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NCG100066_MONITORING INFO_20180530
STORMWATER DIVISION CODING SHEET- RESCISSIONS PERMIT NO. DOC TYPE �j�/� I bob I / ❑COMPLETE FILE -HISTORICAL DATE OF RESCISSION ❑ CAI OI & US-5 Q YYYYMMDD Mid Atlantic Engineering & Environmental Solutions May 21, 2018 NCDEQIDWR Attention: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: STORMWATER SAMPLING RESULTS LOUTA MOTOR COMPANY 2647 EAST HIGHWAY 64 MAY 3 0 2018 rRAL p1 �'5 W R SEC r, a ON LEXINGTON, DAVIDSON COUNTY, NORTH CAROLINA PERMIT NCGl00066 MID -ATLANTIC JOB NO. 00OR2083.00 To Whom It May Concern: 409 Rogers View Court Raleigh, NC 27610 office 919.250.99I S facsimile 919.250.9950 MAAONLINE.COM Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for the sampling conducted at the above -referenced site. A stormwater sample was collected from Outfall 001 on April 15, 2018 and analyzed for total suspended solids (TSS), pH, total recoverable lead, oil and grease and ethylene glycol. As indicated on the attached DMR, all parameters were reported below their respective benchmark values or within their benchmark range, with the exception of TSS. Based on the results of this sampling event, a Tier One Response has been implemented at the facility. If you have any questions or need additional information, please contact me at 919-250-9918 Sincerely, MID -ATLANTIC ASSOCIATES, INC. Ron Davis Stormwater Services Manager Attachments: Stormwater Discharge Monitoring Report Laboratory Analytical Report EXPERIENCED CUSTOMER FOCUSED INNOVATIVE STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100066 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 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018 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 — 9.01 100/502 15 $,000 (Tiers 2 and 3) 0.03 1.0 Outfall001 04/15/18 0.40 7.1 200 <5.0 <5.0 0.0175 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 SWII-251, lost revisedOctober25, 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), certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) Signature Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 MailServiceCenter Raleigh, North Carolina27699-1617 Date "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee or Designee) (Date) Form SWU-251, last revised October25, 2012 Page 2 of 2 acre MalXical. www.pacsfabs.com Pace Analytical Services, LLC 9800 Kinsey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 April 25, 2018 Chuck Hoffman Mid -Atlantic Associates, Inc 409 Rogers View Court Raleigh, NC 27610 RE: Project: Louia Motor Company Pace Project No.: 92381204 Dear Chuck Hoffman: Enclosed are the analytical results for sample(s) received by the laboratory on April 17, 2018. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Ron Davis, Mid Atlantic Associatees, Inc. 14CCi� q&ORA�p REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 13 �acieAnalyficale wi w.pecelebs,com Pace Analytical Services, LLC 9800 KinceyAve, Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Louie Motor Company Pace Project No.: 92381204 Indiana Certification IDs 7726 Moller Road, Indianapolis, IN 46268 Illinois Certification #: 200074 Indiana Certification M C-49-06 Kansas/NELAP Certification #:E-10177 Kentucky UST Certification #: 80226 Kentucky WW Certification M98019 CERTIFICATIONS Ohio VAP Certification #: CL-0065 Oklahoma Certification #: 2017-124 Texas Certification M T104704355-18-12 West Virginia Certification #: 330 Wisconsin Certification #: 999788130 USDA Soil Permit #: P330-16-00257 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 South Carolina Certification #: 99006001 Louisiana/NELAP Certification # LA170028 Florida/NELAP Certification #: E87627 North Carolina Drinking Water Certification M 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification #: 5342 Virginia/VELAP Certification M 460221 North Carolina Wastewater Certification #: 12 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification M 40 Florida/NELAP Certification M E87648 South Carolina Certification #: 99030001 Massachusetts Certification #: M-NC030 Virginia/VELAP Certification #: 460222 North Carolina Drinking Water Certification #: 37712 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 13 aceAnalytical. wwwupecekbs.aom Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 SAMPLE ANALYTE COUNT Project: Louia Motor Company Pace Project No.: 92381204 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92381204001 Outfall No. 1 EPA 16646 JMS 1 PASI-C EPA 8015 Alcohol -Glycol RID 1 PASI-I EPA6010 SH1 1 PASI-A SM 2540D EJJ 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in futl, without the written consent of Pace Analytical Services, LLC. Page 3 of 13 ace Analytical www.pacetaba=n Pace Analytical Services, LLC 9800 Kinsey Ave. Suite 100 Huntersviile, NC 28078 (704)875-9092 ANALYTICAL RESULTS Project: Loula Motor Company Pace Project No.: 92381204 Sample: Outfall No. 1 Lab ID: 92381204001 Collected: 04/15/18 04:48 Received: 04/17118 11:44 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 1664 SGT-HEM, TPH Analytical Method: EPA 1664B Total Petroleum Hydrocarbons ND mg1L 5.0 1 04/25/18 05:20 8015M Glycols in water Analytical Method: EPA 8015 Alcohol -Glycol Ethylene glycol ND mg/L 5.0 1 04/23/18 16:02 107-21-1 6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010A Lead 17.5 ug/L 5.0 1 04/20/18 04:10 04/20/18 15:19 7439-92-1 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 200 mg1L 25.0 1 04/18/18 17:53 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/25/2018 03:51 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 13 acmnalytical. wwwpecabbs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Louia Motor Company Pace Project No.: 92381204 QC Batch: 407775 Analysis Method: EPA 1664B QC Batch Method: EPA 1664B Analysis Description: 1664 SGT-HEM, TPH Associated Lab Samples: 92381204001 METHOD BLANK: 2262543 Matrix: Water Associated Lab Samples: 92381204001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Petroleum Hydrocarbons mg/t_ ND 5.0 04/25/18 05:06 LABORATORY CONTROL SAMPLE: 2262544 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mg/L 19.2 19.5 102 64-132 MATRIX SPIKE SAMPLE: 2262545 35387367001 Spike MS MS % Rec Parameter Units Result Cone. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mg1L 5.OU 19.2 19.4 101 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: 04/25/2018 03:51 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 13 aceAnalytical . www.paoelahawm Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Louia Motor Company Pace Project No.: 92381204 QC Batch: 438205 Analysis Method: EPA 8015 Alcohol -Glycol QC Batch Method: EPA 8015 Alcohol -Glycol Analysis Description: EPA 8015 Modified Associated Lab Samples: 92381204001 METHOD BLANK: 2024704 Associated Lab Samples: 92381204001 Parameter Units Ethylene glycol mg1L LABORATORY CONTROL SAMPLE: 2024705 Parameter Units Ethylene glycol mg/L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 04123/1814:09 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 25 29.3 117 55-144 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2026734 2026735 MS MSD 50194690001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Ethylene glycol mg/L ND 25 25 21.9 24.7 87 99 38-154 12 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: 04/25/2018 03:51 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 13 aceAnalytical wrrw.pacelabs.am Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Louia Motor Company Pace Project No.: 92381204 QC Batch: 407072 Analysis Method: EPA 6010 QC Batch Method: EPA 3010A Analysis Description: 