NCG080143_MONITORING INFO_20190717

STORMWATER DIVISION CODING SHEET
NCG PERMITS
[PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
C)�MONITORING REPORTS
DOC DATE
❑y I
YYYYMMDD

UM
APEX
July 9, 2019
Division of Water Quality
Attention: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Discharge Monitoring Report — January -June 2019
Pilot #56
2825 Lane Street
Kannapolis, North Carolina
Permit NCG080143
Dear Sir/Madam:
RECFjjv
ED
JU( 17 2019
CD�jq �L FiLEs
Attached is the January -June 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 [phone].
Sincerely,
Robert S. Wagner
Program Manager
Attachments
cc: Melody Mayville, Pilot Flying J
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 Water Quality General Permit No. NCG080000
Date submitted 07/09/19
CERTIFICATE OF COVERAGE NO. NCGO80143
FACILITY NAME _Pilot 56
COUNTY Cabarrus
PERSON COLLECTING SAMPLES KAH
LABORATORY —Pace National Lab Cert. p 375
Comments on sample collection or analysis:
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
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _x_no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
50 or 100 see permit
Within 6.0 — 9.0
15
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
15
50 or 100 see permit
6.0 — 9.0
001
06/07/19
21.6
18.0
9.04
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page I of

STORM EVENT CHARACTERISTICS:
Date _06/07/19 (first event sampled)
Total Event Precipitation (inches): _>0.1
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART 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 AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART If SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME: _
Mail an original and one copy of this DMR, including all "No Discharge" reports within 30 days of receipt of the lab results for at end 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."
)Date)
itional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/W5/Su/npdessw#tab-4
SWU-250 last revised April 11, 2013
Paee 2 of 2

ATTACHMENT II
Laboratory Certificates of Analysis
and Chain -of -Custody Documentation

Ne! e6rl lANALYTICAL REPORT
_ ycapar, June 26, 2019
r141*
Pilot Apex Environmental
Sample Delivery Group:
L1107743
Samples Received:
06/11/2019
Project Number:
768490-043
Description:
Pilot 56
Site:
PILOT 56
Report To: Robert Wagner
7724 Garland Circle
Roanoke, VA 24019
Entire Report Reviewed By: m DD,,
, 4"
Pam Langford
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 National
is performed per guidance provided In laboratory standard operating procedures: 060302. 060303, and 060304.
ACCOUNT: PROJECT: SDG: DATEITIME: PAGE:
Pilot Apex Environmental 768490-043 L1107743 06/26/1914:51 1 of 10

TABLE OF CONTENTS ONE LAB. NATIONWIDE.
Cp: Cover Page
1
Cp
Tc: Table of Contents
2
Ss: Sample Summary
3
Cn: Case Narrative
4
Sr: Sample Results
5
3SS
WS-1 L1107743-01
5
Cc: Quality Control Summary
6
[Cr
Gravimetric Analysis by Method 2540 D-2011
6
Fri
Chemistry by Method 1664A
7
GI: Glossary of Terms
8
6
QC
Al: Accreditations & Locations
9
Sc: Sample Chain of Custody
10
[GI
eAl
9SC
ACCOUNT: PROJECT: SDG:
DATE/TIME:
PAGE:
Pilot Apex Environmental 768490-043 L1107743
06/26/1914.51
2 of 10

SAMPLE SUMMARY I ONE LAB. NATIONWIDE. 0
Collected by
Collected date/time
Received date/lime
WS-1 L1107743-01 GW
Ouentin M. Walton
06/07/1915:20
06/1111908:45
Method
Batch Dilution Preparation
Anaysis
Analyst Location
date/time
date/time
Gravimetric Analysis by Method 2540 D-2011
WG1295311 1 06/1411910:55
06/1411911:43
AEC Mt. Juliet, TN
Wet Chemistry by Method 1664A
WG1301232 1 06/24/1907:53
06/25/1915:55
AMG Mt. Juliet, TN
1CP
ZTc
4Cn
SSr
6QC
7G1
aAl
9Sc
ACCOUNT: PROJECT: SDG: DATERIME: PAGE:
Pilot Apex Environmental 768490-043 L1107743 06/26/1914'51 3 of 10

