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HomeMy WebLinkAboutNCG100062_COMPLETE FILE - HISTORICAL_20170125w STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. IV C� 1(�roba DOC TYPE HISTORICAL FILE ❑ MONITORING REPORTS DOC DATE ❑ d��� D 1 a 5 YYYYMMDD a A' nalyt#ical www.pacafabs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 January 09, 2017 V e 6I0 oo 6 Chuck Hoffman Mid -Atlantic Associates, Inc 409 Rogers View Court Raleigh, NC 27610 RE: Project: Deals on Wheels Pace Project No.: 92324913 9�� RECEIVE? JAN 25 Zot7 CENTRAL FILES DWR SECTION Dear Chuck Hoffman: Enclosed are the analytical results for sample(s) received by the laboratory on December 29, 2016. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com Project Manager Enclosures cc: Ron Davis, Mid Atlantic Associatees, Inc. �3 NC�FO �.. x TNf, RATOQr` REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 13 aceAnalyircal www.pacelabs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704 )87 5-9092 Project: Deals on Wheels Pace Project No.: 92324913 Indiana Certification IDS 7726 Moller Road, Indianapolis, IN 46268 Illinois Certification #: 003971 Indiana Certification #: C-49-06 KansaslNELAP Certification #:E-10177 Kentucky UST Certification #: 80226 Kentucky WW Certification #:98019 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 Asheville Certification IDS 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 Eden Certification IDS 205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Drinking Water Certification #: 37738 CERTIFICATIONS Ohio VAP Certification #: CL-0065 Oklahoma Certification #: 2016-075 Texas Certification #: T104704355-16-10 West Virginia Certification #: 330 Wisconsin Certification #: 999788130 USDA Soil Permit #: P330-16-00257 South Carolina Certification #: 99006001 FloridalNELAP Certification #: E87627 Kentucky UST Certification #: 84 VirginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 VirginiaNELAP Certification #: 460222 North Carolina Wastewater Certification #: 633 VirginiaNELAP Certification #: 460025 REPORT OF LABORATORY ANALYSIS This report shah not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 13 ace Analytical' ..pacelabs.mn Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 HuntersvNe, NC 28078 (704)8754092 SAMPLE ANALYTE COUNT Project: Deals on Wheels Pace Project No.: 92324913 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92324913001 Outfall #1 SM 2540D KCE 1 PASI-E EPA 16646 JMS 1 PASI-C EPA 8015 Alcohol -Glycol BJW 1 PASI-I EPA 6010 SH 1 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 13 Pace Analytical Services, LLC 9840Kincey sA le, NC28076 Suite aceAnalytical e Hunte www.pacelabs.com (704 )875-9092 ANALYTICAL RESULTS Project: Deals on Wheels Pace Project No.: 92324913 Sample: Outfall #1 Lab ID: 92324913001 Collected: 12/29/16 07:20 Received: 12/29/16 13:28 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua] 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 62.5 mglL 7.7 1 01/04/17 09:48 1664 SGT-HEM, TPH Analytical Method: EPA 16646 Total Petroleum Hydrocarbons ND mglL 5.0 1 01/03/17 06:15 8015M Glycols in water Analytical Method: EPA 8015 Alcohol -Glycol Ethylene glycol ND mg1L 5.0 1 01/09/17 10:53 107-21-1 6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010A Lead 14.9 uglL 5.0 1 01/04/17 20:00 01/05/17 12:34 7439-92-1 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/09/2017 05:49 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 13 aceAnalytical www.pacelabs.mm Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Deals on Wheels Pace Project No.: 92324913 QC Batch: 343294 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92324913001 METHOD BLANK: 1904036 Matrix: Water Associated Lab Samples: 92324913001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 01/04/17 09:43 LABORATORY CONTROL SAMPLE: 1904037 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 242 97 90-110 SAMPLE DUPLICATE: 1904038 92324927001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 43.1 44.0 2 SAMPLE DUPLICATE: 1904039 92325068001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 198 181 9 D6 Results presented on this page are in the units indicated by the "Units" column except where an atternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01 /09/2017 05:49 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 13 a ce Analytical wwwpacelabs.=n Project: Deals on Wheels Pace Project No.: 92324913 QC Batch: 343124 QC Batch Method: EPA 1664B Associated Lab Samples: 92324913001 METHOD BLANK: 1903239 Associated Lab Samples: 92324913001 Parameter Units Total Petroleum Hydrocarbons mglL QUALITY CONTROL DATA Analysis Method: EPA 16646 Analysis Description: 1664 SGT-HEM, TPH Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 01/03/17 06:15 Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875.9092 LABORATORY CONTROL SAMPLE 8, LCSD: 1903240 1903241 Spike LCS LCSD LCS LCSD % Rec Max Parameter Units Conc. Result Result % Rec % Rec Limits RPD RPD Qualifiers Total Petroleum Hydrocarbons mglL 20 18.3 18.7 92 94 64-132 2 30 Results presented on this page are in the units indicated t>y the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/09/2017 05:49 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 13 a acdoAnalytical www.pacefatls.