NCG080839_MONITORING INFO_20170103

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C&b4 DQ3 �J
DOC TYPE
❑HISTORICAL FILE
� MONITORING REPORTS
DOC DATE
J01 % 0) U 3
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quali y G neral Permit No. NCG080000
Date submitted
CERTIFICATE OF CO� ERAGE NP. NC 08j C�Q SAMPLE COLLECTION YEAR a ��
FACILITY C�OI��+? R. rp/J �p ��r_ v4 Ile SAMPLE PERIOD ❑ Jan -June �4 July -Dec
COUNTY S�-wee.} or ❑ Monthly' _ (month)
PERSON COLLECTING SA PLES -5 sarioat/ DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
LABORATORY SSG Lab Cert./i/V,�_ []Zero -flow []WaterSupply []SA
Comments on sample collection or analysis: ❑Other
JAN 0.3 `PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Vehicle Maintenance Areas Monitoring Requirements IPlFQR DY�iF?SECTION ❑ No discharge this period'
"I'PROCCiiNG UMn
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH,.EPA
Method 1664 (SGT=HEM), mg/L _
:New Motor. Oil: Usage,.
Annual.average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
15
-
a
7 03
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes Xno
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and'Grease/TPH EPA Method
1664'(SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH, :
Standard units .
Permit Limit
-
15
50 or 100 see.permit
6.o — 9.0
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
S WU-250 last revised October 25, 2012
Page I of 2

4
STORM EVENT CHARACTERISTICS:
Date % (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PARTAAND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES 1N A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO�JC
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copv of this DMR, includina all "No Discharqe" reports, within 30 days of receipt of the lab results (or at end of monitorina period in
the case of "No Discharge" reports} to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
�_---aieigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are sjgnni ant penalties for somitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
M-iaa/f7
(Date)
Additional copies of this form may be downloaded at: http_llportal.ncdenr.org web wq/_wsLsu/npdessw#tab-4
SWU-250
last revised October 25, 2012
Page 2 of 2

Esc
ANALYTICAL REPORT
December 20. 2017
GARCO, Inc.
Sample Delivery Group:
Samples Received:
Project Number:
Description:
Site:
Report To
L957263
12/13/2017
Outfall Samples
FAYETTEVILLE STREET
Kyle House/Susan Gay
PO Box 1907
Asheboro, NC 27204
�REAI TiM �•6ATA+ACCESS
Entire Report Reviewed By: l. "
Heather J Wagner
Technical Service Representative
Results relate only to the items tested or calibrated and are reported as rounded values. This test report shall not be
reproduced. except in full, without written approval of the laboratory. Where applicable, sampling conducted by ESC Is
performed per guidance provided In laboratory standard operating procedures: 060302, 060303, and 060304.
r � l
rr ice• . _ r

TABLE OF CONTENTS ONE 1As. NATIONWIDE.
Cp: Cover Page
Tc: Table of Contents
Ss: Sample Summary
Cn: Case Narrative
Sr: Sample Results
OUTFALL 1 L957263-01
OUTFALL 2 L957263-02
Qc: Quality Control Summary
Gravimetric Analysis by Method 2540 D-2011
Wet Chemistry by Method 1664E
Wet Chemistry by Method 9040C
Gl: Glossary of Terms
Al: Accreditations & Locations
Sc: Sample Chain of Custody
1
2 EP]
3
4
a
5 S5
5
a
Cfi
6
7 SSr
7
FC
9
7Gl
10
11 aAl
12
9Sc
ACCOUNT: PROJECT.
GARCO. Inc.
SDG: DATErTIME: PAGE:
L957263 12/20/17 09:17 2 of 12

SAMPLE
SUMMARY
ONE LAB. NATIONWIDE.
Collected by
Collected dat6 ime Received dateltime
OUTFALL 1 L957263-01 GW
1211211710:00
1201708:45
RP
Method
Batch
Dilution Preparation
Analysis
Analyst
dateltime
dateltime
2
Tc
Grammetric Analysis by Method 2540 D-2011
WGIO53451
1 12/14/1714:34
12114/1715:34
-_
BS
Wet Chemistry by Method 1664B
WG1055066
1 12/19117 07:40
12119A714:35
JM
Wet Chemistry by Method 9040C
WG1053288
1 12/13/1718:10
1211N1718:10
GB
Collected by
Collected dateltime
Received dateltime
ACfI
OUTFALL 2 L957263-02 GW
1211211710:20
01311708:45
Method
Batch
Dilution Preparation
dateltime
Grammetric Analysis by Method 2540 D-2011 _
w WGIO53451
1 12114A714:34
Wet Chemistry by Method 1664E
WG1055066
1 12119117 07:40
Wet Chemistry by Method 9D40C
WGID53288
1 12/13/1718:10
Analysis
Analyst
Sr
dateltime
12/14/1715:34 "
BS
11714:35
JM
PC]12,
12113/1718:10
GB
F1,
ACCOUNT: PROJECT; 1 SOG:
GARCO, Inc. L957263
DATE/TIME. PAGE:
12120/17 09:17 3 of 12

CASE NARRATIVE ONE LAB. NATIONWIDE,
All sample aliquots were received at the correct temperature, in the proper containers, with the
appropriate preservatives, and within method specified holding times, unless qualified or notated within the report. All MDL (LOD) and RDL (LOQ) values reported for environmental samples have been FC
corrected for the dilution factor used in the analysis, All radiochemical sample results for solids are
reported on a dry weight basis with the exception of tritium, carbon-14 and radon, unless wet weight was requested by the client. All Method and Batch Quality Control are within established criteria El
except where addressed in this case narrative, a non-conformance form or properly qualified within the
sample results. By my digital signature below, I affirm to the best of my knowledge, all
problems/anomalies observed by the laboratory as having the potential to affect the quality of the data
have been identified by the laboratory, and no information or data have been knowingly withheld that
would affect the quality of the data.
SSr
s
QC
[GI
Heather J Wagner 3A1
Technical 5ervlce Representative
ACCOUNT:
PROJECT: sDG:
DATEITIME:
PAGE:
GARCO, Inc.
L957263
i
12/20117 09:17
4 of 12

