NCG100074_MONITORING INFO_20190503

Bois
STURMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C& I o'bo
DOC TYPE
Ll HISTORICAL FILE
MONITORING REPORTS
DOC DATE
a� ► 5 -D 6C) 2
YYYYMMDD

d�"Ild Atlantic
Engineering & Environmental Solutions
409 RagersVicw Court
Raleigh, NC 27610
office 919,250,9918
facsimile 919.250.9950
-- CF-I` /5-0NLINE.COM
April 25, 2019
NCDEQ/DWR
Attention: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: STORMWATER SAMPLING RESULTS
1-40 USED AUTO PARTS, INC.
101 PARTON AVENUE
MORGANTON, NORTH CAROLINA
NPDES PERMIT NO. NCG100074
To Whom It May Concern:
MA'S 0 3 2019
CENTkAL FILES
D1n1R vECTION
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 2 on March 15, 2019 and analyzed for total suspended solids
(TSS), pH, total recoverable lead, oil and grease and ethylene glycol. With the exception
of Lead, all parameters were reported below or within their respective benchmark values.
Based on these results, a Tier I Response has been implemented at the facility. 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 INNOVATNE

S'IORMWATER DISCHARGE OUT FALL (SIDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100074
FACILITY NAME 1-40 Used Auto Parts, Inc
PERSON COLLECTING SAMPLE(S) Kenneth Hemming
CERTIFIED LABORATORY(S) Pace Analytical Lab #12
Lab #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLES COLLECTED DURING CALENDAR YEAR: 2019
COUNTY Burke
PHONE NO. [phone] _
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
For sampling periods with no discharge, you must submit this discharge monitoring farm noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfall ',
bate
No..,
Sample Collette
mo/cId/year.:,
Benchmark
_
Outfall002
03/15/2019
d . Total pH,-- To
Rainfall, Standard.-
lnches 'Units
6.0 - 9.01
0.44 1 NA
00530
tal Suspended
Solids (TSS),
mg/L
100/50z
58.8
_. 77023
-Non-polar,
Ethylene Glycol;:. _
.-.O&G/TPH -
rrig/L
(Method:1664 : -
SGT-HEM),:rrig/L
8,000
15 -
(Tiers 2 and 3)
<5.0
<5.0
010s1-.
78141
Lead, Total
Total,Toxic_,.--�'
Recoverable, '-
- 3
Organics
mg/L.
,
mg/L
0.03 - ;
0.0458 NA
(Vote: 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.
3For purposes of this permit the definition of Total Toxic Organists is that list as stated in Appendix p, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Form SWU-251, last revised October 25, 2012
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
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."
of PermitteLfor Designee)
y2-/�
(Date)
Form SWU-251, lost revised October 15, 2012
Page 2 of 2

f -JceAnalytical"
WWW.paceabloom
I
March 27, 2019
Chuck Hoffman
Mid -Atlantic Associates, Inc
409 Rogers View Court
Raleigh, NC 27610
RE: Project: 1-40 Used Auto Parts
Pace Project No.: 92421626
Dear Chuck Hoffman:
Pace Analytical Services, LLG
9800 Kincey Ave, Suite 100
Huntersville, INC 28078
{704}875-9092
Enclosed are the analytical results for sample(s) received by the laboratory on March 18, 2019. The
results relate only to the samples included in this report. Results reported herein conform to the most
current, applicable TNIINELAC 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,
Tyriek Hooks
[e-mail]
[phone]
Project Manager
Enclosures
cc: Ron Davis, Mid Atlantic Associatees, Inc.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
withovt the written consent of Pace Ana4ytical Services, Li
Page 1 of 13

aceAnalytical
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Project: 1-40 Used Auto Parts
Pace Project No.: 92421626
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Hunlersville, NC 28078
[phone]
Indiana Certification IDs
7726 Moller Road, Indianapolis, IN 46268
Illinois Certification #: 200074
Indiana Certification #: C49-06
Kansas/NELAP Certification #: E-10177
Kentucky UST Certification #: 60226
Kentucky WW Certification C 98019
Michigan Department of Environmental Quality, Laboratory
#9050
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, INC 28078
Louisiana/NELAP Certification # L4170028
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-NCO30
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
Ohio VAP Certification #: CL0065
Oklahoma Certification #:2018-101
Texas Certification #: T104704355
West Virginia Certification #: 330
Wisconsin Certification #: 999788130
USDA Soil Permit #: P330-16-00257
South Carolina Certification #: 99006001
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
Virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
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, LLC. Page 2 of 13

