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NCG100066_MONITORING INFO_20141201
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V '�� � o o d DOC TYPE El HISTORICAL FILE d-MONITORING REPORTS DOC DATE ❑ 30 1 '1') 1 ol-- \_0 I YYYYMMDD r • r i • d Atlantic Engineering & Environmental Solutions RECEIVED 409 Rogers View Court Raieigh, NC 27610 office 919.250.991 B facsimile 919,250.9950 DEC 0 1 2014 MAAONLINE.COM CENTRAL FILES November 20, 2014 DWR SECTION NCDENRIDWQ Attention: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: STORMWATER SAMPLING RESULTS LOUTA MOTOR COMPANY 2647 EAST HIGHWAY 64 LEXINGTON, DAVIDSON COUNTY, NORTH CAROLINA PERMIT NCG100066 MID -ATLANTIC JOB NO. 000R2083.00 To Whom It May Concern: Attached please find the Stormwater Discharge Monitoring Report and analytical report for the sampling conducted at the above -referenced site. A stormwater sample was collected from Outfall 001 on October 15, 2014 and analyzed for total suspended solids (TSS), pH, total recoverable lead, oil and grease and ethylene glycol. The analytical results reported all parameters below their respective benchmark values or within their benchmark range. If you have any questions or need additional information, please contact me at 919-250- 9918 Sincerely, MID -ATLANTIC ASSOCIATES, INC. el.,.,. t' Charles B. Hoffman, P.G. Project Geologist Attachments: Stormwater Discharge Monitoring Report Laboratory Analytical Report EXPERIENCED CUSTOMER FOCUSED INNOVATIVE STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCGIO0066 SAMPLES COLLECTED DURING CALENDAR YEAR: 2014 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME Louia Motor Company _ COUNTY Davidson County PERSON COLLECTING SAMPLE(S) Wendell Louia PHONE NO. (800)927-0564 CERTIFIED LABORATORY(S) Pace Analytical Lab # 12 Lab # PLEASE REMEMBER TO SIGN ON THE REVERSE Part A: Stormwater Benchmarks and Monitoring Results For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year Total Rainfall, inches 00400 00530 - - - - 77023 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic 3 Organics , mg/L Benchmark - - 6.0 — 9.01 100/50z 15 8,000 (Tiers 2 and 3) 0.03 1.0 Outfali 001 10/15/14 0.5 7.9 23.5 <5.0 <10.0 0.0051 ND Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SW U-251, last revised October 25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (T O), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) Signature Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee or Designee) //1 '.; S &-- (Date) Form SWU-251, last revised October 25, 2012 Page 2 of 2 aceAnalytical wvuwpacefabs.com r I October 21, 2014 Darin McClure Mid Atlantic Associates, Inc. RE: Project: Louia Motor Company Pace Project No.: 92221649 Dear Darin McClure: Pace Analytical Services, Inc, 9800 Kincey Ave, Suite 100 Huntersville, NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on October 15, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com Project Manager Enclosures cc: Joanna Crow, Mid Atlantic Associates, Inc. Chuck Hoffman, Mid Alla ntic Associates Beverly Oglesby, Mid Atlantic Associates, Inc. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 12 aceAnalytical www.pacefabs.00m 1 Project: Louia Motor Company Pace Project No.: 92221649 Indiana Certification IDS 7726 Moller Road, Indianapolis, IN 46268 Illinois Certification #: 200074 Indiana Certification #: C-49-06 Kansas Certification #: E-10247 Charlotte Certification IDS 9800 Kincey Ave. Ste 100. Huntersville, NC 28078 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 South Carolina Certification #: 99006001 Asheville Certification IDS 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #; M-NCO30 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS Kentucky UST Certification #: 0042 LouisianalNELAP Certification #: 04076 Ohio VAP Certification #: CL-0065 West Virginia Certification #: 330 Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 West Virginia Certification #: 357 Virg iniaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 