NCG100062_MONITORING INFO_20170125

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C&
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑c� -7 b I a 5
YYYYMMDD

CERTIFICATE OF COVERAGE NO. NCG100062
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
RECEIVED
JAN 2 5 Z017
CENTRAL FILES
DWR SECTION
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:2016
(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. [phone]
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
100/50Z
15
$,000
(Tiers 2 and 3)
0.03
1.0
Outfall 001
12/29/16
0.25
7.2
62.5
< 5.0
< 5.0
0.0149
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 SW U-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 11 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 MailServiceCenter
Raleigh, North Carolina27699-1617
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."
(Signatu`re of Permittee or Designee;
(Date}
Form SWU-251, last revised October 25, 2012
Page 2 of 2

r
w
409 Rogers View Court
h.IVC 2761
id AtlanticRaleigh,
office
office 919.250.9918
Engineering &Environmental Solutions
facsimile 919.250,9950
_ - MAAONLINE.COM
August 9, 2016
NCDEQIDWR
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
To Whom It May Concern:
RECEIVED
AUG 15 ZOib
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 June 28, 2016 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, with the exception of lead. Please note that a Tier One Response has previously
been implemented at the site, Best Management Practices are in place and batteries are
stored indoors and under cover at all time. Therefore, the current and historical lead
exceedances detected in stormwater runoff at the site are interpreted to be the result of
naturally -occurring lead present in the native site soils. If you have any questions or need
additional information, please contact me at 919-250-9918.
Sincerely,
MID -ATLANTIC ASSOCIATES, INC.
Ron Davis
Stormwater Services Manager
Attachment: Discharge Outfall Monitoring Report
Laboratory Analytical Report
EXPERIENCED CUSTOMER FOCUSED INNOVATIVE

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 Anal)qical Lab #12
Lab #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLES COLLECTED DURING CALENDAR YEAR:2016
(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. [phone]
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
5GT-HEM), mg/L
Ethylene Glycol,
mg/L
Lead, Total
Recoverable,
mg/L
Total Toxic
3
Organics ,
mg/L
Benchmark
-
-
6.0 — 9.01
100/50z
15
8,000
(Tiers 2 and 3)
0.03
1.0
Outfall 001
6/28/16
0.12
7.2
.72.8
0.837
< S.0
0.0466
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, 2022
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 5tormwater 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 MailServiceCenter
Raleigh, North Carolina27699-1617
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 of Permittee or Designee)
(Date)
Form SWU-251, lost revised October 25, 2012
Page 2 of 2

aceAnalytical
www.pacefahs.com
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100 ,
Huntersville, NC 28078
[phone]
July 11, 2016
Chuck Hoffman
Mid -Atlantic Associates, Inc
409 Rogers View Qourt
Raleigh, NC 27610
RE: Project: Deals on Wheels
Pace Project No.: 92303263
Dear Chuck Hoffman:
Enclosed are the analytical results for aZjple(s) received by the laboratory on June 29, 2016. The
results relate only to the samples includ in this report. Results reported herein conform to the
most current TNI standards and the lab,Irt's Quality Assurance Manual, where applicable, unless
otherwise noted in the body of the reg6rt.
Analyses were performed at the P,Ace Analytical Services location indicated on the sample analyte
page for analysis unless otherwi e footnoted.
Some analyses have been supcontracted outside of the Pace Network. The subcontracted
laboratory report has been a {ached.
If you have any questions, oncerning this report, please fgel free to contact me.
Sincerely,
Nicole Gasiorowski
nicole. g asiorowskid pace labs. com
Project Manager
Enclosures
cc: Ron Davis, Mid Atlantic Associatees, Inc.
Q pk,CC c0
T1N 1"
OR —
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 18

aceAnalytical
wwwpacelahs.com
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: Deals on Wheels
Pace Project No.: 92303263
Indiana Certification IDs
7726 Moller Road, Indianapolis, IN 46268
Illinois Certification #: 200074
Indiana Certification #: C-49-06
Kansas/NELAP Certification #:E-10177
Kentucky UST Certification #: 0042
Kentucky WW Certification #:98019
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
��Cpp
CERTIFICATIONS
Ohio VAP Certification #: CL-0065
Oklahoma Certification #: 2014-148
Texas Certification #: T104704355-15-9
West Virginia Certification #: 330
Wisconsin Certification #: 999788130
USDA Soil Permit #: P330-10-00128
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirainiaNELAP 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 18