/IceAnalyfical*
! www.pacWabs trm
1
i
SAMPLE ANALYTE COUNT
Pace Analytical Services, LLC
9800 Kincey Ave. Suile 100
HuntersyWe. NC 28078
[phone]
Project:
Pace Project No.:
1-40 Used Auto Parts
92421626
Analysts
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92421626001
Outfall No. 1
EPA 1664E
JMS
1
PASI-C
EPA 8015 Alcohol -Glycol
RID
1
PASI-1
EPA 601 OD
DS
t
PASI-A
SM 254OD-2011
MJP
1
PASI-A
REPORT OF LABORATORY ANALYSIS
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without the written consent of Pace Analytical Services, LLC. Page 3 of 13

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ANALYTICAL RESULTS
Project: 1-40 Used Auto Parts
Pace Project No.: 92421626
Pace Analytical Services, LLC
9800KinceyAve. Suite100
Huntersville, NC 28078
(704)B75-9092
Sample: Outfall No. 1 t_ab ID: 92421626001 Collected: 03/15/19 11:49 Received: 03/18/19 12:55 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1664 SGT-HEM, TPH
Total Petroleum Hydrocarbons
8015M Glycols in water
Ethylene glycol
6010 MET ICP
Lead
2540D Total Suspended Solids
Total Suspended Solids
Date: 03/27/2019 04:35 PM
Analytical Method: EPA 166413
NO mg/L 5.0 1 03/22/19 06:15
Analytical Method: EPA 8015 Alcohol -Glycol
NO mg/L 5.0 1 03/22/1916:28 107-21-1
Analytical Method: EPA 601 OD Preparation Method: EPA 3010A
45.8 ug1L 5.0 1 03/20/19 17:00 03/21/19 20:15 7439-92-1
Analytical Method: SM 2540D-2011
58.8 mg1L 10.0 1 03/1911910:25
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 4 of 13

aCeAnalytical
'www'Pacallibicorn
i
Project: 1-40 Used Auto Parts
Pace Project No.: 92421626
OC Batch: 464796
OC Batch Method: EPA 1664E
Associated tab Samples: 92421626001
METHOD BLANK: 2527683
Associated Lab Samples: 92421626001
Parameter Units
Total Petroleum Hydrocarbons mg/L
QUALITY CONTROL DATA
Analysis Method: EPA 1664B
Analysis Description: 1664 SGT-HEM, TPH
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 4.8 03/22/19 06:09
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE:
2527684
Spike LCS
LCS
% Rec
Parameter
Units
Cone. Result
% Rec
Limits
Qualifiers
Total Petroleum Hydrocarbons
mg/L
19.2 20.7
107
64-132
MATRIX SPIKE SAMPLE:
2527685
92421390001 Spike
MS
MS
% Rec
Parameter
Units
Result Cone.
Result
% Rec
Limits Qualifiers
Total Petroleum Hydrocarbons
mg1L
ND 19.2
19.8
103
64-132
Results presented on this page are In the units Indicated by the "Units- column except where an alternate unit is prosented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/27/2019 04:35 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 13

/Ice Analytical
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i
QUALITY CONTROL DATA
Project: 1-40 Used Auto Parts
Pace Project No.: 92421626
QC Batch: 489958 Analysis Method: EPA 8015 Alcohol -Glycol
QC Batch Method: EPA 8015 Alcohol -Glycol Analysis Description: EPA 8015 Modified
Associated Lab Samples: 92421626001
METHOD BLANK: 2260067 Matrix: Water
Associated Lab Samples: 92421626001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Ethylene glycol mg/L ND 5.0 03/22/19 14:03
Pace Analytical Services, LLC
9800 Kinsey Ave. Suite 10G
Huntersville. NC 28076
[phone]
LABORATORY CONTROL SAMPLE: 2260068
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Ethylene glycol mg/L 25 28.4 113 48-150
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2261194 2261195
MS MSD
529555001 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 25 293 30.8 117 121 34-153 4
Results presented on this page are in the unite 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: 03/27/2019 04:35 PM without the written consent of Pace Analytical Services, LLC,
Page 6 of 13

