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Home My WebLink AboutNCG080134_MONITORING INFO_20191216Zip STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. NCG h 0) 3 y3 DOC TYPE ❑ HISTORICAL FILE q� MONITORING REPORTS DOC DATE ❑ YYYYM M DD APEX RECEIVED DEC 16 2019 CENTIRAL FILES DWR SECTIOid December 10, 2019 NC DEQ/Division of Water Resources Attention: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 RE: Discharge Monitoring Report —July-December 2019 Pilot #58 2032 Highway 48 Pleasant Hill, North Carolina Permit NCG080134 Dear Sir/Madam: Attached is the July -December 2019 Discharge Monitoring Report (DMR) prepared for the above referenced site. The laboratory analytical data for this round of sampling is also attached. If you have any questions, please feel free to contact me at (540) 563-4920. Sincerely, Robert S. Wagner Program Manager Attachments cc: Melody Mayville, Pilot Flying J WATER RESOURCES • ENVIRONMENTAL SERVICES • INDUSTRIAL HYGIENE • SAFETY • AIR QUALITY • SUSTAINABILITY AND CLIMATE CHANGE Apex Companies, LLC • 7724 Garland Circle • Roanoke, VA 24019 T 540.563.4920 • F 540.563.4921 • apexcos.com Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCGO80000 Date submitted 12/10/19 CERTIFICATE OF COVERAGE NO. NCG08 0 1 3 4 FACILITY NAME Pilot Travel Centers LLC #58 COUNTY Northampton PERSON COLLECTING SAMPLES Craig Richardson LABORATORY Pace National Lab Cert. ff 375 Comments on sample collection or analysis: RECEIVED SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑ Jan -June * July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA QOther C;NSW 16 2019 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more,fhari 55'gallon's of new oil per month? Ej yes ■ no (if ves• complete Part A) DWR StCTIOIN Part A: Vehicle & Equipment Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -Polar Oil & Grease mg/L Total Suspended Solids, mg/L New Motor or Hydraulic Oil Usage, gal/mon Benchmarks _ - 15 100 or 504 Parameter Code - 46529 00552 C0530 NCOIL Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outtall. ' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX m¢/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX". Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018 Page 1 of 2 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) ❑ No discharge this period2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Sample Collected' mo/dd/yr Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil & Grease, mg/L Permit Limit, _ - - 100 or 504 6.0 — 9.0 IS Parameter Code 46S29 - C0530 00400 00552 001 11/12/19 023 11112/19 22.0 726 <5.49 Footnotes from Part A also apply to this Part B Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO 0 IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal copv of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the 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." /,�--q-/� Date Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018 Page 2 of 2 ATTACHMENT II Laboratory Certificates of Analysis and Chain -of -Custody Documentation aceAnatyticai° ANALYTICAL REPORT MnUoner Canre. ro. resdrgamrrovadon November 19, 2019 Pilot Apex Environmental Sample Delivery Group: L1160114 Samples Received: 11/13/2019 Project Number: 768490-047 Description: Pilot 58 Report To: Robert Wagner 7724 Garland Circle Roanoke, VA 24019 Entire Report Reviewed By Jason Romer Project Manager Results relate only to the Items tested or calibrated and are reported as rounded values. This lest report shall not be reproduced, except In full, without written approval of the laboratory. Where applicable, sampling conducted by Pace Analytical National Is performed per guidance provided In laboratory standard operating procedures ENV-SOP-MTJL-0067 and I' ENV-SOP-MT-L-0068. Where sampling conducted by the customer, results relate to the accuracy of the Information provided, and as the samples are received. ACCOUNT: PROJECT: SDG: DATEMME: PAGE: Pilot Apex Environmental 768490-047 L1160114 ll/19A911:27 1 of 10 J0 TABLE OF CONTENTS ONE LAB. NATIONWIDE. Cp: Cover Page 1 Cp 7c: Table of Contents 2 Ss: Sample Summary 3 Cn: Case Narrative Sr: Sample Results 4 5 3SS OUTFALL 001 L1160114.01 5 , Qc: Quality Control Summary 6 Cn Gravimetric Analysis by Method 2540 D-2011 6 Sr Wet Chemistry by Method 1664A 7 GI: Glossary of Terms 8 C Al: Accreditations & Locations g �GI Sc: Sample Chain of