VirginiaNELAP Certification #: 460222 a REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc., Pace Analytical Services, Inc, 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Page 2 of 12 aceAnalytrcal —pacelabs.com i Project: Louia Motor Company Pace Project No.: 92221649 Lab ID Sample ID 92221649001 Outfall No. 1 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 2807B (704)875-9092 SAMPLE ANALYTE COUNT Method Analysts Analytes Reported Laboratory EPA 1664B CLW 1 PASI-C EPA 8015 - Alcohol -Glycol DMT 1 PASI-I EPA 6010 JMW 1 PASI-A SM 2540D MLS 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 12 aceAnalytical " wwwpacetobs,cor" ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Louia Motor Company Pace Project No.: 92221649 Sample: Outfall No. 1 Lab ID: 92221649001 Collected: 10/15114 00:00 Received: 10/15/14 18:05 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual 1664 SGT HEM, TPH Analytical Method: EPA 16645 Total Petroleum Hydrocarbons ND mglL 5.0 1 10/17/14 08:30 8015M Glycols in water Analytical Method: EPA 8015 - Alcohol -Glycol Ethylene glycol ND mg1L 10.0 1 10/20/14 19:02 107-21-1 6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010 Lead 5.1 uglL 5.0 1 10116/1416:00 10/1711414:25 7439-92-1 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 23.5 mglL 4.2 1 10/17/14 11:11 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/21/2014 06:39 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 12 aceAnalytical www.pacefabs.com I Project: Louia Motor Company Pace Project No.: 92221649 QC Batch: GCSV119214 QC Batch Method: EPA 1664B Associated Lab Samples: 92221649001 METHOD BLANK: 1309069 Associated Lab Samples: 92221649001 Parameter Units Total Petroleum Hydrocarbons mg1L LABORATORY CONTROL SAMPLE: 1309070 Parameter Units Total Petroleum Hydrocarbons mg1L QUALITY CONTROL DATA Analysis Method: EPA 1664B Analysis Description: 1664 SGT-HEM, TPH Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 10/17/14 08:17 Spike LCS LCS Conc. Result % Rec 20 17.1 86 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 % Rec Limits Qualifiers 64-132 Results presented on this page are In the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/21/2014 06:39 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 12 aceAnalyrca!® www.pacelabs.corn i f Project: Louia Motor Company Pace Project No.: 92221649 QC Batch: GCSV113340 QC Batch Method: EPA 8015 -Alcohol-Glycol Associated Lab Samples: 92221649001 METHOD BLANK: 1175528 Associated Lab Samples: Parameter Units Ethylene glycol mglL QUALITY CONTROL, DATA Analysis Method: EPA 8015-Alcohol-Glycol Analysis Description: EPA8015 Modified Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 10.0 10120/14 18:04 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1175529 Spike LCS LC5 % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Ethylene glycol mglL 250 226 90 79-129 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1175530 1175531 MS MSD 60180222001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qua] Ethylene glycol mg1L ND 250 250 219 209 87 84 67-133 5 Results presented on this page are In the units Indicated by the "Units" cotumn except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/21/2014 06:39 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 ace AnaIXical wwwpacelabs.com i QUALITY CONTROL DATA Project: Louia Motor Company Pace Project No.: 92221649 QC Batch: MPRP117141 Analysis Method: EPA6010 QC Batch Method: EPA 3010 Analysis Description: 6010 MET Associated Lab Samples: 92221649001 METHOD BLANK: 1308734 Associated Lab Samples: 92221649001 Parameter Units ug/L Lead Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers NO 5.0 10/17/1413:48 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1308735 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Lead ug/L 500 478 96 80-120 MATRIX SPIKE R MATRIX SPIKE DUPLICATE: 1308736 1308737 MS MSD 92221323005 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Lead uglL NO 500 