aceAnalytical
www.pmelabs.com
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
SAMPLE ANALYTE COUNT
Project:
Deals on Wheels
Pace Project No.:
92303263
Analytes
Lab ID
Sample ID
Method
Analysts
Reported Laboratory
92303263001
Outfall No. 1
EPA 8015 Alcohol -Glycol
BJW
1 PASI-I
EPA6010
SH1
1 PASI-A
SM 2540D
MJP
1 PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page 3 of 18

aceAnalyfical
xwwpacefabs.com
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: Deals on Wheels
Pace Project No.: 92303263
Sample: Outfall No. 1 Lab ID: 92303263001 Collected: 06/28/16 14:20 Received: 06129116 10:10 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8015M Glycols in water Analytical Method: EPA 8015 Alcohol -Glycol
Ethylene glycol ND mglL 5.0 1 07/06/16 16:02 107-21-1
6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010A
Lead 46.6 uglL 5.0 1 07/07/1618:40 07/0811615:45 7439-92-1
25400 Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids 72.8 mglL 10.0 1 07/01/16 12:13
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 07/11 /2016 05:28 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 18

aceAnalytical
www.pacelabs.cam
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28p78
[phone]
Project. Deals on Wheels
Pace Project No.: 92303263
QC Batch: GCSV/20340
QC Batch Method: EPA 8015AIcohol-Glycol
Associated Lab Samples: 92303263001
METHOD BLANK: 1578238
Associated Lab Samples:
Parameter Units
Ethylene glycol mg/L
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 07/06/16 15.15
LABORATORY CONTROL SAMPLE: 1578239
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Ethylene glycol mg/L 25 22.2 89 60-129
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1578240 1578241
MS MSD
92303253001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Ethylene glycol mg/L ND 25 25 19.4 22.7 78 91 23-157 16
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: 07/11 /2016 05:28 PM without the written consent of Pace Analytical Services, Inc..
Page 5 of 18

aceAnalytical
...pscelabs.com
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: Deals on Wheels
Pace Project No.: 92303263
QC Batch: MPRPI22353
OC Batch Method: EPA 3010A
Associated Lab Samples: 92303263001
METHOD BLANK: 1774130
Associated Lab Samples: 92303263001
Parameter Units
Lead ug/L
QUALITY CONTROL DATA
Analysis Method: EPA 6010
Analysis Description: 6010 MET
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 5.0 07108/1614:12
LABORATORY CONTROL SAMPLE: 1774131
Spike LCS LCS % Rec
Parameter Units Cone. Result % Rec Limits Qualifiers
Lead ug/L 500 465 93 80-120
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1774132 1774133
MS MSD
92302637006 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Conc. Result Result % Rec % Rec Limits RPD Qual
Lead ug/L ND 500 500 488 488 98 98 75-125 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: 07111 /2016 05:28 PM without the written consent of Pace Analytical Services, Inc..
Page 6 of 18

aceAnalytrcal.
www.pecelabs.com
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100 ,
Huntersuille, NC 24078
[phone]
QUALITY CONTROL DATA
Project: Deals on Wheels
Pace Project No.: 92303263
QC Batch: WET145975
Analysis Method:
SM 2540D
QC Batch Method: SM 2540D
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92303263001
METHOD BLANK: 1770923
Matrix: Water
Associated Lab Samples: 92303263001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mglL
NO 2.5 07/01/16 12:07
LABORATORY CONTROL SAMPLE: 1770924
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mglL
250 252
101 90-110
SAMPLE DUPLICATE: 1770925
92303254005 Dup
Parameter Units Result Result
Total Suspended Solids mglL NO NO
SAMPLE DUPLICATE: 1770926
92303259007 Dup
Parameter Units Result Result
Total Suspended Solids mg/L ND NO
RPD Qualifiers
RPD Qualifiers
Results presented on this page are in the units indicated by the "Units" column except where an altemate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 07/11/2016 05:28 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 18

aceAnalytical
wim�pacelabs.00m
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)B75-9092
QUALIFIERS
Project: Deals on Wheels
Pace Project No.: 92303263
DEFINITIONS
OF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
NO - Not Detected at or above adjusted reporting limit.
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MOIL - Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit
RL - Reporting Limit.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether, Styrene, and Vinyl chloride.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260,
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
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-I Pace Analytical Services - Indianapolis
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 07/11/2016 05:28 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 18

aceAnalytical
www.pacefabs.=
Pace Analytical Services, Inc.
9800 KinceyAve- Suite l00
Huntersv4le, NC 28978
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Deals on Wheels
Pace Project No.: 92303263
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92303263001
Outfall No. 1
EPA 8015 Alcohol -Glycol
GCSV/20340
92303263001
Outfall No. 1
EPA 301CIA
MPRP/22353 EPA6010 ICP/19956
92303263001
Outfall No. 1
SM 2540D
WET/45975
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 07/11 /2016 05:28 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 18