OUTFALL 1 SAMPLE RESULTS - 01 ONE LAB. NATIONWIDE. �
Collected dateltirne: 12112/17 10:00 L957263
Gravimetric Analysis by Method 2540 D-2011 ,
�1
Result Qualifier RDL Dilution Analysis Batch u
Analyte Mgt! mg11 d ate I time
r
Suspended Solids 8.60 2.50 1 12114/201115:34 WGIO53451 TC
Wet Chemistry by Method 1664E ass
Result Qualifier
RDL
Dilution Analysis Batch
l l
Analyte mg/l
mgll
date 1 time
a C
NDrease
g GxeE
WG1055066O
n
Wet Chemistry by Method 9040C
Result Qualifier
su
Dilation
Analysis Balch
date !time
FQAnalyze
P 7.16 - TB -
- 1
121131201718:10._ 1NG1053288
Sample Narrative:
1.957263-01 WG1053288: 7.16 at 16.9C
�GI
CAI
9S(✓
ACCOUNT: PROJECT: 1 SDG: DATEITIME: PAGE:
GARCO, Inc. 1 L957263 12/20/17 09:17 5 of t2

OUTFALL 2
SAMPLE RESULTS - 02
ONE LAB. NATIONWIDE.
Collected dateltlme: 12/12117 10:20
L957263
Additional Information
Result
Units
C?
Analyte
-
PH (On Site) 6.75
su
Gravimetric Analysis by Method 2540 D-2011
35s
Result
Qualifier
RDL
Dilution
Analysis Batch
Analyte mgll
mgA
date 1 time
Suspended Solids 9.20
2.50
1
l?Jl41201715:34 WG1053451
rqn
Wet Chemistry by Method 1664E
Result
Analyse mg/1
Qualifier
RDL
mg11
Dilution
Analysis Batch
date 1 time
s
_ DC
Oil &Grease (Hexane Extrj ND -
ti
6.10Y
- - 1
1YW201714:35 W WG1055066
-
Wet Chemistry by Method 9040C
FGI
Result
Qualifier
Dilution
Analysis
Batch
Analyte su
date I time
�-
PH 7.03
»
T8
1
12tl31201718:10�
N
WG1053288
y
5c
Sample Narrative:
L957263-02 WG1053288: 7.03 at 16.3C
ACCOUNT:
GARCO. Inc.
PROJECT:
SDG:
L957263
DATEITIME: PAGE:
12/20/17 09:17 6 of 12

WG1053451
QUALITY CONTROL SUMMARY
ONE LAS,NATIONWIDE.
Gravlmetrlc Analysis by Method 2540 D-2011
L957263.01,02
Method Blank (MB)
1
(Ma) R3273330-1 12/14/1715:34
Cp
MR Result MR Qualifier MR MDL M8 ROL
Anafyrte mgll mgA mgA
-- y�
Suspended Sollds L) _—� 0.350 2.50
35s
L957073-01 Original Sample (OS) • Duplicate (DUP)
4Cn
(OS) L957073-01 12/14/1715:34 • (DUP) R3273330-4 12114/1715:34
Original Result DUP Result Dilution DUP RPD
DUP Qualifier DUP RPD
Limits
5
Analyte mg!! mgll %
%
Suspended Solids 47.0 49.0 1 4.17
L957273-01 Original Sample (OS) • Duplicate (DUP)
7 GI
(OS) L957273-01 12/14/1715:34 • (DUP) R3273330-5 12/14/1715:34
Original Result DUP Result Dilution DUP RPD
DUP Qualifier DUP RPD
Limits
AI
Analyte mgA mgA %
%
Suspended 5ailds .-_�--_•21.2 '.....,� 21.6� 1 �.� 1.87
�—��- �-..._..5
9
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3273330-2 1211411715:34 • (LCSD) R3273330-3 1211411715:34
Spike Amount LCS Result LCSD Result LCS Rec.
LCSD Rec Rec. Limits LCS Qualifer LCSD Qualifier RPD RPD Limits
Analyte mgA mgA mgA %
% % % %
Suspended Solids 773 824 832 107
108 85.0-115 0.966 S
—
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
GARCO, Inc. L957263 12/20/17 09:17 7 of 12

WG1055066 QUALITY CONTROL SUMMARY ONE LAB, NATIONWIDE,
Wet Chemistry by Method 1664B L957263-01,02
Method Blank (MB)
,C
(MB) R3274178-1 12A9/171432
p
❑
MB Result MB Qualifer MB MDL MB RDL
Analyte mgA mgA mgA
Oil & Grease (Hexane Extr) U 1.16 5.00
35S
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
a
(LCS) R3274178-2 12/1911714:33 • (LCSD) R3274178-3 12119/1714:33
C[1
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec Limits LCS Qualifier LCSD Qualifier RPD
Anatyte mg1I mgA mgA % % % %
RPD Limits
9G
Sr
Oil &Grease {Hexane Extr( 40.0 38.3 37.8 95.8 94.5 78.0-114 1.31
— 20
L957299-01 Original'Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L957299-01 12/19/1714:37 • (MS) R3274178-4 12119/1714:38 • (MSD) R3274178-5 12/19/1714:38
GI
Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier
MSD Qualifier RPD RPD Limits
Anatyte mgA mgA mgA mgA % % %
�
% %
7
Oil &Grease(Hexane Extr) 40.0 —� NO47.0 45.6 116113 �^1 Y�78.0-114 J5
-
— 2.90~� � --18 --
4Sc
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
GARCO,1nc. L957263 12/20/17 0917 R of 12

WG1053288
QUALITY CONTROL SUMMARY
ONELAB.NAMNWIDE.
Wet Chemistry by Method 9040C
1957263-01.02
L957225-10 Original Sample (OS) • Duplicate (DUP)
Cp
(OS) L957225-10 12/13/1718:10,• (DUP) R3272894-3 12/13/171810
Original Result DUP Result Dilution DUP RPD
DUP Oualifier DUP RPD
Limits
LEI
Analyte Su su %
%
T..—�..�.-...____•-_. 6.66 .,._........_ 6.68..........._.�1 0.300
.PH
�.._....•._i.._..,........_._.�...�..�.�.....r...__..µ.._._......._-..•...-...—�-- - -- �._...--_ _
- -— — _ _ _.-- - FS
Sample Narrative:
OS: 6.66 at 19C
a Cn
DUP: 6,68 at 19C
Fri
L957289-09 Original Sample (OS) • Duplicate (DUP)
(OS) L957289-09 12/13/1718:10 • (DUP) R3272894-4 12/13/1718:10
!r
Original Result DUP Result Dilution DUP RPD
DUP Qualifier DUP RPD
Limits
Analyte su su %
%
e
Al
Sample Narrative:
05: 7,73 at 16.3C
9
QUIP; 7.74 at 16.3C
SC
-'-'"Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
l (LCS) R3272894-1 12/1311718:10 • (LCSD) R3272894-2 12/13/1718:10
Spike Amount LCS Result LCSD Result LCS Rec.
LCSD Rec. Rec. Limits LCS Dualifier LCSD Qualifier RPD RPD Limits
Analyte su su su %
% % % %
�— 101_
—_---5.96 601
��—•__• •_v ^-7pH
831
Sample Narrative:
LCS: 6.01 at 19C
LCSD: 6 at 19C
ACCOUNT: PROJECT: SDG:
GARCO,1nc. L957263
DATEfrIME:
12120/17 0917
PAGE;
9 012