500 462 473 92 94 75-125 2 Results presented an this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shell not be reproduced, except in Full, Date: 10/21/2014 06:39 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 aceAnalytical" ..pacefabs.com i QUALITY CONTROL DATA Project: Louia Motor Company Pace Project No.: 92221649 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersviile, NC 28078 (704)B75-9092 QC Batch: WET133796 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92221649001 METHOD BLANK: 1309447 Matrix: Water Associated Lab Samples: 92221649001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 10/17/14 11:09 LABORATORY CONTROL SAMPLE: 1309448 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 256 102 90-110 SAMPLE DUPLICATE: 1309449 92221614001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 5A ND SAMPLE DUPLICATE: 1309450 92221690002 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L ND ND Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 1012112014 06:39 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 4 . I aceAnalytical www.pa vlabs. corn i QUALIFIERS Project: Louia Motor Company Pace Project No.: 92221649 DEFINITIONS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL-Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270, The result reported for each analyte is a combined concentration. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TN -The NE LAC Institute. LABORATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte PASI-I Pace Analytical Services - Indianapolis REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/21/2014 06:39 PM without the written consent of Pace Analocat Services, Inc.. Page 9 of 12 aceAwww.nalytrcal pacefabs.cam 4 QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Pace Project No.: Louia Motor Company 92221649 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92221649001 Outfall No. 1 EPA 1664E GCSV119214 92221649001 Outfall No. 1 EPA8015 -Alcohol-Glycol GCSV113340 92221649001 Outfall No. 1 EPA3010 MPRP117141 EPA6010 ICP115454 92221649001 Outfall No. 1 SM 2540D WETl33796 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/21 /2014 06:39 PM without the written consent of Pace Analytical Services, Inc.. Page 10 of 12 �F'aCeArk�lyfir�lSam�r•dition Upon Receipt SCUR flocument Number: _ p F_'(HR-CS-003-rev.15 r r Page I of 2 Issuing Authority: Pace HuntOrsville Qualitv Office Client Name. IVt. Courier: ❑ Fed Ex ❑ UPS❑ IlSPS❑ CtientE Commercial❑ Pace; Other Custody Seal on Cooler/Box Present: ❑ yes scats intact: El yes ❑ no Packing Material: ❑ Bubble vDp ❑ ❑ None ❑ Other Thermometer Used: IR Gun T (4 " Type of lce:(' e7t) Blue None �E]"§amples on ice, cooling rjrocess has begun Temp Correction Factor T1401 No Correction i Corrected Cooler rem ] Date and Ini als of personrson x�amintng / L.tological tissue is Frozen: Yes No NIA .....:" ,I p.:— �. �/ 'C contents: r� t" Temp should be above freezing to 6'C Comments: ��' Chain of Custody Present. Chain of Custody Filled Out: Chain of Custodv Relinauished: Sampler Name & Signature on C:OC: Samples Arrived within Hold Time: Short Hold Time Analysis (<72hr]: Rush Turn Around Time Requested: Sufficient Volume: Correct Containers Used: -Pace Containr. fs Used: Containers Intact: Filtered volume received for Dissolved tests Sample Labels match COG: -Includes dateltirneAD/Analysis Matrix: All containers needing preservation have been checker All containers needing preservation are found to be In compliance with EPA recommendation. CYes ❑No ❑NIA 1. .•❑Yes ❑No ❑NIA 2, _�C)Yes 0No QN/A 3, (;:Yes ❑No ❑NIA 4. -EYes ©No ❑NIA 5. C:iYes--E)Na ❑NIA 6. Q`!es-[DNa ❑NIA 7. _-OYes. ❑No ❑NIA $, C G`ies ❑No ❑NIA CYes ❑No ❑NIA $. ,,E?