aceAnaly r"cal
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i
I
QUALITY CONTROL DATA
Project: 1-40 Used Auto Parts
Pace Project No.: 92421626
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
{704}875-9092
QC Batch: 464194
Analysis Method: EPA 601 OD
QC Batch Method: EPA 3010A
Analysis Description: 6010 MET
Associated Lab Samples: 92421626001
METHOD BLANK: 2524548
Matrix: Water
Associated Lab Samples: 92421625001
Blank
Reporting
Parameter Units
Result
Limit
Analyzed Qualifiers
Lead ug/L
ND 5.0
031211191&53
LABORATORY CONTROL SAMPLE: 2524549
Spike
LCS
LCS % Rec
Parameter Units
Conc.
Result
% Rec Limits Qualifiers
Lead ug1L
500
482
96 80-120
MATRIX SPIKE $ MATRIX SPIKE DUPLICATE: 2524550
2524551
MS
MSD
92421465002
Spike
Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Conc.
Conc. Result
Result % Rec % Rec
Limits
RPD Qual
Lead ug/L ND
500
500 426
412 85 82
75-125
3
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2524552
2524553
MS
MSD
92421336004
Spike
Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Conc.
Conc. Result
Result % Rec % Rec
Limits
RPD Qual
Lead ug/L ND
500
500 405
416 81 83
75-125
2
Results presented on this page are In the units IndlGated 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: 03/2712019 04:35 PM without the written consent of Pace Analytical Services, LLC.
Page 7 of 13

aceAnalytical
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r'
i
QUALITY CONTROL DATA
Project: 1-40 Used Auto Parts
Pace Project No.: 92421626
QC Batch: 464019 Analysis Method: SM 2540D-2011
QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92421626001
METHOD BLANK: 2523615
Associated Lab Samples: 92421626001
Parameter Units
Total Suspended Solids mg/L
LABORATORY CONTROL SAMPLE: 2523616
Parameter Units
Total Suspended Solids mg/L
SAMPLE DUPLICATE: 2523617
Parameter
Total Suspended Solids
SAMPLE DUPLICATE: 2523618
Parameter
Total Suspended Solids
Pace Analytical Services, LI_C
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
{704}875-9092
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 03/19/1910:22
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 244 98 90-110
Units
92421598001
Result
Dup
Result
mg1L
41.2
45.8
Units
92421562002
Result
Dup
Result
mg/L
10.0
12A
RPD Qualifiers
11 D6
RPD Qualifiers
21 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 shall not be reproduced, except in full,
Date: 03/2712019 04:35 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 13

l aceAnayical "
i
QUALIFIERS
Project: 1-40 Used Auto Parts
Pace Project No.: 92421626
["I ML ItICeI K
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.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville. NC 28078
[phone]
POL - Practical Ouantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
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 other.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis ofAcrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
PASI-A Pace Analytical Services -Asheville
PASI-C Pace Analytical Services - Charlotte
PASI-I 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: 03/27/2019 04:35 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 13

s
aceAnalX cal
www9ac0abs com
r
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: 1-40 Used Auto Parts
Pace Project No.: 92421626
Lab ID
Sample ID
QC Batch Method
92421626001
Outfall No. 1
EPA 1664B
92421626001
Outfall No. 1
EPA 8015 Alcohol -Glycol
92421626001
Outfall No. 1
EPA 3010A
92421626001
Outfall No. 1
SM 2540D-2011
Date: 03/27/2019 04:35 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28076
[phone]
QC Batch Analytical Method
464796
489958
464194 EPA 601 OD
464019
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Analytical
Batch
464606
Page 10 of 13

