NCG080311_MONITORING INFO_20190111

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
0 HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ � I � �%. I � I
YYYYMMDD

Geological:Resources, lnc.
January 1 l , 2019
Mr. Mike Lawyer
Division of Energy Mineral and Land Resources
Land Quality Section
North Carolina Department of Environmental Quality
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, North Carolina 28301
RE: Sadler's Travel Plaza
Discharge Monitoring Report — October 2018
Harnett County
Cape Fear River Basin
General Permit Number NCGO80000
Certificate of Coverage No: NCGO80311
GRI No, 2844
Dear Mr. Lawyer:
On behalf of Sadler Brothers Oil Company, Inc. (Sadler), please find attached results of stormwater outfall
sampling that was conducted on October 26, 2018 for the Sadler's Travel Plaza facility in Dunn, Harnett
County, North Carolina. Water samples were collected from the outfall of the stormwater piping -by Sadler
personnel on October 26, 2018 in accordance with the SWPPP and sampling requirements of the permit.
Water samples were analyzed for pH, total suspended solids and oil and grease. The October 2018 sampling
results indicated that all of the sampled parameters were below the permit levels. The Stormwater Discharge
Outfall Monitoring Report is included in Appendix A, the Stormwater Discharge Outfall Qualitative
Monitoring Report is included in Appendix B, and a complete laboratory analytical report is included as
Appendix C.
The next sampling event is scheduled to be conducted between January and June 2019 during a representative
rainfall event. Please do not hesitate to contact me at [phone], if you have any questions or
comments.
Sincerely,
Rohit Shetty, P.E.
Senior Engineer
cc: Mike Thomas, Sadler Brothers Oil Company, Inc.
Division of Water Quality Central Files, DWQ, NCDEQ, 1617 Mail Service Center, Raleigh, NC 27699-1613
file
enclosures
3502 Hayes Road - Monroe, North Carolina 28110
113 West l:iretower Road, Suite G - Winterville, North Carolina 28590
Phone [phone] - Fax [phone]

2 q �-)('�
CEIVED NOV 1 6 2018
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Resources General Permit No. NCG080000
Date submitted 11115/2018
CERTIFICATE OF COVERAGE NO. NCGO8 0 3 1 1
FACILITY NAME SADLER TRAVEL PLAZA
COUNTY HARNETT
PERSON COLLECTING SAMPLES KELL2YJENKINS
LABORATORY SGS NORTH AMERICA Lab Cert. # 573201
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June Q July -Dec
or ❑ Monthlyl month
DISCHARGING TO CLASS ❑ORW ❑HCRW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?[] yes Ano
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
No discharge this perioa1
Outfall ;
r DatI35 ;
00530
.. ` 00400
Sample Colleted,
Total Suspended
t , _.pH,
:Non Polar OIIFand Grease/TPH EPA f
New_Motor Oi Usage,
$
malaalirr -
'' ; 5io s,,ffikh ;- *x
=Standard units
Method 1£fi4(SGT-`HEMjsm L `K
Ann alb e'rage gal/mo
Benchmark
n
50?or,10Q.see permit
:hs,�:Within.6:0—:9:0.`'..
,
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
outfallyyr�z{!:
`°QD556'r k�y":��
ynw4 :00530
d:.
No
S {/iN f-. �� �
Sample Collected,
•M F ^- "YY:�' 1'�i— i
Non Polar 01l andG�eas;e/TPHEF?AMethodv�
1Y'v_`i - J.�y,t .. _ •.f
rTotal SusperidecliSolicls;"
95 .
pH, ,
,.
1664 mg/IStand'ard
r F;<.mo%dd
r_,.
. (SCrT,-HEM),.
units.
},1. a Tt y+Y
��, is - JK-"S'_' 1�
50 W;re"� rmit
. ,
oiti
S I)O
1 10126l18
<4.7
<25
6.63
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
S WU-250 last revised April 11, 2013
Page 1 of

STORM EVENT CHARACTERISTICS:
Date 10/26/18 (first event sampled)
Total Event Precipitation (inches): 112TO 1.0
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AAND PART B MONITORING RESULTS:
• A BENCHMARK D(CEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑i
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME: MIKE LAWYER
Mail an original and one
in the case of "No Discha
f this DMR, including all "No
reports) to:
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
ports, within 30 da
f the lab results (or at end of monitoring period
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
- i
(Signature of
%/ .-141 —;2, D l,Q
(Date)
Additional copies of this form may be downloaded at: httk://portal.ncd_enr.org/web/wq/ws/su/npdessw#tab-4
S WU-250 last revised April 11, 2013
Page 2 of 2

3
_ 3
1 r =
..... .....
RUHR`
Stocmwater Discharge jQutfall :(SDO)
ualiltative�Wwwri`n Re oVrt
,] or;gOdiznce on filtiriq out this`foim; please visit'
P,ermitl+lo1'orCertificateofCoverageNa ti:I�Ill�l�l� l_4.JI:LJ�:1
_ Sadier Travil Plaza. 65 Sadler.Road, D ' 'North:Earolina ..
Facility -Name `� . _ �.. _. _ }
County , - Harnett I - tie (9 0)
• Plio ' No i 892 O10b
i Inspector , i==
�o ;I ,
Date of -Inspection
Time:tif.lrispecton. Tfo Oa _ I
r ��
��Tofa'Hvent Precz itativnI incfies "` �, il. Cgk rt, `
p .(_ _ )
Was;this a="Repiesetitative:Storm'Event''or "Measuteable Starm Event"'as deflned`W,ihe'perrbit?,
t
i (See irifa'FtnationLbeiow ]�; - ' .
Yes ;Q` No i.
`Please vern whether= ualitgtive Monrtortn rhust; be a Armed Burin are resent zHvestorm,
n
event"br; rneasurecike', Corm°event. °(requirements;vary, depending on the perniit);F
I; Qualitative moriitonng requirements vary: Most permits require qualitative monitoring'tobe
performed during a "repi eserttahvetstorm event' ov unr g a "ineasureabie storm bent. However,
soi�ie pet'mits'do not Have thisrrequirement'Tlease refer.to these Minitaaiis; if applicable;
A representative storm ege:n� is a;storiri event that measures greater than;a 1 �ticlies of rainfall
=and that-;[s receded b _�at least 72 Hours 3-da s in,whtc'h7no storm event measurin reate`r than
1»]
p - Y (.. Y.) gg
0.1 inches has Occurred. �' single.st rm event rriay`contain up -to 1Q consecutive hours of no .
,Odpitation.
A "measurable:storai:event" is'astorm event that results in an`actual iiischarge from tine; h
permitted site:outfall 'Fhe.prevtaus measurable storm event must have;been at least.72 hours
,.,-
f j,,prior The,72 ,hour storm interval does not apply if;the perm2ttee,�s able to dorument;that a shorter
i obtains ap royal frori'the local DWQ'Re' 'ona!-Office p g p nd the"permrttee,
interval is,representatjve forIgcai,storm events during,the saris lin eriod, a i
ley this,signature, l certify that this report !s accurate an&Corripl'ete to.ti�e best of tiny knnwiedge:
_ r
(Signature of Perird eaor,
. T ;
{ swu-.24.2; Lastmadi8ed lU/25� 012:.
_
`:
:Pagel of.2
i
fF
i

1. 4outfalhDescripdan:
IOiitfall No: ; _ Str_octure �(pipe, hitch; etc:] rReceiving Stream_ �n
... rea.
Describe -:the Eridustrial'act?v�ties that occur wfthm the autfI--drainage
r 2 Color: !)escribe.the color of tlie,nischarge usting;basiccolors.(red, brown, blue, etc.),and`tiht
.(i.ight;•medium;•dark)'as,ggicAptors:, .e
{
3. Odor: Aescribe;any "distinct odors;thataile;disc harge rnay:>zave;(i e.,, smells strongly of oil,
f weak chlorine odor etc:)` ' i`
1 _ w
4'. Clarity: Choose, the number wHich'best_describes the clarity of the discharge,:where 1 �s
clear and;5lis verycloudy ,
t , plbatiii Solids: Choose iheI-numbenwhich best describes the ai btint.ii fl6ibn 'solids"in'
the stormwater discharge; where ,A Is no solids and 5 ii} a surfa`ce,covered with iioating solii3s:
' 1 1 2 3 4. `5
,
^. r Fi: ' Su ended Soli hoose,theanumber which best describes theamount of'suspended
,- ds ,C
solids in ihe.stormwateridtsch_arge,! he' -;I is no.soh s an'd' is extremely muddy:
2 4`. 5
7. 1s there anyf6idi in'the;storni ater discharge? Yes 'No
f 8, Iheen thwasithere an olsretrrge? Yes I y„_a �l
9. Asthere evidence:of erosion
3
_ 1 or deposition of the;outfal!? Yes
' r
1p' dtlier,;Qi3vi0us'Ind cators of Storinwater. Pollutirsu ;
List'and•describe,
-
: ti! w'
_ f
w , w -.a
-=.1 Note. Lo . arity .high:solids,''aii3r d/i)rxtheipreseiice of,foam;-oil sheen, or erosion/degasttioii
l ..4 �n
iiiay,be indicaitive ofpollUtailt,exposure. These Conditions'warrant fxiri:lietrinvestdgatiorL
1 1 �
M-.242,"LRstin fled I0n5/20 2 k

The resuhs Set forth herein are provided by SGS North America Inc. L-HardLOp><' 2.4
Auloiriufed Report
Technical Report for
GRI (Geological Resources Inc.)
Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
29412/2844
SGS Job Number: FA58800
Sampling Date: 10/26/18
Report to:
GRI
3502 Hayes Rd
Monroe, NC 28110
wlr@geologic alresourcesinc.com; carriekennedy@ge
"r@geolo icalresourcesinc.com; nml@geologicalres
TTN: William Regenthall
ogicalresourcesinc.com;
rcesinc.com
Total number of pages in report: 13
O."'o
/1
Test results contained within this data package meet the requirements
Caitlin Brice, M.S.
General Manager
of the National Environmental Laboratory Accreditation Program
and/or state specific certification programs as applicable.
Client Service contact: Muna Mohammed 407-425-6700
Certifications: FL(E83510), LA(03051), KS(E-10327), IL(200063), NC(573), NI(FL002), NY(12022), SC(96038001)
DoD ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68.03573), VA(460177),
AK, AR, IA, KY, MA, MS, ND, NH, NV, OK, OR, UT, WA, WV
This report shall not be reproduced, except in its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
SGS North America Inc. - 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: [phone] • fax: [phone]
S{; r
S is tite rule authority for authorizing edits or modifications to this document. Please share your ideas shout �1�w
I Jnauthorized modification of This repurt is strictly prohibited. h^S
oxv we can serve yuu better at: u
Review standard terms at; htip://www.sgs.cont/ect/(ernts-and-ck)nttitionF. LHS.US. Ctimomk'are<ir �gs.cunt
1of13
FA58800

Sections:
Table of Contents
Section1: Sample. Summary................................................................................................... 3
Section2: Summary of Hits.................................................................................................... 4
Section3: Sample Results........................................................................................................ 5
3.1: FA58800-1: SDO.......................................................................................................... 6
Section4: Misc. Forms............................................................................................................ 7
4.1: Chain of Custody........................................................................................................... 8
Section 5: General Chemistry - QC Data Summaries.......................................................... 10
5.1: Method Blank and Spike Results Summary.................................................................. 11
5.2: Duplicate Results Summary............................................................ 12
5.3: Matrix Spike Results Summary ..................................................................................... 13
_SG 2of13
FA55800

SGS North America Inc.
Sample Summary
GRI (Geological Resources Inc.)
Job No: FA58800
Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
Project No: 29412/2844
ample Collected ___ 7 - -I Matrix Client
dumber Date Time By Received Code Type Sample [D
FA58800-1 10/26/18 07:00 RJ 10/.27/18 AQ Water SDO
R
i
3of13
FA58600

Summary of Hits
Job Number:
FA58800
Account:
GRI (Geological Resources Inc.)
Project:
Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
Collected:
l 0/26/ 18
Lab Sample ID Client Sample ID Result/
Analyte Qua[ RL MDL Units Method
Page 1 of 1
FA58800-1 SDO
pH a 6.63 su SM45001-1 B-11/SW9040C
(a) Field analysis required. Received out of hold time and analyzed by request.
_SGS
4of13
FA5880O

• f -. -L� 'i 1�
MUM
W
:Sample Results
Report of Analysis
5of13
FAMOO

SGS North America Inc.
Report of Analysis
Client Sample ID: SDO
Lab Sample ID: FA58800--1 Date Sampled: 10/26/18
Matrix: AQ - Water Date Received: 10/27/ 18
Percent Solids: n/a
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
General Chemistry
Page 1 of 1 W�
Analyte
Result RL
Units DF
Analyzed
By
Method
HEM Oil and Grease
< 4.7
4,7
mg/1 1
1 1/01/18 10:46
t.R
EPA 1664A
Solids, Total Suspended
25
25
mg/1 1
10/31/18 12:00
Gw
SM2540 D-I I
pH a
6.63'
su 1
11/02/18 14:30
AG
SM4500H B-11/SW9040C
(a) Field analysis required. Received out of hold time and analyzed by request
RL = Reporting Limit
cc 6 of 13
FASB800

Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
Section 4
7of13
_SGs --
FA58800

SGS oCCl1TES7 SGS Accutest Southeast
Chain of Custody
se ae.e. r :.. r - r.a...w. , 11—
SGSACCUTESTJOB0!
OO
PAGE—/—oF--)—
TEL [phone] FAXr a7425ZM
eee�.+ccuwe<w '
SGS Aocutest Quote 0
SKIFF 0
Cllont! Re ortin Information Mlifffift
Project Informatio
IMIM
C
Y
An
IcaI
Information
Matrix Codes
Comperry Name:
i J' �-�
Protect Name:
n 10
Wate
WW Water
SWWater
SO. Soil
SL- SkldDe
OI.Ot
LIO - OCer l.lquld
AIR - Alr
LAB ua8 ONLY
Chy: 81ata: ZiV
Pfalatt Go t: fL1r U!n
/� f1
Prolatti
Phone @: l i Q- _� L7 %
L1
Fax A
Sam s) Nam• i Printed
P�h {) (Printed)
8sm tar 11 Sam tar 2:
Cllard Pruchua Order 1
SGS
Accuteei
Sam e d
Field IG f Point of ColeCean
Col-
CWMEe
IMFONIUTNIN
wtlE '
rear
wwto
e..
I,wraa
Tor..r
a
eor:raa
; b
�g
Turnaround Time Bug Hass de a
Data
Delivorahle
IntnrmatlDI
IN,
in
NComments
I
Rsmarke
10 Day{I}winew) Approved II Dak:
7 Day
S Day
3 Day RUSH
2 Day RUSH
1 Day RUSH
OIMr
Rush TIA Date Awilable VIA Emal} or LaNink
❑COMMERCIAL -A-( E U TS LI r
❑CCOQMAM�E�RCCUALk�'y$'�I((y��U9 O/�C] T / �p
❑ �.V GV-1r 1A11 .EIY C" i DR
❑FDLLTI JEPtLIL "NC �����
❑EDO'S CL
`
am • must be
documented Mow me ma um
l- C ■ a aawl0n Inc u n
courier dolive
Rellmoulshed emitted gallon
Da TY �: !
t� !'�
R•cah d llyfAMllallan 1
2 e.LL
�ftll.",,Ldahad SylAfl@adon
pats T1m•;
Rec• day! Iletfon1
Rel;equlrhad ylA Ile n
Date T na:
Ratahad8yfMllllatlon
qulahad BylAflllletlan
DateTim•:
Ret•hed eylk illatlon a
Lab Use Only: cosier Tampmtum(sl Galslus(corsctsd): - n
SGS CAC FWride new art 5 217,),la rev 042417 SI
EeacOve Gets D4124t2017
FA58800: Chain of Custody
Page 1 of 2
—S-Gi —
8of13
FA58800

