Loading...
HomeMy WebLinkAboutNCS000259_MONITORING INFO_20200922STORMWATER DIVISION CODING SHEET NCS PERMITS PERMIT NO. DOC TYPE ❑ FINAL PERMIT 154 MONITORING REPORTS ❑ APPLICATION ❑ COMPLIANCE ❑ OTHER DOC DATE ❑ rZoZDC t22 YYYYMMDD .r STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000259 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018 (This monitoring report shall be received by the Division no later than 30 days fron the date the facility receives the sampling results from the laboratory.) FACILITY NAME AkzoNobel Surface Chemistry LLC COUNTY Rowan PERSON COLLECTING SAMPLE(S) LVynWhIte PHONE NO. (704) 633-1731 CERTIFIED LABORATORY(S) Prism Laboratories Inc. Lab# 377G`���/ Lab # 402 ED AUG 17 2018 SIGNATURE GNAT REOF ON PAGE 2TTEE OR DESIGNEE Part A: Specific Monitoring Requirements CENTRAL FILES r ION Outfall No. Date Sample Collected 50050 Total Flow if a Total Rainfall 1,2- Dichloroethane Toluene Nitrogen NO2 plus NO3 pH mo/dd/ r MG inches m L m m SIU SW-1 07/30/2018 0.2 0.020 <0.00050 0.40 7.2 SW-2 07/30/2018 0.2 <0.00050 0.0017 1.1 7.3 SW-3 07/30/2018 0.2 < 0.00050 < 0.00050 1.3 6.8 SW-4 07/30/2018 No Flow No Flow No Flow No Flow No Flow Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitorine Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 at Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches mg1l m I unit al/mo Form S WU-247, last revised 2121201 Pagel of 2 STORM EVENT CHARACTERISTICS: Date 07/30/2018 Total Event Precipitation (inches): 0.2 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 "1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." b/i6/1F (Signature of Permittee) (Date) Form SWU-247, last revised 2121201 Page 2 of 2 n. \ D Full -Service Analytical & aP R I M Environmental Solutions n! LMBOIUTOFIE$ INC Akzo Nobel David Simons 485 Cedar Springs Road Salisbury, NC 28147 NC Certification No. 402 NC Drinking Water Cart No. 37735 SC Certification No. 99012 Project: Stormwater Lab Submittal Date:08/01/2018 Prism Work Order: 8080022 Case Narrative 08/09/2018 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Please call if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. Terri W. Cole Project Manager Data Qualifiers Key Reference Reviewed By Terri W. Cole Project Manager SR Surrogate recovery outside the QC limits. BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643 Phone: 704I629-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041526-0409 Page 1 Of 9 /*E,)'R I S M I Fun -Service al Sol do Environmental Solutions i Sample Receipt Summary 08/09/2018 Prism Work Order: 8080022 Client Sample ID Lab Sample ID Matrix Date/Time Sampled SW-1 8080022-01 Water 07/30/18 14:15 SW-2 8080022-02 Water 07/30/18 14:22 SW-3 8080022-03 Water 07/30/18 14:31 Samples were received in good condition at 2.6 degrees C unless otherwise noted. Date/Time Received 08/01/18 17:15 08/01/18 17:15 08/01/18 17:15 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643 Phone: 704/529.6364-Toll Free Number: 1-8001629-6364 - Fax: 704/525-0409 Page 2 of 9 P R I S M I Full -Service Analytical 4 Environmental Solutions �l�.ewrawes roe Summary of Detections 08/09/2018 Prism Work Order: 8080022 Prism ID Client ID Parameter Method Result Units 8080022-01 SW-1 Nitrate/Nitrite as N 'SM4500-NO3 F 0.40 mg/L 8080022-01 SW-1 1,2-Dichloroelhane '8260B 0.020 mg/L 8080022-02 SW-2 Nitrate/Nitrite as N 'SM4500-NO3 F 1.1 mg/L 8080022-02 SW-2 Toluene '8260B 0.0017 mg/L 8080022-03 SW-3 Nitrate/Nitrite as N 'SM4500-NO3 F 1.3 mg/L B This report should not be reproduced, except in its entirely, without the written consent of Prism Laboratories, Inc. 449 springbrook Road - P.O. Box 240643 - Charlotte, INC 28224-0643 Phone: 7041629-6364 - Toll Free Number: 1-8001529-6364 - Fax: 704/626-0409 Page 3o 99 Laboratory Report `- � %� Pull-aarvice Analytical 8 Jn I rL� J' V I Environmental solutions I 7r.eoe..owea,aa 08/09/2018 Akzo Nobel Project: Stormwater Client Sample ID: SW-1 Attn: David Simons Prism Sample ID: 8080022-01 485 Cedar Springs Road Prism Work Order: 8080022 Salisbury, NC 28147 Sample Matrix: Water Time Collected: 07/30/18 14:15 Time Submitted: 08/01/18 17:15 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Dateliime ID General Chemistry Parameters Nitrate/Nitrite as N 0.40 mg/L 0.10 0.033 1 'SM4500-1403 F 818118 14:17 BMS Pill Volatile Organic Compounds by GCIMS 1,2-Dichloroethane 0.020 11 0.00050 0.000066 1 '8260B 818118 17:03 KDM P81-10129 Toluene BRL mg/L 0.00050 0,000044 1 `8260B 8/8118 1703 KDM P81-10129 Surrogate Recovery Control Limits 4-Bromoguorobenzene 86 % 80-124 Dibromofluoromelhane 85 % 75-129 Toluened8 75 % 77-123 SR This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 -Charlotte, NC 28224-0543 Phone: 7041629-6364 - Toll Free Number: 1-800/629-6364 - Fax: 7041626-0409 Page 4 of 9 Laboratory Report / iP,R l M S.�,renm..r., 6e,enon,al& FWServiceal Solutions 08/09/2018 Akzo Nobel Project: Stormwater Client Sample ID: SW-2 Attn: David Simons Prism Sample ID: 8080022-02 485 Cedar Springs Road Prism Work Order: 8080022 Salisbury, INC 28147 Sample Matrix: Water Time Collected: 07/30/18 14:22 Time Submitted: 08/01/18 17:15 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters NitratelNitrite as N 1.1 mg/L 0.10 0.033 1 'SM4500-NO3 F 8/8118 14:17 BMS P8110114 Volatile Organic Compounds by GC/MS 1,2-Dichloroethane BRL mg/L 0.00050 0.000066 1 '8260B B/B/18 17:28 KDM PBH0129 Toluene 0.0017 mg/L 0.00050 0.000044 1 '8260B 8/8/18 17:28 KDM P8110129 Surrogate Recovery Control Limits 4-Bromofluorobenzene 83 % 80-124 Dibromo9uoromethane 84 % 75-129 Toluene-d6 77% 77-123 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, INC 28224-0543 Phone: 7041629-6364- Toll Free Number: 1-8001529-6364 - Fax: 7041626-0409 Page 5 of 9 Laboratory Report PRISM I y'lioService Analytical 8 Envlronmemal Solutions 0$/09/201$ �J.ma.'oaa... Akzo Nobel Project: Stormwater Client Sample ID: SW-3 Attn: David Simons Prism Sample ID: 8080022-03 485 Cedar Springs Road Prism Work Order: 8080022 Salisbury, NC 28147 Sample Matrix: Water Time Collected: 07/30/18 14:31 Time Submitted: 08/01/18 17:15 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters Nitrate/Nitrite as N 1.3 ri 0.10 0.033 1 'SM4500-NOS F 818/18 14:17 BMS P8H0114 Volatile Organic Compounds by GCIMS 1,2-Dichloroelhane BRL mg/L 0.00050 0.000066 1 '8260B 8/8/18 1754 KDM P8H0129 Toluene BRL mg/L 0.00050 0.000044 1 '8260B 8/8/18 1754 KDM PSH0129 Surrogate Recovery Control Limits 4-BromoOuorobenzene 85 % 80-124 Dibromo8uoromethane 87 % 75-129 Toluene-d8 77 % 77-123 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, INC 28224-0543 Phone: 7041629-6364 - Toll Free Number: 14001629-6364- Fax: 704/525-0409 Page 6 of 9 Full-SarviAnalytical Environmenen tal Solutions �—vluewuiwnes me Akzo Nobel Project: Stormwater Attn: David Simons 485 Cedar Springs Road Salisbury, NC 28147 Volatile Organic Compounds by GC/MS - Quality Control Analyte Batch P81-10129 - 5030B Reporting Spike Result Limit Units Level Level II QC Report 8/9/18 Prism Work Order: 8080022 Time Submitted: 8/1/2018 5:15:OOPM Source %REC RPD Result %REC Limits RPD Limit Notes Blank (P8H0129-BLK1) Prepared & Analyzed: 08/08/18 1,2-Dichloroethene BRL 0.00050 mg/L Toluene BRL 0.00050 mg/L Surrogate: 4-Bromofluorobenzene 43.1 ug/L 50.00 86 80-124 Surrogate: Dibromofluoromethane 42.8 ug/L 5000 86 75-129 Surrogate: Toluene-d8 38.3 ug/L 50.00 77 77-123 LCS (P8H0129-BSI) Prepared & Analyzed: 08/08/18 1,2.Dichloroethane 0.0226 0.00050 mg/L 0.02000 113 68-131 Toluene 0,0245 0.00050 mg/L 0.02000 122 76-131 Surrogate: 4-Bromofluorobenzene 42.0 ug/L 5000 84 80-124 Surrogate: Dibromofluoromethane 42.4 ug/L 50.00 65 75-129 Surrogate: Toluene-0 374 ug/L 50.00 75 77-123 SR LCS Dup (P8H0129-BSD1) Prepared & Analyzed: 08/08/18 1,2-Dichloroethene 0.0222 0.00050 mg/L 0.02000 ill 68-131 2 20 Toluene 0.0238 0.00050 mg/L 0.02000 119 76-131 3 20 Surrogate: 4-Bromofluorobenzene 42.0 U91L 50.00 84 60-124 Surrogate: Dibromofluoromethane 42.5 ug/L 50.00 65 75-129 Surrogate: Toluene-d8 38.0 ugA 50.00 76 77-123 SR This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, INC 28224-0543 Phone: 704/529.6364-Toll Free Number: l-800/629-6364- Fax: 704/625-0409 Page 7 of 9 Full -Service Analytical & Ana),"Rism I Environmental Solutions —rt.eoa.maca'.e Akzo Nobel Project: Stormwater Attn: David Simons 485 Cedar Springs Road Salisbury, NC 28147 General Chemistry Parameters - Quality Control Level II QC Report 8/9/18 Prism Work Order: 8080022 Time Submitted: 8/1/2018 5:15:OOPM Reporting Spike Source %REC RPD Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P8110114 - NO PREP Blank (P81-10114-BLK1) Prepared & Analyzed: 08/08/18 Nitrate/Nitrite as N BRL 0.10 mg/L LCS (P8H0114-BSI) Prepared & Analyzed: 08/08/18 Nitrate/Nitrite as N 0.985 0.10 mg/L 1.000 98 90-110 Prop Method: 6030E Lab Number 8080022-01 6080022-02 8080022-03 Sample Extraction Data Batch Initial Final DateTme PSH0129 10 mL 10 mL 08/08/18 9:54 P8H0129 10 mL 10 mL 08/08/18 9:54 P8H0129 10 mL 10 mL 08/08/18 9:54 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, INC 28224-0643 Phone: 70416294i364-Toll Free Number; l-8001529-6364- Fax: 704/625-0409 Page 8 of 9 PRISM �.'r'-- ✓usowroRiw �rX CHAIN OF CUSTODY RECORD Full -Service Analytical & Environmental Solutions PAGE-1 OFI_ QUOTE s TO ENSURE PROPER BILLING: 449 Springbrook Road • Charlotte. NC 26217 Phone 7041529.6364 • Fax: 7,0/�41525 09 Client Company Name: - Report To/Contact Name: f - ++oe- Reortp g yddress: 1 > S `�arLrshL_7 At Z PI Project Name: Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO) 'Please ATTACH any project specific reporting (QC LEVEL 1 II III IV) provisions andlor QC Requirements Invoice To: Address: Samples INTACT upon arrival? Received ON WET ICE? PROPER PRESERVATIVES indicated? Received WITHIN HOLDING TIMES? Cr CUSTODY SEALS INTACT? CL YES NO N/A Cr,i — — Orr VOLATILES rec'd W/OUT HEADSPACE? PROPER CONTAINERS used? _! Phone&y7 —tj&a :3 Fax (Yes) (No): Purchase Order No.IBilling Reference TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL Email Address: Requested Due Data 111 Day Cl2 Days ❑ 3 Days D 4 Days ❑ 5 Days Certification: NELAC DOD FL NC EDD Type: PDF CBI_Other 9 Days ❑ Standard 10 days [a Rush Work Must Be "Working Days" Pre -Approved Sc OTHER N/A Site Location Name: Samples received after 14:00 will be processed next business day. Site Location Physical Address: Turnaround time is based on business days, excluding weekends and holidays. Water Chlorinated: YES_ NO_ (SEE REVERSE FOR TERMS It CONDITIONS REGARDING SERVICES RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) Sample Iced Upon Collection: YES P P - NO TIME MATRIX SAMPLE CONTAINER YSIS REQUESTED ��qY PRISM CLIENT DATE COLLECTED (SOIL, PRESERVA- u(�}�,� J/ REMARKS 'TYPE NO. SIZE SAMPLE DESCRIPTION COLLECTED MILITARY WATERER TIVES `/� oy, / ID NO. HOURS SLUDGE) SEE BELOW �1 ��-1 :� •� �Ycs �I G� � spy Zsaf I I bI ti,, � ry rs ✓t-G 3 �jow15 C)— I I L z r 22 G' P 1 1 17ff 01i S'3 i 3 C I r'f°`i ( 1 03 sw-3 11Y3 -.q 14411 I 1 1I I 1 I I I I I i 1 1 1 I _PIMT r . Sampler's Signatur I Sampled By (Print Name) (.tJ Affiliation k� Upon relin 111Y9,11ris GRain of Custody Is your authorization for Prism to proceed with the analyses as requested above. Any changes must be subml n g to the Prism Proje anger. There will be charges for any changes after analyses have been initialized. •('B^'1 °ice"/ °p2 Additional Comments: � Site AnivalTime: I I �-�'�rt�D �L Time: taim y: grratuw R to 519wW.) o Site Departure (� J olNgw By, 1 - naWr �/ t t Rocorva r P/], La�ar"nalprlm BY OGG� -7 Field Tech Fee: ,./ 7 ��� i .2-0 Mileage: MaVad o ar, NOTE: ALL SAMPLE COOLERS SHOULD BE TAPEO S CUSTODY SEALS FOR TRANS NTATION TO THE LABORATORY. CDC GiOUP No. �13 SAMPLES ARE No EPTEO AND VERIFIED AGAINST COC UNTIL RECEIVED AT THE LABORATORY. (� 0; r,/_ 2 d Ex CI la O FeUPS D Harudro eretl - Field Service ❑ Em � - —(� Qi NPDES: UST: G NDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER: �j r r7 S ❑NC❑SC El NC ❑SC ❑ C ❑SC ❑NC ❑SC ❑NC ❑SC ❑NC❑SC ❑NC ❑SC ❑NC El SC ❑NC ❑SC / n n ❑ ❑ ❑ ___ --. ❑ ❑ ❑ _ ❑ *CONTAINER TYPE CODES: A=Amber C = Clear G= Glass P = Plastic; TL =Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL April 3, 2018 NCDENR — Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Certified Mail: Return Receipt Requested Reference: Semi -Annual Permit Monitoring Report Individual Stormwater Monitoring Permit AkzoNobel Surface Chemistry LLC. Permit No. NCS000259 RECEIVED APR 0 4 2018 CENTRAL FILES DWR SECTION Attached are two copies of the AkzoNobel monitoring results for the period of January I, 2018 to June 30, 2018 for our permit # NCS000259 for the samples collected March 01, 2018. Any questions on this submittal you may contact me at 704-642-6233. Regards, 8:�-CU4 David Simons HSES Manager AkzoNobel Surface Chemistry, LLC, Salisbury, NC Copy: William Teasdale AkzoNobel Surface Chemistry, LLC, Salisbury, NC Christopher Fleming AkzoNobel Surface Chemistry, LLC, Salisbury, NC STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000259 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018 (This monitoring report shall be received by the Division no later than 30 days fron the date the facility receives the sampling results from the laboratory.) FACILITY NAME AkzoNobel Surface Chemistry LLC COUNTY Rowan PERSON COLLECTING SAMPLE(S) Lyyn White, Traci Sloop PHONE NO. 7( 04) 633-1731 CERTIFIED LABORATORY(S) Prism Laboratories Inc. Lab # 37735 Lab # 402 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PACE 2. Part A: Specific Monitoring Requirements Outfall No. Date Sample Collected 50050 Total Flow if a Total Rainfall 1,2- Dichloroethane Toluene Nitrogen NO2 plus NO3 pH mo/dd/ r MG inches m L m /L m L SIU SW-1 03/01/2018 .35 0.020 <0.00050 0.52 6.92 SW-2 03/O1/2018 1 .35 0.0018 <0.00050 1.4 1 7.14 SW-3 03/01/2018 .35 0.0014 <0.00050 0.69 6.87 SW-4 03/01/2018 No Flow No Flow No Flow No Flow No Flow Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Activitv Monitoring Requirements Outfall No. Date Sample Collected 150050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m /I m /I unit gallmo Form SWU-247, last revised 2121201 Pagel of 2 STORM EVENT CHARACTERISTICS: Date 03/O1/2018 Total Event Precipitation (inches): .35 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 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, includingthepossibility of fines and imprisonment for knowing violations." (Signature of Permittee) William Teasdale Site Operations Director (Date) Form SWU-247, last revised 2121201 Page 2 of 2 � Case Narrative 1 NC CertRcetion No. 402 ZZP' L I S Full -Service Analytical 8 NC Drinking Water Cart No. 37735 03/14/2018 Environmental Solutions SC Certifce6on No. 99012 OIAe09att1alR ING Akzo Nobel Project: SW Samples David Simons 485 Cedar Springs Road Lab Submittal Date: 03/02/2018 Salisbury, NC 28147 Prism Work Order: 8030059 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are Flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Please call if you have any questions relating to this analylical report. Respectfully, PRISM LABORATORIES, INC. sd-'M�Afflrdl Terri W. Cole Project Manager Data Qualifiers Key Reference: BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference Reviewed By Terri W. Cole Project Manager • Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 -Charlotte, NC 28224-0643 Phone: 7041629.6364- Tall Free Number.. 1.8001629.6364-Fax: 7041626-0409 Page 1 oi9 GP R ISM I Fua-Serv�celcel a £nvironment.1 el S.I 9olullane uwunxuR me Sample Receipt Summary 03/14/2018 Prism Work Order: 8030059 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received SW-1 8030059-01 Water 03/01/18 03/02/18 SW-2 8030059-02 Water 03/01/18 03/02/18 SW-3 8030059-03 Water 03/01/18 03/02/18 Samples were received in good condition at 2.4 degrees C unless otherwise noted. This report should not be reproduced, except in its entirety, without the written consent of Prism Leboratones, Inc. 449 Springbrook Road - P.O. Box 240543 -Charlotte, INC 28224-0543 Phone: 704/629-6364- Toll Free Number.. l-0001529.6364-Fax: 7041626-0409 Page 2 of 9 AK�A`Q 'p\/p1Full-SoMce Rnalynml S I S I tl, I Mironmentel solutions v„a,e,a.re', Summary of Detections 03/14/2018 Prism Work Order: 8030059 Prism ID Client ID Parameter Method Result Units 8030059-01 SW-1 Nitrate/Nitrite as N *SM4500-NO3 F 0.52 mg/L 8030059-01 SW-1 1,2-Dichloroethane '8260B 0.020 mg/L 8030059-02 SW-2 Nitrate/Nitrite as N •SM45o0-NO3 F 1.4 mg/L 8030059-02 SW-2 1,2-Dichloroethane •8260B otitis mg/L 8030059-03 SW-3 Nitrate/Nitrite as N 'SM4500-NO3 F 0.69 mg/L 8030059-03 SW-3 1,2-Dichloroethane '8260B 0.0014 mg/L This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 -Charlotte, NC 28224-0643 Phone: 7041529-6364 - Toll Free Number. 1.8001529-6364 - Fax: 704/525-0409 Page 3 of 9 Laboratory Report LE'bR�'Qg ISM: S{� i�I col-servms nnaryncel s 03/14/2018 ��/� Envlronmentol 9olutlom urwnawmxc Akzo Nobel Project: SW Samples Client Sample ID: SW-1 Attn: David Simons Prism Sample ID: 8030059-01 485 Cedar Springs Road Prism Work Order: 8030059 ,Salisbury, NC 28147 Sample Matrix: Water Time Collected: 03/01/18 07:10 Time Submitted: 03/02/18 17:30 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Datefrime ID General Chemistry Parameters Nitrate/Nitrite as N 0.52 mg/L 0.10 0.0024 1 'SM4500-NO3 F 319118 9:30 CLB PeC0124 Volatile Organic Compounds by GC/MS 1,2.Dichlomethane 0.020 mg/L 0.00050 0.000066 1 '8260B 3I7118 21:08 KDM P8C0108 Toluene BRL mg/L 0,00050 0.000044 1 '8260B 3n118 21:08 KOM PBC0108 Surrogate Recovery Control Limns 4-Bromonluorobenzene 101 % 80-124 Dibromolluoromethane 102 % 75129 Toluene-d8 98 % 77-123 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. "a Springbmok Road - P.O. Box 240543 -Charlotte, NC 28224-0543 Phone: 7041629.6364 - Toll Free Number. 1-8001629-63M - Fax: 7041525-0409 Page 4 of 9 JE�P' 9emice Analytical a 'R ISM I Environmental eoluaans ..m Im t. Laboratory Report 03/14/2018 Akzo Nobel Project: SW Samples Client Sample ID: SW-2 Attn: David Simons Prism Sample ID: 8030059-02 485 Cedar Springs Road Prism Work Order: 8030059 Salisbury, NC 28147 Sample Matrix: Water Time Collected: 03/01/18 07:15 Time Submitted: 03/02/18 17:30 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters Nitrate/Nitrite as N 1.4 mg/L 0.10 0.0024 1 •SM4500-NO3 F 319118 9:30 CLB PlIC0124 Volatile Organic Compounds by GC/MS 1,2-0Ichloroethane 0.018 mg/L 0.00050 0.000066 1 •82608 D17118 21:42 KDM P8C0108 Toluene BRL mg/L 0.00050 0.000044 1 •82608 Y7/18 21:42 KDM P8C0108 surrogate Reooyery Control Limits 4-Bromofluorobenzene 100 % 80.124 Dibromo0uoromethane 103 % 75-129 Toluene -de 98 % 77423 This report should not be reproduced, except in its entirety, without the written consent of Prism Leboratones, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543 Phone: 7041529.6364-Toll Free Number..l-9001529.6364-Fax: 7041626-0409 Page 5 of 9 Laboratory Report ZzK'rPL)'Q-IS�t A I Full -Santee al Sotucal a ' V I environmental Smmlom 0311412018 ume�,wmiec Akzo Nobel Project: SW Samples Client Sample ID: SW-3 Attn: David Simons Prism Sample ID: 8030059-03 485 Cedar Springs Road Prism Work Order: 8030059 Salisbury, NC 28147 Sample Matrix: Water Time Collected: 03/01/18 07:15 Time Submitted: 03/02/18 17:30 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Daterrime ID General Chemistry Parameters Nllmts/Nltdte as N 0.69 mg/L 0.10 0.0024 1 *SM4500-NO3 F 319118 9:30 CLB P8C0124 Volatile Organic Compounds by GC/MS 1,2.Dichloroethane 0.0014 mgll. 0.00050 0.000066 1 •82608 W/18 22:16 KDM PBC0108 Toluene BRL mg/L 0.00050 0.0000" 1 -8260B 3n1l8 22:16 KDM P8C0108 Surrogate Recovery Control Limits 4-Bmmofluombenzene 99 % 80-124 Dibmmofluommethane 103 % 75-129 Toluene-d8 97 % 77-123 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. "a Splingbrook Road - P.O. Box 240643 -Charlotte, NC 28224-0643 Phone: 704/529-6364 - Toll Free Number. 1.8001529-6364- Fax: 70415254M09 Page 6 of 9 P`_ Environmental Solution won.toa� i.c Level II QC Report 3/14/18 Akzo Nobel Project: SW Samples Attn: David Simons 485 Cedar Springs Road Salisbury, NC 28147 Volatile Organic Compounds by GC/MS - Quality Control Reporting Result Limit Units Batch P8C0108 - 5030B Prism Work Order: 8030059 Time Submitted: 3/2/2018 5:30:OOPM Spike Source %REC RPD Level Result %REC Limits RPD Limit Notes Blank (PBC0108-BLKt) Prepared & Analyzed: 03/07/18 1,2-Dichloroethane BRL 0.001150 mg/L Toluene BRL 0.00050 mg/L Surrogate: 4-Bromofluorobenzene 49.8 ug/L 50.00 100 80-124 Surrogate: Dibromofluoromethane 49.9 u91L 50.00 100 75-129 Surrogate: Toluene-d8 49.5 ug/L 50.00 99 77-123 LCS (P8C0108-BS1) Prepared & Analyzed: 03/07/18 1,2-Dichloroethane 0.0221 0.00050 mgtL 0.02000 ill 60-131 Toluene 0.0230 0.00050 mg/L 0.02000 115 76-131 Surrogate: 4-Bromofluorobenzene 50.5 ug/L 50.00 101 80-124 Surrogate: Dlbromofluoromethane 51.3 ug/L 5000 103 75-129 Surrogate: Toluene-0a 49.2 ugA 50.00 98 77-123 LCS Cup (P8C0108-BSD1) Prepared & Analyzed: 03/07/18 1,2-Dichloroethane 0.0215 0.00050 m9/1- 0.02000 108 68-131 3 20 Toluene 0.0224 0,00050 mg/L 0.02000 112 76-131 3 20 Surrogate: 4-Bromofluorobenzene 49.6 ug/L 50.00 99 80-124 Surrogate: Dibmmofluomme/hane 50.7 ug/L 50.00 101 75-/29 Surrogate: Toluene-d8 49.2 u91L 50.00 98 77-123 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboretones, Inc. 449 Springbrook Road - P.O. Box 240543-Chadotte, NC 28224-0643 Phone: 7041529-6364 - Tall Free Number.l-0001529-6364- Fax: 7041625-0409 Page 7 of 9 A?