Oci mmerlt Name:
Document Revised: February 7, 2018
le Condition Upon RaW?!L5CURJ
Page 1 of 2
Document No.:
F-CAR-CS-033-Rev.06 I
lss*g AI)thority:
Pace Carolinas Quality Office
6aboratoryreceMrig samptes:
Asheville ❑ Eden[] Greenwood ❑ Huritersv jj RaleishD Mechanicsville[]
"'e'it Nae: Project W0# = 92421626
d
1���,
Courier. ed Ex CUPS CILYSPS Dclimt
[] Commercial pare Clothe, r: 92421626 1 111
Custody Seal Present? Dyes bF o Seals intact? , ]Yes :60
f7ata/InNials Penon Examining [antenn'
Pacidng MAMA- .[]Bubble Wrap bole Bags []None Q Other Biological on?
Thertfl Dyes ONO
to;
/A
Gun to;
92TO48 . . Typa of Ice: pelue Owe
Cooler Tenip rC): + `Z 3 Corfetdan Factor: Add/Subtract ('CI
{ 7 Tempshould be above freezing to VC
Cooler Temp Corrected ('C): — — — [ Samples out of.temp rsite'rhL Samples on ice, cooling process
by begun
USDA ileg;Wsttd5oll4416N/A,'water sample)
DId samples Tna'quarmtlne zone within the United States: CA, NY, or SC tc:heck naps)? ow samples offenaw from a foreign source llnte ally.
�IYes i��b..�..n�swu,annnAP,iurteRlcol?nV�s
. C6r1'Imint6 fl
Chain of Custntly Present?
No
❑N/A
1.
6' lei Arrived wlthln Hold Time?
11NO
©NIA
2. .
Sort RdWTime Analysis $71hr.?
lies o
QNIA
I
Rush Turn Around TimeRequested?
H &
CINIA
4.
SuHkientVolome7
A
S.
Corred Containers Used?
=Pace Containers Used?
ONO
Ho
[3NIA
QNJA
6.
Containers intact?
s ONG
N/A
7.
131ssOved anal s: Samples Field Filtered?
Yes No
A
B.
Sample lsbels Match CM
-1hcludes Date/Time/1DIAna is Matrix:
ONO
OHIA
9.
"eadspina In VOA Vials t>5-6mmJ?
ONO
10-
Trip Blank Present?
Tri Btaak Custody Seats Present?
es ONO
0yes No
A
ClhA
11.
COMME14T$AMPLE DISCREPANCY Fie a RaQulred? Oyes [:]No
uA ID oliptit containers,.
CLIENT NOTIF1CA70NIRESOLUTI0I4
Person contacted: Date/Anne:
Project Manager SCURF Review:
Date: 3 J — -
Date:
lql
Page 11 of 13

Document Name:
Oocrunent Revised: february 7, 2018
0
Sample Cond ithm &Non Recef RI.
Page 1 of 2
Document Nd.:
Issuing Authority:
GEAtlr�iyifCrT�
F-CM-CS-033-Rev.06
Pace Carolinas Qua9ty office
'Check mark top halt of box If pH and/or dechlorination is
verified and vfthln the acceptance range for preservation
samples:
Eueptlora:VOA, Coll",T[IC,011 and Grease, URO/8015(water) DOC, LLHg
"Bottom half of box is to iiat riumber of bottle
Project W0# : 92421626
PM: TIH Due Date: 03/27/19
CLIENT: 924110 ATLAN
ME
0
on
9
1
M
0
0
040memo
MOMME
OROMMEMONOME
son
on
on
I
on
111HER
son
EMEMENOOMMEN
01,11
1
01100011MOOMMOM
Of
0
MOOMMEN
I
i Vk
0
0
04
6060
04
0
Effik
10
Eq
Ilk
0
MOMMOMMEN
pH Adjustment Log for Preserved Samples
Sample AD
Type of Preservative
pri upon receipt
Date ;reservation adjusted
Time Qraen6tkn
adjusted
Amount of Praservative
odded
Lot a
Note: Whenaverthere is a discrepancy affecting North Carolina compltaace Samples, a copy of this form will * sent to the Narth Carolina DEHNR Certification Office (i.e.
reservative, out of temp, incorrect containers.
Page 12 of 13