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Deals on Wheels Pace Project No.: 92324913 QC Batch: 369016 QC Batch Method: EPA 8015 Alcohol -Glycol Associated Lab Samples: 92324913001 METHOD BLANK: 1704402 Associated Lab Samples: 92324913001 Parameter Units Ethylene glycol mg1L LABORATORY CONTROL SAMPLE: 1704403 Parameter Units Ethylene glycol mglL QUALITY CONTROL DATA Analysis Method: EPA 8015 Alcohol -Glycol Analysis Description: EPA 8015 Modified Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 01109/1710:34 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 25 20.0 80 60-129 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1704404 1704405 MS MSD 92324913001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Ethylene glycol mglL ND 25 25 30.3 30.5 121 122 23-157 0 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/09/2017 05:49 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 13 • aceAnalyiical www.pacelabs.cm Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Deals on Wheels Pace Project No.: 92324913 QC Batch: 343383 QC Batch Method: EPA 3010A Associated Lab Samples: 92324913001 METHOD BLANK: 1904703 Associated Lab Samples: 92324913001 Parameter Units Lead ug/L LABORATORY CONTROL SAMPLE: 1904704 Parameter Units Lead ug/L QUALITY CONTROL DATA Analysis Method: Analysis Description Matrix: Water EPA 6010 6010 MET Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 01/05/1712:25 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 500 469 94 80-120 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1904705 1904706 MS MSD 92324913001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Lead ug/L 14.9 500 500 479 488 93 95 75-125 2 Results presented an this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01 /09/2017 05:49 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 13 aa,Analytical www,pacelabs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALIFIERS Project: Deals on Wheels Pace Project No.: 92324913 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. POL - Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Dil)henylhydrazine 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(17) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable, SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenyiamine 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 PASI-E Pace Analytical Services - Eden PASI-1 Pace Analytical Services - Indianapolis ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/09/2017 05:49 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 13 aceAnalytical� wwwpaceleba.0m Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Deals on Wheels Pace Project No.: 92324913 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92324913001 Outfall #1 SM 2540D 343294 92324913001 Outfall #1 EPA 1664B 343124 92324913001 Outfall 41 EPA 8015 Alcohol -Glycol 369016 92324913001 Outfall #1 EPA 3010A 343383 EPA 6010 Date: 0110912017 05:49 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC Analytical Batch 343411 Page 10 of 13 Laboratory receiving samples: Asheville 1:1 r:deno vvLurrrunt name: ' nocument Revised: Sept. 21, 2016 Sample [onditlor. J = lie. pt Si 6w Pa e i of 2 Document No.: lssuingAuthorlty' F-CAR-CS-033-Rev.01 face Quality Offce' Greenwood �Sjl�Client Name: WQ# : 923249 13 Project I Courier: Fed Ex �Upps[]USPS Client 1111111111111111111111 ❑ Commercial ❑PaceOther, 92324913 C'ustodYSeat Present? DYes Sealslntact? ❑Yes ONo Date/intdats Parson FxarninIng Contents:-&C& Packing Material u []Bubble Wrap r bie flags ❑None Qothet: r thermometer: ViRGuni6: S•���� y Wet •❑alue •❑Ndne[3.Sampiesonke,coarungprocesshas beg"6 �—..._ 'lj�pa of Ite: Carrectlon actor*Gooier Temp Corrected ('G): �.. Biological Tissue Ftuzen? []Yes . []No�t/A' ; T(;mp should be above freezing to 6'C USDA Regulated !oil f�N A, water sample) Did samples originate Ina quarantine zone within the United States: CA, NY, or5C (check maps)? Old samples odginalafrom a foreign source {Intem:tionall' , ' C�YesI�QAki` hduilna Hawaii and Puerto Rim)?• Des Chain Tana Su81c1ent Volume? Comeet Containers Used? Pace Containers Used? Containers Intact? Samples Field Filtered? SampIQ labels Match 00C? -Includes Date/rime/ID/Anai sis Matrix: N H¢ space in VOA Vials (>"mmj?-.� Trip Blank Present? - Tr�EslankCust Seals Present? CLIENT N0TlF1CAY10tl/RES0LUTI0N PE-r'son Contacted: Camments/Sample DI screpancy: wu.ne„L l.nar�a • „ II MKo EINIA -L es ❑No ©N A 2 Yes o N A 3. •Yes 2INo N/A 4. as ❑No QNLA 5. i�Y ❑�o ❑N/A 63. Yes No N A' . s - Yes No• NIA 1, 'ClYes QNo. . rl/A 8. Noh if sediment is vfslble in the dlssolved container' .Yes ON. ON/A 9, QYes []No /A 11. Yes allo [IN/A' Fletd Data. Required? [,]Yes []No I Date lmai ; { : Project[4lanagatSCUUReview: 1�1 Date: project Mattagor SRF Review: „_. " _ Date: 17_1 k.At\lV Note: Whenever there is a dlsaepanty aifectlrtg North Cuol ni. oomplWwcLsamptes, a copy of this font vA1 Ga santto tft<+ North Cirollna DEHNR CertHfcation Oftke {Le. .Qut'ofl>41d,.�Correctt>�ervattye,.butofterr+D,.lixors?act.00ntaLsersj , . Page 11 of 13 ' 3 a_ • O v �A m Y 13 Or p r O � y r M - m g � •� 3 } 6 O s N 0 N P - O ' IiCrn� BP4U-125 mL Plastic Unpreserved (NIA) (0-) BP3tl-2SO mL Plastic Unprrsrrved (EJ/A) BP2U-500 mL Plastk Unpreserved (N/A) BPIU-1 liter Ptastk Unpreserved (N/A) BP3S-2SO mL PIMIt H2S(j4 (pH <2) (a-) BP3N-250 mL plastic HNO3 (pH < 2) i3P32.250 mL Mastic ZN Acetate F NaOH (>9) BP3C-250 ML Plastic NaOH (pH > 7.2) (d-) ViGM-Wide-mouthed Glass far Llnpreserved AG1U-1(ker Ambei Unpreserved (N/A) (CI-) AG114.1 liter Amber HCt (pH < 2) AG3U-750 mL Amber Unpreserved (N/A) (G j AGiS-1 liter Amber H2504 (pH < 2) AG3S-250 Mt. Amber H2504 (pH < 2) QG3A(DG3A)•250 MLAmber NH40 (WA)(CI-) DG9%-4O mL VOA Hp (N/A) " V69T-40 mL VOA Na2S203 (N/A) VQ VG9U-40 mL VOA Unp (N/A) DG9P-40 mL VOA H3PO4 (N/A) VOAK (5 vials par kit)-5035 Idt (WA) V/GK (3 vials per ldt)-VPWGas W (N/A) SPST-125 mL Sterile Plastic (N/A --tab) 1 SM-250 mL Sterne Ptastit (NIA — tab) I BP3A 250 mL Plastic (NH2)2SO4 (9.3-9.7) a+bhDirm r - ►rSOL�itD rnL Sdnritlaelnn vlats ta/Al GN G n ` 0 = � 6 D A O a w CHAIN -OF -CUSTODY I Analytical Request Document f —I 2ceAnalyfical'The Chain-at-Cuslody is a LEGAL DOCUMENT All relevant fields must be completed accurately. Section A Section B Section C Required Client lnlonnation_ Required Project Inlormalion: invoice )nformaWn, Company Mid -Atlantic Associates, Inc. Report To" Chuck Hoffman (choffman@maaonline.com) Anention: Chuck Hoffman r 6 CM N Page: of rn [0 Address 409 Rogers View Court Copy To' Ron Davis (rdavis@maaonline.com Company,Name Mid -Atlantic Associates, inc. REGULATORY AGENCY Raleigh. NC 27616 Address: 409 Rogers View Court. Raleigh. NC - NPOES r GROUND WATER i DRINKING WATER F UST F RCRA l— OTHER Email To, choffman@maaonline.com Purchase order No.: R2310.00 Pace Oriole __ Relercxe: Phone. 