-i s ❑No ❑NIA 10. QYes ❑No ©NIA 11. C 1'es PNo ❑NIA 12.E 0 <�•:�tt .ter-------- CiYes ❑No OWN 13. C}1Yes ONO ❑NFA � 5 exceptions: VOA, colirorm, TOC, O&G, VA-DRO (water) .I15IY6 ❑No Samples checked for dechlorination: fives E INo 13NfA 14. Headspace in VOA Vials ( >6mm):. • (]Yes- ❑No ' ❑NIA 15. ! -t Trip Blank Present: " 17Yes ❑No—D n 16. Trip Blank Custody Seats Present t7Yes ❑No 9N/IC Pace Trip Blank Lot # (if purchased): Client Notification! Resolution: Field Data Required? Y I N Person Contacted: Datef ime: Comments! Resolution: t SCURF Review:: Date: I 6,1S 'R SRF Review:, Date: Note: Whenever there is a discrepancy affecling North Ca �otina compliance samglos, a copy of this form will be sent to the North Carolina DEHNR Certification Office (i.e out of hold, incorrect preservatK,('-, out of temp, incorrect containers) wvx >ccclo4`J oi92221649.iu Page 11 of 12 �aceAnalj4ical- � wAn.P wraes cote N CHAIN -OF -CUSTODY I Analytical Request Document The Chain -of -Custody i5 a LEGAL DOCUMENT. Am relevant fields must be completed accurately. T m a Section A Section IS Section C Page: or Regulred Cwrt information: Required Project Infomtation: tnwice WormaLon: Company. Mid -Atlantic Associates, Inc. Report To: Chuck Hoffman (choffman@msaoniine.com) Ah<^ooft Chuck Hoffman Address: 409 Rogers View Court copy To: ,Joanna Crow ocrow@maaonline.com) Compam Name: Mid -Atlantic Associates. inc. REGULATORY AGENCY Raleigh, NC 27510 ddfess: 409 Rogers View Court, Raleigh, NC t— NPOES i GROUND WATER i— DRINKING WATER l— UST l— RCRA I- OTHER Emil Td; Choffman@rnaaonline.com Purehese order No.: R2083.00 Pow QWN* -- Reference: Phony 919-250-9918 F- 919-250-9950 Proles Name: Louia Motor Company Pce ProI,,1 Kevin Herring Site Location Manager. STATE: NC Requested Due DatertAT: standard Proiect Number. R2083.00 Pace Prorfe fr. F n - 7 + Requested Analysis Filtered (YIN) Section D Valid Matrix Codex e ei ..► z I ReriutnW gene Information MA. _C29 s COLLECTED Preservatives P N Y N Y MIN" p WATER OW V S O WATER WT WASTEWATER WW b U E oompos" h� U d _ Zy PRddUCT P `ceisow $ it andd START ENbnSRAS W PE OL SAMPLE ID NU (� 0 ~ M 0-• 0QD C° _ G o m C AR AR (A-T. 0-9I.-1 ornER or LpU w q W Z a m ~ N O N O L Sample IDS MUST Be UNIQUE TMSVE TS p 4 w �0N H o r Imo (? N �� g X a U .wi m O nO lul= r9 Ri m~ H N Dart TIME oATp TIME C H u C D 2 Z 2 = IE z to z M L O Q .y (� tl � L ui g) ( Q1 Pate Project NoJ Lab I.D. T Outfall No. i WT c 7 4 11 2 x x x x Rainfall (inches): o s 2 H: -7. Gi 3 4 5 6 7 8 9 10 11 12 ADDmONAL COMMENTS REUNQUtSHED BY/ AFRUATION DATE TIME ACCEPTED BY r AFF1LLATION DATE TIME SAMPLE CONDITIONS SAMPLER NAME AND SIGNATURE v dr z ter y iz PRINT Name of SAMPLER: Lf�„% � `� � � � m � SIGNATURE of SAMPLER; DATE Sfgnad � � . )4-- 1 (MIWDD r -lmponant Note; eysigwng this fmm you am emepuN Paw's NET 30 daypaymcd terms and agreeing to fate charges of 1.5% per mom fer 1 races r-a paid within ao days. P-ALL-0-020rev.08, 12-Oct-2007 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCGIO0066 SAMPLES COLLECTED DURING CALENDAR YEAR: 2014 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME Louia Motor Company PERSON COLLECTING SAMPLE(S) Wendell Louia CERTIFIED LABORATORY(S) Pace Analytical Lab # 12 Lab # Part A: Stormwater Benchmarks and Monitoring Results COUNTY Davidson County PHONE NO. (800) 927-0564 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year Total Rainfall, inches 00400 00530 ---- 77023 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic Organics3, mg/L Benchmark - - 6.0 — 9.01 100/50z 15 8,000 (Tiers 2 and 3) 0.03 1.0 Outfall001 04/07/14 1.25 7.9 122 <5.0 <10.0 <0.005 ND LEI I Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, lost revised October25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent " management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the Stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) Signature Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Date "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee or Designee) (Date) Form SWU-251, lost revised October25, 2012 Page 2 of 2 F aceAnalytical www. pacelabs.wrn April 15, 2014 Darin McClure Mid Atlantic Associates, Inc. RE: Project: LOUTA MOTOR COMPANY Pace Project No.: 92196485 Dear Darin McClure: Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on