Document Name:
Sample Condition Upon Recel t(SCUR)
f !7;aceAnaPicals Document No.:
F-RAL-0-001-Rev.04
Client Name: e
ect it:
oij
Courier. Fed Ex ❑UPS ❑USPS ❑Cllent
❑ Commercial Pace ❑Other:
Document Revised: May 24, 2016
_ Page 1 of 2
Issuing Authority:
Pace Ralelgh Quality Office
Pyoa 9 nr') fnr Internal Use ONl v
WO#:92303263
92303263
Custody Seal Present? Dyes VIVO Seals Intact? Des VNo
n �v
Packing Material: ❑Bubble Wrap ❑Bubble Bags Non ❑Other. Qate/lnitials Person Examining Contem
Thermometer: T1505 Type !Ice Wet ❑Blue ❑None ❑Samples an ice, cooling process ha begun
Correction Factor: O&C Cooler Temp Corrected (IC): . Biological Tissue Frozen? ❑Yes ❑No N/A
Temp should be above f ezing to VC
USDA Regulated Sall (] N/A, water sample)
Did samples rlglnate In a quarantine zone within the United States: CA, NY, or SC (check maps)? old samples ortgtnate from a foreign source (inter tlanally,
[]Yes UN Including Hawaii and Puerto Rico)? ❑Yes JZNG
- —
Comments/Dlwe n :
Chain of Custody Present?
Yes
❑Ho
❑N/A
1.
Samples Arrived within Hold Tlme?
Ycs
❑No
N/A
2.
Short Hold Time Analysis (02 hr.)?
[]Yes
ONO
N/A
3.
Rush Turn Around Time Requested)
Yes
No
LINIA
4.
Sufficient Volume?
21YOS
Na
CINIA
S.
Correct Containers Used?
Yes
E]No
❑N/A
5.
-Pace Containers Used?
es
❑Na
❑N/A
Containers intact?
Yes
[]No
[]NIA
7.
Samples Field Filtered?
❑Yes
❑No
NIA
B. Noteif sediment is visible In the dissoived container
Sample Labels Match COC?
Ayes
❑No
❑NIA
9.
-Includes DatelTime/ID/Analysis Matrix:
All containers needing add/base preservation have been
10.
checked?
[Yes
❑No
❑N/A
All containers needing preservation are found to be in
j
compliance with EPA recommendation?
KZW4 002
(HNO3, HaSO4, HCI<2: NaOH }9 Sulfide, Na014y12 Cyanide)
Yes
[3NO
©N/A
x.C"►�r=
Exceptions: VOA, Cotiform, TOC, Oil and Grease,
DRO/8015 (water) DOC,LLHg�Yes
❑No
❑N/A
Samples checked for dechlorination]
Yes
❑No
❑,v/A
11.
Heads ace In VOA Vials (>$-&mm)?
Yes
ONo
P&A
12.
Trip Blank Present?
[]Yes
❑No
N/A
k
13.
Trip Blank Custody Seals Present?
❑Yes
[]No
P/A
Pace Trip Blank Lot q (if purchased):
CLIENT NOTIFICATION/RESOLUTION
Person Contacted: Date/Time:
Comments/Sample
Discrepancy:
Field Datn Requlred? []Yes ❑No
Project Manager SCURF Review: `�}/�1� Date: ( ,��1 [ L)4 ,
Project Manager SRF Review: _ _ N V + `� _ Date:
Note: Whenever there Is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEH R CeMficatlon Offce (i.e.
Out of hold, incorrect preservative, out of temp, incorrect containers)
Page 10 of 18