919-250-9918 Fax 919-250-9950 Prole- N—: Deals on Wheels Pace Prey Nicole Gasiorowski Site Location hi3nager. 57A iE: NC Requested Due DalefTAT: Srandard Projeci Number. R231 Q,QQ Pace Profile a __ Requested Analysis Filtered (YIN) Section D Valid Matrtx Codes 2 z I 1 Required Client Iniorrytnn MATRIx coDE 4 a COLLECTED Preservatives i N Y N Y DRINKINGWATER ow O U Z N WATER WT tVASTEI.TER WW '�' U 00WO.5ITE COW-109TE 0 r U f6 Z PRODUCT P SOLISOIad SL mQ ¢ 5TART ENWMAB Oro OL SAMPLE ID w U C7 O W ~ m O 0 m AM AR Am AR [A Z, 0-9l,-t O7MER aT o G a Z a O U y r Sample IDS MUST BE UNIQUE IISSUE Ts 0 w n � m In -C L7 cd r) U W ZO m o an d p S d LL G O `� Q O to L Cl Cqq Is r ¢ in DATE TIME DATE TIME N O c Z) M z x U M m z m z m 2 O Q r s fD rb Pace Project NoJ tab I.D. 1 Outfall No. 1 WT c 2- -30 f2'2�f �� 7 a 2 x x x x Rainfall inches : 2-� 2 pH: "7 - I a 4 5 6 7 6 9 10 1t 12 ADDITIONAL COMMENTS RELINQUISHED BY ! AFFILIATION DATE TIME ACCEPTED BY ! AFFILIATION DATE TIME SAMPLE CONDITIONS I SAMPLER NAME AND SIGNATURE FRIN I name Oi SAMPLFK: / r • ��� ( Q } Vh ` v Y Ci m DATE 5i`n E o " °o E SIGNATURE of SAMPLER: /� g �" I �5 / I ¢ IMMIDDlYY1: u -immutan= iloic: ey sigmng ihm Soml you are ac--cpimg Pace's NET 30 day Paymcr;% Seams and agmex g to Lite charges of 1.5% PC, month In, any inv es 144 pad wdrw 30 days, F-ALL-0-020rev.08. 12-OCt-2007 M'nd Atlantic Engineering & Environmental Solutions February 10, 2015 NCDENRIDWQ Attention: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: STORMWATER SAMPLING RESULTS DEALS ON WHEELS, INC. 14473 NC 96 HIGHWAY ZEBULON, NORTH CAROLINA NPDES PERMIT NO. NCG100062 'fo Whom It May Concern: RECEIVED l- �8 19 2015 �ENTRAL FILES }WR SECTION 409 Rogers View Court Raleigh, NC 27610 office 919.250.9918 facsimile 919.250.9950 MAAONLINE.COM Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for the sampling conducted at the above -referenced site. A stormwater sample was collected from Outfall 001 on December 29, 2014 and analyzed for total suspended solids (TSS), pH, total recoverable lead, oil and grease and ethylene glycol. As indicated on the attached DMR, all parameters were reported below or within their respective benchmark values. If you have any questions or need additional information, please contact me at 919-250-9918. Sincerely, PAID -ATLANTIC ASSOCIATES, INC. cl'. I... Charles B. Hoffman, P.G. Project Geologist Attachment- Discharge Outfall Monitoring Report EXPERIENCED CUSTOMER FOCUSED INNOVATIVE NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: ht gortalncdennorg/weblwq �w�JsU Ja%kow#tab-4 Permit No.: 1Y1L1_,/.__1_J,./-j-1-j or Certificate of Coverage No.: WVWJ V-Pjvk/� Facility Name: DFA15 d� b�j- �1t ►'' _ .�, County: __JI% n s ter - - Phone No. L 'I i I - a (of - 4 5 P 7 Inspector: Date of Inspection: Time of Inspection: Total Event Precipitation (inches): b , !_ Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ZXes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. 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. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall, The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: n r. (Signature df Permittee or Designee) Page 1 of 2 SVlf!-242, Last modified 10/25/2012 C 1.. Outfall Description: Outfall No. _ 41 Structure (pipe, ditch, etc.) V1 Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: Q,,A. 8 2. Color: Describe the color of the discharge usin basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weals chlorine odor, etc.): Tl Owe- 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 Q 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 (�? 3 4 5 6, Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 ® 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes 91. 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 5WU-242, Last modified 10/25/2012 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCGIO0062 FACILITY NAME Deals on Wheels, Inc. PERSON COLLECTING SAMPLE(S) Mike Bailey CERTIFIED LABORATORY(S) Pace Analytical Lab # 12 Lab # Part A: Stormwater Benchmarks and Monitoring Results 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.) COUNTY Johnston PHONE NO. (919) 269-4587 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year Total Rainfall, inches 00400 00530 ---- 77023 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic 3 Organics, mg/L Benchmark - - 6.0 — 9.01 100/502 15 8,000 (Tiers 2 and 3) 0.03 1.0 Outfall 001 12/29/14 pt 4 7.4 54.0 <5.0 <10.0 0.0180 NA Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. Form SWU-251, last revised October 25, 2012 Page 1 of 2 5TORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) Signature Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Date "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 or Designee) (Date) Form SW U-251, last revised October 25, 2012 Page 2 of 2 laceAnaly'tica( wwwpacelatrs.cw i January 26, 2015 Darin McClure Mid Atlantic Associates, Inc. RE: Project: DEALS ON WHEELS Pace Project No.: 92231376 Dear Darin McClure: Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 2BO78 (704)875.9092 Enclosed are the analytical results for sample(s) received by the laboratory on December 30, 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, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com Project Manager Enclosures cc: Joanna Crow, Mid Atlantic Associates, Inc. Check Hoffman, Mid Atlantic Associates Beverly Oglesby, Mid Atlantic Associates, Inc. 9e�A�Y 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 12 