CASE NARRATIVE
ONE LAB. NATIONWIDE. V
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
the report. Where applicable, all MDL (LOD) and RDL (LOO) 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
or properly qualified within the sample results. By my digital signature below, I affirm to the best of my
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.
fa'wtul' 4
c
Pam Langford
Project Manager
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pilot Apex Environmental 768490-043 L1107743 06/26A914:51 4 of 10

WS-1 SAMPLE RESULTS - 01 ONE LAB, NATIONWIDE.
Collected date/time: 0 610 7119 15:20 L1107743
Additional Information
Result Units
C P
Anatyte
2
pH (On Site) 9.04 su
TC
Gravimetric Analysis by Method 2540 D-2011
aSs
Result Qualifier RDL Dilution
Analysis
Batch
Analyte mg4 mg4
date/time
4
Cn
Suspended Solids 180 12.5 1
06114120191143
W61295311
Wet Chemistry by Method 1664A
Result Qualifier RDL Dilution
Analysis
Batch
6
Analyze mg/I mg/I
date/time
QC
TPH - Oil & Grease 21.6 5.81 1
06/25/201915*55
WG1301232
7 GI
Sample Narrative:
L1107743-01 WG1301232: Sample would not stabilize. Result is recorded in wet weight.
aAl
9Sc
ACCOUNT: PROJECT: SDG: DATERIME: PAGE:
Pilot Apex Environmental 768490-043 L1107743 06/26/1914.51 50/10

WG1295311
QUALITY CONTROL SUMMARY
ONE LAB. NATIONWIDE.
Gravimetric Analysis by Method 2540 D-2011
L1107743-01
Method Blank (MB)
IC
(MB) R3421310-1 06/14/1911:43
❑
2
MS Result MB Qualifier MB MDL MB ROL
Analyte mgA mgA
mg/I
TC
Suspended Solids U 0.350
2.50
3Ss
4Cn
L1108059-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1108059-01 06/14/1911:43 - (DUP) R3421310-3 06114/1911:43
Original Result DUP Result Dilution DUP RPD
DUP Qualifier DUP RPD
Limns
s
Sf
Anayte mgA mgA %
%
Suspended Solids 15.0 13.7 1 9.28
Pi 5
L1108126-02 Original Sample (OS) • Duplicate (DUP)
7GI
(OS) L1108126-02 06/14/19 11:43 - (DUP) R3421310-4 06/14/1911:43
QI
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyze mg/I mg/I %
%
Suspended Solids 23.5 31.0 1 27.5
P1 5
RC
Laboratory Control Sample (LCS)
(LCS) R3421310-2 06/14/19 1143
Spike Amount LCS Result LCS Rec.
Rec. Limits LCS Qualifier
Anayze mgA mgA %
%
Suspended Solids 773 786 102
85.0-115
ACCOUNT: PROJECT: SDG: OATE/TIME: PAGE:
Pilot Apex Environmental 768490-043 L1107743 - 06/26/1914:51 6 of 10

WG1301232 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE.
Wet Chemistry by Method 1664A L1107743-01
Method Blank (MB)
Cp
a
(MB) R3424597-1 06/25/1915:55
MB Result MB Qualifier MB MDL MB RDL
z
Analyte mg/I m94 mg/I
TC
TPH - Oil & Grease U 0.725 5.00
3$5
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
4Cn
(LCS) R3424597-2 06/25/1915:55 • (LCSD) R3424597-3 06/25/19 15:55
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
s
Analyte mg/I mg/I mgll % % % % %
$r
TPH - Oil & Grease 20.0 19.6 20.2 98.0 101 64.0-132 3.02 34
ACCOUNT:
Pilot Apex Environmental
PROJECT:
768490-043
SDG: DATEMME:
L1107743 06/26/191451
PAGE:
7 of 10

GLOSSARY OF TERMS
ONE LAB. NATIONWIDE.
Guide to Reading and Understanding Your Laboratory Report
RP
The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not
as a comprehensive explanation, and if you have additional questions please contact your project representative.
Abbreviations and Definitions
ZTc
MDL
Method Detection Limit.
RDL
Reported Detection Limit.
a
Ss
Rec.
Recovery.
RPD
Relative Percent Difference.
4
SDG
Sample Delivery Group.
Cn
U
Not detected at the Reporting Limit (or MOIL where applicable).
Analyte
The name of the particular compound or analysis performed. Some Analyses and Methods will have multiple analytes
Frreported.
Dilution
If the sample matrix contains an interfering material, the sample preparation volume or weight values differ from the
standard. or if concentrations of analytes in the sample are higher than the highest limit of concentration that the
a
QC
laboratory can accurately report, the sample may be diluted for analysis. If a value different than t 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 analyle being reported. Successful OC 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.
Al
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
y
potentially a discussion of possible implications of the Qualifier in the Case Narrative If applicable.
SC
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 analyle. the result in this column may state 'ND" (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 (Cal
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 (Qc)
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
P1
RPD value not applicable for sample concentrations less than 5 times the reporting limit.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pilot Apex Environmental 768490-043 L1107743 0626a914.51 8 of 10