SGS Sample Receipt Summary
Job Number: FA58800 Client: SUDLER TRAVEL PLAZA Project:
Date 1 Time Received: 10/2712018 9:00:00 AM Delivery Method: FX Airbill Ws: 1015907053910003281100808776153036
Therm ID: IR 1; Therm CF: -0.2; # of Coolers: 1
Cooler Temps (Raw Measured) *C: Cooler 1: (1.4);
Cooler Temps (Corrected)'C: Cooler 1: (1.2);
Cooler Information
1. Custody Seals Present
2. Custody Seals Intact
3. Temp criteria achieved
4, Cooler temp verification
5, Cooler media
1. Trip Blank present/cooler
2. Trip Blank listed on COC
3, Type Of TB Received
Y or
N
r
❑
n
❑
R
M Gun
❑
Ice (Bee}
Y or
N
NIA
❑
❑
;�]
❑
❑
W or
S
NIA
❑
❑
.Y�
Sample InformatiSM
Y or
N
—NIA
1. Sample labels present on bottles
.YJ
Cl
2. Samples preserved property
yr7
❑
3. Sufficient volume/containers recvd for analysis-
©
❑
4. Condition of sample
In=
5. Sample recvd within HT
y'7
❑
6. DateslTmesilds on COC match Sample Label
❑
7. VOGs have headspace
❑
❑
y❑
8. Bottles received for unspecified tests
❑
]y
9. Composiling instructions clear
❑
0
yr]
10. Voa Soii Kits/Jars received past 48hrs?
❑
❑
❑,i
11. % Solids Jar received?
❑
❑
ya
12. Residual Chlorine Present?
❑
❑
Misc. Information
Number of Encores: 25-Gram 5-Gram Number of 5035 Field Kits: Number of Lab Filtered Metals:
Test Strip Lat #s: pH 0.3 23D315 pH 10-12 219813A Other: (Specify)
Residual Chlorine Test Strip Lot #:
Comments
R.. Dare osnun Technician: PETERH Dale: 10/27/2018 9:00:D0 A Reviewer: Date:
aev. D
FA58800: Chain of Custody
Page 2 of 2
rh 9of13
—cU t_
FA58800

�l,C�rlanrin �I `
General Chemistry
QC Data Summaries
Includes the following where applicable:
• Method Blank and Blank Spike Summaries
• Duplicate Summaries
• Matrix Spike Summaries
Section 5
_VGgr
10 of 13
FAS8800

METHOD BLANK AND SPIKE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: PA58800
Account: GRINCC - GRI (Geological Resources Inc.)
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
MB Spike BSP BSP OC
Analyte Batch ID RL Result Units Amount Result BRecov Limits
HEM Oil and Grease GP32228/GNB0222 5.0 0 .0 0 mg/1
Solids, Total Suspended GU80214 2.5 0mg/l
Associated Samples:
Batch GN80214: FA58a00-1
Batch GP32228: FA58800-1
(•) Outside of QC limits
Page 1
40 33.8 8475 ., 78-1148 Ln
r
11 of 13
FA58800

DUPLICATE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: FA58800
Account: GRTNCC - GRT (Geological Resources Inc.)
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
QC Original DUP QC
Analyte Batch ID Sample Units Result Result Rill) Limits
Solids, Total Suspended GN80214 FA58789-1 mg/l 10 U 0.0 0.0 0-5%
pH GN80240 FA58815-1 su 7.79 7.81 0.3 0-10%
Associated Samples:
Batch GN80214: FA58600-1
Batch GN80240: FA58800-1
(•) Outside of QC limits
Page 1
°
-VG12
cer
of 13
FA58800

MATRIX SPIKE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: FA58800
Account: GRINCC - GRI (Geological Resources Inc.)
Project: Sadler's Travei Plaza; 65 Sadler Rd, Dunn, NC
QC Original Spike MS QC
Analyte Batch ID Sample Units Result Amount Result %Rec Limits
REM Oil and Grease GP32228/GN80222 FA58789-1 mg/1 1.7 40 34.0 8D.8 78-114% CN
W
Associated Samples:
Batch Outside
o QC limits
(') Outside of QC limits
(N} Matrix Spike Rec. outside of QC limits
Page 1
-SGS
13 of 13
FA58800

Geological Resources, Inc,
June 17, 2016
Mr. Mike Lawyer
Division of Energy Mineral and Land Resources
Land Quality Section
North Carolina Department of Environmental Quality
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, North Carolina 28301
RE: Sadler's Travel Plaza
Discharge Monitoring Report — May 2016
Harnett County
Cape Fear River Basin
General Permit Number NCG080000
Certificate of Coverage No: NCGO8031 I
GRI No. 2844
Dear Mr. Lawyer:
sup 2 3 2016
On behalf of Sadler Brothers Oil Company, Inc. (Sadler), please find attached results of stormwater outfall
sampling that was conducted on May 5, 2016 for the Sadler's Travel Plaza facility in Dunn, Harnett County,
North Carolina. Water samples were collected from the outfall of the stormwater piping by Sadler personnel
on May 5, 2016 in accordance with the SWPPP and sampling requirements of the permit. Water samples
were analyzed for pH, total suspended solids, turbidity and oil and grease. The May 2016 sampling results
indicated that all of the sampled parameters were below the permit levels. The Stormwater Discharge Outfall
Monitoring Report is included in Appendix A, the Stormwater Discharge Outfall Qualitative Monitoring
Report is included in Appendix B, and a complete laboratory analytical report is included as Appendix C.
The next sampling event is scheduled to be conducted between July -and—December 2016 during a
representative rainfall event. Please do not hesitate to contact me at [phone], if you have any
questions or continents.
Sincerely,
4�" l
Rohit Shetty, P.E.
Senior Engineer
cc: Mike Thomas, Sadler Brothers Oil Company, Inc.
Division of Water Quality Central Files, DWQ, NCDEQ, 1617 Mail Service Center, Raleigh, NC 27699-1613
file
enclosures
Road,3502 Hayes Road * Monroe, North Carolina 28110
•0
Phone [phone]
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Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 6/22/15_
°. • : r SAMPLE COLLECTION:YEAR /
CERTIFICATE OF COVERAGE NO. NCG080000Q _-
FACILITY NAME Sadler Travel Plaza SAMPLE PERIOD • ® Jan -June,, E] ply -Dec
COUNTY Harnett County or'❑'Monthlyl (rrronth?
PERSON COLLECTING,SAMPLES Kelley Jenkins DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Accutest Lab Cert. # 573 - OZero-flow 'QWater Supply •' ❑SA' -
Comments on sample collection or analysis: ❑Other
y " _ PLEASCREMEMBER TO'SIGN'ON THE REVERSE 4
Did this facility perform Vehicle`Maintenance Activities using more than 55 gallons'of new:motor ail per month?=yes'no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring: Requirements (if.app!icable); ..[:]No discharge this periods ,
Part B: oil/water Separators and Secondary Containment-Areasat Petroleum Buk Stations and Terminals (If applicable)' `
Oatfatl—=-
-----Dot
:-9i�'S1•i—.
::-.. 0053
04
No
ample C61Iec#ed,
Non Polar Oil and Grease/TPFi EIyA Method '.
Total Suspended Solids,
pF
mo/dd/yr ........:.:..
1664.(SGT=IEM),.,ing/L5tarida
5U,or 10bsee permit .:,.,: _ <
0_
SDO
05/05/16
<4.8
<25
6.28
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
sWU7250 last revised Apr`lh 1,'2013
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 05 OS 16 (first event, sampled)„
Total Event Precipitation (inches): 2-3 in.
Date (list each additional event sam_ pled.this reporting period, and rainfall amount)
Total Event Precipitatior (inches):
Note: � if you report a sample value in excess of the benchmark, you must implement Tier 1; Tier 2,, or-T1er 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK,EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.-
• 2 EXCEEDANCES IN A ROW FORJHE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART It SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT_.AN_Y ONE OUTFALL? . YES ❑ NO
1F YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ u >
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, wlthin'90 days of receipt of the; lab results (or at end of monitoring period In
the case of "No Dlscharue"reports) to: -
Division of Water. Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify; under penalty of law, that.this document and all attachments were.prepared under my.direction or supervision In accordance.with a system designed to assure
that qualified personnel properly gather -and evaluate the Info rmation.submitted- -.Based,on my.inquiry of -the` person orpersons 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 Permi e) (Date)
Additional copies of this form may be downloaded at: htta:Zj o-rt l.ncdenr.ora/web/wq/itis/su/npdesswgtab-4
SWU-250
last revised April 11, 2013
Page 2 of 2

tNCDEMRi. "
Stori'nwater W'§`—harge d tfall'18DQ),
Qualitatie-Monitoring.,Report
Forguidance on filling out this form, please Aveb hwq A ! a I stv4;ta -�
Permit No.: or Certificate of Coverage.Nq.:
Facility Name: Sadler Travel Plaza (65 Sather Road, Dunn, ?turn Carolina)
County: Harnett Phone No. , (910) 99270106
Inspector: . )Sc L.
Date of Inspection:
PVL 1L, rZs
Time of Inspection: v+
Total Event Precipitation (inches): e
Was this.a "Representative Storm Event" or "Measureable Storm Event" as denned by the permit?
(See informaton�.below.)
AYes ❑ No
Please verify whether Qualitotive•Monitori.ng must be performed during(a "representative storm
h i
event" or "rrreasuFeable stQrm.eva7ie (requirements_vary; depending on .the permit).-
.
Qualitative monitoring requirements vary,. Most permits require qualitative monitoring to be
performed during,a "representative; storm event" or-during'a "measure able storm event." However,
some permits do not have ffiis requirement. Please refer to these definitions, if applicable.
s A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least' 72 hours (3 days) in which. no. storm, event measuring greater than
0.1 inches has occurred. A single storm event may contain up.to 10 consecutive hours of no
i precipitation.
A "measurable storm evene is a storm event that r esults in an actual discharge from the.
permitted site outfall. The previous :measurable storm event must have been at: least 72 hours
prior: The 72-Dour storm interval does not apply if the permittee is able to document that a shorter
interval is represenmtive,for local storm events during the sampling period, and the perrnittee
obtains approval froth the local DWQ Regional Office. z
By this signature, 1 cerdjf, that this report is accurate and complete to the best of my knowledge:
(Signature of Perrnittee or Desi&yee)
Page 1 of 2
sin'U-242,Las-rnodi5ed 10/2512012

1. outfall Description:
Ouzfall No. .20 0 Structure (pipe, ditch, etc�.
Receiving Stream: I_! ?_j' Rc�rau_ i,114C_r Mi f e" _I • httf�'r ! fc 0�,:�4,�st�'cr�ac
Describe the industrial activities that occur within the,out:all drainage area: J
2. Color: Describe the color of.the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: r IFCt. r
J.
3. Odor: Describe any distinct.odors that -.he discharge _r,ay Dave {i.e., smells strongly of oil,
weak chlorine odor, etc.}: n C
4. Clarity. Choose. the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
0 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and S is the surface covered w1th floating solids:
2 3 4 5
b. Suspended Solids: Choose the number which -best describes the amount of suspended
solids in the storm, water discharge, where 1 is no solids and 5 is extremely muddy:
1 01. 3 A, 5
7. Is there any foam in the szormwater discharge? Yes ON(;
8. `Is there.an oil sheen in,she'sto water. discharge? Yes To
„
9. Is there evidence of erosion or deposition at the out;all? Yes 60
10, Other Obvious Indicators.of Stormwater Pollution:
List and describe
Dote: Low clarity, high solids, and/or the presence of foam, oil sheen., or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Las: mo_—Hhed 10/2512012

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SGS Accutesi is the sole authority foi
Unauthorized modification of this roF
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ACCUTEST IS PART OFSGS, TKE WORLD'S LEADING IN ECTIf1N,
FICA'TI©N, TESTING AND CERTIFICATION COMPANY. _&W
Teclnical Report for
t
GRI (Geological Resources Inc.)
Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
29412/2844
SGS Accutest ,lob Number: FA33724
Sampling Date: 05/05/16
Report to:
e-Hardeop� 2.0
Automated Report
G RI
3502 Hayes Rd
Monroe, NC 28110
[e-mail]; carriekennedy@ge logicalresourcesinc.com;
[e-mail]; nml@geologicalres urcesinc.com
ATTN: William Regenthall
Total number of pages in report: 14
f PICC
2 _
Test results contained within this data package meet the requirements Norm Farmer
of the National Environmental Laboratory Accreditation Program Technical Director
and/or state specific certification programs as applicable.
Client Service contact: Muna Mohammed 407-425-6700
Certifications: FL (E83510), LA (03051). KS (E-10327), IA (366), IL (200063). NC (573), NJ (FL002), SC (960380011
DoD ELAP (L-A-B L2229), CA (2937), TX (T104704404), PA (68-03573), VA (460177).
AK, AR, GA, KY, MA, NV, OK, UT, WA
This report shall not be reproduced, except in its entirety, without the written approval of SCS Accutest.
Test results relate only to samples analyzed.
Eeland Road • Suite C-15 • Orlando, FL 32811 • teL [phone] • fax: [phone] • htip://m,%�,w.accutest.com
�.accutest.com
1 04 14
authorizing edits or modifications to this document. &CCUTEST
ort is strictly prohibited. FA33724

Sections:
Fable of Contents
511
Section1: Sample Summary................................................................................................... 3
Section2: Summary of Hits.................................................................................................... 4
Section3: Sample Results........................................................................................................ 5
3.1: FA33724-1: SDO.......................................................................................................... 6
Section4: Misc. Forms............................................................................................................ 7
4.1: Chain of Custody........................................................................................................... 8
Section 5: General Chemistry - QC Data Summaries.......................................................... 11
5.1: Method Blank and Spike Results Summary.................................................................. 12
5.2: Duplicate Results Summary.......................................................................................... 13
5.3: Matrix Spike Results Summary..................................................................................... 14
— �I ACCUTEST
FA33724

SGS Accutest
Sample Summary
GRI (Geological Resources Inc.)
Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
Project No: 29412/2844
Job No: FA33724
Sample
Collected7,
Matrix
Client
Number
16;i-e- Time e­ By
Received Code T)Te
Sample ID
12:00KJ 05/06/16 AQ Water SDO`F".'-1';:i'4
1 3 of 14
ACCUTEST
FA33724

Summary of Hits Page 1 of 1
Job Number: FA33724
Account: GRI (Geological Resources Inc.)
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
Collected: 05/05/16
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA33724-1 SDO
pH su SM4500H B-11/SW9040C
(a) Field analysis required. Received out of hold time and analyzed by request.
-S-G ACCUTEST
FA33724

aFTlpe: es
Report of Analysis
'166tion 3
6 of 14
ACCUTEST
FAUM

SGS Accutest
Report of Analysis Page I of I
Client Sample ID: SDO
Lab Sample ID: FA33724-1 Date Sampled: 05/05/16
Matrix: AQ - Water Date Received: 05/06/16
Percent Solids: n/a
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
General Chemistry
Analyte
Result RL
Units
DF
Analyzed
By Method
HEA4 Oil and Grease
<A 8 i t 4.8
mg/l
1
05/10/16 08:30
KC EPA 1664A
Solids, Total Suspended
25 �; ', 25
mg/l
1
05/09/16 09:03
LE SM2540 D-11
pH a
6 28 "
su
1
05/06/16 13:20
mi SN44500H B-11/SW9040C
(a) Field analysis required. Received out of hold time and analyzed by request
RL = Reporting Limit
sof44
-GSI ACCUTEST
FA33724

�"w , '. .
Custody Documents and Other Forms
ection'
Includes the following where applicable:
F
•
Chain of Custody
1 7 of 14
ACCUTEST
FA33724

®® Accutest Laboratories Southeast
r Chain of Custody Accutest JOB # PAGE /1 OF�
® A`i C UTE ST 4405 vneland Road, Svlte C•15 Orlando, F7 szsl t —�^—
L A w clR A r o R r G a. T L 40-4is-(700 • FAX: 407-4,15-0707
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❑ . y Day EMER(iENDY
© OTHER
Emarpency w Rush T!A Data Av &bW VIA En dl vl L 111
❑ M, MMERCIAL -A' (RESULTS OW-Y)
Gom !ERMAL •e- (RESU T[ Mt![ 1 T
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Date Time:
FillHeel By:
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Lab Use Only: Custody Saal In Placa: Y N To Blank Provided: Y N Preserved where Applicable: Y N Total # o} Copiers: t GDoNT Temperature (s) Celsius:
FA33724: Chain of Custody
Page 1 of 3
14n1t'isf' I
�+ 1 8 of 14
+1 ,_ ACCUTEST
FAM724