6010 MET Associated Lab Samples: 92381204001 METHOD BLANK: 2258817 Matrix: Water Associated Lab Samples: 92381204001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Lead ug/L ND 5.0 04/20/1814:01 LABORATORY CONTROL SAMPLE: 2258818 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Lead ug/L 500 474 95 80-120 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2258819 2258820 MS MSD 92381032001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Lead ug/L ND 500 500 444 433 89 87 75-125 3 Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 04/25/2018 03:51 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 13 aceAnalytrcal wwwpacelab&com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Louia Motor Company Pace Project No.: 92381204 QC Batch: 406839 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92381204001 METHOD BLANK: 2257310 Matrix: Water Associated Lab Samples: 92381204001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 04/18/18 17:47 LABORATORY CONTROL SAMPLE: 2257311 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 252 101 90-110 SAMPLE DUPLICATE: 2257312 92381003004 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L ND 5.2 SAMPLE DUPLICATE: 2257313 92380942001 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: 04/25/2018 03:51 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 13 Pace Analytical Services, LLC • aceAnalytical 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 P s•c= (704)875-9092 QUALIFIERS Project: Louia Motor Company Pace Project No.: 92381204 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. TNTC - Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. POL - Practical Quantitation Limit. RL- Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyi ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte PASI-1 Pace Analytical Services - Indianapolis REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/25/2018 03:51 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 13 • aceAnalytical www.pacelabs.00rn Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL. DATA CROSS REFERENCE TABLE Project: Louia Motor Company Pace Project No.: 92381204 Lab ID 92381204001 92381204001 92381204001 92381204001 Sample ID QC Batch Method Outfall No. 1 EPA 1664E Outfall No. 1 EPA 8015 Alcohol -Glycol Outfall No. 1 EPA 3010A Outfall No. 1 SM 2540D Date: 04/25/2018 03:51 PM Analytical QC Batch Analytical Method Batch 407775 438205 407072 EPA 6010 407154 406839 REPORT OF LABORATORY ANALYSIS This report shafl not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 10 of 13 w aceAnalytica! Document Name: Sample Condition Upon Recel t(SCUR) Document Revised: February 7, 2018 Page 1 of 2 Document No.. F-CAR-CS-033-Rev.06 Issuing Authority: Pace Carolinas Quality Office Laboratory receiving samples: Asheville ❑ Eden[] Greenwood ❑ Huntersville ET' Raleigh❑ Mechanicsville❑ tiiertt Name: W®' : 9238 1 2®4 .. %�`� r •r�. 1� � %C.(- n � r � Project sl: l Il�ll l l lli�ll i�l� Ali Courier: Fed Ex ❑UPS LISPS -❑Client ❑ Commercial OPace ' ❑ether: t 92381204 Custody Seal Present? ❑Yes 51JO Seals intact? Des QN Date/Inittels Person Examining Contents: Packing Material: ❑Bubble Wrap ubble Bags ❑None ❑ Other Thermometer- Gun ID:f 92TO36 Type of Ice: [wet ❑Bice ❑None Cooler Temp ('C): I _ Cgrrection factor: Add/subtract ('C) +0, j Cooler Temp Corrected ('.- USDA Regulated $0. (8<1A, water sample) Did samples originate in •a quarantine zone within the United States: CA, NY, or SC {check maps)? MYes FIN`o Biological Tissue Frozen? ❑Yes [:]No QN/A Temp should be above freezing to VC ❑Samples out of temp criteria. Samples on ice, cooling process has begun Old samples originate from a foreign source linternatlonally, includlna Hawaii and Puerto Rico)? rYes nIio Comments/Discrepancy: Chain of Custody Present? es-Ellya ❑N/A 1. Samples Arrived within Hold Time? QY s Na N/A 2. Short Hold Time Analysis (c72 hr.)? ❑Yes o N/A 3. Rush Turn Around Time Requested? ❑Yes b []N/A 4. Sufficient Volume? e3fes ONO ONJA 5. Correct Containers Used? Pace Containers Use I4s es ONO h Lo ❑N/A ON/A 6, Containers IntaW Yes ONO ONJA 7. Dissolved analysis: Samples Field Filtered? ❑Y ONO 03f r1A 8. Sample Labels Match COC? -Includes Date/Time/ID/Analysis Matrix: es W ON. ❑N/A 9. Headspace in VOA Vials >5-6mrn)? ❑Yes ❑No N/A 10. Trip Blank Present? Trip Blank Custody Seals Present? Oyes QYes Ono ONO /A l/A 11. COMMENTS/SAMPLE DISCREPANCY Field Data Required? []Yes ONO Lot ID of split containers: CLIENT NOTIFICATION/RESOLUTION Person contacted: Project Manager SCURF Review: ! V A Project Manager SRF Review: Aw- Date/Time: Date: (/ CI Date: (A � �s ( b Page 11 of 13 3 m a e 3 rr M 0 0 A A] 0 LO m 3 n b N n A A K L x C a 3 A 'Q w = �n a e m � N � a r► ro M � 2 rr m 0 0 IIO n c O ^s CL fG fD 9 M b a Q n t,A c' 10 m 97 0 C b a R � n 9 q n A e m c n a N d Itemtf BP4U-125 mL Plastic Unpreserved (N/A) (Ck) UP311-250 mL Plastic Unpreserved IN/A) SP21LIL-500 mL Plastic Unpreserved (N/A) BP1U-1 liter Plastic Unpreserved (N/A) BP4S-125 mL Plastic N2504 1pH c 2) (Cl-) BP3N-250 mL plastic HNO3 (pH c 2) BP4Z-125 mL Plastic ZN Acetate & NaOH (>9) BP4C-125 mL Plastic HaOH (pH > 12) (Cl-) WGFU-wide-mouthed Glass Jar Unpreserved AG1U-1 liter Amber Unpreserved (N/A) (0-) AG1H-1 liter Amber HCI (PH < 2) AG3U-250 mL Amber Unpreserved (N/A) (CI-) AGSS-1 liter Amber H2504 (pH c 2) AG35-250 mL Amber H2SO4 (PH c 2) AGM(OGMA -2W mLAmber NH4Cl IN/A)(O-) DG9H•40 mL VOA HCl (N/A) VG9i-40 mLVOA Na2S203(N/A) VG9U-40 mL VDA Unp (N)A) OG9P-40 mL VOA H3PO4 (N/A) VOAK (6 vialss per kit)-5035 kit (N/A) V/GK 13 vials per kit)-VPH/Gas kit (NIA) SPST-125 ml Sterile Plastic (N/A - lab) SPZT-250 rnL Sterile Plastic (N/A - lab) BP3A•250 mL Plastic INH2)2504 (9.3.9.7) AGOU-100 mL Amber Unpreserved vials (N/A) VSGU-20 mLScintillation vials (N/A) DOU-40 ml Amber Unpreserved vials (N/A) i T y { • ♦ geb w m n O b : fC d y 0 CL 03 D T. ft o 0 Z6 ? 13 0 X Z- y �' � w O W 0� N O n Cr n X N G CIn 7 3 V '� 2 0 m 0 � O d 0 A W T O m O Cr 4 a o b � v iu 0 m '* O 3 x � � 0 fD r'r 1-! all i H t7 bC a W GO � O � � A _ N W (4 r \ Op Nuly4icaj CHAIN -OF -CUSTODY I Analyticalq Request Document .Fxe r The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section A Section B Section C Required Client Information: Required Project Information: Invoice Information: Page : 1 Of 1 Company: Mid Atlantic Associates, Inc. Report To: Chuck Hoffman Ailenliwn Addresr. 409 Ropers View Coun Copy To: Company Name: Raleigh, NC 27610 Address: Re utato A enc Email; Purchase Order A: Pace Quote: Phone: JFax Project Name; Louia Motor Company Pace Project Manager: nirale.gasiorow5ki P3. erabs.com, Stale ! Location Requested Due Date: Projeci M Pace Profile p: 5921 NC Requested Anal sis Filtered YIN w a ,Z MATRIX CcoE — 0 COLLECTED z Preservatives } o,l,u swm, ow V a Wa,, WT ~ W]41e W]InWw Prod.1 P SAMPLE ID �ro b 4 V �_ START END � ClN _ w_ > One Character per box, W. WP w a n z M N $ 6 lA-2, 0-9 1, .