April 08, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. if you have any questions concerning this report, please feet free to contact me. Sincerely, Y Jon D Bradley jon.bradley@pacelabs.com Project Manager Enclosures cc: Joanna Crow, Mid Atlantic Associates, Inc. Chuck Hoffman, Mid Atlantic Associates Beverly Oglesby, Mid Atlantic Associates, Inc. REPORT OF LABORATORY ANALYSIS TNI .geOR This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 12 J aceAnalytrcal www.pacerabs.cam i Project: LOU IA MOTOR COMPANY Pace Project No.: 92196485 Indiana Certification IDs 7726 Moller Road, Indianapolis, IN 46268 Illinois Certification #: 200074 Indiana Certification #: C-49-06 Kansas Certification #: E-10247 Kentucky UST Certification #: 0042 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 26078 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 South Carolina Certification #: 99006001 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 HuntersvMe, NC 28078 (704)875-9092 Asheville Certification IDs 2225 Riverside Dr., Asheville, NC 28804 Florida[NELAP Certification #: E87648 Massachusetts Certification M M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS LouiSlanaINELAP Certification #: 04076 Ohio VAP Certification #: CL-0065 Pennsylvania Certification #: 68-04991 West Virginia Certification #: 330 FloridalNELAP Certification #: E87627 Kentucky UST Certification #: 84 West Virginia Certification #: 357 VirginialVELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 Virginia/VELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not he reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 12 abeAnalyiical www.pacelabs.com I SAMPLE ANALYTE COUNT Project: LOU TAMOTOR COMPANY Pace Project No.: 92196485 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92196485001 OUTFALL NO. 1 EPA 1564B CLW 1 PASI-C EPA 8015 - Alcohol -Glycol CEM 1 PASI-I EPA200.7 JMt/V 1 PASI-A SM 2540D JTJ t PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 12 56ce Analytical wwwpaCerahs.raom I ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 Project: LOUTA MOTOR COMPANY Pace Project No.: 92196485 Sample: DUTFALL NO. 1 LabID: 92196485001 Collected: 04/07/14 07A5 Received: 04/08/14 15:45 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg1L 5.0 1 04/10/14 09:00 8015M Glycols to water Analytical Method: EPA8015 -Alcohol-Glycol Ethylene glycol ND mg1L 10.0 1 04111/14 14:16 107-21-1 200.7 MET ICP Analytical Method: EPA 2007 Preparation Method: EPA 200.7 Lead ND ug1L 5.0 1 04/09/14 13:30 04/10114 20:40 7439-92-1 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 122 mg1L 12.5 1 04/14/14 12:01 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/15/2014 04:05 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 12 aceAnalyfrcal www.pacefa6s.00m r QUALITY CONTROL DATA Project: LOUTA MOTOR COMPANY Pace Project No.: 92196485 QC Batch: GCSV117201 Analysis Method: EPA 1664B QC Batch Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92196485001 METHOD BLANK: 1174927 Associated Lab Samples: 92196485001 Parameter Units Oil and Grease mg1L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 04/10/14 08:58 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1174928 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L 40 39.5 99 78-114 MATRIX SPIKE SAMPLE: 1174929 92196555001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L ND 40 36.4 90 78-114 Date: 04/15/2014 04:05 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc,. Page 6 of 12 y aceARalyfical www.pacefahs.com i Project: LOU IA MOTOR COMPANY Pace Project No.: 92196485 QC Batch: GCSV112335 QC Batch Method: EPA 8015 - Alcohol -Glycol Associated Lab Samples: 92196485001 METHOD BLANK: 1076926 Associated Lab Samples: Parameter Units Ethylene glycol mg1L LABORATORY CONTROL SAMPLE: 1076927 Parameter Units Ethylene glycol mg1L Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Analysis Method: EPA 8015 - Alcohol -Glycol Analysis Description: EPA 8015 