-6\]R 1p\/p1 Pull-Servlca Analtloal a ISM I Environmental Solutions Level II QC Report 3114/18 Akzo Nobel Project: SW Samples Attn: David Simons 485 Cedar Springs Road Salisbury, NC 28147 General Chemistry Parameters - Quality Control Prism Work Order: 8030059 Time Submitted: 3/2/2018 5:30:00PM Reporting Spike Source %REC RPD Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P8C0124 - NO PREP Blank(PSC0124-BLK1) Prepared: 03/08/18 Analyzed: 03/09/18 Nitrate/Nitri e, as N BRL 0.10 mg/L LCS(P8C0124-BSI) Prepared: 03/08/18 Analyzed: 03/09/18 Nitrate/Nitrite as 0.959 0.10 mg/L 1.000 96 90-110 Sample Extraction Data Prep Method: 50308 Lab Number Batch Initial Final Daterlme 8030059-01 PSC0108 10 mL 10 mL 03/07/18 9:32 8030059-02 PBC0108 10 mL 10 mL 03/07/18 9:32 8030059-03 POCO108 10 mL 10 mL 03/07M8 9:32 This report should not be reprodumd, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Spdngbrook Road - P.O. Box 240643 -Charlotte, NC 28224-0543 Phone: 7041629-6364-Toll Free Number...1-8g0/629-6364-Fax: 704/525-0409 Page 8 of 9 A n Full -Service Analytical& � PISM I CHAINOF CUSTODY RECORD ( NO N/A Environmental Solutions '., 1ABQnamwEa PAGE—LOF1 CRIME 0 TO ENSURE PROPER 6ILLINGr _ ( Sempbs INTACT upon arrival? / lNC Road • /49 Sprone 2409 Project Name: _ Received ON WET ICE? _ T O Ol 70Dreok Fax:Charlotte,7041 25 Phone 704/529-03fi4 •Fax: 704152E-0a09 Short Hold Analysis: (Yes) (No) UST Pro1act: lees) (No) PROPER PRESERVATIVES indicated? — — or Client Company Name: .p P V 'Please ATTACH an Received WITHIN HOLDING TIMES? y projeM e reporting (OC LEVEL I II III IV) CUSTODY — m provisions andlor QC Requirements SEALS INTACT?O- e nts Repoli TO/Contact Name: Involve To: VOLATILES reed W/OUT HEADSPACE? Reporting Address: 62ilar.� PROPER CONTAINERS 4 Address: t _ rD w Z j T I TEMP: Therm ID: Obse1ed:3. �Phon°C dress: fe'L33 Fax (Yes)(No): purchase Order NOJBilling Reference TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL Email Email Address: Requested Due Date O 1 Day 02 Days O 3 Days 0 4 Days 0 5 Days Certification: NELAC_ DOD_ FL_ NC_ EDD Type: PDR, Excel_Other "WorkingDays' tii" Days O standard 10 days O R�AP��ust Be Site Location Name: Sc OTHER Samples received after 14:00 will be processed next business day. N/A Site Location Physical Address: Turnaround time is based on business days, excluding was ends and hellos Water Chlorinated: YES_ NO_ CES (SEE RENDEREDERSE BYFOR TERNIS & CONDITIONS PRISM LABORATORIES, INC. TTOO CLIENT) �SERVIL Sample Iced Upon Collection: YES_ NO_ CLIENT DATE TIME COLLECTED MATRIX (SOIL, SAMPLE CONTAINER PRESERVA- ANALYSIS REQUESTED h K - NO. SIZE SAMPLE DESCRIPTION COLLECTED MILITARY BLUEDGE) TNES REMARKS DNp BELOW ��O�I�!L�L 07W0 w&e- I3 L100•_4 Sw- I pZWo 2S6 Sw- 2— n7W5 _a(p, _r5w-3 oJ-' He, v 'K 10 Sw-3 2so 2451bq Sampler's Signal ur Sampled By - (Print Name) n_ Affiliation Upon relinquishing, this Chain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be submittadjp4nfiting to the Prism Project Manager. There will be charges for any changes after analyses have been Initialized. eP ad SxJnatura) Sy, (SgnaWra Darn N IllylHwrs Additional Comments: Site Arrival Tlme: Helm By: signs ) Hari ay: (sigre ) Dom W'� ' r� — Ij�?j Site Departure Time: eYrq Y: ISignaarol M Rooelved F. Laq� nos Date r )/lf'Z— )}N— Witt T Field Tech Fee: _ ._ __ / 3 -'Z-18 S 'T to iA/ 3 - pp ' ✓,r87 iueaye: Mearod dSlirynunL NOTE:ALL SAMPLE COOLERBSNOUIERIF TAPED T STODY SEALS OR R N THE IABOM RY. C mup No. SAMPLES ARE NOT A PTED AND VERIFIED AGAMST COG AGAINST UNTIL RECEIVED THE UBORATO UN O Fed Fs O UPS O Fiend-detivved - m Frets Servim O OMer NPOES: UST: GR U DWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER; ❑NC❑SC ❑NC ❑SC ❑NC ❑SC ❑NC ❑SC ❑NC ❑SC ❑NC❑SC ❑NC ❑SC ❑NC ❑SC ❑NC ❑SC 1 1 ❑ ❑ ❑ ❑ ___I ❑ ❑ ❑ ❑ ❑ 'CONTAINER TYPE CODES: A=Amber C = Clear G= Glass P= Plastic; TL = Teflon -Lined Cap VOA= Volatile Organics Analysis (Zero Head Space) ORIGINAL AkzoNobel 485 Cedar Springs Road T+ 1 704 633 1731 Surface Chemistry Unit A F + 1 704 637 8912 Salisbury, NC 28147 www.akzonobel.com/sc USA October 2, 2017 NCDENR — Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Certified Mail: Return Receipt Requested Reference: Semi -Annual Permit Monitoring Report Individual Stormwater Monitoring Permit AkzoNobel Surface Chemistry LLC. Permit No. NCS000259 AkzoNobel Tomorrow's Answers Today CNT 3 Czp1l CwR S��TipNs Attached are two copies of the AkzoNobel monitoring results for the period of July 1, 2017 to December 31, 2017 for our permit # NCS000259 for the samples collected on September 12, 2017. Any questions on this submittal you may contact me at 704-642-6233. Regards, David Simons HSES Manager AkzoNobel Surface Chemistry, LLC, Salisbury, NC Copy: Brian Owen AkzoNobel Surface Chemistry, LLC, Salisbury, NC Permit Number NCS 000259 FACILITY NAME AkzoNobel Si PERSON COLLECTING SAMP CERTIFIED LABORATORY(S) Lab # 402 Part A: Specific Monitoring Requirements STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 (This monitoring report shall be received by the Division no later than 30 days fron the date the facility receives the sampling results from the laboratory.) COUNTY Rowan PHONE NO. (704) 633-1731 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall No. Date Sample Collected 50050 Total Flow if a Total Rainfall 1,2- Dichloroethane Toluene Nitrogen NO2 plus NO3 pH mo/dd/ r MG inches m /L m /L m /L SIU SW-1 09/12/2017 1.1 0.0022 <0.00050 0.20 6.2 SW-2 09/12/2017 1 1.1 0.0045 <0.00050 0.36 7.2 SW-3 09/12/2017 1.1 0.0016 0.00091 0.25 6.8 SW-4 09/12/2017 1.1 <0.00050 <0.00050 <0.10 6.8 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Activitv Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m /I mg/1 unit Raumo Form SWU-247, Iasi revised 2121201 Pagel of 2 STORM EVENT CHARACTERISTICS: Date 09/12/2017 Total Event Precipitation (inches): 1.1 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 manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, includigg the possibili!,hof fines and imprisonment for knowing violations." of Permittee) 6Vg i/7 (Date) Form SWU-247, last revised 2121201 Page 2 of 2 J aPRISM ft t% eoMroRiea we Akzo Nobel David Simons 485 Cedar Springs Road Salisbury, NC 28147 INC Certification No. 402 Full -Service Analytical & NC Drinking Water Cent No. 37735 Environmental Solutions SC Certification No. 99012 Project: SW Samples Lab Submittal Date: 09/13/2017 Prism Work Order: 7090196 Case Narrative 09122/2017 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Please call if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. Terri W. Cole Project Manager Data Qualifiers Key Reference Reviewed By Terri W. Cole Project Manager BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, INC 28224-0643 Phone: 704/629-6364 - Toll Free Number: 1.8001629-6364 - Fax: 7041625-0409 Page 1 of 10 :�P1 Full -Service Analytical 8 R I S M I Environmental Solutionso"r eea.,eae.1» Sample Receipt Summary 09/22/2017 Prism Work Order: 7090196 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received SW-1 7090196-01 Water 09/12/17 09/13/17 SW-2 7090196-02 Water 09/12/17 09/13/17 SW-3 7090196-03 Water 09/12/17 09/13/17 SW-4 7090196-04 Water 09/12/17 09/13/17 Samples were received in good condition at 3.9 degrees C unless otherwise noted. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 26224-0543 Phone: 70416296364 - Toll Free Number: 1-80016296364 - Fax: 704/525-0409 Page 2 of 10 mn015 I S M I FWb9ervlce al Solutio 4 Environmental Solutlona ueon.rowu ixc Summary of Detections 09/22/2017 Prism Work Order: 7090196 Prism ID Client ID Parameter Method Result Units 7090196-01 SW-1 Nitrate/Nitrite as N 'SM4500-NO3 F 0.20 mg/L 7090196-01 SW-1 1,2-Dichloroethane '6260B 0.0022 mg/L 7090196-02 SW-2 Nitrate/Nitrite as N -SM4500-NO3 F 0.36 mg/L 7090196-02 SW-2 1,2-Dichloroethane '8260B 0.0045 mg/L 7090196-03 SW-3 Nitrate/Nitrite as N 'SM4500-NO3 F 0.25 mg/L 7090196-03 SW-3 1,2-Dichloroethane '6260B 0.0016 mg/L 7090196-03 SW-3 Toluene 'e260B 0.00091 mg/L This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 26224-0643 Phone: 7041529-6364 - Toll Free Number: 1-8001629.6364 - Fax: 7041525-0409 Page 3 of 10 "�VuawuronenlrvcFWM1AnalyticalOPR ISM I envi ronmental Solutio ns Akzo Nobel Project: SW Samples Attn: David Simons 485 Cedar Springs Road Salisbury, NC 28147 Sample Matrix: Water Laboratory Report 09/22/2017 Client Sample ID: SW-1 Prism Sample ID: 7090196-01 Prism Work Order: 7090196 Time Collected: 09/12/17 07:15 Time Submitted: 09/13/17 16:40 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Daterrime ID General Chemistry Parameters Nitrate/Nitrite as N 0.20 mg/L 0.10 0.0024 1 'SM4600-NO3 F 9/16/17 8:37 CLB P710205 Volatile Organic Compounds by GC/MS 1,2.Dichloroethane 0.0022 mg/L 0.00060 0.000066 1 '82608 9/15117 15:01 KDM P710232 Toluene BRL mg/L 0.00050 0000044 1 '8260B 9/15/17 1501 KDM P710232 Surrogate Recovery Control Limits 4-Bmmofluorobenzene 102 % 80-124 Dibromofluoromethane 99 % 75-129 Toluene-d8 97 % 77-123 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643 Phone: 7041629-6364 - Toll Free Number: l-8001529-6364-Fax: 7041626-0409 Page 4 Df 10 �.\ Laboratory Report PRISM I Full-ServiceEnvironmental Analytical 8 Environmental Solutions 09/22/2017 �--y/wdurowr8 INC Akzo Nobel Project: SW Samples Client Sample ID: SW-2 Attn: David Simons Prism Sample ID: 7090196-02 485 Cedar Springs Road Prism Work Order: 7090196 Salisbury, NC 28147 Sample Matrix: Water Time Collected: 09/12/17 07:19 Time Submitted: 09/13/17 16:40 Parameter Result Units Report MOIL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters NitratelNitrite as N 0.36 mg/L 0.10 0.0024 1 *SM4600-NO3 F 9/15/17 8:37 CLB P710205 Volatile Organic Compounds by GC/MS 1,2-Dichloroethane 0.0046 ni 0.00060 0.000066 1 x8260e 9116117 15:27 KDM P710232 Toluene BRL mg/L 0.00050 0.000044 1 '8260B 9115117 15:27 KDM P710232 Surrogate Recovery Control Limits 4-Bromofluorobenzene 105 % 80-124 Dibromofluoromethane 99 % 75.129 Toluene-d8 99 % 77-123 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704/529-6364 - Toll Free Number: 1-8001629-6364 - Fax: 7041625-0409 Page 5 of 10 1 � Full -Service Analylical8 llP'R I S M I Environmental Solutions Akzo Nobel Attn: David Simons 485 Cedar Springs Road Salisbury, NC 28147 Parameter Result Laboratory Report 09/22/2017 Project: SW Samples Client Sample ID: SW-3 Prism Sample ID: 7090196-03 Prism Work Order: 7090196 Sample Matrix: Water Time Collected: 09/12/17 07:20 Time Submitted: 09/13/17 16:40 Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters NitratoiNitdte as N 0.26 mg/L 0.10 0.0024 1 'SM4500-NO3 F 9116117 8:37 CLS P710205 Volatile Organic Compounds by GC/MS 1,2.Dichloroethane 0.0016 mg/L 0.00050 0.000066 1 '826013 9/16/17 15:52 KDM P710232 Toluene 0.00091 mg/L 0.00050 0.0000" 1 '826013 9116/17 15:62 KDM P710232 surrogate Rewvery Control Limits 4-Bromofluorobenzene 102 % 80-124 Dibromofluoromethane 102 % 75129 Toluene-d8 97 % 77-123 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643 Phone: 704IS296364 - Toll Free Number: 1.8001629-6364 - Fax: 7041526-0409 Page 6 of 10 P� a Environmental Solutions QptR I S M I Fun-Servloe al Solutions �Jueauroxite sec Laboratory Report 09/22/2017 Akzo Nobel Project: SW Samples Client Sample ID: SW-4 Attn: David Simons Prism Sample ID: 7090196-04 485 Cedar Springs Road Prism Work Order: 7090196 Salisbury, NC 28147 Sample Matrix: Water Time Collected: 09/12/17 07:25 Time Submitted: 09/13/17 16:40 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Datefrime ID General Chemistry Parameters Nitrate/Nitrite as N BRL mg/L 0.10 0.0024 1 'SM4500-NO3 F 9/15/17 8:37 CLB P710205 Volatile Organic Compounds by GC/MS 1,2-Dichloroethane BRL mg/L 0.00050 0.000066 1 *82606 9/15117 16:18 KDM P710232 Toluene BRL mg/L 0.00050 0,000044 1 '8260B 9/15/17 16:18 KDM P710232 Surrogate Recovery Control Limits 4-Bromofluorobenzene 102 % 80-124 Dibromofluoramelhane 100 % 75-129 Tolueri 99 % 77-123 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: l-8001629-6364-Fax: 704/525-0409 Page 7 Df 10 \ FulkService Analytical & Environmental Solutions Level II QC Report 9/22/17 Akzo Nobel Project: SW Samples Attn: David Simons 485 Cedar Springs Road Salisbury, NC 28147 Volatile Organic Compounds by GC/MS - Quality Control Reporting Analyte Result Limit Units Batch P710232 - 6030B Prism Work Order: 7090196 Time Submitted: 9/13/2017 4:40:OOPM Spike Source %REC RPD Level Result %REC Limits RPD Limit Notes Blank (P710232-BLK1) Prepared & Analyzed: 09/15/17 1,2-Dichloroethane BRL 0.00050 mg/L Toluene BRL 0.00050 mg/L Surrogate: 4-Bromofluorobenzene 49.7 ug/L 50.00 99 80-124 Surrogate: Dibromofluoromethane 48.5 ug/L 50.00 97 75-129 Surrogate: Toluene-d8 477 ug/L 5000 95 77-123 LCS (P710232-BSI) Prepared & Analyzed: 09/15/17 1,2-Dichloroethane 0.0210 0.00050 mg/L 0.02000 105 68-131 Toluene 0.0221 0.00050 mg/L 0.02000 110 76-131 Surrogate: 4-Bromolluorobenzene 50A U91L 50.00 101 80-124 Surrogate: Dibromolluoromethane 49.4 U91L $0.00 99 75.129 Surrogate: Toluene-d8 49.1 ug/L 50.00 98 77-123 LCS Dup (P710232-BSD1) Prepared & Analyzed: 09/15/17 1,2-Dichloroethane 0.0213 0.00050 mg/L 0.02000 107 68-131 2 20 Toluene 0.0221 0.00050 mg/L 0,02000 110 76-131 0.1 20 Surrogate: 4-Bromolluorobenzene 49.5 U91L 50.00 99 80-124 Surrogate: Dibromofluoromethane 49.2 ug/L 50.00 98 75129 Surrogate: Toluene-d8 48.5 ug/L 50.00 97 77423 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, INC 28224-0643 Phone: 70416296364 - Toll Free Number: 1-80015296364 - Fax: 7041625-0409 Page 8 of 10 P R I S M Full -Service Analytical 8 Environmental Solutions An—'�b..awaoai.e i.c Akzo Nobel Project: SW Samples Attn: David Simons 485 Cedar Springs Road Salisbury, NC 28147 General Chemistry Parameters - Quality Control Level II QC Report 9/22117 Prism Work Order: 7090196 Time Submitted: 9/13/2017 4:40:00PM Reporting Spike Source %REC RPD Analyle Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P710205 - NO PREP Blank (P710205-BLK1) Prepared: 09/14/17 Analyzed: 09/15/17 Nitrate/Nitrite as N BRL 0.10 mg/L LCS (P710205-BS1) Prepared: 09/14/17 Analyzed: 09/15/17 Nitrate/Nitdte as N 1.02 0.10 mg/L 1.000 102 90-110 Prep Method: 5030E Lab Number 7090196-01 7090196-02 7090196-03 7090196-04 Sample Extraction Data Batch Initial Final DateTme P710232 10 mL 10 mL 09/15/17 1023 P710232 10 mL 10 mL 09/15117 10.23 P710232 10 mL 10 mL 09/15/17 10:23 P710232 10 mL 10 mL 09/15/17 10:23 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-8001629-6364 - Fax: 704/626-0409 Page 9 of 10 .:.:. .... ::::.: . .. Full -Service Analytical A Environmental Solutions Jwm'_J=M��reBORATOSIE& INC 449 Springbrook Road • Charlotte, NC 28217 Phone 7041520.6364 • Fax: 7041525-0f409 Client Company Name: 1`f«2c� a D2.r Report To/Contact Name: ,:L Re rting Address: �:I �b-1.ter CHAIN OF CUSTODY RECORD PAGE-1 OF 1 QUOTE R TO ENSURE PROPER BILLING: Project Name: Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO) *Please ATTACH any project specific reporting (QC LEVEL 111111 IV) provisions and/or QC Requirements Invoice To: Atldress: Phone—;21J n Z—bT_3' Fax (Yes) (No): Purchase Order No./Billing Reference TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL Email Address: Requested Due Date 1 Day ❑ 2 Days ❑ 3 Days O 4 Days ❑ 5 Days Certification: NELAC_ DOD_ FL_ NC_ EDD Type: POF_Excel_Other �❑ "Working Days" Y 6-9 Days O Standard 10 days ❑Ruh Work dust BePre- Sc OTHER NIA Site Location Name: Samples received after 14:00 volt be processed next business day. Turnaround time is based on business days, excluding weekends and holiday);, Water Chlorinated: YES_ NO Site Location Physical Address: (SEE REVERSE FOR TERMS a CONDITIONS REGARDING SERVICES ��� Sample Iced Upon Collection: YES P P NO RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) I — CLIENT DATE TIME COLLECTED MATRIX (SOIL, SAMPLE CONTAINER PRESERVA- No .ITi ALYSIS REQUESTED N REMARKS PRISM LAB •TYPE NO. SIZE SAMPLE DESCRIPTION COLLECTED MILITARY WATER OR TIVES +l' r O C' ID NO. HOURS SLUDGE) SEE BELOW , G✓ I d /7 DOah SU� sk �i _ 01- 3 o72—o 5 L x 03 //7Z0 `3da h s�W iC 03 !7/ 4-1d-72, �� 1 rBBjr� �50y � 1 Affiliation Sampler's Signature Sampled By (Print Name) Upon relinquishing, this Chain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be submitted in w ' ' he Prism Projec There will be cIiarges for any changes after analyses have been initialized. ' elinquls amre) ece y: ignatura Deto Military/Hours additional Comments: SIteARIV3l Time (� ��r'l SiteOeparturcTimeech y: ( g Nre) =Rfg!nq�hW R - tl B . gnature)lb- Feay: (sgnature Received For Prysmj b Dries I! Date 1 G I r Method of Shipment NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT Vol S�UUSS ODY ..L.FOR TRANSPORTgnON TO TXE LABORATORY. CDC Group No. THE LABORATORY. JL4 ia•DG SAMPLES ARE N ACCEPTED AND VERIFIED AGAINST COC=LRECENED AT t 701^4l yi _ _ Fed Ex ❑ UPS ❑ Hand-defiNred /hIkI�1• m ❑ other . p Ferve NPDES: I UST: G DWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER: N ❑NC❑SC ❑NC ❑SC NC OSC ZINC 1 ❑SC ❑NC ❑SC ❑NC❑SC ❑NC ❑SC ❑NC El SC CI NC ❑SC n n ❑ ❑ ❑ ❑ ❑ O ❑ 'CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS- 000259 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 (This monitoring report shall be received by the Division no later than 30 days fron the date the facility receives the sampling results from the laboratory.) FACILITY NAME AkzoNobel Surface Chemistry LLC COUNTY Rowan PERSON COLLECTING SAMPLE(S) Rick Evans Traci S loEIVED op PHONE NO. (704) 633-1731 CERTIFIED LABORATORY(S) Prism Laboratories Inc. Lab # 3773 PEC Lab # 402 MAR 0 2 2017 SIGNATURE OF PERMITTEE OR DESIGNEE Part A: Specific Monitoring Requirements CENTRAL FILES REQUIRED ON PAGE 2.DWR SECTION Outfall No. Date Sample Collected 50050 Total Flow ifa Total Rainfall 1,2- Dichloroethane Toluene Nitrogen NO2 plusNO3 pH mo/dd/ r MG inches m /L m /L m /L SIU SW-1 02/15/2017 .28 0.037 <0.00050 0.28 6.40 SW-2 02/15/2017 .28 .0025 0.0019 .18 7.03 SW-3 02/15/2017 .28 <0.00050 0.00064 0.90 6.74 SW-4 02/15/2017 No Flow No Flow No Flow No Flow No Flow Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Act ivit Moni[orin Re uirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if a 1. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m /I m /I unit gal/mo Form SWU-247, last revised 2121201 Pagel of 2 �� .x . ,.. _ .. ;.. _ _ :. STORM EVENT CHARACTERISTICS: Date 02/15/2017 Total Event Precipitation (inches): .28 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 "1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Permittee) 0310! t201 (Date) Form S WU-247, last revised 212120l Page 2 of 2 QQUBOMToalE9 iXG Akzo Nobel David Simons 485 Cedar Springs Road Salisbury, NC 28147 NC Certifiration No. 402 .Full -Service Analytical 8 NC Drinking Water Can No. 37735 Environmental Solutions SC Certification No, 99012 Project: SW Samples Lab Submittal Date: 02/15/2017 Prism Work Order: 7020300 Case Narrative 02/27/2017 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results. and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Please call if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. 0, AN � M a/ - I , E Terri W. Cole Project Manager Data Qualifiers Key Reference: BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference Reviewed By Terri W. Cole Project Manager Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 -Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number.l-0001529-6364- Fax: 7041525-0409 Page 1 of 9 FW Analytical 6Rr�I SVI Environmental Sotuiw®ixc Sample Receipt Summary 02/27/2017 Prism Work Order: 7020300 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received SW-1 7020300-01 Water 02/15/17 02/15/17 SW-2 7020300-02 Water 02/15/17 02/15/17 SW-3 70203OG-03 Water 02/15/17 02/15/17 Samples were received in good condition at 0.6 degrees C unless otherwise noted. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 26224-0643 Phone: 7041529-6364 - Toll Free Number. 1-8001529-6364 - Fax: 7041525-0409 Page 2 of 9 i LIu�I�.a I S M I Full Service Analyeul4 r Environmental Solutlona Summary of Detections 02/27/2017 Prism Work Order: 7020300 Prism 10 Client ID Parameter Method Result Units 7020300-01 SW-1 Nitrate/Nitrite as N 'SM4500-NO3 F 0.28 mg/L 7020300-01 SW-1 1,2-Dichloroethane '8260B 0.037 mg/L 7020300-02 SW-2 Nitrate/Nitrite as N 'SM4500-NO3 F 0.18 mg/L 7020300-02 SW-2 1,2-Dichloroethane '8260B 0.0025 mg/L 7020300-02 SW-2 Toluene '82608 0.0019 mg/L 7020300-03 SW-3 Nitrate/Nitrite as N 'SM4500-NO3 F 0.90 mg/L 7020300-03 SW-3 Toluene '8260B 0.00064 mg/L This report should not be reproduced, except in its entirely, without the written consent of Prism Laboratories, Inc. 449 Spdngbmok Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1.8001529.6364 - Fax: 7041525-0409 Page 3 Of 971 Fu. tical6LP-,RISM6vronmental Solutions �wem.mwq�xc Laboratory Report 02/27/2017 Akzo Nobel Attn: David Simons 485 Cedar Springs Road Salisbury, NC 28147 Project: SW Samples Client Sample ID: SW-1 Prism Sample ID: 7020300-01 Prism Work Order: 7020300 Sample Matrix: Water Time Collected: 02115/17 10:00 Time Submitted: 02/15/17 16:20 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Daternme ID General Chemistry Parameters Nitrate/Nitrite as N 0.28 mg/L 0.10 0.0024 1 'SM4500-NO3 F 2/22117 10:18 CLB P7130398 Volatile Organic Compounds by GC/MS 1,2-Dlchloroethane 0.037 mg/L 0.00060 0.000066 1 '8260B 2/22/17 19:13 KDM P780425 Toluene BRL mg/L 0.00050 0.000044 1 '82608 2/22/17 19:13 KDM P780425 Surrogate Recovery Control Limits 4-Bromofluorobenzene 91 % 80-124 Dibromofluoromethane 90 % 75-129 Toluene-d6 88 % 77-123 This report should not be reproduced, except in its entirety, without the written consent or Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704/529.6364 - Toll Free Number. 