID
Method
Analysts
Analytts
Reported
Laboratory
92241314001
Outfall 001 Back PF
EPA 1664E
REP
1
PASI-C
EPA 200.7
JMW
2
PASI-A
SM 2540D
RC
1
PASI-R
SM 4500-H+B
MLS
1
PASI-A
92241314002
I/�
Ouffall 00J Stormwater � AA.�
EPA1664B
REP
1
PASI-C
EPA 200.7
JMW
2
PASI-A
SM 2540D
RC
1
PASI-R
SM 4500-H+B
MLS
1
PASI-A
92241314003
�1y/,1M�L�
Outfall 008 ouard House U�'
EPA 1664B
REP
1
PASI-C
EPA 2003
JMW
2
PASI-A
SM 2540D
RC
1
PASI-R
SM 4500-H+B
MLS
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 9

aceAnalytical e
% w.pKW8b&WM
ANALYTICAL RESULTS
Project: Stormwater 3114/15
Pace Project No.: 92241314
Sample: Outfall 001 Back PF
Lab ID: 92241314001
Collected: 03114/15 11:00
Parameters
Results
Units
Report Limit
DF
Oil and Grease
NO
mg/L
5.0
1
Copper
NO
ug/L
5.0
1
Zinc
84.3
ug/L
10.0
1
Total Suspended Solids
6.7
mg/L
2.8
1
pH at 25 Degrees C
6.9
Std. Units
1.0
1 H6
REPORT OF LABORATORY ANALYSIS
Qualifiers
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Hunlersville, NC 28078
[phone]
This report shall not be reproduced, except in full,
Dale: 03/24/2015 04:58 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 9

aceAnalytical e
w pacelabu corn
ANALYTICAL RESULTS
Project: Stonnwater 3114/15
Pace Project No.: 92241314
Sample: St Outfall W
Lab ID: 92241314002
Collected: 03/14/15 11:08
�,or✓mwater
Para lers
Results
Units
Report Limit
DF
Oil and Grease
NO
mg/L
5.0
1
Copper
NO
ug/L
5.0
1
Zinc
142
ug/L
10.0
1
Total Suspended Solids
29.7
mg/L
8.3
1
pH at 25 Degrees C
6.3
Std. Units
1.0
1 H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Dale: 03/24/2015 04:58 PM without the written consent of Pace Analytical Services, Inc..
Qualifiers
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 5 of 9

aceAnalXical e
waxpacdabscam
ANALYTICAL RESULTS
Project: Stormwater 3114/15
Pace Project No.: 92241314
A
Sample: Outfall 00,SGuar'e,dHouse
Lab ID: 92241314003
Collected: 03/14/1511:20
Parameters r
Results
Units
Report Limit
DF
Oil and Grease
ND
mg/L
5.0
1
Copper
ND
ug/L
5.0
1
Zinc
23.9
ug/L
10.0
1
Total Suspended Solids
9.7
mg/L
7.1
1
pH at 25 Degrees C
5.4
Std. Units
1.0
1 H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 03/24/2015 04:58 PM vithout the winter, consent of Pace Analytical Services, Inc..
Qualifiers
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 6 of 9

aceAnalytical.
mnvpacebbaox,
QUALIFIERS
Project: Stormwater 3/14115
Pace Project No.: 92241314
DEFINITIONS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
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.
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 ether, Styrene, and Vinyl chloride.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonilrile 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
PASI-R Pace Analytical Services - Raleigh
ANALYTE QUALIFIERS
H6 Analysis initiated outside of the 15 minute EPA recommended holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/24/2015 04:58 PM without the wntlen consent of Pace Analytical Services, Inc.. Page 7 of 9

Document Name: Sample Condltloh Upon
Document Revised: April 04, 2013
r aCBMB
`"""
Receipt SCUR
Page tof2
Document No.:
Issuing Authorities:
F-RAL-C8-001,rev.02
Pace Asheville Ouslity Office
UIlent Named ltc>a
Where Received: 0 Huntersville ❑ Asheville Eden Raleigh
Courier (Cfrofe): Fed Ex UPS USPS pent Commercial Pace ,Other
Custody Seaton Cooler/Box Present: ❑ yesSeale intact yes no .
Packing Material: Bubble Wrap ags p( Nona Other
Circle Thermometer Used: IR Gun S :122065387T a of ice: Wel Slue None 'Samples on lme cooling process has Begun
IR Gun SDAsktlp 65171
Temp Cormctlon Factor: Add/ ubtrac- (- .i O G
Date and tnitlals of person examining
Corrected Cooler Temp.,°
:C Biological Tissue Is Frozen: Yes no O
e is/Pr s ry tlo r
Temp. shuutd be above freezing m WC
Comments:
chat
' Chain of CUsfod Present• Jdvw
ONo
- ONIA
Chain Of CustodyFllled Out
y°a ONO
OWA
2,
Chain of Cuslod Relln ' ished:
w ON.
OWA
8.
Sampler Name S, SI nature on COC:
Yes ONo
OWA
4:
Sam les Arrived within Hold Time:
ras ONo
OWA
S.
Short Hold Time Anal Is' <72hr : E)Yes. QlNo
ONIA
6: '
Rush Turn Around Time Requested: Oyes No
OWA
7.
SufflclentVolume: ZYM
ONO
OWA
8.
Correct Containers Used: 4
a ON.
OW*
9.
-PaceContelnors Used.,
es ONO
ONiA
Containers Intact:
vw ON.
OWA
16.
Filtered volume-recelved for Dlseolved tests Oyes ONo
4VA
11.
Semple Labels match COC:
vas qNo
OwA
V.
-Includes dataftime/ID/Anal Is Matrix:
All wnbinare neading'preservetbn have been criacked.
'
C}Yas
ONo
OWA
13.
All ocntalners needing preservation are found to be In //r7(ves
compliance with EPA reoommendaaon. i
ONo
OWA
QX001140MV0A. O011ferm, 70C, O3O,WWRO(water) tJY,
ONO
Samples checked for dechlodnation:
ye. ONO
OwA
14.
Heads ace in VOA Vials >6mm : Oyes ONO
A
16.
Trip Blank Present: Oyu ONo
16.
Trip Blank Custody Seals Present Oyes ONo
//NIA
1]1WA
Pace Trip Blank Lot i! if purchased):
Client Notification/ Resolution: Flold Data Required? Y / N
Person Contacted: �L1� lu AJ I bn Date/rime: 4_I______,l0lll I C 1 L
Comments/Resolullon: VV\,IAy"QS - /'C)rf].WC 0"'I
SCURF /SRF NVVL( Date: ,5-1(o-rT W� # : 92241314
Review:: 3� 5
Note: Whenever there Is adiscrepancy offectingNorth Carolina compliance .II�II�IIIIIIIIIIIIIUII
Samples, a copy of this form will be sent to the North Carolina DEHNR
Certification Office (I.e out of hold, Incorrect preservative, out of temp, 92241314
incorrect containers)
Page 8 of 9

GKN DRIVELINE
27 October 2016
Division of Water Quality
Surface Water Protection Section
ATTENTION: Central Files
1641 Mail Service Center
Raleigh, North Carolina 27699-1617
GKN Driveline North America, Inc.
Sanford Precision Forming Facility
4901 Womack Road
Sanford, North Carolina 27330, USA
R E-00VED
NOV 0 4 2016
CENTRAL FILES
DWR SECTION
Subject: Permit No. NCS000155 Semi -Annual Stormwater Discharge Outfall
Analysis and Monitoring Reports
To Whom It May Concern:
Enclosed please find the Semi -Annual SDO Qualitative Monitoring Reports and
grab sample analysis monitoring report at the GKN Driveline Precision Forming
Facility indicating that permit limitations were exceeded in TSS. We will continue
to monitor as required. The copper and zinc samples included in this report are
not required by the current permit, but were sampled to benchmark other GKN
facilities in NC.
This report is being submitted in accordance with GKN Driveline NPDES
Stormwater Permit No. NCS000155. The report covers April 1, 2016 — October
31, 2016 reporting period.
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.
If you have any questions regarding this letter or the enclosed please do not
hesitate to contact me at [phone].
Sincerely,
Amy H ghes, MS GSP
US CVJ EHS Manager
EXPECT>MORE

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS D�Y>!P>l7G_ or SAMPLES COLLECTED DURING CALENDAR YEAR:
>�
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the
sampling results from the laboratory.)
FACILITY NAME �LI� .�/! ✓f.�MP Z��'Thvn'^ COUNTYe
PERSON COLLECTING SAMPLE(S) Amon; c manor PHONE NO..(_ 1 /�.V'�1S7k' )
CERTIFIED LABORATORY(S)Paae —Lab #923/S5_tb0er
Lab # (SIKNA ME
OF PERMITTEE OR DESIGNEE)
By this ignalure, I certify that this report is accurate
complete to the best of my knowledge.
Part A: Specific Monitoring Requirements
Outfall
Date
50050
No.
Sample
Collected
'Total
Flow (if app.)
'Total
Rainfall
Oil & Grease
'Total
Suspended
Solids(TSS)
'Total Lead
pH
mo/dd/ r
MG
inches
m I
m Im
Units
of
/0 /03 //e
NH
3.b3
/a4
i7.�
NA
5.5
0-2-
0/09,//v
NA
3.e3
NA
z3.5
NA
03
io/o9//b
NA
3. tr3
Na
y5'._4
NR
t
IV V,
i
it t-ILES
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes n0
(if yes, complete Part B) .
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
.mo/dd/ r
MG
inches
mgA
mgA
Units
al/mo
,/A
Form SWU-246-112608
Page I of