} of All OS 0O i w m Sample Ids must fx unique rs:� Ts To V H w H w o n v O F © 5 UJI x n a O n p T In L a v ; o l ~ DATE TIME DATEJTI1Eh r 7 2 x S Z 2 Q w ran a �!J' 74 1. Outfall No. 1 4YT 7 x X X X J"T 2 Opt 3 4 5 6 7 9 10 11 12 - AODITTONAL COMMENTS - - ki-INOUiSHED BY f AIFFYATION DATE, -TIME ACCEPT QBYrAFFUJATIDN --DATE SAMPLE CONDITIONS /TIME/ sc- SAMPLER NAME AND SIGNATURE ' ' -„ c e o m �, n _ PRINT Name of SAMPLER: m N Ct a 'o z o} m m y oz m V t a .z N SIGNATURE of SAMPLER; DATE Signed: w� r f 111 G�� V � ��9 RogC "ViSrry COLrt p� pRa.c.o, NC 77610 Hod Atlantic {� efface 919 M.9918 Engineering 8 Environmental Solutions p�l. 2017 fitsirrile 919 250 9950 MAAONLINE.COM u\NR S'ECT10N December 12, 2017 NCDEQIDWR 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 NCGl00066 MID -ATLANTIC JOB NO. 00OR2083.00 To Whom It May Concern: Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for the sampling conducted at the above -referenced site. A stormwater sample was collected from Outfall 001 on October 23, 2017 and analyzed for total suspended solids (TSS), pH, total recoverable lead, oil and grease and ethylene glycol. As indicated on the attached DMR, all parameters were reported below 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. Ron Davis Stormwater Services Manager Attachments: Stormwater Discharge Monitoring Report Laboratory Analytical Report EXPERIENCED CUSTOMER FOCUSED INNOVATIVE STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCGl00066 FACILITY NAME Louia Motor Cam PERSON COLLECTING SAMPLE(S) Wendell Louia CERTIFIED LABORATORY(S) Pace Analytical Lab # 12 Lab # Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 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 3 Organics, mg/L Benchmark - - 6.0-9.01 100/502 15 8,000 (Tiers 2 and 3) 0.03 1.0 Outfall001 10/23/17 1.30 7.2 22.8 <5.0 <5.0 0.015 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 0, 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 Pion Certificotion Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) Signature Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 MailServiceCenter Raleigh, North Carolina27699-1617 Date "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee or Designee) (Date) Form SW U-251, lost revised October 25, 2012 Page 2 of 2 aceAnalytical WwmWabs.c m Pace Analytical Services, LLC 9600 Kincey Ave. Suite 100 Huntersville, NC 2a078 (704)875-9092 November 03, 2017 Chuck Hoffman Mid -Atlantic Associates, Inc 409 Rogers View Court Raleigh, NC 27610 RE: Project: Louia Motor Company Pace Project No.: 92360317 Dear Chuck Hoffman: Enclosed are the analytical results for sample(s) received by the laboratory on October 24, 2017. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, r Nicole Gasiorowski nicole.gasiorowski@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Ron Davis, Mid Atlantic Associatees, Inc. pCCRe,0 RA� REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 13 ace Analytical wwwpacelab&MR Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Louia Motor Company Pace Project No.: 92360317 Indiana Certification IDs 7726 Moller Road, Indianapolis, IN 46268 Illinois Certification #: 003971 Indiana Certification #: C49-06 KansaslNELAP Certification #:E-10177 Kentucky UST Certification #: 80226 Kentucky WW Certification #:98019 CERTIFICATIONS Ohio VAP Certification #: CL-0065 Oklahoma Certification #: 2017-124 Texas Certification #: T104704355-17-11 West Virginia Certification #: 330 Wisconsin Certification #: 999788130 USDA Soil Permit #: P330-16-00257 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 South Carolina Certification #: 99006001 Louisiana/NELAP Certification # LA170028 Florida/NELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification #: 5342 Virginia/VELAP Certification #: 460221 North Carolina Wastewater Certification #: 12 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certification #: M-NC030 VirginiafVELAP Certification #: 460222 North Carolina Drinking Water Certification #: 37712 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 13 aceAnalyfical www.pacelabs.cam Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Louia Motor Company Pace Project No.: 92360317 Lab ID Sample ID 92360317001 Outfall No. 1 SAMPLE ANALYTE COUNT Method Analysts Analytes Reported Laboratory EPA 1664B JMS 1 PASI-C EPA 8015AIcohol-Glycol BJW 1 PASI-1 EPA6010 SH1 1 PASI-A SM 2540D MVC 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 13 aceAnalytical e www.pacelabs.Mm Pace Analytical Services, LLC 9B00 Kincey Ave, Suite 10o Huntersville, NC 28078 (704)875-9092 ANALYTICAL RESULTS Project: Louia Motor Company Pace Project No.: 92360317 Sample: Outfall No. 1 Lab ID: 92360317001 Collected: 10/23/17 18:45 Received: 10/24/17 10:56 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 1664 SGT-HEM, TPH Analytical Method: EPA 1664E Total Petroleum Hydrocarbons ND mg/L 5.0 1 11/03/17 05:53 8015M Glycols in water Analytical Method: EPA 8015 Alcohol -Glycol Ethylene glycol ND mg1L 5.0 1 10/26/17 16:58 107-21-1 6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010A Lead 15.0 ug/L 5.0 1 11101/1714:10 11/0211716:06 7439-92-1 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 22.8 mg1L 10.0 1 10/25/17 18:35 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/03/2017 02:30 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 13 aceAnalyfical wwwpacWabs.com Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersvitle, NC 28078 (704)875-9092 Project: Louia Motor Company Pace Project No.: 92360317 QC Batch: 385105 QC Batch Method: EPA 1664B Associated Lab Samples: 92360317001 METHOD BLANK: 2135219 Associated Lab Samples: 92360317001 Parameter Units Total Petroleum Hydrocarbons mg/L LABORATORY CONTROL SAMPLE: 2135220 Parameter Units Total Petroleum Hydrocarbons mg/L MATRIX SPIKE SAMPLE: 2135221 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 11/03/17 05:41 Spike LCS LCS Conc. Result % Rec 20 19.2 96 % Rec Limits Qualifiers 64-132 92360231001 Spike MS MS % Rec Result Conc. Result % Rec Limits Qualifiers ND 20 19.0 95 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: 11/03/2017 02:30 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 13 aceAnalytical www.pacelabs.eam Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Hunlersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Louia Motor Company Pace Project No.: 92360317 QC Batch: 411786 Analysis Method: EPA 8015 Alcohol -Glycol QC Batch Method: EPA 8015 Alcohol -Glycol Analysis Description: EPA 8015 Modified Associated Lab Samples: 92360317001 METHOD BLANK: 1894755 Associated Lab Samples: 92360317001 Parameter Units Ethylene glycol mg/L MalFix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 10/25/1715:52 LABORATORY CONTROL SAMPLE: 1894756 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Ethylene glycol mg/L 25 23.7 95 41-162 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1894757 1894758 MS MSD 50182708003 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Ethylene glycol mglL ND 25 25 26.0 29.7 100 115 20-172 13 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/03/2017 02:30 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 13 ,�aceAnalytical www.pacelabs.com Project: Louia Motor Company Pace Project No.: 92360317 QC Batch: 384680 QC Batch Method: EPA 3010A Associated Lab Samples: 92360317001 METHOD BLANK: 2132226 Associated Lab Samples: 92360317001 Parameter Units Lead ug/L LABORATORY CONTROL SAMPLE: 2132227 Parameter Units Lead ug/L Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Analysis Method: EPA6010 Analysis Description: 6010 MET Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 11/02/17 15:41 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 500 463 93 80-120 MATRIX SPIKE & MATRIX SPIKE DUPLICATE; 2132228 2132229 MS MSD 92360218001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Lead uglL NO 500 500 430 436 86 87 75-125 1 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: 11/03/2017 02:30 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 13 aceAnalytrcal www.pacelabs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Louia Motor Company Pace Project No.: 92360317 QC Batch: 383994 Analysis Method: SM 2540D OC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92360317001 METHOD BLANK: 2128299 Matrix: Water Associated Lab