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HomeMy WebLinkAboutNCG100226_MONITORING INFO_20190514STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V C� � (� D a. a DOC TYPE [I HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ �0I q D5 /7 YYYYMMDD Stormwater Discharge Monitoring Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG100000 Date submitted CERTIFICATE OF COVERAGE NO. NCG10 U 2 2 6 FACILITY NAME LKQ Self Service - Charlotte, NC COUNTY Mecklenburg PERSON COLLECTING SAMPLES Waldman Sanchez LABORATORY TestAmerica Lab Nashville Lab Cert. # 490 Comments on sample collection or analysis: None Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 RCG ICE'V V PERIOD Q Jan -June ❑ July -Dec or ❑ Monthly' (month) MAY 1 4 VPgHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flaw ❑Water Supply [:]SA CENTRAL FILES ❑Other DW SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 Total event rainfalls or ❑ No discharge this period?' = Outfall No. = = _ Date 'Sample Collected; mo/dd{year pH, -. Standard-. -Units : Total Suspended = Solids (TSS) - mg/l _: : Non -polar :O&G/TPH (Method 1W SGT-HEM);mg/L j Ethylene Glycol, mg/L. ;" _ _ _ Lead , Total : - Recoverable __mg/L Total Toxtic 3 -O nits mg/L New Motor or ~ hydraulic Oil Usage, _ gal/mo Benchmark - r. 6.0 — 9.01 -_ 100 or 502 15 8'� -(Tiers 2 and 3) 0.075 1.0 Parameter Code - 00400 ,. C0530 00552 77023 - 01051 78141 -NCOIL outfall001 31110019 7.5 38 108 <10 0.0050 Exempt H0-gallons 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. '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. ZSee General Permit Table 1, identifying the especially sensitive receiving waters classifications where the more protective benchmark applies. 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. 4Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. sTotal precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. Permit Date: 11/1/2018-05/31/2021 Form SWU-251, Last Revised 11/1/2018 Page 1 of 2 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DEMLR waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used along with other requirements 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." Dcs £L Name (Print name) PANS- !!�I" Title (Print title) 2-- �,-2 - -1 /-- Signature Date Mail Original to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." S zo Date Permit Date: 11/1/2018-05/31/2021 Form SWU-251, Last Revised 11/1/2018 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100226 FACILITY NAME LKQ Self Service (Pick Your Part) Charlotte PERSON COLLECTING SAMPLE(S) W. Sanchez CERTIFIED LABORATORY(S) Test America Lab Nashville Lab#490 Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: 2018 (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.) UNTY cklenburg R C 1�HON NOe 607 760 3776 IDEC 8 ZOl$ PLEASE REMEMBER TO SIGN ON THE REVERSE CENT - FILF—S QW-R S>_0-f)ON 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 10/11/2018 2.43 7.7 28 8.6 8.6 0,011 Exempt 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 II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SW U-251, lost 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 MCI), 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 Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Pep'rN190(or Designee) IZliq/I y (Date) Form SWU-251, last revised October 25, 2012 Page 2 of 2 r' i r` CERTIFIED MAIL, RETURN RECEIPT REQUESTED Date., 3 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 RE: LKQ Self Service (Pick Your Part) Charlotte Charlotte, NC Permit # NCGl00226 2018 First Semi -Annual Stormwater Discharge Outfall Monitoring Report Dear Sir/Madam: Please find attached the 2018 First Semi -Annual Stormwater Discharge Outfall (SDO) Monitoring Report for the LKQ Self Service (Pick You Part) facility located in Charlotte, North Carolina. This submittal covers the reporting period January 15t to June 30th 2018. Please call me at 607-760-3776 or Mr. Robert Aiken of RPS at 404-809-3869 if you have any comments, questions, or concerns about the information presented in this submittal. >incerely, I Jeff Doeb er Plant Manager Attachment RED'; =11/ED MAR 13 2018 OWR SEC7T10N 1 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100226 FACILITY NAME LKQ Self Service Pick Your Part Charlotte PERSON COLLECTING SAMPLE(S) Waldman Sanchez CERTIFIED LABORATORY(S) Test America Lab Nashville Lab#490 Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 (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 Mecklenburg PHONE NO. (607) 760-3776 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 Organics 3,_ mg/L Benchmark 6.0 — 9.01 100/502 15 8,000 (Tiers 2 and 3), 0.03 1.0 Outfall001 02/04/18 1.15 7A 17 3.1 6.5 0.0053 Exempt *Note: Reporting Limit =4.9. Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tie-' 1 or Tier 2 responses in the General Permit. ISee 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 II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-2S1, lost revised October 25,2012 Page 1 of 2 t. 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." Tfiz 7;10461-&?, Name (Print name) Title (Print title) Signatur Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of (Date) Form SWU-251, last revised October 25, 2012 Page 2 of 2 CERTIFIED MAIL, RETURN RECEIPT REQUESTED Division of Water Quality Attn: Central Files 1617 Mail Service Center RECEIVE® Raleigh, North Carolina 27699-1617 DEC 01 2017 RE: LKQ Self Service (Pick Your Part) Charlotte Charlotte, NC CENTRAL FILES Permit # NCGl00226 DWR SECTION 2017 Second Semi -Annual Stormwater Discharge Outfall Monitoring Report Dear Sir/Madam: Please find attached the 2017 Second Semi -Annual Stormwater Discharge Outfall (SDO) Monitoring Report for the LKQ Self Service (Pick You Para) facility located in Charlotte, North Carolina. This submittal covers the reporting period July 151 to December 315t 2017. Please call me at 607-760-3776 or Mr. Seth Ailiff of RPS GaiaTech at 404- 809-3877 if you have any comments, questions, or concerns about the information presented in this submittal. ilncerely, ieff Doebl r Plant Manager Attachment STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCGl00226 FACILITY NAME LKQ Self Service (Pick Your Part) Charlotte PERSON COLLECTING SAMPLE(S) W. Sanchez CERTIFIED LABORATORY(S) Test America Lab Nashville Lab#490 Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 (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 Mecklenburg PHONE NO. (607) 760-3776 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. Outfail. = - - :Date = _,=004D0 - 00530 . T _ = - -. - - = 77023 ;. 01051 - 78141 =v No: 'Sample Collected, - Total ; : ;, pH, Total Suspended e Non-j�alar " _ Ethylene Glycol, _ =' Lead, Total Total Toxic - - - mo/dd/year "Rainfall,= =, -"_Standard Solids (TSS); - .O&G/TPH - = _.:mg/L Recoverable, a3. Organics _ - = - - inches Units _ m L g/ (Method 1664 �SGT�H mg/L Benchmark _ _ . _ +— 6 0 4 0..: 100/50._ - _ .. ..15 - 8,W0 =(Tiers. Z and3). , - &03_ '. 1 D Outfall001 10/16/2017 0.97 6.1 41 2.5 19 0.030 Exempt 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 Il of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SW U-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." l�o L £rZ Name (Print name) -P,+.L- Am2 Title (Print title] 1I 2 7/ Signature Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 17/�It-, (Date) Form SWU-251, last revised October 25, 2012 Page 2 of 2 Compliance Inspection Report Permit: NCGl00226 Effective: 11116/17 Expiration: 10/31/18 Owner. Lkq Salisbury Inc SOC: Effective: Expiration: Facility: LKQ Pick Your Part County: Mecklenburg 3900 Chesapeake Or Region: Mooresville Charlotte NC 28216 Contact Person: Jim Wagner Title: Phone: 704-393-7000 Directions to Facility: east on Carrier 1-65 service road toward Stewart Creek Blvd .7 miles - left on N Hopkins 1.0 miles - left on Chesapeake Or - 3 miles System Classifications: Primary ORC: Certtricadon: Phone: Secondary ORC(s): On -Site Representatives): Related Permits: Inspection Date: 11M12017 EntryTime: 10:OOAM Exit Time: 11:00AM Primary Inspector: Angela Y Lee Phone: 704-235-2139 Secondary Inspector(s): James D Moore Phone ; Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Used Motor Vehicle Parts Stormwater Discharge COC Facility Status: Compliant Not Compliant Question Areas: Storm Water (See attachment summary) LASelf Service Auto Parts Jeff Doe6ler LKQ Pick Your Part Plant Manager 3900 Chesapeake Drive Charlotte, NC 29216 Toll Free 800.962.2277 jedoebler®lkgcorp.com Cell 607.760.3776 Page: 1 N ro. Energy, Mineral and Land Resources ErmRONMENTAI. QUALITY November 30, 2017 LKQ Pick Your Part Southeast LLC Attention: Jeff Doebler 3900 Chesapeake Drive Charlotte, North Carolina 28216 Subject: NPDES Stormwater Permit ROY COOPER Governor MICHAEL S. REGAN Secretary TRACY E. DAVIS Director Stormwater Certificate of Coverage No. NCGIO0226 Representative Outfall Status Request Mecklenburg County Dear Mr. Doebler: The Mooresville Regional Office staff have reviewed your November 2017 request for a determination that stormwater discharge outfall 1 be granted representative outfall status for stormwater outfall 2 and 3. Based on the information provided and a November 29, 2017 site inspection, we are approving this request. In accordance with 40 CFR § 122.21(g)(7), you are authorized to sample outfalls number 1 as representative for the entire site. This approval is effective with the next sampling event. Please append this letter to your Stormwater Pollution Prevention flan (SPPP) or permit to document that representative outfall status has been approved. If changes in drainage areas, structures, processes, storage practices, or other activities occur that significantly alter the basis of this approval, representative outfall status may no longer be valid. You should either resume sampling at all SDOs, or reapply 'to this office for representative outfall status based on updated information. If you have any questions or comments concerning this letter, please contact our Office at (704) 663-1699. Sincerely, Zahid S. Khan, CPM, CPESC, CPSWQ Regional Engineer Land Quality Section cc: Annette Lucas, Stormwater Permitting Program, NCG 100226 State ofNWh Carolina I Environmental Quality f Energy, Mineral and Land Resources Mooresville Regional Office 1610 East Center Ave Ste 301 I Mooresville, NC 28115 704 663 1699 T Permit: NCGl00226 Owner • Facility: Lkq Salisbury Inc Inspection Data: 11/29/2017 Inspection Type: Compliance Evaluation _ Reason for Malt: Routine Palmit and Outfalls # Is a copy of the Permit and the Certificate of Coverage available at the site? # Were all outfalls observed during the inspection? # If the facility has representative outfall status, is it properly documented -by the Division? # Has the facility evaluated all illicit (non storrnwater) discharges? Comment: The inspection was a result of a representative outfall reauest to sample outfall #1 as representative of outfall #2 and #3. Based on the site inspection, we recommend that the representative outfall reauest be granted. Yes No_NA_N� ❑ ❑ ❑ ■❑❑❑ ■❑❑❑ ❑ ❑ ❑ Page: 3 Pannit: NCG100228 Owner - Facility: Lkq Salisbury Inc Inspection Date: 11/2912017 Inspection Type: Compliance Evaluation Reason for Visit: ROutine Inspection Summary: Please see the attached letter granting representative outfall status. Page: 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT F CERTIFICATE OF COVERAGE NO. NCG100226 FACILITY NAME LKQ Self Service (Pick Your Part) Charlotte PERSON COLLECTING SAMPLE(S) W. Sanchez CERTIFIED LABORATORY(S) Test America Lab Nashville Lab#490 Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 (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 Mecklenburg PHONE NO. (607) 760-3776 r 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. Out#all No. Date Sample Collected, mo/dd/year Total Rainfall, inches 00400 00530 - _ - 77023 . 