"'' _a.CCUTEST LABORATORIES SAMPLE RECEIPT CO\FIRIMMATION
^� ACCUTEST'SJOB-NUYIDER: Fil S 312L( CLIENT: (Q(TY(1V4IPIh�LIPROJECT: SD()v-
r, DATE TTME RECEIVED: (MMIDDIIY 24:001 NUMBER OF COOLERS RECEIVED: j
y METHOD OF DELINTRY: UPS ACCUTEST COURIER DELIVERY OTHER:
AIRBILLNUMBERS:_S3 Q�glp 590
COOLER D\'FORhTATION
CUSTODY SEAL NOT PRESENT OR NOT INTACT
CHAIN OF CUSTODY NOT RECEIVED (COC)
ANALYSIS REQUESTED IS UNCLEAR OR MISSING
SAMPLE BATES OR TIMES UNCLEAR OR MISSING
TEMPERATURE CRITERIA. NOT MET
(
TRIP BLANK I-NFORNLATION
{
TRIP BLAtiK PROVIDED
}: ,•
f
BLANK NOT PROVIDED
BLANK NOT ON COC
TRIP BLANK INTACT
TRIP BLANK NOT INTACT
CEIYED WATER TRIP. BLANK
"RECEIVED SOIL TRIP BLANK
TEMPERATURE INFORMATION
PIR THERAI ID / CORR. FACTOR ta. o
OBSERVED TEMPS:_ , .
CORRECTED TEMPS: -P.3 (USED FOR LIMS)
SAMPLE FNTORI4ATION ,
CORRECT NUMBER OF CONTAINERS USED
SAMPLE RECEIVED IMPROPERLY PRESERVED
INSUFFICIENT VOLUME FOR ANALYSIS
DATES71MFS ON COC DO NOT MATCH SAMPLE LABEL
ID'S ON COC DO NOT MATCH LIBEL
VOC VIALS HAVE HEADSPACE (MACRO l:VBBLFS)
' BOTTLES RECEIVED BUT ANALYSIS NOT REQUESTED
NO BOTTLES RECEIVED FOR ANALYSIS REQUESTED
UNCLEAR FILTERING OR COMPOSITING INSTRUCTIONS
SAMPLE CONTAINER(S) RECEIVED BROKEN
5035 FIELD KITS NOT RECEIVED WITIiTN 48 HOURS
•;} MIST' ITN'F0po'IATT0N, ;,• s. BULK VOA SOIL JARS NOT RECEIVED W;TI{'IN 48 HOURS
e' NUMBER OF ENCORES ? 2S GRAM :GRA]yl' % SOLIDS JAR NOT RECEI«D
' N{IMBER Of 5035 FIELD KITS RESIDUAL CHLORINE PRESENT
LOT9
^ NUMBER OF LAB FILTEREb METALS 4 ;APPLICAIILE TO EPA 6U0 SERIES OR NORTH CARDL
J INA ORGANICS}
TEST STRJP LOTS pH 1a13 219813A OTHER (Specirl.)'
(" SUMMARY OF COMMENTS-' /DSO py,.bey ne v,d r
TECHNICIAN SIGNATUREIDA
NF 11115
L, REVIEWER SIGNAT'UREIDA
RECEIPTLOG04041 B.xls
FA33724: Chain of Custody
Rage 2 of 3
— Sof14
ACCUTEST
FA33724

�y J
06 MAY AA
�t�N''il1FIi f3Y0 6iuloARo OVERNIGHT
XH TIX0. 'M2g
FA33724: Chan of Custody
Page 3 of 3
ACCUTEsr
FR33724

QC Data Summaries
Includes the following where applicable:
• Method Blank and Blank Spike Summaries
• Duplicate Summaries
• Matrix Spike Summaries
So- �'¢ <;ui • .� .}.
.a
Section 5
11 of 14
._SGS—, ACCUTEST
FA33724

METHOD BLANK AND SPIKE RESULTS SUMMhRY
GENERAL CHEMISTRY
Lo❑in Number: FA33724
* Acco:-nt: GRINCC - GRI (Geological Resources Inc.)
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
MB Spike BSP BSP QC
Analyze Batch iD RL Result Units Amount Result %Reccv Limits
HEM Oil and Grease GP21510/G570859 5.0 6 0W1„ mgll 90 32.4 ,91.0 7B-3.14$ CS1
Solids, Total Suspended GN70B50 2.0 ' D D , ,;, mg/l ;,T, „^
Associated Samples:
Batch GN70850: FA33724-1
Batch GP27910: FA33724-1
(*) Outside of QC limits
Page 1
_S- Si ACCUTEST
FA33724

DUPLICATE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: FA33724
Account: GRINCC - GR1 (Geological Resources Inc.)
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
QC Oricinal D[TP QC
Analyse Batch ID Sample Units Result Resu,1t RPD Limits
Solids, Total Suspended
pH
Associated Samcles:
• Basch GN70827: FA33724-1
Batch GN70850: FA33724-1
(x) Outside of QC limits
GN70250 FA33656-1 mg/1 95.0 94.0 'HJT i 0-0%
GN70E27 FA33724-1 su 6.28 6.28 i 0d0 �,�'!j��'y', 0-10%
Page 1
— 13 of 14
RCCFii"EST
FA33724

MATRIX SPIY.E RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: FA33724
Account; GR_NCC - GRI (Geological Resources Tnc.)
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
QC Original Spike MS QC
nalyte Batch 3D Sample Units Result Amount Result %Rec Limits
HEN: Oil and Grease GP27910/GN70859 FA33520-1 m9/1 596 40 619
W
Associated Sami)les:
Batch GP27910: FA33724-1
I-) Outside of QC 'limits
(N) Matrix Spike Rec. outside of QC limi„s
{a) Spike amount '_ow relative to the sample amount. Refer to lab control or spike blank for recovery information.
Page 1
1 14 of 14
-S , ACCUTE.ST
FA33724

1
1
I
I
I
Geological Resources, Inc.
June 17, 2016
Mr. Mike Lawyer
Division of Energy Mineral and Land Resources
Land Quality Section
North Carolina Department of Environmental Quality
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, North Carolina 28301
RE: Sadler's Travel Plaza
Discharge Monitoring Report — May 2016
Harnett County
Cape Fear River Basin
General Permit Number NCG080000
Certificate of Coverage No: NCGO80311
GRI No. 2844
Dear Mr. Lawyer:
RECEIVED
JUN 2 4 Z016
CENTRAL FILES
DWR SECTION
On behalf of Sadler Brothers Oil Company, Inc. (Sadler), please find attached results of stormwater outfall
sampling that was conducted on May 5, 2016 for the Sadler's Travel Plaza facility in Dunn, Harnett County,
North Carolina. Water samples were collected from the outfalI of the stornwater piping by Sadler personnel
on May 5, 2016 in accordance with the SWPPP and sampling requirements of the permit. Water samples
were analyzed for pH, total suspended solids, turbidity and oil and grease. The May 2016 sampling results
indicated that all of the sampled parameters were below the permit levels. The Stormwater Discharge Outfall
Monitoring Report is included in Appendix A, the Stormwater Discharge Outfall Qualitative Monitoring
Report is included in Appendix B, and a complete laboratory analytical report is included as Appendix C.
The next sampling event is scheduledto be conducted between July and December 2016 during a
representative rainfall event. Please do not hesitate to contact me at [phone], if you have any
questions or comments.
Sincerely,
Rohit Shetty, P.E.
Senior Engineer
' cc: Mike Thomas, Sadler Brothers Oil Company, Inc.
Division of Water Quality Central Files, DWQ, NCDEQ, I617 Mail Service Center, Raleigh, NC 27699-1613
' file
enclosures

r r i r r lilt Illtltl� I� r r -rr r r r r� r®® tlltttti
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000 -`___�� '
��^^'' Date submitted 6/22/15
OF COVERAGE No. NCG080000 .. t>r 6 �'' �SAMP,LE COLLECTIONNEAR CERTIFICATE T � � --- - .
FACILITY NAME Sadler Travel Plaza SAMPLE PERIOD ®Jan -June.. _❑ July -Dec ,
COUNTY Harnett Count or ❑ Monthlyl _ ___ (rrrorrth
PERSON CO LLEGTING•SAMPLES Kelley Jenkins ` DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA
LABORATORY Accutest LabCert.# 573 /V ^[5zero-flow'' QWaterSupply,. OSA,
Comments on sample collection or analysis: 2 ((JJ ❑Other
PLWE-'-REMEMBER TO SIGN'ON THE REVERSE -
Did this facility perforrn•Vehicle`Maintenance Activities using'more than 55 s of new motbr•oil per month? yes' no
(if yes, report your analytical results.in the table immediately below)
Part A: Vehicle:Maintenance:Areas Monitoring,Requirements (If applicable); ❑ No discharge'this.period'
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum BuIWStations and Terminals (if applicable)
0b 6047
>tia
Sample Collected',
IVon Polar Oil and GreaseJTPH fhA Method;
Total 5uspended`5olids,
...
:.:.:'.;'.;...
.
,riia664;.(5GT
:.!.
i1EMj,`ing/L _
.:.. _ ,; ..._ mg/L _..-..' =
Stan and iin�ts
Permit:Limit
nr 10b se6 pe rMit
SDO
05/05/16
<4.8
<25
6.28
i
l For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April-] ], 2013
Pagel of2

M > r� r l r r� M M r� � IMI r
STORM EVENT CHARACTERISTICS:
Date 05 05 16 (first event sampled),
Total Event Precipitation (inches): 2-3 in.
Date (list each additional event sampled.th'is reporting period, and rainfall amount).
Total Event Precipitation (inchesjc "
Note: -if you report a sample value in excess of the benchmark, you must implement Tier 1, filer 2,-or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
A BENCHMARK.EXCEEDANCE TRIGGERS,
ORTIER 1 REQUIRERIIENTS. SEE PERMIT PART II SECTION B.___ _
s,
2 EXCEEDANCES IN A ROW F'THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART Il SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER .AT ANYONE OUTFALL? . YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YE5 NO
❑. ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original- and one copy of this DMR, including all "No Discharge" reports, Within'30 days of receipt of the lab results for at end ot monitoring period in
the case of "No DlschgAr et'reports to:
Division of Water. Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY IN>'ORM4TION REPORTED: -
"I certify; under penalty of law, that this document -and all attachments were.prepared under mydirection or,'supervisionlln accordance.Iwith 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 forgathering 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 Permi e) "(Oafs) _:...• "' `
Additional copies of tFiis form may be downloaded at::#tc .-Ilportal.ncdenr.org/web/wg/wsL5ulripdessw#tab-4
SW-250 last revised April 11, 2013
Page 2 of 2

0.,
:. $'} .
Storinwater DischargetDutfall (StDO)
Qualitative, Monitbring_Rep oi t
' For guidance onfillingout thisform,please
visit'h j/n�rtal.ncdenr.orgf��g�/kr us/�u/n S °*`a �
Permit No.: or Certificate of Coyerage.No.;
Facility Name: Sadler Travel Plaza (65 Sadler Road, Dunn,North Carolina)
County: Hamett Phone No,. r (910) 99270106
inspector: ret� ki� RECEIVE
Date -of Inspection: .S
Time of Inspection: v+ e a , i-JUN 2�91--- _
Total Event Precipitation (inches): c i ` 3 { CENTRAL FILES
DWR SECTION
Was this -a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(see informat onbelow.}
AYes ❑ No
1 Please verify whether Qualitative Monitoring must be performed durin ' a "representative storm
event" or "'i 6sur'eable storm ei}ene-r. couirements�vary, depending on the permit).
Qualitar;ve:anonitioring;rEquirernents vary, Most permits require qualitative monitoring to be
performed during'a "i epresentative'storm event" or during a "measureable storm event." However,
some permits do not have thissrequirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of ramrall
and that is preceded by at least 72 hours (3 days) in whichmo.storm, event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an -actual discharge from the:
Permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter �
interval is representative -for local storm events.during the sampling period, and the perm ittee
obtains approval from the -local DVNQ Red onal Office.
3y this signature, 1 certify that this report is accurate and complete to he }Jest of my knowledge:
(Signature of Perrnittee or Desi ' ee)
1 Page 1 of 2
1 SWU-242, Lastmodified 10/25/20.2

1, Outfall Description: j
Outfail No. , S 0-0 -- Structure (pipe, ditch, etc. 12
Receiving Stream: Lf_erti l , 5 t,.3jj, ,,c 5L s r �k
Describe the industrial activities that occur Arithin the outfall drainage area: '
2. Color: Describe the color. of.the discharge sing basic colors (red, bro�v-r, blue, etc.) and tint
(light, medium, dark) as descriptors:. C �ecc r-_ lI b i-0 U-� n
3. Odor: Describe any distinctodors.that the discharge,mayhave (Le., smells strongly or oil,
weak chlorine odor, etc.): -nC-F f,
4. Clarity: Choose,the number which best describes the clarity of the discharge, where 1 is
clear and 5 is ver y clou dv: �l '
U 2 3 5
S. Floating Solids: Choose the number which best describes the amount of,floating solids in
the stormivater discharge, where 1 is no solids and a is the surface cohered writh-floating solids:
V 2 3 4 J
b.
_. -.
Suspended Solids: Choose the number which best describes the amount:of suspended
solids
in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 02- 3- 4; 5
i.
Is there zny foam in the storn-water discharge? Yes
(NT)V
t
1.
8.
is there an oil sheen,in thel'stoi-riwater..discharge? Yes
NIo�
9.
Is there evidence of erosion, or deposition at the outfall?
Yes N0
10.
Other Obvious Indicators,of Stormwater.Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Las modified !0/25/2012

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S ACCEITEST IS.PART OF SGS, THE WORLD'S LEAD€RFG INSPECTION,
RIFICATION, TESTING AND CEP T 1FICATiON C01,A?Ah1Y,
Jechnjcal Report for r`$� ,t
-. �..-. :.: .. �• -: .-: a-x .-
GRI (Geological Resources Inc.)
Sadler's Travel Plaza; 65 SadIer Rd, Dunn, NC
29412/2844
SGS Accutest Job Number: I~A33724
Sampling Date: 05/05/16
Report to:
GRI
3502 Hayes Rd
Monroe, NC 28110
wlr@geologic alresourcesinc.com; carriekennedy@ge
"r@ggeologgicalresourcesinc,com; nml@geologicalres
ATTN: William Regenthall
Total number of pages in report: 14
e-Hardeopy 2.0
Autumated Report
RECEIVED
JUN 2 4 2016
CENTRAL FILES
DWR SECTION
gicalresourcesinc. com;
cesinc.com
Test results contained within this data package meet the requirements Norm Farmer
of the National Environmental Laboratory Accreditation Program Technical Director
and/or state specific certification programs as applicable.
Client Service contact: Muna Mohammed 407-425-6700
Certifications: FL (E83510), LA (03051). KS (E-10327), IA (366), 1L (200063), NC (573). N] (FLO02), SC (96038001)
DOD ELAP (L-A-B L2229), CA (2937), TX (T104704404), PA (68-03573), VA (460177).
AK, AR, GA, KY, MA, NV, OK, UT, WA
This report shall not be reproduced, except in its entirety, without the written approval of SGS Accutest,
Test results relate only to samples analyzed.
Southeast • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: [phone] • fax: [phone] • hiip://v�,mw.accute5t.com
w.accutest.com
1 of 14
SGSAccutest is the sole authority for authorizing edits or modifications to this document. ACCUTE$T
Unauthorized modification of this report is strictly prohit)ited. FA33724

Table of Contents SeCtiDm:
.1.
Section1: Sample Summary................................................................................................... 3
Section 2: Summary of Hits.................................................................................................... 4
Section 3: Sample Results ..... 5
3.1: FA33724-1: SDO.......................................................................................................... 6
Section 4: Misc. Forms............................................................................................................ l
13
4.1: Chain of Custody........................................................................................................... $
Section 5: General Chemistry - QC Data Summaries .......................................................... 11
5.1: Method Blank and Spike Results Summary.................................................................. 12
5.2: Duplicate Results Summary......................................................................................... 13
5.3: Matrix Spike Results Summary..................................................................................... 14
1
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-S S- ACCUTESTt
PA33774

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SGS Accutest
Sample Summary
GRI (Geological Resources Inc.)
Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
' Project No: 29412/2844
Job No: FA33724
Sample
Collected
s
Matrix
Client
Number
Date
Time By
Received Code Type
Sample ID
FA33Z_24 1 "' 05/05/16 12:00 KJ 05/06/16 AQ Water SDO ;� ,9
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1 3of14
ACCUTEST
FA33724

Summary of Hits
Job Number: FA33724
Account: GRI (Geological Resources Inc.)
Project: Sadler's Travel Plaza: 65 Sadler Rd, Dunn, NC
Collected: 05/05/16
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA33724-1 SDO
pH a fi:28 su
(a) Field analysis required. Received out of hold time and analyzed by request.
Page 1 of 1
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SM4500H B-11/SW9040C
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FA33724

Sample Results' `� �, r
M: i a
Report of Analysis
1 5 of 14
CCUTEsr
FA33724

SGS Accutest
Report of Analysis
Client Sample ID: SDO
Lab Sample ID: FA33724-1 Date Sampled: 05/05/16
Matrix: AQ - Water Date Received: 05/06/16
Percent Solids: n/a
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
Page 1 of 1
General Chemistry
Analyte
Result RL
Units DF Analyzed By Method
HEM Oil and Grease
i 4.8 9.8
mg/! i 05/10/16 08:30 KC EPA 1664.4
,
Solids, Total Suspended
<25i 25
�6
mg/l 1 05/09/16 09:03 LE SN42540 D-11
pH a
28 i' h��'
su 1 05/06/16 13:20 KII SM450014 B-11/S%%'9040C
(a) Field analysis required.
Received out of hold time
and analyzed by request.
RL = Reporting Limit
1
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_r ACCUTESTE
FA33724

