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Home My WebLink AboutNCG080170_MONITORING INFO_20190717STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. (V C G 0 DOC TYPE ❑❑ HISTORICAL FILE E//MONITORING REPORTS DOC DATE ❑ V 17 YYYYMMDD M A 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 #7976 1006 Charlotte Highway Troutman, North Carolina Permit NCGO80170 Dear Sir/Madam: Rteg/VED JUL 17 2019 C&VTR'44- Ork � SECTION 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 (540) 563-4920. 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. NCGO80000 Date submitted 7/9/19 CERTIFICATE OF COVERAGE NO. NCG080170 FACILITY NAME Pilot 7976 COUNTY Iredell PERSON COLLECTING SAMPLES QMW LABORATORY —Pace National Lab Cert. # 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 [—]Watersupply [:]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 04/05/19 <5.88 16.7 8.13 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 1 of 2 STORM EVENT CHARACTERISTICS: Date _04/05/19 (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 1, 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 II 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) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 ATTACHMENT H Laboratory Certificates of Analysis and Chain -of -Custody Documentation aceAnalytical • ANALYTICAL REPORT Nednnefc mar« resmpe mach" on, April 15, 2019 Pilot Apex Environmental Sample Delivery Group: L1086896 Samples Received: 04/09/2019 Project Number: 768490-045 Description: Pilot 7976 Site: PILOT 7976 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 test 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. T� , U TABLE OF CONTENTS ONE LAB. NATIONWIDE. 0 Cp: Cover Page 1 RP Tc: Table of Contents 2 Ss: Sample Summary 3 Cn: Case Narrative 4 Sr: Sample Results 5 3 S5 SW-TROUTMAN L1086896-01 5 , Qc: Quality Control Summary 6 Cn Gravimetric Analysis by Method 2540 D-2011 6 SSr Wet Chemistry by Method 1664A 7 Gl: Glossary of Terms 8 6Qc Al: Accreditations & Locations 9 7GI Sc: Sample Chain of Custody 10 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Pilot Apex Environmental 768490-045 L1086896 04/15/191407 2 of 10 SAMPLE SUMMARY ONE LAB. NATIONWIDE. SW-TROUTMAN L1086896-01 GW Collected by Collected date/time Received date/time Quentin M. Walton 04/05P914:21 04/09/1908:45 Method Batch Dilution Preparation Analysis Analyst Location date/time dateitime Gravimetric Analysis by Method 2540 D-2011 Wet Chemistry by Method 1664A WG1264491 1 04/12/1919:00 04/12/1922:51 AEC Mt. Juliet, TN WG1264354 1 04/11/1908:22 04/11/1914:31 DAD Mt. Juliet, TN ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Pilot Apex Environmental 768490-045 L1086896 04/15/1914:07 3 of 10 CASE NARRATIVE ONE LAB, NATIONWIDE. All sample aliquots were received at the correct temperature, in the proper containers, with the ICp appropriate preservatives, and within method specified holding times, unless qualified or notated within the report. Where applicable, all MDL (LOD) and RDL (LOQ) values reported for environmental samples Tc 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 3Ss 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. SSr F1 7G1 Jason Romer aAl Project Manager eSC ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Pilot Apex Environmental 768490-045 L1086896 04115/191407 4 of 10 SW-TROUTMAN SAMPLE RESULTS - 01 ONE LAB. NATIONWIDE. Collected datellime: 04/05/19 14:21 L1086896 Gravimetric Analysis by Method 2540 D-2011 C Result Qualifier ROL Dilution Analysis Batch Analyte ri ri date/time z