01051 78141 ON ' 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 Organics, mg/L Benchmark - - 6:0 = 91) :. _ 100/502 15 8AGO (Tiers 2 and 3) 0.03 1.0 Outfall001 10/16/2017 0.97 6.1 41 2.5 19 0.030 Exempt 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 orTier 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 focal 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 11 of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SW U-251, lost revised October 25, 2012 Page 1 of 2 tiA c5V 5 l o M RAJ, NCDENR Division of Water Quality / Surface Water Protection National Pollutant Discharge Elimination System REPRESENTATIVE OUTFALL STATUS (ROS) REQUEST FORM FOR AGENCY USE ONLY Date Received Year Month Da RECEIVED/NCbENRIMP NOV - 9 ?Uit If a facility is required to sample multiple discharge locations with very similar stormwater discharges;/tlie). permittee may petition the Director for Representative Outfall Status (ROS). DWQ may grant Represents"tii Outfall Status if stormwater discharges from a single outfall are representative of discharges from multiple outfalls. Approved ROS will reduce the number of outfalls where analytical sampling requirements apply. If Representative Outfall Status is granted, ALL outfalls are still subject to the -Qualitative monitoring requirements of the facility's permit —unless otherwise allowed by the permit (such as NCGO20000) and DWQ approval. The approval letter from DWQ must be kept on site with the facility's Stormwater Pollution Prevention Plan. The facility must notify DWQ In writing if any changes affect representative status. 1� For questions, please contact the DWQ Regional Office for your area (see (Please print or type) 1) Enter the permit number to which this ROS request applies: Individual Permit (or) Certificate of Coverage'- �N C S N' C ''G' 1 0 0 2-; 2 6 2) Facility Information: Owner/Facility Name LKQ Pick Your Part Southeast LLC d/b/a LKQ Pick Your Part - Charlotte Facility Contact Street Address City County Telephone No. Jeff Doebler 3900 Chesapeake Drive Charlotte Mecklenburg 607 760-3776 State NC E-mail Address Fax: ZIP Code 28216 iedoeb1er®1 kgcorp.cam 3) "List the representative outfall(s) information (attach additional sheets if necessary): Outfall(s) 001 is representative of Outfall(s) Doe and 003 Outfalls' drainage areas have the same or similar activities? DYes O No Outfalls' drainage areas contain the same or similar materials? Outfalls have similar monitoring results? Outfall(s) is representative of Outfall(s) Outfalls' drainage areas have the same or similar activities? Outfalls' drainage areas contain the same or similar materials? Outfalls have similar monitoring results? ©Yes 13No DYes ONo ONo data* Oyes ONo DYes ONo DYes ONo ONo data* Outfall(s) is representative of Outfall(s) Outfalls' drainage areas have the same or similar activities? DYes ONo Outfalls' drainage areas contain the same or similar materials? ©Yes ONo Outfalls have similar monitoring results? DYes ONo Ell No data* *Non-compliance with analytical monitoring prior to this request may prevent ROS approval. Specific circumstances will be considered by the Regional Office responsible for review. Page 1 of 3 SWU-ROS-2009 Last revised 12/30/2009 OFFICE Representative Outfall Status Request 4) Detailed explanation about why the outfalls above should be granted Representative Status: (Or, attach a letter or narrative to discuss this information.) For example, describe how activities and/or materials are similar. All outfalls at the facility represent stored used vehicles for the automotive salvage business. Exposed products at all outfalls include metal and petroleum. Draining, dismantling, and crushing of automobiles is an activity that only occurs in the Outfall 002 draining area, but this activity is covered from precipitation. Historic sample analysis at the outfalls indicate sample results are similar at all three outfalls. 5) Certification: North Carolina General Statute 143-Z15.6 B(I) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the [Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). I hereby request Representative Outfall Status for my NPDES Permit. I understand that ALL outfalls are still subject to the qualitative monitoring requirements of the permit, unless otherwise allowed by the permit and regional office approval. I must notify DWQ in writing if any changes to the facility or its operations take place after ROS is granted that may affect this status. If ROS no longer applies, I understand I must resume monitoring of all outfalls as specified in my NPDES permit. I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person Signing: _ �f�F 1/YGf3L Title: ��. f r,-11d�_.._.. (Signature of icant) (Date Signed) Please note: This application for Representative Outfall Status is subject to approval by the NCDENR Regional Office. The Regional Office may Inspect your facility for compliance with the conditions of the permit prior to that approval. Final Checklist for ROS Request This application should include the following items: ❑ This completed form. © Letter or narrative elaborating on the reasons why specified outfalls should be granted representative status, unless all information can be included in Question 4. ❑ Two (2) copies of a site map of the facility with the location of all outfalls clearly marked, including the drainage areas, industrial activities, and raw materials/finished products within each drainage area. ❑ Summary of results from monitoring conducted at the outfalls listed in Question 3. ❑ Any other supporting documentation. Page 2 of 3 SWU-ROS-2009 Last revised 12/30/2009 Representative Outfall Status Request Mail the entire package to: NC DENR Division of Water Quality Surface Water Protection Section at the appropriate Regional Office (See map and addresses below) Notes The submission of this document does not guarantee Representative Outfall Status (ROS) will be granted as requested. Analytical monitoring as per your current permit must be continued, at all outfalls, until written approval of this request is granted by DWQ. Non-compliance with analytical monitoring prior to this request may prevent ROS approval. Specific circumstances will be considered by the Regional Office responsible for review. For questions, please contact the DWQ Regional Office for your area. Asheville Regional Office 2090 U.S. Highway 70 Swannanoa, NC 28778 Washington Regional Office 943 Washington Square Mall Phone (828) 296-4500 Washington, NC 27889 FAX (828) 299-7043 Phone (252) 946-6481 Fayetteville Regional Office FAX (252) 975-3716 Systel Building, 225 Green St., Suite 714 Wilmington Regional Office Fayetteville, NC 28301-5094 127 Cardinal Drive Extension Wilmington, NC 28405 Phone (910) 433-3300 FAX 910/ 486-0707 Phone (910) 796-7215 FAX (910) 350-2004 Mooresville Regional Office 610 East Center Ave. Winston-Salem Regional Office Mooresville, NC 28115 585 Waughtown Street Winston-Salem, NC 27107 Phone (704) 663-1699 Phone (336) 771-5000 FAX (704) 663-6040 Water Quality Main FAX (336) 771-4630 Raleigh Regional Office Central Office 1628 Mail Service Center 1617 Mail Service Center Raleigh, NC 27699-1628 Raleigh, NC 27699-1617 Phone (919) 791-4200 Phone (919) 807-6300 FAX (919) 571-4718 FAX (919) 807-6494 Page 3 of 3 SWU-ROS-2009 Last revised 12130/2009 Nwrrtsrrwf LEGM ® r�sur ® roe rn�nun mop reena rr Arm cu"�' pep r rrbr mxoua� •� I s eum tr 9 4 OUTFALLM a a BEEF FLWY &CCODE�w is W44GULOWTAM( 4MMLON TAM a;lzp-ONT ® 4 SC cone sots 4 A 44WN AW62 P 4 t� 4 4 q + 4 9 4 WIFAkI q7 \CCODESM 3RIP" 4 9 4 941 COUNERML q, 4 James Environmental PLAN 0192s tr1ariagaiurnt,iac, LKQSELF SERVICE CHARLOTTE -12211 MTKIJDM FIG 2 600 Round Rock Mst [hive, Suite 201 Round Rock, Texas 7MI CHARLOTTE, NORTH CAROLINA 08113 OFECTeare< owwaera* Acm 11 nreneeuL woa ® WON" k!p e �� rs.s ssaAau � r�oeeae *"A■! m • resu EE mvnu.e u�eesL m � .seen. ,w oumALLCC] P rA smEr FLOW p W-comm¢ W4s 2" P dit< 4 861GALI0111TANK fM,WLLON TANK 4E44ALLON TANK TILGALLOMTAMK mcALLOM TAM d� A ¢? orlu USED 0[ AMwia GASOLINE GASOM wAiwr T P iCCODEMS P 35"aim arQw�r � P a � a @ 9 0 0 4 OUiFALL am WC CODE 5615 W10" 4 9 a P COMMERCIAL A �p P �P P COMMERCIAL Sn - ir1F James EnvironmentalPLAN 019 25 management, inc. LXQ SELF SERVICE CHARLOTTE -12n VmjDM IG 2 800 Round Rock What Drive, Sulte 201 r Round Rock, Texas 78NI CHARLOTTE, NORTH CAROL INA =13 WLKQ Historic Sample Analysis Pl�F �wnFN • lm..�.eW ►y yNy3� Fl�i1P 1 �.2,4 4 !i d -Sample ©Qte, 3 �i!" A; 3 g[ S ki £ 4: { FTo- F{f IpEEI{ f:l £.�€.E§;oUtfali'i, P' lips iit it 11 }I I Fi 3 B 7' :� 3 4 4 (�(1j- i11 1 3t.-E..dl9 j!�{ IIIE! � �e�F P4P E i g�lle4{}�'S�F�' 3 Yi�'iF]"b •4�1 {I FE jj :Ei.6' I �(�, iP IF. F�EE�iE�.arame,ter£ � nfl�I C Vap piR 1?piPf I'M00ITN f i g i i�i t! kiii 12/9/2013 Outfall 001 Ethylene Glycol < 1.2 mg/L 12/9/2013 Oil and Grease 2.2 mg/L 12/9/2013 pH 6.79 S.U. 12/9/2013 Total Rainfall 1.2 Inches 12/9/2013 Total Recoverable Lead < 0.002 mg/L 12/9/2013 Total Suspended Solids < 5 mg/L 5/16/2014 Oil and Grease 4.4 mg/L 5/16/2014 pH 6.1 S.U. 5/16/2014 Total Recoverable Lead < 0.005 mg/L 5/16/2014 Total Suspended Solids 13 mg/L 1 1 /23/2014 Ethylene Glycol 20 mg/L 1 1 /23/2014 Oil and Grease < 5.1 mg/L 1 1 /23/2014 pH 8 S.U. 1 1 /23/2014 Total Recoverable Lead 0.027 mg/L 11 /23/2014 Total Suspended Solids 22 mg/L 6/29/2015 Ethylene Glycol < 100 mg/L 6/29/2015 Oil and Grease 35 mg/L 6/29/2015 pH 6.11 S.U. 6/29/2015 Total Recoverable Lead 0.09 mg/L 6/29/2015 Total Suspended Solids 180 mg/L 1 1 /9/2015 Ethylene Glycol < 10 mg/L .1 1 /9/2015 Oil and Grease 2.6 mg/L 1 1 /9/2015 pH 7.13 S.U. 1 1 /9/2015 Total Recoverable Lead 0.023 mg/L 1 1 /9/2015 Total Suspended Solids 6.6 mg/L 5/5/2016 Ethylene Glycol 57 mg/L 5/5/2016 Oil and Grease < 5.3 mg/L 5/5/2016 pH 6.84 S.U. 5/5/2016 Total Recoverable Lead 0.016 mg/L 5/5/2016 Total Suspended Solids 7 mg/L 1 1 /29/2016 Ethylene Glycol 94 mg/L 1 1 /29/2016 Oil and Grease 9.5 mg/L 1 1 /29/2016 pH 7 S.U. 1 1 /29/2016 Total Recoverable Lead 0.087 mg/L 11 /29/2016 Total Suspended Solids 26 mg/L 4/24/2017 Ethylene Glycol 18 mg/L 4/24/2017 Oil and Grease < 4.9 mg/L 4/24/2017 pH 6.9 S.U. 4/24/2017 Total Recoverable Lead 0.017 mg/L 4/24/2017 Total Suspended Solids 18 mg/L 10/26/2017 LKQ Pick Your Part Charlotte Lwci Historic Sample Analysis or" rn...0 W h Ra.e n;" � i ' to k't�+t t ��f' t 1Urnpple�3yf'©jlpay'fteF,){�G;Uutfa[9h(1�9�°3� {5:ii3�.1t�4fli�i�i`�7�Sii�l�ii67E94�'61813E'Y'�B.�YB���atti+13�! s � F ;nu yi � t { ,� ��:( i' i H s j i t , ,,• ti tt t I �'tx v' V 6 iiif� ►' thfE+S°ample Ij�4g �����{�q €{ °P�µ3;a[�}ra8>,r}{ntej #e{°}[rid � I �� 4�1iil���: �4Et1!!t6 i�f�:�i3liilLs8.'r`'f"{�Efi<:i+1 B:El��, i{� l0 ���ie �cu>asu..s - xf d R (• ��� £} 1\.7�It£; E � t I+€t sh llij, ',# ��",,�I,Unityil�'�E I%sf51 •M��iti�.11 �.ei 5/16/2014 Outfall 002 Oil and Grease < 4.7 mg/L 5/16/2014 pH 6.39 S.U. 5/16/2014 Temperature 19.1 Deg C 5/16/2014 Total Recoverable Lead < 0.005 mg/L 5/16/2014 Total Suspended Solids < 5 mg/L 1 1 /23/2014 Ethylene Glycol < 5 mg/L 1 1 /23/2014 Oil and Grease < 5 mg/L 1 1 /23/2014 pH 8 S.U. 11 /23/2014 Total Recoverable Lead 0.019 mg/L 1 1 /23/2014 Total Suspended Solids 10 mg/L 1 1 /22/2014 Outfail 003 1 Ethylene Glycol 3.5 mg/L 1 1 /22/2014 Oil and Grease < 4.7 mg/L 1 1 /22/2014 pH 8 S.U. 11 /22/2014 Total Recoverable Lead 0.037 mg/L 1 1 /22/2014 Total Suspended Solids 55 mg/L 10/26/2017 LKQ Pick Your Part Charlotte 1 CERTIFIED MAIL, RETURN RECEIPT REQUESTED Date:.6 2 A ,. Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 RE: LKQ Self Service (Pick Your Part) Charlotte Charlotte, NC Permit # NCGl00226 2017 First Semi -Annual Stormwater Discharge Outfall Monitoring Report Dear Sir/Madam: Please find attached the 2017 First Semi -Annual Stormwater Discharge Outfall (SDO) Monitoring Report for the LKQ Self Service (Pick You Part) facility located in Charlotte, North Carolina. This submittal covers the reporting period January 1st to June 301n 2017. Please call me at 607-760-3776 or Mr. Seth Ailiff of RPS GaiaTech at 404-809- 3877 if you have any comments, questions, or concerns about the information presented in this submittal. sincerely, h.. . eff Doebl Plant Manager Attachment '%MCP /V4D ow�r,4q� 6' Zoi? R SFCr��VS STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCGIO0226 FACILITY NAME LKQ Self Service (Pick Your Part) Charlotte PERSON COLLECTING SAMPLE(S) Waldman Sanchez CERTIFIED LABORATORY(S) Test America Lab Nashville Lab#490 Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 (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 Mecklenburg PHONE NO. (607) 760-3776 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 ` - _ - Date.._, _ Sample Colllectted,- rnoldd/year _ Total'. _ Rair>fall," : inches" : _ 00400. ;_ 00530..:_ :.. ^ _ _ 77023 __ ._ : 010S1. 78141 pH, -- ._ --Standard = Units.. :. Total Suspended:- '= - 'Solids (TSS) mgJ! ._' �_; .. _ 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/! Benchmark - 6.0-901 -100/50 15 i_ -81000 (Tiers-Zaand3) ^ .0.03 1.0 Outfall 001 4/24/2017 2.22 6.9 18 <4.9 (Below 110) 18 0.017 Exempt `Note: Reporting Limit =4.9. Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Ter 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 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 (SOO) 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." JJ 4.W- 1, 22Ll3L&L Name (Print name) Title (Print title) Z I Signatur Fate Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the hest 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 6ittee or Designee) 1G1 11-7 (Date) Form SWU-251, last revised October25, 2012 Page 2 of 2 1 �• i E 1 TestAmerica ( THE LEADER IN ENVIRONMENTAL TESTING % i ANALYTICAL REPORT Ff TestAmerica Laboratories, Inc. L ,r TestAmerica Nashville 2960 Foster Creighton Drive Nashville, TN 37204 Tel: (615)726-0177 TestAmerica Job ID: 490-127111-1 TestAmerica SDG: RPS Proj# 164705.529.00/Site#41525 Client Project/Site: #1228 - LKQ Pick Your Part - Charlotte x For: g. GaiaTech Inc. PO BOX 12621 Knoxville, Tennessee 37912 Attn: Seth Ailiff ik 31 Authorized for release by: 5/8/2017 12: 35: 53 PM Jim Knapp, Project Manager 11 (630)758-0262 �J' „ jim.knapp@testamericainc.com � ' ii i�r •i Co Y i'i a I i' a t��k"_ -I :. . liE ",, " , u�i€€i,E e (,��i i LINKS...........t „ !(j E L- MMewyour project results,througlii` ;E Ij TOtcd Access Hare a' Question? i A. Aik4i y The' The The test results in this report meet all 2003 NEtAC and 2009 TNl requirements for accredited �il€� P parameters, exceptions are noted in this report. This report may not be reproduced except in full, p p po P y p ;` EX a rt and with written approval from the laboratory, For questions please contact the Project Manager at the e-mail address or telephone number listed on this page, This report has been electronically signed and authorized by the signatory. Electronic signature is intended to be the legally binding equivalent of a traditionally handwritten signature, Visit 'Us*::,.. ' n' ,1�! Results relate only to the items tested and the sample(s) as received by the laboratory. 21 Yytl MltaI ercalnc-'co I ! i- 6 t ` FBI - 1Mll 3� Client: GaiaTech Inc. TestAmerica Job ID: 490-127111-1 € "' Project/Site: #1228 - LKO Pick Your Part - Charlotte SDG: RIPS Proj# 164705.529.00/Site#41525 Table of Contents Cover Page .............................................. 1 Table of Contents ......................................... 2 Sample Summary ......................................... 3 Case Narrative ........................................... 4 Definitions ............................................... 5 Client Sample Results .................................... 6 QC Sample Results ........................................ 7 QC Association ........................................... 9 Chronicle ................................................ 10 Method Summary ......................................... 11 Certification Summary ...................................... 12 Chain of Custody .......................................... 13 Receipt Checklists ......................................... 17 TestAmerica Nashville Page 2 of 17 5/8/2017 Sample Summary Client: GaiaTech Inc. Project/Site: #1228 - LKQ Pick Your Part - Charlotte TestAmerica Job ID: 490-127111-1 - SDG: RPS Proj# 164705.529.00ISite#41525 Lab Sample ID Client Sample 10 Matrix Collected Received , 490-127111-1 1228-LKQ Pick Your Part-Charlottie Water 04/24/17 09:45 04/25/17 09:30 TestAmerica Nashville Page 3 of 17 5/8/2017 I Case Narrative Client: GaiaTech Inc. TestAmerica Job ID: 490-127111 -1 Project/Site: #1228 - I-KQ Pick Your Part - Charlotte SDG: RPS Proj# 164705.529.00/Site#41525 Job ID: 490-127111-1 .... ... . ............................ .......................... ........ Laboratory: TestAmerica Nashville Narrative Job Narrative 490-127111-1 Comments No additional comments. Receipt The sample was received on 4/2512017 9:30 AM; the sample arrived in good condition, properly preserved and, where required, on ice. The temperature of the cooler at receipt was 4.60 C. GC Semi VOA Method(s) 8015C: The matrix spike / matrix spike duplicate (MS/MSD) spiking compounds for analytical batch 490-425427 were inadvertently omitted. The associated laboratory control sample (LCS) recovery was within acceptance limits. No additional analytical or quality issues were noted, other than those described above or in the Definitions/Glossary page. Metals No analytical or quality issues were noted, other than those described in the Definitions/Glossary page. General Chemistry L No analytical or quality issues were noted, other than those described in the Definitions/Glossary page. Organic Prop No analytical or quality issues were noted, other than those described in the Definitions/Glossary page. TestAmerica Nashville Page 4 of 17 5/8/2017 Definitions/Glossary Client: GaiaTech Inc. Project/Site: #1228 - LKo Pick Your Part - Charlotte Glossary Abbreviation These commonly used abbreviations may or may not be present In this report. TestAmerica Job iD: 490-127111-1 SOG: RPS Proj# 164705.529.00/Site#41525 Listed under the "D" column to designate that the result is reported on a dry weight basis %R Percent Recovery CFL Contains Free Liquid CNF Contains No Free Liquid DER Duplicate Error Ratio (normalized absolute difference) Dil Fac Dilution Factor DL Detection Limit (DoD/DOE) DL, RA, RE, IN Indicates a Dilution, Re -analysis, Re -extraction, or additional Initial metalslanion analysis of the sample DLC Decision Level Concentration (Radiochemistry) EDL Estimated Detection Limit (Dioxin) LOD Limit of Detection (DoDIDOE) LOQ Limit of Quantitation (DoD/DOE) MDA Minimum Detectable Activity (Radiochemistry) MDC Minimum Detectable Concentration (Radiochemistry) MDL Method Detection Limit ML Minimum Level (Dioxin) NC Not Calculated ND Not Detected at the reporting limit (or MDL or EDL if shown) PQL Practical Quantitation Limit QC Quality Control RER Relative Error Ratio (Radiochemistry) RL Reporting Limit or Requested Limit (Radiochemistry) RPO Relative Percent Difference, a measure of the relative difference between two points TEF Toxicity Equivalent Factor (Dioxin) TEO Toxicity Equivalent Quotient (Dioxin) TestAmerica !Nashville Page 5 of 17 5/8/2017 Client Sample Results Client: GaiaTech Inc. TestAmerics Job ID: 490-127111 -1 Project/Site: #1228 - LKO Pick Your Part - Charlotte SDG: RPS Proj# 164705.529.00/Site#41525 dfient Sample ID: 1228-LKQ Pick Your Part-Charlottle ........................... . ........... .............. .. .. . ... ... .. Lab Sample ID: 490-127111-1 Date Collected: 04/24M7 09:45 Matrix: Water Date Received: 04/25/17 09:30 . ................. . ................ . . .. Method: 80115C - Glycols- Direct Injection (GCIFID) Analyto Result Quallflor RL MDL Unit D Prepared Analyzed DO Fac Ethylene glycol 18 —10 —1.0 mg/L T 04127117 19:41 Surrogate %Recovery Qualifier Limits Prepared Analyzed Dil Fac n-butyl alcohol (Surr) 99 70-130 0412711719:41 1 Method. 200.7 Rev 4.4 - Metals (ICP) - Total Recoverable Analyto Result Qualifier RL MDL Unit D - Prepared Analyzed Dil Fac Lead 0.017 0.0050 0,0020 mglL 04127117 21:19 04128M7 10:55 1 General Chemistry Analyto Result Qualifier RL MDL Unit D Prepared Analyzed D11 Fac HEM <4 9 4.9 1.7 mg/L 05/05117 12:05 05/06/17 12:05 1 Total Suspended Solids 18 2.0 1.4 mg1l- 04127/17 15AS 1 Analyte Result Qualifier RL RL Unit D Prepared Analyzed— D11 Fac pH 6.9 0.1 0.1 Su 04/29117 15:42 1 TestArnerica Nashville Page 6 of 17 5/8/2017 QC Sample Results Client: GaiaTech Inc. Project/Site: #1228 - LKQ Pick Your Part.- Charlotte Method: 8015C - Glycols- Direct Injection (GC/FID Lab Sample ID: MB 490-425427118 Matrix: Water Analysis Batch: 425427 MB M8 Analyte Result Qualifier RL MDL Unit Ethylene glycol <10 10 1.0 mg1L I—:-i TestAmerica Job ID: 490-127111-1 SDG: RPS Proj# 164705.529.00/Site#41525 Client Sample ID: Method Blank Prep Type: Total/NA D Prepared Analyzed Oil Fac 04127/17 16:56 1 MB MB Surrogate %Recovery Qualifier Limits Prepared AnaWed Dil Fac n-butyl alcohol (Surr) 92 70-130 04/27/17 16:56 i Lab Sample ID: LCS 490-425427/19 Client Sample ID: Lab Control Sample Matrix: Water Prep Type: Total/NA Analysis Batch: 425427 Spike LCS LCS %Rec. Analyte Added Result Qualifier Unit D %Roe Limits Ethylene glycol 50.0 54.4 mg1L 109 70 -130 LCS LCS Surrogate %Recovery Qualifier Limits n-butyl alcohol (Surr) 101 70- 130 Method: 200.7 Rev 4.4 - Metals f ICP Lab Sample ID: MB 490-425739/1-A Matrix: Water Analysis Batch: 426140 MB MB Analyte Result Qualifier RL Lead <0.0050 0.0050 Lab Sample ID: LCS 490-425739/2-A Matrix: Water Analysis Batch: 426140 Analyte Lead Lab Sample ID: LLCS 490-425739/11-A Matrix: Water Analysis Batch: 426140 Ana tyte Lead Method: 1664E - HEM and SGT-HEM Lab Sample ID: MB 490-427760/1-A Matrix: Water Analysis Batch: 427761 Client Sample ID: Method Blank Prep Type: Total Recoverable Prep Batch: 425739 MDL Unit D Prepared Analyzed Dil Fee 0.0020 mg1L 04/27117 21:19 04/28/17 10:08 1 Client Sample ID: Lab Control Sample Prep Type: Total Recoverable Prep Batch: 425739 Spike LCS LCS %Roe. Added Result Qualifier Unit D %Roe Limits 0.100 0.101 mgli- 101 65-115 Client Sample ID: Lab Control Sample Prep Type: Total Recoverable Prep Batch: 425739 Spike LLCS LLCS %Roc. Added Result Qualifier Unit D %Roc Limits 0.00500 0.00620 mglL 124 70-130 Client Sample ID: Method Blank Prep Type: Total/NA Prep Batch: 427760 MB MB Analyte Result Qualifier RL MDL Unit D Prepared Analyzed D11 Fac HEM <4.0 4.0 1.4 mg/L 05/0511712:05 0510511712:05 1 TestAmerica Nashville Page 7 of 17 5/8/2017 QC Sample Results Client: GaiaTech Inc. Project/Site: #1228 - LKQ Pick Your Part - Charlotte Method: 1664E - HEM and SGT-HEM {Continued Lab Sample 10: LCS 490.427760/2-A Matrix: Water Analysis Batch: 427761 Analyte HEM Lab Sample ID: LCSD 490-427760/3-A Matrix: Water Analysis Batch: 427761 Analyte HEM Method: 9040C - TestAmerica Job ID: 490-127111-1 SDG: RPS Proj# 164705.529.001Site#41525 Client Sample ID: Lab Control Sample ;. Prep Type: Total/NA Prep Batch: 427760 Spike LCS LCS %Rec., Added Result Quallfier Unit D %Rec Limits 41.7 39.27 mg1L 94 78 -114 Client Sample ID: Lab Control Sample Dup Prep Type: TotallNA Prep Batch: 427760 Spike LCSD LCSD %Rec. RPD Added Result Qualifier Unit 0 %Rec Limits RPD Llmit 41.7 39.27 mg1L 94 78-114 0 18 Lab Sample ID: LCS 490-426265/11 Client Sample ID: Lab Control Sample Matrix: Water Prep Type: Total/NA Analysis Batch: 426265 Spike LCS LCS %Rec. Analyte Added Result Qualifier Unit D %Rec Limits pH 7.00 7.1 Su 101 98 -103 MethodSM 2540D - Solids, Total Suspended (TSS) : Lab Sample 10: MB 490-42662411 Client Sample ID: Method Blank Matrix: Water Prep Type: Total/NA Analysis Batch: 425624 MB MB Analyte Result Qualifier RL MDL Unit D Prepared Analyzed DII Fee Total Suspended Solids <1.0 1.0 0.70 mg1L 04/27/17 15:45 1 Lab Sample ID: LCS 490-425624/2 Client Sample ID: Lab Control Sample Matrix: Water Prep Type: Total/NA Analysis Batch: 425624 Spike LCS LCS %Rec. Analyte Added Result Qualifler Unit D %Rec Limits Total Suspended Solids 100 97.6 mglL 98 90-110 TestAmerica Nashville Page 8 of 17 518l2017 QC Association Summary Client: GaiaTech Inc. TestAmerica Job ID: 490-127111-1 Project/Site: #1228 - LKQ Pick Your Part - Charlotte SDG: RPS Proj# 164705.529.00/Site#41525 LOSTO1-1 Analysis Batch: 425427 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 490-127111-1 1228-LKQ Pick Your Part-Chartottle Total/NA Water 8015C MB 490-425427118 Method Blank TotalNA Water 8015C 1 LCS 490-425427/19 Lab Control Sample Total/NA Water 8015C _-.-.-.., Meta.. _ls_ �-- ---- .......................... ....... .. ....., ..,.... . ....,.. 1 ----_._ ......... ........ ......... Prep Batch: 425739 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 490-127111-1 1228-LKQ Pick Your Part-Charlottle Total Recoverable Water 200.7 MB 490-42573911-A Method Blank Total Recoverable Water s: 200.7 LCS 490-425739/2-A Lab Control Sample Total Recoverable Water 200.7 LLCS 490-426739/11-A Lab Control Sample Total Recoverable Water 200.7 Analysis Batch: 426140 i Lab Sample ID Client Sample ID Prep Type Matrix Method 1490-127111-1 1228-LKQ Pick Your Part-Charlottle Total Recoverable Water 200.7 Rev 4.4 MB 490-425739/1-A Method Blank Total Recoverable Water 200.7 Rev 4.4 LCS 490-42573912-A Lab Control Sample Total Recoverable Water 200.7 Rev 4.4 L LLCS 490-425739111-A Lab Control Sample Total Recoverable Water 200.7 Rev 4.4 General Chemis Analysis Batch: 425624 Prep Batch 425739 425739 425739 r '. 