GLOSSARY OF TERMS ONE LAB. NATIONWIDE.
Guide to Reading and Understanding Your Laboratory Report
CR
The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not
intended as a comprehensive explanation, and if you have additional questions please contact your project representative.
Abbreviations and Definitions
ZTc
MDL
Method Detection Limit.
ND
Not detected at the Reporting Limit (or MDL where applicable)_
Rs
RDL
Reported Detection Limit.
Rec.
Recovery.
a
RPD
Relative Percent Difference.
Cn
SDG
Sample Delivery Group,
U
Not detected at the Reporting Limit (or MDL where applicable).
s
Sf
Analyte
The name of the particular compound or analysis performed. Some Analyses and Methods will have multiple analytes
reported,
If the sample matrix contains an interfering material, or if concentrations of analytes in the sample are higher than the
6QC
Dilution
highest limit of concentratlon that the laboratory can accurately reporL the sample may be diluted for analysis. if a value
different than 1 is used in this field, the result reported has already been corrected for this factor.
These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal
Limits
for the method and analyte being reported, Successful QC Sample analysis will target all analytes recovered or
duplicated within these ranges,
Original Sample
The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) from a quality control
rA
sample. The Original Sample may not be included within the reported SDG.
This column provides a letter and/or number designation that corresponds to additional information concerning the result
Qualifier
reported. If a Qualifier is present, a definition per Qualifier is provided within the Glossary and Definitions page and
potentially a discussion of possible Implications of the Qualifier in the Case Narrative If applicable.
$C
The actual analytical final result (corrected for any sample specific characteristics) reported for your sample, If there was
no measurable result returned for a specific analyte, the result In this column may state "ND" [Not Detected) or "BDL"
Result
(Below Detectable Levels). The Information in the results column should always be accompanied by either an MDL
(Method Detection Limit) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect
or report for this analyte.
A brief discussion about the included sample results, including a discussion of any nor conformances to protocol
Case Narrative (Cn)
observed either at sample receipt by the laboratory from the field or during the analytical process. If present, there will
be a section in the Case Narrative to discuss the meaning of any data qualifiers used In the report.
Quality Control
This section of the report includes the results of the laboratory quality control analyses required by procedure or
Summary (Qc)
analytical methods to assist in evaluating the validity of the results reported for your samples. These analyses are not
being performed on your samples typically, but on laboratory generated material.
This is the document created in the field when your samples were Initially collected. This is used to verify the time and
Sample Chain of
date of collection, the person collecting the samples, and the analyses that the laboratory Is requested to perform, This
Custody (Sc)
chain of custody also documents all persons (excluding commercial shippers) that have had control or possession of the
samples from the time of collection until delivery to the laboratory for analysis.
This section of your report will provide the results of all testing performed on your samples. These results are provided
Sample Results (Sr)
by sample ID and are separated by the analyses performed on each sample. The header line of each anaysis section for
each sample will provide the name and method number for the analysis reported.
Sample Summary (5s)
TN5 section of the Analytical Report defines the specific analyses performed for each sample ID, Including the dates and
times of preparation and/or analysis.
Qualifier Description
is The sample matrix interfered with the ability to make any accurate determination; spike value Is high.
T8 Sample(s) received past/too close to holding time expiration.
ACCOUNT:
GARCO, Inc.
PROJECT:
SDG: DATE/TIME: PAGE:
L957263 f20/17 09;17 10 of 12

ACCREDITATIONS & LOCATIONS
ONE LAB. NATIONWIDE.
ESC Lab Sciences is the only environmental
laboratory accreditedfcertified to support your work nationwide from one location. One phone calf, one point of contact, one laboratory. No other
lab is as accessible or prepared to handle your needs throughout the country. Oar capacity and capability from our single location laboratory is comparable to the colTective totals W the
1
network laboratories in our Industry. The most significant benefit to out "one location'
design Is the design of our laboratory campus. The mode! is conducive to accelerated produ.wiy,
C
decreasing turnaround time, and preventing
cross contamination, thus protecting sample integrity. Our focus on premium quality and prompt service allows us to be YOUR LAB OF CHOICE.
' Not all cerilfications held by the laboratory are applicable to the results reported in the attached report.
State Accreditations
FC
Alabama
40660
Nevada
TN-03-2002-34
355
Alaska
UST-080
New Hampshire
2975
Arizona
AZO612
New Jersey—NELAP
TNO02
Arkansas
88-0469
New Mexico
TNO0003
°
Cn
California
01151CA
New York
11742
Colorado
TNO0003
North Carolina
Env375
Conneticut
PH-0197
North Carolina
DW21704
s
Si
Florida
E87497
North Carolina 7
41
Georgia
Georgia'
Ni
923
North Dakota
Ohio—VAP
R-140
CL0069
s
DC
Idaho
TNO0003
Oklahoma
9915
Illinois
200008
Oregon
TN200002
Indiana
C-TN-01
Pennsylvania
68-02979
F
Iowa
364
Rhode Island
223
Kansas
E-10277
South Carolina
64004
Kentucky'
90010
South Dakota
i
Kentucky'
16
Tennessee"
2006
Louisiana
A130792
texas
T 104704245-07-TX
s
Maine
TN0002
Texas5
LA80152
SC
Maryland
374
Utah
61575OS858
Massachusetts
M-TN003
Vermont
VT2006
Michigan
9958
Virginia
109
Minnesota
047-999-395
Washington
C1915
Mississippi
TNO0003
West Virginia
233
Missouri
340
Wisconsin
9980939910
Montana
CERT0086
Wyom}ng
A21LA
Nebraska
NE-OS-15-05
Third Party & Federal Accreditations
QLA — tS017025
1461.01
AIHA-LAP,LLC 700789
A21LA — ISO 170255
1461.02
DOD 1461.01
Canada
1461.01
USDA S-67674
EPA—Crypto
TNO0003
Drinking Water ' Underground Storage Tanks
; Aquatic Toxicity ' ChemicaUMicrobiological ' Mold "- Accreditation not applicable
Our Locations
ESC Lab Sciences has sixtyfour client support centers that provide sample pickup and/or the delivery of sampling supplies. If you would like assistance from one of our support offices, please
contact our main office. ESC Lab Sciences performs all testing at our central laboratory.
MTIENS?
KS
NM
e AX
ACCOUNT:
GARCO, Inc.
OK
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PROJECT:
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VVI rry
Nrl f
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! [L rrt OFt vw
110 I vAT
rn `
' N • i T Lt
AR ♦ T gG
ws AL ? GA
LA
FL
SDG: ❑ATEMME:
L957263 12/20/17 09:17
1
111E
PAGE:
11 of 12