Suspended Solids 16.7 8.33 1 04/12/201922:51 WG1264491 Tc Wet Chemistry by Method 1664A 3Ss Result Qualifier RDL Dilution Analysis Batch Anayne mgA mgA date/time ° Cn TPH - Oil B Grease NO 5.88 1 041111201914:31 WG1264354 RC 7G1 aAl eSc ACCOUNT: PROJECT: SDG: DATEMME: PAGE: Pilot Apex Environmental 768490-045 L1086896 04/1519 14:07 5 of 10 WG1264491 QUALITY CONTROL SUMMARY ONE LAB, NATIONWIDE. Gravimetric Analysis by Method 2540 D-2011 L1086896-01 Method Blank (MB) Cp (MB) R3401530-1 04/12/19 22:51 2 MB Result MB Qualifier MB MOIL MB RDL Analyte mg/I mg4 mg/I TC Suspended Solids U 0.350 2.50 3$5 L1086494-01 Original Sample (OS) • Duplicate (DUP) aCn IDS) 1-1086494-01 04/12/19 22:51 • (DUP) R3401530-3 04/12/19 22:51 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits s $f Anayte mg/I mgfl % % Suspended Solids 17.4 26.0 1 39.6 J3 5 L1086559-01 Original Sample (OS) • Duplicate (DUP) �GI IDS) L1086550-01 04/12/19 22:51 • (DUP) R3401530A 04/12/19 22:51 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits AI Anayte mg/I mg4 % % Suspended Solids 245 308 1 22.8 J3 5 s Sc Sample Narrative: O5: All that would fitter. Laboratory Control Sample (LCS) (LCS) R3401530-2 04/12/19 22:51 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Anayte mg/I mg/I % % Suspended Solids 773 772 99.9 85.0-115 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Pilot Apex Environmental 768490-045 L1086896 04/15/19 14:07 6 cf 10 WG1264354 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. Wet Chemistry by Method 1664A L1086896-01 Method Blank (MB) Cp (MB) R3400773-1 04/1111914:31 MB Result MB Qualifier MBMDL MB RDL z Analyte mg/I mg/I mg/I TC TPH -oil&Grease J 0.725 5.00 a$S Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) 4Cn (LCS) R3400773-2 04/11/1914:31 • (LCSD) R3400773-3 04/11/1914:31 Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits s Analyte mg/I mgfl mg/I % % % % % $r TPH -Oil & Grease 20.0 22.0 21.7 110 109 64.0-132 1.37 34 7GI aAl 9$C ACCOUNT: PROJECT: SDG: DATEITIME: PAGE: Pilot Apex Environmental 768490-045 L1086896 04P5/1914,07 7 of 10 GLOSSARY OF TERMS ONE LAB. NATIONWIDE. 40 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. 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 1 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 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. 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 "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 anayte. 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 Summery (Oc) 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 J3 The associated batch OC was outside the established quality control range for precision. ACCOUNT: PROJECT: SDG' DATERIME: PAGE: Pilot Apex Environmental 768490-045 L1086896 04n5A914.07 8 of 10 ACCREDITATIONS & LOCATIONS ONE LAB. NATIONWIDE. Pace National is the only environmental laboratory accredded/certified 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 specified on each scope of accreditation held by Pace National. State Accreditations Alabama 40660 Alaska 17-026 Anions AZO612 Arkansas 884469 California 2932 Colorado TN00003 Connecticut PH-0197 Florida E87487 Georgia NELAP Georgia 923 Idaho TN00003 Illinois 200008 Indiana C-TN-01 Iowa 364 Kansas E-10277 Kentucky '° 90010 Kentucky' 16 Louisiana A130792 Louisiana' 1A180010 Maine TH0002 Maryland 324 Massachusetts M-TNO03 Michigan 9958 Minnesota D47-999-395 Mississippi TN00003 Missouri 340 Montana CERT0086 Third Party Federal Accreditations Nebraska NEOS-15-05 Nevada TN-03.2002-34 New Hampshire 2975 