Modified Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 10.0 04/11/14 13:13 Spike LCS LCS % Rec Cone. Result % Rec Limits Qualifiers 250 222 89 79-129 MATRIX SPIKE R MATRIX SPIKE DUPLICATE: 1076928 1076929 MS MSD 60166266001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qua[ Ethylene glycol mg/L ND 250 250 242 227 97 91 67-133 6 Date: 04/1512014 04:05 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 ace Analytical .pacelabs.com i QUALITY CONTROL DATA Project: LOUTA MOTOR COMPANY Pace Project No.: 92196485 QC Batch: MPRPI15631 Analysis Method: EPA 200.7 QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET Associated Lab Samples: 92196486001 METHOD BLANK: 1174436 Associated Lab Samples: 92196485001 Parameter Units Lead ug1L LABORATORY CONTROL SAMPLE: 1174437 Parameter Units Lead ug1L Pace Analytical Services, Inc. 9B00 Kincey Ave. Suite 100 Huntersville, NC 26078 (704)875-9092 Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 04/10/14 19:57 Spike LCS LCS % Rec Cone. Result % Rec Limits Qualifiers 500 459 92 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 117443E 1174439 MS MSD 92196187001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Quat Lead ug1L 0.0075 500 500 470 469 92 92 70-130 0 mglL MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1174440 1174441 MS MSD 92196186001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Lead ug1L NO 500 500 465 458 93 92 70-130 2 Date: 04/15/2014 04:05 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc„ Page 7 of 12 aceAnalytical w+vw.pacelabs.com i Pace Analytical Services, Inc. 9800 Kincey Ave, Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: LOUTA MOTOR COMPANY Pace Project No.: 92196485 QC Batch: WET130505 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92196485001 METHOD BLANK: 1177639 Associated Lab Samples: 92196485001 Parameter Units Total Suspended Solids mg1L LABORATORY CONTROL SAMPLE: 1177640 Parameter Units Total Suspended Solids mg1L SAMPLE DUPLICATE: 1177641 Parameter Units Total Suspended Solids mg1L SAMPLE DUPLICATE: 1177642 Parameter Units Total Suspended Solids mg1L Date: 04/15/2014 04:05 PM Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 04/14/1411:56 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 250 256 102 80-120 92196289001 Dup Result Result RPD Qualifiers 18.2 21.0 14 D5 92196382003 Dup Result Result RPD Qualifiers ND 5.2 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 aceAnalytical WW..pm1abs.c= 1 QUALIFIERS Project: LOU IA MOTOR COMPANY Pace Project No.: 92196485 DEFINITIONS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersvitte, NC 28078 (704)875-9092 DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PRL - Pace Reporting Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270, The result reported for each analyte is a combined concentration. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TN1 accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte PASI-I Pace Analytical Services - Indianapolis ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/15/2014 04:05 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 aceAnalytical www pacelabs.corn QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)a75.9092 Project: Pace Project No.: LOWA MOTOR COMPANY 92196485 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92196485001 OUTFALL NO. 1 EPA 1664E GCSVl17201 92196485001 OUTFALL NO. 1 EPA 8015 - Alcohol -Glycol GCSV112335 92196485001 OUTFALL NO. 1 EPA200.7 MPRP/15631 EPA200.7 ICP/14165 92196485001 OUTFALL NO. 1 SM 2540❑ WET/30505 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/15/2014 04:05 PM without the written consent of Pace Analytical Services, Inc.. Page 10 of 12 Document Name: Document Revised: April 07. 