laceAnaly'ficalo wwmpacelabs.com Project: DEALS ON WHEELS Pace Project No.: 92231376 Indiana Certification IDS 7726 Moller Road, Indianapolis, IN 46268 Illinois Certification #: 200074 Indiana Certification #: C-49-06 Kansas Certification #: E-10247 Raleigh Certification IDS 6701 Conference Drive, Raleigh, NC 27607 North Carolina Wastewater Certification #: 67 Charlotte Certification IDS 9800 KinceyAve, Ste 100, Huntersville. NC 28078 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #' 5342 North Carolina Wastewater Certification #: 12 South Carolina Certification #: 99006001 Asheville Certification IDS 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification M E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS Kentucky LIST Certification #: 0042 Louisiana/NELAP Certification #: 04076 Ohio VAP Certification #: CL-0065 West Virginia Certification #: 330 North Carolina Bioassay Certification #: 16 North Carolina Drinking Water Certification #: 37731 Florida/NELAP Certification M E87627 Kentucky UST Certification #: 84 West Virginia Certification #: 357 Virginia/VELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification M 99030001 West Virginia Certification M 356 Virginia/VELAP Certification #: 460222 Pace Analytical Services, Inc. 9800 KirnceyAve. Suite 1oo Huntersville, NC 28078 (704)875-9092 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 12 aceAnalytical f www.pacelabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 SAMPLE ANALYTE COUNT Project: DEALS ON WHEELS Pace Project No.: 92231376 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92231376001 OUTFALL #1 EPA 1664B CLW 1 PASI-C EPA 8015 Alcohol -Glycol TMW 1 PAS! -I EPA 6010 JMW 1 PASI-A SM 2540D EPJ 1 PASI-R 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 12 _ �-ace'Analytical www.pacelabs.com 1 ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 1 o0 Huntersville, NC 28078 (704)875-9092 Project: DEALS ON WHEELS Pace Project No.: 92231376 Sample: OUTFALL #1 Lab ID: 92231376001 Collected: 12/29/14 07:00 Received: 12/30/14 14:55 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 1664 SGT-HEM, TPH Analytical Method: EPA 1664B Total Petroleum Hydrocarbons ND mg1L 5.0 1 01/07/15 07:29 8015M Glycols in water Analytical Method: EPA 8015Alcohol-Glycol Ethylene glycol ND mg1L 5.0 1 01/16/15 13:01 107-21-1 1g 6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010 Lead 18.0 ug1L 5.0 1 01/05/15 20:30 01/06/15 20:07 7439-92-1 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 54.0 mg1L 50.0 1 01/05/15 11:18 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/26/2015 0415 PM without she written consent of Pace Analytical Services, Inc.. Page 4 of 12 m _ laceAnaly'fical wwwpacelabs.mm f r QUALITY CONTROL DATA Project: DEALS ON WHEELS Pace Project No.: 92231376 QC Batch: GCSVl19988 Analysis Method: EPA 1664E QC Batch Method: EPA 1664E Analysis Description: 1664 SGT-HEM, TPH Associated Lab Samples: 92231376001 METHOD BLANK: 1364601 Associated Lab Samples: 92231376001 Parameter Units Total Petroleum Hydrocarbons mg/L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 01/07/15 07:18 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE & LCSD: 1364602 1364603 Spike LCS LCSD LCS LCSD % Rec Max Parameter Units Conc. Result Result % Rec % Rec Limits RPD RPD Qualifiers Total Petroleum Hydrocarbons mg/L 20 17.4 16.9 87 84 64-132 3 30 Results presented on this page are in the units indicated by the "Units" column except whore an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01 /2612015 04:15 PM without the written consent of Pace Analytical Services, Inc.. Page 5of12 lac�Analyticalo www.pacelabs.com r QUALITY CONTROL DATA Project: DEALS ON WHEELS Pace Project No.: 92231376 QC Batch: GCSV114063 Analysis Method: EPA 8015 Alcohol -Glycol OC Batch Method: EPA 8015 Alcohol -Glycol Analysis Description: EPA 8015 Modified Associated Lab Samples: 92231376001 METHOD BLANK: 1223474 Associated Lab Samples: Parameter Units Ethylene glycol mglL LABORATORY CONTROL SAMPLE: 1223475 Parameter Units Ethylene glycol mg1L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 01116/1512:24 Spike LCS Conc. Result 25 26.6 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersvilte, NC 28078 (704)875-9092 LCS % Rec % Rec Limits Qualifiers 107 49-139 Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/26/2015 04:15 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 aceiAnalyficale www.pacelabs.com f Project DEALS ON WHEELS Pace Project No.: 92231376 QC Batch: MPRPI17663 QC Batch Method: EPA 3010 Associated Lab Samples: 92231376001 METHOD BLANK: 1363540 Associated Lab Samples: 92231376001 Parameter Lead uglL QUALITY CONTROL DATA Analysis Method: EPA 6010 Analysis Description: 6010 MET Matrix: Water Blank Reporting Units Result Limit Analyzed Qualifiers ND 5.0 01/06/15 20:00 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 1 o0 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1363541 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Lead uglL 500 436 87 80-120 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1363542 1363543 MS MSD 92231376001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Lead uglL 18.0 500 500 476 469 92 90 75-125 1 Results presented on this page are in the units indicated by the "units" column except where an attemale unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, . Date: 01/26/2015 04:15 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 _ lac�Analy*tical' www,pacelabs. com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project DEALS ON WHEELS Pace Project No.: 92231376 QC Batch: RWET17826 QC Batch Method: SM 2540D Associated Lab Samples: 92231376001 METHOD BLANK: 1363517 Associated Lab Samples: 92231376001 Parameter Units Total Suspended Solids mg1L QUALITY CONTROL DATA Analysis Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 01/05/15 09:38 LABORATORY CONTROL SAMPLE: 1363518 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 256 102 90-110 SAMPLE DUPLICATE: 1363519 92231612001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 1900 1910 1 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01 /26/2015 04:15 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 QD aCeAnaltical J www.pacelabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 2BO78 (704)875-9092 QUALIFIERS Project: DEALS ON WHEELS Pace Project No.: 92231376 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine (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 PASI-I Pace Analytical Services - Indianapolis PASI-R Pace Analytical Services - Raleigh ANALYTE QUALIFIERS 1g Sample extraction conducted outside of EPA recommended hold -time per client request. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 01 /26/2015 0415 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 /�A6 Anal icaI www.pace;abs. com QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: DEALS ON WHEELS Pace Project No.: 92231376 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92231376001 OUTFALL 91 EPA 1664B GCSVl19988 92231376001 QUTFALL #1 EPA 8015 Alcohol -Glycol GCSV114063 92231376001 OUTFALL #1 EPA 3010 MPRP117663 EPA 6010 92231376001 OUTFALL #1 SM 2540D RWET17826 Analytical Batch I CP/15901 Date: 01/26/2015 04:15 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 10 of 12 ,� e: Document NamSamplo Condition Upon Document Revised: April o4, 2013 . aceRria Rece1 t SCUR Page 1 of 2 _•. Document No.: F-RAI.-CS-001-rov.02 Issuing Authorlties: Pace Asheville Quallt MIGe Client Name: Where Received: Huntersvllle E] Asheville ❑ Eden Raleigh Courier (Circle): • Fed Ex UPS LISPS Client • Commercial Pace Cher Custody Seal on CoolerlBox Present: ❑ yes g no Seals intact: d yesEl no Packing Material: Bubble Wrap Ej Bubble_5gs 9f Alone n Othar Circle Thermometer Used: IR Gun:1 2065367T of Ice Waf Blue None Samples on Ice, cooling process has begun IR Gun t3ack�t3NA22365111 Temp Correction Factor: Add ! btrac v. �O C Date and Initials of person examining Corrected Cooler Temp.: C Biological Tissue Is Frozen: Yee VJWA co to !rasa a chock: Temp. shoutd be above freezing to M Comments: Chain of Custody Present: 4Yas ❑No •El WA 1 - ..- Chain of Custody Filled Out: Yoe [IN, Ca WA 2, ' Chain of Custody Relin trished: es E_tNO OMA S. Sampler Name R Signature on COC: 6Yes ❑No ONlA 4, Sam Ies Arrived within Hold Tlmo: AS ONO ❑wA 5.. Short Hold Time Mal sls1<12hr : El Yes ONo EIWA 6. Rush Tum Around Time Requested: ❑Yee ❑wA 7. SufficlentValume: Oyes OHo OWA 8. Correct Containers Usod: Yee ONo ❑wA 9. . -Pace Containers Used: Yes ONO Own Containers Intact: Yes ©No LIWA 16, Filtered volume recelved for Dissolved tests ❑Yes ❑No wn 11. Sample Labols match COC: Yes quo ❑wA 12. -Includes dateltimellD/Mal sis Matrix: All conlalnera needing preservation have been chocked. C�ree ❑No ❑NiA 13. All containers needing preservation are found to be In Yes ❑No ❑WA compliance with EPA recommendation. l� /' excoptbns: VOA. coliform, TOG. OGG. WI-DRO (water) (]/ ❑No Sam las checked for dechlorination: Yos ON, ❑WA 14. Headspace in VOA VIaIS >6mm : OYss ❑No ?VA 16. Trip Blank Present: ❑Yos CJNo APA 16. Trip Blank Custody Seals Present ©Yea ❑No �WA Pace Trip Blank Lot # if purchased): Client Notification! Resolution: Field Data Required? Y ! N Person Contacted: Date/Time: Comments! Resolution: SCURF!$RF Review:: Date: i ` r % A f Note: Whenever there is a discrepancy af(ecltng North Carolina compliance samples, a copy of thls form will be sent to tho North Carolina DEHNR Certification Office ( i•e out of hold, Incorrect preservative, out of tamp, incorrect containers) Place label here IJ®# : 922313 76 9223137 s 0 Page 11 of 12 ro CHAIN -OF -CUSTODY / Analytical Request Document N 2ce The Chan-af�ato0y Is s LEGAL DOCUMENT. AD rdevma 5e4s must be compWea emreMy rn -- ;*cban A '� - - se C eProject �� t CSOM Iufmnwft � »� it ,nraQ. IrdorrMtilwG ;Ompwrpr Mid -Atlantic Associates, Inc. Ropon To: Chuck Hoffman (Cho fman@maaonlin&com) Chuck Hoffman Wwrsad: 409 Rogers View Cant copy To: Joanna Crow (iomw@maomfine.com) Companf Herne: Mid -Atlantic Assoczatas. ¢w— REGULATORY AGENCY : , - - • ' - Ra"gh, NC 27610 rose: 409 Rogers View COUrt. Ralelgh. NC r NpDES i G120UND WATER F DRINIQNG WATER i UST t— RCRA r OTHER 'ma7Tor choffrnangmaaonfine.com Pmtft teOldwNk-: R2310.00 plice 0WIe — fawenw: 919-250-9A18 Floc 919-250-9os0 Prciea Nwne: Deals on Wheels R"� KIMn Herring Stu Locitlon - . - STA M. NC Lequfar»C Due DamrTAT: 4aremre P Ni/[IDer 1t2370.00 Pace PSe01e R _ Requea�d Anslysls Fittprsd(Y1fi}^` Section D Varla MAWR ccd-a- ae4w+eCierrvrhrnfa7lae ►,remu SSE e 2 COLLECTED PlesCrvetYves r` N Y N Y o�M;R CW WAMR wr pq�' NOW.a7ER MIM• Ta LOUP09SE U co_ 30Lr50LA a i to y �►. W 'a m SAMPLE ID „°e AR = o m IA,Z M ! .) DnEA 07 O w a tu z 9 $ }. .2 r. SMOG IDS ML)ST BE UNIQUE 7mUX U r o CL DATE TS1AE MATE: TIME H i i i z z aG PasPrb)M NoJ Lab I.D. t- Outfall No. 1 WT. G 7 11 11 121 1 x x x x Pamtall inches 2 ! I l- 3- : 00 hwi Vo H: s.. a' s s. a • 9 - 70 17 .12 - ._REDDJS:D13TlAFfiLAS1D ATE C ACT• 6 'nW SA�PLEcoEonvu54DC7OMLOlifltS �zgA^ It. -3,0L N 1093 MR i.6 sAlsPUR MAIL,slG►t,►rti _ _ . _ PRW7 Name of S"PLFR } 8 v WGNATURE at SAMPLER: ^ CHI OSL4 i H ,-i 'Impeneld Noes: BY sip - e,s farm ym ara aerspwv Pacsy HET 30 dry Pw rr-ON terms and ■9n to We CkAMCa or f 51: per ma+N to fiat pad .arin 30 dap. F.ALL4Q42 DM v.08. 