STORM EVENT CHARACTERISTICS:
Date 10/81/V -
Total Event Precipitation (inches):
Event Duration (hours): N 1A (only if applicable — see permit.)
(if more than one storm event was sampled)
Date N A
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
jo /2i�/v
(Sig ure/o ' tee) (Date)
Form SWU-246-112608
Page 2 of 2

a
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance onfilling out this form, please visit: http://h2o.enr.state.nc.us/su/Forms Documents.htm#miscforms
Permit No.: N/C/-3 -/ / ,)-7 , or Ce tificate of Coverage No.: N/C/G/
Facility Name: Lo d }rsaEls�p - `�Id�� � t rz'Fl
County: �PF, Phone No. 7/9'>0?-Vsw
Inspector: /- ,40,? o /riaciw�
Date of Inspection:
Time of Inspection: o Z o
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) [�J- Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event' is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this re_,ISerjfy th/this report is accurate and complete to the best of my knowledge:
of P/rmittee or Designee)
1. Outfall Description: Outfall No. /93 Structure (pipe, ditch, etc.) ���� 4we
Receiving Stream: vJesf rear o f gerlmq lrea
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of
(light, medium, dark) as descriptors: _
3. Odor: Describe
chlorine odor, etc.): ti
using basic colors (red, brown, blue, etc.) and tint
odors that the discharge may have (i.e., smells strongly of oil, weak
Page 1 of 2
SWU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 0 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes - No
8. Is there an oil sheen in the stormwater discharge? Yes I I
9. Is there evidence of erosion or deposition at the outfall? Yes N�
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-112608

a
i
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: htti)�//h2o.enr.state.nc.us/su/Forms Documents hum#mist forms
Permit No.: N/Ck7
Facility Name:
County: i PP
Inspector: 00-6
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): 3 • LO 'Z'� i r
N/C/G/ /_/_/_/_/_/
Was this a Representative Storm Event? (See information below) [� Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Represemat ve Storm Event' is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this siMature cert//thht this report is accurate and complete to the best of my knowledge:
or Designee)
1. Outfall Description:
Outfall No. 0 Structure (pipe, ditch, etc.) zad
Receiving Stream: Re, o' Qrooe(+g nea- frrmin5 �pev)7rnS
Describe the industrial activities that occur within the outfall drainage area:
N ne y�evskct f ,"�
2. Color: Describe the color of the
(light, medium, dark) as descriptors: -/c
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): d11 o%vr •
Page 1 of 2
S W U-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: 'Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1t / 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes Io
8. Is there an oil sheen in the stormwater discharge? Yes DO
9. Is there evidence of erosion or deposition at the outfall? Yes C No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWO-242-I12608
%t

pm
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring -Report
For guidance on falling out this form, please visit: http://h2o.=.state.iic.us/su/Forms Documents.htm#miscforms
Permit No.: N/CA3/ 7y i / S% ,3 or Certificate of Coverage No.:
Facility Name: % �!) p wk/ 1 t r F
County: LP P Phone No. / S
Inspector: An -lanes /%baciiJ
Date of Inspection: /o/ All
Time of Inspection: O 0 io
Total Event Precipitation (inches): 3 • V9 ' 1
Was this a Representative Storm Event? (See information below) 0 Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be per during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certif,,y d At this report is accurate and complete to the best of my knowledge:
of Pe4ttW or Designee)
1. Outfall Description:
Outfall No. L Structure (pipe, ditch, etc.)
Receiving Stream: u Side of pApyvil , eppeTito frrigb-f m
Describe the industrial activities that occur within the outfall drainage area: _
t✓o nei iMllllir.'n I l,bvn t),Os
2. Color: Describe the color of the
(light, medium, dark) as descriptors: —_/
3. Odor: Describe y
chlorine odor, etc.): /� v
basic colors (red, brown, blue, etc.) and tint
odors that the discharge may have (i.e., smells strongly of oil, weak
Page 1 of 2
S)ArU-242-112608

M
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0% 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes l�
8. Is there an oil sheen in the stormwater discharge? Yes �Ti ei
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-112608

GKN DRIVELINE
May 2, 2016
Division of Water Quality
Surface Water Protection Section
ATTENTION: Central Files
1641 Mail Service Center
Raleigh, North Carolina 27699-1617
GKN Driveline North America, Inc.
Sanford Precision Forming Facility
4901 Womack Road
Sanford, North Carolina 27330, USA
0
Subject: Permit No. NCS000155 Semi -Annual Stormwater Discharge Outfall
Analysis and Monitoring Reports
To Whom It May Concern:
Enclosed please find the Semi -Annual SDO Qualitative Monitoring Reports and
grab sample analysis monitoring report at the GKN Driveline Precision Forming
Facility indicating that permit limitations were not exceeded. The copper and zinc
samples included in this report are not required by the current permit, but were
sampled to benchmark other GKN facilities in NC.
This report is being submitted in accordance with GKN Driveline NPDES
Stormwater Permit No. NCS000155. The report covers October 1, 2015 — March
31, 2016 reporting period.
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.
If you have any questions regarding this letter or the enclosed please do not
hesitate to contact me at [phone].
Sincerely
n, CSHO, MESH
EHS Specialist
SroR�uR� ✓ ����6
9TFRp ���/Tr
TT�NG
I�/1��i71iC�1�1�

AC
6rmf
(ux
STORM WATER DISCHARGE OUTFALL (SDO
MONITORING REPORT
Permit Number: NCS My/ 61or SAMPLES COLLECTED DURING CALENDAR YEAR"'
Certificate or Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
i
FACILITY NANIE COUNTY tee
PERSON COLLECTING SAMPL ) `l,Ol PHONE N S
CERTIFIED LABORA'1'ORY(S) Lab #
Lab # (SIGNWCOkOt FPBMITTEE OR DESIGNEE)
By this sigrifiture, 1 certify that this report is accurate
complete to tt a best of my knowledge.
Part A: Specific Monitoring Requirements
N
®®
®tee
Does 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 It: Vehicle Maintenance Activity Monitoring Requirements
Oulfall
No. --
Dale
Sample -
'Collected-
50050
00556
00530
00400
Total Flow -
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil'
Usage
mo/dd/ yr
MG
inches
m
m
Units
gal/mo
M0C�����'j
OENR ��7d f�
RMwQTFRpE�� �T�G
Form SWU-246-112605
Page I of

STORM EVENT CHARACTERISTICS:
Date 2�dL(O o,/Di
Total Event Precipitation (inches):
Event Duration (hours): '5 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared tinder 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 bd belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines aftd imprisonment for knowing violations.'
of
(Date)
Form SWU-246-112608
Page 2 of 2

a
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2o.enr.state.nc.us/sLi[Forms Documents.htm#miscforms
Permit No.: N/C/;
Facility Name:
County: Lf �.__����
Inspector: rAAIS4
Date of Inspection:
Time of Inspection:
S / or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/
Total Event Precipitation (inches): I1, 12)
Was this a Representative Storm Event? (See information below) © Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signa'ture, I certify Kat this report is accurate and complete to the best of my knowledge:
or Designee)
1. Oltfnll Description:
Outfall No. 001 i mi Receiving Stream:
2. Color: Describe the color of
(light, medium, dark) as descriptors: _
3. Odor: Describe
chlorine odor, etc.): L
etc.) �:4w A'foh
using basic colors (red, brown, blue, etc.) and tint
distinct odors that the discharge may have (i.e., smells strongly of oil, weak
S W U-242-112608
Page 1 of 2

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1) 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 0 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes 'No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators oof/Stormwater Pollution:
- / l List and describe `ld t.hQ -o11%11 ) .
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W U-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance onfilling out thisfonn, please visit: htto://h2o.eu.state.nc.us/sufForms Documenls.hunimist forms
Permit No.: N/C/,�-
Facility Name:
County:
Inspector: I 1
Date of Inspection:
Time of Inspection:
-.0 or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/
r
Total Event Precipitation (inches): n
Was this a Representative Storm Event? (See information below) P] Yes ❑ No
Please check your pennit to verify if Qualitative Monitoring must he performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this
(Signature of
1. Outf/allll D,
Outfall No. lur- (
Receiving Stream:
DeAcritle the indK
certify that
or Designee)
activities that
2. Color: Describe the color of the
(light, medium, dark) as descriptors: -,4(
is accurate and complete to the best of my knowledge:
ditch, etc.) le7llNLl( �(3N"0(4
drainage area:
i, ln,t/hn
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e.. smells strongly of oil, weak
chlorine odor, etc.): 1(iui)`�
Page I of 2
SWU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 3� 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 2 3 04 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 13 4 5
7. Is there any foam in the stormwater discharge? Yes
Yes
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No l
10. Other Obvious Indicators of Stormwater Pollution:
L
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htti)://h2o.enr.state.nc.us/su/Forms Documents.htmttmiscforms
Permit No.:
Facility
County:
Inspectc
Date of
Time of
or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/
n
Total Event Precipitation (inches): g&(
Was this a Representative Storm Event? (See information below) 4 Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this sig ture, I certify that this report is accurate and complete to the best of my knowledge
(Signature o Peimittee or Designee)
1. O u tfalrDesc ription:
Outfall No. W5 net re pip ditfh, etc.)
Receiving Stream: A1j��(1�1! �y� -
Desclibq the industrial activities tha&cur within the ogtfalk drainage area:
2. Color: Describe the color of
(light, medium, dark) as descriptors: -
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe an distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): �
Page I of 2
SWO-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
Ol 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes (0)
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-112608