Section A
R-1—d rjj
CHAIN -OF -CUSTODY I Analytical Request Document
The Chain-of-Cus" is a LEGAL DOCUMENT. AD relevant fseids mwl bo completed a=ffatet1j.
Section B Section C
R-1-d Pr led rft—*— — 1—
Ipaw: at I
cornpany-, Wd-Atlantic Associates. Inc. Report
To: Chuck Hoffman([e-mail])
Attanlicn7 Chuck Holfrnan
Address: 409 Rogers View Court Calay
To: Ron Davis ([e-mail]
Company Name: Mid -Atlantic Associates, inc.
REGULATORYAGENCY
Raleigh, NC 27610
Admen! 409 Rogers 1Aevw Court, Raleigh, NC
F NPOES 1- GROUND WATER f7. DRINKING wATeR
r-. UST F RGRA r- OTHER
Ernall To: [e-mail] Pkacts&"
Oder N0-: R3179.00
p— Quak -
Ph—, 91, -25D-99t o Fwc 919-250-9950 Project
N— 1-40 Used Auto Paris
P� PrOPA TO& Hooks
Im-w-
_. :,.
17i� lc:i;
NC
RequestedA DateffAT, 31amderO f4a-----R3179.00
1p— P-fd. 01. 5921
RL -que6-L&d'Anatysls.FiltefL;r&
So ]on D Valid Matrix Codes
P- Wd Met
M
COLLECTED
Preservatives
3--1
N
I
I
Y
—WATM = YWT
z
WATER
WASTEWATER j
CCWPOWM START
ODNP*Sffc
JQ
FROI=T L
SSS-.-
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OL WP
SAMPLE ID VAK M
cr
: .
(D
QR at
(A-Z 0-9 01�p 75
LLJ
P'�
LLJ
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'Cc,
Simple Ds MUST BE LFR=E. T&WE
US
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-6
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0
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LL
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0
nATF
TIME
DATI.
TIME
2
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13:
Pace P ro�lect NoJ Lab I.D.
OLTIfall No. 1
Wr
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7
41
1
2
x
x
x
x
Rainfall (Inches):
PH:
3
rr
Hifl) Sr� LiA
M
SAMPLEODNOM S
oz
PRINT Narne of SAMPLER:
4-S,
--FI)ATE
SIGNATURE of S"PLFR:
Sig —
(Q
CD
I (M—D-Y),
F-AU-Q-020rev 08, 12-0c:1-2007

loll Atlantic
Engineering & Environmental Solutions
October 1, 2018V 1,�
ocrzs n
2018
NCDEQIDWR - CENC F
Attention: Central Files QV'R SECT gf,S
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: STORMWATER SAMPLING RESULTS
1-40 USED AUTO PARTS, INC.
101 PARTON AVENUE
MORGANTON, NORTH CAROLINA
NPDES PERMIT NO. NCG100074
To Whom It May Concern:
409 Rogers View Court
Raleigh, NC 27610
office 919.250.9918
facsimile 919.250.99S0
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 2 on September 16, 2018 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. Please also note that the discharges associated with Outfall 2 are considered
representative of Outfalls 1 and 3, as noted in our prior discussions and subsequent e-
mail correspondence dated July 31, 2018 and September 10, 2018. 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. NCGIO0074
FACILITY NAME 1-40 Used Auto Parts, Inc
PERSON COLLECTING SAMPLE(S) Kenneth Manning
CERTIFIED LABORATORY(S) Pace Analytical Lab #12
Lab #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
COUNTY Burke
PHONE NO. [phone]
.11
PLEASE REMEMBER TO SIGN ON THE REVERSE
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.
Outfali
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
100/502
15
8,000
(Tiers 2 and 3)
0.03
1.0
Outfall002
09/26/2018
2.43
7.3
29.3
<5.0
<5.0
<0.005
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.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table It of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Form SWU-251, last revised October 25, 2012
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
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."
11g,
Name (Print name)
Ar--
Title (Print title)
Signature Date
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 MailServiceCenter
Raleigh, North Carolina27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee
%I�/?,)
(Date)
Form SWU-251, last revised October 25, 2012
Page 2 of 2

ace Analytical
wwwpacefabs.corn
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
September 28, 2018
Chuck Hoffman
Mid -Atlantic Associates, Inc
409 Rogers View Court
Raleigh, NC 27610
RE: Project: 1-40 Used Auto Parts
Pace Project No.: 92399678
Dear Chuck Hoffman:
Enclosed are the analytical results for sample(s) received by the laboratory on September 18, 2018.
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,
Tyriek Hooks
[e-mail]
[phone]
Project Manager
Enclosures
cc: Ron Davis, Mid Atlantic Associatees, Inc.
,s pk,C
rAQORAro
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1of14

•
aceAnalytrcal
www.pwelabaoom
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: 1-40 Used Auto Parts
Pace Project No.: 92399678
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 #: 80226
Kentucky WW Certification #:98019
CERTIFICATIONS
Ohio VAP Certification #: CL-0065
Oklahoma Certification #: 2017-124
Texas Certification #: T104704355-18-12
West Virginia Certification #: 330
Wisconsin Certification #: 999788130
USDA Soil Permit #: P330-16-00257
Charlotte Certification IDs
9800 KinceyAve, Ste 100, Huntersv€Ile, NC 28078
South Carolina Certification #: 99006001
Louisiana/NELAP Certification # LA170028
Florida/NELAP Certification M E87627
North Carolina Drinking Water Certification M 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification M 5342
Virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification #: 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40
Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001
Massachusetts Certification M M-NCO30 VirginiafVELAP Certification #: 460222
North Carolina Drinking Water Certification #: 37712
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC,
Page 2 of 14