Z aceAnalytical '
n...r �arpwna may
!Section A
Required Client Information:
CHAIWOF-CUSTODY 1 Analytical Request Document
The Chain -of -Custody is a LEGAL DOCUMENT. A0 raises: ant fields must be completed accurately.
Section 6 Section C +
Required Project IRformetiom Invoice Infersnalidrt]
Page: of a1
companjr: Mid -Atlantic Associates, Inc.
Report To: Chuck Rottman ([e-mail])
Attention! Chuq Hl7ftifsany w
a
Address: A09 Rogers View Court
Copy To: Ron Davis ([e-mail]
Company Name: Mid -Atlantic Associates. Inc..
REGULATORY AGENCY
Raleigh, NC 27610
Address: 409 Rogers View Court. Raleigh. NC
- NPDES I- GROUNDWATER i DRINKING WATER
F- UST I- RCRA F OTHER
Emair To [e-mail]
Purchase Order No.: R2310.00
POCe Quota —
Rererence,
Phone: [phone]
Fax: [phone]
Project. Name, Deals on Wheels
Pace Protect Nimble Gasiorowski
Site Location
Manager:
STATE:
NC
Requested Due DitWTAT: Standard
Project Number. R2310.00
Pace Prone r<: _
Requested
Ana"Is
Filtered
(YIN)
-
Section O Valid Matrix Codes
a
I
Requlray Client Information MATRIX CODE
:E
COLLECTED
Preservatives
>
Fd
Y
N
Y
DRNKINGWATER OW
o
U
Z
Of
WATER WT
WASTEWATER WW
c
n
!I
u
coWOSiTE
COMPOSITE
D
I-
-
Z
PROOIXT P
O)
START
END'aw
SOA.r50L1O SL
b
J
o
toV
y
S
ID �
t
N
GSAMPLE
AR AR
(A-7- 0-9 1,) OTHER OT
w
o
Sample IDS MUST BE UNIQUE T %Jll Ts
p
a
m
In
t()
cs
O
a�i
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SIGNATURE of SAMPLER:
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-Lapananl Note: By Signing this farm veu are accePOV Pace's NET 30 day payment forms and agreeing to 'ale charges Of 1,5% per month for any invoices not paid wltldn 30 eays. F-ALL-0-020rev, 08. 12-Oct-21M

ENmCO Laboratories
Accurate. Timer Responsive. Innovative.
4810 Executive Park Court, Suite 111
Jacksonville FL, 32216-6069
Phone: [phone] FAX: [phone]
Monday, July 11, 2016
Pace Analytical (PA007)
Attn: Nicole Gasiorowski
9800 Kincey Ave. Suite 100
Nuntersville, NC 28078
RE: Laboratory Results for
Project Number: Deals on Wheels, Project Name/Desc: 92303263
ENCO Workorder(s): BZ02894
Dear Nicole Gasiorowski,
Enclosed is a copy of your laboratory report for test samples received by our laboratory on
Friday, July 1, 2016.
Unless otherwise noted in an attached project narrative, all samples were received in
acceptable condition and processed in accordance with the referenced methods/procedures.
Results for these procedures apply only to the samples as submitted.
The analytical results contained in this report are in compliance with NELAC standards, except
as noted in the project narrative. This report shall not be reproduced except in full, without
the written approval of the Laboratory.
This report contains only those analyses performed by Environmental Conservation
Laboratories. Unless otherwise noted, all analyses were performed at ENCO Jacksonville.
Data from outside organizations will be reported under separate cover.
If you have any questions or require further information, please do not hesitate to contact me.
Sincerely,
Chris Tompkins
Project Manager
Enclosure(s)
Page 12 of 18
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 1 of 7

99S �GG) *
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SAMPLE SUMMARY/LABORATORY CHRONICLE
Client ID: OUTFALL No. 1 Lab ID: BZ02894-01 Sampled: 06/28/16 14:20 Received: 07/01/16 11:00
Parameter Hold Date/Timefs) Prep Date/Time(s) Analysis Date/Time(s)
EPA 16648 07/2fi/16
EPA 1664B 07/26/16
07/06/16 10:35 07/07/16 11:57
07/07/16 10:38 07/07/16 14:57
Page 13 of 18
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 2 of 7

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SAMPLE DETECTION SUMMARY
No positive results detected.
Page 14of18
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced In full. Page 3 of 7

www.encolalbs.com
ANALYTICAL RESULTS
Description-. OLFTFALL No. 1 Lab Sample ID. BZ02894-01 Received: 07/01/16 11:00
Matrix: Water Sampled.06/28/16 14:20 work Order: BZ02894
Project: 92303263 Sampled By:brittany Gibson
Classical Chemistry Parameters
^ - ENCO JaC.{'SORVille cerbfred analyte fNC 4421
Analyte TCAS Numberl Results Eln Units PE M—P-L M Batch Method Analyzed Jay Notes
Oil & Grease (HEM) [C-0007]^ 0.744 U mg/L 0.31 0.744 1.55 6GO6003 EPA 1664B 07/07/16 11:57 SMA
Oil & Grease (HEM-SGT) Non -Polar 0.837 iJ mg/L 0.31 0.837 1.55 6GO6013 EPA 1664B 07/07/16 14:57 SMA
Material^
Page 15 of 18
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 4 of 7