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PO Box 1907*11"E[n,
PO Box 1907
Asheboro, NC 27204
_
Asheboro, NC 272047t
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1(
OUTFALL z
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i{nX 01fUt -
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OtherQp
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Pate:
lime_;
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flir quished by tyignaturcl
Aece,Ved bv: {SiBtlal3rC)
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n
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1•Lt,I fl�.L

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted 6/2/17
CERTIFICATE OF COVERAGE NO. NCG080839
FACILITY NAME Covanta Environmental Solutions — Fayetteville Street
COUNTY Randolph
PERSON COLLECTING SAMPLES Susan Gay
LABORATORY ESC T Lab Cert. # ENV375
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly'(month]
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow [:]watersupply ❑SA
RECEIVED []Other
JUN 19 2017 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES ❑ No discharge this period'
DWR SECTION
Outfal I
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
60556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
i5
-
01
5/23/17
2.53
7.0
0
-----
02
5/23/17
2.61
7.3
0
------
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X_ no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
15
50 or 100 see permit
6.0 — 9.0
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25, 201
Page 1 of

STORM EVENT CHARACTERISTICS:
Date 5123/17 (first event sampled)
Total Event Precipitation (inches): 0.43
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B,
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART Il SECTION B.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR includin all "No Discharge" reports, within 30 days of receipt of the lab results or at end of monitoring period i1
the case o "No Discha e" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
jDate)
Additional copies of this form may be downloaded at: http: ortal.ncdenr.org/web/wq/wsf su/npdessw#tab-4
SWU-250
last revised October 25, 201
Page 2 of

ESC ANALYTICAL REPORT mvESC
L•A,0 5.C•I.E•N.C-e-s June 01, 2017 J
GARCO, Inc.
Sample Delivery Group:
Samples Received:
Project Number:
Description:
Site:
Report To:
L911932
05/2 512017
Outfall Samples
FAYETTEVILLE STREET
Andy Purgason/Susan Gay
PO Box1907
Asheboro, NC 27204 `
Entire Report Reviewed By: �
V
Jimmy Hunt
Technical Service Representative
_4
Results relate ontr to the items tested or calibrated and ate reported as rounded values. This test report shalt nut be
reproduced, except In full, without written approval of the laboratory. Where applicable, sampling conducted by ESC is
pedormed per guidance provided in laboratory standard operating procedures: 060302. 060303, and 060304.
7„ ,

TABLE OF CONTENTS ONE LAS. NATIONWIDE. �
Cp: Cover Page
1
Cp
Tc: Table of Contents
2
Ss: Sample Summary
3
Cn: Case Narrative
4
Sr: Sample Results
5
FS
OUTFALL 1 L911932-01
5
OUTFALL 2 L911932-02
6
rCn]
Qc: Quality Control Summary
7
SSr
Gravimetric Analysis by Method 2540 D-2011
7
Wet Chemistry by Method 1664E
8
60C
Wet Chemistry by Method 9040C
9
GI: Glossary of Terms
10
El
Al: Accreditations & Locations
11
°AI
Sc: Chain of Custody
12
FC1
ACCOUNT: PROJECT; SDG: DATEMME: PAGE:
GARCO, Inc. L911932 06/0101503 2 o€13

SAMPLE SUMMARY ONE LAB. NATIONWIDE.
Collected by
Collected dateitime
Received date/time
OUTFALL1 L911932-01 GW
Susan Gay
0512311709:35
0512511708:45
tC
P
Method
Batch
Dilution
Preparation
Analysis
Analyst
dateltime
dateflime
FTC
Gravimetrlc Analysis by Method 2540 D-2011
WG984155
1
U5130/17 08:16
05/30/17 09:i6
• EG
Wet Chemistry by Method 1664E
WG984532
1
05131/1711-57
0513V1717 41
5HG
Wet Chemistry by Method 9040C
WG983178
1
0512611713:37
0512611713:37
MA
Collected by
Collected dateAime
Received date/time
n C�
OUTFALL 2 L911932-02 GW
Susan Gay
05R3/1709:50
05r25f1708:45
s
Sr]
Method
Batch
Dilution
Preparation
Analysis
Analyst
dateAime
dateAime
Gcavimetrnc Analysis by Method 2540 D-2011
WG984155
1
051300 08:16
05130tt7 09:16
EG
F
Wet Chemistry by Method 1664B
WG984532
1
05f3V1111:57
0513IP717:41
SHG
Wet Chemistry by Method 9040C
WG983118
1
05/26/1113:37
051261i713:37
MA
Fil
aAl
R
ACCOUNT: PROJECT: SDG: DATE7TEME: PAGE:
CARCO. Inc. L911932 0510111715:03 3 of 13

OUTFALL 1 SAMPLE RESULTS - 01 ONE f_AS,NATIONWIDE.
Collected dateltime: 05/23/17 09:35 L911932
Gravimetric Analysis by Method 2540 D-2011
,
Result Qualifier
RDL
Dilution
Analysis
Batch
CP
Anayte mg/l
mgll
date / time
z
Suspended Solids 2.53
2.50
1
05/30/2017 09:16
WG984155
TC
Wet Chemistry by Method 1684E
FSSI
Result Qualifier
RDL
Dilution
Analysis
Batch
Analyte mgll
mgA
date / time
Fn]
Oil 8 Grease (Hexane Exir) ND
6.33
1
05fMR01717:41
WG984532
Wet Chemistry by Method 9040C
0
Result Qualifier
Dilution
Analysis
Batch
su
date / time
FAnayte
pH 739 TS
1
05725201713:37
WG983178
Sample Narrative_
7 G I
9040C L911932-01 WG983178: 7.39 at 16.3c
FAI
El
0
ACCOUNT: PROJECT: SDG: DATE"E: PAGE:
GARCO, Inc. L911932 06/01/1715 03 5 of 13