425739 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 490-127111-1 1228-LKQ Pick Your Part-Charlottle Total/NA Water SM 2640D MB 490-425624/1 Method Blank Total/NA Water SM 2540D LCS 490-42562412 Lab Control Sample Total/NA Water SM 25401) Analysis Batch: 426265 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 490-127111-1 1228-LKQ Pick Your Part-Charlottle TotaUNA Water 9040C LCS 490-426265111 Lab Control Sample TotallNA Water 9040C Prep Batch: 427760 -Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 490.127111-1 1228-LKQ Pick Your Part-Charlottle Total/NA Water 1664E I MB 490.42776011-A Method Blank Total/NA Water 1664B LCS 490-427760/2-A Lab Control Sample TotallNA Water 1664E L LCSD 490-427760/3-A Lab Control Sample Dup Total/NA Water 1664E Analysis Batch: 427761 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 490-127111-1 1228-LKQ Pick Your Part-Chariottle Total/NA Water 1664E 427760 MB 490-42776011-A Method Blank Total/NA Water 16648 427760 LCS 490-42776012-A Lab Control Sample Total/NA Water 16646 427760 LCSD 490.427760/3-A Lab Control Sample Dup Total/NA Water 1664E 427760 TestAmerica Nashville Page 9 of 17 5/8/2017 Client: GaiaTech Inc. Project/Site: #1228 - LKQ Pick Your Part - Charlotte Lab Chronicle_ TestAmerica Job ID: 490-127111-1 SDG: RPS Proj# 164705.529.00/Site#41525 Client Sample ID: 1228-LKQ Pick Your Part-Charlottle Date Collected: 04/24/17 09:45 Date Received: 04/25/17 09:30 Batch Batch III Initial Prep Type Type Method Run Factor Amount Total/NA Analysis 8015C 1 Total Recoverable Prep 200.7 50 mL Total Recoverable Analysis 200.7 Rev4.4 1 TotaUNA Prep 1664E 780 mL Total/NA Analysis 1664E 1 Total/NA Analysis 9040C 1 Total/NA Analysis SM 25400 1 500 mL Lab Sample ID: 490-127111-1 Matrix: Water s° Final Batch Prepared ., Amount Number or Analyzed Analyst Lab —I 425427 04/27/17 19:41 MH TAL NSH 50 mL 425739 04/27/17 21:19 JSF TAL NSH 426140 04/28/17 10:55 LCS TAL NSH 960 mL 427760 05/05/17 12:05 BAD TAL NSH 427761 05/05/17 12:05 BAD TAL NSH 426265 04/29/17 15:42 MS TAL NSH 1000 mL 425624 04/27/17 15:45 EAR TAL NSW s Laboratory References: TAL NSH = TestAmerlca Nashville, 2960 Foster Creighton Drive, Nashville, TN 37204, TEL (615)726-0177 TestArnerica Nashville Page 10 of 17 5/8/2017 Method Summary Client: GaiaTech Inc. Project/Site: #1228 - LKQ Pick Your Part - Charlotte TestAmerica Job ID: 490-127111-1 SDG: RPS Proj# 164705.529.00/Site#41525 Method Method Description Protocol Laboratory 8015C Glycols- Direct Injection (GCIFID) SW846 TAL NSH 200.7 Rev 4.4 Metals (ICP) EPA TAL NSH 16648 HEM and SGT-HEM 1664B TAL NSH 9040C pH SW846 TAL NSH SM 2540D Solids, Total Suspended (TSS) SM TAL NSH Protocol References: 1564B = 1664B EPA = US Environmental Protection Agency SM = "Standard Methods For The Examination Of Water And Wastewater', SW846 = "Test Methods For Evaluating Solid Waste, PhysicallChemical Methods", Third Edition, November 1986 And Its Updates, Laboratory References: TAL NSH = TestAmerica Nashville, 2960 Foster Creighton Drive, Nashville, TN 37204. TEL (615)726-0177 TestAmerica Nashville 1U Page 11 of 17 5/8/2017 Accreditation/Certification Summary Client: Gaiaiech Inc. Project/Site: #1228 - LKQ Pick Your Part - Charlotte TestAmerica Job ID: 490-127111-1 SDG: RPS Proj# 164705.529.00/Site#41525 Laboratory: TestAmerica Nashville Unless otherwise noted, all analytes for this laboratory were covered under each accreditation/certification below. Authority Program EPA Region Identification Number Expiration Data Arlxona State Program 9 AZ0473 05-05-17' The following analytes are included in this report, but accreditationlcertification is not offered by the governing authority: Analysis Method Prep Method Matrix Analyte 8015C Water Ethylene glycol Arkansas DEQ State Program 6 88-0737 04-25-1E Florida NELAP 4 E87358 06.30-17 The following analytes are included in this report, but are not accredited/certified under this accreditationtoertification: Analysis Method Prep Method Matrix Analyte 200.7 Rev 4.4 200.7 Water Lead Louisiana NELAP 6 30613 06-30-17 North Carolina (WW1SW) State Program 4 387 12-31-17 South Carolina State Program 4 84009 (001) 02-28.18 The following analytes are included in this report, but accreditation/certification Is not offered by the governing authority: Analysis Method Prep Method Matrix Analyte 8015C Water Ethylene glycol 9040C Water pH Tennessee State Program 4 2008 02-23.20 The following analytes are included in this report, but accreditation/certification is not offered by the governing authority: Analysis Method Prep Method Matrix Analyte 1664B 16648 Water HEM 200.7 Rev 4.4 200.7 Water Lead 8015C Water Ethylene glycol 9040C Water pH SM 2540D Water Total Suspended Solids Texas NELAP 6 T104704077 08-31-17 The following analytes are included in this report, but are not accreditedlcertified under this accreditationicertifiication: Analysis Method Prep Method Matrix Analyte 200.7 Rev 4.4 200.7 Water Lead Virginia NELAP 3 460152 06-14-17 Accreditation/Certification renewal pending - accreditationlcertification considered valid. TestAmerica Nashville M Page 12 of 17 5/8/2017 TestAmedca 1 1j1 1�11� THE LEADER IN ENVIRONMENTAL TESTING Nashville, TN COOLER RECEIPT FORM 490 12717 q,a;n or custDd� Cooler ReceivedlOpened On 4/25/2017 (M 0930 Time Samples Removed From Coolero—�4(Time Samples Placed In Storage (2 Hour Window) 1. Tracking # V M (last 4 digits, FedEx) Courier: _FedEx_ IR Gun ID_14740458_ pH Strip Lot Chlorine Strip Lot r• 2. Temperature of rep. sample or temp blank when opened: agrees Celsius 3. If Item #2 temperatures Is 0°C or less, was the representative sample or temp blank frozen? YES NO.4w 4. Were custody seats on outside of cooler? tJO...14A �} Fle,,ou ` If yes, how many and where: " -' ` 5. Were the seals Intact, signed, and dated correctly?' ' B .NO ... NA 8. Were custody papers Inside cooler? E..NO... NA certify that I openeq the coolerre o 7. Were custody seals on containers: YES IN and Intact YES,..NO.. Were these signed and dated correctly? YES --- NO...V 8. Packing mat'I used? BubbleLp Plas l bag Peanuts Vermiculite Foam Insert Paper Other None 9. Cooling process: I Ice -pack Ice (direct contact) Dry Ice Other None 10. Did all containers arrive In good condition (unbroken)? 6...NO...NA 11. Were all container labels complete (#, date, signed, pros., etc)? 48... NO ... NA 12. Did all container labels and tags agree with custody papers? UrS... NO...NA 130. Were VOA vials received? 6B... NO ... NA b. Was there any observable headspace present In any VOA vial? YES...NO6A 14. Was there a Trip Blank in this cooler? YES ... PA If muitlple coolers, sequence # y a I unloaded the cooler and answered aues-14 (Initial) 15a. On pres'd bottles, did pH test strips suggest preservation reached the correct pH level? YES..N .6A5 b. Did the bottle labels indicate that the correct preservatives were used do—..N0...NA 16. was residual chlorine present? YES ... NO. rat 5A I certify that I chock2g for chlorine and pH as nor SOP and answered questions 15-18 ftnitlall 17. Were custody papers properly filled out (Ink, signed, etc)? 0-4..NO... NA 18. Did you sign the custody papers In the appropriate place? S....NO...NA NO...NA 19. Were correct containers used for the analysis requested? 20. Was sufficient amount of sample sent in each container? YE ..NO ... NA I certify thgj I entered this orolect Into LIMS and answered auestians 17.20 (initial) Icertify that t atlachad a label with the unlaue LIMS number to each container finitial} 21. Were there Non -Conformance Issues at login? YES..& Was a NCM generated? YES.{ 5.9. BIS = Broken in shipment Cooler Receipt Fonn.doc LF-1 End of Form Page 13 of 17 Revised 12/15/15 5/8/2017 TestAmerica Nashville 2960 Foster Creighton Drive NasW]Je, TN 37204 Phone16151726-)177 Fayi6151726-3404 r Chain of Custody Record Test Fmerica TNi LEADER p4 EiAM04491ENTAL 7Y.SM40 Sslpler. C Lab M. Carrier T-cidrg No(s): CM Nor Meat Information J CZ Epp, Jim D 6 90-64732-16552.1 chwu Cort—t Seth Ailifi Ptxrw % ,3 E-Ilal: im.knapp®testamericWnc.com Pq� Page 1 of f Corrvy: Job M. GaiaTech Inc, Analysis Requested Due Date RagtxsLm: Prwswv-4on Cods: PO BOX 12621 •' - A - HCL M - FFtaeie B - W110H N - Norm ., AT Regaseted (deye}: Knoxville t j''�' .. - �� C-ZnAcetate 0-AsNaW n - Nibic Add P- Na2G4S Stele. TN, 37912 E - NaHSO4 Q - Ne2SO3 - 4eOH R - N>325203 PFaft PC AF. 4p 4-812-p001 B! (Tel) )yEFp 'a o = o o - G- vroCfar S-H2SC�4 H - ascorbic Acid T - TSP Doartanynrate I - ice U- ACeeire Errol: Wl3#. .com Seth.Xrrff@rpsgmup.com o r C a` m J - Di Water V-MCAA Prgxx Name- Project st 1228-LKQ Pick Your Part - Charlotte 49008562 .c L - EPAA Z - o�I W (3peaw SS0VV#, e.. • r4 tl i — e ` Sample y (YY�Yr, tx V j Z Sample (Cmeamp, �qt $ n o Sam Identification Sam Date Time -rat Al ert� Muw o n Special lnstructiorislNofe: • - P vatiaii Cade: 11- " N . D , 14- ,: Water � 49a D3 16 0 1,66 a3 -Z�r -12�� ! - 6 3 3 0 �Y-ay-/ Y x 0 3 d -2 ll ' 'fix►-CYK/ 213 -Zy_ 4 2 3 o H•zY 9�t�, �! PosslWe Hazard lden0cadon Sample Disposal (A fee maybefe assessed isamples are retained longer than 1 month) �-I "Dnkrwwn `�4'ad' � if — be �Retum "Drsposai =Arch. f .-Hazard Flammable hritani�oisan B cat To Client By t eb For Months Deliverable Requested: 1, 11, U1, IV, Other (specify) Special [nstrucdcnsiQC Requirements: Empty" Relinquished by: Date: Time: trednd otSriiprrtl: Ra&=RMW ty` Dotanima: Cd"P" ReceAbd by D»eJTare: 7G 7a Conpary 7 Rdn*iWiod bf_ DabW arne: cDn-ny t1f Arta Cmpny Rellix9il w bf. CortOny ReceHed try. DWaMtnn C Custody Seals Intact Custody Sea] No.: coaerTenperaftra(s) •c and Oew Raruri- 4 Yes o No a Q CID TestAmenca THE LEADER IN ENVIRONMENTAL TESTING j Nashville, TN COOLER RECEIPT FORM4RO-1271 j 1 Isfody Cooler Received/Opened On 4125(20_11A 0930 41TIme 1 Time Samples Removed From Cooler( 9 : ,1 Samples Placed In Storage (2 Hour Window) lit LL�~ i. Tracking #. (last,4 digits, FedEx) Courier: _FedEx_ t_ I ^t IR Gun ID_14740458_ pH Strip Lot Strip Lot !Chlorine `{�"`Aegress r. 2. Temperature of rep. sample or temp blank when opened: Celsius 3. If Item #2 temperatures Is 0°C or less, was the representative sample or temp blank frozen? YES NO.4I� 4. Were custody seals on outside of cooler? If yes, how many and where.- S. Were the seals intact, signed, and dated correctly? ... NA c.NO 6. Were custody papers inside cooler? 10..NO... NA 1 callffy that I opened the cooler and answered guestfons 1-6 Initial 7. Were custody seals on containers: YES ! and Intact YES ... NO.. Were these signed and dated correctly? YES ... NO... A B. Packing mat'i used? BubbleLp Plas It b''aryryg Peanuts Vermiculite Foam Insert Paper Other None l; ' 9. Cooling process: Ute Ice -pack Ice (direct contact) Dry ice Other None 10. Did all containers arrive In good condition (unbroken)? ...NO...NA �j 11TX . Were all container labels complete (#, date, signed, pros., etc)? S...N0... NA 12. Did all container labels and tags agree with custody papers? IW..NO... NA 13a. Were VOA vials received? ...NO ... NA b. Was there any observable headspace present In any VOA vial? YES ... N06A j 14. Was there a Trip Blank In this cooler? YES...A If multiple coolers, sequence # 1 certitvthat I unloaded the cooler an"nswered auestions 7.14 (initial) In 15a. On pres'd bottles, did pH test strips suggest preservation reached the correct pH level? YES..N JA b. Did the bottle labels Indicate that the correct preservatives were used ,.NO ... NA I$, was residual chtorine present? YES ... NO.e! 5A I ce!Jify that l chocked for chlorLne_and _pH as per SOP and answered questions i5-10 (Initial) 17. Were custody papers properly filled out (ink, signed, etc)? 0f..NO... NA 18. DId you sign the custody papers in the appropriate place? E NO ... NA 19. Were correct containers used for the analysis requested? .-NO ... NA 20. Was sufficient amount of sample sent In each container? YE ..NO ... NA 21. Were there Non -Conformance Issues at login? YES_& Was a NCM generated? YES.�5-# BIS - Broken in shipment Cooler Receipt Furm.doc LF-1 Revised 12A5115 End of FDnn Page 15 of 17 5/8/2017 Test&nerica Nashville 2960 Foster Creighton Drive Nashville, TN 37204 Phan. [Al M 7?P_n177 Far rat 51 7W-)And Chain of Custody Record TestAmedc2 THE LEACiR ed EMVIRAMMMWAI 7E8 TM4G Samper. Len PNt rler reddrq W51C T Cu CDC Na Client Info" nation diG/I�p6r irZ Epp, Jim D 490-64732--16552.1 Ctitrrt Grate- vhorur. Eat1�2 •im-knapp@tsstamerioainc-wm Page; Seth Miff 3 . Page 1 of i Comply: Job V. GaiaTerh Inc. Anaijl3is requested Address: Due Gilts Rsgwmiad: Preserratlon Codes: PO BOX 12621 _� ' A - HC4 Y - Hexane 6 - NaOH N - Noft Ctty. AT Requestd {days): Knoxville _ C-Zn Acetate 0-AsNaM D-Wir. Acid P-Na204S 3t3e, 2P: TN. 37912 "' s< E - NaH504 Q - Na2S03 F - McAH R - Na25203 Prnrc: PQ R: 04-812-0D01(CeU NEED r". o = ; •,; - •- -. G - Arnchkx S - H2SO4 H-A.0u4ic Acid T-TSP DodawrWa-Ae I -ace U - Acetone Erto k VY0fi Seth-Nlffl@rpsgroup.com A �i : s' 3 g 0 ,s J -OI WSW V-MCAA K-EDTA W-pH45 ##i 22 IJCS Q Pick Your Part - Charlotte 49 08562 d E e` W n . u L - EDA z -aa� tspe�ty) Otlter. Site: SSOVMq: � r Sample Mavis = Type (yw a r a a Sample (C=cemp, o I e $am le Identification Sam a Date Time b et-vm u , f 4 n o S vial mstr c onslNote: ar. •.rx.