Custody 10 aAl 9Sc ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Pilot Apex Environmental 768490-047 11160114 11/19/191127 2 of 10 SAMPLE SUMMARY ONE LAB. NATIONWIDE. Collected by Collected date/time Received date/time OUTFALL001 L1160114-01 GW Craig Richardson 11/12/1912:00 11/13/1908:40 C P Method Batch Dilution Preparation Analysis Analyst Location date/time date/time a Tc GMvimetric Analysis by Method 2540 D-2011 WG1380216 1 11/14/190120 11/14/1902:25 MMF Mt. Juliet, TN Wet Chemistry by Method 1664A WG1382689 1 11/18/19 08:07 11/18/19 20:00 MBP Mt. Juliet, TN aCn aSr 6Oc 7G1 a-11 Al 9Sc ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Pilot Apex Environmental 768490-047 L1160114 11/19/19 11'.27 3 of 10 CASE NARRATIVE ONE LAB. NATIONWIDE. 1C p All sample aliquots were received at the correct temperature, in the proper containers, with the appropriate preservatives, and within method specified holding times, unless qualified or notated within =Tc the report. Where applicable, all MDL (LOD) and RDL (LOQ) values reported for environmental samples have been corrected for the dilution factor used in the analysis. All Method and Batch Quality Control are within established criteria except where addressed in this case narrative, a non-conformance form 3 or properly qualified within the sample results. By my digital signature below, I affirm to the best of my Ss knowledge, all problems/anomalies observed by the laboratory as having the potential to affect the quality of the data have been identified by the laboratory, and no information or data have been knowingly withheld that would affect the quality of the data. SSr —C TGI Jason Romer aAl Project Manager 95C ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Pilot Apex Environmental 768490-047 L1160114 11/19P911:27 4 of 10 OUTFALL 001 SAMPLE RESULTS - 01 ONE LAB. NATIONWIDE. Collected date/time: 11112119 12:00 L1160114 Additional Information Result Units Temperature (on -site) 16.5 Deg C Flow Measure 5 gpm Gravimetric Analysis by Method 2540 D-2011 Result Qualifier RDL Dilution Analysis Batch Analyte mg/1 mgA date l time Suspended Solids 22.0 5.00 1 11/141201902*25 WG1380216 Wet Chemistry by Method 1664A Result Qualifier RDL Dilution Analysis Batch Analyte mgA mgA date l time TPH -Oil&Grease ND 5.49 1 11/18/201920:00 WG1382689 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Pilot Apex Environmental 768490-047 L1160114 11119/1911:27 5 of 10 WG1380216_ _ QUALITY CONTROL SUMMARY ONE LAB.NATIONwIDE. Gravimet ric Analysis by Method 2540 D-2011 L1160114-01 Method Blank (MB)n (MB) R3472369-1 1V14/19 02:25 MB Result MB Qualifier MB MDL MB ROL Analyte mgn mgn mg/I Suspended Solids U 0.350 2.50 L116O025-01 Original Sample (OS) • Duplicate (DUP) (OS) L1160025-01 1V14119 02:25 • (DUP) R3472369-3 11/14/19 02:25 Original Result DUP Result Dilution DUP RPD OUR Qualifier DUP RPD Limits Analyte mgn mg/l % % Suspended Solids 352 372 1 5.52 Pt 5 L116O125-01 Original Sample (OS) • Duplicate (DUP) (OS) L1160125-01 11/14/19 02:25 • (DUP) R3472369-4 11/14/19 02:25 Original Result OUR Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte mg/I mg/I % % Suspended Solids 14D 16.8 1 18.2 Pt 5 Laboratory Control Sample (LCS) (LCS) R3472369-2 11/14/19 02:25 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte mgn mgn % % Suspended Solids 773 812 105 85.0-115 --- --- -- -- --ACCOUNT: - - --- — --- _ _ PROJECT: SDG: DATE/TIME: PAGE: Pilot Apex Environmental 768490-047 L1160114 11/19/1911:27 6 ONO _-WG1382689 =- - __- _ -_ -_ - _ ----QUALITY CONTROL CONTROL, SUMMARY -_ -- _ - ONE L_AB_NAT1oNWIDE. Wet Chemistry by Method 1664A L1160114-01 Method Blank (MB) Cp (MB) R3473405-1 1V18/19 20:00 MB Result MB Qualifier MB MDL MB RDL z Analyte a TPH -Oil & Grease U mg4 mg/I 0.725 5.00 Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) (LCS) R3473405-2 1V18/19 20:00 • (LCSD) R3473405-3 11/18/19 20:00 Spike Amoum LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits Analyte mgA mgA mgA % % % % % TPH- Oil&Grease 20.0 14.2 14.8 71.0 74.0 64.0-132 4.14 34 ACCOUNT: PROJECT: SDG: Pilot Apex Environmental 768490-047 L1160114 DATE7TIME: 11/19/191127 PAGE: 7of10 GLOSSARY OF TERMS ONE LAB. NATIONWIDE. Guide to Reading and Understanding Your Laboratory Report The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not intended as a comprehensive explanation, and if you have additional questions please contact