OUTFALL 2 SAMPLE RESULTS - 02 ONE LAB.NATIONWIOE.
Callected dateltime: 05123/17 09:50 L911932
Additional Information
,
Resuh
Units
Cp
Analyze
z
pH (On Site) 7
su
TC
Gravimetric Analysis by Method 2540
D-2011
3Ss
Result
qualifier
RDL
Dilution
Analysis
Batch
Analyze mgA
mg/1
date/time
a Cn
Suspended Solids 2.61
2.50
1
05/3012017 09:16
WG984155
Wet Chemistry by Method 1664E
Rewtt
Oualifier
RDL
Dilution
Analysis
Batch
e
Analyze mgA
mgA
date / tame
Q C
0118 Grease (Hexane Extr} ND
6.94
1
0513V201717:41
WG994532
FGI
Wet Chemistry by Method 9040C
Result
Qualifier
Dilution
Analysis
Batch
aAl
Analyze Sul
date 1 time
pH 7.39
TS
1
05R6/201113:37
WG983178
Sc
Sample narrative:
9040C L911932-02 WG983178: 7 39 at 16.8c
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
GARCO. Inc- L911932 06101l1715:03 6 of 13

CASE NARRATIVE ONE LAB. NATIONWIDE. 0
All MDL (LOD) and RDL (LOQ) values reported for environmental samples have been corrected for the
dilution factor used in the analysis. All Method and Batch Quality Control are within established criteria
except where addressed in this case narrative, a non-conformance form or properly qualified within the
sample results. By my digital signature below, I affirm to the best of my knowledge, all
prob lemslanomalies observed by the laboratory as having the potential to affect the quality of the data
have been identified by the laboratory, and no information or data have been knowingly withheld that
would affect the quality of the data.
t LV�IZ-
Jimmy Hunt
Technical Service Representative
Sample Handling and Receiving
The following sample(s) were received at greater than 6 degrees C.
ESC Sample ID Project Sample ID Method
L911932-01 OUTFALL 1 1664B. 2540 D-2011, 9040C
L911932-02 OUTFALL 2 1664B. 2540 D-2011, 9040C
ACCOUNT: PROJECT: SDG: DATEITIME:
GARCO, Inc. L911932 06101/1715:03
PAGE:
4of13

WG984155
QUALITY CONTROL SUMMARY
ONE LAB. NATIONWIDE.
Gravimetric Analysis by Method 2540 D-2011
1-911932.Ot.02
Method Blank (MB)
S C�
(M8) R3222091-1 05r3Wi7 09.16
Me Reug MBOualdler ME MOL ME RDL
2Fe
analyse m94 mgA m9A
Suspended 5' WS U 6350 2-50
35s
L911592-02 Original Sample (OS) • Duplicate (DUP)
,
(OS) L911592-02 05l-30117 09:16 • (DUPE R3222091-4 D5J30n7 09:16
C n
Ongmal Rvudt DUP Rewlt Dftnn OUP RPD
Analyte m94 mgA %
DUP Qualifier DUP RPD Limits
%
55r
Suspended Solids 3880 3920 1 1.03
5
L911963-02 Original Sample (OS) • Duplicate (DUP)
7
(OS) L911953-02 05/30717 09.16 • (DUP) R3222091-5 05/30/17 09:15
G!
OrigAWReadt DUP Revd[ D*Fbmr DUP RPD
DUPOualdlr DUPRPOLmits
Analyze mgA mgA %
%
aA!
Suspemled SoICs AS5 San r 0.990
5
�Sc
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3222091-2 0513017 0916 - ILCSD) R3222091-3 05/3C07 09M
Spike Am0unl LCS Result LCSD Result LCS Rec LCSD Rec Rec- Limits LCS Ouatifler LCSD Qualifier RPD RPD Lenits
Analyze mgA mgA mgA % % % % %
SaWrided Solds 773 776 768 100 994 85 0-115 104 5
ACCOUNT: PROJECT: SOG: DATEMME:
GAgCO, krc. L911932 06=17 15:03
PAGE:
7 of 13

WG984532 QUALITY CONTROL SUMMARY
ONELAB.NATIONWIDE.
Wei Chemistry by Method 1664E L911932-01.02
Method Blank (MB)
' Gp
(MB) R3222288-1 05f3V1717:39
MBReStit M8 Ou1i7iLr MBMDL
x
anamgll mgA nlgfl
nio
yte --
Te
09 d Grease (Hexane W u 1.16 5.00
35s
Laboratory Control Sample (LCS) - Laboratory Control Sample Duplicate (LCSD)
�Cn
(LCS)R3222288-2 05f=717.40•(LCSD)R32222M3 05f3071740
Spike M mt 1,C5 Revdt LCSD Rest* LCS Rec. LCSD Rec- Rec. Lk11i15 LCS Oualirler LCSD OuaEirier RPD
Analyte mgA mgA MqA % % % %
RPD Umits
%
5Sr
Ot 8 Grease (Hexane E0rj 400 400 410 100 103 78 0-114 2.47
20
L911885-01 Original Sample (OS) - Matrix Spike (MS) - Matrix Spine Duplicate (MSD)
xGl
(OS) L911885-01 OSMM717:40 - (MS) R3222288-0 05f3V1717:40 • (MSD) R3222288-5 05nV17 VAO
Spice Ammm OrgmN Res& US Resod MSD Reath MS Rec. MSD ReC Dtubm Rec Limits MS Oualiher
MSD Oualiler RPD
RPD Lirids
Anelyte MO no mqA M9A % % %
%
% eAl
CA 8 Grease (HeharR w 400 ND 291 340 70.6 830 1 78 O-TM J6
157
18
BSc
ACCOUNT: PROJECT: SUG: DATE/TIME: PAGE:
GARCO. Inc. L911992 061007 15:03 8 or 13

WG983178 QUALITY CONTROL SUMMARY ONE tAS NAT1oNWDE.
Wet Chemtstry by Methad 9040C L911932-01.02
L911778-01 Original Sample (OS) • Duplicate (DUP) n
rOS) L911778-M 05)2677 1337 - (DUPi WG9B3178-3 OSl76117 13.37
L=
Ongmat ResW DUP Resuh MUM 13UP RPD
DUP Ouattller
DUP RPD LM95
7
Anal)- su Su %
%
Tc
PH 6.99 6.07 1 D.329
TS
i
35s
L911979-01 Original Sample (OS) • Duplicate (DUP)
dC0
(051 LW979-01 05126A713:37 - (DUP) W6983178-4 OST26A713:37
Orig2W Rest!! DUP Resod Dilution DUP RPD
OUP OMffier
DUP RPD Li Rs
5Sr
An*M su su %
%
PH 9.05 906 1 0.110
T8
1
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
7GI
rLCS) WG983178-1 0512 11713'37 • rLCSO) WG983178-2 OS12611713:37
Spike AMMM LCS ReSA LCSD Restit LCS Rm
LCSD Ret
Ret Limits LCS OudMK LCSD OualSim RPD RPD Lists
An*W su su su %
%
% % %
sAl
PH 638 542 542 m
101
987-)Ol 0.000 1
s$C
ACCOUNT: PROJECT: ` ,: DATMWE: PAGE
GARCO. htc. M932 06101)T7 15:03 9 of 13