aceAnalytrcal.
www.pscelebaoorn
Pace Analytical Services, LLC
9800 KinceyAve, Suite 100
Huntersvitle, NC 28078
[phone]
E;.HIPJ1111:7liT_11111'ii 910111M
Project: 1-40 Used Auto Parts
Pace Project No.: 92399678
Lab ID Sample ID Method
Analysts
Analytes
Reported
Laboratory
92399678001 Outfall No.2 EPA 1664B
JMS
1
PASI-C
EPA 8015 Alcohol -Glycol
RID
1
PASI-I
EPA 601 OD
DS
1
PASI-A
SM 254OD-2011
CRV
1
PASI-A
EPA 9040C
SMK
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 14

aceAnalytrcal
wwx:pacelabs.caorrt
i(
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Project: 1-40 Used Auto Parts
Pace Project No.: 92399678
Sample: Outfall No.2 Lab ID: 92399678001 Collected: 09M6118 06:36 Received: 09/18/18 09:55 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1664 SGT-HEM, TPH
Analytical Method: EPA 1664E
Total Petroleum Hydrocarbons
ND mg/L 4.8
1
09/28/18 05:09
8015M Glycols in water
Analytical Method: EPA 8015 Alcohol -Glycol
Ethylene glycol
ND mg1L 5.0
1
09/22/1811:49 107-21-1
6010 MET ICP
Analytical Method: EPA 601 OD Preparation Method: EPA 3010A
Lead
ND ug/L 5.0
1 09/19/18 02:57
09/20/18 20:06 7439-92-1
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Total Suspended Solids
29.3 mglL 3.6
1
09/19/18 17:26
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
7.3 Std. Units 0.10
1
09/19/18 12:26 H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 09/28/2018 12:35 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 14

aceAnalytical
" www.pecelahs.mm
Pate Analytical Services, LLC
9800 Kincey Ave. Suite 100
Hintersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: 1-40 Used Auto Parts
Pace Project No.: 92399678
QC Batch: 433219
Analysis Method:
EPA 1664B
QC Batch Method: EPA 1664B
Analysis Description:
1664 SGT-HEM, TPH
Associated Lab Samples: 92399678001
METHOD BLANK: 2387374
Matrix: Water
Associated Lab Samples: 92399678001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Petroleum Hydrocarbons
mg/L
ND 4.8 09/28/18 04:44
LABORATORY CONTROL SAMPLE: 2387375
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Petroleum Hydrocarbons
mg1L
19.2 20.1
104 64-132
MATRIX SPIKE SAMPLE: 2387376
92399994001 Spike
MS MS % Rec
Parameter
Units
Result Conc.
Result % Rec Limits Qualifiers
Total Petroleum Hydrocarbons
mg1L
ND 19.2
19.0 99 64-132
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: 09/28/2018 12:35 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 14

aceAnalytical'
wm..p=Jabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: 1-40 Used Auto Parts
Pace Project No.: 92399678
QC Batch: 462802
QC Batch Method: EPA 8015 Alcohol -Glycol
Associated Lab Samples: 92399678001
METHOD BLANK: 2136245
Associated Lab Samples: 92399678001
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 09122/1811:03
LABORATORY CONTROL SAMPLE: 2136246
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Ethylene glycol mg1L 25 31.1 124 55-144
MATRIX SPIKE R MATRIX SPIKE DUPLICATE: 2137246 2137247
MS MSD
50206039001 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 30.0 26.4 116 101 38-154 13
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: 09/28/2018 12:35 PM without the written consent of Pace Analytical Services, LLC.
Page 6 of 14