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Misc Forms n
Custody Documents end Other Forms
Includes the foll6NN?ing where applicable:
Chain of Custody
Section 4
7of14
ACCUTESr
FA23724

®® Accutest Laborat�o+ries Southeast�33 2c,f
Chain of Ciistod' gcctnest JOB # PAGE�_OF
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FA33124: Chain of Custody
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ACCUTEST LABORATORIES SAMPLE RECEIPT CONFIRIMATION
n "'G ACCUI'EST'S JOB _NUMBER;. FBI 5 3 J!n n,
CLIENT:+i�C'O.VF. f Y1fh t"�LIPROJ];CT: �u rq ;3
DATEmME RECEIVED: (r 43p (MMIDDIVY 24:00) NUMBER OF COOLERS RECEIVED: J
?•
N[F.TAOD OF DELIVERY: UPS ACCUTF.ST COURIER DELIVERY OTHER: �
AIRBILL NUMBERS:_ _.qD.53
COOLER InFORMATIO[V TEMPERATURE I7�RORMATION k
CUSTODY SEAL NOT PRESENT OR NOT INTACT IR THERM ID CORR. FACTOR
CHAIN OF CUSTODY NOT RECEIVED (COC) OBSERVED TEMPS:
ANALYSIS REQUESTED IS UNCLEAR OR MISSING CORRECTED TEMPS:-----, �_ {USED FOR LITIS) _
SAMPLE BATES OR TIMES UNCLEAR OR MISSING SAMPLE rNF2RI1 &TION'
TEMPERATURE CRITERIA NOT MET CORRECT NUMBER OF CONTAINERS USED
4 SAMPLE RECEIVED IMPROPERLY PRESERVED is
;.5 Tf27PBLA Ki1FORNLATIO;� I SL'FF1CIENTVOLUMEFORANALYSIS
TRIP BLANK PROVIDED DATES;TIMES ON CDC DO NOT MATCH SAMPLE LABEL '
I w' BLANK NOT PROVIDED ?�
ID'S ON COC DO NOT MATCH LABEL
BLANK NOT ON COC � ' VOC VIAL IiA1'E H$ADSPACE (MACRO BUBBLES) '
TRIP BLANK INTACC •r ,•` BOTTLES RECEIVED BUT ANALYSIS NOT REQUESTED to
TRIP BLANK NOT INTACT NO BOTTLBS RECEIVED FOR ANALYSIS REQU£SI ED
C£IL ED WATER TRIP. BLANK
UNCLEAR FILTERING OR COMPOSITLNG INSTC UCTIONS
AIiCEIVEII SOIL TRIP BLANK SAMPLE CONTAINER(S) RECEIVED BROKEN ..
4 ,7 5035 FIELD KITS NOT RECEIVED WETFII.N 48 HOURS
MISC. m°FORMATioN, - � .
�. a St BULK VOA SOIL JARS NOT RECEIVED WITHIN 48 HOURS
rs NUMBER OF ENCORES ? :5-GR4M ; 5 GRAM "/. OS JAR NOT RECEIN'ED
NUMBER OF 5635 FIELD KITS?; ' JRESSIDEL CHLORINE pREgENT
LOT#r;
NUMBER OF LAB FILTERED METALS ? ` {APPLICAIILE TO EPA 600 SEPSES OR NORTH CARC)UNA DRCANI1:11
TEST STRIP LOT#s (f 3 23 - pH 10-12 �214S13A OTHER (specify)'
a' SUMMARY OF COMMENTS. y� ,( Y Q V - � +`
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s. NF 11115
L REIVTEM'ER SIGNATUREMATE _t
R E C Ei PTLO G D4 P416. x; s
FA33724: Crain of Custody
Page 2 of 3
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Page 3 of 3
10 of 14
_ G . ACCUTEST
FA22724

QC Data Summaries
Includes the following where applicable:
• Method Blank and Blank Spike Summaries
• Duplicate Summaries
• Matrix Spike Summaries
Section 5
0
1 11 of 14
ACCUTEST
FA33724

METHOD BLANK AND SPIKE RESULTS SUMMARY
GENERAL CFEMiSTRY
Login Number: FA33724
Account: GRINCC - GR? (Geological Resources Inc.)
Project: Sadler's Travel Plana; 65 Sather Rd, Dunn, NC
MB Spike ES? ES? QC
Ana lyte Batch ID RL Result ;;nits Amount Result �Recov Limits
HEM Oil and Grease
Solids, Total Suspended
Associated Samples:
Batch GN70850: FA33726-1
Batch GP27910: FA.33726-1
(Yy Outside of 4C limits
G?27910/GN70859 5.0
GN7oE50 2.0
Page 1
0

DUPLICATE RESULTS SU14KARY
GENERAL CHEMISTRY
Lein Number: FA33724
Account: GRINCC - GRI (Geological Resources Inc.)
Pro-ject: Sadler's ^ravel Plaza; 55 Sadler Rd, Duna, NC
OC Original DUP QC
Analyte Batch TD Samnle Units Result Result RPD Limits
Solids, Total Suspended GN70850 FA33656-1 mg/l 95.0 94.0 :1 x �;"il'. 0-5�
L)H GN70827 FA33724-1 su 6.26 6.28 0f0; 0-101
Associated Samples:
Batch ON70227: FA33724-1
Batch GN70850: FFa3724-1
(1) Outside of QC li -ts
Page 1
1 13 of 14
—Sri& ACCUTEST
FA33724

.1 J
MATRIX SPIYZ RESULTS SUMMARY
GENERAL CHEMISTRY
Login number: FA33724
Account: GRINCC - GRT (Geological Resources Inc.)
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
I i
I �
QC original Spike MS QC
Analyte Batch ID Sample units Result Amount Result zRec Limits
HEY. Oil and Grease GP27910/GN70B59 FA33520-1 mg/1 596 40 619 :57 3{a)!"~ 78-I14V
. W
Associated Samcles:
Batch GP27910: FA33724-1
(•) outside of QC 'limits
(N) Matrix Spike Rec. outside of QC limits
(a) Spike amount low relative to the samcle amount. Refer to lab control Qr sn_ke `dank for recovery _nforma:_oa.
Page 1
In
— 14 of 14
ACCU'fEST'
FA2372-0

r.
Geological Resources, Inc.
February 26, 2016
Mr. Mike Lawyer
Division of Energy Mineral and Land Resources
Land Quality Section
North Carolina Department of Environment and Natural Resources
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, North Carolina 28301
RE: Sadler's Travel Plaza
Discharge Monitoring Report — August 2015
Harnett County
Cape Fear River Basin MAR 3 2�1�
General Permit Number NICGO80000
Certificate of Coverage No: NCG080311
GRI No. 2844
Dear Mr. Lawyer:
On behalf of Sadler Brothers Oil Company, Inc. (Sadler), please find attached results of stormwater outfall
sampling that was conducted on August 31, 2015 for the Sadler's Travel Plaza facility in Dunn, Harnett
County, North Carolina. Water samples were collected from the outfall of the stormwater piping by Sadler
personnel on August 31, 2015 in accordance with the SWPPP and sampling requirements of the permit.
Water samples were analyzed for pH, total suspended solids, turbidity and oil and grease. The August 2015
sampling results indicated that levels of Total Suspended Solids (TSS) in the outfall had exceeded the permit
levels. Other than the TSS exceedance, the concentrations of the other requested method constituents were
below the permit levels. The Stormwater Discharge Outfall Monitoring Report is included in Appendix A,
the Stormwater Discharge Outfall Qualitative Monitoring Report is included in Appendix B, and a complete
laboratory analytical report is included as Appendix C.
Based on the results of the sampling event and the reported exceedance of TSS, in accordance with the
permit, it is recommended that a stormwater management inspection of the facility (by the designated
stormwater manager of the facility) should be conducted immediately. The purpose of the inspection is to
identify and evaluate possible causes of the benchmark exceedance. The inspection will identify potential
and specific controls that may be required to be put into place to reduce the concentrations that had exceeded
and to bring them within the benchmark range. The inspection may include but not be limited to inspection
of all the catch basins on -site for the presence of exposed dirt or other sources of sediment in the immediate
vicinity which could get washed into the sewer system and get to the outfall. Any corrections that may be
needed should be implemented within two months of the inspection.
3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G • Winterville, North Carolina 28590
Phone [phone] [phone] • Fax [phone]

t
February 26, 2016
Sadler's Travel Plaza
Discharge Monitoring Report — August 2015
Page 2 of 2
Finally, to satisfy the record keeping requirements of the permit, the SNVPPP should be updated to document
the inspections that were conducted, including the date and time of the inspection, the personnel conducting
the inspection, the date and value of the benchmark exceedance, the selected corrective actions taken to
address the exceedance and the date the corrective actions were implemented.
The next sampling event is scheduled to be conducted between January and June 2016 during a
representative rainfall event. Please do not hesitate to contact me at [phone], if you have any
questions or comments.
Sincerely,
Rohit Shetty, P.E.
Senior Engineer
cc: Mike Thomas, Sadler Brothers Oil Company, Inc.
Division of Water Quality Central Files, DWQ, NCDEQ, 1617 Mail Service Center, Raleigh, NC 27699-1613
file
enclosures
3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G • Winterville, North Carolina 28590
Phone [phone] • [phone] • Fax [phone]

Semi-annuai Stormwater Discharge Monitoring, Report
for North Carolina Division of Water Quality General.Permit No. NCGO80000
Date submitted 09/22/15
CERTIFICATE OF COVERAGE NO. NCG080000
FACILITYNAME Sad IerTravel Plaza
COUNTY Harnett Count
PERSON COLLECTING SAMPLES Kelley Jenkins
LABORATORY. Accutest Lab Cert. tt 573
Comments on samplecollection or analysis:
SAMPLE COLLECTION YEAR _2015
SAMPLE PERIOD 0 tan -June n July=Dec
.or [ r.Monthly' rrronth
DISCHARGING TO CLASS [ORW [HQW []Trout ❑PNA
Qzero-flow [Water Supply [SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did titiis facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes k0
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
[_] No discharge this period'
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I Fo.r sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised ApriI 11, 2013
Page 1 01`2

STORM EVENT CHARACTERISTICS:
Date 08 31 15 (first event sampled)
Totals Event Precipitation (inches): 1-2 in.
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If You report a sample value in excess of the benchmark, you must implement Tier 1, Tier .2, or Tier 3 responses. See General permit text.
FOR PART A AND PART © MONI PORING RESULT5:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION 13.
• 2 EXCEEDANCES IN A ROW FOR I HE SAME PARAMETER AT THE SAME OUTFALL T RIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART Il 5E•CfION 8,
• TIER 3: HAS YOUR FACILITY HAI) 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES U NO {�
IF YES, IIAVE YOU COWACTED1HE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE -CONTACT NAME:
Mail an original and ane cop y of this DMR lncludin all "No Dischurge " reports, within 30 don of mccip t of the tab results jur of end ot monitoring eriod in
the case o "No Dlschar e" re arts to:
Division of Water Quality
Attm DWQ Centrai Files
1617 Mall Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED.
'.1 certify, under. penalty of law, that this document and, all attachments were prepared render my.direction,or supervision in accordance wills.a system rfesighed to assure
q p. properly R Y .: o I
that.qualified ersonnel 3ther and evaluate irrforrnation sutrmiited. Based on m inquiryof the person or persons.who manage+the system, or those persons
directly responsible for gathering the information, the infurrnation 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 fuses and imprisonment for knowing violations."
(Signature of Pe
d - �_;?-l_(�
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.or'p,,/web/wti/ws/su/npdessw_llt7b-d
S 1W U-25 U
last revised ApriI 11, 2013
Page 2 oI"_'.

jf.,
�4r WR.
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit; h=://porml.ncdenr.or2lweh/wg/lvs/su�nl2desnN,�"tab-4
Permit No.: or Certificate of Coverage No.:
Facility Name: Sadler Travel Plaza (65 Sadler Road. Dunn, North Carolina)
County: Harnett Phone No: [phone]
Inspector: tiie,tle-y -Ten
Date of Inspection: 3 ( `_1 5
Time of Inspection: , 0 0 A I''►'1 _ _
Total Event Precipitation (inches):_
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
AYes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be i
performed during a "representative storm event" or during a "measureable storm event" However,
• some permits do not have this requirement Please refer to these definitions, if applicable.
i
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall i'
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no i
precipitation.
� r
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter 1
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, l certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee
Page 1 of 2
S'ArU-242,Lar,-nodi5ed 10/25/2012

1. Outfall Description:
Outfall No. 5- 1) Q— Structure (pipe, ditch;'etc.)_--- C-
Receiving Stream: _-, r
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the dischar a using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 1rq "au (far o L'2 r�
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 0
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 4 5
S. Floating Solids. Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
'Suspended Solids: -Choose the number -which -best describes the:amount of:suspended-- ---- ----
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. is there any foam in the stor zwater discharge? Yes No
a
Is there an oil sheen in the stormwater-discharge? Yes - Igo ...
No Vet �[ O ucrc, ratan
Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

e-Hardcopy 2.Q
Technical. Report for... .
GRI (Geological Resources Inc.)
Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
29412
Accutest Job Number: FA27232
Sampling Date: 08/31/15
Report to:
GRI
3502 Hayes Rd
Monroe, NC 28110
[e-mail]; carriekennedy@ge
"[e-mail]; nml@geologicalres
TTN: William Regenthall
Total number of pages in report: 13
Test results contained within this data package meet the requirements
of the National Environmental Laboratory Accreditation Program
and/or stale specific certification programs as applicable.
gicalresourcesinc. com;
cesinc. com
Norm Farmer
Technical Director
Client Service contact: Muna Mohammed 407-425-6700
Certifications: FL (E83510), LA (03051), KS (E-10327), IA (366), IL (200063). NC (573), NJ (FL002), SC (96038001)
DoD ELAP (L-A-B L2229), CA (2937), TX (T104704404), PA (68-03573), VA (460177),
AK, AR, GA, KY, MA, NV, OK, UT, WA
This report shall not be reproduced, except in its entirety, without the written approval of Accutest Laboratories.
Test results relate only to samples analyzed.
Southeast • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: [phone] • fax: [phone] • http://www.acculest.com
13 1 of 13
Accutest Laboratories is the sole authority for authorizing edits or modifications to this Q1 UTEST.
document. Unauthorized modification of this report is strictly prohibited. FA27232 `.....