Newlersey—NELAP TNO02 New Mexico' n/a North Carolina Env375 North Carolina' DW21704 North Carolina ° 41 North Dakota R-140 Ohio—VAP CLOO69 Oklahoma 9915 Oregon TN200002 Pennsylvania - 68-02979 Rhode Island 0000356 South Carolina 84004 South Dakota n/a Tennessee " 2006 Texas T104704245-18-15 Texas` LABO152 Utah TN00003 Vermont VT2006 Virginia 460132 WestVirginia 233 Wisconsin 9980939910 Wyoming A21A A21A—ISO 17025 1461.01 AIHA-LAP,LLC EMLAP 100789 A21A—ISO 17025' 1461.02 DOD 1461.01 Canada 1461.01 USDA P33G-15-00234 EPA—Crypto TN00003 'Drinking Water 2 Underground Storage Tanks 3Aquatic 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 of our support offices, please contact our main office. Pace National performs all testing at our central laboratory. WA Ti OR T ID T NV ? UT CA M=Co _ T T NM T e AK a Q. � �o NI ND MN so T w MI T IA T PA NE T IL IrT OH T w KS MO VA' KY T Tt-T 0 AR SC T Ms AT GA TX LA _ T A01 NY ME ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Pilot Apex Environmental 768490-045 L1086896 04/15/1914:07 9 of 10 r a y hr _ _ in of custody Page of Ana sB/Container/Preservative Billing Information: Pilot Apex Environmental " Accounts Payable/ Gary Douglas Fres Chk peAll21 kcal r' - 5508 Lonas Road i v tF f KnoRville, TN 37993 7724 Garand Circle �> ., l t Roanoke, VA 24019 i -,- �,.. noss lelwrm ge ' •- ' - Email To:rwagnerfsapex<os.<om (4, 1 .; asamtlWet TN nul { Plane: glg)ea-sgea 4•z Yy ^ Report to: .. Robert Wagner ., y, w,e r,,.nsnsssss s - -.r City/State � g ,v Project , - s Collected: 11 L g Description: Pilot 7976 g client Project ient Project g .. r ILOTAPEXENV PIV976 E tt ' 1231 Phooe 54D-563-4920r #; V `„' •) Fax '� VVVV S r Account: PILOTAPEXENV i ,.,,.-•± ---' ,_ Collected by (Door) 5itrfaciliN r r ..- P.O.p ID R _ - ' fGO 1 -. j; M s'' TemPlate.T144524 -a r v �7 (]l- *. a�? r -�,•; Rush7 (Lab MUST Be Notified) Quote fl .� ,yT J .Z%i' - y -� •� y ✓ Prelo81n: P687782 tted by,, tgnaturel r - ..,. .;- s 1�:j' -' rti-. 'w' �, �.. '�. TSR: 633-Pam Langford l�sane Day c' -e Day (R>d Only) ^' -R Date Results Neededr'�' ,- � Nen DaY ' --.% -`T f _ `A ->•��i DB: 2 '1 tY Ju v" INo. r Two Day J 10 Day (Red Ordy) r-I H:'r _' :r SMDPed VIa: F¢dEXGround ./I Immediately Three Day °�� p aJj ' ,y/ Packed on Ice N Y — "^ a,ntrs Time d ysY ''` em:ars, '• ser.,P�e aloe mN) _ -) sample ID ;r. Comp/Grab Matrix Depth Date 1 k- yl r, .-..,.1 3 F: ' 4X yam. N ✓.� 'Y Y.4 .. 4T � '! j _ 1! <. 'i '^`^-.� yam. 'e�t✓J ',IJ �tY -=.� •...�\i^.. _ JI r 1 i !� / • -' ••Y L y-a — : R . .-• C JA 7. _ Y J '{1j ' I' coc Seal Preeont/Ineeee: _NP/ _N zr p x _ emark5 '" l { J'`I /. pHemD OOC S1gneG/Mcucace: _ N Matrix f a S AIR Air F Filter y Zl k : -'s �' s° .Flow { (•t Bottles arrive intact: - Q Sal r .;? f.', B,-Bioassay / } �r r• ri f �_ Olher i; Correct Iwt[les used: —N GW`-_Groundwater. J - r""- Sufficient volume sent:: _ - 1 Wastewater ) -"�DW DridkinB Water �`• ; �� Samples re rued via: Trackingp pis-7,. ,! �O$(• �'YYo I(� 2N_UIZIL VOA Zaro NeadePaco: Y s OT dOther S f-?s' y, _UPS FedEx _Courier _ lop Blank Received: Yes o prase tvatien Correct/Checked: —y —N * 1 _ -. Tim i Rece; d by (Signature ; < q. HCL/ MeoH c x m ^rnrrM. e0.5 mFv'hr - nqur hed by:? gmture) 1� - n ., Date. I Q MR - �••r ••-•. g 1 e� Bottles Reae d: If preservation required by Login: D"t f me - Time -' Re eiv/¢� 6V gngn ,tire) > f,' Temp: ` 'r` nquished hYr(Agna ore) ` Dat ": r ° I< l��'! ' • CAnditiDn: tiSi P _ -.n b ignaturel Date Time: Hold: - NCF R n. . hedbY (5:g�wre1-' - Dat i,.,'. Tlme: -' x Receive o " 5 ly js'ou g (/,� i. • t