JceAnalytical'
xww.pacebbsown
March 31, 2016
Kimberly Killian
GKN Driveline
4901. Womack Rd.
Sanford, NC 27330
RE: Project: NPDES SAMPLING
Pace Project No.: 92290752
Pace Analytical services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Dear Kimberly Killian:
Enclosed are the analytical results for sample(s) received by the laboratory on March 21, 2016. This
report is a summary of the results based upon our understanding of your data quality objectives.
Please contact us if itemized quality control results are needed. These results relate only to the
samples included in this report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Matthew Brainard
[e-mail]
Project Manager
Enclosures
cc: Accoounts Payable, GKN Driveline Sanford
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page 1 of 9

aceAnalytical e
rnw.:FamraGtcaxn
CERTIFICATIONS
Project: NPDES SAMPLING
Pace Project No.: 92290752
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Charlotte Certification IDs
9800 Kincey, Ave. Ste 100, Huntersville, NC 28078
South Carolina Certification #: 99006001
North Carolina Drinking Water Certification #: 37706
Florida/NELAP Certification #: E87627
North Carolina Field Services Certification #: 5342
Kentucky UST Certification #: 84
North Carolina Wastewater Certification #: 12
VrginiaNELAP Certification #: 460221
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
UrginiaNELAP Certification #: 460222
Eden Certification IDs
205 East Meadow Road Suite A, Eden, INC 27288 North Carolina Wastewater Certification #: 633
North Carolina Drinking Water Certification #: 37738 VrginiaNELAP Certification #: 460025
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 9

aceAnalXical
~.pecelabs.com
SAMPLE ANALYTE COUNT
Project: NPDES SAMPLING
Pace Project No.: 92290752
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Lab ID
Sample ID
Method
Analysts
Analytes
Reported
Laboratory
92290752001
OUTFALL 01 BACK OF PF
SM 2540D
KCE
1
PASI-E
SM 4500-H+B
CHM
1
PASI-E
EPA 1664E
JMS
1
PASI-C
EPA 200.7
JMW
2
PASI-A
92290752002
OUTFALL 02 PARKING LOT
SM 2540D
KCE
1
PASI-E
SM 4500-H+B
CHM
1
PASI-E
EPA 1664B
JMS
1
PASI-C
EPA 200.7
JMW
2
PASI-A
92290752003
OUTFALL 03 GUARDHOUSE
SM 2540D
KCE
1
PASI-E
SM 4500-H+B
CHM
1
PASI-E
EPA 1664E
JMS
1
PASI-C
EPA 200.7
JMW
2
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 9

aceAnalytical
aww,pecxlabsodn
ANALYTICAL RESULTS
Project: NPDES SAMPLING
Pace Project No.: 92290752
Sample: OUTFALL 01 BACK OF PF
Lab ID: 92290752001
Collected: 03/20/16 15:35
Parameters
Results
Units
Report Limit
OF Qualifiers
Total Suspended Solids
27.9
mg/L
3.4
1
pH at 25 Degrees C
6.3
Sid. Units
1.0
1 Hl, H6
Oil and Grease
NO
mg/L
5.0
1
Capper
ND
ug/L
5.0
1
Zinc
127
ug/L
10.0
1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Dale: 03/31/2016 04:46 PM without the written consent of Pace Analytical Services, Inc..
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 4 of 9

Pace Analytical Services, Inc.
c 9800 Kincey Ave. Suite 100
acemalytical Huntersville, NC 28078
~PectlnAccmn [phone]
ANALYTICAL RESULTS
Project: NPDES SAMPLING
Pace Project No.: 92290752
Sample: OUTFALL 02 PARKING
Lab ID: 92290752002
Collected: 03120116 15:50
LOT
Parameters
Results
Units
Report Limit
DF Qualifiers
Total Suspended Solids
17.5
mg/L
2.9
1
pH at 25 Degrees C
6.9
Sid. Units
1.0
1 H1, H6
Oil and Grease
NO
mg/L
5.0
1
Copper
9.6
ug/L
5.0
1
Zinc
156
ug/L
10.0
1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Dale: 03/31/2016 04:46 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 9

aceAnalytical
~..Pacelabcnmre
ANALYTICAL RESULTS
Project: NPDES SAMPLING
Pace Project No.: 92290752
Sample: OUTFALL 03
Lab ID: 92290752003
Collected: 03/20/16 16:05
GUARDHOUSE
Parameters
Results
Units
Report Limit
OF Qualifiers
Total Suspended Solids
126
mg/L
8.1
1
pH at 25 Degrees C
6.7
Std. Units
1.0
1 H1, H6
Oil and Grease
ND
mg/L
5.0
1
Copper
7.3
ug/L
5.0
1
Zinc
190
ug/L
10.0
1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/31/2016 04:46 PM without the written consent of Pace Analytical Services, Inc..
Pace An alyticaI Services, Inc.
9800 Kincey Ave. Su He 100
Huntersville, NC 28078
[phone]
Page 6 of 9

aceAnalytical
w Pwelaba.mm
QUALIFIERS
Project: NPDES SAMPLING
Pace Project No.: 92290752
DEFINITIONS
Pace An alytical Services, Inc.
9800 Kincey Ave. Suite 100
Hunlersville, NC 28078
[phone]
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.
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 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 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
PASI-E Pace Analytical Services - Eden
ANALYTE QUALIFIERS
H1 Analysis conducted outside the EPA method holding time.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Dale: 03/31/2016 04:46 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 9

Document Name:
Document No.:
q Client Name:
n ffift NO ProjettR
Courier. ❑Fed Ex ❑UPS ❑USPS Client
❑ Commercial ❑Pace ❑Other:_
Custody Seal Present? Dyes ONO Seals Intact? Dyes �No
Document Revised: 26FE02016
Page 1 of 2
Issuing Authority:
Pace Raleieh Quality Office
Page 2 of 2 for internal Use ONLY
WO#:92290752
III III I I II I I it II 1 II III
92290752
Date/Initials Person Examining Contents 4 IIq
racking Material: ❑Bubble Wrap ❑Bubble Bags None ❑Other:_
Thermometer: r7fIR SN: 122065387 ❑IR SN: 122065371 11 ,T,ype of let: FKVet ❑Blue ❑None ❑Samples an ice, cooling process has begun
"t Correction Factor: 0.O'C Cooler Temp Corrected ('(): .-4 Biologlwl Tissue Frozen? Dyes []NO 4N/A
Temp should be above freezing to 6•C
USDA Regulated SoH (Q,14/A, water sample)
Did samples on inate in a quarantine zone within the United States: CA, NY, or SC (check maps)?
nyes MIO
Did samples originate from a foreign source (laationally,
Rico including Hawaii and Puerto )? ❑Yes terpNo
COMMENTS:
Chain of Custody Present?
es
[:]No
N/A
1.
Chain of Custody Filled Out?
es
ONO
N/A
2.
Chain of Custody Relinquished?
es
ONO
N/A
3.
5ampler Name and/or Signature on COC?
401els
❑No
N/A
4.
Samples Arrived within Hold Time?
ei
ONO
QNJA
5-
Short Hold Time Analysis (<72 hr)?
❑Yes
Milo
❑N/A
6.
Rush Turn Around Time Requested?
OYeJ
i
No
N/A
7.
Sufficient Volume?
Elies
LINO
ONJA
B.
Correct Containers Used?
;es
ONO
❑N/A
9.
-Pace Containers Used?
Yes
❑No
❑N A
Containers Intact?
Was
EINO
ONIA
10.
Filtered volume Received for Dissolved Tests?
❑Yes
(:]No
gJN1A
21. Note if sediment is visible In the dissolved container
Sample labels Match COC?
'0yes
ONO
❑N/n
12.
-Includes Date/rtme/ID/Analysis Matrix:
All containers needing acid/base preservation have been
checked?
[]No
❑N/A
13.
All containers needing preservation are found to be in
"Yes
compliance with EPA recommendation?
(HNOs.Hs50.,HCIs2; NaOH>9 Sulfide, NaOH>12 Cyanide)
Yes
ONO
❑N/A
Exceptions: VOA, Collform, TOC, Oil and Grease,
DRO/8015(water) DOC,LLHg
Yes
ONO
N/A
Samples checked for dechiorination
gfYes
ONO
N/A
14.
Ueadspacein VOAVi3Is(>S-6mm)7
❑Yes
ONO
OdIA
15.
Trip Blank Present?
❑Yes
ONO
16.
Trip Blank Custody Seals Present?
❑Yes
ONO
�, (N/A
XN/A
Pace Trip Blank Lot A (if purchased):
CLIENT NOTIFICATION/RESOLUTION
Person Contacted:
Comments/Resolution:
Project Manager SCURF Review:
field Data Required? Oyes ❑No
Date/Time:
Date: 3 / z k
Project Manager SRF Review: /rt7 Date: J�z d j(ce
Note: Whenever there Is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification ONice (i.e.
Out of hold, incorrect preservative, out of temp. Incorrect containers)
Page 8 of 9

m
`o
jam
CHAIN -OF -CUSTODY! Analytical Request Document
The chain-o4Cuslody is a LEGAL DOCUMENT. All relevant fields must be Completed accurately. Q.
S.cuan A Sa.11en D SecOon C
Rryu09d Cllenl lnformalon: R.RW,.d Prelacy Mf.. ien: Lgoka JHomMJon: Page : 1 Of 1
Came . GRN On Lna Repen To xr xilli» JA..
Aoelesa: 4901 Womad Rd Copy T. .., Ns,.
s»mm, NC ]TnD
Ada...
P
[moil: Fi 411ia FMrrvalm.mm
PIxTe.e Ulxr X:
P.. Ou a,:
PC»e: 9r912502199 IF.
jPrjM Name. NPDGS SAMPLING
IPam Prgo IA —per. mrn..ufdqpruMDetan.
Rryueelee D r O.W
PmIeG a,
1'oce pwde I: L\ Q 1l`)
NC
v J
sr-,
JNM
aFlhr'ee
M
i•P:f,
.�. :;F:,u,�''ty";
:
COLLECTED
Preservatives
Y
"4'"'""''="'�"'1i•-' •`
uu Pu cdx
ovwawna w+
y
Y
$
Y
Vna V1f
~
W
SAMPLE ID°"'°
n
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START
END
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n
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IT
m0
0
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DATE
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S
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:;�,+�.
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PLERNAMEANDSIGNATURE'
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o