Sections:
Table of Contents
1
Section 1: Sample Summary ...................................................................................................
3
Section 2: Summary of Hits....................................................................................................
4
Section 3: Sample Results........................................................................................................
5
3.1: FA27232-1: SDO............................................................ .....
6
Section4: Misc. Forms............................................................................................................
7
_
4.1: Chain of Custody...........................................................................................................
Section 5: General Chemistry - QC Data Summaries..........................................................
8
11
5.1: Method Blank and Spike Results Summary .............................. .....
12
5.2: Duplicate Results Summary ............................:...
13
®p 2 of 13
�ACCU-rES-r
FA27232 "......""°

Accutest Laboratories
Sample Summary
GRI (Geological Resources Inc.)
Job No: FA27232
Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
Project No: 29412
Sample
Collected
Matrix
Client
Number
Date
Time By
Received Code Type
Sample ID
FA27232-1 ; 08/31/15 09:00 KJ 09/01/15 AQ Water SDO
0
®p 3 of 13
®,o,(--cu-rE=—
FA27232

Summary of Hits
Job Number:
FA27232
Account:
GRI (Geological Resources Inc.)
Project:
Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
Collected:
08/31/15
Lab Sample ID Client Sample ID Result/
Analyte Qua] RL MDL Units Method
Page 1 of 1
KIWI
FA27232-1 SDO
Solids, Total Suspended 521 25 mg/I SM2540 D-I1
pH a 6.34 su SM4500H B-11/SW9040C
(a) Field analysis required. Received out of hold time and analyzed by request.
013 4of13
®ACCLITEST.
FA27232 ''"'°°"°«"'

Section 3
'f `s' v o$ fit' ,rr v LY' "'^W+• J..� �' .y s'��7 *:.:�"Y 3 E .e i tEl.
t
RV
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y r k :}3 ' rF 3 f 6`dd 5,
.t��Y,4J''y�m�"llr7Fr_F.�t�x.
Sample Results s
Report of Analysis
®® 5 of 93
®ACCIJTEST.
FA27232 •••"•,'"�••

Accutest Laboratories
Report of Analysis
Client Sample ID: SDO
Lab Sample ID: FA27232-1 Date Sampled: 08/31/15
Matrix: AQ - Water Date Received: 09/01/15
Percent Solids: n/a
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
Page 1 of 1
General Chemistry
Analyte
Result
RL Units DF
Analyzed By Method
HEM Oil and Grease
< 5.0
5.0 mg/I 1
09/02/15 15:50 KC EPA 1664A
Solids, Total Suspended
521
25 mg/I 1
09/01/15 14:20 KC SM2540 D-11
PI -I a
6.34
su 1
09/03/15 11:05 LE SM4500I-1 B-111SW9040C
(a) Field analysis required.
Received out of
hold time and analyzed by request.
RL = Reporting Limit
®D 6 of 13
®A0GUTES-r
FA27232

0
Misc`Forms�
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
®p 7 of 13
�.accu-r�sT
FR27232

®® Accutest Laboratories Southeast
Chain of Custody
®;ACCLJTE5T 4405YaelandRoad. SuiteC-15 Orlando,FI32811
2 r? 2w3
4� ._ # PAG OF 1-
- - - - - - - e o n w r o w r e ■
-- TEL. 407425-h7W -: • FAX; 407d25-0707
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www.accureat,com - -
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s•�::�e U usneea s :•urJ,•
Approved By:1 Rush Cade
p to Days Standard
❑ • 7 Day RUSH
© 5 Day RUSH
© e Day EMERGENCY
❑ 2 Day EMERGENCY
❑ 7 flay EMERGENCY
❑ OTHER
Ernergenoy ar Rush TJA Data AvalleLle VIA Envll or Lahank
Relinquished by Sampler; Data Time' Fit
a L ,fe-hLS z
Ralinqu4shed Dale me; RN
5 S
Lab Uae Only: Cuelpdv Seal In Plana, Y N Temp Blank
COMMERCIAL W (RESULTS ONLY)
COMMERCIAL -9-
FU�71 fEPL CELW
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EDO's NC 2821 i
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FA27232: Chain of Custody
Page 1 of 3
rKvj:�
i'
®p 8of13
® Ao.ccu`rEs-r:
FA27232 `,.o::-,--:ae

ACCUI'EST LABORATORIES SAMPLE RECEIPT CONFIRMATION
ACCUTEST S JOB NUMBER:_LI_//}} Z CLIENT: S �4r PROJECT: !'aUZ (aL
DATRMME RECEIVED:��)I-(b - UO (MM/DDlYY 24:001 NUMBER OF COOLERS RECEIVED:_
METHOD OF DELIVERY: EDEX(UPS ACCUTEST COURIER DELIVERY OTHER:
AIRBH.L NUMBERS: J ?Q� 06,3 -9 I 9, s/c ) -2 7Z
COOLER INFORMATION TEMPERATURE INFORMATION
CUSTODY SEAL NOT PRESENT OR NOT INTACT IR THERM ID t CORR. FACTOR -CG
CHAIN OF CUSTODY NOT RECEIVED (COC) OBSERVED TEMPS; �•'L
ANALYSIS REQUESTED IS UNCLEAR OR MISSING CORRECTED TEMPS: :2 _
SAMPLE DATES OR TIMES UNCLEAR OR MISSING SAMPLE INFORMATION
TEMPERATURE CRITERIA NOT MET �1NCORRECT NUMBER OF CONTAINERS USED
TRIP BLANK INFORMATION
TRIP BLANK PROVIDED'
TRIP BLANK NOT. PROVIDED
TRIP BLANK NOT ON COC
TRIP BLANK INTACT:
TRIP BLANK NOT INTACTt
RECEIVED WATER TRIP BLANK
RECEIVED SOIL TRIP BLANK
MISC. INFORMATION
NUMBER OF ENCORES?, 25-GRAM 5-GRAM
NUMBER OF 5035 FIELD KITS ? -4
NUMBER OF LA13 FILTERED METALS ?
RECEIVED IMPROPERLY PRESERVED
:LENT VOLUME FOR ANALYSIS '
,TES/fIMFS ON COC DO NOT MATCH SAMPLE LABEL
S ON COC DO NOT MATCH LABEL
IC VIALS HAVE HEADSPACE (MACRO BUBBLES)
ITTLES RECEIVED BUT ANALYSIS NOT REQUESTED
I BOTTLES RECEIVED FOR ANALYSIS REQUESTED.
(CLEAR FILTERING OR COMPOSITING INSTRUCTIONS
MPLE CONTAINER(S) RECEIVED BROKEN
15 FIELD KITS NOT RECEIVED WITHIN 48 HOURS
FLK VOA SOIL JARS NOT RECEIVED WITHIN 48 HOURS
SOLIDS JAR NOT RECEIVED
SIDUAL CHLORINE PRESENT LOT#
{APPLICABLE TO EPA 600 SERIES OR NORTH CAROLINA ORGANICS)
t pH PAPERLOT#3 WMIHC131225 NARROW RANGE �A 6133 OTHER(specify) 405-230010
SUMMARY OF COMMENTS:
TECHNICIAN SIGNATURE/DATE REVIEWER SIGNATUREMATE
NF 10114
YELLOWSHEET110514.x1s
FA27232: Chain of Custody
Page 2 of 3
®p 9of13
®ACCLJTEST,
FA27232 .....

FA27232: Chain of Custody
Page 3 of 3
®® 10 of 13
®ACCLJT�ST,
FA27232 "'°""'°""°

10 Section 5
General Chemistry EOM
QC Data Summaries
Includes the following where applicable:
• Method Blank and Blank Spike Summaries
• Duplicate Summaries
• Matrix Spike Summaries
®p 11 of 13
® .acc u-rE=-sT:
FA27232

.METHOD BLANK AND SPIKE RESLFLTS SUMMARY
GENERAL CHEMISTRY
Login Number; FA27232
Account: GRINCC - GRI (Geological Resources Inc.)
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
MB Spike BSP BSP QC
Analyte Batch ID RL Result Units Amount . Result %Recov Limits
HEM Oil and Grease GP26574/GN67682 5.0 0.0mg/1 40 33.5 84.5 76-1141 Ui
HEN, Oil and Grease GP26574/GN67682 mg/1 40 33.5 83',B 78-114% LA
Solids, Total Suspended GN67670 10 0.0 mg/1
Associated Samples:
Batch GN67670: FA27232-1 5
Batch GP26574: FA27232-1
(•) Outside of QC limits
Page 1
130 12 of 13
FAZ7Z32

11 }
DUPLICATE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: FA27232
Account: GRINCC - GRI (Geological Resources Inc,}
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
QC original DUP QC
Analyze Batch ID Sample Units Result Result RPD Limits
Solids, Total Suspended GN67670 FA27240-1 mg/l 16.0 16.0 0.0 0-5%
PH GN6769C FA27293-IA su 6,74 6.73 0.1 0-10t N
Associated Samples:
Batch GN67670: FA27232-1
Batch GN67690: FA27232-1
(') Outside of RC limits
Page 1
®m 13 of 13
® A C C LJTi=S"f
FA27232 `..°".'°a,��

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water=Qual.ity General.Permit No. NCG080000
f V Date submitted 09/22/1S ..
Nc. U 03 I j
CERTIFICATE OF COVERAGE No-NGGOBOW
FACILITY NAME Sadler Travel Plaza
COUNTY hlarnett County__ _
PERSON COLLECTING SAMPLES. Kelley Jenkins _
LABORATORY Accutest Lab Cert. #. 573
Comments on sq. mple.collection or -analysis:
SAMPLE COLLECTION,,YE 2015
SAMPLE PERIOD r[] Jan-J _ y-Dec
o.r. [] Monthly' month
DISCHARGING'TO CLASS []ORW ❑HQW []Trout ❑P.N
OZero-flow [Water Supply ❑S5
❑Other _ ___
PLEASE REMEMBER TO SIGN ON THE REVERSE 4c--
© O this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes ro
(if yes, report your analytical results in the table immediately below)
Part A, Vehicle Maintenance Areas Monitoring Requirements (if applicable)
E] No discharge this period'
outtau
��Date�
r. oos3o
oo4oQ v.:
oo5ss i k,i
z ..g.<.:�__L':_..�
xh:
r.Na rg
j1. SY.:
Sam le Collected,,;
srSrCT.. <p I. :�,fi:.: i
{-.
7 Total Suss-Y7ended
a- '.'$':5.,�."^ .-�
�'..
is £
_ H, NNonPalar
...,.
..:paJ�.
Oil and,Grease%TP,H,EPA
•�-
New Motnr OilUsage,
".....:a
. Et=.,.z `�'!
�C�p��
��yy
f�. ii"-. L iJY !i',I
% 4
1 4,
{i>• eE "-L�
5olidsL
.,.x
4' ..
5tandard`units
.�
Mxi'
MetliodF16641(SGT HEM); mg/L'°
..
,:..mo/d+i/yr
.._� , .
.H..'
�..-_ i, ;
� �.,.
;,4nnual�average,gal%rno.
8ench�mark 'i. F�
.+ram 3
r.
er~ipermit
SQior`IOQ�s "
Withiri.a
y
I
il"a
/ ,}
,� ns ..
.--_. �_� �.
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_,•��+tom,
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Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (Ifapplicable)
a:
.t7utfall
,,"siVo�
Date �y
'�.-?rSample.Coliccted;�
rai
,- --- -s
r;00530=
{ri r 00005
Non Polar:0il'and Grease%TPHEPA flliethod s£-Total;Suspended
r.. -. Y- ;:';- 7-.x:i:.'-�-`y_ =ap.:t .-.e:`-. � 'a
�V__ 16G4':17-
Solids, �. �^
x. :sc.r`r-r • .e -'e. .. +i a'xc�.��^i:.¢
E�!m /L°t..'.,' T.._ri-_.5tandard
r;<. .�ypH,,
-
units
Permit tlmit
3�
15
` _. « 50 or IOQ seejp6mi01,
SDO
08/31/15
<S.Q
521
6.34
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark Here.
SWU-250 last revised April 1 I, 2tl_13
Pal c 1 ol'2

STORM EVENT CHARACTERISTICS:
Date 08131115 (first event sampled)
Total Event Precipitation (inches): 1-2 in.
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
(Vote: if you report a somple value in excess of the bench►nark, you must i►nple►nent Tier 1, Tier 2, or Tier 3 responses. See General permit text.
FOR PART A AND PART B MONITORING RESUL-fS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART II SECTION U.-
• 2 EXCEEDANCES IN A ROW FOR -1IIE: SAME PARAMETER ATTHE SAME OtITFAtL IRIGGER.TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION a,
• TIER 3: HAS YOUR FACILITY HAD d OR MORE BENCHMARK EXCEF.DENCES I OR -THE SAME PARAMETER AT ANY ONF OUTFALL? YES n NO
IF YES, I-MVE YOU CONTACTED -f li[ DWQ REGIONAL OFFICE? YES ❑ NO[]
REGIONAL OFFICE CONTACT NAME:
Mail an original and one capy of this DMN includin oil "No Discharge" reports, within 30 days of receipt of the lab results jor at end of monitoring period in
the case o f "No Discharge" reports! to:
Division of Water Quality
Attn: DWQCentrai Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under:penalty of law, that this document and ail attachments were prepared under my direction or supervision in accordance with a system designed to assure
l.that qualified pefsonnel properly gather and evaluate the infuriiiation submitted. Based on my inquiryof the person or persons.who manage the systern, or those persons
directly responsible for gathering the information, the Information subritted is, to the best of my knowledge and belief, true, accurate, and complete. I amaware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of
(Date)
Additional copies of this form may be downloaded at: htt ortal.ncdenr.ur web w ws su n ydc5swfltab►1
last revised April It, 2013
11irgc 2.ol'2.

Geological Resources, Inc.
February 26, 2016
Mr. Mike Lawyer ``�, `
Division of Energy Mineral and Land Resources] V ��
Land Quality Section MAR 0 2 2016
North Carolina Department of Environment and Natural Resources
Fayetteville Regional Office CENTRAL FILES
225 Green Street, Suite 714 pWR SECTION
Fayetteville, North Carolina 28301
RE: Sadler's Travel Plaza
Discharge Monitoring Report —August 2015
Harnett County
Cape Fear River Basin
General Permit Number NCG080000
Certificate of Coverage No: NCGO80311
GRI No. 2844
Dear Mr. Lawyer:
On behalf of Sadler Brothers Oil Company, Inc. (Sadler), please find attached results of stormwater outfall
sampling that was conducted on August 31, 2015 for the Sadler's Travel Plaza facility in Dunn, Harnett,
County, North Carolina. Water samples were collected from the outfall of the stormwater piping by Sadler
personnel on August 31, 2015 in accordance with the SWPPP and sampling requirements of the permit.
Water samples were analyzed for pH, total suspended solids, turbidity and oil and grease. The August 2015
sampling results indicated that levels of Total Suspended Solids (TSS) in the outfall had exceeded the permit
levels. Other than the TSS exceedance, the concentrations of the other requested method constituents were
below the permit levels. The Stormwater Discharge Outfall Monitoring Report is included in Appendix A,
the Stormwater Discharge Outfall Qualitative Monitoring Report is included in Appendix B, and a complete
laboratory analytical report is included as Appendix C.
Based on the results of the sampling event and the reported exceedance of TSS, in accordance with the
permit, it is recommended that a storrnwater management inspection of the facility (by the designated
stormwater manager of the facility) should be conducted immediately. The purpose of the inspection is to
identify and evaluate possible causes of the benchmark exceedance. The inspection will identify potential
and specific controls that may be required to be put into place to reduce the concentrations that had exceeded
and to bring them within the benchmark range. The inspection may include but not be limited to inspection
of all the catch basins on -site for the presence of exposed dirt or other sources of sediment in the immediate
vicinity which could get washed into the sewer system and get to the outfall. Any corrections that may be
needed should be implemented within two months of the inspection.
3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G • Winterville, North Carolina 28590
Phone [phone] • [phone] • Fax [phone]

February 26, 2016
Sadler's Travel Plaza
Discharge Monitoring Report — August 2015
Page 2 of 2
Finally, to satisfy the record keeping requirements of the permit, the SWPPP should be updated to document
the inspections that were conducted, including the date and time of the inspection, the personnel conducting
the inspection, the date and value of the benchmark exceedance, the selected corrective actions taken to
address the exceedance and the date the corrective actions were implemented.
The next sampling event is scheduled to be conducted between January and June 2016 during a
representative rainfall event. Please do not hesitate to contact me at [phone], if you have any
questions or continents.
Sincerely,
Rohit Shetty, P.E.
Senior Engineer
cc: Mike Thomas, Sadler Brothers Oil Company, Inc.
Division of Water Quality Central Files, DWQ, NCDEQ, 1617 Mail Service Center, Raleigh, NC 27699-1613
file
enclosures
3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G • Winterville, North Carolina 28590
Phone [phone] • [phone] - Fax [phone]

NC
KhlR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this farm, please visit: hr%/Ioortal.ncdennorg/web /wq Aws,/su/nndessw4tab-4
Permit No.. N/9-Q/W$/¢/2/ /Q/ or Certificate of Coverage No.: N/j�/G/Q/-LlQ/ 3 / 1 /-L-/
Facility Name: Sadler Travel Plaza (65 Sadler Road. Dunn, North Carolina)
County: Harnett Phone No. [phone]
Inspector: _ 1 e-1 te-y men A, n -
Date of Inspection: -_- �J `�5
Time of Inspection:
Total Event Precipitation (inches): I ;a'(
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information
'A Yes ❑ No
please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event" However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
10.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
Permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the perm ittee
obtains approval from the local DWQ Regional Office.
By this. signature, 1 certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee
Page 1 of 2
. SwC3-242,Last -modified 10/25/2012