11-0a-z007 C_.." Mod Atlantic Engineering & Environmental Solutions July 22, 2014 NCDENR/DWQ Attention: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 RECEIVED JUL 2 8 2uiq CEE)E~ WQIBOG Subject: STORMWATER SAMPLING RESULTS DEALS ON WHEELS, INC. 14473 NC 96 HIGHWAY ZEBULON, NORTH CAROLINA NPDES PERMIT NO. NCG100062 To Whom It May Concern: 409 Rogers View Court Raleigh, NC 27610 office 9 19.2 50.99 18 facsimile 919.250.9950 MAAONLINE.COM Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for the sampling conducted at the above -referenced site. A stormwater sample was collected from Outfall 001 on July 10, 2014 and analyzed for total suspended solids (TSS), pH, total recoverable lead, oil and grease and ethylene glycol. As indicated on the attached DMR', all parameters were reported below or within their respective benchmark values. If you have any questions or need additional information, please contact me at 919-250-9918. Sincerely, MID -ATLANTIC ASSOCIATES, INC. Charles B. Hoffman, P.G. Project Geologist Attachment: Discharge Outfall Monitoring Report EXPERIENCED CUSTOMER FOCUSED INNOVATIVE �'A r�i.rw` wwiwiwa --�, NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forgsid'u,:•_=.or ff iirg outthisforn, please visit: http://portal.ncdenr.ore/web/wq/ws/su/npdessw# Pe=:�.i \o .CJ,,(_f_f_f_/_/_/ or Certificate of Coverage No.: AI Facili- Na1:' e. G p.0 Is 1. 'Y'r— - _ Coun vTry 's1re, Phone No. 19 lnsilerte.. G ;� Ie 1. lie l e ti Date Tire o 1 pee o- TC� 3o Qw. Total i , e _:?re`c=:pia ion (inches): a LVas :his ''eawesentative Storm Event" or "Measureable Storm Event" as defined by the permit? [See i©relo�..) I UIZ�'e- FT'No Please v _r;: Oualitative Monitoring must be performed during a "representative storm event, o 'rri�G.SUr-20h storm event" (requirements vary, depending on the permit). Quali%_I e. -noi itoring requirements vary. Most permits require qualitative monitoring to be perm = e' d C Q.2 `representative storm event" or during a "measureable storm event" However, so: e -je=..s ev'rot have this requirement.. Please refer to these definitions, if applicable. A "representative stor rn event" is a storm event that measures greater than 0.1 inches of rainfall and' :i" t is'o*�ceoed by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 i::Ce has'occurred. A single storm event may contain up to 10 consecutive hours of no preciai ��on. A "measurable storm event" is a storm event that results in an actual discharge from the Pei—n a2 si i. ot afl. The previous measurable storm event must have been at.least 72 hours prior-. The 72-no r storm interval does not apply if the permittee is able to document that a shorter hate: ai i .rebl esentatjve for local storm events during the sampling period, and the permittee ol):pis $ anro: al'Ei orn the local DWQ Regional Office. By `his si"ature, l`certify that this report is accurate and complete to the best of my knowledge: (S:g a`gre ol, Permittee or Designee) Page 1 of 2 10/25/2012 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For��,'��r_=n ftiiiry,outsisform,pleasevisit: bttp/Iportal.ncdenr.org/webf�ws/sti/ pdessw#tab-4 Perm,'- No ,.. /ck /�/�/ / or Certificate of Coverage No.: NICIIi// Facility, :Na:;_e: (j 6.,0r I ! r-,- • _ _ _ Cour: T 10AN n s c� _ Phone No. _ jig- a to Inspec`o-:� -le! - - Date b---—� Time Total E: e: nches): a Was sa = e Storm Event" or "Measureable Storm Event" as defined by the permit? (See i fo =no `a'elbs.) Please uaiitative'A.fonitoring must be performed during a "representative Storm eventpor M z l ur dal: `Swrm event" (requirements vary, depending on the permit). Quality L = a: • an» .,ements vary. Most permits require qualitative monitoring to be ". --D-e5eatat ti=e storm event" or during a "measureable storm event." However, some Vie_ =n-, co _ hsve=-rns'requirement.. Please refer to these definitions, if applicable. A "representatwe storm event" is a storm event that measures greater than 0.1 inches of rainfall and �; s �r UGC ., �a�_t 2 hours (3 days) in which no storm event measuring greater than 0.1 ind- 5 a 0-r cu. :7r d- _irgle.storm event may contain up to 10 consecutive hours of no prec:pt. w o'. A "measurable storm a *-ent' is:a storm event that results in an actual discharge from the >' perm€ e< siZe ouzra.h.. fie orevious measurable storm event must have been at least 72 hours prior• ! _._ 7 % our o:.: intern•al does not apply if the permittee is able to document that a shorter inte-va! :;emu :'e for local storm events during the sampling period, and the permittee obtai::_ 3 p ,-o ` I o 7 he local DWQ Regional Office. By this _ -': _, i=c r:y u,at,this report is accurate and complete to the best of my knowledge: zz I (SignG `?`: t a -,Designee) Pagel of 2 SWU-242:d CERTIFICATE OF COVERAGE NO. NCGIO0062 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT 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 Deals on Wheels, Inc. COUNTY Johnston PERSON COLLECTING SAMPLE(S) Mike Bailey CERTIFIED LABORATORY(S) Pace Analytical Lab # 12 Lab # Part A: Stormwater Benchmarks and Monitoring Results PHONE NO. (919) 269-4587 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year Total Rainfall, inches 00400 00530 - - - - 77023 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic Organics3, mg/L Benchmark - - 6.0 — 9.01 100/50z 15 8,000 (Tiers 2 and 3) 0.03 1.0 Outfall001 7/10/14 2.0 7.0 11.7 <5.0 <10.0 0.0056 NA Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. Form SWU-251, last revised October 25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of federal Regulations (CFR) Part 122. Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) Signature Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Date "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature & Permittee or Designee) (Date) Form SWU-251, last revised October25, 2012 Page 2 of 2 ace Analytical xnvw,patelabs.cnm Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875.9092 July 18, 2014 Darin McClure Mid Atlantic Associates, Inc. RE: Project: Deals on Wheels Pace Project No.: 92209020 Dear Darin McClure: Enclosed are the analytical results for sample(s) received by the laboratory on July 11, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TN 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, Jon D Bradley jon.bradley@pacelabs.com Project Manager Enclosures cc: Joanna Crow, Mid Atlantic Associates, Inc. Chuck Hoffman, Mid Atlantic Associates Beverly Oglesby, Mid Atlantic Associates, Inc. SQ P�CRFO �9eORA'�� 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 12 aCeAnalytical wwwpacefabs.