Samples: 92360317001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 10/25/17 18:33 LABORATORY CONTROL SAMPLE: 2128300 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 248 99 90-110 SAMPLE DUPLICATE: 2128301 92360441001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 156 148 5 SAMPLE DUPLICATE: 2128302 92360359001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 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: 11/03/2017 02:30 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 13 aceAnalytical www.pacelabs.wm Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALIFIERS Project: Louia Motor Company Pace Project No.: 92360317 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. TNTC - Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL- Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260, N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte PASI-I Pace Analytical Services - Indianapolis REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/03/2017 02:30 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 13 laceAnalytical w"pacelabacom Pace Analytical Services, Lt-C 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Pace Project No.: Louia Motor Company 92360317 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92360317001 Outfall No. 1 EPA 1664B 385105 92360317001 Outfall No. 1 EPA 8015AIcohol-Glycol 411786 92360317001 Outfall No. 1 EPA 3010A 384680 EPA 6010 384921 92360317001 Outfall No. 1 SM 2540D 383994 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/03/2017 02:30 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 13 Document Name: Document Revised: August 4, 2017 aceAnalytical Sample Condition Upon Receipt(SCUR) ! Page 1 of 2 Document No.: Issuing Authority: F-CAR-CS-033-Rev.04 Pace Quality Office Laboratory receiving samples: Asheville ❑ Eclen❑ Greenwood ❑ Huntersville.Q—� Raleigh❑ Mechanicsville❑ Client Name: / Project If: Wo# : 92360317 Courier: ❑Fed Ex ❑UPS CUSPS ❑Client ❑ Commercial "Opace ❑Other: j I i I ` 1111 92360317 Custody Seal Present? ❑Yes BNo Seals Intact? ❑Yes QNo t Date/Initials PersonExamining Contents //')yl' Packing Material: ❑Bubble Wrap .,89ubble Bags []None ❑ Other Biological Tissue Frozen? Thermometer: ❑Yes ❑No,[]N/A QI Gun ID: r �71 t T 'Qwet [_-]Blue ❑ffone � � /r! pa at Ice; Correction Factor.6oler Temp Corrected ('C): - % Temp should be above freezing to 6'C ❑Samples out of temp criteria, samples on ice, tooting process �- has begun USDA Regulated Soil'([] N/A, water sample) Did samples arigi�te in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate From a foreign source (internationally, IJYes nNo includins! Hawaii and Puerto Rico)? nYes j]nro-- Comments/Discrepancy: Chain of Custody Present? `'Yoes No N/A 1. Samples Arrived within Hold Time? -1 i Yes No N/A 2. Short Hold Time Analysis <72 hr.)? Yes []hT' ❑N/A 3. Rush Turn Around Time Requested? OYes BFr N/A 4. Sufficient Volume? _j]Yes ❑No ❑N/A S. Correct Containers Used? -Pace Containers Used? ❑ves s ❑No No ❑N/A ❑N/A 6, Containers intact? f 3 Yves CJNO. N/A 7. Dissolved analysis: Samples Field Filtered? ❑Yes - No N/A 6, Sample Labels Match CDC? Anciudes Date/Time/ID/Analysis Matrix:VV �j]TIes ❑No ❑N/A 9. Heads ace in VOA Vials {>5-6mm)? 4f< ONO ❑N/A 10. Trip Blank Present? Trip Blank Custody Seals Present? [Dyes [DYes 010' []NO ❑N/A QNIA 11. CLIENT NOT] FICATIO WRESOLUTIO N Person Contacted: Comments/Sample Discrepancy: Lot ID of split containers: Date/Time: Field Data Required? ❑Yes []NO Project Manager SCURF Review: / '.8 Date: 1 C) - ii l Project Manager 5RF Review: Wl I Date: Note: Whenever there is a discrepancy affecting North Carolina 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) Page 11 of 13 i PiceAnalytical Section A Required Client Inlorma.ion CHAIN -OF -CUSTODY I Analytical Request Document The Chain-ol-Cuslody is a LEGAL DOCUMENT. Alt relevant fields must be completed accurately. Section B Section C Required Project Injonnation InVDICD intorma:ion: Pagc: of comp ny Mid -Atlantic Associates, Inc. Report FD: Chuck Hoffman (choffman@maaonline.com) Auentiun Chuck Hoffman Addross: 409 Rogers View Court Copy To Run Davis (rdavis@maaonline,com Comp—y Name Mid -Atlantic Associates, inc. REGULATORY AGENCY Raleigh, NC 27610 Address 409 Rogers View Court, Raleigh, NC NPDES I— GROUND WATER I— DRINKING WATER r- UST 7 RCRA OTHER Emarf to ehoffman@maaenline.com Purchase Order No : R2083.00 Pnca oumc _- Relererice. Phone. 919.250-9918 fdx. 919-250-9950 Project Name: Louia Motor Company Pate Plojccl Nicole Gasiorowski Site Location rdanager. s rare: NC RCquoSlcd Due Dale/TAT; standard Project Number. R2083.00 Pncrnroh;ca, 5921-7 Requested Analysis Filtered (YIN) Section D Valid Matrix Codes z 2 Rrquircd Ohcn; Igformauon r:,ATRIx CODE a COLLECTED Preservatives } N Y N Y -T WATtR 17.V V Z e1 WAIL w; Vd. a 0 WAIL WAiLR PRonurl P = U m CUN�`U�n[ StART COr-rPOSITE EuDiGRAB 1 J co Z .^.oan.GLV cL ''�' 'r v } Ot OL SAMPLE ID°'E n U O W ~ (A•Z,D-9f.•) Ofi CR OT W Op a 4 Z F � > Sample 3Ds MUST BE UNIQUE TISSUL is o. O N t7 _ tO U u O 0 21 a O z M~ z `= Q DATE TIME DATE TIME `a o x> �" i z z z z L O a w CD 0: Pace Project No.l Lab I.D. t Outfall No. 1 wr i c 7 4 t z x x x x Rainfall (inches): ` z H: 7 3 4 5 6 7 8 9 10 11 12 ADDITIONAL COMMENTS RELINQUISHEDBYIAFFIUATION DATE TIME ACCEPTED BY I AFFIUATION DATE TIME SAMPLE CONDITIONS 11r1 cI ri 10ii;-b 7 /_ 2Vi" 1Js h SAMPLER NAME AND SIGNATURE U ozi PRINT Name of SAMPLER: if SIGNATURE of SAMPLER: GATE Signed IMMIODIYYj: Li 'Imaertant rinte ey cgmn; iris Iron you are acccpang PaC�S NEI 30 dqy pa ymcni lerms and agiecing to Late charges of 1.5% per month for any irivCi 6 nel paid wahin 30 days F-ALL-0.020rev.08, 12-Oct-2007 3 R b 0 A A 'c m K m n 0 A �a C LA t7 n A ro � 7 o a CM n c O � m M n � {A ro i C 3 re CL Q d s ro IA n 0 ao a v m CL N K K 0 a N O b on -4 04 Ln I a W N r IIemJF zzzzzzzzvzzz BP4U-125 mL Plastic Unpreserved (N/A) (0-1 BP3U-250 mL Plastic Unpreserved (N/A) BPZU-S00 mL Plastic Unprescrved (N/A) BPiU-1 liter Plastic Unpreserved (N/A) BP45.12S mL Plastic H2504 (pH < 2) (Cl.) SM-250 mL plastic HNO3 (pH < 2) P4Z-125 mL Plastic ZN Acetate & NaOH (>9) zz;7z/- 8P4C-125 ml. Plastic NaOH (pH > 121 (CH WGFU-Wide-mouthed Glass jar Unpreserved AG1U-1 liter Amber Unpreserved (N/A) (CI-) AG1H•1 liter Amber NO (pH < 2) AG31.11-250 mi. Amber Unpreserved (N/A) (Cl-) AG15.1 liter Amber H2SO4 (pH < 2) AG35-250 mL Amber H2SO4 (pH < 2) zz 1// z AG3A(DG3A)-250 mL Amber NH40 (N/A)(CI-) DG9H-40 mL VOA HCI (N/A) VG9T-40 mL VOA Na2S203{N/A) VG91.1-40 mL VOA Unp (N/A1 DG9P-40 mL VOA 113PO4 (N/AI VOAK (6vials per kit)-5035 kit (N/A) V/GK (3 vials per kit)-VPH/Gas kit (N/A( SPST-125 mL Sterile Plastic (N/A — labl 5P2T-250 mLSterile Plastic (N/A —lab) zz z z z BP3A-250 rnl Plastic (NH2)2SO4 (9.3.9.7) Cubitainer VSGU-20 mL Scintillation vials (N/A) GN s p M 0 n x- O 3 .