1.800/529-6364 - Fax: 704/525-0409 Page 4 of 9 LbL�QR-pVi Fall-ServloaAnmlhlcal a Laboratory Report �� Environmental Solutions 02/27/2017 Akzo Nobel Project: SW Samples Client Sample ID: SW-2 Attm David Simons Prism Sample ID: 7020300-02 485 Cedar Springs Road Prism Work Order: 7020300 Salisbury, NC 28147 Sample Matrix: Water Time Collected: 02/15/17 10:05 Time Submitted: 02/15/17 16:20 Parameter Result Units Report MOIL Dilution Method Analysis Analyst Balch Limit Factor Dale/Time ID General Chemistry Parameters Nitrate/Nitrite as N 0.18 mglL 0.10 0.0024 1 'SM4500-NO3 F 2/22117 10:18 CLB P780398 Volatile Organic Compounds by GC/MS 1,2-Dichlomethane 0.0025 mg/L 0.00050 0.000066 1 '82608 2/22/17 20:05 KOM P7150425 Toluene 0.0019 mg/L 0.00050 0.0000" 1 '8260B 2122117 20:05 KOM P7130425 Surrogate Recovery Control Limits 4-Bromofluorobenzene 90 % 80-124 Dibromofluoromethane 89 % 75-129 Toluene -de 88 % 77-123 This report should not be reproduced, except in its entirely, without the written consent at Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704/529-0364 - Toll Free Number 1.8001529-6364 - Fax: 7041525-0409 Page 5 of 9 lP R I S IVi I Fuvirorn loe Af W ludo a J L� L EnNronmenfol aoluflone umea 'ma Akzo Nobel Project: SW Samples Attn: David Simons 485 Cedar Springs Road Salisbury, NC 28147 Sample Matrix: Water Laboratory Report 02/27/2017 Client Sample ID: SW-3 Prism Sample ID: 7020300-03 Prism Work Order: 7020300 Time Collected: 02/15/17 10:08 Time Submitted: 02/15/17 16:20 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters Nitrate/Nitrite as N 0.90 mg/L 0.10 0.0024 1 'SM4500-NO3 F 2122/17 10:18 CLB P7B0398 Volatile Organic Compounds by GC/MS 1,2-Dichloroethane BRL mg/L 0.00050 0.000066 1 '82606 2/22/17 20:57, KDM P7B0425 Toluene 0.00064 mg/L 0.00050 0.000044 1 '8260B 2/22117 20:57 KDM P780425 Surrogate Recovery Control Limits 4-Bromofluorobenzene 91 % 80-124 Dibromofluoromethane 91 % 75-129 Toluene-08 89 % 77-123 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboralanes, Inc. 449 Springbrook Road - P.O. Box 240543 -Charlotte, NC 28224-0543 Phone: 7041629.6364-Toll Free Number: IA001529-6364 - Fax: 7041525-0409 Page 6 of 9 \ 1 �P1 L- I `- n n I Full-Servim al Solutions s ru J'v' Enviranmontol 5olunana ..so so Level II QC Report 2/27117 Akzo Nobel Project: SW Samples Attn: David Simons 485 Cedar Springs Road Salisbury, NC 28147 Volatile Organic Compounds by GC/MS - Quality Control Reporting Result Limit Units Batch P7B0425-5030B• Prism Work Order: 7020300 Time Submitted: 2/15/2017 4:20:OOPM Spike Source %REC RPD Level Result %REC Limits RPD Limit Notes Blank (P7130425-131-1(1) Prepared & Analyzed: 02/22/17 1,2-Dichloroeth2ne BRL 0.00050 mg/ - Toluene BRL 0.00050 mg/L Surrogate: 4-Bmmofluombenzene 44.1 ugh 50.00 88 80-124 Sumgate: Dibmmo8uoromethane 45.0 ugh 50.00 90 75-129 Surrogate: Toluene-o8 43.3 ugh 50.00 87 77-123 LCS (P7B0425-BS1) Prepared & Analyzed: 02/22/17 1,2-Dichlaroethene 0.0198 0.00050 mg/L 0.02000 99 68-131 Toluene 0.0202 0.00050 mgtL 0.02000 101 76-131 Surrogate: 4-11romeBuombenzene 45.4 ugh 50.00 91 80-124 Surrogate: Dibromofluommethane 46.0 ugh 50.00 92 75-129 Surmgate: Toluene-d8 45.2 ug/L 5000 90 77-123 LCS Cup (P780425-BSD1) Prepared & Analyzed: 02/22/17 1,2-Dichlcmethane 0.0193 0.00050 mg/L 0.02000 96 68-131 3 20 Toluene 0.0197 0.00050 mg/L 0.02000 98 76-131 2 20 Surrogate: 4-6romofluombenzene 44.8 ugh 50,00 90 80424 Surrogate: Dibmmo8uoromethane 4&2 ugtL 50.00 90 75-129 Surmgate: Toluene-d8 44.3 ugh 50.00 89 77-123 This report should not be reproduced, except in its entirety, without the wntten consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 'Phone: 7041629.6364 - Toll Free Number: 141001629-6364 - Fax: 7041525-0409 Page 7 of 9 LOP, I S M I Funironmea ArW tutu e Environmental 9alutionx u tic Level II QC Report 2/27117 Akzo Nobel Project: SW Samples Attn: David Simons 485 Cedar Springs Road Salisbury, NC 28147 General Chemistry Parameters - Quality Control Prism Work Order: 7020300 Time Submitted: 2/15/2017 4:20:0013M Reporting Spike Source %REC RPD Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P780398 - NO PREP Blank (P7B0398-BLK1) Prepared & Analyzed: 02/22/17 Nitrate/Nitrite as N BRL 0.10 mg/L LCS (P7B0398-BS1) Prepared & Analyzed: 02/22/17 Nitrate/Nitfie as N 1.00 0.10 mg/L 1.000 100 90-110 Sample Extraction Data Prep Method: 5030E Lab Number Batch Initial Final Date/rime 7020300-01 P780425 10 mL 10 mL 02/22/17 8:52 7020300-02 P7B0425 10 mL 10 mL 02/22t17 8:52 7020300-03 P7B0425 10 mL 10 mL 02/22/17 8:52 This report should not be reproduced, except in its entirely, without the written consent of Prism Laboratories, Inc. 449 Sprfngbmok Road - P.O. Box 240543 -Charlotte, NC 28224-0643 Phone: 7041629-6364 - Toll Free Number: 1-8001629-6364 - Fax: 7041525-0409 Page 8 of 9 Li e P3:ISM 'TuWRA10 Ea MG Full -Service Analytical & CHAIN OF CUSTODY RECORD Environmental Solutions PAGE L OF 4 QUOTE a TO ENSURE PROPER BILLING: 449 Springbrook Road • P.O. Box 240543 • Charlotte, NC 28224-0543 Phone: 7041529-6364 • Fax: 7004/525-0409 Client Company Name: A /<Z U /y 0;R L: L Report To/Contact Name: DAV 0 .S/ /A 0 A/ i Reporting Address: 45'.S 1_'Z_Q J? :5n, R 114 45 l2n, 3AL/SA,JPv iC_ 2fi/-/7 Project Name: Short Hold Analysis: (Yes) (No) UST Project: (Yes) (No) `Please ATTACH any project specific reporting (OC LEVEL 1 II III IV) provisions and/or OC Requirements Invoice To: Address: 1. „—, Email (Yes) (No) Email Address Purchase Order NoJBilling Reference TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL EDD Type: PDF✓✓Ezcel_Other Requested Due Date rj ❑ El Day ❑ 2 Days 3 Days 4 Days ❑ 5 Days Certification: NELAC_ USACE_ FL NC_ "Working Days" 301 Days ❑ Standard 10 days p Rush Work Must Be _ Site Location Name: A r Samples received after 15:00 will be processed next business Prep oved SC_ OTHER N/A Site Location Physical Address: Turnaround time is based on business days, excluding weekends and holidays. Water Chlorinated: YES_ NO (SEE REVERSE FOR TERMS & CONOMONS REGARDING REND RED BY PRISM LABORATORIES INC. TO CLIENT)RWC� / Sample Iced Upon Collection: YES _ NO _ TIME MATRIX SAMPLE CONTAINER f LYSES REQUESTED CLIENT DATE COLLECTED (SOIL, PRESERVA- /�-� 4r . PRISM 'TYPE SAMPLE DESCRIPTION COLLECTED MILITARY WATER OR TIVES v JY REMARKS LAB HOURS SLUDGE) SEE BELOW NO. SIZE �� 0 ,�U 10 NO. 1.5 —_P 5PP_ML- �fz Lt% 1.7 1 WtL i t' SyU- Z /vps l SO q — — G s/peg 00/uL. JJASPf _ D' Is Sampler's Signature 4- %1 _ Sampled By (Print Neil C v Affiliation 20 G Upon relinquishing. this Chain of Custody is your authorization for Priam to proceed with the analyses as requested above. Any changes must be submitted in writing to the Prism Project Manager. There will be harges for any changes after analyses have been initialized. Ra'r'4° "a^Re) R rasgea oate_/ Mllwy/ Additional Comments: Sna Amvel:7lme f ' Rell Slgnawr _ y:(Sgnalurs) Data 8240 - Ri N Ste Departure Time ". Re s By: (51g c) - R Prism laboratotles By: I OUP. >G/`aF tl' FBItlrTech F6e aa) y�r Da .N. ..t:..'........a..... _. L jS /7 Dili RE'tN� Mileage 'r McNod ai Shlpmenl: NOTE: ALLSAMPLE COOLERS SH ULO BE TAPED SHUr WRH CU ODY SEALS FOR TRANS RTATKIN TO THE LABORATORY. roue No. SAMPLESARENOTA EKED AND VERIFIED AGAINST OOC U L RECEIVED AT THE LABORATORY. D Fed Es D UPS 7 HandEeOvewd f,.dsm FIeU Service D Olher NPDES: UST: GR UNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER: UNC ❑SCIpNC ❑SC UNC ❑SC ❑NC ❑SC ❑NC ❑SC ❑NC pSC UNC ❑SC ❑NC ❑SC ❑NC ❑SC ❑ —_J ❑ U ❑ ___ ❑ ❑ ❑ n n _ _ - - 'CONTAINER TYPE CODES: A = Amber C = Clear G = Glass. P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL C-47 Glycotech 2271 Andrew Jackson Hwy, NE PO Box 1956 Leland, N.C. 28451 910-371-2234 November 16, 2016 Central riles RECEIVED Division of Water Quality l� �E® 1617 Mail Service Center NOV 2 2 2016 Raleigh, N.C. 27699-1617 CENTRAL FILES DWR SECTION Subject: Fall 2016 Stormwater Discharge Monitoring Report To whom it may concern: Glycotech, Inc., under permit 4NCS000258 has performed the Fall qualitative monitoring of the designated point source discharge Outfall 002. Under this permit, Glycotech; Inc. is required to perform storm water sampling and subsequent analytical testing. Enclosed please find the original and a copy of the completed visual monitoring report and the original and a copy of the analytical testing. Please note that the COD was 92 mg/L, versus the benchmark value of 120. The pH was 5.8, with a recorded Rain -gage pH of 5.7, therefore the benchmark values of 6.0 to 9.0 do not apply (per the permit). If any questions or comments arise concerning either the visual monitoring report or analytical report, please do not hesitate to contact me at (910) 371-2234. Very truly yours, Billy King General Man ger Glycotech, Inc. CC: Gary Wooten — EHS Manager- Glycotech, Inc. Enclosure: Visual Monitoring Report and 002 Outfall Analytical data STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS (DOG Z S O or Certificate of Coverage Number: NCG /J�A FACILITY NAME a LYCOT eco _TKC PERSON COLLECTING SAMPLE(S) Y oe'f Ems! CERTIFIEDLABORATORY(S) 671vyi2oCi4FM Lab# Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: ZG/� (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.) /S COUNTY IC✓NSLLj/C/ PHONE NO. /O 37/-2Z34 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. • . 11WM. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes 1�no (if yes, complete Part B) Dart • Vehirla Ma ntnnan a Activity Mnnitnrinn Rrmdm reentc N/^^ A R Outfall 50050 00556 00530 00400 No. Lmo/dd Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if a 1. Total Suspended Solids pH New Motor Oil Usage MG inches mg/1 m /t Units al/mo Form SWU-246, last revised 21212012 Page I of 2 STORM EVENT CHARACTERISTICS: Date qL16 L116 Total Event Precipitation (inches): 2,41 Event Duration (hours): -44- (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 penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 111)41),(0 (Date Form S W U-246, last revised 21212012 Page 2 of 2 NOV 2 2 2016 ^n CENTRAL FILES MCONEMR DWR SECTION Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: htro://Portal.ncdenr.or2/web/wci/ws/su/npdessw#tab-4 Permit No.: N/C/S7O/D/0/ 2/_S_7/ Facility Name: /J C LVV &-" Cu j 2 County: APotus co r ck Inspector: a-ra Date of Inspection: 9 / 19 t or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/ Time of Inspection: a0 t 00 PAA Total Event Precipitation (inches): 2 • `// No. cl10-37/- Was this a Representative Storm Event? (See information below) X 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�� gnaq{re, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Perm4tee or Designee) 1. Outfall Description: Outfall No. 002 A Structure ( ipe, ditch, etc.) Q 1TCt� Receiving Stream: __ 4"1 f2A?b2 1Z tyCH CAP,-c Films l,10Z 8A S/Aj Describe the industrial activities that occur within the outfall drainage area: ORGA-,c C1.irnMtCAc M/�na�F�LTU(it11�T 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: TAKimi e- Rigowt l 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): NONE Page I of 2 S W U-242-20120613 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: ������ / 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 I is no solids and 5 is the surface covered with floating solids: D 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 n�o� solids and 5 is extremely muddy: is ( I ") 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 G 9. Is there evidence of erosion or deposition at the outfall? Yes 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 may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 S W U-242-20120613 ANALYTICAL & CONSULTING CHEMISTS Glycotech, Inc. PO Box 1956 Leland NC 28451 Attention: Gary Wooten Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax info@environineiitzilclieinists.com environmentslchemists.com Date of Report: Sep 28, 2016 Customer PO #: 7293 Customer ID: Report #: Project ID: BIsIKYIIIII) E 2016-13531 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 16-32913 Site: Outfall 002 9/19/2016 8:00 PM Water Gary Wooten Test Method Results Date Analyzed COD SM 5220D 92 mg/L 09/23/2016 Comment: p� Reviewed by: � 0 r� {Wll--� Report #:: 2016-13531 Page 1 of 1 <�, x LN V IKUNMLN 1 AL 4,kJMN11b 1 bq ilvU 6602 Windmill Way 2 q Wilmington, NC 28405 Sample Collection and Chain of Custody Phone: (910) 392-0223 Fax (910) 392.4424 Client: G NYC Ck N 1 N L EMAIL: ELMS aQaol.com Collected By G ACL, W c crrc— ti Report No: A, / :3 Sa/ m •= Infi wit. E Effluent, W -Well. aSi d - PRESERVATION 6 � 8 � � SamCollection pie Identification e a e cc c ANALYSIS REQDESTED DATE TIIKE TEMP 0L TP/aLL_oO;Z 9 9 ib aooa ,4me ST C cti r. 32 /3 J tyPDEs CO (7 0.2 ppm or less) Transfer 1. 2. Temperature when Delivered By: Comments: _ UNATION : Samples for Ammonia, TKN, Cyanide, Phenol, and Bacteria must be dechlorinated field at the time of collection. See reverie side for instructions. Relinquished By:, Date/Time j Aecejvj By: Date/Time Aved: , 'Accepted: V Reje a pie Requested: Received B,y: Date: =y! Time: STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number'NCS 000259 FACILITY NAME AkzoNobel Surface Chemistry LLC PERSON COLLECTING SAMPLE(S) Traci Sloop CERTIFIED LABORATORY(S) Prism Laboratories Inc. Lab Lab # 402 Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2016 (This monitoring report shall be received by the Division no later than 30 days fron the date the facility receives the sampling results from the laboratory.) COUNTY Rowan PHONE NO. (704) 633-1731 RECEIVED SIGNATURE OF PERMITTEE OR DESIGNEE NOV 0 1 2016 REQUIRED ON PAGE 2. CENTRAL FILES Outfall No. Date Sample Collected 50050 Total Flow if a Total Rainfall 1,2- Dichloroethane Toluene Nitrogen NO2 plus NO3 pH mo/dd/ r MG inches m L m /L m /L SIU SW-1 10/07/2016 1.9 0.0020 <0.00050 0.62 7.01 SW-2 10/07/2016 1.9 0.0015 0.035 0.35 7.00 SW-3 10/07/2016 1.9 <0.00050 <0.00050 0.50 7.01 SW-4 10/07/2016 No Flow No Flow No Flow No Flow No Flow Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Activitv Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/'r MG inches m /I m I unit al/mo Form SWU-247, last revised 2121201 Page] of 2 STORM EVENT CHARACTERISTICS: Date 10/07/2016 Total Event Precipitation (inches): 1.9 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 "1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly 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 possi�ity of fines and imprisonment for knowing violations." of (D. te) Form SWU-247, last revised 2121201 Page 2 of 2 AkzoNobel 485 Cedar Springs Road T+ 1 704 633 1731 Surface Chemistry Unit A F + 1 704 637 8912 Salisbury, INC 28147 w .akzonobel.com/sc USA AkzoNobel Tomorrow's Answers Today February 4, 2016 NCDENR — Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Certified Mail: Return Receipt Requested 52016 DWR rRALT��S Reference: Semi -Annual Permit Monitoring Report Individual Stormwater Monitoring Permit AkzoNobel Surface Chemistry LLC. Permit No. NCS000259 Attached are two copies of the AkzoNobel monitoring results for the period of January 1, 2016 to June 30, 2016 for our permit # NCS000259 for the samples collected January 15, 2016. Any questions on this submittal you may contact me at 704-642-6203. Regards, David Simons HSES Manager AkzoNobel Surface Chemistry, LLC, Salisbury, NC Copy: Brian Owen AkzoNobel Surface Chemistry, LLC, Salisbury, NC Christopher Fleming AkzoNobel Surface Chemistry, LLC, Salisbury, NC STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000259 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016 (This monitoring report shall be received by the Division no later than 30 days fron the date the facility receives the sampling results from the laboratory.) FACILITY NAME AkzoNobel Surface Chemistry LLC COUNTY Rowan PERSON COLLECTING SAMPLE(S) Lvvn White, Traci Sloop PHONE NO. (704) 633-1731 CERTIFIED LABORATORY(S) Prism Laboratories Inc. Lab # 37735 Lab # 402 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Part A: Specific Monitoring Requirements - Outfall No. Date Sample Collected 50050 Total Flow if a Total Rainfall 1,2- Dichloroethane Toluene Nitrogen NO2 plus NO3 pH mo/dd/ r MG inches m /L m /L m /L SIU SW-1 01/15/2016 .2 0.031 <0.00050 0.58 6.53 SW-2 01/15/2016 .2 <0.00050 0.0057 5.7 1 6.34 SW-3 01/IS/2016 .2 <0.00050 0.0012 0.30 6.76 SW-4 01/15/2016 No Flow No Flow No Flow No Flow No Flow Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X 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 & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m /I m /I unit galtmo -�r Form SWU-247, last revised 2121201 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date O1/15/2016 Total Event Precipitation (inches): .2 Event Duration (hours): (only ifapplicable — 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 manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibiK of fines and imprisonment for knowing violations." (Signature of �9 (Dat ) Form SWU-247, last revised 2121201 Page 2 of 2 d§'E-' hAppp nIS ,1 Full -Service Analytical& ' IEnvironmental Solutions �DinmanroaNs, irc Akzo Nobel David Simons 485 Cedar Springs Road Salisbury, NC 28147 NC Certificeuon No. 402 SC Certification No. 99012 NC Ddnkinq Water Cert No. 37735 VA Certmcadon No. 460211 DoD ELAP: L-A-B Accredited Certificate No. L2307 ISO/IEC 17025: L-A-B Accredited Certificate No. L2307 Project: SW Samples Lab Submittal Date: 01/18/2016 Prism Work Order: 6010289 Case Narrative 01 /27/2016 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are Flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Please call if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. 0 Terri W. Cole Project Manager Data Qualifiers Key Reference: BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference Reviewed By Terri W. Cole Project Manager Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 -Charlotte, NC 29224-0543 Phone: 7041529-6364- Toll Free Number.. 1-800/5294364 - Fax: 7041525-0409 E Page 1 of9 fice FaGP RI S M I Environmental Solutions TW 11. Sample Receipt Summary 01/27/2016 Prism Work Order: 6010289 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received SW-1 6010289-01 Water 01/15/16 01/18/16 SW-2 6010289-02 Water 01/15/16 01/18/16 SW-3 6010289-03 Water 01/15/16 01/18/16 Samples were received in good condition at 2.9 degrees C unless otherwise noted. This report should not be reproduced, except in its en0rety, without the written censent of Prism Laboratories, Inc. 449 Sprinpbruok Road - P.O. Box 240540 - Charlotte, NC 28224-0543 Phone: 7MIS29-6064 - Toll Free Number. 1.8001529E064 - Fax: 7041625-0409 Page 2 of 9 Summary of Detections PR 0 I S � %� III Fnvinon lce l Solutions ru 'V' Envlronmentel SoiWlona ,Ir La ueoxnoneaixc 01/27/2016 Prism Work Order: 6010289 Prism ID Client ID Parameter Method Result Units 6010289-01 SW-1 Nitrate/Nitrite as N 'SM45o0-NO3 F 0.58 mg/L 6010289-01 SW-1 1,2-Dichloroethane '8260B 0.031 mg/L 6010289-02 SW-2 Nitrate/Nitrite as N 'SM4500-NO3 F 5.7 mg/L 6010289-02 SW-2 Toluene *82608 0.0057 mg/L 6010289-03 SW-3 Nitrate/Nitrite a6 N 'SM4500-NO3 F 0.30 mg/L 6010289-03 SW-3 Toluene •8260B 0.0012 mg/L This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643 Phone: 704/529-6364 - Toll Free Number...1-800/5296364- Fax: 704/625-0409 CPage3of9 Laboratory Report IQ {� %� I PulSolutioaJ' LE§P'=—,�"hp V' Envlronmentel Solutions u ixa 01/27/2016 Akzo Nobel Project: SW Samples Client Sample ID: SW-1 Attn: David Simons Prism Sample ID: 6010289-01 485 Cedar Springs Road Prism Work Order: 6010289 Salisbury, NC 28147 Sample Matrix: Water Time Collected: O1/15/16 13:20 Time Submitted: 01/18/16 17:20 Parameter Result Units Report MOIL Dilution Method Analysis Analyst Batch Limit Factor Date7Time ID General Chemistry Parameters NltratelNltrite as N 0.58 mglL 0.10 0.0012 1 'SM4500-NO3 F 1121116 11:49 CLB PSA0306 Volatile Organic Compounds by GCIMS 1,2-Dichlomethane 0.031 mg/L 0.00050 0.000066 1 '82608 1126116 15:39 KDM P6A0390 Toluene BRL nri D.D0050 0.000D44 1 '8260B 4126/16 15:39 KDM P6A0390 Surrogate Recovery Control Limits 4-Bromafluombenzene 98 % 80-124 Dibromofluoromethane 100 % 75-129 Toluene-d8 97 % 77-123 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-OW Phone: 704/529.6364 - Tall Free Number. 1-8001529-6364 - Fax: 7D4/525-0409 Page 4 of 9 GP R I S M I Full-9enrice Analytical 4 9nvhonmenrel Su ical A Laboratory Report 01/2712016 Akzo Nobel Attn: David Simons 485 Cedar Springs Road Salisbury, NC 28147 Project: SW Samples Client Sample ID: SW-2 Prism Sample ID: 6010289-02 Prism Work Order: 6010289 Sample Matrix: Water Time Collected: 01/15/16 13:25 Time Submitted: 01 /18/16 17:20 Parameter Result Units Report MDL Dilution Method Anatysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters Nitrate/Nltrlte as N 5.7 mg/L 2.0 0.024 20 *SM4500-NO3 F 1121/16 11:49 CLS P6A0306 Volatile Organic Compounds by GCIMS 1,2-Dichloroethene BRL mg/L 0.00050 0.000066 1 '8260B 1/26/16 16:13 KDM P6A0390 Toluene 0.0057 mg/L 0.00050 0.000044 1 •82608 1126/16 16:13 KDM P6A0390 Surrogate Recovery Control Limits 4-Bromoguombenzene 98 % 80-124 Dibromofluoromethane 98 % 75-129 Toluene-d8 97 % 77-123 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Spdngbrook Road - P.O. Box 240543 -Charlotte, NC 28224-0543 Phone: 7041529-6364 - To Free Number: 140015296364 - Fax: 704/525-0409 Page 5 of 9 Laboratory Report I Q i� ii I rwi-service Amm�mo� n �I]II J��/� Envlronmentel 5olutlom imueowq ixC 01/27/2016 Akzo Nobel Project: SW Samples Client Sample ID: SW-3 Attn: David Simons Prism Sample ID: 6010289-03 485 Cedar Springs Road Prism Work Order: 6010289 Salisbury, NC 28147 Sample Matrix: Water Time Collected: 01/15/16 13:25 Time Submitted: 01/18/16 17:20 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Daterrime ID General Chemistry Parameters NltratelNltdte as N 0.30 mglL 0.10 0.0012 1 'SM4500-NO3 F 1121116 11:49 CLS P6A0306 Volatile Organic Compounds by GCIMS 1,2-Dichloroethane BRL mg/L 0.00050 0.000066 1 '8260B 1/26/16 16:48 KOM P6A0390 Toluene 0.0012 mg/L 0.00050 0.0000" 1 '82608 1126/16 16:48 KDM P6A0390 surrogate Recovery Control Limits 4-Bromofluorobenzene 98 % 80-124 Dibromofluoromethane 100 % 75-129 Toluene-d8 98 % 77-123 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 282244543 r Phone: 7041529-6364 -Toll Free Number: 14100/529.6364 - Fax: 7041525-0409 1 Page 6 of 9 /A R I I� �I I Full -Service Analytical 6 ru ' V' Envlronmontal Solutions Level II QC Report 1127/16 Akzo Nobel Project: SW Samples Attn: David Simons 485 Cedar Springs Road Salisbury, NC 28147 Volatile Organic Compounds by GC/MS - Quality Control Analyte Batch P6A0390-5030B Reporting Result Limit Units Prism Work Order: 6010289 Time Submitted: 1/18/2016 5:20:o0PM Spike Source %REC RPD Level Result %REC Limits RPD Limit Notes Blank (P6A0390-BLK1) Prepared & Analyzed: 01/26/16 1,2-Dichloroethane BRL 0,00050 mg/L Toluene BRL 0.00050 ni Surrogate: 4-Bromofluorobenzene 49.6 ug'L 50.00 99 80-124 Surmgate: Dibmmolluommethene 49.4 ugA- 50,00 99 75-129 Sunugate: Toluene -de 48,8 ug/L 50,00 98 77-123 LCS (P6A0390-BS1) Prepared & Analyzed: 01/26/16 1,2-Dichloroethane 0.0207 0.00050 mg/L 0.02000 104 68-131 Toluene 0.0207 0.00050 mg/L 0.02000 103 76-131 Surrogate: 4-Bromolluorobenzene 47.9 ugA 60.00 96 80-124 Surmgate: Dibromofluoromethane 50.9 ug/L 5000 102 75-129 Surmgate: Toluene-d8 48.3 ug/L 50.00 97 77-123 LCS Oup (P6A0390-BSD1) Prepared & Analyzed: 01/26/16 1,2-Dichloroethane 0.0200 0.00050 mg/L 0.02000 100 68-131 3 20 Toluene 0.0198 0.00050 mg/L 0.02000 99 76-131 5 20 Surrogate: 4-Bromofluorobenzene 48.2 ug/L 50,00 96 80-124 Surrogate: Dibromofluoromethane 49.4 ug/L 50.00 99 75-129 Surrogate: Toluene-18 4&5 ugQ 50.00 97 77-123 This report should not be reproduced, except in its entirety, without the written consent of Prism Labormones, Inc. 449 Spdngbrook Road - P.O. Box 240543 -Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number. 