your project representative. Results Disclaimer - Information that may be provided by the customer, and contained within this report, include Permit Limits, Project Name, Sample ID, Sample Matrix, Sample Preservation, Field Blanks, Field Spikes, Field Duplicates, On -Site Data, Sampling Collection Dates/Times, and Sampling Location. Results relate to the accuracy of this information provided, and as the samples are received. Abbreviations and Definitions MDL Method Detection Limit. ND Not detected at the Reporting Limit (or MDL where applicable). ROL Reported Detection Limit. Rec. Recovery. RPD Relative Percent Difference, SDG Sample Delivery Group. U Not detected at the Reporting Limit (or MDL where applicable). Analyte The name of the particular compound or analysis performed. Some Analyses and Methods will have multiple analytes reported. If the sample matrix contains an interfering material, the sample preparation volume or weight values differ from the Dilution standard, or if concentrations of analytes in the sample are higher than the highest limit of concentration that the laboratory can accurately report, the sample may be diluted for analysis. If a value different than I is used in this field, the result reported has already been corrected for this factor. These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal Limits for the method and analyte being reported. Successful QC Sample analysis will target all analytes recovered or duplicated within these ranges. Original Sample The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) from a quality control sample. The Original Sample may not be included within the reported SDG. This column provides a letter and/or number designation that corresponds to additional information concerning the result Qualifier reported. If a Qualifier is present, a definition per Qualifier is provided within the Glossary and Definitions page and potentially a discussion of possible implications of the Qualifier in the Case Narrative if applicable. The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. If there was no measurable result returned for a specific analyte, the result in this column may state 'No" (Not Detected) or'BDL" Result (Below Detectable Levels). The information in the results column should always be accompanied by either an MDL (Method Detection Limit) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect or report for this analyte. Uncertainty (Radiochemistry) Confidence level of 2 sigma. A brief discussion about the included sample results, including a discussion of any non -conformances to protocol Case Narrative (Cn) observed either at sample receipt by the laboratory from the field or during the analytical process. If present, there will be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report. Quality Control This section of the report includes the results of the laboratory quality control analyses required by procedure or Summary (Ot) analytical methods to assist in evaluating the validity of the results reported for your samples. These analyses are not being performed on your samples typically, but on laboratory generated material. This is the document created in the field when your samples were initially collected. This is used to verify the time and Sample Chain of date of collection, the person collecting the samples, and the analyses that the laboratory is requested to perform. This Custody (Sc) chain of custody also documents all persons (excluding commercial shippers) that have had control or possession of the samples from the time of collection until delivery to the laboratory for analysis. This section of your report will provide the results of all testing performed on your samples. These results are provided Sample Results (Sr) by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for each sample will provide the name and method number for the analysis reported. Sample Summary (Ss) This section of the Analytical Report defines the specific analyses performed for each sample ID, including the dates and times of preparation and/or analysis. Qualifier Description Pt RPD value not applicable for sample concentrations less than 5 times the reporting limit. ACCOUNT: PROJECT: SDG: DATE7TIME: PAGE: Pilot Apex Environmental 768490-047 L1160114 11/19/1911:27 8 of 10 ACCREDITATIONS & LOCATIONS ONE LAB. NATIONWIDE. Pace National Is the only environmental