* CL =r o m CL rr O m o --, 3 _. G o- -o s O ry m O rM rp O S rn n X 7 � � � w z 3 y Cr ro 7 (o O. � 1 G! � � 3 � Cr do Cl. 0�. n CA Q 3 N O 3 1— 3 m Z = CC1 N 1 3 0 33 G r— 1D Q a r• r r J J M O ro [n r. 409 Rogcrsvimv Court Mod Atlantic Ral plflca 9k9.?50,9918 ffIc 9f9, .9918 Engineering & Environmental Solutions facsimile 919,250.9950 MAAONLINE.COM June 19, 2017 RECEIVED NCDEQIDWR JUN 2 6 2017 Attention: Central Files 1617 Mail Service Center CENTRAL FILES Raleigh, North Carolina 27699-1617 DWR SECTION 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 (DMR) and analytical report for the sampling conducted at the above -referenced site. A stormwater sample was collected from Outfall 001 on .tune 6, 2017 and analyzed for total suspended solids (TSS), pH, total recoverable lead, oil and grease and ethylene glycol. As indicated on the attached DMR, all parameters were reported below their respective benchmark values or within their benchmark range, with the exception of TSS. Based on the results of this sampling event, a Tier One Response has been implemented at the facility. If you have any questions or need additional information, please contact me at 919-250-9918 Sincerely, MID -ATLANTIC ASSOCIATES, INC. Ron Davis Stormwater Services Manager Attachments: Stormwater Discharge Monitoring Report Laboratory Analytical Report EXPERIrNCEU CUSTOMER WCUSED fNNOVATWE STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100066 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 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 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 3 Organics, mg/L Benchmark - - 6.0 — 9.01 100/50Z 15 8,000 (Tiers 2 and 3) 0.03 1.0 Outfall 001 06/06/17 1.31 r Z 135 <5.0 <5.0 0.0203 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. 25ee General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, last revised October 25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) Signature Mail Original and one copy to: Division of water Quality Attn: Central Files 1617 MailServiceCenter Raleigh, North Carolina27699-1617 Date "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge a nd 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." NE, (signature of Permittee or Designee} &I - -23-J 7 (Date) Form SWU-251, last revised October 25, 2012 Page 2 of 2 IaceAnalytical w"-pacelahs.mm Pace Analytical Services, LLC 9800 KinceyAve. Suite 400 Huntersville, NC 28078 (704)875-9092 June 14, 2017 Chuck Hoffman Mid -Atlantic Associates, Inc 409 Rogers View Court Raleigh, NC 27610 RE: Project: Louia Motor Company Pace Project No.: 92343079 Dear Chuck Hoffman: Enclosed are the analytical results for sample(s) received by the laboratory on June 06, 2017. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Ron Davis, Mid Atlantic Associatees, Inc. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 13 aceAnalyticalo WWW..pacWJbs.wm Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersvifle, NC 28078 (704)875-9092 Project: Louia Motor Company Pace Project No.: 92343079 Indiana Certification IDs 7726 Moller Road, Indianapolis, IN 46268 Illinois Certification #: 003971 Indiana Certification #: C-49-06 Kansas/NELAP Certification #:E-10177 Kentucky UST Certification #: 80226 Kentucky WW Certification #:98019 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 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 FloridalNELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS Ohio VAP Certification #: CL-0065 Oklahoma Certification #: 2016-075 Texas Certification #: T104704355-16-10 West Virginia Certification #: 330 Wisconsin Certification #: 999788130 USDA Soil Permit #: P330-16-00257 South Carolina Certification #: 99006001 FloridalNELAP Certification #: E87627 Kentucky UST Certification #: 84 VrginiafVELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 VirginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 13 aceAnalyircal WWW.pacWahS.cam Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704 )875-9092 SAMPLE ANALYTE COUNT Project: Pace Project No.: Louia Motor Company 92343079 Analytes Lab iD Sample ID Method Analysts Reported Laboratory 92343079001 Outfall No. 1 EPA 1664B JMS 1 PASI-C EPA 8015 Alcohol -Glycol RID 1 PASI-I EPA 6010 SH 1 1 PASI-A SM 2540D MDW 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 13 r), aceAnalytrcal www.pawla6sc= Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 2807E (704)875-9092 ANALYTICAL RESULTS Project: Louia Motor Company Pace Project No.: 92343079 Sample: Outfall No. 1 Lab ID: 92343079001 Collected: 06/05/17 06:55 Received: 06/06/17 11:23 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 1664 SGT-HEM, TPH Analytical Method: EPA 1664E Total Petroleum Hydrocarbons ND mg/L 5.0 1 06/14/17 06:33 8015M Glycols in water Analytical Method: EPA 8015 Alcohol -Glycol Ethylene glycol ND mg/L 5.0 1 06/12/17 15:50 107-21-1 6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010A Lead 20.3 ug/L 5.0 1 06/07/1716:35 06/10/1717:55 7439-92-1 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 135 mg/L 10.0 1 06/08/17 02:10 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/14/2017 02:34 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 13 V• ace Analytical www.pacelafmcom Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntefsville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Louia Motor Company Pace Project No.: 92343079 QC Batch: 364727 Analysis Method: EPA 1664B QC Batch Method: EPA 1664E Analysis Description: 1664 SGT-HEM, TPH Associated Lab Samples: 92343079001 METHOD BLANK: 2021981 Matrix: Water Associated Lab Samples: 92343079001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Petroleum Hydrocarbons mg1L ND 5.0 06/14/17 06:20 LABORATORY CONTROL SAMPLE: 2021982 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mglL 20 19.1 96 64-132 MATRIX SPIKE SAMPLE: 2021983 92343506001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mg/L ND 20 18.8 94 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: 0611412047 02:34 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 13 aceAnalyfical www.pacelabs.wm Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Louia Motor Company Pace Project No.: 92343079 QC Batch: 391721 QC Batch Method: EPA 8015 Alcohol -Glycol Associated Lab Samples: 92343079001 METHOD BLANK: 1805834 Associated Lab Samples: 92343079001 Parameter Units Ethylene glycol mg/L LABORATORY CONTROL SAMPLE: 1805835 Parameter Units Ethylene glycol mg/L QUALITY CONTROL DATA Analysis Method: EPA 8015 Alcohol -Glycol Analysis Description: EPA 8015 Modified Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 06/12/1714:08 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 25 28.1 112 41-162 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1806063 1806064 MS MSD 60245751001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec limits RPD Qual Ethylene glycol mglL ND 25 25 27.7 27.6 109 108 20-172 0 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/14/2017 02:34 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 13 �aceAnalytical" *ww.paWabs.c= Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704 )875-9092 Project: Louia Motor Company Pace Project No.: 92343079 OC Batch: 363664 OC Batch Method: EPA 3010A Associated Lab Samples: 92343079001 METHOD BLANK: 2016193 Associated Lab Samples: 92343079001 Parameter Units Lead ug/L LABORATORY CONTROL SAMPLE: 2016194 Parameter Units Lead ug/L QUALITY CONTROL DATA Analysis Method: EPA 6010 Analysis Description: 6010 MET Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 06/1011716:27 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 500 506 101 80-120 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2016195 2016196 MS MSD 92342881001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Lead ug1L ND 500 500 508 509 101 102 75-125 0 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/14/2017 02:34 PM without the written consent of Pace Analytical Services, LLC. Page 7of13 aceAnalytical www.pacelab&=n Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Louia Motor Company Pace Project No.: 92343079 QC Batch: 363894 QC Batch Method: SM 2540D Associated Lab Samples: 92343079001 METHOD BLANK: 2017546 Associated Lab Samples: 92343079001 Parameter Units Total Suspended Solids mg1L LABORATORY CONTROL SAMPLE: 2017547 Parameter Units Total Suspended Solids mg/L QUALITY CONTROL DATA Analysis Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 06/08/17 02:09 Spike LCS Conc. Result 250 258 SAMPLE DUPLICATE: 2017548 92343015001 Dup Parameter Units Result Result Total Suspended Solids mg/L 8.6 8.8 SAMPLE DUPLICATE: 2017549 92342948001 Dup Parameter Units Result Result Total Suspended Solids mg/L ND ND LCS % Rec % Rec Limits Qualifiers 103 90-110 RPD Qualifiers 2 RPD Qualifiers 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 shall not be reproduced, except in full, Date: 06/14/2017 02:34 PM without the written consent of Pace Analytical Services, LLC, Page 8 of 13 aceAnalytical www.pacelabs.c= Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALIFIERS Project: Louia Motor Company Pace Project No.: 92343079 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. 