1-8001529-6364 - Fax: 7041525-0409 r Page7of9 A i a ' S p %� I E=1rc service Analy teal a _ l-�monxme.�c Emlronmentel 9olWlana Level II QC Report 1/27/16 Akzo Nobel Project: SW Samples Prism Work Order: 6010289 Attn: David Simons Time Submitted: 1/18/2016 5:20:OOPM 485 Cedar Springs Road Salisbury, NC 28147 General Chemistry Parameters - Quality Control Reporting Spike Source %REC RPD Analme Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P6A0306 - NO PREP Blank (KA0306.81-K7) Prepared 8 Analyzed: 01/21/16 Nitrate/Nitrite as BRL 0.10 mg/L LCS (P6A0306-BS1) Prepared 8 Analyzed: 01/21/16 Nitrate/Nitrite as N 0.998 0.10 mg/L 1.000 100 90-110 Sample Extraction Data Prep Method: 5030B Lab Number Batch Initial Final Daternme 6010209-01 P6A0390 10 mL 10 mL 01/26/16 8:57 6010269-02 P6A0390 10 mL 10 mL 01/26/16 8:57 6010289-03 P6A0390 10 mL 10 mL 01/26/16 8:57 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Spdngbrook Road - P.O. Box 240643 - Charlotte, NC 2822"563 Phone: 704/529-6364 - Toll Free Number. 1-8001529-6364 - Fax: 704152"409 Page 8 of 9 5 j CHAIN OF CUSTODY RE 0 D ft n I C n Full -Service Analytical yy, ki ism Environmental Solutionss PAGE OF L QUOTE A To ENSURE PROPER BILLING: gamplee INTAI LAROPATORIEC INC 7o uuil'r1N n 449 Springbrook Road • Charlotte, NC 28217 Phone 7041529-6364A •Fax: 70415254409 Client Company Name: Report To/Contact Name: I,17✓4 m.n�.ti Reporting Address: ''i�:4 `- 5s [ (74 1U.C.: d,$/q17 Project Name: Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO) `Please ATTACH any project specific reporting (OC LEVEL 1 II III IV) provisions and/or OC Requirements Invoice To: Address: Phone: 2- Ar"37Fax (Yes) (No): Purchase Order No./Billing Reference TO BE FILLED IN BYCLIENT/SAMPLING PERSONNEL Email Address: � ��// _Other EDD Type: PDF�Gcacel Site Location Name: Site Location Physical Address: Requested Due Date O 1 ❑ 2 Days ❑ 3 Days El Days Cl5 Days "Working Days O Standard 10 days O Rush Pro-Approvedrk Must Be Days" 9 Samples recelved after 14:Do will be processed next business day. Tumamund time is based on business days, excluding weekends and holidays. (SEE REVERSE FOR TERMS 4 CONDITIONS REGARDINGSERVICES RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) Certification: NELAC_ DOD_ SC OTHER Water Chlorinated: YES_ NO_ Sample IcedU on Collection: YES_ P P FL_ NC_ NIA NO CLIENT SAMPLE DESCRIPTION DATE COLLECTED TIME COLLECTED MILITARY HOURS MATRIX (SOIL, WATER OR SLUDGE) SAMPLE CONTAINER PRESERVA. TIVES -k j,�P IN Ly y . SIB REQUESTED REMARKS PRISM LAB ID NO. -TYPE SEE BELOW NO SIZE 5 w- I) $ I Le 11 zb rp0 ai 50 x OL /ZJ S li✓� 3 l� I Svr7.J> �{2Se 3C � << �L Sampler's Signature Sampled By (Print Name) _7igpS/.oci o Affiliation A 2. U / fz�w= Upon relinquishing, s C of Custody Is your authorization for Prism to proceed with the analyses as requested above. Any changes must be submitted In writing to the Prism Project Manager. There will be charges for any changes after analyses have been initialized. . eliNd y: (s 9newra Re ¢ (s19Rawre a - Milttary/Roan gddhiona Comments: �l o �zun e nrpua . is W.) R i9nswre) Dare w /! _ �o/Ar f A'i RelirrWl y. (Siglelura) R ar Prism la ! V Dato �n � It-, �•�Il�fr� Site Fvnval Time: -site Depadure Tma ..: Milea s <+ Meand of SNpmenT NOTE: ALL SAMPLE COOLERSSHOULO BETAPEDSHUT CUSTODY SEALS FOR TRANSPORTATION TO THE LABORATORY. cup No. SAMPLES ARE NDT A/CSEPTED AND VERIFlED AGAINST UNTIL RECEIVED AT THE LABORATORY. ❑ Fed Ex ]UPS ❑ HaME JHered 4mm FMW ServN» Cloth TER: I ATER: E. ❑ NC O SC I ElNC ❑ SC ❑ NC ❑ SC ❑ C ❑ SC ❑ NC ❑SCO NC ❑ SC El CERCLANC ❑ SC I O❑ NC F❑ SC El NC ❑ SC ❑ ❑ ❑ d ❑ ❑ ❑ 'CONTAINER TYPE CODES: A=Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS D0009L or Certificate of Coverage Number: NCG FACILITY NAME ZI ock; Co arc PERSON COLLECTING SAMPLES) E r erg CERTIFIED LABORATORY(S) teak t�ti=.� Lab #�D— Lab # Part A: Specific Monitoring Requirements ENV-0106 SAMPLES COLLECTED DURING CALENDAR YEAR: ?Z 16 (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 004_J PH0. 0 Y' a. 5 O I 0I (SIGNATU F PERMITTEE OR DESIGNEE) By this sigt lure, I certify that this report is accurate complete to the best of my knowledge. ----------- 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 R- Vehicle Maintenance Activity Monitoring Reouirements 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 m m Units al/o i✓ N /i- !✓ A — Form SWU-246-112608 Page 1 of 2 ENV-0106 STORM EVENT CHARACTERISTICS: Date I Total ve t Precipitation 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 manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my kno ge and belief, true, ccurate, and complete. I am aware that there are significant penalties for submitting false information, includi the ossibilily of fine a d imprisonment for knowing violations." 64, 4?� 0/ (Signature of Permittee) (Date) Form SWU-246-112608 Page 2 of 2 Lithium January 27, 2016 Central Files Division of Environmental Management 1617 Mail Service Center Raleigh, NC 27699-1617 RF�'FIVF RE: Semi -Annual Stormwater Discharge Summary Report (Ouffalls d4 and 00 A) Rockwood Lithium Inc. FEB .0 5 2016 Kings Mountain, Cleveland County, INC CENTRAL FILESENC Permit # NCS000096 EN SECTION Registered Mail 7014 2120 0004 3692 6096 DWR Dear Sir or Madam: Please find attached a Semi -Annual Stormwater Discharge Ouffall (SDO) Monitoring Report for the Rockwood Lithium Inc. facility located in Kings Mountain, North Carolina. This report was prepared in accordance with the site's General Stormwater Permit effective on November 1, 2009 and covers the Monitoring Period of November 2015 through April 2016. Please note that due to some problems with our sampling equipment, we were only able to successfully collect samples from ouffalls 004 and 005A, and accordingly this report does not include results from our other regulated ouffall (005B). Sampling of this outfall will be conducted at a later date within the monitoring period, with a separate report to follow. Based on the sampling results summarized herein, it appears that the site has met its benchmark goals during the reporting period and will continue to implement appropriate best management practices to maintain these goals. Should you have any questions or need additional information related to this data, please contact John Kuhn at 704-734-2708. "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowin olations." Christian M Iler Site Director Rockwood Lithium Inc. 348 Holiday Inn Drive ARDellp �naCanparty Kings Mountain, NC 26086 �Y�^^�'W' �� Phone: 704-739-2501 MYSC ROC www. rockwoodlithino.com JOR ISM QOIABORATORIEB, ING Akzo Nobel David Simons 485 Cedar Springs Road Salisbury, NC 28147 Full -Service Analytical & Environmental Solutions RECEIVED NOV 01 2016 CENTRAL FILES DWR SECTION NC Certification No. 402 NC Drinking Water Cart No. 37735 SC Certification No. 99012 Project: SW Samples Case Narrative 10/19/2016 N� abOaSS Lab Submittal Date:10/11/2016 Prism Work Order: 6100219 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative., Please call if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. Terri W. Cole Project Manager Data Qualifiers Key Reference Reviewed By Terri W. Cole Project Manager BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference * Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, INC 28224-0643 Phone: 7041529-6364 - Toll Free Number: t-8001629.6364-Fax: 7041626-0409 I Pagel of9 7� RFo�I-Service Analytical 4 I S M �P Environmental Solutions ,.eaa Rl,INC Sample Receipt Summary 10/19/2016 Prism Work Order: 6100219 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received SW-1 6100219-01 Water 10/07/16 10/11/16 SW-2 6100219-02 Water 10/07/16 10/11/16 SW-3 6100219-03 Water 10/07/16 10/11/16 Samples were received in good condition at 4.4 degrees C unless otherwise noted. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643 Phone: 704/629.6364 - Toll Free Number: 1-8001629-6364 - Fax: 704/625-0409 Page 2 of 9 P R I S M I Fuviron ice 3 al Solution Environmental Solutions 7 towos Summary of Detections 10/19/2016 Prism Work Order: 6100219 Prism ID Client ID Parameter Method Result Units 6100219-01 ' SW-1 Nitrate/Nitrite as N 'SM4500-NO3 F 0.62 mg/L 6100219-01 SW-1 1,2-Dichloroethane '6260B 0.0020 mg/L 6100219-02 SW-2 Nitrate/Nitrite as N 'SM4500-NO3 F 0.35 mg/L 6100219-02 SW-2 1,2-Dichloroethane '8260B 0.0015 mg/L 6100219-02 SW-2 Toluene '8260B 0.035 mg/L 6100219-03 SW-3 Nitrate/Nitrite as N 'SM4500-NO3 F 0.50 mg/L This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 -Charlotte, NC 28224-0643 Phone: 7041629-6364 - Toll Free Number: i-8001629-6364-Fax: 7041525-0409 Page 3 of 9 ��. Laboratory Report Sarvica d8 en.oemeelal Solutions D/,9/2D,6ISM Akzo Nobel Project: SW Samples Client Sample ID: SW-1 Attn: David Simons Prism Sample ID: 6100219-01 485 Cedar Springs Road Prism Work Order: 6100219 Salisbury, NC 28147 Sample Matrix: Water Time Collected: 10/07/16 16:00 Time Submitted: 10/11/16 12:44 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters Nitrate/Nitrite as N 0.62 ri 0.10 0.0012 1 'SM4500-NO3 F 10/14/16 9:44 CLB PSJ0233 Volatile Organic Compounds by GC/MS 1,2-Dichloroethane 0.0020 ri 0.00050 0.000066 1 *82608 10/17/16 116:69 KDM P6J0297 Toluene BRL mg/L 0.00050 0.000044 1 "8260B 10/17/16 1659 KDM P6J0297 Surrogate Recovery Control Limits 4-Bromofluorobenzene 98 % 80-124 Dibromofluoromethane 100 % 75-129 Toluene-d8 99 % 77-123 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, INC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-800/629-6364 - Fax: 704/525-0409 Page 4 of 9 'i Laboratory Report �PL�tR I S M I on11-Service Analytical8 Evironmental Solutions 10/1 B/2U18 �Juvaurwuea ixc Akzo Nobel Project: SW Samples Client Sample ID: SW-2 Attn: David Simons Prism Sample ID: 6100219-02 485 Cedar Springs Road Prism Work Order: 6100219 Salisbury, NC 28147 Sample Matrix: Water Time Collected: 10/07/16 16:10 Time Submitted: 10/11/16 12:41 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Datelrime ID General Chemistry Parameters Nitrate/Nitrite as N 0.35 mg/L 0.10 0.0012 1 'SM4600-NO3 F 10/14/16 9:44 CLB P6J0213 Volatile Organic Compounds by GC/MS 1,2-Dichloroethane 0.0016 mg/L 0.00050 0.000066 1 '8260B 10117/16 17:33 KDM P6J0297 Toluene 0.036 mg/L 0.00050 0.000044 1 '8260B 10117/16 17:33 KDM P6J0297 Surrogate Recovery Control Limits 4-Bromofluorobenzene 100 % 80-124 Dibromofluoromethane 99 % 75-129 Toluene-d8 98 % 77-123 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, INC 28224-0543 Phone: 7041629-6364 - Toll Free Number: 1-8001629-6364 - Fax: 7041526-0409 Page 5 of 9 ' Laboratory Report An:hAR-Ism I Enviro men Analytical AEnvironmental Solutions 1D/19/2D1B aumn�rowrn a,c Akzo Nobel Project: SW Samples Client Sample ID: SW-3 Attn: David Simons Prism Sample ID: 6100219-03 485 Cedar Springs Road Prism Work Order: 6100219 Salisbury, NC 28147 Sample Matrix: Water Time Collected: 10/07/16 16:15 Time Submitted: 10/11/16 12:44 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor DalelTime ID General Chemistry Parameters NitratelNitrite as N 0.50 mg/L 0.10 0.0012 1 'SM4500-NO3 F 10/14/16 9:44 CLB P6J0233 Volatile Organic Compounds by GCIMS 1,2-Dichloroethane BRL mg/L 0.00050 0,000066 1 '8260B 10/17/16 1807 KDM P6J0297 Toluene BRL mg/L 0.00050 0.000044 1 '8260B 10/17/16 1807 KDM P6J0297 Surrogate Recovery Control Limits 4-Bromofluorobenzene 97 % 80-124 Dibromofluoromethane 100 % 75-129 Toluened8 100 % 77-123 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643 Phone: 704/629-6364 - Toll Free Number: 1-800/529-6364-Fax: 704/526-0409 Page 6 of 9 Full -Service Analytical a �P R I S M I Environmental Solutions ouaoa..�.a�a� Akzo Nobel Project: SW Samples Attn: David Simons 485 Cedar Springs Road Salisbury, NC 28147 Volatile Organic Compounds by OC/MS - Quality Control Analyte Batch Reporting Result Limit Units Level 11 QC Report 10/19/16 Prism Work Order: 6100219 Time Submitted: 10/11/2016 12:44:OOPM Spike Source %REC RPD Level Result %REC Limits RPD Limit Notes Blank (PGJ0297-BLK1) Prepared & Analyzed: 10/17/16 1,2-Dichloroelhane BRL 0.00050 mg/L Toluene BRL 0,00050 mg/L Surrogate: 4-Bmmotluorobenzene 49.5 u91L 50.00 99 80-124 Surrogate: Dibromolluoromethane 48.8 ug/L saoo 98 75-129 Surrogate: Toluene-0 49.3 ug/L 5o00 99 77-123 LCS (P6J0297-BS1) Prepared & Analyzed: 10/17/16 1,2-Dichloroelhane 0.0193 0.00050 mg/L 0.02000 96 68-131 Toluene 0.0210 0.00050 mg/L 0.02000 105 76-131 Surrogate: 4-Bromofluorobenzene 49.7 u9/L 50.00 99 80-124 Surrogate: Dibromolluoromethane 50.1 ug/L 5o.00 100 75-129 Surrogate: Toluene-d8 49.8 ug/L 50.00 100 77-123 LCS Dup (P6JO297-BSD1) Prepared & Analyzed: 10/17/16 1,2-Dichloroethane 0.0195 0.00050 m9/L 0.02000 98 68-131 1 20 Toluene 0.0207 0,00050 mg/L 0.02000 104 76-131 2 20 Surrogate: 4-Bromolluorobenzene 48.8 u9/L 50.00 98 80-124 Surrogate: Dibromolluoromethane 49.2 ug/L 50,00 98 75-129 Surrogate: Toluene-d8 49.2 ug/L 5000 98 77-123 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, INC 28224-0643 Phone: 704/529.6364 - Toll Free Number: 1-800/629.6364 - Fax: 7041526-0409 Page 7 of 9 UService Analytical &QPRISM EnIv,'uonal Solutions p7ua�..wre>,.c Level II QC Report 10/19/16 Akzo Nobel Project: SW Samples Prism Work Order: 6100219 Attn: David Simons Time Submitted: 10/11/2016 12:44:OOPM 485 Cedar Springs Road Salisbury, NC 28147 General Chemistry Parameters - Quality Control Reporting Spike Source %REC RPD Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P6JO233 - NO PREP Blank (P6J0233-BLK1) Prepared & Analyzed: 10/14/16 Nitrate/Nitrite as BRL 0.10 mg/L LCS (P6J0233-13SI) Prepared & Analyzed: 10/14/16 Nitrate/Nitrite as N 0.925 0.10 mg/L 1.000 92 90-110 Prep Method: 5030B Lab Number 6100219-01 6100219-02 6100219-03 Sample Extraction Data Batch Initial Final Date/Time P6J0297 10 mL 10 mL 10/17/16 10:33 P6J0297 10 mL 10 mL 10/17M6 1033 P6J0297 10 mL 10 mL 10/17/16 10:33 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543 Phone: 704/529-6364 - Toll Free Number: 1-8001629.6364-Fax: 704/625-0409 P89B 8 Of 9 rA CHAIN OF. CUSTODY RECORD Full -Service Analytical & p R� I S M /�43310`"BORAIMES — . .. .. ... . 'YES �NO NW M Environmental Solutions PASS It QUOTE 9 To ENSURE PROPER BILLING: OF ', %Sarimples, INTACT,upon a 0 � INC VV ',,,7R66eiv6d ON ETJCE?�T� On Project Name: "g Springbrook Road -Charlotte, INC 28217 (NO) Short Hold Analysis: (Yes) (No) UST Project: (Yes) h R PRESERVATIVES indi6tec!7� Phone 704/529-6364 - Fax: 7041525-0409 *Please ATTACH any project specific reporting (CC LEVEL 111111 IV) Auk A14)1 I HOLDING I M Client Company Name: 7 provisions and/or QC Requirements CUSTODY SEALS INTACT }; -4, Report To/Contact Name: D,4LIIJ r6 ,Mm - Invoice To: 1 T, HEADSPACEv Address: Ce. 1,7., Reporting Add Address: OPER Use Its a Phone: -211/ �/-9121 -�"g ax(Yes)(No):— Purchase Order No./Billing Reference TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL Email Address" Requested Due Date 0 1 Day-- 0 2 Days EJ 3 Days Q 4 Days D 5 Days Certification: NELAC— DOD FL NC EDD Type: PDF,/ Ec01 �Othr_ 'Working Days" C1,49 Days 0 Standard 10 days L] Rush Work Must Be Pre -Approved SC_ OTHER N/A_ Site Location Name: Samples received after 14:00 will be processed next business day. I Turnaround time is based on business days, excluding weekends and holidays. Water Chlorinated: YES— NO_ Site Location Physical Address: (SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES Sample Iced Upon Collection: YES_ NO RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) TIME MATRIX SAMPLE CONTAINER AYALYSIS REQUESTED PRISM CLIENT DATE COLLECTED (SOIL, PRESERVA- b� TIVES REMARKS LAB SAMPLE DESCRIPTION COLLECTED MILITARY WATER OR *TYPE NO. SIZE "0 ID NO. HOURS SLUDGE) SEE BELOW ILI - /1- 16 1441e) iil' 61A 3 J -500�ls 1-17 5i'41 fi? ttlile✓ AA SOM is Sampler's Signature Sampled By (Print Name) Affiliation 4k2c:> /oI­)043IF, Upon relinquishing,,, this 0 ain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be submitted in writing to the Prism Project Manager. There will be charges for any changes after analyses have been initialized. Rei,W�I,ad BY: (SIgn-tors) ReesSlgnalure) Data I WitarlHoeS Ad itional Comments: RGkrl Site Arrival Time; re eem,.artgw. t.,greaun, Reosved UY: (Nguato DaleSite DepaTtLreTune:,' Ralln signstur-T R eived For usm Laboratories By: Field Tech Fee: Mileage: mathoa m Shipment: PI ALL COOLERS SHOULD HE TAPED 5 T VWr SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST C DY SEALS FOR TRANSPORTATION LABORATORY. urC Group No. P To I.No T.L. RECEIVEDATT�ELABORATORY. �3 5' LcR, Swak- 3 Fed Ex 0 UPS U Hanaalivered 0 Pdarn HrAce Fled SeU Offie NPDES, UST:LANDFILL GROUNDWATER: DRINKING WATER. SOLID WASTE: CNC6SC O4C aSC LNC USC ENC ESC I IRC�AICERCLA IDTH1E ENC QSC �CCSCU NC El El NC U SC SLJ2 `CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL. i. Permit Number: NCS 006 Z 5 B Certificate of Coverage Number: NCG_ or STORMWATER DISCHARGE OUTFALL(SDO) MONITORING REPORT FACILITY NAME G(Y(oTECH T.-tC PERSON COLLECTING SAMPLE(S) CERTIFIED LABORATORV(S)FAl✓tF2O CJE.rI Lab# Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 20I 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 B2 OAIJ W i CA PHONE NO. (q/D) 3 - SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. ----------- ----------- 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 Activitv Monitorine Requirements Outfall Date 50050 00556 00530 00400 No. Sample Collected Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G!I'PH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m I mg/1 Units al/mo Form S W U-246, lust revised 2/2/2012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 111631/S Total Event Precioitation (inches): 2.32 Event Duration (hours): N ,d (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 Scrvicc 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permr ee) (Date) Form S W U-246, last revised 21212012 Page 2 of 2 Cie-7 Glycotech 2271 Andrew Jackson Hwy, NE PO Box 1956 Leland, N.C. 28451 910-371-2234 December 21, 2015 ATTENTION: Central Files REeEIVED Division of Water Quality DEC 2 9 2015 1617 Mail Service Center Raleigh, N.C. 27699-1617 CENTRAL FILES DWR SECTION Subject: Fall Stormwater Discharge Monitoring Report To whom it may concern: Glycotech, Inc., under permit #NCS000258 has performed the Fall 2015 qualitative monitoring of the designated point source discharge Outfall 002. Under this permit, Glycotech, Inc. is required to perform storm water sampling and subsequent analytical testing. Enclosed please find the original and a copy of the completed visual monitoring report and the original and a copy of the analytical testing. Please note that the COD was 83 mg/L, versus the benchmark value of 120 mg/L. The pH was 5.1, with a recorded Rain -gage pH of 5.0, therefore the benchmark values of 6.0 to 9.0 do not apply (per the permit). If any questions or comments arise concerning either the visual monitoring report or analytical report, please do not hesitate to contact me at (910) 371-2234. Very truly yours, Wayne Duff Plant Manager Glycotech, Inc. Enclosure: Visual Monitoring Report and 002 Outfall Analytical data ,w r NC®ENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http://I)orial.ncdenr.org/web/wq/ws/su/nT)dessw#tab-4 Permit No.: N/C/S/0/0/0/ 2/$/ Ff/ or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/ Facility Name: GLttol6et4 + -Uc - County: Bt2"AJAwirrm Phone No. Inspector: G Date of Inspection: 1-1I/M r Time of Inspection: U900 Total Event Precipitation (inches): Z . 3 Z Rto- 3i 1 — Z234 Was this it 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 Q 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 signatu wj certify that ttlis report is accurate and complete to the best of my knowledge: (Signature of Pernidee or Designee) 1. Outfall Description: Outfall No. 00 i. Structure (pipe, ditch, etc.) lit?Z<i Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: CHEi+'l/C,tit_ tmllAtuFACTu2r1JG 2. Color: Describe the color of the disch!Ha ;e using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: fANA/t C 132oc,)AJ 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): NO Alf Page I of 2 S W U-242-20120613 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 11 O 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 s�oliids and 5 is the surface covered with floating solids: no � 1 J 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 J 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 ). Is there evidence of erosion or deposition at the outfall? Yes No 1(). 