- �' >Pieseivafiiiri Cok1e :. A N Water .R., Loc- 490 03 /(o O 1271 1 03 S - t �t 4C - - 3 3 0 q lt/ : y Ix D3 3 D z 139615 � k�2 ! "216- 5"oz s o :yam Possible Hazard ldendfl"don Sample Disposal (A fee may #samples aree�—r—e{{tained longer than f worth) ��" ENon-Hazard �ammable L4kn lmTant C4..8 ;n)-. ;log.1 'be 1assessed Retum To C6ent ` b p.1 Lab chive For Months Deliverable Requested: 1, 11, 111, IV, Other (specify) Special fnstructions OC Requirements: Empty Kit Relinquished b)r Date: Time bemoe of SKpnwt iieWxWhed tr DaWflmwx C MMM ReCMW tYf - Dete/1-ime: Y- 25--/70 70 Comyay 7 RdsrpVd dr. DaterrErm coup" tf. DOWTVme: GarPmly Rekripished br- DabbTamel Conpaw Rerrhed by. Deteffirme: C—Pany Custody Seals Intact Custody Seal No.: GodarTempvaare(:1 -C and Omer Rosm (a A Yes A No 0 CV -�O_ t7 Client: GaiaTech Inc. Login Number: 127111 List Number:l Creator: West, Derrick D Question Login Sample Receipt Checklist Job Number: 490-127111-1 SDG Number: RPS Proj# 164705.529.001Site#41525 Answer Comment Radioactivity wasn't checked or is </= background as measured by a survey True meter. The cooler's custody seal, if present, is intact. True Sample custody seals, if present, are intact. NIA The cooler or samples do not appear to have been compromised or True tampered with. Samples were received on ice. True Cooler Temperature is acceptable. True Cooler Temperature is recorded. True COC is present. True COC is filled out in ink and legible. True COC is filled out with all pertinent information. True is the Field Sampler's name present on COC? True There are no discrepancies between the containers received and the COC. True Samples are received within Holding Time (excluding tests with immediate True HTs) Sample containers have legible labels. True Containers are not broken or leaking. True Sample collection date/times are provided. True Appropriate sample containers are used. True Sample bottles are completely filled. True Sample Preservation Verified. NIA There is sufficient vol. for all requested analyses, incl. any requested True MSlMSDs Containers requiring zero headspace have no headspaoe or bubble is True <6mm (114" ). Multiphasic samples are not present. True Samples do not require splitting or compositing. True Residual Chlorine Checked. N/A List Source: TestAmerica Nashville TestAmerica Nashville Page 17 of 17 5/8/2017 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCGlOO226 FACILITY NAME LKQ Self Service (Pick Your Part) Charlotte PERSON COLLECTING SAMPLE(S) Jeff Doebler CERTIFIED LABORATORY(S) Test America Lab Nashville Lab#490 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.) RECEIVED COUNTY Mecktenbure JUN 2 4 206 PHONE NO. (607) 760-3776 CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 DWR SECTION 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. -.- Outfalt ; -- - .Date _ - _ D040D :. _.: - , 00530 ::: ;. :'= 77023 ,: .. -- 01051 .: ^: 78141 ._ No .= . = Sample ColEeeted, Tota! = ` pH, - Total Suspended: uspen Norilm ar.= Ethylene_Glycol, Lead; Total Total oxic ' . _ mad d/year - , ` Rainfall, -; Standard . - = :Solids _ (T i _ O&GjTPH _ rreg/L - _zRecovera5le,._ 3 or -- - inches - Units mg/L ' : - (Method 1664 - , mg/L - r _ SGT-HEM), mgJL; i t;e9.0 nchmark _. r b 0- 9 0 : _. 10/50 :. :.. 15 . _ (Tiers2 and 3) O:D3 10 . Outfall 001 5/05/2016 0.19 1 6.84 7 <5.3 (Below RL*1 57 OA16 Exempt *Note: Reporting Limit =5.3. 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. 3 For 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. 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),1 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) PIS- vvkti Title (Print title) iv 12, Signature Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 44/Y (Date) Form SW U-251, last revised October 25, 2012 Page 2 of 2 a ,E i LINKS Nco0a�� i TestAmerica THE LEADER IN ENVIRONMENTAL TESTING ANALYTICAL REPORT TestAmerica Laboratories, Inc. TestAmerica Nashville 2960 Foster Creighton Drive Nashville, TN 37204 Tel: (615)726-0177 TestAmerica Job ID: 490-116974-1 TestAmerica SDG: RPS Proj# 1612511 Site# 41525 Client Project/Site: #1228F- LKQLg 5DR PART - CHARLOTTE 1� For: 3g4 X % Z017 GaiaTech Inc. CENTRAL FILES PO BOX 12621 SECTION Knoxville, Tennessee 37912� Attn: Seth Ailiff Authorized for release by: 1211412016 3:06:32 PM Jim Knapp, Project Manager II (630)758-0262 jim.knapp@testamericainc.com The test results in this report meet all 2003 NELAC and 2009 TNl requirements for accredited parameters, exceptions are noted in this report. This report may not be reproduced except in full, and with written approval from the laboratory. For questions please contact the Project Manager at the e-mail address or telephone number listed on this page. This report has been electronically signed and authorized by the signatory. Electronic signature is intended to be the legally binding equivalent of a traditionally handwritten signature. Results relate only to the items tested and the sample(s) as received by the laboratory. Client: GaiaTech Inc. TestAmerica Job ID: 490-116974-1 Project/$ite: #1228 - LKQ PICK YOUR PART - CHARLOTTE SDG: RPS Proj# 1612511 Site# 0525 Table of Contents CoverPage .............................................. 1 Table of Contents ......................................... 2 Sample Summary ......................................... 3 Case Narrative ........................................... 4 _._. Definitions ............................................... 5 Client Sample Results ...................................... 6 QC Sample Results ........................................ 7 QC Association ........................................... 9 Chronicle ................................................ 10 Method Summary .......................................... 11 Certification Summary ...................................... 12 Chain of Custody .......................................... 13 Receipt Checklists ......................................... 15 TestAmerica Nashville Page 2 of 15 12/14/2016 Sample Summary Client: GaiaTech Inc. TestAmerica Job ID: 490-116974-1 Project/Site: #1228 - LKQ PICK YOUR PART - CHARLOTTE SDG: RPS Proj# 161251/ Site# 41525 ...... .. .. .. .... .. .. .. .. .. .. ...... .. .... ................. .......... ....... . ..... .. .. ......... ............ ....... . ........... - ........ .. ..... Lab Sample 10 Client Sample ID Matrix Collected Received 490-116974-1 3900 Cheseapeke Dr Outfall #1 Water 11 /29116 14:55 11130/16 09:25 TestAmerica Nashville Page 3 of 15 12/1412016 Case Narrative Client: GaiaTech Inc. Project/Site: #1228 - LKQ PICK YOUR PART - CHARLOTTE ,lob ID: 490-116974-1 Laboratory: TestAmerica Nashville Narrative Job Narrative 490-116974-1 Comments No additional comments. TestAmerica Job ID: 490-116974-1 SDG: RPS Proj# 161251/ Site# 41525 Receipt The sample was received on 11/30/2016 9:25 AM; the sample arrived in good condition, properly preserved and, where required, on ice. The temperature of the cooler at receipt was 2.80 C. GC Semi VOA Method(s) 8015C: The matrix spike / matrix spike duplicate (MS/MSD) recoveries for analytical batch 490-393189 were outside control limits. Sample matrix interference and/or non -homogeneity are suspected because the associated laboratory control sample (LCS) recovery was within acceptance limits. Method(s) 801513, 8015C: Surrogate recovery was outside acceptance limits for the following matrix spikelmatrix spike duplicate (MS/MSD) sample(s): (240-72965-A-1 MS) and (240-72965-A-1 MSD). The parent sample's surrogate recovery was within limits. The MS/MSD sample has been qualified and reported. Method(s) 8015B, 8015C: The matrix spike / matrix spike duplicate (MS/MSD) recoveries for analytical batch 490-393749 were outside control limits. Sample matrix interference and/or non -homogeneity are suspected because the associated laboratory control sample (LCS) recovery was within acceptance limits. No additional analytical or quality issues were noted, other than those described above or in the Definitions/Glossary page. Metals No analytical or quality issues were noted, other than those described in the Definitions/Glossary page. General Chemistry No analytical or quality issues were noted, other than those described in the Definitions/Glossary page. Organic Prep No analytical or quality issues were noted, other than those described in the Definitions/Glossary page. TestAmerica Nashville Page 4 of 15 12/14/2016 Definitions/Glossary Client: GaiaTech Inc. TestAmerica Job ID: 490-116974-1 Project/Site: #1228 - LKQ PICK YOUR PART - CHARLOTTE SOG: RPS Proj# 16125V Site# 41525 -Glossary .. .. ... .. ... .. Abbreviation Those commonly used abbreviations may or may not be present In this report. U Listed under the "0" column to designate that the result is reported on a dry weight basis %R Percent Recovery CFL Contains Free Liquid CNF Contains no Free Liquid DER Duplicate error ratio (normalized absolute difference) Dil Fac Dilution Factor DL, RA, RE, IN Indicates a Dilution, Re -analysis, Re -extraction, or additional Initial metals/anion analysis of the sample DLC Decision level concentration MDA Minimum detectable activity EDL Estimated Detection Limit MDC Minimum detectable concentration MDL Method Detection Limit ML Minimum Level (Dioxin) NC Not Calculated ND Not defected at the reporting limit (or MDL or EOL if shown) PQL Practical Quantitation Limit QC Quality Control RER Relative error ratio RL Reporting Limit or Requested Limit (Radiochemistry) RPD Relative Percent Difference, a measure of the relative difference between two paints TEF Toxicity Equivalent Factor (Dioxin) TEQ Toxicity Equivalent Quotient (Dioxin) TestAmerica Nashville Page 5 of 15 12/14/2016 Client Sample Results Client: GaiaTech Inc. TestAmerica Job ID: 490-116974-1 Project/Site: #1228 - LKO PICK YOUR PART - CHARLOTTE SDG: RPS Proj# 1612511 Site# 41525 1--.... ....... .... .. --.- ................ ........... .._.... ---- 1.1_........ .... _..........................-_........._.......-...... . ... ........ ....... ........... --...._......-.--..--......_.....-._.__....- ._.._. _._.... - ---- --___ _ _ _ Client Sample k 3900Cheseap.-_ eke Dr Outfall #1 Lab Sample ID: 490-116974-1 Date Collected: 11/29/16 14:55 Matrix: Water D R ate acelved. 11/30116 09.25 Method: 8015C •Glycols- Direct injection (GCIFID) Analyte Result Qualifier RL MDL Unit D Prepared Analyzed DII Fac w Ethylene glycol 94 10 1.0 mg1L 12/13116 05:24 1 Surrogate %Recovery Qualifier Limits Prepared Analyzed D!! Fac n-butyl alcohol (Surr) 77 70 - 130 12/13/16 05:24 f Method: 200.7 Rev 4.4 - Metals (ICP) - Total Recoverable Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Oil Fac Lead 0.087 0.0050 0.0020 mglL 12/01/16 12:21 12/03/16 07:40 1 j General Chemistry Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac i HEM 9.5 5.1 1.6 mg1L - 12/09/1611:55 12/0911611:55 1 Total Suspended Solids 26 2.0 1.4 mg1L 12/02116 01:19 1 Analyte Result Qualifier RL RL Unit D Prepared Analyzed Oil Fac pH 7.0 6.1 0.1 SU 12/01/16 20:67 1 TestAmerica Nashville Page 6 of 15 12/14/2016 QC Sample Results Client: GaiaTech Inc. TestAmerica Job ID: 490-116974-1 Project/Site: #1228 - LKQ PICK YOUR PART - CHARLOTTE SDG: RPS Proj# 1612511 Site# 41525 ....................._........ ..... _... _._... ............. _............. .... ......_._................_................ _... ..... .