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 decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services -Charlotte PASI-I Pace Analytical Services - Indianapolis REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/14/2017 02:34 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 13 aceAnalytical www.pacelab&c= Pace Analytical Services, LLC 9800 Kirncey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Louia Motor Company Pace Project No.: 92343079 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92343079001 Outfall No. 1 EPA 1664E 364727 92343079001 Outfall No. 1 EPA 8015AIcohol-Glycol 391721 92343079001 Outfall No. 1 EPA 3010A 363664 EPA6010 92343079001 Outfall No. 1 SM 2540D 363894 Date: 06/14/2017 02:34 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Analytical Batc h 364242 Page 10 of 13 aceAnalXical Laboratory receiving samples: Asheville ❑ Eden❑ Sample Condition Upon Receipt(SCUR) Page 1 of 2 Document No.: Issuing Authority: F-CAR-CS-033-Rev-01 Pace Quality Office Greenwood Huntersville [� Raleigh[] Mechanicsville❑ Client Name: �.. , . - Project N ISO# : 92343079 Courier: �deher:Ex ❑UPS QO ❑Client'ElPa ' Commercial I I { 92343079 Custody Seal Present? ❑Yes No Seals Intact? ❑Yes No .• 7 s c Date/initials Person Examining Contents: Packing Material: ❑Bubble Wrap []Bubble Bags ❑None []Other: Thermometer: ❑ IR Gun IZNIA, wet Type of Ice: ❑Blue ess has begun ❑None samples on ice, cooliVNc _Correction Factor:oler Temp Corrected ('C): �� , I Biological- Tissue Frozen? ❑Yes ❑N/A Temp should be above o VC USDA Regulated Soil {ater sample} Did samples riginate in a quarantine zone within the United States: CA, NY, or SC (check maps)? sync Nn Did samples originate from a foreign source (inte nationally, inrludinv mnwaii and Puortn Ri[nV nYes 1 No Comments/Discrepancy: Chain of Custody Present? s ❑No ❑N/A 1. Samples Arrived within Hold Time? Yes ❑ j ❑N/A 2. Short Hold Time Analysis (<72 hr.)? ❑Yes So ❑N/A 3. Rush Turn Around Time Requested? ❑Y s Na ❑N/A 4. Sufficient Volume? []No []N/A S. Correct Containers Used? -Pace Containers Used? Zfy/y []No❑N/A ❑No ❑N/A 6. Containers Intact? Yes ❑ o []N/A 7. Sam les Field Filtered? ❑ es No ❑NIA 8. Note if sediment is visible in the dissolved container .. Sample Labels Match COC? -Includes Date/Time/[D/Analysis Matrix: Ekes [:]No ❑NIA 9. Headspace in VOA Vials (>5-6mm)? ❑Yes o ❑N/A 10. Trip Blank Present? Trip Blank Custody Seals Present? ❑Yes Des No [:]No ❑ /A . N/A 11, CLIENT NOTIFICATION/RESOLUTION Person Contacted: Commen"/Sample Discrepancy: Oate/Time: Field Data Required? ❑Yes ❑No Project Manager SCURF Review: T Date: ;U14— Project Manager SRF Review: Date: l Note: whenever there is a discrepancy affecting North Carolina 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) Page 11 of 13 N 0 w w ra r w r O � Do v a� to a w rr r hemp Zz BP4U-125 mL Plastic Unpreserved (N/A) (Cl-) BP3U-250 mL Plastic Unpreserved (N/A) SP2U-500 mL Plastic Unpreserved (N/A) BP1U-1 liter Plastic Unpreserved (N/A) 9P3S-250 mL Plastic H2SO4 (pH < 2) (Cl-) BP3N-250 mL plastic HNO3 (pH < 2) BP3Z-250 mL Plastic ZN Acetate & NaOH (>9) iz A BP3C-250 mL Plastic NaOH (pH > 12) (CI-) WGFU-Wide-mouthedGlassjar Unpreserved AG1U-1 liter Amber Unpreserved (N/A) (CI-) 'V�7ZZZ77,11'11,11�11 A61H-1 liter Amber HCI (pH < 2) AG3U-250 mL Amber Unpreserved (N/A)(CI-) AG1S-1 liter Amber H2SO4 (pH < 2) AG35-250 mL Amber H2SO4 (pH < 2) zz AG3A(QG3A)-250 mL Amber NH4CI (N/A)(CI-) DG9H-40 mLVOA HCI (N/A) VG9T-40 mLVOA Na2S203 (N/A) VWj VG9U-40 mLVOA Unp (N/A) UG90-40 mL VOA H3PO4 (N/A) VOAK (6 vials per kit)-5035 kit (N/A) V/GK (3 vials per kit)-VPH/Gas kit (N/A) SPST-125 mL Sterile Plastic (N/A — lab) SPZT-250 mL Sterile Plastic (NIA —lab) ZZZZAZ zzZZA BP3A-250 mL Plastic (NH2)2SO4 (9.3-9.7) Cubitainer VSGU-2fi mLScintillation vials (N/A) GN : '9 M W � o m O � S O v � h VI Cu O Cu O f� X y� w d m n 4+ x- 0 v O h Cr 0 x T v 7 CL O m n O 3 v O� 7 %..Y3LL°/Lk7lyfi�l Section A Required Client Information: Section B Required Project Information: CHAIN -OF -CUSTODY 1 Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section C Invoice Information: Paae : 1 Of 1 Company: Mid Atlantic Associates, Inc. Report To: Hoffman, Chuck A1lenliom Address! 409 Ropers View Cl Copy To: Company Name: Raleiqh, NC 27610 Address: Requlatory Agency Email; Purchase Order tt: Pace Quote: Phone: Far Project Name', Louia Motor Company Pace Project Manager: nicole,pasiorowski pacelabs.com, State ! Location Requested Owe Date: Project 0: Pace Profile it: $971 NC Requested Art IyaJ3 Flltared JYINJ B u IRa CODE 4 0, COLLECTED Z Preservatives } D-k,m Waee- MV 3 U O wwc wT W-t. W— ww PtoCud P SAMPLE ID sowSow p� i r� c9 START ENp ru N sm Z } € One Character per boa. W.P. wP IA^2, 0.9 1. •} A� ^a Omn OT oO U r 2 n �► S U V Sample Ids must be unique T. a w m a p ° � O O ur � m r c h a s n m Q a y, v .y gp3 a 3o�q a e'cf DAT_E/ TIME DATE TIME O +� c U = Z _ U _ = m z S o( y t w m m a 1 Oulfall No, 1 WT �~S / �S�` X X X X pb 2 3 4 5 6 7 r� 8 9 10 11 12 ADDITIONAL COMMENTS REUNQUISHEO BY! AfFLULTION DATE TIME ACCEPTED AY l AFFILIATION i DATE TIME SAMPLE CONDITIONS 16/o rfa3 4,/r//-7 SAMPLER NAME AND SIGNATURE # o e a PRINT Name of SAMPLER: w X °o ? a' ? SIGNATURE of SAM R:� DATE Signed: at rn m a STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100066 FACILITY NAME Louia Motor Corn PERSON COLLECTING SAMPLE(S) Wendell Louia CERTIFIED LABORATORY(S) Pace Analytical Lab #12 Lab # Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: 2016 RECEIVED COUNTY Davidson County NOV 10 2016 PHONE NO. (800)927-0564 CENTRAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE -) For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. 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 — 9.01 100/502 15 8,000 (Tiers 2 and 3) 0.03 1.0 Outfali 001 10/11/16 2.3 7.5 19.2 <5.0 <5.0 0.0134 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 SWU-251, last revised October25, 2012 Page 1 of 2 STORMWATER DISCHARGE OLITFALL (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 Pion Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) Signature Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 MailServiceCenter Raleigh, North Carol ina27699-1617 Date "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penajties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee or Designt (Date) Form SW U-251, lost revised October 25, 2012 Page 2 of 2 CERTIFICATE OF COVERAGE NO. NCG100066 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Y RE Ur5iL`� COLLECTED DURING CALENDAR YEAR: 016 Wo JUN 0 S 1016 CENTRAL FILES FACILITY NAME Louia Motor Company _ _ DWR SECTION COUNTYDavidsonCount 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 4 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 — 9.01 100/502 15 8,000 (Tiers 2 and 3) 0.03 1.0 Outfall001 5/05/16 1.0 7.1 15.7 <5.0 <10.0 0.0086 ND JUN 4 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pFr,r� t` Rent 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. 