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-242s0120613 e I virochem ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax info@environmentalchemists.com Glycotech, Inc. Date of Report: Nov 19, 2015 PO Box 1956 Customer PO #: 6515 Leland NC 28451 Customer ID: 09060025 Attention: Gary Wooten Report#: 2015-14902 Project ID: Lab ID Sample ID: Collect Date/Time Matrix Sampled by 15-35413 Site: Outfall 002 11/312015 9:00AM Water Gary Wooten Test Method Results Date Analyzed COD SM5220o 83mg/L 11/13/2015 Comment: (�^ r� Reviewed by: �"I�.I��k OK YQ VJ 1. Report#.: 2015-14902 Page 1 of 1 L` 1\ 111\V1'4iVu+lI Aa� �.aaa:u.uvi v, �.. �. --__ ....._--- ...y Wilmington, NC 28405 Sample Collection and Chain of Cuatodv Phone: (9I0) 392.0223 Fax (910) 392.4424 ]lent G �Y c o A EMAIL: E .. A.., n _. Rennrt Nne 1 S m ="M Uent. w Tffsu.%.�■ PRESERVATION Q Collection Sam: pie Identification o ANALYSISREQIIESTED DATE TIME TEMP ll3IS baoo ST c P COD NPDES Culwfc:a �bffA�� 35`}Ij (3 G G n C P : bamp: time of for Phenol, and Bacteria must be Transfer Relinquished y:. Date/Time Received By: Date/Time i.Ok.,cv 1 ok 2. Temperature when Received: Accepted: / Resample Requ t Delivered By: Received By: Date; 11 q Time: Comments: PC 'tr GS 1 5 DR < Z Qe r, Qr ro o N :cr' Permit Number NCS 000259 FACILITY NAME Akzo Nobel Surfacc PERSON COLLECTING SAMPLE(S) CERTIFIED LABORATORY(S) Pac[ Part A: Specific Monitoring Requirements STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 (This monitoring report shall be received by the Division no later than 30 days f� the date the facility receives the sampling results from the laboratory.) COUNTY Rowan PHONE NO. (LO4) 633-1731 # 12 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall No. Date Sample Collected 50050 Total Flow if a Total Rainfall 1,2- Dichloroethane Toluene Nitrogen NO2 plus NO3 pH mo/dd/ r MG inches m L m m L SIU SW-1 07/29/15 .15 .000991 .00026 0.89 6.02 SW-2 07/29/15 .15 .00077J .00026 2.1 16.20 SW-3 07/29/15 .15 .00025J .0226 1.6 6.30 SW-4 07/29/15 No Flow No Flow No Flow No Flow No Flow Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Activitv Monitoring Requirement% Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m m /I unit gavmo Form SWU-247, last revised 2121201 Page I a i 'ot of .. QJ. .. _ _ #.� s ;#._r�. a.n • .. t : _ .. STORM EVENT CHARACTERISTICS: Date 07/29/15 Total Event Precipitation (inches): .13 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 Alm: 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Ia-,,1 (Da e) Form SWU-247, last revised 2121201 Page 2 of 2 3 r. b �"� ' t �� _ � f T . •• '�. c; ., _ :i ` C 4� j , �. d .. i. • :> :. �. Y h f. y C AkzoNobel 485 Cedar Springs Road T + 1 704 633 1731 Surface Chemistry Unit A F + 1 704 637 8912 Salisbury, NC 28147 w .akzonobel.com/sc USA August 17, 2015 NCDENR — Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Certified Mail: Return Receipt Requested Reference: Semi -Annual Permit Monitoring Report Individual Stormwater Monitoring Permit AkzoNobel Surface Chemistry LLC. Permit No. NCS000259 AkzoNobel Tomorrow's Answers Today RECEIVED AUG 2 8 2015 CENTRAL FILES DWR SECTION Attached are two copies of the AkzoNobel monitoring results for the period of July 1, 2015 to December 31, 2015 for our permit # NCS000259 for the samples collected July29, 2015. Any questions on this submittal you may contact me at 704-642-6203. Regards, David Simons HSES Manager AkzoNobel Surface Chemistry, LLC, Salisbury, NC Copy: Brian Owen AkzoNobel Surface Chemistry, LLC, Salisbury, NC David Simons AkzoNobel Surface Chemistry, LLC, Salisbury, NC IceAnallytical' inmpacelabswm August 06, 2015 David Simons Akzo Nobel 485 Cedar Springs Rd. Salisbury, NC 28147 RE: Project: SW SAMPLING 07/29/15 Pace Project No.: 92260960 Dear David Simons: Pace Analytical Services, Inc. 9800 NSncey Ave. Suite 100 Huntersville, NC 28078 (700)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on July 29, 2015. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, \,�, C ,-- Cc.r,r �Ly Liamm Carrubba liamm.carrubba@pacelabs.com Project Manager Enclosures cc: Chris Fleming Leonard White, Akzo Nobel REPORT OF LABORATORY ANALYSIS This repon shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 13 (�15'ceAnalytical' w psce,lab&= Project: SW SAMPLING 07/29/15 Pace Project No.: 92260960 Charlotte Certification We 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 LIST Certification #: 84 West Virginia Certification #: 357 VirginiaNELAP Certification #: 460221 Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)8759092 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 Certiflcation #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Paw Analytical Services, Inc.. Page 2 of 13 55c'eAnalyficale eee.Pcelabscan Project: SW SAMPLING 07/29/15 Pace Project No.: 92260960 Lab IDSample ID 92260960001 SW #1 92260960002 SW #2 92260960003 SW #3 Pace Ana"cal Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)8759092 SAMPLE SUMMARY Matrix Date Collected Date Received Water 07/2711519:50 0729/1516:45 Water 0712711519:55 07/29/1516:45 Water 0712711519:55 07/29/1516:45 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 13 Pace Analytical Services, Inc. aceAnalytical s 9800Hunesvil e, NC 28078 ..pacelaftcrom (704)875-9092 SAMPLE ANALYTE COUNT Project: Pace Project No.: SW SAMPLING 0729/15 92260960 Analytts Lab ID Sample ID Method Analysts Reported Laboratory 92260960001 SW#1 EPA 8260 CAH 5 PASI-C EPA 353.2 DMN 1 PASI-A 92260960002 SW #2 EPA 8260 CAH 5 PASI-C EPA 353.2 DMN 1 PASI-A 92260960003 SW #3 EPA 8260 CAH 5 PASI-C EPA 353.2 DMN 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 4 of 13 aceAnalytical e s wpircelab&= Project: SW SAMPLING 07/29/15 Pace Project No.: 92260960 Sample: SW #1 Parameters 8260 MSV Low Level 1,2-Dichloroethane Toluene Surrogates 4-Bromofluorobenzene (S) 1,2-Dichloroethane-d4 (S) Toluene -dB (S) 353.2 Nitrogen, N021NO3 pros Nitrogen; NO2 plus NO3 Pace AnahNcal Services, Inc. 9800KinceyAve. Suite 100 Huntersville, NC 28078 (704)8759092 ANALYTICAL RESULTS Lab ID: 92260960001 Collected: 07127115 19:50 Received: 07/29/1516,45 Matrix: Water Results Units PQL Analytical Method: EPA 8260 0.991 ug/L 1.0 <0.26 ug/L 1.0 105 % 70-130 96 % 70-130 99 % 70-130 Analytical Method: EPA 353.2 0.89 mg/L 0.020 MDL DF Prepared Analyzed CAS No. Qual 0.24 1 07/31/15 00:46 107-06-2 0.26 1 07/31/15 00:46 108-88-3 1 07/31/15 00:46 460-004 1 07/31/15 00:46 17060-07-0 1 07/3l/1500:46 2037-26-5 0.010 1 08/05/15 08:57 Sampler SW #2 Lab ID: 92260960002 Collected: 0712711519:55 Received: 0712911516:45 Matfx: Water Parameters Results Units PQL 8260 MSV Low Level Analytical Method: EPA 8260 1,2-Dichloroethane 0.77J ug/L 1.0 Toluene <0.26 ug/L 1.0 Surrogates 4-Bromofluorobenzene (S) 111 % 70-130 1,2-Dichloroethane-04 (S) 108 % 70-130 Toluene-d8 (S) 100 % 70-130 353.2 Nitrogen, NO2/1403 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 2.1 mg/L 0.020 MDL DF Prepared Analyzed CAB No. Qual 0.24 1 08/06/15 11:31 107-06-2 0.26 1 08/05/15 11:31 108-88-3 1 08/05/15 11:31 460-004 1 08/05/15 11:31 17060-07-0 1 08/05/15 11:31 2037-26-5 0,010 1 08/05/15 09:00 Sample: SW #3 Lab ID: 92260960003 Collected: 07127115 19:55 Received: 07/29/15 16:45 Matrix: Water Parameters 8260 MSV Low Level 1,2-Dichloroethane Toluene Surrogates 4-8romofluorobenzene (S) 1,2-Dichloroethane-d4 (S) Toluene -dB (S) 353.2 Nitrogen, NO2/NO3 pres Nitrogen, NO2 plus NO3 Date: 08/06/2015 03:49 PM Results Units PQL MDL DF Prepared Analyzed CAS No. Qua] Analytical Method: EPA 8260 0.26,11 ug/L 1.0 0.24 1 07131/1513:52 107-06-2 22.6 ug/L 1.0 0.26 1 07/31/15 13:52 108-88-3 108 a/ 70-130 1 07/3111513:52 460-004 103 % 70-130 1 07/31/15 13:52 17060-07-0 100 % 70-130 1 07/31/15 13:52 2037-26-5 Analytical Method: EPA 353.2 1.6 mg/L 0.020 0.010 1 08/05/15 09:04 REPORT OF LABORATORY ANALYSIS This report shell not be reproduced, except in full, without the written consent of PaceAnalytical Services, Inc.. Page 5 of 13 aceAnalj4ical e ewwpacelabs.00m QUALITY CONTROL DATA Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntemville, NC 28078 (704)875-9092 Project: SW SAMPLING 07/29/15 Pace Project No.: 92260960 OC Batch: MSV/32797 Analysis Method: EPA 8260 QC Batch Method: EPA 8260 Analysis Description: 8260 MSV Low Level Associated Lab Samples: 92260960001 METHOD BLANK: 1522767 Matrix: Water Associated Lab Samples: 92260960001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers 1,2-Dichloroethane ug/L <0.24 1.0 07/30/15 18:21 Toluene ug/L <0.26 1.0 07/30/15 18:21 1,2-Dichloroethane-d4 (S) % 94 70-130 07/30/15 18:21 4-Bromofluorobenzene (S) % 97 70-130 07/30/15 18:21 Toluene-d8 (S) % 99 70-130 07/30/15 18:21 LABORATORY CONTROL SAMPLE: 1522788 Spike LCS LCS % Rec Parameter Units Conc. Result %Rec Limits Qualifiers 1,2-Dichloroethane ug/L 50 42.4 85 70-130 Toluene ug/L 50 48.0 96 70-130 1,2-Dichloroethane-d4 (S) % 89 70-130 4-Bromofluorobenzene (S) % 108 70-130 Toluened8 (S) % 99 70-130 MATRIX SPIKE SAMPLE: 1522789 92260616001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers 1,2-Dichloroethane ug/L NO 20 20.2 99 70-130 Toluene ug/L NO 20 22.7 112 70-155 1,2-Dichloroethane-d4 (S) % 95 70-130 4-Bromofluorobenzene (S) % 97 70-13D Toluened8 (S) % 100 70-130 SAMPLE DUPLICATE: 1522790 92260960001 Oup Max Parameter Units Result Result RPD RPD Qualifiers 1,2-Dichloroethane ug/L 0.991 1.0 30 Toluene ug/L <0.26 <0.26 30 1,2-Dichloroethane-d4 (S) % 96 99 3 4-Bromofluorobenzene (S) % 105 104 0 Toluened8 (S) % 99 98 1 Results presented on this papa are In the unlb Indicated by the'Unbs' column except wham an aRemete unit la preser4ed to me right of Me result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 08/06/2015 03:49 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 13 aceAnalytical e wmepacalab&corn Project: SW SAMPLING 0729115 Pace Project No.: 92260960 QC Batch: MSV/32799 QC Batch Method: EPA 8260 Associated Lab Samples: 92260960003 METHOD BLANK: 1623192 Associated Lab Samples: 92260960003 Parameter Units 1,2-Dichloroethane ug/L Toluene ug/L 1,2-Dichloroethane-d4 (S) % 4-Bromofluorobenzene (S) % Toluene'Ld8 (S) % QUALITY CONTROL DATA Analysis Method: EPA 8260 Analysis Description: 8260 MSV Low Level Matrix: Water Blank Reporting Result Limit <0.24 1.0 <0.26 1.0 93 70-130 104 70-130 100 70-130 Analyzed 07131115 10:49 0761115 10:49 07/31/15 10:49 07131115 10:49 07/31/15 10:49 Qualifiers Pace Analytical Services, Inc. 9800Kincey Ave. Suite100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1523193 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers 1,2-Dichloroethane ug/L 50 45.3 91 70-130 Toluene ug/L 50 50.0 100 70-130 1,2-Dichloroethane-d4 (S) % 93 70-130 4-Bromofluorobenzene (S) % 107 70-130 Toluenet18 (S) % 98 70-130 MATRIX SPIKE SAMPLE: 1523194 92261050003 Spike MS MS % Rec Parameter Units Result Conc. Result %Rec Limits Qualifiers 1,2-Dichloroethane ug/L ND 20 18.5 91 70-130 Toluene ug/L 1.1 20 23.1 110 70-155 1,2-Dichloroethane-d4 (S) % 90 70-130 4-Bromofluorobenzene (S) % 107 70-130 Toluene-d8(S) % 100 70-130 SAMPLE DUPLICATE: 1525725 92261250005 Dup Max Parameter Units Result Result RPD RPD Qualifiers 1,2-Dichloroethane ug/L NO <0.24 30 Toluene ug/L NO <0.26 30 1,2-Dichloroethane-d4 IS) % 99 104 5 4-Bromofluorobenzene (S) % 108 107 1 Toluene-d8 (S) 99 102 2 Resube presented on this page am In U,e units indicated by the'Unhs' column except wbem an aeereate unit b presented W the r10M of rim result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 08/06/2015 03:49 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 13 laceAnallytical" www.pscelabs.com Project: SW SAMPLING 07/29/15 Pace Project No.: 92260960 QC Batch: MSV/32853 QC Batch Method: EPA 8260 Associated Lab Samples: 92260960002 METHOD BLANK: 1526334 Associated Lab Samples: 92260960002 Parameter Units 1,2-Dichloroethane ug/L Toluene ug/L 1,2-Dichloroethane-d4 (S) % 4-Bromofluorobenzene (S) % Toluene-d8 (S) % LABORATORY CONTROL SAMPLE: 1526335 Parameter Units 1,2-Dichloroethane ug/L Toluene. ug/L 1,2-Dichloroethane-d4 (S) % 4-Bromofluorobenzene (S) % Toluene-d8 (S) % QUALITY CONTROL DATA Analysis Method: EPA 8260 Analysis Description: 8260 MSV Low Level Matrix: Water Blank Result Reporting Limit Analyzed <0.24 1.0 08/05/15 02:39 <0.26 1.0 08/05/15 02:39 101 70-130 08/05/15 02:39 99 70-130 08/05/15 02:39 99 70-130 08/05/15 02:39 Spike LCS LCS Conc. Result % Rec 50 44A 89 50 50.2 100 98 111 99 Pace Analytical Services, Inc. 98001Gncey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Qualifiers % Rec Limits Qualifiers 70-130 70-130 70-130 70-130 70-130 Results presented on this pago are in the units Indicated by the 'Units' column except when an ahemate unit Is presented to the right of Me moult REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 08/06/2015 03:49 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 13 7;aceAnalyticalo WewpM8laba.ONn QUALITY CONTROL DATA Pace Analytical Services, Inc. 980010ncey Ave. Suite too Huntersville, NC 28078 (704)875-9092 Project: SW SAMPLING 07/29/15 Pace Project No.: 92260960 QC Batch: WETA23989 Analysis Method: EPA 353.2 QC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nitrite, preserved Associated Lab Samples: 92260960001, 92260960002, 92260960003 METHOD BLANK: 1525930 Matrix: Water Associated Lab Samples: 92260960001, 92260960002, 92260960003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, NO2 plus NO3 mg/L <0.010 0.020 08/05/1508:52 LABORATORY CONTROL SAMPLE: 1625931 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Nitrogen, NO2 plus NO3 mg/L 2.5 2.3 94 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1525932 1525933 MS MSD 92260827001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mg/L 2.3 2.5 2.5 4.6 4.5 91 86 75-125 3 10 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1525934 1525935 MS MSD 92260960001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cana Conc. Result Result %Rec %Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mg/L 0.89 2.5 2.5 3.3 3.1 95 90 75-125 4 10 Results pmaso ted on this page are In Me units bMluted by Me'Units' column except when an ahemam unh Is prevented to Me right or Me result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 08/06/2015 03:49 PM without the when consent of Pace Analytical Services, Inc.. Page 9 of 13 aceAnalytical a a .pacelabs.= QUALIFIERS Project: SW SAMPLING 07/29/15 Pace Project No.: 92260960 DEFINITIONS OF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. NO - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MOIL -Adjusted Method Detection Limit. POL - Practical Quantitation Limit. Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Wmtersville, NC 28078 (704)875-9092 RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyle 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) OUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up ,U - Indicates the compound was analyzed for, but not detected. Add 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. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte REPORT OF LABORATORY ANALYSIS This repon shall not be reproduced, except in full, Date: 08/06/2015 03:49 PM without the written consent of Pace Analytical Services, Inc.. Page 10 of 13 55'ceAnaifytical' w pacalabs.= QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, Inc. 98001GnceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 Projects, Pace Project No.: SW SAMPLING 07/29/15 92260960 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92260960001 SW#1 EPA 8260 MSV/32797 92260960002 SW#2 EPA 8260 MSV/32853 92260960003 SW #3 EPA 8260 MSV/32799 92260960001 SW#1 EPA 353.2 WETA/23989 92260960002 SW#2 EPA 353.2 WETA/23989 92260960003 SW#3 EPA 353.2 WETA/23989 REPORT OF LABORATORY ANALYSIS This report shall nor be reproduced, except in full, Date: 08/06/2015 03:49 PM without the wnnen consent of Pace Analytical Services, Inc.. Page 11 of 13 Document Name: Document Revised: May 18, 2015 _� nceA>?yfical' Sample Condition Upon Receipt (SCUR) I Page 1 of 2" Document Number: Issuing Authority: r_nuo Po nn* __ Ac nw— Client Name: kZo kk I Page 2 of 2 is for Internal Use Only Courier: ❑Fed Ex ❑ UPS[] USPSQ� /Client❑ Commercial❑ ace OI er Custody Sea[ on Cooler/Box Present: LX yes ❑ no Seals intact: Prdj Due;Daf �j as ❑ no IS ,� Y . Packing Material: ❑ Bubble VDp ❑ Bubble Bags ❑ None Other Thermometer Used: IR Gun T1401 Type of Ice: Let' Blue None Samples on ice, cooling process has begun Temp Correction Factor T1401 No Correction CorrectedCoolerefreez: 'C Temp should be above freezing to S°C Biological Tissue is Frozen: Yes No )A 0 Comments: Date and Initials of per;pn examining contents:��'Y ,)) Chain of Custody Present: 9. ONO ❑NIA 1. Chain of Custody Filled Out: Yes ONO ❑N/A 2. Chain of Custody Relinquished: Yes ONO ❑NIA 3. Sampler Name R Signature on COC: es ONO ❑N/A 4. Samples Arrived within Hold Time: Yea ONO ❑N/A 5. Short Hold Time Analysis <72hr : Dyes 4. ❑N/A 6. Rush Turn Around Time Requested: Oyes No ❑NIA 7, Sufficient Volume: es ONO ON/A 8. Correct Containers Used: -Pace Containers Used: Yes ONO Ye - ONO ❑N/A ❑N/A g, Containers Intact: GKes ONO DN/A 10. Filtered volume received for Dissolved tests ,uses ONO ONIA 11. Sample Labels match COC: -Includes date/time/ID/Analysis Malrix: t "s ONO tU ON/A 12. All containers needing preservation have been checked, All containers needing preservation are found to be In compliance with EPA recommendation. exceptions: VOA, coliform, TOC, 0&G, WI-DRO (water) yes ONO ir7.is ONO ie es ONO ❑N/A ON/A 13. Samples checked for dechlorinalion: Ryes ONO ❑N/A 14. Heads ace in VOA Vials(>6mm): es ONO ❑NIA 15. Trip Blank Present: Trip Blank Custody Seals Present Dyes ONO Dyes ONO r 14NIA 16. Pace Trip Blank Lot #(if urchased:---------__.._..___. Client Notification/ Resolution: Field Data Required? Y / N Person Contacted: Datelrime: Comments/ Resolution: SCURF Review: CJ Date: r-l— � IJ WO# : 92260960 SRF Review: I LQ Date: (5 Note: Whenever there is a discrepancy affecting North Carolina compliance HIM 11111111111111111111 samples, a copy of this form will be sent to the North Carolina DEHNR 82280860 Certification Office ( is out of hold, incorrect preservative, out of temp, Incorrect containers) Page 12 of 13 CHAIN -OF -CUSTODY / Analytical Request Document o / eAnalytleal The Chait fCustoey is a LEGAL DOCUMENT. All relevant fieWs must to c mpletetl aauratey. i • wv.Pwbas.wm Section A Section S Section C Paso: / of RequlreC Client Information: RequiroE Project Information: Ineoios Inormotion: 6 Company: �7 Report To: AMn /t /1(i� O Aeere p qq Copy To: CM,aanY Name: REGULATORY AGENCY tea' r NPDES r UST i ; GROUNDWATER F DRINKING WATER j RCRA i OTHER Emad To: Purtlaae Order No, Paw 0. flinfe m Phone: ax: Project Name: Para P, Site Location STATEI Roquostee Duo Data TAT: Project Numa .. Pau Pmtue a: Y'3� ✓C7 Requested Analysis Filtered (YIN) section Matrix COCas Regahvecuem ulcmuaon NAralx r cMI e M COLLECTED Preservatives 9 DnMtirg Water Ow Q z Wabr WT (J O wastewater Ww ProdtCt P a p a a ST.T cowas'rt OUPCMe j 4 Z SoWSo4a SL SAMPLE ID wpe OL u J (A-Z0.91.) ter AR w w zc Samge IDs MUST BE UNIQUE Tasu TS Order OT p ¢ a w w ti O y m H y V t (�'•'(� /� 01 o W F U u- m y (] O O m w L L - C 9 s/��\ ` ~ Q hT�M,'E N a tL j = = Z Z t\V \ OATS TIME : mo O rQ L� C IY Pace Proiect No! Lab I.D. a I I 74Z/ /Isv X 1 1X s Svv 'd G 4sf (o X X a u-/ zr / i % X IXI 5 s ter/ b 3 G /yss (o X X I B k/ c- _ {y 7 1 B 1 B 1 ,0 n u •DBY ADDRIONAL COMMENTS REj#QUISHEDBY1AFFlUXMN DATE TIME ACCE I AF ON DATE TIME SAMPLE CONDITIONS Ncldlorce fh4AC! 7 �Cj �q a,7 :,< I AY 5ar=3 SAMPLER NAME AND SIGNATURE28 U c _°u°u rj T°a Z' H E SIGNATURE of SAMPLER: l✓� DATE Signed (MMIDDmT: 7 Z7 ys F-ALL-0-020nw.07, 15-May-2007 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000259 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 (This monitoring report shall be received by the Division no later than 30 days fron the date the facility receives the sampling results from the laboratory.) FACILITY NAME Akzo Nobel Surface Chemistry LLC COUNTY Rowan PERSON COLLECTING SAMPLE(S) Lyyn White and Traci Sloop PHONE NO. (704) 633-1731 CERTIFIED LABORATORY(S) Pace Analytical Services. Inc.Lab # 37706 Lab # 12 O SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRE ON PACE 2. Part A: Specific Monitoring Requirements Outfall No. Date Sample Collected 50050 Total Flow if a Total Rainfall 1,2- Dichloroethane Toluene Nitrogen NO2 plus NO3 pH mo/dd/ r MG inches m /L m /L m /L SIU SW-1 06/02/15 .13 .0268 .00026 .00042 6.20 SW-2 06/02/15 .13 .0034 .00026 .0012 6.33 J J SW-3 06/02/15 .13 .00069J .00068J .00083 8.04 -EV �FU�. SW-4 06/02/15 No Flow No Flow No Flow No Flow No Flow "� f/Q X Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X 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 & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m I m l unit al/mo Form SWU-247, last revised 2121201 Pagel of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: Division of Water Quality Date 06/02/15 Attn: Central Files Total Event Precipitation (inches): .13 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable —see permit.) "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. nd belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility o es and imprisonment for knowing violations." of Form SWU-247, fast revised 2121201 Page 2 of 2 I don aceAnalytical e a .pacabbs.can June 15, 2015 David Simons Akzo Nobel 485 Cedar Springs Rd. Salisbury, NC 28147 RE: Project: SW Samples 6/2 Pace Project No.: 92252696 Pace Analytical services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)878-9092 Dear David Simons: Enclosed are the analytical results for sample(s) received by the laboratory on June 03, 2015. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, ` yx, C�, C Y, - �4.