laboratory accredited/cenified to support your work nationwide from one location. One phone call, one point of contact, one laboratory. No other lab Is as accessible or prepared to handle your needs throughout the country. Our capacity and capability from our single location laboratory Is comparable to the collective totals of the network laboratories In our Industry, The most significant benefit to our one location design Is the design of our laboratory campus. The model Is conducive to accelerated productivity, decreasing turnaround time, and preventing cross contamination, thus protecting sample Integrity. Our focus on premium quality and prompt service allows us to be YOUR LAB OF CHOICE. ' Not all certifications held by the laboratory are applicable to the results reported In the attached report. ' Accreditation Is only applicable to the test methods specifed on each scope of accreditation held by Pace National. State Accreditations Alabama 40660 Alaska 17-026 Arizona A20612 California 2932 Colorado TN00003 Connecticut PH-0197 Florida E87487 Georgia NELAP Georgia 923 Indiana C-TN-01 Iowa 364 Kentuckyi° 90010 Kentucky ° 16 Louisiana A130792 Nebraska NE-05-15-05 Nevada TN-03.2002-34 New Hampshire 2975 New Jersey—NELAP TNO02 New Mexico' Na New York 11742 North Carolina' OW21704 North Carolina' 41 North Dakota R-140 Oho—VAP CL0069 Oklahoma 9915 Oregon TN200002 Pennpy anla 68-02979 Rhode Island LA000356 South Carolina 84004 South Dakota run Tennessee 14 2006 Texas T104704245-18-15 T...0 I Ann,c, Maryland 324 Utah TN00003 Massachusetts M-TNO03 Vermont V72006 Michigan 9958 Virginia 460132 Minnesota 047-999-395 Washington C847 Mississippi TN00003 West Virginia 233 Missouri 340 Wisconsin 9980939910 Montana CERT0086 Wyoming A21-A Third Party Federal Accreditations A2LA—ISO 17025 1461,01 AIHA-LAP,LLC EMLAP 100789 A2LA—ISO 17025° 1461.02 DOD 1461.01 Canada 1461.01 USDA P330-15-00234 EPA—Cryptu TN00003 Drinking Water ' Underground Storage Tanks 'Aquatic Toxicity 'ChemicaVMicroblological 'Mold 'Wastewater Na Accreditation not applicable Our Locations Pace National has sixty-four client support centers that provide sample pickup and/or the delivery of sampling supplies. If you would like assistance from one orour support offices, please contact our main office, Pace National performs all testing at our central laboratory. WA MT No OR MN T to so T WI NY WY MI T IA T FA 4 Nv T NE T T T OH UT T � I? IL Irr• VN _OA' OO T MO T T VAT T Ks I(Y It N T� NM O AR T T SC • MS AT GA T TX LA t ' AK t T ep T HI ME ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Pilot Apex Environmental 768490-047 L1160114 lIA911911:27 9 of 10 I 11 . I . BiIIIhgtnformztum-.-? , 1 Analysis Ccuitainer't Pf6servative Chain Of Pilot 4pex Environmental,Accounts 4� - 'E Pies 7 7 Payable/ Gary Doiiiiias 7 5,56iion'ai Roadchk Y/ AmAraMtcal, 7724 Garland Circle kn;xvill;',T� 21i993 Roanoke, VA 24019 ly r 17, Report to: Rob,ert.Wagrier EmaIITo:rwagner@2PeXVQS.00M Project e Cu V/Sul Description; Pilot 58 Collected: 5d. 3. L# Client Project # Lab Project 0 Phone: 540-563-4920 PILOTAPEXENVAB J02 1 Fa.: Nam;� Table 0 ACCMUM: PILOTAPEXENV Collected by (print): Site/Facility, to 0 P.O. 4 �byjsc2tua,,)!"'=! Template;T144529. Collect Rush? (Lab MUST Be Notifi�d) Quote Ilf., U cz V""Day :T, Prelogin: P708030 Nina pay S Day (Rad O�.M� Date Results Needed x TSR7 633 - Pain Langford I immediately Two Day 20Day(R&d0rhy) X Fill; 'TX Packed cm Ice N Y Three Day Of! ID -11 Shipped via: Fec[EX Ground Sample, ID Comp/Grab Matrix' Inh Date Time �.k - tub *I %cot GW -11%4- x Sx. —QvteL�� --Y Y, Mauk: ReIrnarks: Smr6le Receipt Chmakil ntect: 11 CDC Sea' Pre3ent/I: N SS -Soil AIR -Air F - Filter PH q-tia Temp —1"'< COC Sitmec[/Accvrate: —/Y —N GW - Groundwater 8 - Bloassiiy Bottles arrive Intact! WIN - WasteWater Flow other corrcct tattles used: . . .�y u DW - Drinking Water Samples returned via: 101U.e.StAL: —Y �u Or - Other UPS FedEx Courier Tracking If op�ISufficient' 3 (062A. VOA Zero Headsp.c.: P..ser,sti. CorreCt/Checked: y -4 RelinquishepriS.& —lattwel Date: Time: Received br. (Signature) Trip Received: Yes4Nol H"7'bloH' TER r PARrF* ; AR ell m9plAtf— Relinphad by: (Signature) Date: Time; Received by-. [Signaltur) Temp: Battles Received: If preservation required by Login: Date/Time Relinquished by: (Signature) Date: Time: Received for lab by: [Signature) Date: Time: Hold: Condit' NCF OK -y