GLOSSARY OF TERMS
ONE LAB. NATIONWIDE. jo
Abbreviations and Definitions
SDG
Sample Delivery Group.
MDL
Method Detection Limit.
RDL
Reported Detection Limit.
ND
Not detected at the Reporting Limit (or MDL where applicable).
U
Not detected at the Reporting Limit (or MDL where applicable).
RPD
Relative Percent Difference.
Original Sample
The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD)
from a quality control sample. The Original Sample may not be included within the reported SDG_
Rec.
Recovery.
Qualifier Description
J6 The sample matrix interfered with the ability to make any accurate determination; spike value is
low.
T8 Sample(s) received pastlioo close to holding time expiration.
ACCOUNT: PROJECT: SDG: DATUTIME:
GARCO, Inc. L911932 06/0071503
PAGE:
10 of 13

ACCREDITATIONS & LOCATIONS
ONE LAB. NATIONWIDE.
ESC Lab Sciences is the only environmental
laboratory accreditedlcertthed to
seppori your warp nationwide from one location One phone call, one
point of contact, one laboratory. No ou'ier
lab is as accessible or prepared to handle your needs throughout the country. Our capacity and capability, from our single location laboratory Is comparable to the collective totals of the
network laboratoriesH our Industry. The most significant benefit to our'one
Iccntlen' destgn is We design of our laboratory campus. The modelis conducive to accelerated productivity,
FP
decreasing rum-aratmd time, and preventing cross contamination, thus protecting sample integrity. Our focus on premium quality and prompt service allows us to be YOUR LAB OF CHOICE.
' Not all certifications held by the laboratory are applicable to the results reported in the attached report
a
State Accreditations
Te
Alabama
40660
Nevada
TN-03-2002-34
355
Alaska
UST-080
New Hampshire
2975
Arizona
AZ0612
New Jersey—NELAP
TNO02
Arkansas
88-0469
New Mexico
TN00003
RnCalifornia
01157CA
New York
11742
Colorado
TN00003
North Carolina
Env375
Conneticut
PH-0197
North Carolina
DW21704
Ssr
Florida
E87487
North Carolina 2
41
Georgia
NELAP
North Dakota
R-140
6
Georgia'
923
Ohio—VAP
CLOO69
G�c
Idaho
TNO0003
Oklahoma
9915
Illinois
200008
Oregon
TN200002
7
Indiana
C-TN-OI
Pennsylvania
68-02979979
Gi
Iowa
364
Rhode island
221
Kansas _
E-10277
South Carolina
84004
Kentucky'
90010
South Dakota
Wit
'
Kentucky'
16
Tennessee "
2006
'
Louisiana
A130792
Texas
T 104704245-07-TX
Maine
TN0002
Texas s
LA80152
F
Maryland
324
Utah
6157585858
Massachusetts
M-TNO03
Michigan
9958
Minnesota
047-999.395
Mississippi
TR00003
Missouri
340
Montana
CFRT0086
Nebraska
NE-OS-15-05
Third Party & Federal
Accreditations
Vermont
VT2006
Virginia
109
Washington
C1915
West Virginia
233
Wisconsin
9980939910
Wyoming
A21-A
A2LA— ISO 17025 1461.01 _A1HA-LAP,LLC 100789
A2LA — ISO 170255 1461.02 DOD 1461,01
Canada 1461.01 USDA S-67674_ _
EPA—Crypto TN00003
' Drinking Water ' Underground Storage Tanks 1. Aquatic Toxicity Chemicalliviciohidogical ' Motd �4 Accreditation not applicable
Our Locations
ESC Lab Sciences has sixty -'our client support centers Ihat provide sample pickup andlor the delivery of sampling supplies. II you would like assistance from one of our support offices, please
contact our main office. ESC Lab Sciences performs all testing at our central laboratory.
WA
rlq I 1 E
LIT No
OR t.tN
O r0 SD
VNi NY
16YY I.tt
T uE IA T ! PA •
• NV OH
I rrr
Co' VA?
CA KS r.t0 • KY
T SAZ Nrr7 p� AR + SC
T • rti15 AL.* , GA
T TX LA •�•-�.TT
O L
* AK • •
rQ
d �Ij •
w.a HI
ACCOUNT: PROJECT: SDG: DATEfrIME: PAGE:
GARCO, Inc. L911932 06IOW715.03 11 of 113

11"Wermatipn;
x
/Cwttahn
Peurvathm
a.rin of[xuodr 04--of—
GARtO, Inc.
Greg RtnseEl
CM
PO Ban 1907 �k
yL'1
C
tO Box 1907
Asheboro, MC 27204
Asheboro, NC 27204
-
ps
Retort to:
AndyPurgason/Susan Gay
Emall TG'. andyOeprso.rmn,
ttua .�.. a p •�o
w..mW-. NStu) If
rrr..: raa nitaTa I.
r 613 ns Sing •
Pfddett
t7LlfRtale rL_ �-1
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Detarlption: Outlall Samples
dtent Pfaleet a
Lab "W. a
Pnau:336.683-0911
GARCONC-FAYETTEVILLE
ra.: 336-683-0811
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Banl Reiefred�'.'vec/No,�i -F�:raaLvaLtaq
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If eterratldnieewsed Da•
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PebML:tshed try: Wgrwtwel
Date:
nrrne: Rw"i
rar tits by:
�3a:�,

Matt Shacklock
ESC Lab Sciences
Non-Confo mance Form
Login q *%O-z I Client: GARCONC Date:5/25 I Evaluated by -Watt S
yon•Canformance (check anolicatrle ilemsl
Sample Integrity
Chain of Ustody Clarification
Parametar(sl least holding
time
LaRin Ctartrication Needed
if Broken Container:
improper
temperature
Chain of cu%u4 Ls Incom lete
insufficient packing material around ronwiner
Improper container
rye
Picasc spcclty Metals requested
Please
parking material inside
comer
Improper
ncsrrvarion
Neale specify 7CI;P reques[c+l.
Im ro ur WndIlnp, hy sorrier Feffx I UPS I Couriet
Irsulncient sample Volume.
Received additional samOlm not listed on cuc.
Sample was
frozen
Sample Ir lriphasic.
Sample. Ids on containers do not match ids on
eoc
Container lid not Intact
Vials meived with headspace.
Trip Blank not rrreived.
If no Chain of Custod .
Broken rontafner
Client did not -X' analyais.
Received by,
Broken conminer.
Chain of Cusindy is m6sinR
pate nice
Sufftelent sample remains
Tem Cont. Rec. li:
Carrier,
Trackin tr
Rcceised r 8 1 de„rec.
Client informed bv: I I Call I I Email I l Voice Mail l I Data: 5125/1.7 ( Time: 1420 1
Analyze and qualify as needed.
This E-mail and ant attached file% are confidential. and marhe copy rfyhr protected. If boa are not the addressee. any d1swm[natlon of this
CLLmmanlcatiun k strkth' prohibited. if %no hate reeds rd this mrssa.-e in error, picose contact the sender Immediateh' and dNerrldcuM% ail
information rectlsed.