�c_ Liamm Carrubba liamm.carrubba@pacelabs.com Project Manager Enclosures co: Chris Fleming Leonard While, Akzo Nobel 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 16 ZeAnalyfical$ a»wpecalab:can CERTIFICATIONS Project: SW Samples 6/2 Pace Project No.: 92252696 Pace Ans"cal Services, Inc. 9800 Kincey Ave. Suite 100 Huntersdlle, NC 28078 (704)878-9092 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 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 TNs report shall W be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 16 Pace Ana"cal Services, Inc. aceAnalytical a 96001nceyAve. Suite 100 HuMersville, NC 26076 mvw.pealabscom (764)8769092 SAMPLE SUMMARY Project: Pace Project No.: SWSamples6/2 92252696 Lab ID Sample ID Matrix Date Collected Date Received 92252696001 SW #1 Water 06/02/15 11:15 06/03/15 17:10 92252696002 SW #2 Water 06102115 11:22 06/03/15 17:10 92252696003 SW #3 Water 06/02/15 11:22 06/03/15 17:10 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 16 Pace Analytical Services, Inc. te 100 aceAnalytical a 9�OHunersWl e, Cy Ave. 128078 e pacelabs.com (704)875-9092 SAMPLE ANALYTE COUNT Project: SW Samples 6/2 Pace Project No.: 92252696 Lab ID Sample ID Method Analysts Analysts Reported Laboratory 92252696001 SIN#1 EPA 8260 GAW 5 PASI-C EPA 353.2 DMN 1 PASI-A 92252696002 SIN#2 EPA 8260 GAW 63 PASI-C EPA 353.2 DMN 1 PASI-A 92262696003 SW #3 EPA 8260 GAW 63 PASI-C EPA 353.2 DMN 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 4 of 16 aceAnalytical e mmpacaabswm Project: SW Samples 612 Pace Project No.: 92252696 Sample: SW #1 Parameters Field Data Collected Date Collected Time Field pH 8260 MSV Low Level 1,2-Dichloroethane Toluene Surrogates 4-BromoOuorobenzene (S) 1,2-Dichloroethane-d4 (S) Toluene-d8 (S) 363.2 Nitrogen, NO2IN03 pres Nitrogen, NO2 plus NO3 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 ANALYTICAL RESULTS Lab ID: 92252696001 Collected: 06/02/15 11:15 Received: 06/03/15 17:10 Matrix: Water Results Units POL MDL DF Prepared Analyzed CAS No. Oual Analytical Method 6112/15 1 06/02/15 11:15 11:15 1 06/02/15 11:15 6.2 Std. Units 0.10 0.10 1 06/02/15 11:15 Analytical Method: EPA 8260 26.8 ug/L 1.0 0.12 1 06/05/15 05:48 107-06-2 <0.26 ug/L 1.0 0.26 1 06/05/15 05:48 108-88-3- 96 % 70-130 1 06/05/15 05:48 460-00-4 99 % 70-130 1 06/05/15 05:48 17060-07-0 101 % 70-130 1 06/05/15 05:48 2037-26-5 Analytical Method: EPA 353.2 0.42 mg/L 0.020 0.010 1 06/09/1514:07 Sample: SW #2 Lab ID: 92252696002 Collected: 06/02/15 11:22 Received: 06103115 17:10 Matrix:Water Parameters Results Units POL MDL DF Prepared Analyzed CAS No. Oual Field Data Collected Date Collected Time Field pH 8260 MSV Low Level Acetone Benzene Bromobenzene Bromochloromethane Bromod ichloromethane Bromoform Bromomethane 2-Butanone (MEK) Carbon tetrachloride Chlorobenzene Chloroethane Chloroform Chloromelhane 2-Chlorotoluene 4-Chlorotoluene 1,2-Dibromo-3-chloropropane Dibromochloromethane 1,2-Dibromoethane (EDB) Dibromomethane Date: 06/15/2015 09:54 AM Analytical Method 6/2/16 1 06/02/15 11:22 11:22 1 06/02/15 11:22 6.33 Sid. Units 0.10 0.10 1 06/02/15 11:22 Analytical Method: EPA 8260 328 ug/L 25.0 10.0 1 06/05/15 06:05 67-64-1 <0.25 ug/L 1.0 0.25 1 06/05/15 06:05 7143-2 <0.30 ug/L 1.0 0.30 1 06/05/15 06:05 108-86-1 <0.17 ug/L 1.0 0.17 1 06/05/15 06:05 74-97-5 <0.18 ug/L 1.0 0.18 1 06/05/15 06:05 75-274 <0.26 ug/L 1.0 0.26 1 06/05/15 06:05 75-25-2 <0.29 ug/L 2.0 0.29 1 06/05/15 06:05 74-83-9 36.6 ug/L 5.0 0.96 1 06/05/15 06:05 78-93-3 <0.25 ug/L 1.0 0.25 1 06/05/15 06:05 56-23-5 <0.23 ug/L 1.0 0.23 1 06/05/15 06:05 108-90-7 <0.54 ug/L 1.0 0.54 1 06/05/15 06:05 75-00-3 <0.14 ug/L 1.0 0.14 1 06/05/15 06:05 67-66-3 <0.11 ug/L 1.0 0.11 1 06/05/15 06:05 74-87-3 <0.35 ug/L 1.0 0.35 1 06/05/15 06:05 9549-8 <0.31 ug/L 1.0 0.31 1 06/05/15 06:05 106434 <2.0 ug/L 2.0 2.0 1 06/05/15 06:05 96-12-8 <0.21 ug/L 1.0 0.21 1 06/05/15 06:05 12448-1 <0.27 ug/L 1.0 0.27 1 06/05/15 06:05 106-934 <0.21 ug/L 1.0 0.21 1 06/05/15 06:05 74-95-3 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the wn8en consent of Pace Analytical Services, Inc.. Page 5 of 16 aceAnalytical. w Pacola6Acan ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Hunlersville, NC 28078 (704)875-9092 Project: SW Samples 6/2 Pace Project No.: 92252696 Sample: SW C2 Lab ID: 92252696002 Collected: 06102115 11:22 Received: 06/03/15 17:10 Matrix:Water Parameters Results Units PQL MDL DF Prepared Analyzed CAS No. Qual 8260 MSV Low Level Analytical Method: EPA 8260 1,2-Dichlorobenzene <0.30 ug/L 1.0 0.30 1 06/05/15 06:05 95-50-1 1,3-Dichlorobenzene <0.24 ug/L 1.0 0.24 1 06/05/15 06:05 541-73-1 1,4-Dichlorobenzene <0.33 ug/L 1.0 0.33 1 06/05/15 06:05 10646-7 Dichlorodifluoromethane <0.21 ug/L 1.0 0.21 1 06/05/15 06:05 75-71-8 1,1-Dichlomethane <0.32 ug/L 1.0 0.32 1 06/05/15 06:05 75-34-3 1,2-Dichloroethane 3.4 ug/L 1.0 0.12 1 06/05/15 06:05 107-06-2 1,1-Dichloroethene <0.56 ug/L 1.0 0.56 1 06/05/15 06:05 75-35-4 cis-1,2-Dichloroethene <0.19 ug/L 1.0 0.19 1 06/05/1506:05 156-59-2 trans-1,2-Dichloroethene <0.49 ug/L 1.0 0.49 1 06/05/15 06:05 156-60-5 1,2-Dichloropropane <0.27 ug/L 1.0 0.27 1 06/05/15 06:05 78-87-5 1,3-Dichloropropane <0.28 ug/L 1.0 0.28 1 06/05/15 06:05 142-28-9 2,2-Dichloropropane <0.13 ug/L 1.0 0.13 1 06/05115 06:05 594-20-7 1,1-Dichloropropane <0.49 ug/L 1.0 0.49 1 06/0511506:05 563-58-6 cis-1,3-Dichloropropene <0.13 ug/L 1.0 0.13 1 06/05/15 06:05 10061-01-5 trans-1,3-Dichloropropene <0.26 ug/L 1.0 0.26 1 06/05/15 06:05 10061-02-6 Diisopropyl ether <0.12 ug/L 1.0 0.12 1 06/05/15 06:05 108-20-3 Elhylbenzene <0.30 ug/L 1.0 0.30 1 06105/15 06:05 100-41-4 Hexachloro-1,3-butadiene <0.71 ug/L 1.0 0.71 1 06/0511506:05 87-08-3 2-Hexanone <0.46 ug/L 5.0 0.46 1 06/05/15 06:05 591-78-6 p-Isopropyltoluene <0.31 ug/L 1.0 0.31 1 06/05/15 06:05 99-87-6 Methylene Chloride <0.97 ug/L 2.0 0.97 1 06/05/15 06:05 75-09-2 4-Methyl-2-pentanone(MISK) 0.44J ug/L 5.0 0.33 1 06/05/15 06:05 108-10-1 Methyl-tert-butyl ether <0.21 ug/L 1.0 0.21 1 06/05/15 06:05 1634-04-4 Naphthalene <0.24 ug/L 1.0 0.24 1 06/05/15 06:05 91-20-3 Styrene <0.26 ug/L 1.0 0.26 1 06/05/15 06:05 100.42-5 1,1,1,2-Tetrachloroethane <0.33 ug/L 1.0 0.33 1 06/05/15 06:05 630-20-6 1,1,2,2-Tetrachloroethane <0.40 ug/L 1.0 0.40 1 0610511506:05 79-34-5 Tetrachlomethene <0.46 ug/L 1.0 0.46 1 06/05JI5 06:05 127-184 Toluene <0.26 ug/L 1.0 0.26 1 06/05/15 06:05 108-88-3 1,2,3-Thchlorobenzene <0.33 ug/L 1.0 0.33 1 0610511506:05 87-61-6 1,2,4-Trichlorobenzene <0.35 ug/L 1.0 0.35 1 06/05/15 06:05 120-82-1 11,1-Trichloroethane <0.48 ug/L 1.0 0.48 1 06105/1506:05 71-55-6 1,1,2-Trichloroethane <0.29 ug/L 1.0 0.29 1 06/05/15 06:05 79-00-5 Trichloroethene <0.47 ug/L 1.0 0.47 1 06/05/15 06:05 79-01-6 Trichlorofluoromethane <0.20 ug/L 1.0 0.20 1 06/05/15 06:05 75-694 1,2,3-Trichloropropane <0.41 ug/L 1.0 0.41 1 06/05/15 06:05 96-184 Vinyl acetate <0.36 ug/L 2.0 0.35 1 06/05/15 06:05 108-054 Vinyl chloride <0.62 ug/L 1.0 0.62 1 06/05/15 06:05 75-014 Xylene (Total) <0.66 ug/L 2.0 0.66 1 06/05/15 06:05 1330-20-7 m&p-Xylene <0.66 ug/L 2.0 0.66 1 06/05/15 06:05 179601-23-1 o-Xylene <0.23 ug/L 1.0 0.23 1 06/05/15 06:05 9547-6 Surrogates 4-Bromofluorobenzene IS) 93 % 70-130 1 06/05/15 06:05 460-004 1,2-Dichloroethane-d4IS) 103 % 70-130 1 06/05/15 06:05 17060-07-0 Toluer4ed8 (S) 100 % 70-130 1 06/05/15 06:05 2037-26-5 REPORT OF LABORATORY ANALYSIS This repon shall not be reproduced, except in full, Date: 06/15/2015 09:54 AM without the written consent of Pace Analytical Services, Inc.. Page 6 of 16 s aceAnalytical awrpecelabs.cw ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersvills, NC 26078 (704)8759092 Project: SW Samples 6/2 Pace Project No.: 92252696 Sample: SW #2 Lab ID: 92252696002 Collected: 06/02/15 11:22 Received: 06/03/15 17:10 Matrix:Water Parameters Results Units PQL MDL DF Prepared Analyzed CAS No. Qual 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 1.2 mg/L 0.020 0.010 1 06/09/15 14:08 Sample: SW #3 Lab ID: 92252696003 Collected: 06/02/15 11:22 Received: 06/03/15 17:10 Matmx: Water Parameters Results Units PQL MDL DF Prepared Analyzed CAS No. Qual Field Data Analytical Method Collected Date 6/2115 1 06/02/16 11:22 Collected Time 11:22 1 06/02/15 11:22 Field pH 8.04 Std. Units 0.10 0.10 1 06/02/15 11:22 8260 MSV Low Level Analytical Method: EPA 8260 Acetone 190 ug/L 25.0 10.0 1 06/05/15 00:21 67-64-1 Benzene <0.25 ug/L 1.0 0.25 1 06/0511506:21 71-43-2 Bromobenzene <0.30 ug/L 1.0 0.30 1 06/05/16 06:21 108-86-1 Bromochloromethane <0.17 ug/L 1.0 0.17 1 06/05/15 06:21 74-97-5 Bromodichloromethane <0.18 ug/L 1.0 0.18 1 06/05/15 06:21 75-27-4 Bromoform <0.26 ug/L 1.0 0.26 1 06/05/15 06:21 75-25-2 Bromomethane <0.29 ug/L 2.0 0.29 1 06/06/1606:21 74-83-9 2-Butanone(MEK) 67.4 ug/L 5.0 0.96 1 06105/1506:21 78-93-3 Carbon tetrachloride <0.25 ug/L 1.0 0.25 1 06/05/15 06:21 56-23-5 Chlorobenzene <0.23 ug/L 1.0 0.23 1 06/05/15 06:21 108-90-7 Chloroethane <0.64 ug/L 1.0 0.54 1 06/05/15 06:21 75-00-3 Chloroform <0.14 ug/L 1.0 0.14 1 06/05/15 06:21 67-66-3 Chloromethane <0.11 ug/L 1.0 0.11 1 06/05/15 06:21 74-87-3 2-Chlorotoluene <0.35 ug/L 1.0 0.35 1 06/05/15 06:21 9549-8 4-Chlorotoluene <0.31 ug/L 1.0 0.31 1 06105/15 06:21 106434 1,2-Dibromo-3-chloropropane <2.0 ug/L 2.0 2.0 1 0610511506:21 96-12-8 Dibromochloromethane <0.21 ug/L 1.0 0.21 1 06/05/15 06:21 12448-1 1,2-Dibromoethane(EDB) <0.27 ug/L 1.0 0.27 1 06105/1506:21 106-934 Dibromomethane <0.21 ug/L 1.0 0.21 1 06/05/15 06:21 74-95-3 1,2-Dichlorobenzene <0.30 ug/L 1.0 0.30 1 06/05/15 06:21 95-50-1 1,3-Dichlorobenzene <0.24 ug/L 1.0 0.24 1 06105/1506:21 541-73-1 1,4-Dichlorobenzene <0.33 ug/L 1.0 0.33 1 0610511506:21 10646-7 Dichlorodifluoromethane <0.21 ug/L 1.0 0.21 1 06105/1506:21 75-71-8 i,t-Dichloroethane <0.32 ug/L 1.0 0.32 1 - 06/05/15 06:21 75-34-3 1,2-Dichloroethane 0.690 ug/L 1.0 0.12 1 0610511506:21 107-06-2 1,1-Dichloroethene <0.56 ug/L 1.0 0.56 1 06105/1506:21 75-354 cis-1,2-Dichloroethene <0.19 ug/L 1.0 0.19 1 06/05/15 06:21 156-59-2 trans-1,2-Dichlooethene <0.49 ug/L 1.0 0.49 1 06/05/15 06:21 156-60-5 1,2-Dichloropropane <0.27 ug/L 1.0 0.27 1 06105/1506:21 78-87-5 1,3-Dichloropropane <0.28 ug/L 1.0 0.28 1 06105/1506:21 142-28-9 2,2-Dichloropropane <0.13 ug/L 1.0 0.13 1 06/05/15 06:21 594-20-7 1,1-Dichloropropane <0.49 ug/L 1.0 0.49 1 06105/1506:21 563-56-6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/15/2015 09:54 AM without the written consent of Pace Analytical Services, Inc.. Page 7 of 16 aceAnalytical a wewpecela0.ccom ANALYTICAL RESULTS Project: SW Samples 6/2 Pace Project No.: 92252696 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: SW #3 Lab ID: 92262696003 Collected: 06/02/15 11:22 Received: 06/03/15 17:10 Matrix: Water Parameters Results Units POL MDL DF Prepared Analyzed CAS No. Oual 8260 MSV Low Level Analytical Method: EPA 8260 cis-1,3-Dichloropropene <0.13 ug/L 1.0 0.13 1 06/05/15 06:21 10061-01-5 trans-1,3-Dichloropropene <0.26 ug/L 1.0 0.26 1 06/05/15 06:21 10061-02-6 Diisopropyl ether <0.12 ug/L 1.0 0.12 1 06/05/15 06:21 108-20-3 Elhylbenzene <0.30 ug/L 1.0 0.30 1 06/05/15 06:21 100414 Hexachloro-1,3-butadiene <0.71 ug/L 1.0 0.71 1 06/05/15 06:21 87-68-3 2-Hexanone <0.46 ug/L 5.0 0.46 1 0610511506:21 591-78-6 p-Isopropyltoluene <0.31 ug/L 1.0 0.31 1 06/05/15 06:21 99-87-6 Methylene Chloride <0.97 ug/L 2.0 0.97 1 06/05/15 06:21 75-09-2 4-Methyl-2-pentanone(MIBK) <0.33 ug/L 5.0 0.33 1 06/05/15 06:21 108-10-1 Methyl-tert-butyl ether 0.28J ug/L 1.0 0.21 1 06/05/15 06:21 1634-044 Naphthalene <0.24 ug/L 1.0 0.24 1 0610511506:21 91-20-3 Styrene <0.26 ug/L 1.0 0.26 1 06/05/15 06:21 10042-5 1,1,1,2-Tetrachloroethane <0.33 ug/L 1.0 0.33 1 06105/1506:21 630-20-6 1,1,2,2-Tetrachloroethane <0.40 ug/L 1.0 0.40 1 06/05/15 06:21 79-34-5 Tetrachloroethene <0.46 ug/L 1.0 0.46 1 O6/05/15 66:21 127-184 Toluene 0.68J ug/L 1.0 0.26 1 06/05/15 06:21 108-88-3 1,2,3-Trichlorobenzene <0.33 ug/L 1.0 0.33 1 06/05/15 06:21 87.61-6 1,2,4-Trichlorobenzene <0.36 ug/L 1.0 0.35 1 06/05/15 06:21 120-82-1 1,1,1-Trichloroethane <0.48 ug/L 1.0 0.48 1 06/05/1506:21 71-55-6 1,1,2-Trichloroethane <0.29 ug/L 1.0 0.29 1 06/0511506:21 79-00-5 Trchloroethene <0.47 ug/L 1.0 0.47 1 06/05/15 06,21 79-01-6 Trichloro0uoromethane <0.20 ug/L 1.0 0.20 1 06/05/15 06:21 75-694 1,2,3-Trichloropropane <0.41 ug/L 1.0 0.41 1 06/05/15 06:21 96-184 Vinyl acetate <0.35 ug/L 2.0 0.35 1 06/05/15 06:21 108-054 Vinyl chloride <0.62 ug/L 1.0 0.62 1 06/05/15 06:21 75-014 Xylene (Total) <0.66 ug/L 2.0 0.66 1 06/05/15 06:21 1330-20-7 m&p-Xylene <0.66 ug/L 2.0 0.66 1 06/05/15 06:21 179601-23-1 o-Xylene <0.23 ug/L 1.0 0.23 1 06/05/15 06:21 9547-6 Sunogafes 4-Bromo0uorobenzene (S) 93 % 70-130 1 06/05/15 06:21 460-004 1,2-Dichloroethane-d4 IS) 106 % 70-130 1 06/05/15 06:21 17060-07-0 Toluene-08IS) 103 % 70-130 1 0610511506:21 2037-26-5 353.2 Nitrogen, NO2IN03 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.83 mg/L 0.020 0.010 1 06/09/15 14:09 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/15/2015 09:54 AM without the written consent of Pace Analytical Services, Inc.. Page 8 of 16 (�15'ceAnalytical' owwpacelabscom QUALITY CONTROL DATA Pace Analytical SerylCee, Inc. 98001oncey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: SW Samples 612 Pace Project No.: 92252696 QC Batch: MSV/32004 Analysis Method: EPA 8260 QC Batch Method: EPA 8260 Analysis Description: 8260 MSV Low Level Associated Lab Samples: 92252696001, 92252696002, 92252696003 METHOD BLANK: 1475863 Matrix: Associated Lab Samples: 92252696001, 92252696002, 92252696003 Blank Parameter Units Result Water Reporting Limit Analyzed 1,1,1,2-Tetrachloroethane ug/L <0.33 1.0 06/0511502:43 1,1,1-Trichloroethane ug/L <0.48 1.0 06105/1502:43 1,1,2,2-Tetrachloroethane ug/L <0.40 1.0 06105/1502:43 1,1,2-Trichloroethane ug/L <0.29 1.0 06/05/15 02:43 1,1-Dichloroethane ug/L <0.32 1.0 06/05/15 02:43 1,1-Dichloroethene ug/L <0.56 1.0 06/0511502:43 1,1-Dichloropropene ug/L <0.49 1.0 06/05/15 02:43 1,2,3-Thchlorobenzene ug/L <0.33 1.0 06/05/15 02:43 1,2,3-Trichloropropane ug/L <0.41 1.0 06105/1502:43 1,2,4-Trichlorobenzene ug/L <0.35 1.0 06/06/15 02:43 1,2-Dibromo-3-chloropropane ug/L <2.0 2.0 06/05/15 02:43 1,2-Dlbfomoethane(EDB) ug/L <0.27 1.0 06105/1502:43 1,2-Dichlorobenzene ug/L <0.30 1.0 06/05/15 02:43 1,2-Dichloroethane ug/L <0.12 1.0 06/05/15 02:43 1,2-Dichloropropane ug/L <0.27 1.0 06/05/15 02:43 1,3-Dichlorobenzene ug/L <0.24 1.0 0610511502:43 1,3-Dichloropropane ug/L <0.28 1.0 06/05/15 02:43 1,4-Dichlorobenzene ug/L <0.33 1.0 0610511502:43 2,2-Dichloropropane ug/L <0.13 1.0 06/05/15 02:43 2-Butanone (MEK) ug/L <0.96 5.0 06/05/15 02:43 2-Chlorotoluene ug/L <0.35 1.0 06/05/15 02:43 2-Hexanone ug/L <0.46 5.0 06/05/15 02:43 4-Chlorotoluene ug/L <0.31 1.0 06/05/15 02:43 4-Methyl-2-pentanone(MIBK) ug/L <0.33 5.0 06105/1502:43 Acetone ug/L <10.0 25.0 06/05/15 02:43 Benzene ug/L <0.25 1.0 06/05/15 02:43 Bromobenzene ug/L <0.30 1.0 06/06/15 02:43 Bromochloromethane ug/L <0.17 1.0 06/05/15 02:43 Bromodichloromethane ug/L <0.18 1.0 06/05/15 02:43 Bromofprm ug/L <0.26 1.0 06/05/15 02:43 Bromomethane ug/L <0.29 2.0 06/05/15 02:43 Carbon tetrachloride ug/L <0.25 1.0 06/05/15 02:43 Chlorobenzene ug/L <0.23 1.0 06/05115 02:43 Chloroethane ug/L <0.54 1.0 06/05/15 02:43 Chlorofomt ugf- <0.14 1.0 06/05/15 02:43 Chloromethane ug/L <0.11 1.0 06/05/15 02:43 cis-1,2-Dichloroethane ug/L <0.19 1.0 06/05/15 02:43 cis-1,3-Dichloropropene ug/L <0.13 1.0 0610511502:43 Dibromochloromethane ug/L <0.21 1.0 06/05/1502:43 Dibromomethane uglL <0.21 1.0 06/05/15 02:43 Dichlorodifluoromethane ug/L <0.21 1.0 06/05/15 02:43 Qualifiers Results presented on this page am In the units Indicated by the 'Units" column except where an eliminate unit Is presented to the fight of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 06/15/2015 09:54 AM without the written consem of Pace Analytical Services, Inc.. Page 9 of 16 ZeAnalyficale awwpacalabs.com QUALITY CONTROL DATA Project: SW Samples 6/2 Pace Project No.: 92252696 METHOD BLANK: 1475863 Matrix: Water Associated Lab Samples: 92252696001, 92252696002, 92252696003 Blank Reporting Parameter Units Result Limit Analyzed Diisopropyl ether ug/L <0.12 1.0 06/05/15 02:43 Ethylbenzene ug/L <0.30 1.0 06/05/15 02:43 Hexachloro-1,3-butadiene ug/L <0.71 1.0 06105/1502:43 m&p-Xylene ug/L <0.66 2.0 06/05/15 02:43 Methyl-tert-butyl ether ug/L <0.21 1.0 06/05/15 02:43 Methylene Chloride ug/L <0.97 2.0 06/05/15 02:43 Naphthalene ug/L 0.25J 1.0 06/0611502:43 o-Xylene ug/L <0.23 1.0 06/05/15 02:43 p-Isopropyltoluene ug/L <0.31 1.0 06/05/15 02:43 Styrene ug/L <0.26 1.0 06/05/15 02:43 Tetrachloroethene ug/L <0.46 1.0 06/05/15 02:43 Toluene ug/L <0.26 1.0 06/05/15 02:43 trans-1,2-Dichloroethene ug/L <0.49 1.0 06/0511502:43 trans-1,3-Dichloropropene ug/L <0.26 1.0 06/05/15 02:43 Trichloroethene ug/L <0.47 1.0 06/06/15 02:43 Trichlorofluoromethane ug/L <0.20 1.0 06/05/15 02:43 Vinyl acetate ug/L <0.35 2.0 06/05/15 02:43 Vinyl chloride ug/L <0.62 1.0 06/05/15 02:43 Xylene (Total) ug/L <0.66 2.0 06/05/15 02:43 1,2-Dichloroethane-d4 (S) % 103 70-130 06/05/15 02:43 4-Bromoguorobenzene (S) % 98 70-130 06/05/15 02:43 Toluene-d8 (S) % 101 70-130 06/05/15 02:43 Qualifiers LABORATORY CONTROL SAMPLE: Parameter 1475864 Units Spike Conc. LCS Result LCS % Rec % Rec Limits 1,1,1,2-Tetrachloroethane ug/L 50 51.1 102 70-130 1, 1, 1 -Trichloroethane ug/L 50 47.2 94 70-130 1, 1, 2,2-Tetrachloroetha ne ug/L 50 49.6 99 70-130 1, 1, 2-Trichloroethane ug/L 50 48.8 98 70-130 1,1-Dichloroethane ug/L 50 48.3 97 70-130 1,1-Dichloroethene ug/L 50 47.7 95 70-132 1,1-Dichloropropene ug/L 50 52.2 104 70-130 1,2,3-Trcchlorobenzene ug/L 50 50.5 101 70-135 1,2,3-Tiichloropropane ug/L 50 52.1 104 70-130 1,24-Trcchlorobenzene ug/L 50 55.0 110 70-134 1,2-Dibromo-3-chloropropane ug/L 50 51.0 102 70-130 1,2-Dibromoethane (EDB) ug/L 50 51.8 104 70-130 1,2-Dichlorobenzene ug/L 50 55.6 111 70-130 1,2-Dichloroethane ug/L 50 49.3 99 70-130 1,2-Dichloropropane ug/L 50 50.5 101 70-130 1,3-Dichlorobenzene ug/L 50 53.1 106 70-130 1,3-Dichloropropane ug/L 50 53.0 106 70-130 1,4-Dichlorobenzene ug/L 50 52.4 105 70-130 Pace Analytical services, Inc. 9800 Riney Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Qualifiers Ra ults prasente l on this page are In the units Indicates by the'enlb" column except when, an aaemate unit is pmaentea to Me right or Me result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/15/2015 09:54 AM without the written consent of Pare Analytical Services, Inc.. Page 10 of 16 aceAnalytical. m ..pacelabsvom QUALITY CONTROL DATA Project: SW Samples 6/2 Pace Project No.: 92252696 LABORATORY CONTROL SAMPLE: Parameter 1475864 Units Spike Conc. LCS Result LCS % Rec % Rec Limits 2,2-Dichloropropane ug/L 50 45.0 90 58-145 2-Butanone (MEK) ug/L 100 101 101 70-145 2-Chlorotoluene ug/L 50 54.2 108 '70-130 2-Hexanone ug/L 100 106 106 70-144 4-Chlorotoluene ug/L 50 53.7 107 70-130 4-Methyl-2-pentanone (MIRK) ug/L 100 103 103 ,70-140 Acetone ug/L 100 105 105 50-175 Benzene ug/L 50 50.6 101 70-130 Bromobenzene ug/L 50 53.4 107 70-130 Bromochloromethane ug/L 50 50.3 101 70-130 Bromodichloromethane ug/L 50 44.9 90 70-130 Bromofonn ug/L 50 35.3 71 70-130 Bromomethane ug/L 50 60.7 121 54-130 Carbon tetrachloride ug/L 50 45.2 90 70-132 Chlorobenzene ug/L 50 52.6 105 70-130 Chloroethane ug/L 50 46.8 94 64-134 Chloroform ug/L 50 46.6 93 70-130 Chloromethane ug/L 50 54.9 110 64-130 cis-1,2-Dichlorcethene ug/L 50 50.1 100 70-131 cis-1,3-Dichloropropene ug/L 50 49.7 99 70-130 Dibromochloromethane ug/L 50 43.4 87 70-130 Dibromomethane ug/L 50 49.8 100 70-131 Dichlorodifluoromethane ug/L 50 48.9 98 56-130 Diisopropyl ether ug/L 50 50.0 100 70-130 Ethylbenzene ug/L 50 51.0 102 70-130 Hexachloro-1,3-butadiene ug/L 50 47.0 94 70-130 m&p-Xylene ug/L 100 104 104 70-130 Methyl-tert-butyl ether ug/L 50 45.2 90 70-130 Methylene Chloride ug/L 50 56.7 113 63-130 Naphthalene ug/L 50 53.0 106 70-138 o-Xylene ug/L 50 51.2 102 70-130 p-Isopropyltoluene ug/L 50 53.6 107 70-130 Styrene ug/L 50 54.7 109 70-130 Tetrachloroethene ug/L 50 50.7 101 70-130 Toluene ug/L 50 50.0 100 70-130 trans-1,2-Dichloroethene ug/L 50 48.2 96 70-130 trans-1,3-Dichloropropene ug/L 50 49.5 99 70-132 Trichloroethene ug/L 50 49.7 99 70-130 Trichlorofluoromethane ug/L 50 46.9 94 62-133 Vinyl acetate ug/L 100 107 107 66-157 Vinyl chloride ug/L 50 49.5 99 50-150 Xylene (Total) ug/L 150 155 103 70-130 1,2-Dichloroethane-d4 (S) % 97 70-130 4-Bromofluorobenzene(S) % 102 70-130 Toluene-d8IS) % 99 70-130 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersviile, NC 28078 (704)878-9092 Qualifiers Results presented an this page am In the units indicated by the "Units- column except where an alternate une Is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06115/2015 09,54 AM without the written consent of Pace Analytical Services, Inc.. Page 11 of 16 95ceAnalytical' m ypecelebxcom QUALITY CONTROL DATA Project: SW Samples 6/2 Pace Project No.: 92252696 QC Batch: WETA/23208 Analysis Method: EPA 353.2 QC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nitrite, preserved Associated Lab Samples: 92252696001, 92252696002, 92252696003 Pace Analytical Services, Inc. 980010ncey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 METHOD BLANK: 1479274 Matrix: Water Associated Lab Samples: 92252696001, 92252696002, 92252696003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, NO2 plus NO3 mg/L <0.010 0.020 06/09/15 13:39 LABORATORY CONTROL SAMPLE: 1479275 Spike LCS LCS % Rec Parameter Units Conc. Result %Rec Limits Qualifiers Nitrogen, NO2 plus NO3 mg/L 2.5 2.4 96 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1479276 1479277 MS MSD 92252600007 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD RPD Dust Nitrogen, NO2 plus NO3 mg/L 1.4 2.5 2.5 3.6 3.5 88 87 75-125 1 10 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1479278 1479279 MS MSD 92252600008 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mg/L 0.79 2.5 2.5 3.0 3.0 87 88 75-125 0 10 Results presented on this page am In the units Indicated by that 'UnW column except v m an eltemato unit W preserde4 to the right of the msvh. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/15/2015 09:54 AM without the written consent of Pace Analytical Services, Inc.. Page 12 of 16 aceAnalXicala e ..Pmbea.rorn i QUALIFIERS Project: SW Samples 62 Pace Project No.: 92252696 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL - Practical Ouantitabon Limit. RL - Reporting Limit. Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)878-9092 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. Add 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. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 06/15/2015 09:54 AM without the written consent of Pace Analytical Services, Inc.. Page 13 of 16 55?eAnalytical' ewxpscmb&= QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: SW Samples 612 Pace Project No.: 92252696 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)8769092 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92252696001 SW #1 FLD/ 92252696002 SW #2 FLD/ 92252696003 SW #3 FLD/ 92262696001 SW #1 EPA 8260 MSV/32004 92252696002 SW#2 EPA 8260 MSV/32004 92252696003 SW#3 EPA 8260 MSV/32004 92252696001 SW 91 EPA 353.2 WETA/23208 92252696002 SW#2 EPA 353.2 WETA/23208 92252696003 SIN#3 EPA 353.2 WETA/23208 Date: 06/1512015 09:54 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Analytical Batch Page 14 of 16 Document Name: aclmfkllyflcol' Document Revised: May 18, GU1b Pace Huntersville Client Name: () V "/_L) Page 2 of 2 is for Internal Use Only Courier: ❑ Fed Ex ❑ UPS❑ USPS❑ Client❑ Commercial❑ Pac Other p�E 0 lfD sfen tir . Custody Seal on Cooler/Box Present: El yes no Seals Intact: Other — yes ❑ no Packing Material: ❑ Bubble VDp ❑ Bubble Bags None ❑ Other Thermometer Used: IR Gun T1401 Type of Ice: W )Ilue None � Samples on ice, cooling process has begun Temp Correction Factor T1401 No Correction Corrected Cooler Ternp.: 12 J C Biological Tissue is Frozen: Yes No NIA Date and Init g`pf p rs .exa INng_.- 1 ) contents: Temp should be above freezing to WC Comments: Chain of Custody Present: b ea ON, ONIA 1. Chain of Custody Filled Out: E Wds1111,1. ON/A 2. Chain of Custody Relinquished: DYes PNO ❑NIA 3. Sampler Name & Signature on COC: es No ON/A 4. Samples Arrived within Hold Time: es ON, ❑NIA 5. Short Hold Time Analysis <72hr : DYes RNO ❑NIA 6. Rush Turn Around Time Requested: Dyes XNO DN/A 7• Sufficient Volume: la es DNo DN/A 8. Correct Containers Used: 41 es ONO DN/A 9. -Pace Containers Used: qX- No ON/A Containers Intact: 9 es ON, DN/A 10. Filtered volume received for Dissolved tests Dye), ONO NIA 11. Sample Labels match COC: 11149 qVo DN/A 12. -Includes dateltimel10/Anal sis Matrix: �I. All containers needing preservation have been checked. 4Y-w ON, DN/A 13. All containers needing preservation are found to be In �.v�s ONO D WA compliance with EPA recommendation. exceptions: VOA, colilorm, TOC, O&G, W -DRO (water) DYes ONO Samples checked for dechiorination: pea ONO DwA 14. Heads ace in VOA Vials >6mm : DYes ONO N/A 15. Trip Blank Present: Ores ONO ®NIA , \NIA 16. Trip Blank Custody Seals Present Oyes ONO Pace Trip Blank Lot# if urchased:--------._.------------ ---- --- --- ------ ------- ---- - ----..____� ..--.----- - Client Notification/ Resolution: Person Contacted: Date/Time: Comments/ Resolution: Field Data Required? Y / N SCURF Review: �) Date: 1 J-J /, Place label here SRF Review: jDate: 16,l.. -. WO# : 92252696 Note: Whenever there Is a dlsaepancy affecting North Carolina compliance •s samples, a copy of this form will be sent to the North Carolina DEHNR II'll�'lllllll I�III III Certification Officee(Le out of hold, Incorrect preservative, out of temp, Incorrect containers) _ 92252696 Page 15 of 16 /® CHAIN -OF -CUSTODY / Analytical Request Document o The Chainof-Custoey is a LEGAL DOCUMENT. All relevant fields must be completed accurately. aceAnalytical' ers+.aareDes.am d rn Section A Section B Section C Pape: / of Roquirod Client lnfohcation: Requirod Projed lMortnalion: Irnoi. lmarmatkm: Company: f IVI LV, -LO B Report To: Adantpn; J V ' Ad e 4{ eti Copy To: Company Name: REGULATORY AGENCY ES ,.{ Address: IF NPDES GROUNDWATER F DRINKING WATER UST ^ RCRA r OTHER mail To: PUmhase Ord. No.: Pem Duce Rar..: P Z GG.J F PrgM Nam. P. P g N DER: Site Location STATE: Raquesest Duo DacuTAT t110(S Project Numpen Pare PmRe a: Requested Analysis Filtered (Y/N) _ Soctbn D Matrla Codes — z Req•wecwnlnwmmim raATRlz t mDE s oo� COLLECTED preservatives r I I I I I I I I - Dn hg Water DW U Zqyq o Wate, WT Waste Water WW $ U c000snt COWOSRE r Product P ' srum rrorRno j Z Soil/Solid SL SAMPLE ID tp wce WOO (A-Z, tF9 /:) . Air AR n Fo Sample IN MUST BE UNIQUE Twue TS O O w o. r z Other OT O x w T�AMI.Z O m = ee w U m 0' p c d m o W m 0 S S to G DATE TIME a 5, 2 2 Z mo Pete Project NOl Lab I.D. 1 (�( 2 W K dC lfS 3 a 6 (( 6 7 6 9 1p 11 12 ADDITIONALCOMMENTS RELINQUISHED BY I A IMLiATION DATE TIME ACCEPTEDBYIAFFILIATION DATE TIME SAMPLE COMMONS ,CL��pro� G Lfr �l r i4O) 5w ti - ,•1- lira i lu J t rf Sw�1- • 3 3 ' � � _.ORIGINAL _ SAMPLER NAME, AND SIGNATURE O a PRINT Namo of SAMPLER: ti u o: E C' - SIGNATUREof SAMPLER: DATE Signetl / rlrrmcun uve.nv.:.nx...niu..�......��W.__.`_._....•-.. �____. ___. __ (YMIOD/Y1'1: (L m y F-ALL-0-020rev.07. 15-May-2D07 Permit Number: NCS 000 Z 5 O Certificate of Coverage Number: NCG or STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT FACILITY NAME GLytD-ITCA( PERSON COLLECTING SAMPLE(S) ,4R CERTIFIEDLABORATORV(S) ENV/RD F/Crn Lab#C?q Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2 O 1 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.)�j]]u 0 COUNTY Saa.-ist✓rck PHONENO. 9( /O ) . ZZ3V f_ 32 � SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. C� ----------- ----------- ----------- ----------- ----------- 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 R• Vnhirlo Ma ntannn a drfivity Mnnitnrino Renuirements -...-_..._._....._.____._____.___.._ Outfall Date - 50050 00556 00530 00400 No. Sample Collected Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/fPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/vr MG inches mg/1 m I Units gaumo Form S W U-246, last revised 21212012 Page I of 2 STORM.EVENTCHARACTERISTICS:- - Date 5 /D 115 Total Event Precipitation (inches): Event Duration (hours): 4.qt (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 manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and i/mprisonment for knowing violations." / (Signature of Perm' tee) (Date) Form S W U-246, lust revised 21212012 Page 2 of 2 cit_7� Glycotech REC EIVED 2271 Andrew Jackson Hwy, NE Jl1N 2 2 2015 PO Box 1956 Leland, N.C. 28451 CENTRAL FILES 910-371-2234 DWR SECTION June 17, 2015 ATTENTION: Central Files Division of Water Quality 1617 Mail Service Center Raleigh, N.C. 27699-1617 Subject: Spring Stormwater Discharge Monitoring Report To whom it may concern: Glycotech, Inc., under permit 4NCS000258 has performed the Spring 2015 qualitative monitoring of the designated point source discharge Outfall 002. Under this permit, Glycotech, Inc. is required to perform storm water sampling and subsequent analytical testing. Enclosed please find the original and a copy of the completed visual monitoring report and the original and a copy of the analytical testing. Please note that the COD was 143 mg/L, versus the benchmark value of 120 mg/L. This is the first exceedence of COD benchmark value. Tier I corrective action is being taken and recorded in the SWP3 Plan per the permit requirements. The pl-1 was 5.1, with a recorded Rain -gage pH of 5.0, therefore the benchmark values of 6.0 to 9.0 do not apply (per the permit). If any questions or comments arise concerning either the visual monitoring report or analytical report, please do not hesitate to contact me at (910) 371-2234. Very truly yours, Gary Wooten, CSM �z4 k EFIS Manager Glycotech, Inc. Enclosure: Visual Monitoring Report and 002 Outfall Analytical data *4`&iA1 E envi�r;�o,,chern E ANALYTICAL & CONSULTING CHEMISTS Glycotech,Inc. PO Box 1956 Leland NC Attention: Gary Wooten Lab ID Sample ID: 15-13725 Site: Outfall002 Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710llowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax info@environmentalchemists.com Date of Report: May 22, 2015 Customer PO #: 6012 28451 Customer ID: 09060025 Report #: 2015-05910 Project ID: Stormwater Collect Date/Time Matrix Sampled by 5/10/2015 8:00 AM Water Client Test Method Results Date Analyzed COD SM 5220D Comment: Reviewed by: &AA,0�Q, QQ 4WV`I. 143 mg/L 05/18/2015 Report #:: 2015-05910 Page 1 of 1 Analytical & Consulting Chemists ENVIRONMENTAL CHEMISTS, OFFICE: 91 o-3 2-0223 FIAX ngton91 G-39244 45 INC NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 Info®environmentalchemists.com COLLECTION AND CHAIN -OF CUSTODY CLIENT: L CO frCId �OVC PROJECT NAME: p 2 N 2Ut !r REPORT NO: S� D J �IiD ADDRESS: ZZ% / 2 %Jfe�fOd dW CONTACT NAME: O E N PO NO: (oO / 2— (R4lu<o /VC UV,-1 REPORT TO: oaTF. PHONE/FAX: q/6 -3 %I - Z Z3fe X37, COPY TO: VJAvfjrs email: . [uae en 09 /ycOfra4cnc - Ca A Sampled Bv: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sample Identification Collection d y E a m n E `0 7 o _ = 7 = `o U 6 m c 8 E G ¢ O W m g Z PRESERVATION ANALYSIS REQUESTED Date Time Temp i i z a o i xp i e € W G Gt yco�cH OuTFAct, 002, 10 15 0800 IAMB S? C P Z STbR.n w41�Z IV?D 6-5 C O D G G C P G G C P G G C P G G C P G —E— C P G G C P G G C P G G C P G G C P G G Transfer Relinquished By: Datelrime Received By: Daterrime t. 2. Temperature whe eceived• Accepted: Delivered By: ��y R < 2,n W < 2 "C TURNAROUND: II4IPORANT NOTICE C aralinaDivison of Water Qaatity (NCDWQ) is strictly enforcing EPA regol2tians far sample collection aodpreservation_ Client Must Provide the Following Information 1_ SAMPLE IDENTIFICATION (Cmtaiaer Asso iatedwith regaestedtesting) 2_ SAMPLE TYPE (Composite, Grab. Water, Sail. dta) 3. DATE COLLECTED 1. TIME COLLECTED S. SAMPLE COLLECTOR i. PRESERVATR)N(Imcrd"ugTmperahtremdpl3) Te•perature Samples BHJSr be refrigerated arreeeived on ice between 2 and d•C_ Samplesreceivedwitbm two (2) bows ofcollationmast shawa downward trend_ Therefore; please retard temperature at coHecdon in space provided onmitecdon sheet A two (2) haarlimt tu rbemirallypmwrve sample bypH adjostmentis allowed, except formetals samples reported to the Gromdwater Sectionwkch coos- be acidified at the time efeolteetioo_ Cspliol< These sample baffles may contain small amounts of avid or other corrosive and potentially 1 fd chemicals_Laborahnies are required to add these chemicals for calm analyses in order to comply with EPA preservationrequremeots Use eaireme ore when opening and handing the botfles_ Hany chemical should get anyear skin or domes Bash lrbaallywithwater and seek medical attention_ DECffi.ORINATION INST3tIJCI1ONS CAIMON: DO NOT NUXthiomifatewith add is buWebdnrecallstni= wonder as a vin&M rmctim wi pa=_ Derilnainatinw Samples that ReapireAdd Freservatiw 1_ Add 4 5 granules ofthiasuffate to abode with no and preservative_ 2_ After mixing to dissolve the thiosulfalx, puurhalf of the sample into aboule containing acid as apresavafive_ (AmmoniatT1 N) 3 _ Then moupletely fill both bottles with fresh sample_ 'Arecmd of date ralechA time coUecWL sample collector, and nse orproper preservatives Lost be=aintained Eachmnple must desdyindicale The State ofWadh Carolina cdtecfim site mat reeardhausmpRms- Rd NCAC 2H 0ZO5 (a)(i) M_ t� `At any fine alaharatoryreceives mmpleswhichdo notmed sample collection. booing time, or presttvahmrequirments, the hilmatmymust nobfythe maple collector or them and secure anaTh'be seeuedL The original ample maybe aoalyscdbot be resolarepmtdmust be qua riedwiththenature of the idraetiun(s) and the laboratory must nu fy the Sate LabouLry abort the idractiae(4 The notificatim meet iodode a sbftmeot iodcmective aetisos taken t , preveni The pnbba for filon ample&- Rd NCAC 2H 0905 (a) () (Nl Stormwater Discharge ®utfall (SD®) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http://portal.ncdenr.or¢/web/wg/ws/su/nodessw#tab-4 Permit No.: N/C/5/ Ol0/ol2 /Sl Sl or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/ Facility Name: GIYGOTFCH XAIC County: _ Inspector: (i2v.usWICk Phone No. 371-7-2-3'r E>G 32 Date of Inspection: Time of Inspection: Total Event Precipitation (inches): LI, 9� 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 vmy). 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 signatyr;,)[ certify teat tlys report is accurate and complete to the best of my knowledge: (Signature of Permitttee or Designee) 1. Outfall Description: Outfall No. 0 2 nn StrucI r (pr e, ditch, etc.) Receiving Stream: /-! I y�i �r, ,A RFF GE Describe the industrJ}'1I activities that occur within the outfall drainage area: (�rAEM I t 4t, inn w,4 F,4 e Tv2,N 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as 0.1 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): /(ONE Page 1 of 2 SWU-242-20120613 4. Clarity: Choose the number which best describes the charity of the discharge, where I 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: 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 G 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 No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Mo IV E 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-242-20120613 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000259 SAMPLES COLLECTED DURING CALENDAR YEAR: 2014 (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 Akzo Nobel Surface Chemistry LLC COUNTY Rowan PERSON COLLECTING SAMPLE(S) Leonard White PHONE NO. (294) 633-1731 CERTIFIED LABORATORY(S) Pace Analytical Services, Inc.Lab # 37706 Lab # 12 SIGNATURE OF PERMITTEE OR DESIGNEE REOUIRED ON PAGE 2. Part A: Specific Monitoring Requirements Outfall No. Date Sample Collected 50050 Total Flow if a Total Rainfall 1,2- Dichloroethane Toluene Nitrogen NO2 Ins NO3 pH mo/dd/ r MG inches m L m L m L SIU SW-1 11/17/2014 .3 0.0218 0.001 0.058 SW-2 11/17/2014 .3 0.001 0.014 0.002 *REC9RAM SW-3 11/17/2014 .3 <0.001 0.022 0.071 DEC 2 3 am SW-4 11/17/2014 No Flow No Flow No Flow No Flow No Flow VMIN AL FII ES C )N *= Within Benchmark values Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X 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 & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m /I m unit gaumo Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 11/18/2014 Total Event Precipitation (inches): .3 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 "1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly 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." re of Pei•mittee) 1 Rr (Date Form SWU-247, last revised 21212012 Page 2 of 2 aceAnalXical e wwivpaceleba.mm November 26, 2014 David Simons Akzo Nobel 485 Cedar Springs Rd. Salisbury, NC 28147 RE: Project: SW Pace Project No.: 92226124 Dear David Simons: Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on November 18, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. `Sincerely, CCwJ�OJ�— Liamm Carrubba liamm.carrubba@pacelabs.com Project Manager Enclosures cc: Todd Barnhardt Leonard White, Akzo Nobel *149o 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 11 aceAnalytical w 'P&C*Ucorn Project: SW Pace Project No.: 92226124 Pace Analytical Services, Inc. 9800 Klncey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 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 L'rn CERTIFICATIONS Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 West Virginia Certification #: 357 VirginialVELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 Virginia/VELAP Certification #: 460222 uF^ 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 11 Pace Analytical Services, Inc. aceAnalytical ® 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 mwpamlabs.00m (704)875-9092 SAMPLE SUMMARY Project: Pace Project No.: SW 92226124 Lab ID Sample ID Matrix Date Collected Date Received 92226124001 SW-1 Water 11/17/1410:35 11/18/1416:00 92226124002 SW-2 Water 11/17/1410:40 11/1811416:00 92226124003 SW-3 Water 1111711410:40 1111811416:00 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 11 aceAnalytical www.pacelabs.com SAMPLE ANALYTE COUNT Pace Ana"cal Services, Inc. 9800 Kincey Ave. Suite 100 Hunlersville, NC 28078 (704)875-9092 Project: Pace Project No.: SW 92226124 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92226124001 SW-1 EPA 8260 JDW7 5 PASI-C EPA 353.2 DIAN 1 PASI-A 92226124002 SW-2 EPA 8260 JDW1 5 PASI-C EPA 353.2 DMN 1 PASI-A 92226124003 SW-3 EPA 8260 JDW7 5 PASI-C EPA 353.2 DMN 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 4 of 11 aceAnalytical. wwwoscelab&M ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: SW Pace Project No.: 92226124 Sample: SW-1 Lab ID: 92226124001 Collected: 11/17/1410:35 Received: 11/18/1416:00 Matrix: Water Parameters Results Units POL MDL DF Prepared Analyzed CAS No. Qual 8260 MSV Low Level Analytical Method: EPA 8260 1,2-Dichloroethane 21.8 ug/L 1.0 0.12 1 11/19/14 18:36 107-06-2 Toluene 0.38.1 ug/L 1.0 0.26 1 11/19/14 18:36 108-88-3 Surrogates 4-Bromofluorobenzene (S) 106 % 70-130 1 11/19/14 18:36 460-00-4 1,2-Dichloroethane-d4 (S) 115 % 70-130 1 11/19/14 18:36 17060-07-0 Toluene-d8 (S) 98 % 70-130 1 11/19/14 18:36 2037-26-5 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.58 mg/L 0.020 0.010 1 11/25/14 22:44 Sample: SW-2 Lab ID: 92226124002 Collected: 11/17/1410:40 Received: 11/18/1416:00 Matrix:Water Parameters Results Units PQL MDL DF Prepared Analyzed CAS No. Qual 8260 MSV Low Level Analytical Method: EPA 8260 1,2-Dichloroethane 0.67.1 ug/L 1.0 0.12 1 11/19/14 19:07 107-06-2 Toluene 1.4 ug/L 1.0 0.26 1 11/19/14 19:07 108-88-3 Surrogates 4-Bromofluorobenzene (S) 105 % 70-130 1 11/19/14 19:07 460-00-4 1,2-Dichloroethane-d4 (S) 119 % 70-130 1 11/19/14 19:07 17060-07-0 Toluene-d8 (S) 97 % 70-130 1 11/19/14 19:07 2037-26-5 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 2.0 mg/L 0.020 0.010 1 11/25/14 22:45 Sample: SW-3 Lab ID: 92226124003 Collected: 11/1711410:40 Received: 11/18/1416:00 Matrix: Water Parameters Results Units PQL MDL DF Prepared Analyzed CAS No. Qual 8260 MSV Low Level Analytical Method: EPA 8260 1,2-Dichloroethane <0.12 ug/L 1.0 0.12 1 11/19/14 19:23 107-06-2 Toluene 2.2 ug/L 1.0 0.26 1 11/19/14 19:23 108-88-3 Surrogates 4-Bromofluorobenzene (S) 105 % 70-130 1 11/19/14 19:23 460-00-4 1,2-Dichloroethane-d4 (S) 116 % 70-130 1 11/19/14 19:23 17060-07-0 Toluene-d8(S) 99 % 70-130 1 11/19/14 19:23 2037-26-5 353.2 Nitrogen, NO2/NO3 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.71 mg/L 0.020 0.010 1 11/25/14 22:48 Date: 11/26/2014 04:10 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 5 of 11 aceAnalytical mmpace/aba.cwn QUALITY CONTROL DATA Project: SW Pace Project No.: 92226124 QC Batch: MSV/29320 Analysis Method: EPA 8260 QC Batch Method: EPA 8260 Analysis Description: 8260 MSV Low Level Associated Lab Samples: 92226124001, 92226124002, 92226124003 METHOD BLANK: 1333653 Matrix: Water Associated Lab Samples: 92226124001, 92226124002, 92226124003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers 1,2-Dichloroethane ug/L <0.12 1.0 11/19/14 15:29 Toluene ug/L <0.26 1.0 11/19/14 15:29 1,2-Dichloroethane-d4 (S) % 115 70-130 11/19/14 15:29 4-Bromofluorobenzene (S) e/ 105 70-130 '11/19/1415:29 Toluene-d8 (S) % 98 70-130 11/19/14 15:29 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite too Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1333654 Spike LCS LCS e/ Rec 'Parameter Units Conc. Result %Rec Limits Qualifiers 1,2-Dichloroethane ug/L 50 52.9 106 70-130 Toluene ug/L 50 50.9 102 70-130 1,2-Dichloroethane-d4 (S) % 106 70-130 4-Bromofluorobenzene (S) % 104 70-130 Toluene-d8 (S) % 100 70-130 MATRIX SPIKE SAMPLE: 1333655 '' n 92224363013 Spike MS MS %Rec Parameter Units Result Conc. Result %Rec Limits Qualifiers 1,2-Dichloroethane ug/L NO 20 20.8 104 70-130 Toluene ug/L NO 20 21.1 105 70-155 1,2-Dichloroethane-d4 (S) % 103 70-130 4-Bromolluorobenzene (S) % 103 70-130 Toluene-d8 (S) % 98 70-130 SAMPLE DUPLICATE: 1333656 92226055002 Cup Max Parameter Units Result Result RPD RPD Qualifiers 1,2-Dichloroethane ug/L NO <0.12 30 Toluene ug/L NO <0.26 30 1,2-Dichloroethane-d4 (S) % 117 117 0 4-Bromofluorobenzene (S) % 104 105 1 Toluene-d8 (S) % 98 98 0 Results presented on this page are In the units Indicated by the'UhrW column except where an alternate unit is presented to the right or the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/26/2014 04:10 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 11 6 aceAnalytical ..paa4ebaccm QUALITY CONTROL DATA Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: SW Pace Project No.: 92226124 QC Balch: WETA/21054 Analysis Method: EPA 353.2 QC Balch Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nitrite, preserved Associated Lab Samples: 92226124001, 92226124002, 92226124003 METHOD BLANK: 1338721 Matrix: Water Associated Lab Samples: 92226124001, 92226124002, 92226124003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, NO2 plus NO3 mg/L <0.010 0.020 11/25/14 22:15 LABORATORY CONTROL SAMPLE: 1338722 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Nitrogen, N0Z plus NO3 - - mglL- - - 2:5- 2.5- 100 90-110 MATRIX SPIKE& MATRIX SPIKE DUPLICATE: 1338723 1338724 _ MS MSD 92226079004 Spike Spike MS MSD MS MSD e/ Rec Max Parameter Units Result Conc. Conc. Result Result e/ Rec e/ Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mg/L 0.36 2.5 2.5 2.6 -2.6 91 90 75-125 0 10 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1338725 1338726 al:•� MS MSD 92226079005 Spike Spike MS MSD MS MSD %Rec Max Parameter Units Result Conc. Conc. Result Result e/ Rec %Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mg/L 0.41 2.5 2.5 2.7 2.7 91 91 75-125 0 10 Results presented on this page are In the units Indicated by the "Unm" column except where an alternate unit Is presented to the right or the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/26/2014 04:10 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 11 aceAnalytical v ..Pace/abs.com QUALIFIERS Project: SW Pace Project No.: 92226124 DEFINITIONS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Hunlersville, NC 28078 (704)875-9092 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. 