25ee 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 (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) Signature Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 MailServiceCenter Raleigh, North Carolina27699-1617 Date "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." J,4xx;-1 1 f (Signature of Permittee or Designee) (Date) Form SWU-251, last revised October 25, 2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100066 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 FACILITY NAME Louia Motor CompanV COUNTY DavidsonCount 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 4 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 0&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic grganics3, mg/L Benchmark - - 6.0 — 9.01 100/50� 15 8,000 (Tiers 2 and 3) 0.03 1.0 Outfall001 11/9/15 1.9 7.5 16.8 <5.0 <10.0 0.0092 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. V. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy)instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, last revised 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 MailServiceCenter Raleigh, North Carolina27699-1617 Date N certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Permittee or Designee] (Date) Form SWU-251, last revised October 25, 2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100066 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 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 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY 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 — 9.01 100/502 15 8,000 (Tiers 2 and 3) 0.03 1.0 Outfall001 4/19/15 0.5 7.6 16.4 <5.0 <10.0 0.0055 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. ISee If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix 0, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. C102 Form SWU-251, fast revised October 25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) Signature Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 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. 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) �-- !r !S- (Date) Form SWU-251, lost revised October25, 2012 Page 2 of 2 Mod Atlantic Engineering & Environmental Solutions May 12, 2015 NCDENRIDWQ Attention: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 RECEIVED MAY 1 8 2015 CENTRAL FILES DWR SECTION Subject: STORMWATER SAMPLING RESULTS LOUTA MOTOR COMPANY 2647 EAST HIGHWAY 64 LEXINGTON, DAVIDSON COUNTY, NORTH CAROLINA PERMIT NCG100066 MID -ATLANTIC JOB NO. 00OR2083.00 To Whom It May Concern: 409 Rogers View Court Raleigh, NC 27610 office 919.250.9918 facsimile 919.250.9950 MAAONLINE.COM Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for the sampling conducted at the above -referenced site. A stormwater sample was collected from Outfall 001 on April 19, 2015 and analyzed for total suspended solids (TSS), pH, total recoverable lead, oil and grease and ethylene glycol. As indicated on the attached DMR, all parameters were reported below 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. 0,1. q.-- Charles B. Hoffman, P.G. Project Geologist Attachments: Stormwater Discharge Monitoring Report Laboratory Analytical Report EXPERIENCED CUSTOMER FOCUSED INNOVATIVE a'ceAnalytical www.pacelabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 April 30, 2015 Darin McClure Mid Atlantic Associates, Inc. RE: Project: LOUTA MOTOR COMPANY Pace Project No.: 92246463 Dear Darin McClure: Enclosed are the analytical results for sample(s) received by the laboratory on April 21, 2015. 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 Atlantic 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 aceAnalyical www.p"labs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: LOUTA MOTOR COMPANY Pace Project No.: 92246463 Indiana Certification IDs 7726 Moller Road, Indianapolis, IN 46268 Illinois Certification #: 200074 Indiana Certification #: C-49-06 Kansas Certification #:E-10177/ E-10247 Kentucky UST Certification #: 0042 Kentucky WW Certification #:98019 LouisianalNELAP Certification #: 04076 CERTIFICATIONS Ohio VAP Certification #: CL-0065 Oklahoma Certification #: 2014-148 Pennsylvania Certification #: 68-05340 Texas Certification #: T104704355-15-8 West Virginia Certification #: 330 Wisconsin Certification #: 999788130 USDA Soil Permit #: P330-10-00128 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 Florida/NELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification #: 5342 West Virginia Certification #: 357 North Carolina Wastewater Certification #: 12 Virginia/VELAP Certification #: 460221 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certification #: M-NC030 West Virginia Certification #: 356 North Carolina Drinking Water Certification #: 37712 Virginia/VELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 12 �kceAnalytical* www,pm1abs.=n Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 ttuntersvifle, NC 28078 (704)875.9092 Project: LOUTA MOTOR COMPANY Pace Project No.: 92246463 Lab ID Sample ID 92246463001 OUTFALL NO. 1 SAMPLE ANALYTE COUNT Method Analysts Analytes Reported Laboratory EPA 1664B CLW 1 PASI-C EPA 8015 Alcohol -Glycol RID 1 PASI-I EPA 6010 JMW 1 PASI-A SM 2540D JTJ 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 aceAnalytrcal www.pacelabs.cam Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 ANALYTICAL RESULTS Project: LOUTA MOTOR COMPANY Pace Project No.: 92246463 Sample: OUTFALL NO. 1 Parameters Lab ID: 92246463001 Collected: 04/17115 06:45 Received: 04/21/15 17:20 Matrix: Water Results Units Report Limit DF Prepared Analyzed CAS No. Qual 1664 SGT-HEM, TPH Analytical Method: EPA 1664B Total Petroleum Hydrocarbons ND mg1L 5.0 1 04/29/15 07A0 8015M Glycols in water Analytical Method: EPA 8015 Alcohol -Glycol Ethylene glycol ND — mg1L 5.0 1 04/29/15 12:42 107-21-1 6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010 Lead 5.5 ug/L 5.0 1 04129/1515:30 04/3011514:46 7439-92-1 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 16.4 mg1L 5.0 1 04/22/15 11:48 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/30/2015 05:01 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 12 aceAnalytical mwcpacelabs.cam Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704) 87 5-9092 Project: LOUTA MOTOR COMPANY Pace Project No.: 92246463 QC Batch: GCSV/21117 QC Batch Method: EPA 1664E Associated Lab Samples: 92246463001 METHOD BLANK: 1445621 Associated Lab Samples: 92246463001 Parameter Units Total Petroleum Hydrocarbons mg/L LABORATORY CONTROL SAMPLE: 1445622 Parameter Units Total Petroleum Hydrocarbons mg/L QUALITY CONTROL DATA Analysis Method: Analysis Description Matrix: Water EPA 1664B 1664 SGT-HEM, TPH Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 04/29/15 07:20 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 20 19.9 100 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: 04/30/2015 05:01 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 12 aceAnaljfical J" wtw+.p"lahs-mm Pace Analytical Services, Inc. 9800 Kinsey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: LOUTA MOTOR COMPANY Pace Project No.: 92246463 QC Batch: GCSVl15146 QC Batch Method: EPA 8015 Alcohol -Glycol Associated Lab Samples: 92246463001 METHOD BLANK: 1284298 Associated Lab Samples: Parameter Units Ethylene glycol mg1L QUALITY CONTROL DATA Analysis Method: EPA 8015 Alcohol -Glycol Analysis Description: EPA 8015 Modified Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers NO 5.0 04/29/1511:09 LABORATORY