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 9/30/16
CERTIFICATE OF COVERAGE NO. NCGO80839
FACILITY NAME GARCO, Inc. — Fayetteville Street
COUNTY Randolph
PERSON COLLECTING SAMPLES Susan Gay
LABORATORY ESC Lab Cert. # ENV375
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
RECEIVED ❑other
OCT 0 5 2016 PLEASE REMEMBER TO SIGN ON THE REVERSE 3
CENTRAL FILES ❑ No discharge this period'
DWR SECTION
Outfal l
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
15
-
01
9/2/ 16
0
7.06 .
0
-----
02
9/2/16
1 4.0
1 7.13
0
------
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
15
50 or 100 see permit
6.0 — 9.0
t For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25, 2012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 9/2/16 (first event sampled)
Total Event Precipitation (inches):,X.84
Im
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results tor at end of monitorina period in
the case of "'No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are signi yet penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
'-?9 A4
(Date)
Additional copies of this form may be downloaded at: http://Portal,ncdE:nr.org/web/wq/ws/su/npdessw#tab-4
S W U-25 0
last revised October 25, 2012
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
.i for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 7/11/16
CERTIFICATE OF COVERAGE NO. NCGO80839 SAMPLE COLLECTION YEAR 2016
FACILITY NAME GARCO, Inc. -- Fayetteville Street SAMPLE PERIOD ® Jan -June ❑ July -Dec
COUNTY Randolph or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES Jeremy Shelton DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY ESC Lab Cert. # ENV375 ❑Zero -flow ❑Water Supply [:]SAComments on sample collection or analysis: REEF IV ED ❑Other
sa 2
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
Part A: Vehicle Maintenance Areas Monitoring Requirements pWR SECTION ❑ No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
15
-
01
6/30/ 16
12.7
7.0
0
-----
02
6/30/16
12.7
6.9
0
------
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), rng/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
15
50 or 100 see permit
6.0 — 9.0
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25, 2012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 6/30/16 (first event sampled)
Total Event Precipitation (inches): 0.05
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCf_S FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [:]NON
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period_ in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Fifes
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
%rlde/G
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised October 25, 2012
Page 2 of

ti•
Semi-annual Stormwat+er Discharge Monitoring Report
- for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 1/13/16
CERTIFICATE OF COVERAGE No. NCG080839-
FACILITY NAME GARCO, Inc.__- Fayetteville Street
COUNTY Randolph
PERSON COLLECTING SAMPLES Jeremy Shelton
LABORATORY ESC Lab Cert. If ENV375
Comments on sample collection or analysis: RECEIVED
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' _ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow [:]Watersupply ❑SA
[]Other
FEB 01 2016 RFC1!1 V ED PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Vehicle Maintenance Areas Monitoring Requiremen-ffNTRAL FILES _� 01 2u i.o No discharge this period'
DWR SECTION CENTRAL FILES
nIA/0 nr.,, .... .
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
' 00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
15
-
01
12/22/15
0
6.42
0
-----
02
12/22/15
0
6.35
0
------
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfal I
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
15
50 or 100 see permit
6.0— 9.0
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
S W U-250
last revised October 25, 2012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 12/22/15 (first event sampled)
Total Event Precipitation (inches): 7.07
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ 2 EXCE£DANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copy of this OMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitorina period in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
/-2d'l4
(Date)
Additional copies of this form may be downloaded at: http://partal.ncdenr.org/web/wp/ws/su/npdessw#tab-4
SWU-250 last revised October 25, 2012
Page 2 of 2

hip
Semi-annual Stormwater Discharge Monitoring Reportr
for North Carolina
ll
Division of Water Quality General Permit No. NCG080000
Date submitted 718115
:ERTIFICATE OF COVERAGE NO. NCGO80839
ACILITY NAME GARCO, Inc. — Fayetteville Street_„
:OUNTY Randolph
'ERSON COLLECTING SAMPLES Jeremy Shelton
ABORATORY ESC Lab Cert. # ENV375
:omments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' (month]
REEIVfRGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
JUL 2 0 2015 ❑other
CENTRAL FILI=B PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
® No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
ienchmark
-
50 or 100 see permit
Within 6.0 -- 9.0
15
-
01
No Flow
-----
02
No Flow
------
)id this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes X no
if yes, report your analytical results in the table immediately below)
,art B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
lermit Limit
-
15
50 or 100 see permit
6.0 — 9.0
For sampling periods with no discharge at any single Outfall, you must still submit this discharge monitoring report with a checkmark here.
WU-250 last revised October 25, 201
Page I of

TORIA EVFFX1T CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
- lote: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
OR PART A AND PART B MONITORING RESULTS:
+ A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
EGIONAL OFFICE CONTACT NAME:
flail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period r►
he case of "No Discharge" reports) to:
livision of Water Quality
AM: DWQ Central Files
617 Mail Service Center
aleigh, North Carolina 27699-1617
OU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
hat 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
irectly 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
here are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Date)
Aditionai copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4
WU-250 last revised October 25, 201
Page 2 of

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NC6080000
Date submitted 11/26/14
CERTIFICATE OF COVERAGE NO. NCGO80839 _
FACILITY NAME GARCO, Inc. — Fayetteville Street
COUNTY Randolph
PERSON COLLECTING SAMPLES Jeremy Shelton
LABORATORY ESC Lab Cert. # ENV375
Comments on sample collection or analysis:
Part A. Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR 2014
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow []Water Supply ❑SA
❑Other
RECEIVED
DEC 0:8 2014
CENTRAL. FILES
DWR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE --)
❑ No discharge this period'
Outfal I
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TRH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
15
-
01
11/ 17/ 13
4.1
7.7
0
-----
02
11/17/13
0
6.7
0
------
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
15
50 or 100 see permit
6.0 — 9.0
I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25, 201
Page 1 of