ACCREDITATIONS & LOCATIONS ONE LAB. NATIONWIDE.
Pace National Is the only environmental laboratory accredhed/cenufied 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. 0 or 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
hum -around 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 rationed in the attached report.
' Accreditation Is only applicable to the test methods specified on each scope of accreditation held by Pace National,
State Accreditations
t
CrJ
2
Tc
Alabama 40660
Nebraska
NE-05-15-05
SS
Alaska 17-026
Nevada
TN-03-2002.34
Arizona AZ0612
New Hampshire
2975
4
Arkansas BM469
New Jersey—NELAP
TNO0I
Cn
California 2932
New Mexico
War
Colorado TN00003
Connecticut PH-0197
New York
North Carolina
11742
Env375
fi
Sr
Florida E87487
Narlh Carolina'
DW21704
Georgia NELAP
North Carolina'
41
fi
Georgia' 923
North Dakota
R-140
OC
Idaho TN00003
Ohio—VAP
CL0069
Illinois 200008
Oklahoma
9915
7GI
Indiana C-TN-01
Oregon
TN200002
Iowa 364
Pennsylvanla
68-02979
Kansas E-10277
Kentucky' ° 90010
Rhode Island
South Carolina
LA000356
840D4
Kentucky' 16
South Dakota
Na
Louisiana A130792
Tennessee"
2006
9
Louisiana' LA180010
Texas
T104704245-18-15
SC
Maine TN0002
Texas°
LABO152
Maryland 324
Utah
TN00003
Massachusetts M-TNG03
Vermont
VT2006
Michigan 9958
Virginia
460132
Minnesota 047-999-395
Washington
C847
Mississippi TN00003
West Virginia
233
Missouri 340
Wisconsin
9980939910
Montana CERT0086
Wyoming
A2LA
Third Party Federal Accreditations
A2LA — ISO 17025
1461.01
A2LA—ISO 17025'
1461.02
Canada
1461.01
EPA—Crypto
TN00003
DOD
USDA P330-15-00234
'Drinking Water ' Underground Storage Tanks 3 Aquatic Toxicity 4ChemicaVMicroblological "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 of our support offices, please contact
our main office. Pace National performs all testing at our central laboratory.
WA
MT NO
OR MN
T ID 4SO T Wr
WY M1 T
T NV T NE lA T ORT T PA
T UT T I? It. Itl V V
CIA KS MO T T � VA
T T TLT
• TAZ
NM 01 AIR N T
4
• MS AL GA
T T% LA — rT
T
NY
ME
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pilot Apex Environmental 768490-043 L1107743 06/26/1914:51 9 of 10

BalingInformation: - -
i,
Analysis/Container/Preservative
-
Chain of Custody Page_ol
Pilot Apex Environmental
1
Gary Douglas Pf.'
f ,
-
ro a
7724
O'k
5508 Lonas Road
C,'C/illdiyhCc71
Garland Circle
a.aol.•o.+n ads*
Roanoke, VA 24019
...
Knoxville, TN 37993
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Report to: -
Robert Wagner.
Email To. rwagner@apeacoarom
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Mavix •
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COC Seal Presen.?In.ecL 1t1P _Y _N
CDC Signed/Aecurare: _N
-Wastewater � , ;
Bottles erri.e irate: N
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DW- Dnnkin - _ Flow_ Other
g Water Samples returned via:
Correct ho tles used: _N
sufficient volume seat:
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no ' hed by: (Signature( Date: Time: Received by: (Slgnaure Trip Blank Received: Yes No
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Tem •C Bottles Received:
If preservation required by Login: Dalemme
Reli - Ed by: (Signature(.
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Timer^ /�'� Received
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Date: e:
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