---- _...... ............... Method: 8015C - Glycols- Direct Injection (GCIFID) Lab Sample ID: MB 490-393749/4 Client Sample ID: Method Blank Matrix: Water Prep Type: Total/NA Analysis Batch: 393749 MB MS _....., Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac Ethylene glycol <10 10 1.0 mglL 12/12/16 17:46 1 MB MB Surrogate %Recovery Qualifier Limits Prepared Analyzed Dil Fac n-butyl alcohol (Surr) 106 70- 130 12112116 17:46 1 Lab Sample ID: LCS 490-393749/5 Matrix: Water Analysis Batch: 393749 Analyte Ethylene glycol Client Sample ID: Lab Control Sample Prep Type: Total/NA Spike LCS LCS %Roe. Added Result Qualifier Unit D %Roe Limits 50.0 61.3 mglL 123 70.130 LCS LCS Surrogate %Recovery Qualifier Limits n-butyl alcohol (Surr) 106 70-130 Method: 200.7 Rev 4.4 - Metals (ICP) Lab Sample ID: MB 490.391056/1-A Matrix: Water Analysis Batch: 391569 MB MB Analyte Result Qualifier Lead <0.0050 Lab Sample ID: LCS 490-39105612-A Matrix: Water Analysis Batch: 391569 Analyte Lead Lab Sample ID: LLCS 490-391056113-A Matrix. Water Analysis Batch: 391569 Analyte Lead Method: 1664B - HEM and SGT-HEM Lab Sample ID: MB 490-39318711-A Matrix: Water Analysis Batch: 393205 Analyte MB MS Result Qualifier <4.0 Client Sample ID: Method Blank Prep Type: Total Recoverable Prep Batch: 391056 RL MDL Unit D Prepared Analyzed Dii Fac 0.0050 0.0020 mglL 12/01/16 12:21 12/03116 06:42 1 Client Sample ID: Lab Control Sample Prep Type: Total Recoverable Prep Batch: 391056 Spike LCS LCS %Roc. Added Result Qualifier Unit D %Roe Limits 0.0500 0.0510 mglL 102 85 -115 Client Sample ID: Lab Control Sample Prep Type: Total Recoverable Prep Batch: 391056 Spike LLCS LLCS %Roe. Added Result Qualifier Unit D %Roe Limits 0,00500 0.00530 mglL 106 70 -130 Client Sample ID: Method Blank Prep Type: Total/NA Prep Batch:393187 RL MDL Unit D Prepared Analyzed Dil Fac 4.0 1.4 mglL 12109/1611:55 1210911611:55 1 TestAmerica Nashville Page 7 of 15 12/14/2016 QC Sample Results Client: GaiaTech Inc. Project/Site: #1228 - LKa PICK YOUR PART - CHARLOTTE Method: 1664E - HEM and SGT-HEM (Continued Lab Sample ID: LCS 490-393187/2-A Matrix: Water Analysis Batch: 393205 TestAmerica Job ID: 490-116974-1 SDG: RPS Proj# 161251/ Site# 41525 Client Sample ID: Lab Control Sample Prep Type: Total/NA _ Prep Batch: 393187 Spike LCS LCS %Rec. .: Analyta Added Result Qualifier Unit D %Rec Limits HEM 41.7 35.62 ma/L 85 78 -114 Method: 9040C - pH Lab Sample ID: LCS 490-391164/1 Matrix: Water Analysis Batch: 391164 Analyta pH Client Sample ID: Lab Control Sample Prep Type: Total/NA Spike LCS LCS %Rea. Added Result Qualifier Unit D %Rec Limits 7.00 7,0 5U _ 101 98 -103 Method: SM 2540D - Solids, Total Suspended (TSS) Lab Sample ID: MB 490-391185/1 Client Sample ID: Method Blank Matrix: Water Prep Type: Total/NA a: Analysis Batch: 391185 ' MB MB Analyta Result Qualifier RL MDL Unit D Prepared Analyzed DII Fee lTotal Suspended Solids <1,0 1.0 0.70 mg1L _ 12/02/16 01:19 1 Lab Sample ID: LCS 490-391185/2 Client Sample ID: Lab Control Sample Matrix: Water Prep Type: Total/NA Analysis Batch: 391185 Spike LCS LCS %Rec. Analyta Added Result Qualifier Unit D %Rec Limits Total Suspended Solids 100 99.0 mgll- _ 99 90 -110 TestAmerica Nashville Page 8 of 15 12/14/2016 QC Association Summary Client: GaiaTech Inc. TestArnerica Job ID: 490-116974-1 Project/Site: #1228 - LKQ PICK YOUR PART - CHARLOTTE SDG: RPS Proj# 1612511 Site# 41525 _.. - ...... .. ......... ............... ......................... ........ _................. ... - - ... . ........... ........................... _.__ ........ Analysis Batch: 393749 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 490-116974-1 3900 Cheseapeke Dr Outfall #1 TotallNA Water 8015C t MB 490-39374914 Method Blank TotaIINA Water 8015C LCS 490-39374915 Lab Control Sample Total/NA Water 8015C Metals Prep Batch: 391056 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 490-116974-1 3900 Cheseapeke Dr Outfall #1 Total Recoverable Water 200.7 MB 490-39105611-A Method Blank Total Recoverable Water 200.7 LCS 490-391056/2-A Lab Control Sample Total Recoverable Water 200.7 LLCS 490-391056113-A Lab Control Sample Total Recoverable Water 200.7 Analysis Batch: 391569 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 490-116974-1 3900 Cheseapeke Dr Outfall #1 Total Recoverable Water 200.7 Rev 4.4 391056 MB 490-39105611-A Method Blank Total Recoverable Water 200.7 Rev 4.4 391056 LCS 490-39105612-A Lab Control Sample Total Recoverable Water 200.7 Rev 4.4 391056 LLCS 490-391056113-A Lab Control Sample Total Recoverable Water 200.7 Rev 4.4 391056 General Chemistry Analysis Batch: 391164 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 490-116974-1 3900 Cheseapeke Dr Outfall #1 Total/NA Water 9040C LCS 490-39116411 Lab Control Sample Total/NA Water 9040C Analysis Batch: 391185 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 490-116974-1 3900 Cheseapeke Dr Outfall #1 TotallNA Water SM 2540D MB 490-391185/1 Method Blank TotallNA Water SM 2540D LCS 490-39118512 Lab Control Sample Total/NA Water SM 2540D Prep Batch: 393187 Lab Sample ID 490-116974-1 MB 490-393187/1-A LCS 490-39318712-A Analysis Batch: 393205 Client Sample ID Prep Type 3900 Cheseapeke Dr Outfall #1 Total/NA Method Blank Total/NA Lab Control Sample Total/NA Matrix Method Prep Batch Water 1664B Water 1664B Water 1664B Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 490-116974-1 3900 Cheseapeke Dr Outfall #1 Total/NA Water 1664B 393187 MB 490-393187/1-A Method Blank Total/NA Water 1664B 393187 LCS 490-39318712-A Lab Control Sample Total/NA Water 1664B 393187 TestAmerica Nashville Page 9 of 15 12/14/2016 Lab Chronicle Client: GaiaTech Inc. Project/Site: #1228 - LKQ PICK YOUR PART - CHARLOTTE ......................... Client Sample ID: 3900 Chesea eke Dr Outfall #1 Date Collected: 11/29/16 14:55 Date Received: 11/30/16 09:25 TestAmerica Job ID: 490-116974-1 t SDG: RPS Proj# 1612511 Site# 41525 ....................................... Lab Sample ID: 490-116974-1 Matrix: Water (` l Batch Batch DII Initial Final Batch Prepared Prep Type Type Method Run Factor Amount Amount Number or Analyzed Analyst Lab Total/NA Analysis 8015C 1 393749 12/13/16 05:24 SH TAL NSH Total Recoverable Prep 200.7 50 mL 50 mL 391056 12/01/16 1211 JSF TAL NSH Total Recoverable Analysis 200.7 Rev 4.4 1 391569 12/03/16 07:40 KKK TAL NSH Total/NA Prep 1664B 760 mL 960 mL 393187 12/09/16 11:55 BAD TAL NSH Total/NA Analysis 1664B 1 393205 12/09116 11:55 BAD TAL NSH Total/NA Analysis 9040C 1 391164 12/01/16 20:07 AH TAL NSH Total/NA Analysis SM 2540D 1 500 mL 1000 mL 391185 12/02/16 01:19 AEC TAL NSH Laboratory References: TAL NSH = TestAmerica Nashville, 2960 Foster Creighton Drive, Nashville, TN 37204, TEL (615)726-0177 Page 10 of 15 TestAmerica Nashville 12/14/2016 Method Summary Client: GaiaTech Inc. TestAmerica Job ID: 490-116974-1 Project/Site: #1228 - LKQ PICK YOUR PART - CHARLOTTE SDG: RPS Proj# 1612511 Site# 41525 .............. Method ......... ...... ........................... ._............. .................................._.................. Method Description ........ Protocol - ...... ............. .. Laboratory 8015C Glycols- Direct injection (GCIFID) SW846 TAL NSW 200.7 Rev 4A Metals (ICP) EPA TAL NSH 1664E HEM and SGT-HEM 1664E TAL NSH ;,"..».t 9040C pH SW846 TAL NSH ,! , SM 2540D Solids, Total Suspended (TSS) SM TAL NSH Protocol References: 1664B = 1664B EPA = US Environmental Protection Agency SM = "Standard Methods For The Examination Of Water And Wastewater", SW846 = "Test Methods For Evaluating Solid Waste, Physical/Chemical Methods", Third Edition, November 1986 And Its Updates. Laboratory References: TAL NSH = TestAmerica Nashville, 2960 Foster Creighton Drive, Nashville, TN 37204. TEL (615)726-0177 TestAmerica Nashville Page 11 of 15 12/14/2016 Certification Summary Client: GaiaTech Inc. TestAmerica Job 0: 490-116974-1 Project/Site: #1228 - LKQ PICK YOUR PART - CHARLOTTE SDG: RPS Proj# 1612511 Site# 41525 Laboratory: TestAmerica Nashville Unless otherwise noted, all analytes for this laboratory were covered under each certification below. Authority Program EPA Region Certification ID Expiration Date Arizona State Program 9 AZ0473 05-05-17 i The following analytes are included in this report, but certification is not offered by the governing authority: Analysis Method Prep Method Matrix Analyte 8015C Water Ethylene glycol Arkansas DEQ State Program 6 88-0737 04-25-17 The following analytes are included in this report, but certification is not offered by the governing authority: Analysis Method Prep Method Matrix Analyte 1664B 1664B Water HEM Florida NELAP 4 E87358 06-30-17 The following analytes are included in this report, but are not certified under this certification: Analysis Method Prep Method Matrix Analyte 200.7 Rev 4.4 200.7 Water Lead Louisiana NELAP 6 30613 06-30-17_ North Carolina (WWISW) State Program 4 387 12-31-16 "` South Carolina State Program 4 84009 (001) 02-18-17 " The following analytes are included in this report, but certification is not offered by the governing authority: Analysis Method Prep Method Matrix Analyte I 8015C Water Ethylene glycol 9040C Water pH Tennessee State Program 4 2006 02-23-17 " The following analytes are included in this report, but certification is not offered by the governing authority: Analysis Method Prep Method Matrix Analyte 1664B 1664E Water HEM 200.7 Rev 4.4 200.7 Water Lead 8015C Water Ethylene glycol 9040C Water pH SM 2540D Water Total Suspended Solids Texas NELAP 6 T104704077 08-31-17 The following analytes are included in this report, but are not certified under this certification: Analysis Method Prep Method Matrix Analyte 200.7 Rev 4.4 200.7 Water Lead Virginia NELAP 3 460152 06-14-17 Certification renewal pending - certification considered valid. TestAmerica Nashville Page 12 of 15 12/14/2016 TestAmedca THE LEADER IN ENVIRONMENTAL TESTING 490-11t9974 Chein of Custody Nashville, TN COOLER RECEIPT FORM ---- Cooler ReceivedlOpened On-11-30.16 @ 0925 Time Samples Removed From Cooler Time Samples Placed In Storage (2 Hour Window) 1. Tracking #_y-I1N (last 4 digits, FedEx) Courier: _ FedEx _ _ 1R Gun ID tA74M55 pH Strip Lot _ Chlorine Strip Lot 2. Temperature of rep. sample or temp blank when opened: a" Degrees Celsius 3. If Item #2 temperature Is 0°C or less, was the representative sample or temp blank frozen? YES NO.40 4. Were custody seals on outside of cooler? IMP ..NO...NA If yes, how many and where: _42 96-h 5. Were the seals intact, signed, and dated correctly? <jD...NO... NA 8. Were custody papers Inside cooler? r MAO...NA I certify that I opened the cooler and answered auestlons 1-8 Intlal 7. Were custody seals on containers: YES NO and Intact YES...NO..NA Were these signed and dated correctly? YES ... NO ..NA S. Packing mat'i used? Cu;;;Z) Plastic bag Peanuts Vermlcu/lit Insert Paper Other _E 9. Cooling process: Ic Ice -pack IEa Dry Ice Other None 10. Did all containers arrive in good condition (unbroken)?+IO...NA 11. Were all container labels complete (#, date, signed, pros., etc)? (0)..NO... NA 12. Did all container labels and tags agree with custody papers? Q.NO... NA 13a. Were VOA vials received? (Q..NO...NA b. Was there any observable headspace present in any VOA vial? 1_ .,% ES t .NA �&,o + 14. Was there a Trip Blank In this cooler? YES,�.NA If multiple coolers, sequence # 1)P I certify that I unloaded the cooler anq answered questions 7-14 (Intiall 15a. On pres'd bottles, did pH lest strips suggest preservation reached the correct pH level? YES..NOZ b. Did the bottle labels Indicate that the correct preservatives were used ES ..NO ... NA 18. Was residual chlorine present? YES ... NO.NA z)A I certlfytbat I checked for chlorine and PH as pgr SOP and answered uesti n e ntia 17. Were custody papers property filled out (ink, signed, etc)? ..NO ... NA 18, Did you sign the custody papers in the appropriate place? 2-- NO...NA 19. Were correct containers used for the analysis requested? ..NO...NA 20. Was sufficient amount of sample sent In each container? EaS' .-NO...NA 21. Were there Nan -Conformance Issues at login? B1S a Broken in shipment Cooler Receipt Fonn.doc LF-I Revised 12/15/15 End of Form Page 13 of 15 ---- __1211412016 TestAmerica Nashville 2960 Foster Creighton Drive Nashville, TN 37204 Almon 19151 77FLniT7 Fay MIRI 77C AA04 Chain of Custody Record 116974 TestAmenca N THE LEADER Hi ETdvreONYENTAL TESrWG - - s.-►rrpler. �� `, f Q L Client Information Lab Pry_ Knapp. Jim D c cot No: T 490-53313-16552-1 Giant COMB= Phme: Seth A tiff -M p -377 G IE�Aart b1m,knappC3estarnericainc.com Page - Page 1 of 1 C-SWT Job V. GaiaTech Inc. Analysis Requested AGdress- Dun Date Requested: ml Preservation Codes: PO BOX 12621 .�'{; A-M-Hexane NaD 6 - NaOH N - Nana City TAT R+q.-NW aya)-. Knoxville is C-zn Arxtmft 0-A%NsO2 D - Nitric• Add P - Na2045 NeF3504 Ne2503 state, TN, 37912 ' ' v E - 0 - F -MeOH R- Na2S203 G - Anxtdcr S - H2504 Phone PO sr 40"12-W01(Tel) NEED a .w H-AsrarucAdc T-TSPDoaxiu+yarare i - lte Lf-Acetare Ffrsair Wo a: SethAjuTgrpsgroup-com o` Z; ' • U a „ l' _ a maser V MCAA K - E XA W - ph 4-5 t-EIlA z-dlhclsperdi) Prejacr Nurne- Projea * #1228-LKQPick Your Part -Charlotte A9009562 a � -0, $ a c g other sae: �sgp..rk� Or FAIJ "'I 3700 ssDvv� ( tX4 m CD ;. ' a s er ` w v ;; a $ E Sample Matrix 8 Type (wraar. ii = O 3 Sample (C-cornp, , Sample Identification Sample Date Time G= rah) eT-r*ss A-Mj a Special Instructions/Note: T Presaroatiori Cade: A_ N --IN D- N.I. 01447,124 #12s/6 2: p, Water � Pik r m O a 23 b6 z� IX K A, P/1 7."j,a Lbt ]ol,} G A,FtF 7 Ick 6 340[& it 125bl, VSSN XX X X X A� -2 Go4, o 7420 .4 P147. 