laceAnalyticalo
w ..0acelah%mm
October 24, 2016
Amy Hughes
GKN Driveline
4901 Womack Road
Sanford, NC 27330
RE: Project: NPDES SAMPLING
Pace Project No.: 92315526
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
jV CS'-66-6 r -5
RECEIVED
NOV 0 4 2016
CENTRAL FILES
DWR SECTION
Dear Amy Hughes:
Enclosed are the analytical results for sample(s) received by the laboratory on Oct6ber=1.1-20:16.
This report is a summary of the results based upon our understanding of your data quality objectives.
Please contact us if itemized quality control results are needed. These results relate only to the
samples included in this report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Matthew Brainard
[e-mail]
Project Manager
Enclosures
cc: Accoounls Payable, GKN Driveline Sanford
Cindy Smith, GKN Driveline
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, -LC. Page 1 of 9

(��I=Analyticalo
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CERTIFICATIONS
Project: NPDES SAMPLING
Pace Project No.: 92315526
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Hunlersville, NC 28078
South Carolina Certification #: 99006001
North Carolina Drinking Water Certification #: 37706
Florida/NELAP Certification #: E87627
North Carolina Field Services Certification #: 5342
Kentucky LIST Certification #: 84
North Carolina Wastewater Certification #: 12
Vifginia/VELAP Certification #: 460221
Asheville Certification IDs
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
2225 Riverside Drive, Asheville, NC 28804
North Carolina Wastewater Certification #: 40
Florida/NELAP Certification #: E87648
South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030
VirginiaNELAP Certification #: 460222
North Carolina Drinking Water Certification #: 37712
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633
North Carolina Drinking Water Certification #: 37738 VirginiatVELAP Certification #: 460025
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 9

laceAnalyfical""
~..paceleEncun
SAMPLE ANALYTE COUNT
Project: NPDES SAMPLING
Pace Project No.: 92315526
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Lab ID
Sample ID
Method
Analysts
Analytes
Reported
Laboratory
92315526001
OUTFALL 01 BACK PF
SM 2540D
DWJ
1
PASI-E
EPA 1664B
JMS
1
PASI-C
EPA 200.7
SH1
2
PASI-A
SM 4500-H+B
KDF1
1
PASI-A
92315526002
OUTFALL 02 STORMWATER
SM 2540D
DWJ
1
PASI-E
EPA 1664B
JMS
1
PASI-C
EPA 200.7
SH1
2
PASI-A
SM 4500-H+B
KDFl
1
PASI-A
92315526003
OUTFALL 03 GUARD
SM 2540D
DWJ
1
PASI-E
EPA 1664B
JMS
1
PASI-C
EPA 200.7
SH1
2
PASI-A
SM 4500-H+B
KDF1
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, -I-C. Page 3 of 9

(�55'ce Analytical"
c pacalal
Project: NPDES SAMPLING
Pace Project No.: 92315526
Sample: OUTFALL 01 BACK PF
Parameters
Total Suspended Solids
Oil and Grease
Copper
Zinc
pH at 25 Degrees C
ANALYTICAL RESULTS
Lab ID: 92315526001 Collected: 10108/1606:00
Results
Units
Report Limit
DF
17.6
mg/L
2.8
1
NO
mg/L
5.0
1
NO
ug/L
5.0
1
39.3
ug/L
10.0
1
5.3
Std. Units
1.0
1
H6
REPORT OF LABORATORY ANALYSIS
Qualifiers
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
HuntersAlle, NC 28078
[phone]
This report shall not be reproduced, except in full,
Dale: 10/24/2016 05:59 PM without the written consent of Pace Analytical Services, -I-C. Page 4 of 9

laceAnalyficalo
w pactlaftoorn
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: NPDES SAMPLING
Pace Project No.: 92315526
Sample: OUTFALL 02
Lab ID: 92315526002
Collected: 10/08116 06:10
STORMWATER
Parameters
Results
Units
Report Limit
DF Qualifiers
Total Suspended Solids
23.5
mg/L
4.2
1
Oil and Grease
NO
mg/L
5.0
1
Copper
NO
ug/L
5.0
1
Zinc
46.3
ug/L
10.0
1
pH at 25 Degrees C
6.4
Std. Units
1.0
1 H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/24/2016 05:59 PM without the written consent of Pace Analytical Services, LLC, Page 5 of 9

(�I,ZeAffllyfical
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ANALYTICAL RESULTS
Project: NPDES SAMPLING
Pace Project No.: 92315526
Sample: OUTFALL 03 GUARD
Lab ID: 92315526003
Collected: 10/08/16 06:20
Parameters
Results
Units
Report Limit
OF
Total Suspended Solids
55.7
mg/L
3.6
1
Oil and Grease
ND
mg/L
5.0
1
Copper
ND
ug/L
5.0
1
Zinc
58.7
ug/L
10.0
1
pH at 25 Degrees C
5.9
Sid. Units
1.0
1 H6
REPORT OF LABORATORY ANALYSIS
Qualifiers
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
This report shall not be reproduced, except in full,
Date: 10/24/2016 05:59 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 9

(�IaceAnalyfical*
~..P8caWh&own
QUALIFIERS
Project: NPDES SAMPLING
Pace Project No.: 92315526
DEFINITIONS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[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.
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)
CUP - 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 Acrylonitdle by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylarnme 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
PASI-E Pace Analytical Services - Eden
ANALYTE QUALIFIERS
H6 Analysis initiated outside of the 15 minute EPA required holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/24/2016 05:59 PM without the written consent of Pace Analytical Services, L-C. Page 7 of 9

Document(
Condition Upd
Document
Client Name:
�':: v • . `.w 'J _ Project H:
Courier: UPS ❑Fed UPS ❑LISPS Client
❑ Commercial ❑Pace ❑Other:_
Custody Seal Present? ❑Yes pp No Seals Intact? �Yes j?No
.Document Revised: May 21, 2016 _
_ Page lof 2
Issuing Authority:
Pace Raleigh Quality Office _
14011- 92315'
II011011 III II I II II I III
L
Date/Initials Person Examining Contents:
Packing Material: ❑Bubble Wrap ❑Bubble Bags ❑None ❑Other:_
Thermometer: T1509 Type of Ice: et []Blue❑None ❑Samples on ice, cooling process has begun
Correction Factor: 0.0'C Cooler Temp Corrected(•C): � Biological Tissue Frozen? ❑Yes ONO ❑N/A
Temp should be above freezing to 6-C
USDA Regulated Soil (❑ N/A, water sample)
Did samples originate In a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (Internationally,
r1y.' 'Klan Including Hawaii and Puerto Rlco)?❑Yes ❑No
--
Comments/Discrepancy:
Chain of Custody Present? --_----__—_-- __
es
❑Ro
❑N/A
1.
Samples Arrived within Hold Time?
❑Yes_(No
❑N/A
(2
' I
bt4 C� C/014
Short Hold Time Analysis(Q2 hr.)?
Dyes
❑N/A
3.
Rush Turn Around Time Requested?
❑_Yes
F�
+o
❑N/A
4.
Sufficient Volume?
Yes
❑No
B/A
5.
Correct Containers Used?
Yes
❑No
❑N/A
6.
-Pace Containers Used?
cs
❑No
❑N/A
Containers Intact?
es
ON*
N/A
7.
Samples Field Filtered?
❑Yes
ONO
+/A
8.
Note if sediment Is visible in the dissolved container
_
Sample Labels Match COC?
+es
❑No
[]NIA
9.
-Includes Date/Time/ID/Analysis Matrix:
_
All containers needing acid/base preservation have been
10.
checked? '" —
❑Yes
❑rru
'X/A
All containers needing preservation are found to be in
MOpi1
compliance with EPA recommendation?
x+ta µ•+
(HNOr, H)SOs, HCI<2, NaOH >9 Sulfide, NaOH>12 Cyanide)
❑Yes
❑No
❑N)A
n.w.wu
Exceptions: VOA, Coliform, TOC, Oil and Grease,
DRO/8015(water) DOC,LLHg
Yes
QNo
❑N/A
Samples checked for dechlorination?
❑Yes
[]No
VNIA
11—.
_
Headspace in VOA Vials(>5-6mm)?
❑Yes
❑no
+/A
12.
Trip Blank Present?
❑Yes
❑No
13.
Trip Blank Custody Seals Present?
❑Yes
❑No
?�(;'/A
XN/A
Pace Trip Blank Lot N (if purchased):
—
CLIENT NOTIFICATION/RESOLUTION
Person Contacted: _ Date/'irne:
Comments/Sample
Discrepancy:
Field Data Required? Oyes ❑Flo
Project Manager SCURF Review: 11 _ _ _-_ Date:
Project Manager SRF Review: Date: I n �t l�I�J_l _
Note: Wheneverthere is a discrepancy affecting North Caroli o plianco samples, a ropy of this form will be sent to the —Noah CCaarr. nma EHf=! nitica:inn office (i.e.
Out of hold, incorrect preservative, out of temp, incorrect containers)
Page 8 of 9