•
aceAnalytical
www.paaefabs.corn
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: 1-40 Used Auto Parts
Pace Project No.: 92399678
QC Batch: 431300 Analysis Method: EPA 601 OD
QC Batch Method: EPA 3010A Analysis Description: 6010 MET
Associated Lab Samples: 92399678001
METHOD BLANK: 2378591 Matrix: Water
Associated Lab Samples: 92399678001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Lead ug/L ND 5.0 09120/1819:07
LABORATORY CONTROL SAMPLE: 2378592
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Lead ug/L 500 457 91 80-120
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2378593 2378594
MS MSD
92399634001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Lead ug/L ND 500 500 453 440 90 87 75-125 3
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: 09/28/2018 12:35 PM without the written consent of Pace Analytical Services, LLC.
Page 7 of 14

aceAnalytical.
' www.p8oefabs.rom
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: 1-40 Used Auto Parts
Pace Project No.: 92399678
QC Batch: 431505 Analysis Method: SM 254OD-2011
QC Batch Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92399678001
METHOD BLANK: 2379614
Associated Lab Samples: 92399678001
Parameter
Units
Total Suspended Solids
mg/L
LABORATORY CONTROL SAMPLE: 2379615
Parameter
Units
Total Suspended Solids
mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 09/19/1817:19
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 230 92 90-110
SAMPLE DUPLICATE: 2379616
92399651001 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 236 272
SAMPLE DUPLICATE: 2379617
92399775001 Dup
Parameter Units Result Result
Total Suspended Solids mg1L 12.8 15.0
RPD Qualifiers
14 D6
RPD Qualifiers
16 D6
Results presented on this page are in the units indicated by the "Units" column oxcept where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shaft not be reproduced, except in full,
Date: 09/28/2018 12:35 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 14

ace Analytical
Itmnv.pacslahs.wm
QUALITY CONTROL DATA
Project: 1-40 Used Auto Parts
Pace Project No.: 02309678
QC Batch: 431371 Analysis Method: EPA 9040C
QC Batch Method: EPA 9040C Analysis Description: 9040 pH
Associated Lab Samples: 92399678001
SAMPLE DUPLICATE: 2378722
Parameter
pH at 25 Degrees C
92399342003 Dup
Units Result Result
Std. Units 11.4 11.4
RPD Qualifiers
0 H6
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)B75-9092
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: 09/28/2018 12:35 PM without the written consent of Pace Analytical Services, LLC.
Page 9 of 14

•
aceAnalytical
wwwpaoelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALIFIERS
Project: 1-40 Used Auto Parts
Pace Project No.: 92399678
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.
TNTC - Too Numerous To Count
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 - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
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.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
PASI-C Pace Analytical Services - Chariotte
PASI-I Pace Analytical Services - Indianapolis
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 09/28/2018 12:35 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14

aceAnalyircal.
"'W..pecefaba.WM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: 1-40 Used Auto Parts
Pace Project No.: 92399678
Lab ID
Sample ID
QC Batch Method
QC Batch
92399678001
Outfall No.2
EPA 1664E
433219
92399678001
Outfall No.2
EPA 8015 Alcohol -Glycol
462802
92399678001
Outfall No.2
EPA 3010A
431300
92399678001
Outfall No.2
SM 254OD-2011
431505
92399678001
Outfall No.2
EPA 9040C
431371
Date: 09/28/2018 12:35 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Analytical
Analytical Method Batch
EPA 6010D
431338
Page 11 of 14

Document Name:
Document Revised: February 7, 2018
ceArialytJcaJ
Sample Condition Upon Recei t(SCURI
Page 1 of 2
Document No.:
Issuing Authority:
F•CAR-CS-M-Rev.06
Pace Carolinas Qualit Office
Laboratory receiving samples:
Asheville ❑ Eden[:] Greenwood ❑ HuntersvilleE Raleigh❑ Mechanicsvllle❑
Client Name: WO ; : 'g,239967 r
f,, 3 Project:
Courier: [Fed Ex UP5 LISPS ❑Client
❑ Commercial ❑Pace ❑Other. 92399678
Custody Seal Present? []yes QNo Seals Intact? []Yes QNo
Date/Initials Person Examining Contents:
Packing Material: ❑bubble wrap 08ubble Bags []None ❑ Other Biological Tissue Frozen?
Thermometer; ❑Yes ElMo ❑N/A
ETIR Gun ID: 92TO45 Type of Ice: QWet ❑Blue [:]None
Cooler Temp ('C): 7 • � Correction Factor: Add/Subtract ('C) �
Temp should be above freezing to 6 C
Cooler Temp Corrected ('CI: p p g
[]samples out aE tem criteria. Samples an ice, cooling process
has begun
USDA Regulated Soil ((fN/A, water sample)
Did samples originate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples ortglnate from a foreign source (inter natlonaIIV.
F IYas f1Nn Inrhidine Hawaii and Puerto Rlcol7 rlYes nNo
Comments/Discrepancy!
Chain of Custody Present?
❑fes
[:]No
N/A
1.
Samples Arrived within Hold Time?
MYes
[]NO
NIA
2.
Short Hold Time Analysis 1e72 hr, 7
Yes
No
[]N/A
3.
Rush Turn Around Time Requested?
Yes
[3IPo
❑N/A
4.
Sufficient volume?
aes
DNo
❑NJA
5.
Correct Containers Used?
-Pace Containers Used?
ElYes
❑No
[]No
[]N/A
[:)N/A
6.
Containers Intact?
Ekes
ONO
NIA
7.
Dissolved analysis; Samples Field Filtered?
Yes
[]No
MWA
8.
Sample Labels Match COC?
-includes Date/Time/ID/Analysis Matrix:
Elves
❑Na
❑N/A
9.
Headspace in VOA Vials (>5.6mm)?
s
IDNO
N/A
p
10, o5 V L 15
Trip Blank Present?
Trip Blank Custody Seals Present?
[]Yes
❑Yes
ONO
7D9'0
[]N/A
CINJA
11.
COMMENTS/SAMPLE DISCREPANCY
Lot In of split containers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
'f
Project Manager SCURF Review:f/
Project Manager SRF Review: f
Date/Time:
Field Date Required? Oyes [:]No
l � x
Date: j
Date: r fid
Page 12 of 14