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 (8270 listed analyte) decomposes to Azobenzene. Consistent with EPA guidelines, unrounded data are displayed and have been used to calwlate % 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. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. LABORATORIES . t' PASI-A PaceAnalytical Services -Asheville PASI-C Pace Analytical Services - Charlotte REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/26/2014 04:10 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 11 aceAnalytical e w,wrpacelabs.= QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: SW Pace Project No.: 92226124 Lab ID Sample ID QC Batch Method QC Batch 92226124001 SW-1 EPA 8260 MSV/29320 92226124002 SW-2 EPA 8260 MSV/29320 92226124003 SW-3 EPA 8260 MSV/29320 92226124001 SW-1 EPA 353.2 WETA/21054 92226124002 SW-2 EPA 353.2 WETA121054 92226124003 SW-3 EPA 353.2 WETA121054 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Analytical Analytical Method Batch REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/26/2014 04:10 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 11 ' �'�cealaryflcal" 61 `a Client Name: 9-r K- ­1 I Courier: ❑ Fed Ex ❑ UPS❑ USPS❑ Client❑ 'Commercial❑ 1!�R Other I'Mo CustodySeaton CoolerlBox Present: El n/ ❑ no 'p Y � Seals intact: El ' Packing Material: ❑ Bubble VQp ❑ Bubbldf[ a s ❑ None❑ Other Thermometer Used: IR Gun T 40 Type of Ice( wgt Blue None Samples on Ice, cooling process has begun Temp Correction Factor T1401 No Correction Corrected Cooler Temp.: .0 Biological Tissue Is Frozen: Yes No wA Date and Initials of pars n examining ., contents: c,, Temp should be above freezing to VC Comments: Chain of Custody Present: des ONO ON/A 1. Chain of Custody Filled Out: Yes ONO ON/A 2. Chain of Custody Relinquished: - Y6` 01,10 ❑NIA 3. Sampler Name & Signature on COC: Yes [IN, ❑NIA 4. Samples Arrived within Hold Time: Yes ONO ❑NIA 5. Short Hold Time Analysis <72hr : OYes tro 15141A 6. Rush Turn Around Time Requested: OYes lo'ON/A 7. Sufficient Volume: 'OYes 'No ON/A 8. Cor'rect.Containers Used: Yes ONO ON/A 9. -Pace Containers Used: 'ElYYeess ONO' ❑NIA c+r Containers Intact: 8'& ON. ❑NIA 10. Filtered volume received for Dissolved tests OYes ONO 1:20C 11 Sample Labels match COC: SOY s Ono ON/A 12. -Includes date/time/ID/Analysis Matrix: All containers needing preservallon have been checked. "ONO ❑No ❑N/A 13, / All containers needing preservation are found to be in as ONo ❑NIA compliance with EPA recommendation. exceptions: VOA, coliform, TOC, O&G, wI-DRO (water) OYes o Samples checked for dechlorination: Yes 6No ❑NIA 14, Heads ace in VOA Vials >6mm : OYes ONO PINr 15. Triptlank Present: OYes ONO Erh/A 16. Trip Blank Custody Seals Present Ores ONO ❑Nly. Pace Trip Blank Lot # if purchased): •/ Client Notification) Resolution: Field Data Required? Y I N Person Contacted: Comments/ Resolution: Dale/Time: SCURF Review: _(J/ Date: (• SRF Review: Date: I I i 2v l y Note: Whenever there Is a discrepancy affecting North Carolina complian samples, a copy of this form will be sent to the N6th Carolina DEHNR Certification Office ( Le out of hold, Incorrect preservative, out of temp, Incorrect containers) WO 92226124`_--- •IIIIIIIIIIIIIIIIIIIIII� — (if no label available) Page 10 of 11 a /, -ace Analytical _ .w.nacelahs.mm CHAIN -OF -CUSTODY / Analytical Request Document The Clain-cfCusp ply is a LEGAL DOCUMENT. All relevant fields must be completed accurately. p Pb9e: - -�- of Section A .Section B -., i Sgction C �; I Required Client Information: Requited Project Information: Invoice Information: Company. I/ZD �1 /D (_,C r Rcpon To: Anention: I� (V fl 1 1790068 Ad css: �Q - Copy To: Company Name: REGULATORY AGENCY -+ 3?•'i- VSLI- Mon.: F NPDES - T GROUND WATER DRINKING WATER i UST RCRA OTHER Email To: - Purcnase Order No.: Pam Duos W.... Pmjpa Name: Pam P'. Location Mmiaw, .Site STATE., Requested Out DatelTAT: Z6 (� Project Number. Papa `o'. r. 1 1-� ` 1 Requested Analysis Filtered (YIN)' -" Section D Matrix Codes ftaqulmd Gbnl ln.'a'mation MATRIx r c DE e 2. COLLECTED Preservatives i - Drm%irg Water DW - 0 V Water WT Waste Water WW § j �iT r� cCpee`Q5nE O. cr Q RO]ucl P pa w .� Z S IvSolid SL g p o � y o Y SAMPLE ID oil oL _ v t Wipe WP (A-2.0-9/';) Air AR Sample lDs MUST BE UNIQUE Tosee TS O n Q ae W ti v Other OT x T.��TIIEm w O iD O c �. A� f. L .LL d N O Q f/I L N r- r6/+T.AMT1.1 a = S Z Z Z E O y \ D: Pace ProjeetNO /.Lab I.D. 1 .S - I 1 alt 103,5 3C P L I,e% - oleo. y L s a s 6 7 8 9 0 11 12 ADDITIONAL COMMENTS. RELINQUISHED BY I AFFILIATION `DATE TIME ACCEPTEDBY/AFFILIATION DATE TIME SAMPLE CONDITIONS to, aLG 1"11.7/i9 0 c , l�s`ty s 1N/ )' lea l� e tu,97 ,9 / SAMPLER NAME AND SIGNATURE - OF.10!i�kL U a 0 8 PRINT Name of SAMPLER: F "- n E SIGNATURE o/SAMPLER: DATE Signed 7 us n (MMIDDIYY): 1 rn �mpo�ai'rvo' oY v9mry mu imm Yw ae aaxGun9rrns.ve.-.'Payment mrmsam'roan,too:eGlmgas."".mr mvodms net poe w'. au pa'. r -ALL-U-u[UreY.O (. 15-May-20 W it AkzoNobel Surface Chemistry 485 Cedar Springs Road T+ 1 704 633 1731 Unit A F + 1 704 637 8912 Salisbury, NC 28147 w .akzonobel.com/sc USA AkzoNobel Tomorrow's Answers Today March 25, 2014 NCDENR — Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Certified Mail: Return Receipt Requested Reference: Semi -Annual Permit Monitoring Report Individual Stormwater Monitoring Permit AkzoNobel Surface Chemistry LLC. Permit No. NCS000259 Attached are two copies of the AkzoNobel monitoring results for Year 5- Period 2(sample 10) for our permit # NCS000259 for the samples collected March 7, 2014. Any questions on this submittal you may contact me at 704-642-6203. RECE' Regards, v�D D APR 0 7 2014 Thom Andersen DWQ/BOG V Waste Management Supervisor AkzoNobel Surface Chemistry, LLC, Salisbury, NC Copy: Brian Owens AkzoNobel Surface Chemistry, LLC, Salisbury, NC David Simons AkzoNobel Surface Chemistry, LLC, Salisbury, NC STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000259 SAMPLES COLLECTED DURING CALENDAR YEAR: 2014 (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 Akzo Nobel Surface Chemistry LLC PERSON COLLECTING SAMPLE(S) Chris Simon CERTIFIED LABORATORY(S) Pace Analytical Services. Inc.Lab # 37706 COUNTY Rowan PHONE NO. (204) 633-1731 Lab# 12 SIGNATURE OF PERMITTEE OR DESIGNEE Part A: Specific Monitoring Requirements I REQUIRED ON PAGE 2. Outfall Date 50050 No. Sample Collected Total Flow if a Total Rainfall 1,2- Dichloroethane Toluene Nitrogen NO2 plus NO3 pH mo/dd/ r MG inches m /L m /L m /L SIU SW-1 03/07/2014 2.1 <0.001 <0.001 0.57 6.28 SW-2 03/07/2014 2.1 <0.001 0.054 0.18 16.93 SW-3 03/07/2014 2.1 <0.001 0.0016 0.17 6.62 SW-4 03/07/2014 2.1 <0.001 <0.001 .039 6.73 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Activitv Monitorino Remdrements Outfall No. Date Sample Collected 150050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (ifappl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r JMG inches m /I mg/1 unit al/mo Form SWU-247, last revised 21212012 Paget of2 STORM EVENT CHARACTERISTICS: Date 03/07/2014 Total Event Precipitation (inches): 2.1 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 manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belie', true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, includ)np, the possibility pif fines and imprisonment for knowing violations." J31297 as 19— (Date) Form SWU-247, last revised 21212012 Page 2 of 2 aceAnalytical e awwpscelabs.com March 14, 2014 Mr. Thom Andersen Akzo Nobel 485 Cedar Springs Road Salisbury, NC 28147 RE: Project: 3/7/14 AKZO Pace Project No.: 92192435 Pace Analytical Services, Inc. 9800 IGncey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Dear Mr. Andersen: Enclosed are the analytical results for sample(s) received by the laboratory on March 07, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Tabitha M Dacal tabitha.dacal@pacelabs.com Project Manager Enclosures 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 13 aceAnalytical e wwwpacelebs.mm CERTIFICATIONS Project: 3/7/14 AKZO Pace Project No.: 92192435 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 Florida/NELAP Certification #: E87627 North Carolina Dunking 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 (704)875-9092 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 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 mnsent of Pace Analytical Services, Inc.. Page 2 of 13 aceAnalytical. w Peceebs.cw SAMPLE SUMMARY Project: 3r7/14 AKZO Pace Project No.: 92192435 Lab ID Sample ID Matrix Date Collected Data Received 92192435001 SW1 Water 03107/1410:40 0310711413:12 92192435002 SW2 Water 03107/1410:50 03/0711413:12 92192435003 SW3 Water 03/07/1410:50 03/07/1413*12 9219243SO04 SW4 Water 03107/1410:55 03/07/1413:12 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 Klncey Ave. Suite 100 Hunlereville, NC 28078 (704)875-9092 Page 3 of 13 aceAnalytical s awxpeoeleb&= Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Hunlersville, NC 26078 (704)878-9092 Project:3!7114 AKZO Pace Project No.: 92192435 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92192435001 SW1 EPA 8260 MCK 5 PASI-C EPA 353.2 DMN 1 PASI-A 92192435002 SW2 EPA 8260 MCK 5 PASI-C EPA 353.2 DMN 1 PASI-A 92192435003 SW3 EPA 8260 MCK 5 PASI-C EPA 353.2 DMN 1 PASI-A 92192435004 SW4 EPA 8260 MCK 5 PASI-C EPA 353.2 DMN 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pare Analytical Services, Inc.. Page 4 of 13 aceAnalylical e wewpecelabs. ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: 317114 AKZO Pace Project No.: 92192435 Sample: SW1 Lab ID: 92192435001 Collected: 03/07/14 10:40 Received: 03/07/14 13:12 Matrix: Water Parameters Results Units PQL MDL DF Prepared Analyzed CAS No. Qual 8260 MSV Low Level Analytical Method: EPA 8260 1,2-Dichloroethane <0.12 ug/L 1.0 0.12 1 03/12/14 05:48 107-06-2 Toluene <0.26 ug/L 1.0 0.26 1 03/12/14 05:48 108-88-3 Surrogates 4-Bromofluorobenzene (S) 101 % 70-130 1 03/12/14 05:48 460-00-4 1,2-Dichloroethane-d4 (S) 89 % 70-130 1 03/12/14 05:48 17060-07-0 Toluene-d8(S) 98 % 70-130 1 03/12/14 05:48 2037-26-5 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.67 mg/L 0.020 0.020 1 03/11/14 18:32 Sample: SW2 Lab ID: 92192435002 Collected: 03/07/14 10:50 Received: 03/07/14 13:12 Matrix: Water Parameters Results Units PQL MDL DF Prepared Analyzed CAS No. Qual 8260 MSV Low Level Analytical Method: EPA 8260 1,2-Dichloroethane 0.79.1 ug/L 1.0 0.12 1 03/12/14 06:04 107-06-2 Toluene 54.0 ug/L 1.0 0.26 1 03/12/14 06:04 108-88-3 Surrogates 4-Bromofluorobenzene (S) 100 % 70-130 1 03/12/14 06:04 460-004 1,2-Dichloroethane-d4 (S) 90 % 70-130 1 03/12/14 06:04 17060-07-0 Toluene-d8 (S) 98 % 70-130 1 03/12/14 06:04 2037-26-5 353.2 Nitrogen, NO2/NO3 pros. Analytical Method: EPA 353.2 Nitrogen,'NO2 plus NO3 0.18 mg/L 0.020 0.020 1 03/11/14 18:33 Sample: SW3 Lab ID: 92192435003 Collected: 03107/1410:50 Received: 03/0711413:12 Matrix: Water Parameters Results Units PQL MDL DF Prepared Analyzed CAS No. Qual 8260 MSV Low Level Analytical Method: EPA 8260 1,2-Dichloroethane <0.12 ug1L 1.0 0.12 1 03/12/14 06:20 107-06-2 Toluene 1.6 ug/L 1.0 0.26 1 03/12/14 06:20 108-88-3 Surrogates 4-Bromofluorobenzene (S) 99 % 70-130 1 03/12/14 06:20 460-00-4 1,2-Dichloroethane-d4 (S) 90 % 70-130 1 03/12/14 06:20 17060-07-0 Toluene-d8 (S) 98 % 70-130 1 03/12/14 06:20 2037-26-5 363.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.17 mg/L 0.020 0.020 1 03/11/14 18:34 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 03/14/2014 11:22 AM without the written consent of Pace Analytical Services, Inc.. Page 5 of 13 aceAnalytical e wwwpscelsbs.com ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: 3/7/14 AKZO Pace Project No.: 92192435 Sample:.SW4 Lab ID: 92192435004 Collected: 03/07/14 10:55 Received: 03/07/14 13:12 Matrix: Water Parameters Results Units PQL MDL DF Prepared Analyzed CAS No. Qual 8260 MSV Low Level Analytical Method: EPA 8260 1,2-Dichloroethane <0.12 ug/L 1.0 0.12 1 03/12/14 06:36 107-06-2 Toluene <0.26 ug/L 1.0 0.26 1 03/12/14 06:36 108-88-3 Surrogates 4-BromoBuorobenzene (S) 100 % 70-130 1 03/12/14 06:36 460-00-4 1,2-Dichloroethane-d4 (S) 92 % 70-130 1 03/12/14 06:36 17060-07-0 Toluene-d8 (S) 98 % 70-130 1 03/12/14 06:36 2037-26-5 353.2 Nitrogen, NO2IN03 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.039 mg/L 0.020 0.020 1 03/14/14 00:09 Mi Date: 03/142014 11:22 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 6 of 13 aceAnalylical e wwnpecekbs = Pace Analytical Services, Inc. 9800 Kincey Ave. Suite too Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: 3/7/14 AKZO Pace Project No.: 92192435 QC Batch: MSV/26053 Analysis Method: EPA 8260 QC Batch Method: EPA 8260 Analysis Description: 8260 MSV Low Level Associated Lab Samples: 92192435001, 92192435002, 92192435003, 92192435004 METHOD BLANK: 1154673 Matrix: Water Associated Lab Samples: 92192435001, 92192435002, 92192435003, 92192435004 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers 1,2-Dichloroethane ug/L <0.12 1.0 03/12/14 04:15 Toluene ug/L <0.26 1.0 03/12/14 04:15 1,2-Dichloroethane-d4 (S) % 90 70-130 03/12/14 04:15 4-Bromofluorobenzene (S) % 101 70-130 03/12/14 04:15 Toluene-d8 (S) % 98 70-130 03/12/14 04:15 LABORATORY CONTROL SAMPLE: 1154674 Parameter Units 1,2-Dichloroethane ug/L Toluene ug/L 1,2-Dichloroethane-d4 (S) % 4-Bromofluorobenzene (S) % Toluene-d8 (S) % Spike LCS LCS Conc. Result % Rec 50 46.5 93 50 51.4 103 89 102 99 % Rec Limits Qualifiers 70-130 70-130 70-130 70-130 70-130 MATRIX SPIKE 8 MATRIX SPIKE DUPLICATE: 1154675 1154676 MS MSD 92192618005 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conic. Conc. Result Result %Rec %Rec Limits RPD RPD Qual Toluene ug/L NO 50 50 51.1 54.3 102 109 70-155 6 30 1,2-Dichloroethane-d4 (S) % 89 69 70-130 4-Bromofluorobenzene(S) % 101 -103 70-130 Toluene-d8 (S) % 98 98 70-130 Date: 03/14/2014 11:22 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 7 of 13 aceAnalytical. ewwpacelab.cwe QUALITY CONTROL DATA Project: 317/14 AKZO Pace Project No.: 92192435 QC Batch: WETA/18321 Analysis Method: EPA 353.2 OC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nitrite, preserved Associated Lab Samples: 92192435001, 92192435002, 92192435003 METHOD BLANK: 1154789 Matrix: Water Associated Lab Samples: 92192435001, 92192435002, 92192435003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen,,NO2 plus NO3 mg/L <0.020 0.020 03111/1418:01 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1154790 Spike LCS LCS % Rec Parameter Units Conc. Result %Rec Limits Qualifiers Nitrogen, NO2 plus NO3 mg/L 2.5 2.6 105 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1154791 1154792 MS MSD 92192104002 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conic. Conic. Result Result % Rec °% Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mg/L 0.029 2.5 2.5 2.3 2.3 91 91 75-125 1 20 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1154793 1154794 MS MSD 92192220001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mg/L 7.5 2.5 2.5 9.9 10 95 99 75-125 1 20 Date: 03/14/2014 11:22 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 8 of 13 aceAnalytical e ~Pscelabs.mxi QUALITY CONTROL DATA Project: 3/7/14 AKZO Pace Project No.: 92192435 QC Batch: WETA/18351 Analysis Method: EPA 353.2 QC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nitrite, preserved Associated Lab Samples: 92192435004 METHOD BLANK: 1157246 Associated Lab Samples: 92192435004 Parameter Units Nitrogen, NO2 plus NO3 mg/L LABORATORY CONTROL SAMPLE: 1157247 i Parameter Units Nitrogen, NO2 plus NO3 mg/L Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers <0.020 0.020 03/14/14 00:07 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 2.5 2.6 102 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1157250 1157251 MS MSD 92192435004 Spike Spike MS MSD MS MSD %Rec Max 'Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mg/L 0.039 2.5 2.5 0.96 0.93 37 36 75-125 3 20 Mt MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1157252 1157253 MS MSD . 92192851001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD RPD Qua[ Nitrogen, NO2 plus NO3 mg/L 0.40 2.5 2.5 2.7 2.7 93 92 75-125 0 20 Date: 03/14/2014 11:22 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 9 of 13 aceAnalytical" ~..pecabbs.= Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALIFIERS Project: 3f7I14 AKZO Pace Project No.: 92192435 DEFINITIONS 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. 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. 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 % 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. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE;QUALIFIERS M1 , Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/142014 11:22 AM without the written consent of Pace analytical Services, Inc.. Page 10 of 13 aceAnalytical" w pacelabsxwn Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: 3!7/14 AKZO Pace Project No.: 92192435 Lab ID Sample ID QC Batch Method QC Batch 92192435001 SW1 EPA 8260 MSV/26053 92192435002 SW2 EPA 8260 MSV/26053 92192435003 SW3 EPA 8260 MSV/26053 92192436004 SW4 EPA 8260 MSVI26053 92192436001 SW7 EPA 353.2 WETA/18321 92192435002 SW2 EPA 353.2 WETA/18321 92192435003 SW3 EPA 353.2 WETAI18321 92192435004 SW4 EPA 353.2 WETA118351 Analytical Method Analytical Batch REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/14/2014 11:22 AM without the when consent of Pace Analytical Services, Inc.. Page 11 of 13 e� Document Name: I Document Revised: uecemuet ia, �u is %,,F3ceAr t19 rat` Sample Condition Upon Recei t. SCUR Pa e t of 2 Document Number.' Issuing Authority: F-CHR-CS-03-rev.13 i Pace Huntersville.Quality Office Client Name: NL.M A bird Courier. O� Fed•Ex D UPSO uSPSO, Client0, commercial Pace Other 0 honal Custody Seal onCoolerlBoxPresent: . 0 yes no Seals intact: Eli yes 0no Pro) Dlie:Date 6 666 Pro) Name Packing Material,- 0 Bubble Wrap © Bubble Bags 0 None ❑ Other i Thermometer Used: IR Gun T1102 301� Type of Ice: ill Blue None L,u Samples on ice, cooling,process has beguni r......, r.....,..w:..., o-..�... Tin!) Nn rinrrortinn T1 Zn Nn Cnrrartinn f 'G Biological Tiis Frozen: Yes NO WA g Tissue Date and Initials of person examining CorrectedCoolerTemp.: 7 c contents:�lJe1' Temp should be above fieezingto 6°C Comments: ,Chain of Custody Present: Yes ONO ONIA 1. Chain of Custody Filled Out: es ONO ONIA 2. Chain of Custody eli�n ulsh—e : ' Yes ONO ONIA T Sampler Name & Signature on: COC: Q,,rY`es ONO ONIA 4, Samples Arrived within Hold Time: „dyes ❑N/A 5. Short Hold Time Analysis (c72hr): � ,,❑NNO QYes no y� ONIA 6. Rush Turn Around Time Requested: Dyes PNO ONIA 7. Sufficient. Volumes ,,ores ONO ❑NIA 8. Correct Containers Used: plyes ONO ONIA 9. -Pace Containers Used: wes. ONO ❑NIA. Containersfntacl OYes ONO 13 N/A 10: Filtered volume received for Dissolved tests ❑Yes ONO QN/A 11. Sample Labels match COC: Yes ❑No ❑NIA '12. -includes date/time/ID/Analysis Matrix: All containers needing preservation have been checked. k3Y`es El No ONIA 13. AW containers needing preservation are found to be in es ONO Yes ONIA compliance with EPA recommendation. exceptions: VOA, colifbrm, TOC, 0&G, WI-DRO (water) Yes ONO Samples checked for dechlorination: Q4 ONO ON/A '14. Heads ace in VOA Vials (>6mm): QGes ONO ONIA 15. Trip Blank Present: ❑Yes ONO ONIA 16. Trip Blank Custody Seals Present ❑Yes ONO VNIA Pace Trip Blank Lot # (if purchased): Client Notification/Resolution: Person Contacted: _ Comments/ Resolution: Date/Time: SCURF Review: Date: S 1 SRF Review: Date: I1 1 Note: Whenever there is a discrepancy affecting North Carolina compliance. samples, a coi this form will be sent to the North Carolina DEHNR Certification Office ( i.e out of hold, incorrect preservative, out of ter incorrect containers) Field. Data Required? Y I N Place label,here W0#:921192435 , I7IIIIluI III u.ul. I — 92192436, _— Page 12 of 13 / .P ceAt a tic l' - �Mw.wSelaEa.peM CHAIN -OF -CUSTODY / Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. All relevant holds must be completed accurately. ..__C Section Section See - -- - - - - onfo gaga: of - Required Clent Information: - - Required Project lnformatiop: Invoice e intimation' - -- - - - CwnPanY: n _ _ _ _ Relwrt Tbi _ _ _ _ _ .. __ _ Lc+ _ _ - Attention:- 1 V V 1 ✓ 1 0-- - -_ Copy CompanY Name: - - - REGULATORY AGENCY Address: i- NPDES r GROUNDWATER _ r DRINKWG`NATER r UST r RCRA r Emit To: - - Purchase Order No — -- - xen eurre OTHER �� Fax: Project Name: _ - - - Pale PmjeoT - --. _. �.._-- { MaWgec site LOCatwn Requested Due DafarTAT: - - -- Project Number. — - -Pau Pm4le e:-- - — - a STATE: _ Requested Analysts Filtered (Y/N) ' Section Matrix cones z Requfmd Chorllnfornme n MATRIX /CODE - D COLLECTED Preservatives > Odnkjrg Water DW m U Water- Wr $ V O Waste Water WIN on Ccrp o ITE co.PrW1E U P,W.ct srurr EN6GMB J Spiv�lsL on SAMPLE ID Wipe V " o w -- - - — WOLF (A-Z. D-9I.-) A r AR z 0 0 Sample IDS MUST BE UNIQUE Tlssue TS O other OT w z 2 C ~ ` u F d LLO � 0 O f/1QLM L N no ✓, Q O i Lto _ N O'1`I'���� - to DATE TIME DATE TIME m x j = = z z O q _Pace Project No./ Lab I.D. - S r 10yU S X vot - - - -Z S- _ .. 7/ OS - X A T 10 12 ADDITIONAL COMMENTS RELINQUISHED BY/AFFILIATION DATE TIME ACCEPTED BYIAFFILIATION DATE TIME 6AMPLf: CPNgIT10Ns ga f y SAMPLER NAME AND SIGNATUREdo tp ORIGINAL ` 0 >_ ° e r o� PNarre of SA(r1PLER: _-- - -- -- ----- RINT _. SIGNATURE of SAMPLER: DATE signed IvirF rc `-' O ''a e (M VDDIYY : (.. ✓+ h 'moment Note: 31 agrvng Nis forth you pmazuptuq Paces NET 300ay payment temp am a,moing to One coarges of 1.5% par mono, br any Mrarces not p3N morn 3o new IF / - F-ALL-0-020rev.07. 15-May.200J