1l i 11 X X X r 7, 1'0 011 Ike,/�+� X Po 7,0�- alb A A Possible Hazard fdentificatfon Sample Disposal (A fee may assessed if samples arei longer than 1 month) �r-- jj jj�� 0 Non -Hazard �Flamma6le �n Irritant =�omon B Cnknown `Fi"ad' ical jbee �reItained [,Return To Client Disposal By Lab =lt: hive For Months Deliverable Requested: 1, II, 111, IV, Other (specify) Special Inst uctjonslQC Requirements: Empty Kit Relinquished by: Date: Time: Metrrod of ShOmen Relutquslted by Datamffw C°"'P°r" by. 3 0 L-z RelirigLz9md by DetefnmiL Carrwy Received by - oatmrrune. C"A" Refngwzhed by D2tdrTina: Cmnp" Rersvmd by. Detbril c Caro" Custody Seals Intam Custody Seal No.: I Coder Tenperzbrn(s) °C and Other Rwnwkr A Yes A N S S A Login Sample Receipt Checklist Client: GaiaTech Inc. Login Number: 116974 List Number: 1 Creator: Armstrong, Daniel Question Answer Radioactivity wasn't checked or is <1= background as measured by a survey True meter. The cooler's custody seal, if present, is intact. True Sample custody seals, if present, are intact. NIA The cooler or samples do not appear to have been compromised or True tampered with. Samples were received on ice. True Cooler Temperature is acceptable. True Cooler Temperature is recorded. True COC is present. True COC is filled out in ink and legible. True COC is filled out with all pertinent information. True Is the Field Sampler's name present on COC? True There are no discrepancies between the containers received and the COC. True Samples are received within Holding Time (excluding tests with immediate True HTs) Sample containers have legible labels. True Containers are not broken or leaking. True Sample collection date/times are provided. True Appropriate sample containers are used. True Sample bottles are completely filled. True Sample Preservation Verified. NIA There is sufficient vol. for all requested analyses, incl. any requested True MSIMSDs Containers requiring zero headspace have no headspace or bubble is True <6mm (114"). Multiphasic samples are not present. True Samples do not require splitting or compositing. True Residual Chlorine Checked. NIA Job Number: 490-116974-1 SDG Number: RPS Proj# 1612511 Site# 41525 F . List Source: TestAmerica Nashville 1M� Lt Comment 2, 8C A TestAmerica Nashville Page 15 of 15 12/14/2016 V, ~ STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100226 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.) FACILITY NAME LKQ Self ServiceJPick Your Part) Charlotte COUNTY Mecklenburg PERSON COLLECTING SAMPLEIS) Jeff Doebler PHONE NO. (607) 760-3776 CERTIFIED LABORATORY(S) Test America Lab Nashville Lab#490 RECEIVED JAN 12 2017 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results CENTRAL FILES DWR SECTION 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 Organics ; = mg/L Benchmark - - 6.0 — 9A1 100/502 15 8;000 (Tiers 2 and 3) . 70.03 1.0 Outfall001 11/29/2016 0.40 7.0 26 9.5 94 0.087 Exempt 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. ISee 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 II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, Last revised October25, 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) 1 14 r � MA --PA r Title (Print title) &401dz— Signaturvvl/Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." /17�! ' 7 (Signature of IlVrKt{ee or Designee) (Date) Form SWU-251, last revised October25, 2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCGl00226 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 (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 LKQ Self Service (Pick Your Part) Charlotte PERSON COLLECTING SAMPLE(S) Jeff Doebler CERTIFIED LABORATORY(S) Test America Lab Nashville Lab#490 COUNTY MecklenbuES RECEF/ PHONE NO. 607 760-3776 DEC q 8 2075 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results EFNrR4L Fj,_ES wR SECTjO For sampling periods with no discharge, you must submit this discharge monitor ng 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, and/dd/year_ -Total Rainfall, inches 00400 00530 --- 77023. 61051 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, 100/502 15 8,000 (Tiers 2 and 3) 0.03 1.0. . Outfall 001 21/09/15 2.00 7.13 6.6 2.6 Below RL• 0.023 Exempt 'Note: Reporting Limit =10. Elevated RL due to receipt of samples at temperature above recommended 4T. No additional analytical or quality issues were noted by lab. Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Ter 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 II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, lost 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) N,� Title (Print title) Signatur Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penplties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of PeVWEI or Designee) �Z (Date) Form SWU-251, last revised OSpber25, 2012 Page 2 of 2 CERTIFIED MAIL„ RETURN RECEIPT REQUESTED Date'-: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 RE: LKQ Self Service (Pick Your Part) Charlotte RECEIVED Charlotte, NC Permit # NCGl00226 DEC ? 8 Z015 2^d Semi -Annual Stormwater Discharge Outfall Monitoring ReportCENTRALFILES Sir/Madam: DWR SECTION Please find attached the 2^d Semi -Annual Stormwater Discharge Outfall (SDO) Monitoring Report for the LKQ Self Service (Pick You Part) facility located in Charlotte, North Carolina. This submittal covers the reporting period July 1s'to December 31s' 2015. Please call me at 607-760-3776 or Mr. Seth Ailiff of RPS GaiaTech at 404-809-3877 if you have any comments, questions, or concerns about the information presented in this submittal. sincerely, N'Pre" - FQ; A, F,( Pi I WWII VVWVIOI Plant Manager Attachment cc: Seth Ailiff (seth.ailiff@rpsgroup.com) li •� 4 , EF � TestAmerica THE LEADER IN ENVIRONMENTAL TESTING p(3 ANALYTICAL REPORT TestAmerica Laboratories, Inc. TestAmerica Nashville 2960 Foster Creighton Drive Nashville, TN 37204 t Tel: (615)726-0177 TestAmerica Job ID: 490-91573-1 ' TestAmerica SDG: (RPS Proj #1567031Site #41525) Client Project/Site: #1228 - LKQ Pick Your Part - Charlotte • r For: F GaiaTech Inc. 135 South LaSalle, S Suite 3500 Chicago, Illinois 60603 Attn: Cheryl Horn r 7k Authorized for release by. 1112312015 4:49:36 PM i411 #' `.€�' eE + i ? =Mi j Jim Knapp, Project Manager Il (630)758-0262 R jim.knapp@testamericainc.com ' 1 . T. i LINKS, Reylew your project x. results through` Tofiaf;�c.ess y. i .F1i 11 ;. Have a, uestion As k ' The test results in this report meet all 2003 NELAC and 2009 TNl requirements for accredited Theparameters, exceptions are noted in this report. This report may not be reproduced except in full, Eic e L f and with written approval from the laboratory. For questions please contact the Project Manager at the a -mail address or telephone number listed on this page, This report has been electronically signed and authorized by the signatory. Electronic signature is F intended to be the legally binding equivalent of a traditionally handwritten signature. YrWw.testamencaint CORM 's Results relate only to the items tested and the sample(s) as received by the laboratory. CUnntGuIaTaoh Inc. TnntA^nehcoJuh |D�480-91573 1 Pn*acV80e:#12%0'LnQPick Your Part 'Charlotte GDG:(RP3Pnd#15Gr03/Gioo#415J5 Table �� Contents � � ������� N�^� ��,�����������s Cover Pa��....'...........^..............._...,......... 1 ~ ._ � Table of Contents . _ . . . _ _ . . . . . . . . _ . . _ _ . . _ . _ . . . _ ^ . . . _ . . . , . . . SbaMMmJe SUDM0MaFy . . . . . . . . . . . ' . . ' . . ' . . . . . ' . . . ' . . . . . . . . . . . . . � Case Narrative . . ' . . . ' ' . . . . . ' ' . ^ ^ . . . . . . . . , ' . ' . ' . . . ^ ^ . . . . . . DefiOHH(]Ds''....'...',.^'.....,^.''.''..^...'...'...''... Client Sample Results ...................................... � ^' QC SbamrJ��Rb��uM�_...__........_.._..__.....__...^...__.. ' / QC Association........'......'..'..'..'........'.......'. . . Chronicle ................................................ 10 - Method SUM0M3ary.....^......,..^......................... 11 Certification Summary ...................................... 12 Chain nfCustody .......................................... 13 + Rece'mt��h�r�]'�f�_..._......_............__.._........__.. 15 . �^�- TestArnerica Nashville Sample Summary ,Client: GaiaTech Inc. Project/Site: #1228 - LKQ Pick Your Part - Charlotte TestAmerica Job ID: 490-91573-1 SDG: (RPS Proj #1567031Site #41525) Lab Sample ID Client Sample ID Matrix Collected Received 490-91573-1 Outfall #1 Water 11/09/15 10:00 11/10/15 09:20 TestAmerica Nashville Page 3 of 15 11/23/2015 Case Narrative Client, (3aiaTech Inc. TestAmerica Job ID: 490-91573-1 Project/Site: #1228 - LKQ Pick Your Part - Charlotte SDG: (RPS Proj #156703/Site #41525) • ire Job ID: 490-91573-1 ..........Nashville Laboratory: TestAmerica A Narrative Job Narrative~; 490-91873-1 Comments No additional comments. Receipt The sample was received on 11/10/2015 9:20 AM; the sample arrived in good condition, properly preserved and, where required, on ice. The temperature of the cooler at receipt was 4.00 C. GC Semi VOA No analytical or quality issues were noted, other than those described in the Definitions/Glossary page. Metals No analytical or quality issues were noted, other than those described in the Definitions/Glossary page. General Chemistry No analytical or quality issues were noted, other than those described in the Definitions/Glossary page. Organic Prep No analytical or quality issues were noted, other than those described in the Definitions/Glossary page, TestAmerica Nashville Page 4 of 15 11/23/2015 Definitions/Glossary Client: GaiaTech Inc. Project/Site: #1228 - LKQ Pick Your Part - Charlotte Qualifiers General Chemistry TestAmerica Job ID: 490-91573-1 SDG: (RPS Proj #156703/Site #41525) Qualifier Qualifier Description J Result is less than the RL but greater than or equal to the MOIL and the concentration Is an approximate value. Glossary Abbreviation These commonly used abbreviations may or may not be present In this report. o Listed under the "D" column to designate that the result is reported an a dry weight basis %R Percent Recovery CFL Contains Free Liquid CNF Contains no Free Liquid DER Duplicate error ratio (normalized absolute difference) Dil Fac Dilution Factor DL, RA, RE, IN Indicates a Dilution, Re -analysis, Re -extraction. or additional Initial metals/anion analysis of the sample DLC Decision level concentration MDA Minimum detectable activity EDL Estimated Detection Limit MDC Minimum detectable concentration MDL Method Detection Limit ML Minimum Level (Dioxin) NC Not Calculated NO Not detected at the reporting limit (or MDL or EDL if shown) PQL Practical Quantitation Limit QC Quality Control RER Relative error ratio RL Reporting Limit or Requested Limit (Radiochemistry) RPD Relative Percent Difference, a measure of the relative difference between two paints TEF Toxicity Equivalent Factor (Dioxin) TEQ Toxicity Equivalent Quotient (Dioxin) TestAmerica Nashville Page 5 of 15 11/23/2015 Client Sample Results Client: GaiaTech Inc. TestAmerica Job ID: 490-91573-1 Project/Site: #1228 - LKQ Pick Your Part - Charlotte SDG: (RPS Proj #1567031Site #41525) Client Sample ID: Outfall #1 Lab Sample ID: 490-91573-1 Date Collected: 11/09/15 10:00 Matrix: Water Date Received: 11/10/15 09.20 ; Method: 8015C - Glycols- Direct Injection (GCIFID)' Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Oil Fac Ethylene glycol <10 10 1.0 mglL 11/20/15 16:16 1 • Surrogate %Recovery Qualifler Limits Prepared Analyzed ON Fac n-bury! alcohol (Surr) 84 70-130 11120115 16:16 1 Method: 200.7 Rev 4.4 - Metals (ICP) Analyte Result Qualifier RL MDL Unit D Prepared Analyzed DII Fac Lead 0.023 0.0050 0.0020 mg1L 11/12/15 09:44 11/17/15 15:07 1 General Chemistry Analyte Result Qualifier RL MDL Unit D Prepared Analyzed DII Fac HEM 2.6 J 4.1 1A mglL 1111611512:39 11/1611612:39 1 Total Suspended Solids 6.6 2.0 1.4 mglL 11/11/15 16:13 1 Analyte Result Qualifier RL RL Unit D Prepared Analyzed DII Fac pH 7.13 0.100 0.100 SU 1111411515:58 1 Page 6 of 15 TestAmerica Nashville 11 /23/2015 QC Sample Results Client:,GaiaTech Inc. Project/Site: #1228 - LKQ Pick Your Part - Charlotte Method: 8015C - Glycols- Direct Injection (GC/FID) TestAmerica Job ID: 490-91573-1 SDG: (RIPS Proj #156703/Site #41525) Lab Sample ID: MB 490.300341/4 Client Sample ID: Method Blank Matrix: Water Prep Type: Total/NA Analysis Batch: 300341 K MB MS Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac Ethylene glycol <10 10 1.0 mg/L 11/20/15 14:07 1 MB MB Surrogate %Recovery Qualifier Limits Prepared Analyzed Dil Fac _ 2-butyl alcohol {Surr) 86 70.130 11/20/15 14:07 1 Lab Sample ID: LCS 490-300341/5 Client Sample ID: Lab Control Sample Matrix: Water Prep Type: Total/NA Analysis Batch: 300341 Spike LCS LCS %Rec. Ana" Added Result Qualifier Unit D %Rec Limits Ethylene glycol 50.0 49.0 mg/L 98 70 -130 LCS LCS Surrogate %Recovery QualHler Limits n-butyl alcohol (Surr) 81 70 -130 : r Method: 200.7 Rev 4.4 - Metals (ICP) Lab Sample ID: MB 490-297800/1-A Client Sample ID: Method Blank Matrix: Water Prep Type: Total/NA Analysis Batch: 299291 Prep Batch: 297800 MB MB Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac Lead <0.0050 0.0050 0.0020 mg/L 11/12/15 09:44 11/17/15 14:17 1 Lab Sample ID: LCS 490-297800/2-A Matrix: Water Analysis Batch: 299291 Analyte Lead Method: 1664E - HEM and SGT-HEM fm Lab Sample ID: MB 490.298860/1-A Matrix: Water Analysis Batch: 298862 MB MB Analyte Result Qualifier ImmHEM <4.0 Client Sample ID: Lab Control Sample Prep Type: Total/NA Prep Batch: 297800 Spike LCS LCS %Rec. Added Result Qualifier Unit D %Rec Limits 0.0500 0.0559 mgmg/L . 