CHAIN -OF -CUSTODY I Analytical Request Document
�-e �f-?4 The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed acm ately.
R,.i:ee Crier, mlermaLon R,.imlPmjccantonnapon: Invnlec lntnrmnlbn: I Palle:
cern. P y. GKV cmeii-n lReponT.. Km}•r xiIIL n :.:nn::cn'.
Adu:cos: <A: Wncucl, Rd Ccpy ln. Ccmpany N'wno
Serlcm. NC 27020
AEm.sa:
Re alorvA .n
Ema9. knW .WIRsn R:Mrwcsm,=m
Rvcrnsn ace: P:
Pe-n D:e:u:
Ptare: 191]S}2:+5 Fmc
Pmjetl Nune NPDES SA4IPLI.YG
P. Pmjen l.fYn9or mYNew,bsivN pppi
Slalel Le.n ..d
Requeaed Dne DMe:
Pt*d.:
Pam PNib t 1
i
NC
' Re
...
I.d
Anal
sI.
FIN.nd
?NI-
A
z
pA:a0. mx
:
y
couecTED
Preservatives
i
Ni
9
u
N. . SAMPLE ID .. "'
?
0
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STMT
END
s,
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GNarxtsr per aea- :�:. :,+
a-91.-)
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SamPla Ids must Ce unle us iauc
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7
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S
S
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7
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,. ADDmOlUI GDMMENT9A %t'l J 1'
^;� pPLYDMIStVL BTINS1llAlIDN9:,
(Aq PfEO YIAFFlUAl10N' I
'.;DAR.
TME' -;
:i'6WPLE CONCRWNd
SAMPLERNAME'AND SIGNATU_RE'-�{{C•:•; �; :�y`.v ':'iei:I-::�'.:Y�i'.:::•
i-;':rya
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PRINT Nam. W SAMPLER
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SIGNATURE of SAMPLER:
n aiJ
DATE Slened:/./
3=
Si
Jis
VC
T
of
D
/- l0
.n

GKN DRIVELINE
April 25, 2014
Division of Water Quality
Surface Water Protection Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
GKN Driveline North America, Inc.
Sanford Precision Forming Facility
4901 Womack Road
Sanford, North Carolina 27330, USA
Subject: Permit No. NCS000155 Semi -Annual Stormwater Discharge Outfall
Analysis and Monitoring Reports
To Whom It May Concern:
Enclosed please find the Semi -Annual SDO Qualitative Monitoring Reports and
grab sample analysis monitoring report at the GKN Driveline Precision Forming
Facility indicating that permit limitations were not exceeded. This report is being
submitted in accordance with GKN Driveline NPDES Stormwater Permit No.
NCS000155. The report covers October 1, 2013 — March 31, 2014 reporting
period.
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.
If you have any questions regarding this letter or the enclosed please do not
hesitate to contact me at [phone].
A. Killian, CSHO, MESH
EHS Specialist
Cew��
1rfi APR WQIaoG ^g Unit
EXPECT>MORE

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS LU V 1557 or
Certificate of Coverage Number: NCG
FACILITYNAME ) W,6N 'it)
PERSON COLLECTING SAMPLP )AA0644)
CERTIFIED LABORATORY(S) Lab #
Ij Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: ! qDW
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY
PHONE, Is
(SIGNATURE(-qF PERMITTEE OR DESIGNEE)
By this signata e, I certify that this report is accurate
complete to the best of my knowledge.
Outfall
Dale
50050
No.
Sample
Collected
Total,. ` xYta
Flow (if app)x
Total
-Rainfall
i
Od WGrerse �
_'""
-.
Total
- Suspended£
Solids (TSS)-
fTotal Lead
pH "
-
-
mo/dd/ r
MG..: ._
ineties
m�l..s�.ru� HN?3m�
ter'"..
m.. .... .xi,;'.i
Umts"`
.��„' -•
Ir�laas„._
(P,
I 14
10
is
ty
ID
Does 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 Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil R Grease
Total
Suspended
Solids
pH -
"` ' '
New Motor Oil'
,Usage
mo/dd/ r
MG
inches
no - - -
ro
Units _;„_"
al/mo.',,,..
Form SWU-246-112608
Page I of 2

STORM EVENT CHARACTERISTICS:
Dated�l�
Total F.vent Precipitation (inches):
Event Duration (hours): —Y— (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 certify, under penally 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 knowled�aland belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of firn6s and imprisonment for knowing violations."
(Da e)
Form SWU-246-112608
Page 2 of 2

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htti)://h2o.enr.state.ne.us/su/Forms Documents htm#miscforms
Permit No.: N/CUI /�/A/Ll-sysy or Certificate of Coverage No.:
Facility N e: Rk.) 1)nU J ,'AC
County: 41, Phone No. ys
Inspector w" 11iu
Date of Inspection: 3L,25- 1`4
Time of Inspectipon: -�;� iw
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) ® Yes El No
Please check your permit to verify if Qualitative Monitoring must be per during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signatiu'e, I certify that this report is accurate and complete to the best of my knowledge:
or Designee)
1. Outfall Description:
Outfall No. S
Receiving Stream: dNflQ
Describe the industrial activities
2. Color: Describe the color of
(light, medium, dark) as descriptors: _
3. Odor: Describe
chlorine odor, etc.):
ditch, etc.) �Rt7 L -)1441
within the outfall drainage area:
discharge using basic colors (red, brown, blue, etc.) and tint
distinct odors that the discharge may have (i.e., smells strongly of oil, weak .
SwU-242-112608
Page 1 of 2

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy: �
I tl 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stoni water discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
I
Note: Low clarity, high solids, and/or the presence of foam,'oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-112608

a
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2o.enr.state.nc.us/su/Forms Documents htm#miscforms
Permit No.: NICILIffi l�lf�lLl�I.SI or Certificate of Coverage No.: N/C/G/
e:
Facility Nam, . `,e_6n2
County: dQ Phone No. 919 W,-/Oq
Inspector: tti
Date of Inspection:
Time of Inspection: a1
Total Event Precipitation (inches):
Was this aRepresentative Storm Event? (See information below) M Yes ❑ No
Please_ check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event' is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this sigplture, I certify that this report is accurate and complete to the best of my knowledge
t �
(Signature f ermittee or Designee)
1. Ou all Description:
Outfall No. / ,ttructure (pj� pe, ditch, etc,.) l"�1mak
Receiving Stream• 1
Describe the industrial activities t t occur within the outfall drainage area: , 5 uL2t %? 01"
2. Color: Describe the color of
(light, medium, dark) as descriptors: -
3. Odor: Des
chlorine odor, etc.):
using basic colors (red, brown, blue, etc.) and tint
distinct odors that the discharge may have (i.e., smells strongly of oil, weak .
SWU-242-112608
Page 1 of 2

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: %%�
�/ 1) 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0? 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1V 3 4 5
7. Is there any foam in the stormwater discharge? Yes N
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
H
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
. indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htto://h2o.enr.state.nc.us/su/Forms Documents.htm#miscforms
Permit No.:
Facility
County:
Inspects
Date of
Time of
NlCQl w Qll -Xl or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/
Total Event Precipitation (inches): IU. 10
Was this a Representative Storm Event? (See information below) � Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this sig�ture, I certify that this report is accurate and complete to the best of my knowledge:
t t . ./
or Designee)
1. Outf 11 escription:
Outfall
Receiving Stream:
Describe the industrial activit
2. Color: Describe the color of
(light, medium, dark) as descriptors: _
3. Odor: Des
chlorine odor, etc.):
etc.) �1
drainage area:
basic colors (red, brown, blue, etc.) and tint
distinct odors that the discharge may have (i.e., smells strongly of oil, weak
SWU-242-112608
Page 1 of 2

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
Cl 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
`{ 1/ 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stotrrtwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes �o
8. Is there an oil sheen in the stormwater discharge? Yes t
9. Is there evidence of erosion or deposition at the outfall? Yes z
10. Other Obvious Indicators of Stormwater Pollution:
L
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-112608

aceAnalytical.
.patelabsa
April 08, 2014
Kimberly Killian
GKN Driveline
4901 Womack Rd.
Sanford, NC 27330
RE: Project: GKN SANFORD
Pace Project No.: 92194976
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersvllle, NC 26078
(704)8759092
Dear Kimberly Killian:
Enclosed are the analytical results for sample(s) received by the laboratory on March 27, 2014. This
report is a summary of the results based upon our understanding of your data quality objectives.
Please contact us if itemized quality control results are needed. These results relate only to the
samples included in this report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely, p
Tabitha M Dacal
[e-mail]
Project Manager
Enclosures
cc: Acccounts Payable, GKN Driveline Sanford
M
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page t of 9

aceAnalytical e
r ,pscatsb&=
[d:1.411I41901triel ?
Project: GKN SANFORD
Pace Project No.: 92194976
Charlotte Certification We
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Florida/NELAP Certification #: E87627
North Carolina Drinking Water Certification #: 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification #: 5342
West Virginia Certification #: 357
North Carolina Wastewater Certification #: 12
VirginiaNELAP Certification #: 460221
South Carolina Certification #: 99006001
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 1013
Huntersville, NC 28078
[phone]
Asheville Certification IDs
2225 Riverside Dr., Asheville, NC 28804
North Carolina Wastewater Certification #: 40
Florida/NELAP Certification #: E87648
South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030
West Virginia Ceri fication if: 356
North Carolina Drinking Water Certification #: 37712
VirginiaNELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the wntten consent of Pace Analytical Services, Inc.. Page 2 of 9

aceAnalytical o
n pscelabsam
SAMPLE ANALYTE COUNT
Pace Analytical Services, Inc.
980010ncey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project:
Pace Project No.:
GKN SANFORD
92194976
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92194976001
OUTFALL 01
EPA 1664E
CLW
1
PASI-C
SM 2540D
WRC
1
PASI-A
SM 4500-H+B
MDW
1
PASI-A
92194976002
OUTFALL 02
EPA 1664E
CLW
1
PASI-C
SM 2540D
WRC
1
PASI-A
SM 4500-H+B
MDW
1
PASI-A
92194976003
OUTFALL 03
EPA 1664B
CLW
1
PASI-C
SM 2540D
WRC
1
PASI-A
SM 4500-H+B
MDW
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without thewdden consent of Pace Analytical Services, Inc.. Page 3 of 9