2014 acerlalyt£ca1- Sample Condition Upon Receipt SCUR Pa e 1 of 2 Document Number: Issuing Authority: ..,_- 1 F-CHR-CS-003-rev.14 Pace Huntersville Quality Office_ __Chant Nama• I`n (f�>l i �l- - � Courier: ❑ Fed Ex ❑ UPS❑ USPS❑ Client[] Commercial Pace Other 0 flgEl tl WN CustodySeal on Cooler/Box Present: ❑ yes � no Seals intact: ❑ yes ❑ no P `jFr� 110911 Packing Material: ❑ Bubble Wrap ] Bubble Bags ❑ None ❑ Other Thermometer Used: IR Gun T1102 140 Type of Ice: of Blue None Samples on ice, cooling process has begun Temo Correction tractor T1102: Nn Correction T93n4• Nn Cnrrprfinn Corrected Cooler Temp. _4.� •C Biological Tissue is Frozen: Yes No Date and Init'als of person examiningcontents: Temp should be above freezing to VC Comments: Chain of Custody Present: 4lyes ❑No 11 NIA 1. Chain of Custody Filled Out: Yes ❑No ❑NIA 2. Chain of Custody Relinquished: Yes ❑No ❑NIA 3, Sampler Name & Signature on COC: efYes ❑No El NIA 4. Samples Arrived within Hold Time: Yes ❑No ❑NrA 5, Short Hold Time Analysis <72hr): ❑Yes 9f4o El N/A 6. Rush Turn Around Time Requested: ❑Yes dNo ❑NIA 7. Sufficient Volume: 2es ❑No ❑NIA 8. Correct Containers Used: dyes ❑No ❑NIA g. -Pace Containers Used: CO es ❑No CINIA Containers Intact: P�es ❑No ❑NIA 10. Filtered volume received for Dissolved tests ❑Yes ❑No O'NIA 11. Sample Labels match COC: I:ires 4No ❑NIA -Includes dateltime/1D/Analysis Matrix: All containers needing preservation have been checked. ❑Yes ❑No ❑NIA 13, All containers needing preservation are found to be in ❑Yes ❑No ❑NIA compliance with EPA recommendation. exceptions: VOA, conform, TOC, 0&G, WI -SRO (water) ❑Yes ❑No Samples checked for dechlorination: ❑Yes ❑No ❑NIA 14. Headspace in VOA Vials ( >6mm): ❑ves ❑No ❑NIA 15. Trip Blank Present: ❑Yes ❑No ❑NIA 16. Trip Blank Custody Seals Present ❑Yes ❑No ❑NIA Pace Trip Blank Lot # (if purchased): Client Notification/ Resolution: Field Data Required? Y 1 N Person Contacted: Date/Time: Comments/ Resolution: SCURF Review: `ffi Date: t °1'^n hhel "." SRF Review: van Date: I Y I sil ((,I I WO# : 92196485 Note: Whenever there is a discrepancy affecting Forth Caro a, compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office ( I.e out of hold, Incorrect preservative, out of temp, incorrect containers) 92196485 Page 11 of 12 Iq `17aceAna&lical " Section A Required Cliert Infomtatiam CHAIN -OF -CUSTODY I Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be Completed accurately. Section B Section C Required Project Infomation: Invoice Information Company Mid -Atlantic Associates, Inc. Rep- To. Chuck Hoffman (choffman@rnaaonline.com) Atlention: Chuck Hoffman Address: 409 Rogers View Court Copy To: Joanna Crow Ocrow@maaonline.com) Company Name: Mid -Atlantic Associates, inc. REGULATORY AGENCY Raleigh, NC 27610 Address: 409 Rogers View Court, Raleigh, NC NppEg j' GROUND WATER r— DRrEING WATER f- UST I RCRA r OT Email To: choffman maaontine.com Purchase Order No.' R2083.00 Pace Quote Reference: Phone: 919-250-9918 Fax: 919-250-9950 Project Name: Louia Motor Company Pace P,`0*1 Kevin Herring Site Loc_ atioa Manager. NC Requested Due DaterrAT: standard Project Nurnoer, R2083.00 Pau Profile a,- . Requested'Anafysis:Filtered.()lNj ai.a-. Section D Valid Matrix Codes m a z Required Client iArormation MATRIX caoE o COLLECTED Preservatives .> N Y 1V Y DeWq WATER OW 1. U WATER NIT V O N WASTEWATER VW PRODUCT P Q COMPOSnE START COMPOSITE E101CRAB F" .C1 @ SDILISOUD SL OIL a SAMPLE ID AIR�E AR u a 0: 0 p - _ Q tp '� a O } � I �� (A-Z, 0.91,) OTHER aT Lu 0 W a Z a F I',art �O ?. L Sample IDS MUST SE UNIQUE TISSUE TS p a >- < m th _ m U U w Z Ov h o m p F a i m O T ui L : to w � w a q 1 O _ U O� m '� 'Q rn F to DATE TIME DATE TIME N _ = 2 Z Z O a:i► co F- 4L. W ,! Of Pace Proi ct No./ Lab I.D. Outfalt No. 1 WTI G 1 7 a 1 1 1 2 :=p x x I x x I I I I I I I Rainf.fl irs es): 9 e2 ' H: 4 - 5 9 ADpf7liAL COMMENTS QUISHED BY y AFflLWTIO DATE TIME _ D =DATE ME•O; SAMPLE C NDfTION$ SAMPLER'NAIYE'AND SIGNATURE, _ o ry a PRINT Name or SAMPLER: r7 n LA'a V o c SIGNATURE of SAMPLER: DATE Signed W r✓ s in (MM1DDrYY)- ! / cs -[moenant Not.: By signing ;his farm yae are accepting Pace's NET 3C Cay payment terms and agreeing td We cearyes of 1,5% per memh far any invoices not oald within 3C drys. F-ALL-0-020rev.08, 12- ct-2007