CONTROL SAMPLE: 1284299 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Ethylene glycol mg/L 25 22.2 89 79-129 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1285037 1285038 MS MSD 92246463001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qua[ Ethylene glycol mg/L NO 25 25 20.0 23.1 80 92 67-133 14 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: 04/30/2015 05:01 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 ��CleAnalytical wwwpacelabs.tom 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.: 92246463 QC Batch: MPRP118369 Analysis Method: EPA 6010 QC Batch Method: EPA 3010 Analysis Description: 6010 MET Associated Lab Samples: 92246463001 METHOD BLANK: 1446159 Matrix: Water Associated Lab Samples: 92246463001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Lead ug/L ND 5.0 04/3011514:40 LABORATORY CONTROL SAMPLE: 1446160 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Lead ug1L 500 514 103 80-120 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1446161 1446162 MS MSD 92246463001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Lead ug/L 5.5 500 500 471 478 93 94 75-125 1 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: 04/30/2015 05:01 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 1�ceAnalytical www.p"iabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: LOUTA MOTOR COMPANY Pace Project No.: 92246463 OC Batch: WET137003 OC Batch Method: SM 2540D Associated Lab Samples: 92246463001 METHOD BLANK: 1440554 Associated Lab Samples: 92246463001 Parameter Units Total Suspended Solids mg[L LABORATORY CONTROL SAMPLE: 1440555 Parameter Units Total Suspended Solids mg/L SAMPLE DUPLICATE: 1440556 Parameter Units Total Suspended Solids mg1L SAMPLE DUPLICATE: 1440557 Parameter Units Total Suspended Solids mg/L QUALITY CONTROL DATA Analysis Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers NO 2.5 04122/1511:43 Spike LCS Conc. Result 250 250 92246396001 Dup Result Result 158 158 92246132001 Dup Result Result NO NO LCS % Rec. % Rec Limits Qualifiers 100 90-110 RPD Qualifiers 0 RPD Qualifiers Results presented on this page are in the units indicated by the "Units" column except where an alternate unit N presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/30/2015 05:01 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 aceAnalytical ` www.pacelabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersvilie, NC 28078 (704)875-9092 QUALIFIERS Project: LOUTA MOTOR COMPANY Pace Project No.: 92246463 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. 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 decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected_ Acid preservation may not be appropriate for 2 Chloroethylvinyl ether, Styrene, and Vinyl chloride. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis ofAcrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute, 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: 04/30/2015 05:01 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 r ceAnalytical www.pacelabs.swn Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: LOU IA MOTOR COMPANY Pace Project No.: 92246463 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92246463001 OUTFALL NO. 1 EPA 1664E GCSV121117 92246463001 OUTFALL NO. 1 EPA 8015 Alcohol -Glycol GCSVI15146 92246463001 OUTFALL NO. 1 EPA 3010 MPRP/18369 EPA 6010 92246463001 OUTFALL NO. 1 SM 2540D WETI37003 Date: 04/30/2015 05:01 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Analytical Batch ICP/16492 Page 10 of 12 aeAmlytica1+ Sample Condition Upon Receipt (SCUR) Pa e 1 of 2 Document Number: Issuing Authority: F-CHR-CS-003-rev.15 Pace Huntersville Qualib Client Name:��(�. 4 , Courier: ❑ Fed Ex ❑ UPS❑ USPS❑ Client❑ Commercial❑ ((.Pace Other Custody Seal on Cooler/Box Present: ❑ yes F / no Seals l4art: ❑ yes P no Packing Material. ❑ Bubble V❑p- Q Bubble Bags ❑ None C Other tee- Thermometer Used: IR Gu T1401 Type of [S. We Blue None Samples on ice, cooling process has begun Temp Correction Factor Tf401 No Correction A /oc .-I Corrected Cooler Temp.: L1, � .0 r Biological Tissue Is frozen: Yes No Nfr Date and tnitiaT§ oj'pe n e camfning / L contents: 1�/ f,; temp should be above Freezing to 6'C Comments: ( 14 3hain of Custody Present:. Yes ONO ❑NIA 1. >aln of Custody Filled Out: Yes ONO ❑NIA 2. -hain of Custody Relln ulshed: Yes ©No ❑N!A 3. ?ampler Name & Signature on COC: Yes ONO ONIA 4, Samples Arrived within Hold Time: Yes ONO ❑NIA 5. Short Hold Time Analysis (<72hr): Dyes P o ❑NIA 6. Rush Turn Around Time Requested: No ❑NIA 7. Sufficient Volume: ,❑,,,yyes 0/yes ON, ❑NIA 8. -orrect Containers Used: Yes ONO ❑NIA 9, -Pace Containers Used: Yes ONO ❑NIA ,ontainers Intact: pKo ONO ❑NIA 14. Filtered volume received for Dissolved tests Dyes ❑No N!A 11. Sample Labels match COC: J�yes ONO I ❑NIA 12. -Includes date/time/101Analysis Matrix: Ni containers needing preservation have been checked. Yes ❑No ❑NlA 13. All containers needing preservation are found to be in yes ❑No ❑NIA compliance with EPA recommendation. exceptlons: VOA, coliform, TOC, OBG, WI•DRO (water) es ©No Samples checked for dechlorination: []Yes ONO NIA 14. Heads ace in VOA Vials (>6mm): Dyes filNo ❑NIA 15. Trip Blank Present: Dyes ONO 4/A 16. Trip Blank Custody Seals Present Dyes ONO I 1NIA Pace Trip Blank Lot # (if purchased): Client Notification/ Resolution: Field Data Required? Y I N Person Contacted: Dateffime: Comments/ Resolution: SCURF Review: SRF Review: Date: Date: 1 4-v 'I Note: Whenever there is a discrepancy affecting North Carolina 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) Place label here WO#:92246463 1111111111111111111111 Page 11 of 12 ace Analytical ,YM1:� P.iekuea ca•n Section A Required Client InlormaSom Section B Required Proiect Information: CHAIN -OF -CUSTODY ! Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. Ail relevant Gelds must be completed accurately. o Section C Company: Mid -Atlantic Associates, Inc. Report TO: Chuck Hoffman (choffman@maaonline.com) Attention: Chuck Hoffman Address: 409 Rogers View Court copy To: Joanna Crow Ocrow@maaontine.com) Company Name: Mid -Atlantic Associates, inc. Raleigh. NC 27610 Ad;JMSS: 409 Rogers View Court, Raleigh, NC Email To: choffman@maaonline.com Purchase Order No.: R2083.00 Pace quote — Rarerencc phone: 919-250-9918 Fax: 919-250-9950 PtOj- Name: Louia Motor Company Pace P1eia i Nicole Gasiorow5ki Manager, t-roleri rvumoar. NZUS3.00 ca o„la _ " 1 1' 1� Requested Section D Valid Matrix Codes Za z RequlroC Caan! Informatlon MATRIX CODE M COLLECTED Preservatives 3- N Y INY DRINRWC WATER OW - O WATER WT g U O Ql WASTEWATER WW COMPOSITE COMPOSITE V co PRODUCT P w > m STAAT ENDFORAS v SOILISOn SL SAMPLE ID wP 4 ° 0 AM AR (A-Z. 0-91,•f OTHER OT Lu I- d LU 0o li— 7+ a Sample IDS MUST BE UNIQUE nssuE s O a. 2 w 1. H :S U m U r ZOCh W p N 41 O a s a LL a CL p m m lot Q s m W `r rn DATE TIME DATE TIME ti x T_ U 2 Z Z O .y H IL J 1 Outfall No, 1 LA G 4 1 2 1 1 x x I x x 2 3 4 7 1e 11 12 (V N, M Page: of fl. REGULATORY AGENCY F_ NPDES F_ GROUND WATER F DRINKING WATER F UST F_ RCRA f— OTHER Site Location NC STATE: ,natvsls Filtered (YIN) Z r G O r U R v N CIO: I Pace I Rainfall Noi Lab I.D. ADDITIONAL COMMENTS , RELINCIU)SHED BY 1 FILIATION DATE TIME ACCEPTED 13Y! AFFILIATION DATE TIME SAMPLE CONDITIONS 1 95 SAMPLER NAME AND SIGNATURE PRINT Name of SAMPLER: ' SIGNATURE of SAMPLER: / DATE Signed (MMIDDm): m E m $ o E lr U U y *Important Note; By zlgning this term you are accepting Paco's NET 30 day Payment terms ana agreeing to late chargas of 1.5% Par month for any invoices not Palo within 30 daya. F-ALL-0-020rev.08, 12-Oct-2007