0
aceAnalytical
..pecelabs.mn
Project: GKN SANFORD
Pace Project No.: 92194976
Sample: OUTFALL 01
Parameters
Collected By
Collected Date
Collected Time
Appearance
Total Petroleum Hydrocarbons
Total Suspended Solids
pH at 25 Degrees C
Date: 04/08/2014 03:04 PM
ANALYTICAL RESULTS
Lab ID: 92194976001
Results Units
KIMBERLY
KILLIAN
03/25/14
19:32
Clean, No
Odor. no
floating
solid, min.
flow.
ND mg/L
25.6 mg/L
6.8 Sid. Units
Collected: 03/26/14 09:32
Report Limit DF
1
1
1
H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Qualifiers
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 4 of 9

aceAnalytical e
w vpacefab&m
ANALYTICAL RESULTS
Project: GKN SANFORD
Pace Project No.: 92194976
Sample: OUTFALL 02
Lab ID: 92194976002
Collected: 03/25/14 19:20
Parameters
Results Units
Report Limit
DF
Collected By
KIMBERLY
1
KILLIAN
Collected Date
03/25/14
1
Collected -rime
19:20
1
Appearance
Clean -light
1
brown, No
odor, min.
floating
solids, min.
flow
Total Petroleum Hydrocarbons
ND mg/L
5.0
1
Total Suspended Solids
36.0 mg/L
8.3
1
pH at 25 Degrees C
7.6 Sid. Units
1.0
1 H6
Date: 04/08/2014 03:04 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Qualifiers
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 5 of 9

aceAnalj6cal
w PacglabSWrn
ANALYTICAL RESULTS
Project: GKN SANFORD
Pace Project No.: 92194976
Sample: OUTFALL 03
Parameters
Lab ID: 92194976003
Results Units
Collected: 03/25/14 19:25
Report Limit DF Qualifiers
Collected By
KIMBERLY
1
KILLIAN
Collected Date
03/25114
1
Collected Time
19:25
1
Appearance
Clean -slight
1
yellow, No
odor, no as,
no foam
Total Petroleum Hydrocarbons
ND mg/L
5.0
1
Total Suspended Solids
7.7 mg/L
2.6
1
pH at 25 Degrees C
6.9 Std. Units
1.0
1 H6
Date: 04/08/2014 03:04 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the wnften wnsent of Pace Analytical Services, Inc..
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 6 of 9

aceAnalytical
.pacelebs.own
QUALIFIERS
Project: GKN SANFORD
Pace Project No.: 92194976
DEFINITIONS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
OF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture content.
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.
PRL - Pace Reporting Limit.
RL- Reporting Limit.
S - Surrogate
1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate h 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.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride.
LABORATORIES
PASI-A Pace Analytical Services - Asheville
PAST-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
H6 Analysis initiated outside of the 15 minute EPA recommended holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/08/2014 03:04 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 9

Where Received: Huntersville Asheville ❑ Eden �Rafelgh
Courier(Circle): JF.dC UPS USPS lianl Commercial Paco Other
Custody Seal on CooledBox Present: 11 yes / no Seals Intact: yes ❑ no
Packing Material: Q Bubble Wrap ❑ Bubb�le �/a) gs 0 None Other
Circle Thermometer Used: IR Gun SN:12206538YType of Ice: ;je Blue None Ej Samples on ice, cooling process has begun
IR Gun Back tie SNd220115371
Tomp Correction Factor: Add / S bt a
Corrected Cooler Tem C
P
Tamp should be above freezing to 6'C
/ 0 C
Biological Tissue Is Frozen: Yaa NO WA
Comments:
Date and inidats of person examining
contents! Preserva0
check: /1; 3% /z7 i
Chain of Custody Present: -
Yes ONO
ONfA
1. - - - -
-
Chain of Custody Filled Out
Yes ON.
ONA
2.
Chain of Custody Relinquished:
Yaa ONO
OwA
3.
Sampler Name & Signature on CDC:
Yes ON.
ONIA
4.
Samples Arrived within Hold "I ma:
Yes ON.
ONIA
5.
Short Hold Time Analysis <72hr:
Ayes ONO
DNA
6.
Rush Turn Around Time Requested:
OYea ONO
OwA
7.
Sufficient Volume:
Yss ONo
ON/A
8.
Correct Containers Used:
-Pace Containers Used:
Gfyas ON.
j2YOS ONO
OwA
ONIA
9.
Containers Intact
Eyes ONO
-ON/A
10.
Filtered volume received for Dissolved tests
OYsa ONo
61NIA
11.
Sample Labels match COC:
-Includes date/time/ID/Analysis Matrix:__
}uYes ONO
ONIA
12,
All containers needing preservation have been checked.
All containers needing preservallon are found to be in
compliance with EPA moummendetion.
exceptions:VOA, colaorm, TOC, DAG, WI-pR0(WSW)
Ives ONO
/Yruas ONO
w ONO
ONIA
ON/A
13.
'
Samples checked for dechlorination:
Oyes ONO
A
14.
Heads ace in VOA Vials >6mm :
❑Yes ON.
NIA
15.
Trip Blank Present:
Trip Blank Custody Seals Present
Pace Trip Blank Lot #(Ifpurchased):.
Owe ONO
Oyes ONO
�&A
PwA
16.
Client Notification/ Resolution:
Person Contacted: _
Comments/ Resolution:
SCURFw::pate: �-�-��)
Review:: ��
Note: Whenever there is a discrepancy affecting North Carolina compliance
samples, a copy of this form will be sent to the North Carohno DEHNR
Canificatlon Office ( Le out of hold. Intoned preservative, out of temp,
inconect containers)
Field Date Required? Y / N
Place label here
OR
Handwrite project number
(if no label avallaWa) j
�1�1°I`—�G1co
Page 8 of 9

77
tcal� Chain of Custod,
Report Results to:
Bill Results to:
GKN Driveline
Wendy Dorman
4901 Womack Road
wendy.darman(agkndriveline.com
Sanford, NC27330
ATTN: Kimberly Killian ATTN:
Phone: [phone]
Fmail. Limhpdv killian0,rkrdrivPlina.com
9 Standard Report Delivery
Rush Report Delivery (w/ surcharge)
Requested Due Date;
Project Reference: GIN Sanford
Purchase Crder#; PB 128726
Sampled By: 4,njlv�c,', i,A4-
Sample Description
site
start Date
Stop Date
Mamx wvw,
0W. SW. GW,
Artalys r. isRequested
Start lime
Stop Time
etc
A
1: 4w 110,
Outfall 01
ww
Oil & Grease, TSS, ph LI
Outfall 02
jOil & Grease, TSS, ph
—U
Outfall 03
ww
Oil & Grease, TSS, ph L
Z" "001
Reby IlignaL
Me
Fort Use Only
W'N-isa by lshaarvrel
Rattivcd by Ncne.m) f
Date
Time
Temperature at receipt:
Re,lnpuhl2dWbianamrel
ReCei.M by IsIg.1.1e)
Date
TIm.
emp: C-
Temp:
"'aa
0
M

September 11, 2014
Division of Water Quality
Surface Water Protection Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
GKN Driveline North America, Inc.
Sanford Precision Forming Facility
4901 Womack Road
Sanford, North Carolina 27330, USA
RECEIVED
SEP 12 2014
CENTRAL FILES
DWR SECTION
Subject: Permit No. NCS000155 Semi -Annual Stormwater Discharge Outfall
Analysis and Monitoring Reports
To Whom It May Concern:
Enclosed please find the Semi -Annual SDO Qualitative Monitoring Reports and
grab sample analysis monitoring report at the GKN Driveline Precision Forming
Facility indicating that permit limitations were not exceeded. It is noted that
Outfall 002 (guardhouse) exceeded the benchmark, and will be monitored and
compared to the next sampling for further action. This report is being submitted
in accordance with GKN Driveline NPDES Stormwater Permit No. NCS000155.
The report covers April 1, 2014 — September 30, 2014 reporting period.
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.
If you have any questions regarding this letter or the enclosed please do not
hesitate to contact me at [phone].
Sincerely,
Kimb�rly�A. Killian, CSHO, MESH
EHS Specialist
EXPECT>MORE

STORM WATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS Wf/ 1:5 or
Certificate of Coverage Number: NCG
FACILITY NAME �l )
PERSON COLLECTING SAMPL (S) I't6'4.✓t
CERTIFIED LABORATORY(S)' Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR:
('Phis monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Lee
PHONE NO.
(SIGNAT O' RMITTEE OR DESIGNEE)
By this signaturb, Ycertify that this report is accurate
complete to the bZ t of my knowledge.
Outfall
Date -
50050'
No.
Sample
Collected
Total x,
b love (tf app )
-Total 'y`Ilf
tRamfall ` >
10il & Grease
(Tolal°`�' - --
cd�
�S s`pendii
Total Lead
7.
Imo/dd/ 'r
MG,- ; [„:
anclies ht
9m
v"ni
�UllllS
;_
16MD
bS
16
'A
d
S
S
Does 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 Activity Monitoring Requirements
Outfall
No
tWtMWMf500511
Sample - }
Collected', yr, .
Tota,,aPF,.low
(tfaapphcable)..,
To`[al`R`atnfall
[06556
Oil &Grease
(00530
Tom
Suspended
Solids
(00400
ipH
&3'
New Motor Oil
Usage
'
.mo/dd/ r '-.: `_ v�'
zMGAtWjW8=
(i7cches_ ..
,
im %
WMR
r aVmo .,.t' `
Form SWU-246-112608
Page I of 2