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BP4U-125 mL Plastic Unpreserved (N/A) (CI-)
BP3U-250 mL Plastic Unpreserved (N/A)
BP2U-500 mL Plastic Unpreserved IN/A)
BP1U-1 liter Plastic Unpreserved (N/A)
BP45_125 mL Plastic H2SO4 (PH < 21(CI-)
BP3N-250 mL plastic HNO3 (pH < 2)
BMZ-125 rnt Plastic ZN Acetate & NaOH (�9)
BP4C-125 mL Plastic N20H (pH > 12) (CI-)
WGFII-Wide-mouthed Glass )ar Unpreserved
AG1U-1 liter Amber Unpreserved (N/A) IV-)
AG1H-1 liter Amber HCl (pH < 2)
AG3U-2S0 rnL Amber Unpreserved (N/A) (Cl-)
AG1S1 liter Amber H2SO4 (pH < 2)
AG35-2S0 mL Amber 1412504 (pH < 2)
AG3AIDG3A)-250 mL Amber NH4G (N/A)(CI-)
D69H-40mt VOA HCl (N/A)
VG9T-40 mL VOA Na2S203 (N/A)
V 1
VG9U-00 mL VOA Unp (N/A)
MP-40 mL VOA H3PO4 (N/A)
VOAK (6 vlak per kit)-5035 kit (N/A)
V/GK (3 vials per kit)-VPH/Gas kit (N/A)
5P5T-125 mL Sterile Plastic (N/A — lab)
SP2T-250 mL Sterile Plastic (N/A —lab)
SM-250mL Plastic INHZ)2504 (9.3-9.7)
AGOU-100 mL Amber Unpreserved vials (N/A)
V5GU-20 mL Scintillation vials INJA)
DG9U-4OmLAmber Unpreserved vials (N/A)
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1!2ceAnalj6cal
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Section A
Required Client InfomTatiom
CHAIN -OF -CUSTODY / Analytical Request Document
The Chain -of -Custody is a LEGAL DOCUMENT. AN relevant fields must be completed accurately.
Section 8 Section C
Required Project InfonnaLon: Invoice Information:
Page: of
Company: Mid -Atlantic Associates, Inc.
RRPM To* Chuck HDffrTTan ([e-mail])
Aaontion: Chuck Hoffman
Address: 409 Rogers View Court
Copy To. Ron Davis ([e-mail]
Company Name: Mid -Atlantic Associates, inc.
REGULATORY AGENCY.
Raleigh, NC 2761D
Address: 409 Rogers view Court, Raleigh, NC
r- NPDES 7 GROUND WATER r DRINKING WATER
(— UST r RCRA r OTHER
Email To: [e-mail]
Purchase order No , R3179,00
Pau DUM{ —
R[ference:
Phone: [phone]
Fax: [phone]
Project Name: I.40 Used Auto Parts
Pam Praj= Tyriek Hooks
Site Location
Matlaaen
NC
Requested Due DaterTAT: standard
Project Number. R3179,00
Pace Plallk 9: 5921
Requested
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