=n Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 CERTIFICATIONS Project: Deals on Wheels Pace Project No.: 92209020 Indiana Certification IDs 7726 Moller Road, Indianapolis, IN 46268 Kentucky UST Certification #: 0042 Illinois Certification #: 200074 Louisiana/NELAP Certification #: 04076 Indiana Certification #: C-49-06 Ohio VAP Certification #: CL-0065 Kansas Certification #: E-10247 West Virginia Certification #: 330 Raleigh Certification IDs 6701 Conference Drive Raleigh, NC 27607 North Carolina Wastewater Certification #: 67 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Dr., Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 North Carolina Bioassay Certification #: 16 North Carolina Drinking Water Certification #: 37731 FloridalNELAP Certification #: E87627 Kentucky UST Certification #: 84 West Virginia Certification #: 357 Virginia/VELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 Virginia/VELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 12 ace Analytical www.pacelabs.cnm Pace Analytical Services, Inc. 9B00 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 SAMPLE ANALYTE COUNT Project: Deals on Wheels Pace Project No.: 92209020 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92209020001 Outfall No. 1 EPA 1664E CLW 1 PASI-C EPA 8015 - Alcohol -Glycol DMT 1 PASI-I EPA 6010 .IMW 1 PASI-A SM 2540D RC 1 PASI-R 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 12 aceAnalytical wwwpaeelabs.com Pace Analytical Services, Inc. 9800 KinceyAve. Suite too Huntersville, NC 28078 (704)875-9092 ANALYTICAL RESULTS Project: Deals on Wheels Pace Project No.: 92209020 Sample: Outfall No. 1 Lab ID: 92209020001 Collected: 07/10/14 17:00 Received: 07/11/14 16:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mg/L 5.0 1 07/17/14 16:27 8015M Glycols in water Analytical Method: EPA 8015 -Alcohol-Glycol Ethylene glycol ND mg/L 10.0 1 07/16/14 22:27 107-21-1 6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010 Lead 5.6 ug/L 5.0 1 07/16/14 17:50 07/18/14 14:34 7439-92-1 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 11.7 mg/L 8.3 1 07/15/14 09:57 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 07/18/2014 05:04 PM without the written consent of Pace Analytical Services, Inc. Page 4 of 12 a�,wwwpacelabs.comeAnalyti�cal Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Deals on Wheels Pace Project No.: 92209020 QC Batch: GCSV118263 Analysis Method: EPA 1664B QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92209020001 METHOD BLANK: 1244255 Associated Lab Samples: 92209020001 Parameter Units Oil and Grease mg/L LABORATORY CONTROL SAMPLE: 1244256 Parameter Units Oil and Grease mg/L MATRIX SPIKE SAMPLE: 1244257 Parameter Units Oil and Grease mg1L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 07/17/14 16:26 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 40 37.6 94 78-114 92209020001 Spike MS MS % Rec Result Conc. Result % Rec Limits Qualifiers ND 40 36.6 90 78-114 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 07/18/2014 05:04 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 12 aceAnalytical www.pacelabs.cw Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersvilte, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Deals on Wheels Pace Project No.: 92209020 QC Batch: GCSV112893 Analysis Method: EPA 8015 - Alcohol -Glycol QC Batch Method: EPA 8015 - Alcohol -Glycol Analysis Description: EPA 8015 Modified Associated Lab Samples: 92209020001 METHOD BLANK: 1129263 Associated Lab Samples: Parameter Units Ethylene glycol mglL LABORATORY CONTROL SAMPLE: 1129264 Parameter Units Ethylene glycol mglL Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 10-0 07/16/1419:07 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 250 273 109 79-129 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1129265 1129266 MS MSD 30124950013 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Ethylene glycol mglL ND 250 250 353 362 141 145 67-133 3 M3 Results presented on this page are in the units indicated by the "Units" column except whore an alternato unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 07/18/2014 05:04 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 (!�alcieAnalytical www.pm)abs.com QUALITY CONTROL DATA Project: Deals on Wheels Pace Project No.: 92209020 QC Batch: MPRP116462 Analysis Method: EPA 6010 QC Batch Method: EPA 3010 Analysis Description: 6010 MET Associated Lab Samples: 92209020001 METHOD BLANK: 1243393 Associated Lab Samples: 92209020001 Parameter Units ug/L Lead Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 07118/1414:24 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28076 (704)875-9092 LABORATORY CONTROL SAMPLE: 1243394 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Lead ug/L 500 516 103 80-120 MATRIX SPIKE R MATRIX SPIKE DUPLICATE: 1243395 1243396 MS MSD 92209000001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Lead ug/L ND 500 500 496 485 99 97 75-125 2 Results presented on this page arc in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 07/18/2014 05:04 PM without the written consent of Pace Anatyticat Services, Inc.. Page 7 of 12 ace Analytical wwwpacelabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Hurtersvilie, NC 28078 (704 )87 5-9092 QUALITY CONTROL DATA Project: Deals on Wheels Pace Project No.: 92209020 QC Batch: RWETI6693 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92209020001 METHOD BLANK: 1241794 Matrix: Water Associated Lab Samples: 92209020001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 07/15/14 09:54 LABORATORY CONTROL SAMPLE: 1241795 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 246 98 80-120 SAMPLE DUPLICATE: 1241796 92208254001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 357 400 11 D6 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report sha$l not be reproduced, except in full, Date: 07/18/2014 05:04 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 ace Analytical www,pacelabsx= Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALIFIERS Project: Deals on Wheels Pace Project No.: 92209020 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. ND - 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. PQL - Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene. Consistent with EPA guidelines, unfounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. 