STORM EVENT CHARACTERISTICS:
Date —%L
Total Event Precipitation (in • ):�S
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 mane the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge afid belief, true accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the Wssibility of fint�d imprisonment for knowing violations."
of
(Date
Form SWU-246-112608
Page 2 of 2

a
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out rhis form, please visit: httn://h2o.enr.state.nc.us/su/Forms Documents.hlmllmiscforms
Permit No.: N/C/3
Facility Name:
County:
Inspecto
Date of 1
Time of Inspection:
or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/
Total Event Precipitation (inches): l�
Was this a Representative Storm Event? (See information below) P Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certVy jVt this report is accurate and complete to the best of my knowledge:
of P,6rmittee or Designee)
1. O tf 1 Description:
Outfall No. 11tt II -- true ure ip , ditch, etc.) � -7WF J-ltlitA 1
Receiving S eam: i FY4F i YAYII 1
Describe the industrial activities thu cpu wltthin the outfall drainage area: _
2. Color: Describe the color of
(light, medium, dark) as descriptors: _
3. Odor: Des
chlorine odor, etc.):
colors (red, brown, blue, etc.) and tint
distinct odors that the discharge may have (i.e., smells strongly of oil, weak
Page l of 2
SWU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
O 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 (2) 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 (2 3 4 5
7. Is there any foam in the stormwater discharge? Yes N
8. Is there an oil sheen in the stormwater discharge? Yes No
1
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S WU-242A 12608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://`h2o.enr.state.nc.us/su/Forms Documents.htm#miscforms
Permit No.: N/C/-�
Facility Nape:
County:
Inspector:
Date of Inspection:
Time of Inspection:
or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/
Total Event Precipitation (inches): 5
No.
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
I A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A sinele storm event may contain no to 10 consecutive hours of no orecioitation.
By this siggature, I certify'that�this report is accurate and complete to the best of my knowledge:
or Designee)
1. U fall Description:
Outfall No.
Receiving Stream:
2. Color: Describe the color of
(light, medium, dark) as descriptors: _
3. Odor: Des
chlorine odor, etc.):
ditch, etc.) (�IgnAAeP_
within the
area:
using basic colors (red, brown, blue, etc.) and tint
distinct odors that the discharge may have (i.e., smells strongly of oil, weak
Page 1 of 2
SWU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 2 � 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 \ 4' 5
7. Is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes 1 d)
10. Other Obvious Indicators of Stormwater Pollution:
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-112608

a
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2o.enr.state.nc.us/su/Forms Documents.htm#miscforms
Permit No.: N/C/ 0/ lL/Il or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/
Facility Name: t�,61r)e
County: l� - Phone No.
Inspector:
Date of Inspection:
Time of Inspection: r)
Total Event Precipitation (inches)
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm�event may contain up to 10 consecutive hours of no precipitation.
By this
or Designee)
1. OutY
Outfal] No. 4
Receiving Stream:
2. Color: Describe the color of the
(light, medium, dark) as descriptors:
3. Odor: Des
chlorine odor, etc.):
accurate and complete to the best of my knowledge:
etc.)
using basic colors (red, brown, blue, etc.) and tint
any disjinct odors that the discharge may have (i.e., smells strongly of oil, weak
Page I of 2
S W U-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 �I z I 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 .D 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 G) 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? �Yeess'/ No
10. Other Obvious Indicators of Stormwater Pollution:
L
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-112608

(�55'ceAnalXical
nww.pacela0.coam
September 10, 2014
Kimberly Killian
GKN Driveline
4901 Womack Rd.
Sanford, NC 27330
RE: Project: GKN SANFORD
Pace Project No.: 92215831
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)8769092
Dear Kimberly Killian:
Enclosed are the analytical results for sample(s) received by the laboratory on September 03, 2014.
This report is a summary of the results based upon our understanding of your data quality objectives.
Please contact us if itemized quality control results are needed. These results relate only to the
samples included in this report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Jon D Bradley
[e-mail]
Project Manager
Enclosures
u: Accoounts Payable, GKN Driveline Sanford
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page 1 of 9

aceAnalytical.
erwpaoalaDs.mm
Project: GKN SANFORD
Pace Project No.: 92215831
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
CERTIFICATIONS
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
West Virginia Certification #: 357
VirginiaNELAP Certification #: 460221
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)8759092
Asheville Certification IDs
2225 Riverside Dr., Asheville, NC 28804
North Carolina Wastewater Certification #: 40
Florda/NELAP Certification #: E87648
South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030
West Virginia Certification #: 356
North Carolina Drinking Water Certification #: 37712
Virginia/VELAP 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 9

W6*alytical.
anwpeoaleba=
69a11TiW11=Wc1UL1W AI1*d9i1I:y1
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)8759092
Project:
Pace Project No.:
GKN SANFORD
92215831
Analytts
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92215831001
OUTFALL 01
EPA 1664E
CLW
1
PASI-C
SM 2540D
WRC
1
PASI-A
SM 4500-H+B
MDW
1
PASI-A
92215831002
OUTFALL 02
EPA 1664B
CLW
1
PASI-C
SM 2540D
WRC
1
PASI-A
SM 4500-H+B
MDW
1
PASI-A
92215831003
OUTFALL 03
EPA 1664B
CLW
1
PASI-C
SM 2540D
WRC
1
PASI-A
SM 4500-H+B
MDW
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 9

aceAnalytical
wwwpecdedtmn
ANALYTICAL RESULTS
Project: GKN SANFORD
Pace Project No.: 92215831
Sample: OUTFALL 01
Lab ID: 92215831001
Collected: 09/02/14 17:53
Parameters
Results Units
Report Limit
DF
Total Petroleum Hydrocarbons
NO mg/L
5.0
1
Total Suspended Solids
65.3 mg/L
34.7
1
pH at 25 Degrees C
5.7 Std. Units
1.0
1 H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 09/10/2014 02:42 PM without the wnden consent of Pace Analytical Services, Inc..
Qualifiers
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 4 of 9

aceAnalytical o
wxw.pacNabswm
ANALYTICAL RESULTS
Project: GKN SANFORD
Pace Project No.: 92215831
Sample: OUTFALL 02
Lab ID: 92215831002
Collected 09/02/14 17:20
Parameters
Results Units
Report Limit
DF
Total Petroleum Hydrocarbons
ND mg/L
5.0
1
Total Suspended Solids
274 mg/L
80.6
1
pH at 25 Degrees C
6.2 Sid. Units
1.0
1 H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 09/10/2014 02:42 PM without the written consent of Pace Analytical Services, Inc..
Qualifiers
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 5 of 9

aceAnalytical
wwrpacelaf>,cwn
ANALYTICAL RESULTS
Project: GKN SANFORD
Pace Project No.: 92215831
Sample: OUTFALL 03
Lab ID: 92215831003
Collected: 09/02/14 17:38
Parameters
Results Units
Report Limit
DF
Total Petroleum Hydrocarbons
NO mg/L
5.0
1
Total Suspended Solids
36.5 mg/L
29.4
1
pH at 25 Degrees C
6.6 Std. Units
1.0
1 H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 09/10/2014 02:42 PM without the wnften consent of Pace Analytical Services, Inc..
Qualifiers
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 6 of 9

ace,4naly4ical.
wa's'pecdaDs.can
QUALIFIERS
Project: GKN SANFORD
Pace Project No.: 92215831
DEFINITIONS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Hunlersville, NC 28078
(704)8759092
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture content.
NO - 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 Quantitalion Limit.
RL- Reporting Limit.
S - Surrogate
1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene.
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.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride.
LABORATORIES
PASI-A Pace Analytical Services - Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
H6 Analysis initiated outside of the 15 minute EPA recommended holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 09/10/2014 02:42 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 9