(I
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QUALITY CONTROL DATA
Classical Chemistry Parameters - Quality Control
Batch 6GO6003 - EPA 1664E
Blank (6G06003-BLKI) Prepared: 07/06/2016 10:35 Analyzed: 07/07/2016 11:57
Spike Source o/uREC RPD
Anplvte Result Flag POL Una Level Result "/DREG Limits RPD Limit Notes
Oil & Grease (HEM) 0.615 u 1.28 mg/L
LCS (6G06003-BS1) Prepared: 07/06/2016 10:35 Analyzed: 07/07/2016 11:57
Spike Source %REC RPD
.Analvte Ressllt Flan P91. Units Level Result %REC Limits RPD Limit Notes
Oil & Grease (HEM) 148 5.00 mg/L 148 100 78-114
LCS Dup (6G06003-BSDI) Prepared: 07/06/2016 10:35 Analyzed: 07/07/2016 11:57
Spike
Source
o/uREC
RPD
.Analvte
Result Flag
NL
Units
Level
Result
%REC
Limits RPD
ilm!t Notes
Oil & Grease (HEM)
130
5.00
mg/L
148
88
78-114 13
18
Matrix Spike (6G06003-MSI)
Prepared: 07/06/2016 10:35 Analyzed: 07/07/2016 11:57
Source: BZ02901-01
Spike
Source
%REC
RPD
Analvte
Result Flag
POL
Units
Level
Result
%REC
Limits RPD
Limit Notes
Oil & Grease (HEM)
39.6
1.27
mg/L
40.7
0.611 U
97
78-114
Batch 6GO6013 - EPA 1664A
Blank (6G06013-BLKL) Prepared: 07/07/2016 10:38 Analyzed: 07/07/2016 14:51
Spike Source %REC RPD
-Analvte Re it Elan P4L Units Level Result %REC Limits RPD Limit Notes
Oil & Grease (HEM-SGT) Non -Polar Material 0.703 U 1.30 mg/L
LCS (6G06013-BSI) Prepared: 07/07/2016 10:38 Analyzed: 07/07/2016 14:57
Spike Source %REC RPD
.Analvte Result Flan POL Units Level Result %REC Limits RPD Lima Notes
Oil & Grease (HEM-SGi) Non -Polar Material 67.4 5.00 mg/L 75.8 69 64-132
LCS Dup (6G06013-BSD1) Prepared: 07/07/2016 10:38 Analyzed: 07/07/2016 14:57
Spike
Source
%REC
RPD
.Analvte Result Flag
POL
Units
Level
Result %REC
Limits RPD
Limit Notes -
Oil & Grease (HEM-SGT) Non -Polar Material 69.5
5.00
mg/L
76.3
91
64-132 3
34
Matrix Spike (6G06013-MSI)
Prepared: 07/07/2016 10:38 Analyzed: 07/07/2016 14:57
Source: SZ02898-01
Spike
Source
%REC
RPD
Analvte Result Elan
P_QL
Units
Level
Result %REC
Limits RPD
Limit Notes
Oil & Grease (HEM-SGT) Non -Polar Material 20.4
1.36
mg/L
21.8
0.7350 94
64-132
Page 16 of 18
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 5 of 7

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FLAGS/NOTES AND DEFINITIONS
B The analyte was detected in the associated method blank.
D The sample was analyzed at dilution.
J The reported value is between the laboratory method detection limit (MDL) and the laboratory method
reporting limit (MRL), adjusted for actual sample preparation data and moisture content, where applicable.
U The analyte was analyzed for but not detected to the level shown, adjusted for actual sample preparation
data and moisture content, where applicable.
E The concentration indicated for this analyte is an estimated value above the calibration range of the
instrument. This value is considered an estimate.
MRL Method Reporting Limit. The MRL is roughly equivalent to the practical quantitation limit (PQQ and is
based on the low point of the calibration curve, when applicable, sample preparation factor, dilution
factor, and, in the case of soil samples, moisture content.
N The analysis indicates the presence of an analyte for which there is presumptive evidence (85% or greater
confidence) to make a "tentative identification".
IP Greater than 25% concentration difference was observed between the primary and secondary GC column.
The lower concentration is reported.
Page 17 of 18
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 6 of 7

Chain Of Custody gn +�
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Workorder: 923052-IC3 Wurkc rder Name: Dials 0n Wheelr, lie -stills Requested 13v: ;11112016
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:Nicole Gasicrrnvst�i
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