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 PASI-I Pace Analytical Services - Indianapolis PASI-R Pace Analytical Services - Raleigh ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. M3 Matrix spike recovery was outside laboratory control limits due to matrix interferences. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 07/18/2014 05:04 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 aceAnalytical www.pacefabs. mn Pace Analytical Services, Inc. 9800 Kincey Ave, Suite 100 Huntersvifle, NC 28078 (704 )87 5-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Pace Project No.: Deals on Wheels 92209020 Analytical Lab ID Sampte ID QC Batch Method QC Batch Analytical Method Batch 92209020001 Outfall No. 1 EPA 1664B GCSV118263 92209020001 Outfall No. 1 EPA 8015 - Alcohol -Glycol GCSV112893 92209020001 Outfall No. 1 EPA 3010 MPRP116462 EPA 6010 ICP114866 92209020001 Outfall No. 1 SM 2540D RWEV6693 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 07/18/2014 05:04 PM without the written consent of Pace Analytical Services, Inc.. Page 10 of 12 Documom Nafne' Sample Condition Upon [Document Revised: April04, .PaceAnalytical' Receipt (SCUR) page 1 oft Document No.: Issuing Authofides: F-RAL-CS-001-rov.02 Pace Asheville Quality Office Client Name:_;d-Q,-Jjjf . Where Received: ❑ Hunter_sville 0 AsheviAe ❑ Eden / Ralolgh Courier (Circle): Fed Ex UPS LISPS Client Commercial �pGY. Other Custody Seal on CoolorlBox Present: n yes Z no Seals Intact: Oyas U no Packi» Q Material: n Bubble Wrap ❑ Bubble Bogs Nona Other__ Circle Thermometer Used: IR Gun SN:1220Type of Ice: We Blue Nono �'1 Samples on ice, orxrlirlg process has begun IR Gun Back Up SN:f2'''�[''005371. Temp Correction Factor: Add 1 uht ct Corrected Coofar Tomp.: G 'Iwlp should he above Iree3ing 106'C 6-11 (2 C f31010giCal T15611e IS Frozen; Yee tb Nr Comments: Data and Initlals of person examining cantonts! reservation thank Chaln of CUStDdy Prosenl: 03 ONO ONIA 1. Chain of Cuslodx Fitfed Out; oe ❑No ❑WA 2. Chain of Custody Retln ufshed: Yee ONO ❑N(A 3. Sam for Name 8. Signature on COG: LJYe3 ONO ❑wA A. Samplos Arrived within Hold Time: Yos ONO ❑MA 5. Short Hold Time Anal sfs Q2hr : Oyes Zvo 7WA 6, Rush Turn Around Time Requested: ❑Yea o Ow 7. Sufficient Volume: Ye, ONO ONIA 8. Correct Containers Used: -Pace'Contalnors Used: YJYns rJNo ❑wA AYho ONO ONrA 0. Containers Intact: VY61 ONO ONIA 10. Filleted volume received for Dissolved lasts ❑Yoe ONO At IA 11. Sample Labois match COG: -includes dateltilnellDlAnalysis Matrix: Yes ONO ❑NiA 12. AN wnlalners needing preservatisn Nava been checked. AA containers flooding preservation era found to be in compliance with EPA rerommondatinn. e,rcaptlnna: VUA, Conform, TOC, OaG, YJI•DRO(water) ef ONO ❑N!A /G�'/&tis ❑No ❑wA 49yes ❑No 13. Sam los checked for dochlorinalion: ❑vas ❑No wA .14. Headspace in VOA Vials >6mm : ❑Yea ON. 'fA 15. Trip Blank Present: Trip Blank Custody Seals Present Pace Trip Blank Lot ff If purchased ❑Yw ONO pwA ❑Yes ONO YJIVA 16. Client Notification! Resolution: Fleld Data RequlrW Y I N Person Contacted: Date/Time: Commanlsl Rosoiuiion: SCURF/SRF 1s� Date: :r11{ Roview:: t Nofe: Whenevor theio Is a discrepancy allotting North Carolina compliance camplos, a copy of this form will be sent to the North Carolina DEHNR CortinCat4on Office ( I a out of hold, incorrect preservaffva, out of temp, Inoorr6cl containers) Plano label harp OR Handwrite project number (If no label available) ell 2Z0-D2G Page 11 of 12 ace Analytical Re@ie7'3d41e<Gm'� CHAIN -Of -CUSTODY I Analytical Request Document Tte is a LCG-�. DOCUwcNT w rrb.-+zc frdds ML,.0 be -PKIed aowr.Iey, Saetk� a f section aaGarsd Pmsv 4dwr.+s— rota h ft— im. Pays: of CWV-'f klid-AUartic AssoCaias• Inc. RoPe+To: ChucX Hoffman (chotlman@maapnlinQ Wrn) Avo —' Chum Homman hdaea AD9 Rogers View Coon Caw Tw Joanna Crow OcrDwQmaaargi+ecam) a•'TNN N— Mid -Atlantic Assaoates, i . REGULATORY AGENCY" _ Raleigh, NC 27610 409 Roggm ViQw courL Raleigh, NC r' .yapES r- GROUNE) WATER r- ORINKNG WATER f US: F RCRA OTHER Ew.d T. cftoffman@tTQwnlineram P� C rN- R2310.00 P.-a— .. 919-250-9916 Fa._ 919.250-9950 IPmea N. : peals on wheels Kenn Herring se, L—b,n STw7E: NC a.0a.nnT: a .,..d P gars Nuror. F22310.00 r.a - wm. Requested Ana"Is Filtered (YIN) s.ruoa D V.rld UtW. Cade+ r P.�wr.acwnr�m.,r• fre-.RI� to y COLLECTED Preservatives >' N r N v a.w.�.crrnn vomit rEo � `-' o � w.arE war„a .aawcu • Y P"•a r ar.At � m.r•or.E naaeae w ;' . a Z_ SAMPLE ID ^" fA-4 0-01 01+ e w Z F 1- Ir o21 t C0 q Sa 10. MUST 6E UNME recce F $ V =c'4°x� m�a�oS a` V)lx CATE TINE Q.rE TIME a. = 1 S Z Z 4 r W Pace Project Nod Lab I.D. .;1. outfai(No. 1 WT G 7 4 1 2 1 1 1 1 ryye K K I K K I I I I I I I Rainfall inches: Z 1' H' -7. O :re �y ? sm 11 is 12 •i AWRIONN.EOdf]rr7 RaJNQIa$Nm BY J ARM-AnCM DATE - TW-E, ADCEPTED BYIART[lAT)Otr - DATE :. Tlik SAVPJE00Nom0NS Ile 0 =ors r SAMPLER NAME AND SIGNATV E - •.�y tl E � � w � vnnT r..e..r SAMPLEa: f . 1 SLy o� � aL slow,TarzEarsrMrPL °A„DTI,: 7— yS ryravur. Nve. ar.4�^l q�• hw+ Ys+a•..nrp^4 P.[s1 MT ]C ..r sgn..n..rn..ra .pn.4g io ns ..wl.. o! I.SM per maM1 b. am mores aw pre.anr p c.y' F-ALL-O-Mrev.0a, 12-OLt-2007 7v1