1. Outfall Description:
Outfall No. LEA Structure (pipe, ditch, etc:)1=
Receiving Stream: L_.0!? Q m e d, l I'ks ,M4 4 e' 4- �
Describe the industrial activities that occur within the outfall drainage area:
S, W 4 elk
� T
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: hT (_9r'au� f at.)n
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): A o n Q_
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
01 2 3 4 5
6--- Suspended-Solidsi- Cho ose the"number which -.best describes the:annount of.suspended­--- —
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. is there any foam in the storm, water discharge? Yes No
8. is there an oil sheen in the stormwater..discharge? Yes
V�r pve.rc,ro�Jn
9. Is there evidence of erosion or deposition at the outfall? Yes No i J
�� WeQcS
10. Other Obvious indicators of Stormwater Pollution:
List and describe
bate: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S1AT-242, Last modified 10/25/2012

e-Hardcopy 2.0
Technical:Report. for..
GRI (Geological Resources Inc.)
Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
29412
Accutest Job Number: FA27232
Sampling Date: 08/31/15
Report to:
GRI
3502 Hayes Rd
Monroe, NC 28110
[e-mail]; carriekennedy@ge logicalresourcesinc.com;
[e-mail]; nml@geologicalres urcesinc.com
TTN: William Regenthall
Total number of pages in report: 13
Test results contained within this data package meet the requirements
of the National Environmental Laboratory Accreditation Program
and/or state specific certification programs as applicable.
Norm Farmer
Technical Director
Client Service contact: Muna Mohammed 407-425-6700
Certifications: FL (E83510), LA (03051), KS (E-10327), IA (366), IL (200063). NC (573). NJ (FL002), SC (96038001)
DoD ELAP (L-A-B L2229), CA (2937), TX (T104704404), PA (68-03573), VA (460177),
AK, AR, GA, KY, MA, NV, OK, UT, WA
This report shall not be reproduced, except in its entirety, without the written approval of Accutest Laboratories.
Test results relate only to samples analyzed,
Southeast - 4405 Vineland Road - Suite C-15 - Orlando, FL 32811 - tel: [phone] - fax: [phone] - hup:l/www,accutesl.com
® ® 1 of 13
Accutest Laboratories is the sole authority for authorizing edits or modifications to this ACCUTES-r
document. Unauthorized modification of this report is strictly prohibited. FAZ7Z32

Sections:
Table of Contents
-1-
Section1: Sample Summary ...................................................................................................
3
Section2: Summary of Hits....................................................................................................
4
Section3: Sample Results........................................................................................................
5
3.1: FA27232-1: SDO..........................................................................................................
6
Section4: Misc. Forms............................................................................................................
7
4.1: Chain of Custody...........................................................................................................
Section 5: General Chemistry - QC Data Summaries..........................................................
8
11
5.1: Method Blank and Spike Results Summary ..................................................................
12
5.2: Duplicate Results Summary ...................................
13
®p 2 of 13
FA27232

Accutest Laboratories
Sample Summary
GRI (Geological Resources Inc.)
Job No: FA27232
Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
Project No: 29412
Sample
`Collected , . . `=`
Matrix
Client
Number
Date Time By
Received Code Type
Sample ID
FA27232-1 08/31/15 09:00 KJ - 09/01/15 AQ Water
SDO
-7
am 3 of 13
® ACCLfTEST.
FA27232

Summary of Hits
Job Number: FA27232
Account: GRI (Geological Resources Inc.)
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
Collected: 08/31;15
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA27232-1 SDO
Solids, Total Suspended 521 25 mg/I SM2540 D-11
pH a 6.34' :, ; su SM4500H B-I I/SW9040C
(a) Field analysis required. Received out of hold time and analyzed by request.
® 4 of 13
ACCUT�ST.
FA27232

Section 3
'��tt: of .`tits —. .;j�r••�'.�•.h;f ., - � .. .� < _
Report of Analysis
®® 5of13
®ACCLJTES"'r
FA27232

Accutest Laboratories
Report of Analysis
Client Sample ID: SDO
Lab Sample ID: FA27232-1 Date Sampled: 08/31/15
Matrix: AQ - Water Date Received: 09/01/15
Percent Solids: n/a
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
Page 1 of I
General Chemistry
Analyte
Result
RL Units DF
Analyzed By Method
HEM Oil and Grease
< 5.0
5.0 mg/l 1
09/02/15 15:50 KC EPA 1664A
Solids, Total Suspended
521
25 mg/I 1
09/01/15 14:20 KC SM2540 D-II
PH a
6.34
su ;- 1
09/03/15 11:05 LE SM4500H B-II/SW9040C
(a) Field analysis required.
Received out of hold time and analyzed by request.
RL = Reporting Limit
®p '6 of 13
®AC0L.ITEE3-r
FA27232 `"'�ww1OR1e

..,
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
H
®o 7 of 13
®.a.00u-r�s-n
FA27232

®® Accutest Laboratories Southeast
Chain of Custody
1M'ACmu-raSTe 4405VinclandRoad, Suite C-I5 Orlendo,F132811
T:A 17z3 2
ADc JOB # 11 PAGE OF--j—
L • e C a ♦ r o A i e • I tL.: 401-423-07W ; • FAX: 4U74Y.3-U7Q7 CCU
. wt4w.acclt[cst.mm ' — — _ _ _ —
_CN
•.A •:•.2 4I nlwrM! V 71:Nd-a lmbffwv»-4ri-.-`1-4 J-L n' w AM
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Can Name` r.- "uc —iQ
s ci lcr r`�i� 1
K
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6
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SOL•uaesr edtl
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as su.
Pra.a Conucl . n 5
aml.0 r - D w
F. _ g
anrV�l•1 N.mN.I fPrYmE!
Caww werae GU..I
A-11w
Fluid ID I Polnl of CallecponSHZ
Q
I`
TURWU�MN f :'.•.s,(e-`4..,;
nIC'�:.':::-.
h:-'.D.t.
CIn!
?.w.::ziY[1ri:a9-.x'w4'+'yFli:•'.
I
Mi1Ykf
rppro4'ed By:I RUN Cod.
❑ tsDensw>aard
❑, 7 Day RUSH
❑ 6 Day RUSH
❑ 0Day EMERGENCY
❑ 2 my Fh7ERGENCY
❑ t Day EMERGENCY
❑ OTHER
F�rlwpancy OF Rwh 7fA pats AradaEla VIA EmaA or LeW nk
COMMERCIAL -A' (RESULTS ONLY)
COMMERCIAL-8' (IM "W"
'}[jf
PA �EL,bUEEN C,'_ 1? jam'
I NC 1, 282 J J r •
EpR'S L V
�-/1
eSu�iTS 4'0
Sa=
M teen timI
Renelvetl y
z
Rellnqulehetl by Sampler:
t L ,e w k. iL. 5
Date Time;
Relinquished b
�P
Re nquteheC
5
Oaie ma:
Rao"d By:
a
Relinqul by:
7
Data Time:
Reealvad By:
B
Lab Use Only; Custody Seel In Place: Y N Tema Blank Providetl: Y N Preserved where cable:' Y N Total 0 of Coolers: Coolar Tem rstura (it) Celsius:
FA27232: Chain of Custody
Page 1 of 3
®® .8 of 13
in ACCLf"rEST.
FA27232

ACCUTEST LABORATORIES SAMPLE RECEIPT CONFIRMATION
ACCUTES7" S JOB NUMBER: Z 2 L. CLIENT: Se, d 1-e r PROJECT: 5ct,( I,,- !a cry L �a.L
DATE/TIME RECEIVED: a g "Ol Y S _ _q V O (MM/DD/YY 24.001 NUMBER OF COOLERS RECEIVED:
METHODOFDELIVERY; EDEX UPS - ��AC�!CUTESTCOURIER DELIVERY OTHER:
AMBD.L NUMBERS: --
COOLER INFORMATION
CUSTODY SEAL NOT PRESENT OR NOT INTACT
CHAIN OF CUSTODY NOT RECEIVED (COC)
ANALYSIS REQUESTED IS UNCLEAR OR MISSING
SAMPLE DATES OR TIMES UNCLEAR OR MISSING
TEMPERATURE CRITERIA NOT MET
TEMPERATURE INFORMATTON
IR THERM ID CORR. FACTOR -G
OBSERVED TEMPS: 2-3—
CORRECTED TEMPS: 27
SAMPLE INFORMATION
INCORRECT NUMBER OF CONTAINERS USED
SAMPLE RECEIVED IMPROPERLY PRESERVED
TRIP BLANK INFORMATION
INSUFFICIENT VOLUME FOR ANALYSIS'
TRIP BLANK PROVIDED,
DATESII'11YIE5 ON COC DO NOT MATCH SAMPLE LABEL
TRIP BLANK NOT.PROVIDED
ID'S ON COC DO NOT MATCH LABEL
TRIP BLANK NOT ON COC
VOC VIALS HAVE HEADSPACE (MACRO BUBBLES)
TRIP BLANK INTACT.,:,." . ."
BOTTLES RECEIVED BUT ANALYSIS NOT REQUESTED
{
TRIP BLANK NOT LNTA- r '
NO BOTTLES RECEIVED FOR ANALYSIS REQUESTED,
'`k
RECEIVED WATER TRIP BLANK
UNCLEAR FILTERING OR COMPOSITING INSTRUCTIONS
RECEIVED SOIL TRIP BLANK
SAMPLE CONTAINER(S) RECEIVED BROKEN,
5035 FIELD KITS NOT RECEIVED WITHIN 48 HOURS
MISC. INFORMATION
BULK VOA SOIL JARS NOT RECEIVED WITHIN 48 HOURS
NUMBER OF ENCORES?,` 25-GRAM
5-GRAM % SOLIDS JAR NOT RECEIVED
` NUMBER OF 5035 FIELD KITS ?
RESIDUAL CHLORINE PRESENT LOTt1
NUMBER OF LAB FILTERED METALS ?
IAPPLFCABLE TO EPA 600 5ERlEs OR NORTH CAROLINA ORGANICS}
pH PAPER LOT#s WIDIHCl3lh5
NARROW RANGE A036137_ OTHER (specify) 405 2300l0
SUMMARY OF COMMENTS:
a 'V '
TECHNICIANSiGNATUREIDATE
REVIEWERSIGNATURE/DATE
NF 10A4
YELLOWSHEET110514.XI5
FA27232: Chain of Custody
Page 2 of 3
®m 9of13
®acc u-rEs-r.
FA27232 "".T°"".

A
o n.,
I'
-A
L04 �
pC s�
W
:a
Ij Q
h;
Cc=
L
FA27232: Chain of Custody
i
Page 3 of 3
®p 10 of 13
WACCIJTEST.
FA27232 " "°""'°u'°•

Section 5
General, Chemistry
rana
QC Data Summaries
Includes the following where applicable:
• Method Blank and Blank Spike Summaries
• Duplicate Summaries
• Matrix Spike Summaries
®® 11 of 13
®ACCUTES"T.
FA27232

.METHOD BLANK AND SPIKE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: FA27232
Account: GRINCC - GRI (Geological Resources Inc.)
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
MB Spike BSP BSP QC
Analyte Batch ID RL Result Units Amount Result %Recov Limits
HEM Oil and Grease GP26574/GN67682 5.0 0.0' mg/1 40 33.5 84.5 78-114t 0
HEM Oil and Grease GP26574/GN67682 mg/1 40 33.5 83'.8 78-114t
Solids, Total Suspended GN67670 10 0.0 ;, mg/1
Associated Samples:
Batch GN67670: FA27232-1 is
Batch GP26574: FA27232-1
(*) Outside of QC limits
Page 1
®® 12 of 13
® ,a.ccu-FEs--C
FA27232 `""°

DUPLICATE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: FA27232
Account: GRINCC - GRI (Geological Resources Inc.}
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
QC Original DUP RC
Analyte Batch ID Sample Units Result Result RPD Limits
Solids, Total Suspended GN67670 FA27240-1 mg/1 16.0 16.0 0.0 0-51
PH GN67690 FA27293-1A su 6.74 6,73 0.1 0-10%
Associated Samples:
Batch GN67670: FA27232-1
Batch GN67690: FA27232-1
(•) Outside of QC limits
Page 1
®p 13 of 13
® ACCL,_iTEBT.

Geological Resources, Inc.
July �9, 2015
Mr. Mike Lawyer
Division of Eneray Mineral and Land Resources
Land Quality Section
North Carolina Department of Environment and Natural Resources
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, North Carolina 28301
RE: Sadler's Travel Plaza
Discharge Monitoring Report — May 2015 AUG - 3 2015
Harnett Count,
Cape Fear River Basin
General Permit Number NICGO80000
Certificate of Coverage No: NCGO90311
GRI No. 2844 4
Dear Mr. Lawyer:
On behalf of Sadler Brothers Oil Company, Inc. (Sadler), please find attached results of stormwater outfall
sampling that was conducted on May 21, 2015 for the Sadler's Travel Plaza facility in Dunn. Harnett
County, North Carolina. Water sampies were collected from the outfall of the stormwat.er piping by Sadler
personnel on May 21, 2015 in accordance with the SN PPP and sampling requirements of the permit. Water
samples were analyzed for pH, total suspended solids, turbidity and oil and Grease. The May 2015 sampling
results indicated that levels of Total Suspended Solids (TSS) in the outfall had exceeded the permit levels.
Other than the TSS exceedance, the concentrations of the other requested method constituents were below
the permit levels. The Stormwater Discharge Outfall Monitoring Report is included in Appendix A, the
Stormwater Discharge Outfall Qualitative Monitoring Repoi2 is included in Appendix B, and a complete
laboratory analytical report is included as Appendix C.
Based on the results of the sampling event and the reported exceedance of TSS, in accordance with the
permit, it is recommended that a stormwater management inspection of the facility (by the designated
storinwater manager of the facility) should be conducted immediately. The purpose of the inspection is to
identify and evaluate possible causes of the benchmark exceedance. The inspection Nvili identify potential
and specific controls that may be required to be put into place to reduce the concentrations that had exceeded
and to bring them within the benchmark range. The inspection may include but not be limited to inspection
of all the catch basins on -site for the presence of exposed dirt or other sources of sediment in the immediate
vicinity which could get washed into the sewer system and get to the outfall. Any corrections that may be
needed should be implemented within two months of the inspection.
3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G a Winterville, North Carolina 28590
Phone [phone] [phone] • Fax [phone]

r
July 29, 2015
Sadler's Travel Plaza
Discharge Monitoring Report — May 2015
Page 2 of 2
Finally, to satisf , the record keeping requirements of the permit, the S«'PPP should be updated to document
the inspections that were conducted, including the date and time of the inspection, the personnel conducting
the inspection, the date and value of the benchmark exceedance, the selected corrective actions taken to
address the exceedance and the date the corrective actions were implemented.
The next sampling event is scheduled to be conducted between Jul), and December 2015 during a
representative rainfall event. Please do not hesitate to contact nee at [phone], if you have any
questions or comments.
Sincerely,
;&.,- 611 -LL-
Rohit Shetty. P.E.
Senior Engineer
cc: Alike Thomas; Sadler Brothers Oil Company, Inc.
Division of Neater Quality Central Files, DWQ, NCDENR, 1617 Mail Service Center, Raleigh, NC 27699-
1613
file
enclosures
3502 Hayes Road 4, Monroe, North Carolina 28110
113 West .. - - North Carolina 28590
Phone [phone]
F�i..,.t.�.kr_:
.k: (. a. + . � .. s„ # P' ;-uA.. •'} �, +E .,2!.E! r....,.{li. i �".�l�::.�, ? , �. ;�a , .xsE : E.,s,:, • � � Viz,. .. 1 {I�, 1 i r i b �i u'+ E f:'6_ `e - , :4Ct L '�.`. "^
d��i,.���s;9st;�ix �t,�6..ly�re!a'�6,.e,?�°.��a�5r:i;3,;� <:_a{; ; iw.:,..c4�''"a�,�,�'+.d.i¢�€'=+.'� k�°"V ,�.�.v�F:ui4a. 4 a:rr.,-'v"d�.�LC."°,+a3+- ,in �_��.�.� ��4-�`�': �,����?. �yt fy `-i�i`�i?.•:

Semi-annual Stormwater Discharge Monitoring_ Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted OG/1212015
CERTIFICATE OF COVE -RAGE No. NCG080000
FACILITY NAME -SOLdlief Travel Plaza
COUNTY FlamettCoq!Lly.......
PERSON COLLECTING SAMPLES Kelley Jenkins.,
LABORATORY Acculest Lab Cert. ft 573
Comments on sample collection or analysis:
AUG - 3 2015
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD Jan -June [--] July -Dec
or ❑ Monthly' (Inonthl
DISCHARGING TO CLASS DORW DHOW [:]-fr0Ut []PNA
[]Zero -flow []Water Supply []SA
1:]Other
PLEASE REMEMBER TO SIGN ON THE- REVERSE 4
j)j(j this facility perform Vehicle Wintenance Activities using more than SS gallons of new motor oil per month? _yus X I)o
(if yes, report your analytirzil results in the table in111)0diM1lY 1100w)
Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable)
0 No discharge this period',
Date
J.,
rj!%'
Sd ple.Cnllect'e'd
"T talSuOen
9
j��;Non;;Pdl6r,011-afi Greas'efti" H E_PA'_
otoril
;m 3wusa
1�t�whs� �" nits:;..,,
CMeth6d'16fi47(SGT' HEM), rnt�/Lt'
'-,�AhiW li
M dd/�i
ofids,1mg/L
.9 q
;h'p n­c' h� M`ai k
;;h 4
56 n see#perrnit',`.'.
Part B: oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable}
_77=
i-Po artO
oto 'Sm'pen,
p
�,U WOWC
0
o/da
q-,F- .1664 SGT,-HEM)iiik/
11.1 44 g/L
i,, Standard` 616'
A t
-v gr
Sbo
05/21/15
1600
6.50
I For sampling periods willi no discharge at any single OUtfall, YOU 111USt. Still S1.113111it this discharge monitoring report with a checkmark hertz.
S1l'11-250 h6t IuVised April 11, 2013
Page 1 n1*2