STORM EVENT CHARACTERISTICS:
Date 11/26/14 (first event sampled)
Total Event Precipitation (inches): 0.86
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES []NOD
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period ij
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
id 4 -!- #.
(Date)
Additional copies of this form may be downloaded at: http://por-tal.ncdenr.org/web/wq/ws/su/npdesswtttab-4
SWU-250 last revised October 25. 201
Page 2 of

Semiannual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 4/21/14
CERTIFICATE OF COVERAGE NO. NCG080839 SAMPLE COLLECTION YEAR 2014
FACILITY NAME GARCO, Inc. -- Fayetteville Street SAMPLE PERIOD ® Jan -June ❑ July -Dec
COUNTY Randolph or ❑ Monthly' month
PERSON COLLECTING SAMPLES Jeremy Shelton _MECjEIV ARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY ESC Lab Cert. # ENV375 ❑Zero -flaw ❑Water Supply ❑SA
Comments on sample collection or analysis: APR 2 ZOi4 [:]Other
Part A: Vehicle Maintenance Areas Monitoring Requirements
CENTRAL. FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWQ/BOG
No discharge this period'
Outfall
No.
Date
Sample.Collected,
mo/dd/yr
06530
" 00400
00556
Total Suspended
Solids, mg/L
pH . ^
Standard units
" Non -Polar Oil and'Grease/TPH EPA
-:Method.1664 (SGT-HEM), mg/L
New'Nlotor Oil
Annual''average gal/,mo;
Benchmark
-
50.or 100 see: permit
Within 6.0 — 9.0
,15
-
01
4/7/14
5.9
6.0
BRL
-----
02
4/7/14
10
6.7
BRL
------
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Sulk Stations and Terminals
Out#ail
No.
Date.
Sample Collected,
mo/dd/yr
00556
., 00530
00400
.Non -Polar Oil and Grease/TPH•EPA:Method
. .,
1664 (SGT-HEM), mg/L
Totai Suspended Solids,
mg/L .
pH;'
-standard. units .; ..
Permit Limit,
-
15' N"
50,o00 seepermit
r•1
: ,6:0,- 9:0
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25, 2012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 4/7/14 (first event sampled)
Total Event Precipitation (inches): 1.47
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you trust implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one cony of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitorina period in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
�-�a
(Date)
Additional copies of this form may be downloaded at: http1lportal.ncdenr.org/web/wq/ws/su/`npdessw#tab-4
SWU-254 last revised October 25, 20 12
Page 2 of 2

GARCO, Inc.
PO Box 1907
Asheboro, NC27204
Billing Information:
Greg Russell
PO Box 1907
Asheboro, NC 27204
Analysis
/
Container
/ Preservative
Chain of Custody Page _ of
.*ESC
L-A•B 5•c•1•E•lv•c•E 5
12065 anon Rd
Mount Juliet, TN 37122
Phone;615-758-5858
Phone: [phone]
Fax: [phone]
Q� t
i
!
i
j
I
!
-,
`
Report to:
Email To:
Project
Description:
City/State
Collected:
L #
Phone: [phone]
Fax: [phone]
Client Project #
Lab Project #
Table #
Collected by (print):
Site/Facility ID #
P.O. #
Acctnum: GARCONC
Template:
Prelogin:
TSR: 350 - Jimmy hunt
PB:
Collected by (signature):
Immediately
Packed on Ice N _ _ Y _
RuSh? (Lab MUST Be Notified)
_ Same Day ...........................200%
Next Day.............................100%
_Two Day..............................50%
_Three Day ....................... 25%
Date Results Needed
Email? —No _Yes
FAX? No Yes
— _
No.
of
Shipped Via:
Sample ID
Comp/Grab
Matrix *
Depth
Date
Time
ntrs
Rem./contaminant
Sample 4(lab onhfl
Matrix: SS - Soil GW - Groundwater WW - Wastewater DW - Drinking Water OT - Other
Remarks: pH Temp
Flow Other Hold #
Relinquished by: (Signature)
Date:
Time:
Received by: (Signature)
Samples returned via: ❑ UPS
❑ FeclEx ❑ Courier ❑
Condition: (lab use only)
CDC Sea[ Intact: Y N NA
—
Relinquished by : (Signature)
Date:
Time:
Received by: (Signature)
Temp: _ °C Bottles Received:
Relinquished by'(Sigriatu ee))/ `�
Date:
Time:
Received for lab by: {Signature)
Date: Time:
pH Checked:
NCF:

GARCO, Inc.
PO Box 1907
Asheboro, NC 27204
Billing Information:
Greg Russell
PO Box 1907
Asheboro, NC 27204
Analysis
/
Container
/ Preservative
Chain of Custody Page _of
I
*ESC
-
,1
I
i
I
;
i
i
I
12066 Le6anonftd
Mount Juliet, TN 37122
Phone: 615-758-S858
Phone: 75659
Fax; 615-758-758-5859 �y
Report to:
Email To:
Project
Description:
City/State
Collected:
L#
Phone: [phone]
Fax: 336-683-D811
Client Project #
tab Project #
Table #
Collected by (print}:
Site/Facility ID #
P.O. #
Acctnum: GARCONC
Template:
Prelogin;
TSR: 350 - Jimmy Hunt
PB:
Collected by (signature):
Immediately
Packed on Ice N _ Y
Rush? (Lab MUST Be Notified)
T Some Day ...........................200%
_Next Day.............................100%
_Two Day..............................5036
_Three Day.............................25%
Date Results Needed
Email? Nc _Yes
FAX? _No _Yes
No,
Shipped Via:
SampieID
Comp/Grab
Matrix*
Depth
Date
Time
ntrs
Rem./Contaminant
5ampleu flab onlyi
Matrix: SS - Soil GW - Groundwater WW - Wastewater DW - Drinking Water OT- Other_
Remarks: pH Temp
Flow Other Hold #
Relinquished by: (Signatu
Date:
Time:
Received by; {Signture�
Samples returned via: C] UPS
❑ FedEx ❑ Courier ❑
Condition: (lab use only)
COC Seal Intact, Y N _NA
Relinquished by : (Signature)
Date:
Time:
Received by: (Signature)
Temp: °C Bottles Received:
Relinquished by'(5ignatre� �,
Date:
Time:
Received for lab by: (Signature)
hate: Time:
pH Checked:
NCF:

! - . •mot
M�J h - .