t9 Document Name: Sample Condition Upon Document Revised: Apri104, 2013
�Receipt SCUR page 1 Of 2 P ceAnaVical' Issirin Authorities:
- • _ - Document No.: 9
F-RAL-CS-001,rev.02 Pace Asheville Quality Office
Client Name: N &R
Where Received: Huntersville []Asheville Eden Raleigh
Courier(Circle): Fed Ex UPS USPS r .t)- Commercial Pace Other
Custody Seal on Cooter/Box Present: ❑ yes W no Seals intact: A yes E] no
Packing Material: Bubble Wrap Bubble Baas I� None Other
Circle Thermometer Used: IR Gun :1220653877T f Ice. Wet Blue None [] samples w ice, cooling pocess has begun
IRGunit .tT206531
Date and initials of person examining
Temp Correction Factor. Add Subtract
C
ou r is P
1t�'gyq
Corrected Cooler Temp.: C
Biological Tissue Is Frozen: Yes NO WA check�f'-+—
Temp should be above fr"7Jng to VC
Comments:
Chain of Custody Present:
YesONO '
ONIA 1......._. _. ... .. ... .. ._ ... ..
Chain of Custody Filled Out
vfyw ONO
❑ WA 2.
Chain of Custod • Relinquished:
KaON.
❑ WA 3.
Sampler Name & Signature on COC
16Y. ONO
OWA 4.
Samples Arrived within Hold Time
gyw ONO
DNA 5..
Short Hold Time Analysis tnhr):
❑yes No
OWA 6.
Rush Turn Around Time Requested:
Oyes NO
OWA 7.
Sufficient Volume:
Yee ONO
OWA S.
Correct Containers Used:
[yos OraO
OnuA g.
-Pace Containers Used:
!C-I w ONO
OWA .
Containers Intact:
yes ONo
Own 10.
Filtered volume received for Dissolved tests
Oyes ONO
NIA 11.
Sample Labels match COC:
yes ONO
f
OWA 12.
-Includes date/time/ID/Analysis Matrix:
111�
ser, checked.
All containers needing prervetlon have➢ea
ryym ON.
OWA 13.
AA containers needing preservation are found M be in
�yw ONO
OWA
co,�nphance vrith EPA recommendation.
�"
ezcep:icnc v0A wMm. TGC.O&G, WI-0110(watari
you O�
ON,
.
Samples checked for dechlorination:
yes
ONIA _14.
Headspace in VOA Vials >6mm :
OYes ONo
WA 15.
Oyes ONO
WA 16.
Trip Blank Present:
Trip Blank custody Seals Present
❑yes ONO
ANIA
Pace Trip Blank Lot it ifpurchased):
Client Notification/ Resolution:
Person Contacted:
Commentsl Resoluuon: f'
Field Data Required? Y I n
Oatamme: %41,Ly• Z
I_i...
SCURF ISRF t'tv Data:
Review:: �� t
Note: Vvllenever them is a d!soropancy affecting North Carolina compliance
samples, a Copy of this fo.." will be sent to the Norm Carolina DEHNR
Cedifiwlion Office (Is out of hold, inx ct preservative, Out of tamp,
incorrect containers)
d
m
w
0
Place label hero
OR
Handwrite project number
(if no label available)
2zl 5is3 j
O
rD

6l0 6 e6ed—._---......_—
Report Results to:
GKN Driveline
4901 Womack Road
Sanford, NC 27330
ATTN: Kimberly Killian
Phone: [phone]
Finail: kimberly.killian0ekndrivellne.com
Chain of Custod
Bill Results to: Standard Report Delivery
Wendy Dorman 8 Rush Report Delivery jwl surchargel
wendv [e-mail] Requested Due Date:
Project Reference: GKN Sanford
ATfN: Purchase Order#: PB 128726
Sampled By:
Sam IA!Dexplptlon
p -
[ompoeitk
start Date
�iip fl2te
a x .,
otv sw ew
-, Ikiie1y6a1 RegVleft¢d -
'rab
..
`'.,.
..
Start;•.Itme
Slop Time
em
n
IZZ
LI
Outfall 01 1 I
ww
Oil & Grease, TSS, ph —
(jl
Outfall 02
ww
Oil & Grease, TSS, ph Maw,.�„�
r J+r'.M1 ¢C�r'fk`r (din
Outfall 03
yaw
Oil &Grease, TSS, ph
ad (.wra
/: '
R u ed Islg mel
a
nme
For Lab Use Only
Temperature at receipt:
C
shed Islg tore)
fionqui
RereNed by (signatum
D e
Ti..
a yhlgnature)
agteieed by(SVMwe)
Data
Ti..
Temp:

aceAnalXk l
'xtrwpeceiabsmrn
ANALYTICAL RESULTS
Project: GKN SANFORD
Pace Project No.: 92215831
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Hunlersville, NC 28078
(704)8759092
Sample: OUTFALL 02
Parameters
Lab ID: 92216831002
Results Units
Collected: 09/02/14 17:20
Report Limit DF Qualifiers
Total Petroleum Hydrocarbons
ND mg/L
5.0
1
Total Suspended Solids
274 mg/L
80.6
1
pH at 25 Degrees C
6.2 Std. Units
1.0
1 H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, -except in full,
Date: 09/10/2014 02:42 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 9

acgjnalytical®
'erwyscekD.coom.
Project: GKN SANFORD
Pace Project No.: 92215831
Sample: OUTFALL 03
Parameters
Total Petroleum Hydrocarbons
Total Suspended Solids
pH at 25 Degrees C
Date: 09/10/2014 02:42 PM
ANALYTICAL RESULTS
Lab ID: 92215831003 Collected: 09/02/14 17:38
Results Units Report Limit DF Qualifiers
ND mg/L 5.0 1
36.5 mg/L 29.4 1
6.6 Sid. Units 1.0 1 H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Pace Ana"cal Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 6 of 9

aceAnalytical e
'mrn.Psmk6s.can.
QUALIFIERS
Project: GKN SANFORD
Pace Project No.: 92215831
DEFINITIONS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)8759092
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture content.
NO - Not Detected at or above adjusted reporting limit.
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MOL -Adjusted Method Detection Limit.
PQL - Practical Quanbtation Limit.
RL - Reporting Limit.
S - Surrogate
1,2-Diphehylhydr tzine (8270 listed analyte) decomposes to Azobenzene.
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 r._Indicates the compound was analyzed for, but not detected
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
_._._eachanalyte is a combined concentration:-_._..__ .-.__...__ _._.._._ ._..___..._.._._.. _. __..__.._.... ...__..._.. .-
Acid preservation may not be appropriate for 2-Chloroethyivinyl ether, Styrene, and Vinyl chloride.
LABORATORIES
PAST -A Pace Analytical Services -Asheville.
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
H6 Analysis initiated outside of the 15 minute EPA recommended holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 09/10/2014 02:42 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 9

Document Name: Sample Condition Upon Document Revised: April 04, 2013
Receipt (SCUR) . page 1 of 2
Document No.:
Issuing AufhoriUes:
F-RAL-CS-0017rev.02 Pace Asheville Quality Office
Client Name: IA-9
Where Received: ❑ Huntersviile ❑ Asheville ❑ Eden Pf Raleigh
. Courier (Circle): Fed Ex UPS
USPS r t Commercial Pace Other -
Custody Seal on Cooler/Box Present:
C. yes V�( no. Seals Intact, A Yes ❑ no
Packing Material: ❑ Bubble Wrap Bubble Baas No Other
Samples l� co9Gng process Fina begun
Circle Thermometer Used: lR Gun
on
i122065387T tice. Wet Btu: None El
. IR Gun B
.. 653 1
-
on oxaminin
Data aztd initials of pgfa. B
Temp Correction Factor. Add Subtract C
't is P
C Biological Tissue is Froxe : Yes Ilo WA
dock
Corrected Cooler Temp.:
. - Temp should be above free2ing to 6'C ,. . _
_ Comments:
... .: ..
Chain of.Cuatody Present:
Yea' ONo ' 6lgA
7.... . _ . .. .. .. ..
- _
Chain of Custo.d .Filled Out! -
ea ONo OwA
2-- -
Chain of Custody Relin uished:
as �tio Oufn
3. -
"
Sampler Nam,&S nature on COC:
Yes ON. OW
4. _ - -
Samples Arrived within Hold 11
0Yea ONo 0 k
5..
five. Veb ONtA 16.
It Volume:.._._.. -. — , . _ ._. _--
-- _ - Yea L'
Containers -Used: ---_ -.__
_.__ x Orm_.
e Containers Used:
_ eS 13W
Yee [INo
Filtered wlume-received for Dissolved tests
OYea ❑No WA
11.
Sample Labels match COC:
Yos ON. OWA
12.
-includes dateltimo ID/Analysis btatdtc
Ali containers needing Presarvatbn'have Deen rtieckad.
r;JyM ON OW
13.
AD con Winem heading preservation are found m be in
Yea ONo ONIA
compliance with FPA recommendation
exceptions: VOA. Wr'fom.TGC,0&G.WWRO (water)
Yes ON.
Samples checked for deehlorination:
Yea ON, ON'A
14.
Headspace to VOA Vials ( >6mm : -
OYes ONOWA
15.
❑Yea ONO 4WA
16.
Trip Blank Present
OresONo f�wA
Trip Blank Custody Seals Present
Pace Trip Blank Lot #, If rchssed): -
Field Data Required? Y I N
Client Notification/ Resolution:
I�r11 Z.n Oateliime: dflA't,}.�-�_
Perron Contacted: w,,L
Comments/Resolution: 1 mil 'fit`--�I
SCURF ISRF Date: Orl'C3'r
Re_view::
Note: vyhenevu there is a d!saoPancy affecting North Carolina cotnphance
samples, a Dopy of this form will be sent ro the Nodh Carolina DEHNR
Certification Office ( la out of hold. Incorrect preservative, out of temp,
incorrect containers)
Place label here
OR
Handwrite project number
(if no label available)
22I5e631
m
0

6
NA
Chain of Custodti
Report Results to: Bill Results to:
GKN Driveline Wendy Dorman
4901 Womack Road wendy.dormanAglindriveline.com
Sanford, NC 27330
ATTN: Kimberly Killian ATTN:
Phone: [phone]
Standard Report Delivery
Rush Report Delivery (wl surcharge)
Requested Due Date:
Project Reference: GKN Sanford
Purchase order M. PB 128726
Sampled BY:
Enicill;
rsitai6l
AV.:
fi6b
TI M-'e
am
% i4k I
po
AO
Outfall 01
ww
oil & Grease,,TSS, ph
Outfall 02
ww lOil
& Grease, TSS, ph
Outfall 03
ww
Oil&G reasi, 155, phIM i&
Ift urcl
Tlme
For Lab Use Only
Temperature at receipt:
WS111 (.19.. two,)
TI..
ReInaul e voignatwe)
Ac.l.d by (Sign*-0
MI.
Tlmd
tVV
620