STORM EVENT CHARACTERISTICS:
Date fly 21 1S (first event sampled)
Total Event precipitation finches): 0.S-1.0 in.
Date (list each additinnal event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART ft MONITORING RE: ULTS:
« A BENCI-IMA13K I_XCI-f DANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SI:C1'ION It.
r 2 FXCEEDANCES IN A ROW FOR TIIL SAME PARAMETER ATTI If: SAME: OUTFAI.L TRIGGER TIER 2 REQUIREMENTS. SFI: I) RMIT PAfiT II SI-C-f]ON It.
TIER 3: HAS YOUR FACILITY HAD /4 OR MORE RI_NCHMARK EXCEI--DENCES FOR THE SAME PARAMETER AT ANY ONI' marALL•.' YES El NO 0IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICf'? YES L NO
REGIONAL OFFICE CONTACT NAME::
Mail an original and one cod roof this DIOR, including all "No Discharge" reportswithin 30 days of receipt of the lab results (or at end of rnnnitorirrrt perfad In
the case o `No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 MaifService Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CrR1IF1CAT1QN FOR ANY INFORMATION ttEPORTED'.
1certify, under penalty of taw, 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 Elie information submit Ied. Based on Illy inquiry of the person of persons who manage the: system, or those persons
directly responsible for gal he. ring the information, the information submiIted is, to the hest of my knowledge and Belief, true, accurate, and complete. I am aware that
there are significard pen:lltles for stehmitting false inforrnatipn, inClUdinh' Ilse possibility of fines and imprisonment for knowing violatiowi."
(Signature of
(Date)
Additional copies of this for Pn n-ay be: downloaded at: ht tMoortal. nctlenr orgLtv Lw(yws/att n p,IE esswfltab-A
S Wi.1-250
last revised Al)ril 11, 2013
llage 2 42

RCDENR
Stormwater Discharge Dutfall CSDO)
Qualitative Monitoring Report
�or�uid�,*�ce on�;i':"9 c�L::nrs�orrn, pleas: �-isiL:}li"t:�/�or�:.rcde;a�.t3r�'�=•e�e:;�,`;,,l�u l ,��,=�srn-=:�h-�.
Per—:itN-3.. J��1f 1�?I�l�I 1I 0r Ce Li7cate Of C0•,`er2_,- No.:
f _cili i.' Name: _ 5a�i i 1 -avtl Plat (65 1a. lc Ro.ai. ]L:[LL No,'_i} Car,l,=,a)
Coup HEM a n Phone No. (910) 69how
Inspec-tor ).e-I!Cu_T[nk._',75
Date of lnspecrion: 5 L ►
17
Time of Inspect -on: �j P 011 -
_ R
ctal Evens Prec=_pitation (inches):
n rr n
Was _riffs a h@�ra5e a i�'e Storm Event" Far lt'lea__reah.e Storrs '�'er!t as ARM by the perml?
(See ini"07:%ai20n bEIOW.)
A. Yes 0 No
AUG - 3 K
Iee 7sa 1�87%jy%iti'ri? ti?i(�111Cc!1LC 732 I oRICoring rr ust be perficrrned `d'.!rin 7 "i t iesimmLive gorm
ovens" or "rJ easureable s%or i event" vary, depending an --he pal nit).
Quaiitari e rnonitoKng r equireillents i' ary� Most Per -nits r equire C 1 l`e`c i+'2 moriroring tobe
pariDrm.e^.,' during a "representative s or ml event" or during a "waswreable storm : oxvet,er, S
so-pe pet::tIts do rat have his requirement. alease reAr to Vese a:.i^ir "ap iic le t
storm e rnims a h i �
i� a "represertati��e storm ec-eni`" s a sto. �-er,L that .. _ur�s �reaLer �'lall D.i i::c_...s o. rainfall
a:d -J:cz is preceded by at least /2 ho-urs (S Days) in VNvhich no sr^i_"_1 event measuring greater than
0.1 inches i a5 Dec=!reed. A single storm event may, contair. up t0 ! 0 consec, -diivia hours DI •0 �
precipl_at on.
• i
1
A "measurable storm event' is a storr in an actual discharge ci omn L:e l
pert aked site MY. The previous vious rneasura1le stDr n, eev z must have been at last 2 ?ours j
%rii.'i . { lie / �-r?41�i atDr"??1 i=i:?I'i'a� DDes i:G': ap71i" ii t:'�? p°:':.titts^a is w�jl�`,`� L�.00zi??':E'i:t T:a a 5i:a;-Ei• i
Interval is r epr eser:=a ve for local szorm evens iur ing Ve s iu,'phng period, and he p='s".._.-ee
T! ?` cp rDi at 'iit:Ti the local MY'
""' ' t.^.:5 signanare, I Cc "t1 )' s ^L t�i]S i ar1Q 15 aC ii ==s Ci:d 2 o m p 1 e t a LO ._::e bes:- o f 7,y 1G:0,vlodig,e:
(Sig-nar, �re DE per mit`ayor
Pare 1 of ?
srv�-z4?. i.est�adiSsM ?6/`'`x%?ci?

1. Outfall Description:
Outfail ?io. _ 5 R 0 Stricture (oipe,eiitch, etc.)/ ) (L,
Receiving Stream: 1� It Lt r?1 �. i� r'n 4-� r tl r i ri it +C"
Desc.-b-a ,e industirial aC:ivitles th1a: occur ivi`_hin 1:'ne out.ail drainage area:
2. Color: Descr e t`e cD3 "- ? 1 h u c no i �,i i o et and -
F- }b Or i3i � SC arg2 .i t_kr_ ;,2$.0 CCIDr5 �r� , C1�4`:'•, =.c:,.�C.� a. __:?i
�I?g'i�, odium, dark) as Escr iptora: _L� � � kr`�`t j•' .
3. Odor: Describe any cd.is nCt oe-ors h:n the discharge may have (he'., smeDs samnQ of Oil,
weak c hlonne odor, et .c.): '1
4. Clarity. Chcrose the number "hich ea describes the C!ar? <' of the discharge, -where i is
dear and J is very Coo dy:
J J
I Floating Solids: Choose be number which Bien des cr ibes die amount of floadr:g Solids ill
:e s",or: wa.er Ischarge, where 1 is no soDds and 5 is _..c surface covued th `loa ng solids:
0 _
b. Suspended Solids: Choose: e numbe ,vhich best describes the .anno nt of suspended
solids ir the s4orA7waser discharge, where 1 is no sol ds and J is e x4 eme)y :i!°ud i":
1 7 02,
5 Gere any foam in be non -owner Isc aree?
4 J
Yes
Is there an oil Si een ill ? s-orr'V ater disc"_'ae? '_yes
17�—
1 � 0//
is there evidence of erosion or depasition at Ae ouW? its
10. Wer ObAous Indicators of Storm water Pollution:
Lisp and deschbe
Note; Low clarity, High solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant ex--posure. These conditions warrant further investigation.
Rge ? of 2
SMIAs=?. Las:nWed :U/A 20 2

e-Hardcopy ZO
Automated Report
Technical Report for,
GRI (Geological Resources Inc.)
Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
29412
Accutest Job Number: FA24644
Sampling Date: 05/21/15
Report to:
GRI
3502 Hayes Rd
Monroe, NC 28110
[e-mail]; carriekennedy@ge
"[e-mail]; nml@geologicalres
TTN: William Regenthall
Total number of pages in report: 14
Test results contained within this data package meet Clue requirements
of the National Environmental Laboratory Accreditation Program
and/or state specific certification programs as applicable.
cam;
com
AUG - 3 2015
Z �Ix� o�� , - A-0- � �
Norm Farmer
Technical Director
Client Service contact: Muna Mohammed 407-425-6700
Certifications: FL (E83510), LA (03051), KS (E-10327), IA (366). IL (200063), NC (573). NJ (FL002), SC (96038001)
DoD ELAP (L-A•B L2229), CA (2937), TX (T104704404), PA (68-03573), VA (460177).
AK, AR, GA, KY, MA, NV, OK, UT, WA
This report shall not be reproduced, except in its entirety, without the written approval of Accutest Laboratories.
Test results relate only to samples analyzed.
Southeast • 4405 Vineland Road • Suite C-15 - Orlando, FL 32811 • tel; 407-425-6700 • fax: [phone] • hap: //vmw. accutest. cum
®® 1 of 14
Accutest Laboratories is the sole authority for authorizing edits or modifications to this ® ACCLJTEST.
document. Unauthorized modification of this report is strictly prohibited. FA24644 .M,, _.,,-1-

Table of Contents
.1-
Sections:
Section1: Sample Summary................................................................................................... 3
Section2: Summary of Hits.................................................................................................... 4
Section3: Sample Results .......................... --............ .................................................. ....... ..... 5
3.1: FA24644-1; SDO.............................................................................................
Section4: Misc. Forms............................................................................................................ l
4.1: Chain of Custody.............................................................
Section 5: General Chemistry -CSC Data Summaries.......................................................... 11
5.1: Method Blank and Spike Results Summary.................................................................. 12
5.2: Duplicate Results Summary.......................................................................................... 13
5.3: Matrix Spike Results Summary..................................................................................... 14
an 2of14
®.accu-rEs-r
FA24644 """••"-I-.

Accutest Laboratories
Sample Summary
GRI (Geological Resources Inc.)
Job No: FA24644
Sadler' s Travel Plaza; 65 Sadler Rd, Durai, NC
Project No: 29412
Sample Collected Matrix Client
Number Date Time By Received Code Type Sample ID
FA24644 1 05/21/15 16:00 KJ 05/27/15 AQ Water SDO
®m 3of14
O.ACC--U7-EST"
FR24644

Summary of Hits
Job lumber: FA24644
Account: GRI (Geological Resources Inc.)
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
Collected: 05/21/15
Lab Sample ID Client Sample ID Result/
Anal -te Qual RL MDL Units Method
FA24644-1 SDO
Solids, Total Suspended 600, 25 m;ll
pH a 6.�0 Su
(a) Field analysis required. Received out of hold time and analyzed by request.
ME
SN42540 D-11
SM4500H B-I I/SW9040C
®o 4of14
ACC C L FFE S-F:
FA24644 "" ° .` 111 "

Section 3
Saiple Results
Report of Analysis
®D 5of14
®,accu-r�sT
Fx246M "•`"• "" «•

Accutest Laboratories
Report of Analysis Page 1 of 1
aient Sample ID: SDO
.ab Sample ID: FA24644-1 Date Sampled: 05/21/15
Matrix; AQ - Water Date Received: 05/27/15
Percent Solids: n/a
'roject: Sadler's Travel Plaza: 65 Sadler Rd, Dunn, l\'C
IF
General Chemistn,
Analyte
Result RL
Units DF
Analyzed
By
Method
HEM Oil and Grease
< 5 0 5.0
mg/l 1
06/02/15 08:00
A
EPA 1664A
Solids, Total Suspended
640,', ? 25
mg/l 1
05/28/15 08:45
t;C
SM2540 D-II
pH a
6 50
Su 1
05/27/15 13:40
LE
SM4500H B-I l/SW9040C
{a} Field analysis required.
Received out of bold time
and analyzed by request.
RL = Reporting Limit
OEM 6 of 14
®AC0IJTEST.
FA24644

Section 4
Misc Forms
`
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
Ism 7 c)f 14
ACCUTEST.
FA24644 •••<"•"•'""

Accutest Laboratories Southeast � r
El® ' Chain of .Custodyy A�-°�AG��oF
® CCUTE�aT. s clandRoad, Suirc2 ort his n
LAB OR AT o R r e o TEL, 407-4 5-670D • FAX: [phone]
K�artutest,Cpm
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❑ 2 Day EMERGENCY
C] 1 Dey EMERGENCY
❑ OTHER
Emwganq of Ri h TtA Dale AvaJW* VVA Emall ar L&NT%
❑ COMMERCIAL W (RESULTS ONLY)
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Date Time: Re cl By:
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Received By:
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Lab Use Ord : Cusi Seal in Pla>e: Y N TmpeBIanK P(Nded: Y N Preserved where Apphcable: ` Y N Total # Ot Coders: Coo♦7r Temperature (S) C-CWIUS:
FA24644: Chain of Custody
Page 1 of 3
OR 8of14
N.4C0LJTESTe
FA24644 `•"`•••,`>"„"

ACCUTEST LABORATORIES SAMPLE RECEIPT CONFUZMATION
ACCUTEs1'S JOB NUMBER: YS 2 �_� _ _ C11ENT:at kr PRO. ECT: < L _� �n++
DATEITIME RECEIVED: ' Z � J '(!(MMIDDIYY 24:00) NIV UMRER OF COOLERS RECEED 1
METHOD OF DELIVERY:
AIRBILL NUMBERS:
UPS ACCUTEST COURIER DELIVERY OTHER
rq
COOLER INT'ORMATION
CUSTODY SEAL NOT PRESENT OR NOT INTACT
CHAIN OF CUSTODY NOT RECEIVED (COC)
ANALYSIS REQUESTED IS UNCLEAR OR MISSING
SAMPLE DATES OR TIMES UNCLEAR OR MISSING
TEMPERATURE CRITERIA NOT MET
TRIP BLANK INF Rfvf ATTON
TRIP BLANK PROVIDED
TRIP BLANK NOT PROVIDED
TRIP BLANK NOT ON COC
TRIP BLANK INTACT
BLANK NOT INTACT
�JRECEnIEDWATMZ TRIP BLANK
"RECEIVED SOIL TRIP BLANK.
MISC. INF'ORMATYON
NUMBER OF ENCORES ? 25-GRAM 5-CRAM
NUMBER OF 5035 FIELD KITS?
NUMBER OF LAR FILTERED METALS ?
pH PAPER LOTS WIDE
SUMMARY OF COMMENTS:
TEMPERATURE INFORMATION
IR THERM m�_ CORR. FACTOR' -U-Z
OBSERVED TEMPS: O
CORRECTED TEMPS: ? .
SAWLE INFORMATION
INCORRECT NUMBER OF CONTAINERS USED
SAMPLE RECEIVED IMPROPERLY PRESERVED
INSUFFICIENT VOLUME FOR ANALYSIS
DATESITIMES ON COC DO NOT MATCH SAMPLE LABEL
ID'S ON CDC DO NOT MATCH LABEL
VOC VIALS RAVE HE.ADSPACE (MACRO BUBBLES)
BOTI"LES RECEIVED BUT ANALYSIS NOT REQUESTED.
NO BOTTLES RECEIVED POR ANALYSIS REQUESTED
UNCLEAR FILT'ERITiG OR COMPOST ING INSTRUCTIONS
SAMPLE CONTAINER(S) RECEIVED BROIMN
N51135 FIELD KITS NOT RECEIVED R'ITDIN 48 HOURS
BULK VOA SOIL JARS NOT RECEIVED 'A'ITEUN 4S HOURS
SOLIDS JAR NOT RECEIVED
RESIDUAL CIMORIN1 PRESENT LOT*
{APPLICARLE TO EPA 600 SERIES OR NORTH CAROLINA ORGANICS]
NARROW RANGE
OTHER (specify) 405-la0(II O^_
-Z7
TECHN'I CLAN SIGNATUREIDATE IEWERSIGNATUREIDATEA '5 S LT_LS __
NF 10114
receipt confirmation 102PI4.xlS
FA24644: Chain of Custacly
Page 2 of 3
9
DEB 9 of 14
® ACCL_JTE s-F
FA24644 ""�"

�I2n9R1f�APfie 51<INeroOVEAmYONi �
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NIIININYfV��ll^II�I9I�GEIYI���o
&i

Section 5
General Cliem stry
QC Data Sununaries
Includes the following where applicable:
• Method Blank and Blank Spike Summaries
• Duplicate Summaries
• Matrix Spike Summaries
®O 11 of 14
®.Q.CCLJTEST.