112 85 -115 Client Sample ID: Method Blank Prep Type: Total/NA Prep Batch: 298860 RL MDL Unit D Prepared Analyzed DII Fac 4.0 1.4 mg1L 1111611512:39 11116/1512:39 1 Lab Sample ID: LCS 490-298860/2-A Client Sample ID: Lab Control Sample Matrix: Water Prep Type: Total/NA Analysis Batch: 298862 Prep Batch: 298860 Spike LCS LCS %Rec. Analyte Added Result Qualifier Unit D %Rec Limits HEM 41.7 36.6 mg1L 88 78 -114 TestAmerica Nashville Page 7of15 11 /23/2015 QC Sample Results Client:-GaiaTech Inc, Project/Site: #1228 - LKQ Pick Your Part - Charlotte Method: 9040C - pH Lab Sample ID: LCS 490-298599/1 Matrix: Water Analysis Batch: 298699 Analyte pH TestAmerica Job ID: 490-91573-1 SDG: (RPS Proj #1567031Site #41525) Client Sample ID: Lab Control Sample Prep Type: Total/NA - Spike LCS LCS %Rec.N Added Result Qualifier Unit D %Rec Limits + „ 7.00 7.010 SU 100 95 -105 Method: SM 2540D - Solids, Total Suspended [TSS Lab Sample 1D: MB 490-297623/1 Matrix: Water Analysis Batch: 297623 MB MB Analyte Result Qualifier Total Suspended SoWs c1.0 Lab Sample ID: LCS 490-297623/2 Matrix: Water Analysis Batch: 297623 Client Sample ID: Method Blank n"• Prep Type: Total/NA RL MDL Unit D Prepared Analyzed Dil Fac 1.0 0.70 mgll- 11/11/1516:13 1 Client Sample ID: Lab Control Sample Prep Type: Total/NA Spike LCS LCS %Rec. Ana" Added Result Qualifier Unit D %Rec Limits Total Suspended Solids 100 100 mglL 100 90 -110 TestAmerica Nashville Page 8 of 15 11 /23/2015 QC Association Summary Client:-GaiaTech Inc. TestAmerica Job ID: 490-91573-1 Project/Site: #1228 - LKG Pick Your Part - Charlotte SDG: (RIDS Proj #1567031Site #41525) GC VOA Analysis Batch: 300341 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 490-91573-1 Outfall #1 Total/NA Water 8015C LCS 490-30034115 Lab Control Sample Total/NA Water 8015C MB 490-30034114 Method Blank Total/NA Water 8015C Metals Prep Batch: 297800 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 490.91573-1 Outfall #1 Total/NA Water 200.7 LCS 490-29780012-A Lab Control Sample TotaliNA Water 200.7 MB 490-29780011-A Method Blank Total/NA Water 200.7 Analysis Batch: 299291 Lab Sample ID Client Sample ID Prep Type Matrix Method Prop Batch 490-91573-1 Outfall #1 ToteIINA Water 200,7 Rev 4.4 297800 LCS 490-29780012-A Lab Control Sample Total/NA Water 200.7 Rev 4.4 297800 MB 490-29780011-A Method Blank Total/NA Water 200.7 Rev 4.4 297800 General Chem Analysis Batch: 297623 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 490.91573-1 Outfall #1 Total/NA Water SM 2540D LCS 490.29762312 Lab Control Sample TotaUNA Water SM 25401) MB 490.297623/1 Method Blank ToteIINA Water SM 25400 Analysis Batch: 298699 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 490-91573-1 Outfall #1 Total/NA Water 9040C LCS 490-298599/1 Lab Control Sample Total/NA Water 9040C Prep Batch: 298860 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 480-91573-1 Outfall #1 TotalINA Water 1664E LCS 490-29886012-A Lab Control Sample Total/NA Water 1664E MB 490-29886011-A Method Blank Total/NA Water 1664B Analysis Batch: 298862 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 490-91573-1 Ouffall #1 Total/NA Water 1664B 298860 LCS 490-29886012-A Lab Control Sample Total/NA Water 16648 298860 MB 490-29886011-A Method Blank Total/NA Water 1664E 298860 TestAmerica Nashville Page 9 of 15 11/23/2015 Lab Chronicle Client: -GaiaTech Inc. Project/Site., #1228 - LKO Pick Your Part - Charlotte dii, e", 'n"' "i"S'", Sam le "I ' D" :""0' ill ' if-a-11, " #" I .. ..... .. . Date Collected: 11/09/15 10.00 Date Received: 11110/15 09:20 ..... ...... .... .. TestArnerica Job ID: 490-91573-1 SDG: (IRPS Proj #1 56703/Site #41525) .. . . ..... ..... .. .... .. .. .. L' "a b ' S"- "a' ' im"'", 'p- ' "I e'' - I' -D'' 4-9-- '0" 7 3"'-"'l"' Matrix: Water Batch Batch Dil Initial Final Batch Prepared Prop Type Type Method Run Factor Amount Amount Number or Analyzed Analyst Lab Total/NA Analysis 8016-C- 1 1 mL 300341 11120115 16:16 SNR TAIL NSH Total/NA Prep 200.7 50 mL 50 mL 297800 11/12/15 09-.44 ZLN TAL NSH Total/NA Analysis 200.7 Rev 4.4 1 50 mL 50 mL 299291 11/17/15 15:07 BLG TAL NSH Total/NA Analysis 1664B 1 930 mL 980 mL 298862 11116)15 12:39 BAD TAIL NSH Total/NA Prep 1664B 930 mL 960 mL 298860 11/16115 12:39 BAD TAL NSH li TotaVNA Analysis 9040C 1 20.0 mL 298599 11/14115 15:58 BKP TAL NSH -.-Total/NA Analysis SM 2540D 1 500 mL 1000 mL 297623 11111115 16:13 BMC TAL NSH Laboratory References: TAIL NSH = TestArnerica Nashville, 2960 Foster Creighton Drive, Nashville, TN 37204, TEL (615)726-0177 TestArnerica Nashville Page 10 of 15 11/23/2015 Method Summary Client: GaiaTech Inc. Project/Site: #1228 - LKQ Pick Your Part - Charlotte TestAmerica Job ID: 490-91573-1 SDG: (RPS Proj #1567031Site #41525) Method Method Description Protocol Laboratory 8015C Glycols- Direct Injection (GCIFID) SW846 TAL NSH 200.7 Rev 4.4 Metals (ICP) EPA TAL NSH 1664E HEM and SGT-HEM 1664B TAL NSH 9040C pH SW846 TAL NSH SM 2540D Solids, Total Suspended (TSS) SM TAL NSH Protocol References: 1664E = 1664B EPA m US Environmental Protection Agency SM = "Standard Methods For The Examination Of Water And Wastewater", SW846 -'Test Methods For Evaluating Solid Waste, PhysicaVChemical Methods", Third Edition, November 1986 And Its Updates, Laboratory References: TAL NSH = TestAmerica Nashville, 2960 Foster Creighton Drive, Nashville, TN 37204, TEL (615)726-0177 TestAmerica Nashville Page 11 of 15 11/23/2015 Certification Summary Ciient:.GaiaTech Inc. TestAmerica Job ID: 490-91573-1 Project/Site: #1228 - LKQ Pick Your Part - Charlotte SDG: (RIPS Proj #156703/Site #41525) Laboratory: TestAmerica Nashville Unless otherwise noted, all analytes for this laboratory were covered under each certification below. Authortty Program EPA Region Certification ID Expiration Date Arizona State Program 9 AZ0473 05-05-16 The following analytes are included In this report, but certification is not offered by the governing authority: Analysis Method Prep Method Matrix Analyte 8015C Water Ethylene glycol Arkansas DEQ State Program 6 88-0737 04-25-16 The following analytes are included in this report, but certification is not offered by the governing authority: Analysis Method Prep Method Matrix Analyte 16W 1664E Water HEM Florida NELAP 4 E87358 06-30-1E The following analytes are included in this report, but are not certified under this certification: Analysis Method Prep Method Matrix Analyte 200.7 Rev 4.4 200.7 Water Lead Louisiana NELAP 6 30613 06-30-16 North Carolina (WWISW) State Program 4 387 12-31-15 South Carolina State Program 4 84009 (001) 02-28-16 The following analytes are included In this report, but certification Is not offered by the governing authority: Analysis Method Prep Method Matrix Analyte 8015C Water Ethylene glycol 9040C Water pH Tennessee State Program 4 2008 02-23-17 Texas NELAP 6 T104704077 08-31-16 The following analytes are included in this report, but are not certified under this certification: Analysis Method Prep Method Matrix Analyte 200.7 Rev 4.4 200.7 Water Lead The following analytes are included in this report, but certification is not offered by the governing authority•. Analysis Method Prep Method Matrix Analyte 1664E 1684B Water HEM Virginia NELAP 3 460152 06-14-16 TestAmerica Nashville Page 12 of 15 11/23/2015 MVEZIb 4 9� 10 E� e6t3d TestAmerica THE LEADER IN ENVIRONMENTAL TE$TlN4 Nashvillo, TN COOLER RECEIPT FI Cooler Received/Opened On- 11/10/2015 @0920 480.81573 Chain of Custody 1. Tracking #„ ' - (last 4 dlglts, FedEX) Courier: Fed -Ex R^ IR Gun ID: 14740450 2. Temperature of rep, sample or temp blank when opened: L �/ A Q Degrees Celsius 3. If Item #2 temperature Is DOC or less, was the representative sample or tamp blank frozen? YES NO. 4. Were custody seals on outside of cooler? G.—NO...NA If yes, how many and where: _ _ FroV' -r _ 5. Were the seals Intact, signed, and dated correctly? E ..NO ... NA 6. Were custody papers Inside cooler? lz�.NO... NA I certifv that I opened the cooler and answered questions -6 fintlall 7. Were custody seals on containers: YES 8P and Intact YES...NO..49 Were these signed and date rrectly? YES ... NO. . 8. Packing mat'i used? ubbiewra Plastic bag Peanuts Vermiculite Foam Insert Paper Other None 9. Cooling process: 51 Ice -pack Ice (direct contact) Dry Ice Other None 10. Did all containers arrive In good condition (unbroken)? 6P.NO... NA 11. Were all container labels complete (#, date, signed, pres., etc)? (&..NO ... NA 12. Old all container labels and tags agree with custody papers? &.•NO ... NA 13a. Were VOA vials received? (FV;B... NO... b. Was there any observable heads pace present In any VOA vial? 14. Was there a Trip Blank In this cooler? YES.. ..NA If multiple coolers, sequence # I certlfv that I unloaded the cooler and answered auestions 7-14 flntlall /7t l 4 15a. On pres'd bottles, did pH test strips suggest preservation reached the correct pH level? YES..NW b. Did the bottle labels Indicate that the correct preservatives were used 16. Was residual chlorine present? 1 certlfv that I checked for chlorine and off as nor SOP and answered auestions 15-16 flntlall 17. Were custody papers properly filled out (ink, signed, etc)? 18. Did you sign the custody papers In the appropriate place? 19. Were correct containers used for the analysts requested? 20. Was sufficient amount of sample sent In each container? 21. Were there Non -Conformance Issues at login? YES.. I@O Was a NCM generated? YES BI5 = Broken in shipment Cooler Receipt Form.doc LF-1 ! Cnd of farm — — &...N^'�O...NA YESfiN�...NA ,NFA... NO ... NA .,NO ... NA �lE$I... NO ... NA J 115M..NO...NA Revised I IA8/12 L ilia TestAmerica Nashville Z M Foster ugh` Drive Chain of Custody Record Nestmtlie- TN 37204 TestAmer'ica :NF lfi�FPEC 4v{i-�CM1l•E`-f 4l :Eo3`�-4 6— Dma Raqunisd: Pnyse+v2*M Cods: 135 South LaSalta- S Slate 3500 ,:'-._ ., A - FIOL M - Nmmrr • NaoY+ N - None 13, ray TAT Re Uu —d laayst Chicago C -Zn Acetate D - ASN2W soft Zip 6-Nim lop P-N22peS !L, tS0003 _ n E - NanS4K O - (v = F-YeOH R-Na242SM G-Anrlror 5-H29t7e ?none PD 0. 404-812-0001(Te1) aseOrder not required e z OE N.Asraacaed T-TSPOcde.-WarWBW i-(ca Lt-AM" WOu x ..- • _ U 1-L3 Waw V-M{A4 • K- E6TA W - pri G5 ¢ L-ES1A 2-ww(+pwon !'arm R'ojaY q. Z' 122B-LKO PECK YOUR PART - CHARLOTTE 49009228 g � c E a o `o cc c$ m Y 58 ElQatra • c 2 E TypeLL _ Sample {Cxen+P, o-..w.e � Sample Sion Sample Data Time gareb er=na.r- Special InstructionstNote: Preservation Cade: N b wa, LO - 9� 573 Nnrr Nnarara ds C Mitant B E n4,9 n C;L lm ical RetusP�Cfmx maybe rft C7D, .w , are �>�h - r-., r than 7 m hkwdhs n P-&VAShW br catorrana Cdar>nr 021W,711, Oq -i /v Rekrpahedny D mwrdm Carte( Racawa qr Dammam Carparg RdrMuawd ify. OnWYvnc C— Recaved of. 6gwIrna Custody Se2E9 lydact 9 Yes -A No Custody Seal Na.; Cosier Tsawvtae(s1 Cand Oder Rwnwkr , /. !� Login Sample Receipt Checklist Client: GaiaTech Inc, Login Number: 91573 List Number: 1 Creator: Huskey, Adam Question Answer Job Number: 490-91573-1 SDG Number: (RPS Proj #1567031Site #41525) List Source: TastAmerlca Nashville Comment Radioactivity wasn't checked or is </= background as measured by a survey True meter. The cooler's custody seal, if present, is intact. True Sample custody seals, if present, are intact. NIA The cooler or samples do not appear to have been compromised or True tampered with. Samples were received on ice. True Cooler Temperature is acceptable. True Cooler Temperature is recorded. True COC is present. True COC is filled out in ink and legible. True COC is filled out with all pertinent information. True Is the Field Sampler's name present on COC? True There are no discrepancies between the containers received and the COC. True Samples are received within Holding Time. True Sample containers have legible labels. True Containers are not broken or leaking, True Sample collection date/times are provided. True Appropriate sample containers are used. True Sample bottles are completely filled. True Sample Preservation Verified. NIA There is sufficient vol. for all requested analyses, incl, any requested True MS/MSDs Containers requiring zero headspace have no headspace or bubble is False Headspace larger than 114". <6mm (114"). Multiphasic samples are not present. True Samples do not require splitting or compositing. True Residual Chlorine Checked. NIA TestAmerica Nashville Page 15 of 15 11 /23/2015