METHOD BLANK AND SPIKE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: FA24644
Account: GRINCC - GRI (Geological Resources Inc.)
Project: Sadler's Travel Plaza, 65 Sather Rd, Dunn, NC
MB Spike ESP ESP QC
Analyte Batch ID RL Result Units A —mount Result 4Recov Limits
HEM Oil and Grease GP26058/G1,66548 5.0 ,'r,i-;,� mg/1 40.0 40.6
Solids, Total Suspended GN66513 10 D.
0 mg/l
Associated Samples:
Batch GNS6513: FA24644-1-
Batch GP26088: PA24644-1
(') Outside of QC limits
Page 1
101.5 11 '!'" 76-1144 ;n
Clio 12 of 14
jV ACCU-rEST
FA24644 .... „wI ',11 "

DUPLICATE RESULTS SUMMARY
GENERAL CHEMISTRY
Login NumherT FA24644
Account: GRINCC - GRI {Geological Resources Inc.}
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, 14C
2C Original DUP QC
L-1--
yt0 Botch ID Sample units Result Result RPD Limits
Solids, Total Suspended GN66513-A24644-1 mg/: 600 586 2.4 ` 0-5%
D34 GN66492 7A24644-1 su 6.50 6.46 0.6 0-10%
Associated Samples:
Batch GN66462: 7A24644-1
Batch GN663137 FA24644-1-
(•) outside o`_ 2C 1--'-'nits
?age 1
Ilia 13 of 14
® ACCUTEST.

MATRIX SPIKE RESULTS SUW1ARY
GENERAL CHEMISTRY
Login Number: FA24644
Account: GRINCC - GRI (Geological Resources Inc.)
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
QC original Spike MS QC
Analyte Batch ID Sample Units Result Amount Result kRec Limits
HEM Oil and Grease GP26068/GN66546 FA24488-1 mg/1 5.6 40.0 37.2 79.05'., 79-114k Lh
W
Associated Samples:
Batch GP26089: FA24644-1
(•) outside of QC limits
(N) Matrix Spike Rec. x:tside of QC limits
Page I
®FA 14 of 14
® A.1--cu-FES7:
FA24644

Geological Resources, Inc.
February 27, 2015
Mr. Mike Lawyer
Division of Energy Mineral and Land Resources
Land Quality Section
North Carolina Department of Environment and Natural Resources
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, North Carolina 28301
RE: Sadler's Travel Plaza
Discharge Monitoring Report— December 2014
Harnett County
Cape Fear River Basin
General Permit Number NCGO80000
Certificate of Coverage No: NCG08031 1
Dear Mr. Lawyer:
MAR 6 2015 �
On behalf of Sadler Brothers Oil Company, Inc. (Sadler), please find attached results of ston-nwater outfall
sampling that was conducted on December 6, 2014 for the Sadler's Travel Plaza facility in Dunn, Harnett
County, North Carolina. Water samples were collected from the outfall of the stormwater piping by Sadler
personnel on December 6, 2014 in accordance with the NOV dated July 17, 2014. Water samples were
analyzed for pH, total suspended solids, turbidity and oil and grease. Results indicate that concentrations of
requested method constituents are below the permit levels. The Stonnwater Discharge Outfall Monitoring
Report is included in Appendix A, the Storm water Discharge Outfall Qualitative Monitoring Report is
included in Appendix B, and a complete laboratory analytical report is included as Appendix C.
The next sampling event is scheduled to be conducted between January and June 2015 during a
representative rainfall event. Please do not hesitate to contact me at [phone], if you have any
questions or comments.
Sincerely,
;&k Or _LL_
Rohit Shetty, P.E.
Senior Engineer
cc: Mike Thomas, Sadler Brothers Oil Company, Inc
Division of Water Quality Central Files, DWQ, NCDENR, 1617 Mail Service Center, Raleigh, NC 27699-
1613
file
enclosures
3502 Hayes Road * Monroe, North Carolina 28110
113 West Firetower Road, Suite G * Winterville, North Carolina 28590
Phone t• t t t t•845-4012
REFa l y11"1z11
,1f11 7ti10
•i �.f°1� -�.S: 1111 rYbr:V::

lk , at 'S'Djr-f�S

APPENDIX A
STORMWATER DISCHARGE OUTFALL MONITORING REPORT

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted_ 02/05/2015
CERTIFICATE OF COVERAGE NO. NCG080000
FACILITY NAME Sadler Travel Plaza
COUNTY Harnett County
PERSON COLLECTING SAMPLES Kelleylenkins
LABORATORY Accutest Lab Cert. It _ 573
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR _2014
SAMPLE PERIOD ❑ lan-June ® July -Dec
or ❑ Monthly' jmonthj
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
[]Other
PLEASE REI .Ei03E''R TO SiGN ON THE: REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor c;N per month? _yes _no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
❑ No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
W530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
50 or 100 see permit
Within 6.0 — 9.0
15
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall
No.
Date 1
Sample Collected,
mo/dd/yr
00556
D0530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
15
50 or 100 see permit
6.0 —9.0
SDO
12/06/14
<5.0
<25
6.30
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
5WIJ-250 last revised April 1 I , 2013
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 12/06/2014 (first event sampled)
Total Event Precipitation (inches): 0.5 in.
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Per 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PAR TA AND PART B MONITDRING RESULTS:
• A BENCHMARK EXCEFDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION E.
tIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO [KI
IF YES, HAVE YOU CONTACTED THE DwQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail on orlainal and one copv of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results for at end of monitorina period in
the case of "No Dischorge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleighr North Carolina 27649-if;i7
7OU FOUST SIGN THIS CER'rlFiCATt0lj FOR ANY INFORNIATiON REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel proneriy 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 Df my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the passibility of fines and imprisonment for knowing violations."
(Signature of Permitteey (Date)
Additional copies of this form may be downloaded at: f_Ja_ `,_ _c,'
SLL''1J-250 fast TMscd April 11, 2613
Page 2 o1­2

APPENDIX B
STORMWATER DISCHARGE OUTFALL QUALITATIVE MONITORING REPORT

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on fitting out this form, please visft : t l w v we I cciv- -a
Permit No.:
Facility Nar
County:
Inspector:
Bate of Inspection:
Certificate of Coverage No.. ►/�/�/_/J_/_/_/_/
Time of Inspection: a-_
Total :vent Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
X'11'es ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. N4ost permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event is a storm event that results in an actual discharge from the
permitted site out`all. The previous measurable storm event mast have been at least 72 hours
i prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and Oe permittee
obtains approval frorn the local D1A'Q Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or/q'esign
Page 1 of 2
5"Rf-242, last modified I O/25/2012

1. Outfall Description:
Outfall No. -5, -_ Structure (pipe, ditch, etc.)
Recei-vying Stream:
Describe the industrial activities that occur vgthin the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brm M, blue, etc.) and tint
(light, medium, dark) as descriptors: r Izrr. r-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
«veak chlorine odor, etc.): 1;''?,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0 3 4 5
5. Floating Solids: Choose the number whic' best describes the amount of floating solids in
the stormwater discharge, where I is no solids and 5 is the surface covered NtiIth floating solids:
CD
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is ro solids and 5 is extremely muddy:
? 3 4 5
7. Is there any foam in the stormwater discharge? Yes Eo
S. is there an oil sheen in the stormwater discharge? Yes 'o
9. Is there evidence of erosion or deposition at the outfall? Yes ro
10. OCher Obvious Indicators of Storrnwater Pollution:
Ust and describe
Note: Low clarity, high solids, and/or the presence of foam., oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
Wj-242, Last mndified ? C/25 f201 Z

APPENDIX C
LABORATORY ANALYTICAL REPORT

e-Hardeopy Z.0
Technical Report for
GRI (Geological Resources Inc.)
Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
29412
Accutest Job Number: FA20521
Sampling Date: 12/06/14
Report to:
GRI
wlr@geologicalresourcesinc-com
[e-mail]; jr@
ATTN: William Regenthall
Total number of pages in report: 15
Test results contained within this data package meet the requirements
of the National Emlronmental Laboratory Accreditation Program
and/or state specific certification programs as applicable.
inc.com; nml,
/Norm Farmer
Technical Director
Client Service contact: Muna Mohammed 407-425-6700
Certifications: FL (E83510), LA (03051), KS (E-10327), IA (366). IL (200063), NC (573), NJ (FL002), SC (96038001)
Doll ELAP (L-A-B L2229), CA (2937), TX (T104704404), PA (68-03573). VA (460177),
AK, AR, GA, KY, MA, NV, OK, UT, wA
This report shall not be reproduced, except in its entirety, without the written approval of Accutest Laboratories.
Test results relate only to samples analyzed.
Southeast • 4405 Vineland Road • Suite C-15 - Orlando, FL 32811 • lei: 407-425-6700 • fax: [phone] • http://wwna+.acculest-com
®p 1 t::
Accutest Laboratories is the sole authority for authorizing edits or modifications to this ®ACCUTE
document. Unauthorized modification of this report is strictly prohibited, rh, A-

imm
.4.CCUTEST
LA 80 RAT OR k ES
February 4, 2015
Ms. Joanna Alley
Geological Resources Inc
2301 F. Crown Point EX Dr
Charlotte, NC 28207
RE: Accutest job FA20521 Reissue
Dear Ms. Alley,
The final report for job number FA20521 has been edited to reflect requested corrections.
These edits have been incorporated into the revised report.
The collection date has been revised.
Please feel free to contact us if we can be of further assistance.
Sincerely,
Accutest Laboratories, SE
Florida + 4405 Vineland Road # Suite C-15 *Orlando, FL 32811 + tel; 407 425-6700 + fax: 407 425-M? + htpp:/w%v%%-.accu1e5t.coim
®p 2 [

Sections:
Table of Contents
-1-
Section1: Sample Summary................................................................................................... 4
Section2: Summary of Hits.................................................................................................... 5
Section 3: Sample Results........................................................................................................ 6
3.1: FA20521-1: SDO.......................................................................................................... 7
Section4: Misc. Forms............................................................................................................ 8
4.1: Chain of Custody........................................................................................................... 9
Section 5: General Chemistry - QC Data Summaries.......................................................... 12
5.1: Method Blank and Spike Results Summary.................................................................. 13
5.2: Duplicate Results Summary.......................................................................................... 14
5.3: Matrix Spike Results Summary..................................................................................... 15
Sp 3 c

Accutest Laboratories
Sample Summary
GRI (Geological Resources Inc.)
Job No: FA20521
Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
Project No: 29412
Sample
Collected
Matrix
Client
Number
Date Time By
Received Code Type
Sample ID
FA20521-1 12/06/14 14:30 KJ 12/09/14 AQ Water SDO
®13 4[
®ACCUTE
CA�ALil I.....

Summary of Hits
Job Dumber: FA20521
Account: GRI (Geological Resources Inc.)
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
Collected: 12/06/ 14
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA20521-1 SDO
Page 1 of 1
pH a 6.30 su SM4500H B-11/SW9040C
(a) Field analysis required. Received out of hold time and analyzed by request.
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Report of Analysis
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Report of Analysis Page 1 of I
Client Sample ID. SDO
Lab Sample ID: FA20521-1 Date Sampled: 12/06/14
Matrix: AQ - Water Date Received. 12/09/14
Percent Solids: nla
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
General Chemistry
Analyte
Result
RL Units DF Analyzed
By Method
HEM Oil and Grease
< 5.0
5.0 mg/l 1 12/16/14 0$:00
JA EPA 1664A
Solids, Total Suspended
< 25
25 mg/l 1 12/10/14 14A0
KC SM2540 D-II
PH a
6.30
su 1 12/09/14 14:00
KC SM450011 B-II/SW9040C
(a) Field analysis required.
Received out of
hold time and analyzed by request.
RL = Reporting Limit
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Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
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FA20521: Chain of Custody
Page 1 of 3
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ACCUTEST LABORATORIES SAMPLE RECEIPT CONFIRMATION
ACCUTEST'S JOB NUMBER: A Z0 5Z! CLIEN-T; Spd(CT :bmy f f' — PRO_iECT: YdEr �� �lf �r�
DATE/IIT7E RE[EIYED: 2' DR R K U 0') (MMIDDIYY 24:00) NUMBER OF COOLERS RECEIVED:
METHOD OF DELIVERY: �FE- US ACUTST COURIER DELIVERY OTIER:/I j��ZAIRBILLNUMBERS: _ q
COOLER INFORMATION
CUSTODY SEAL NOT PRESENT OR NOT INTACT
CHAIN OF CUSTODY NOT RECEIVED (COC)
ANALYSIS REQUESTED IS UNCLEAR OR MISSING
SAMPLE DATES OR TIMES UNCLEAR OR MISSING
TEMPERATURE CRITERIA NOT MET
TRIP BLANK INFORMATION
TRIP BLANK PROVIDED
TRIP BLANK NOT PROVIDED
TRIP BLANK NOT ON COC
TRIP BLANK INTACT
TRIP BLANK NOT INTACT
RECEIVED WATER TRIP BLANK
RECEIVED SOIL TRIP BLANK
MISC. INFORMATION
NUMBER OF. ENCORES? 25-CRAM S-GRAM
NUMBER OF 5035 FIELD KITS ?
NUMBER OF LAB FILTERED METALS 7
pH PAPER LOT#s WIDE
SUMMARY OF COMMENTS
TECHNICIAN SIGNATUREIDA
NF 10114
TEMPERATURE INFORMA IO ! f u
TEMPS:
IRTHERM ID f CORR. FACTOR 46 f
OBSERVED TPS: 7
CORRECTED TEMPS;
SAMPLE iNTORMATION
INCORRECT NUMBER OF CONTAINERS USED
SAMPLE RECEIVED IMPROPERLY PRESERVED
INSUFFICIENT VOLUME FOR ANALYSIS
DATESITUKES ON COC DO NOT MATCH SAMPLE LABEL
ID'S ON COC DO NOT MATCH LABEL
VOC VIALS HAVE HEADSPACE (MACRO BUBBLES)
BOTTLES RECEIVED BUT ANALYSIS NOT REQUESTED,
NO BOTTLES RECEIVED FOR ANALYSIS REQUESTED
UNCLEAR FILTERING OR COMPOSITING INSTRUCTIONS
SAMPLE CONTAINER(S) RECEIVED BROKEN
5035 FIELD KITS NOT RECEIVED WITHIN 48 HOURS
BULK VOA SOIL JARS NOT RECEIVED WITHIN 48 HOURS
SOLIDS JAR NOT RECEIVED
"RESIDUAL CHLORINE PRESENT LOT#
{APPLICABLE TO EPA 600 SERIES OR NORTFt CAROLINA ORGANICSi
NARROW RANGE HC42 754 OTTER (specify) 405-23001B
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SIGNATUREIDATE 4 1 1-C? - r
receipt confirmation 102914 As
FA20521: Chain of Custody
Page 2 of 3
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QC Data Summaries
Includes the following where applicable:
• Method Blank and Blank Spike Summaries
• Duplicate Summaries
• Matrix Spike Summaries
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METHOD BLANK AND SPIKE RESULTS SUMN:ARY
GENERAL CHEMISTRY
Login Number: FA20521
Account: GRINCC - GRI (Geological Resources Inc.)
Project: Sadler's Travel Plaza; 65 Sadler Rd, Bunn, NC
ME Spike 35P RSP Oc
Analyte Batch ID RL Resu1L Units Amount Result %Recov Limits
HEM Oil and Grease GP25156/GN64486 5.0 0.0 mg/l 40.00 35.0 87,5 78-114%
Solids, Total Suspended GN64420 10 0.0 mg/1
Associated Samples:
Batch GN64420: FA20521-1
Batch GP2515H: FA20521-1
(-) outside of QC limits
Page 1
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DUPLICATE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: FA2G521
Account: GRINCC - GRI (Geological Resources Inc.)
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
Qc Original DUP QC
Analyte Batch IP Sample Units Result Result RPD Limits
Solids, Total Suspended GN64420 FA20521-1 mg/1 4.0 27.0 148.4(a) 0-54
PH GN64362 FA20521-1 Su 6.20 6.34 0.6 0-104
Associated Samples:
Batch GN64382: FA20521-1
Batch GN64420: FA20521-1
(') Outside of QC limits
(a) RP❑ acceptable due to low duplicate and sample concentrations.
Page 1
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MATRIX SPIKE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: FA20521
Account: GRINCC - GRI (Geological Resources Inc.)
Project: Sadler's Travel Plaza; 65 Sadler Rd, Dunn, NC
QC Original Snike MS QC
Analyte Batch ID Sample Units Result Amount Result %Rec Limits
HEM Gil and Grease GP25158/GN64468 FA20522-1 mg/1 0.0 40.00 32.6 81.0 78-1141
Associated Samples:
Batch GP25156: FA20521-1
(,) Outside of OC limits
(N( Matrix Spike Rec. outside of OC limits
Page 1
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