NCG080428_MONITORING INFO_20190717

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
f MONITORING REPORTS
DOC DATE
❑ D O IV
YYYYMMDD

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®k
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 #7971
1343 Rock Barn Road, NE
Conover, North Carolina
Permit NCG080428
Dear Sir/Madam:
RECEIVED
JUL 17 2019
CENTRAL FILES
DWR 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 [phone].
Sincerely,
e
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 _07/09/19
CERTIFICATE OF COVERAGE No. NCG080428
FACILITY NAME _Pilot 7971
COUNTY Catawba
PERSON COLLECTING SAMPLES QMW
LABORATORY_ Pace National Lab Cert. q 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 -)
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
<5.68
76.0
7.16
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
Pagel 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 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 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."
i �
(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 1 ], 2013
Paee 2 of 2

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

r'1
jc�An!l�tical • ANALYTICAL REPORT
velmo.•dm April 15, 2019
Pilot Apex Environmental
Sample Delivery Group:
L1086898
Samples Received:
04/09/2019
Project Number:
768490-046
Description:
Pilot 7971
Site:
PILOT 7971
Report To: Robert Wagner
7724 Garland Circle
Roanoke, VA 24019
Entire Report Reviewed By:
tL
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 lull, without written approval of the laboratory. Where applicable, sampling conducted by Pace Nationaly
Is performed per guidance provided In laboratory standard operating procedures: 060302, 060303, and 060304.
7'

TABLE OF CONTENTS
ONE LAB, NATIONWIDE.
Cp: Cover Page
1
Cp
Tc: Table of Contents
2
Ss: Sample Summary
3
Cn: Case Narrative
4
PA•
Sr: Sample Results
5
3Ss
SW-CONOVER L1086898-01
5
4Cn
Qc: Quality Control Summary
6
Gravimetric Analysis by Method 2540 D-2011
6
6Sr
Wet Chemistry by Method 1664A
7
GI: Glossary of Terms
g
6
QC
Al: Accreditations & Locations
9
�GI
Sc: Sample Chain of Custody
10
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pilot Apex Environmental 768490-046 L1086898 04/15/1914.07 2 of 10

SAMPLE SUMMARY ONE LAB. NATIONWIDE.
Collected by
Collected date/time
Received date/time
SW-CONOVER L1086898-01 GW
Quentin M. Waeon
041051191609
04/0911908:45
Method
Batch Dilution Preparation
Analysis
Analyst Location
dateltime
date/time
Gravimetric Analysis by Method 2540 D-2011
WG1264491 1 04/12/1919:00
04/12/1922:51
AEC Mt. Juliet, TN
Wet Chemistry by Method 1664A
WG1264354 1 04/11/1908:22
04111/1914:31
DAD Mt. Juliet, TN
ACCOUNT: PROJECT: BOG: DATEITIME: PAGE:
Pilot Apex Environmental 768490-046 L1086898 04/15/1914.07 3 of 10

CASE NARRATIVE ONE LAB. NATIONWIDE. k
All sample aliquots were received at the correct temperature, in the proper containers, with the
'C p
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
FC
7G1
Jason Romer
aAl
Project Manager
9Sc
ACCOUNT: PROJECT: SDG: DATE/TIME : PAGE:
Pilot Apex Environmental 768490-046 L1086898 04/15/1914'.07 4 of 10

SW-CONOVER SAMPLE RESULTS - 01 ONE LAB, NATIONWIDE.
Collected date/time: 04/05/19 16:09 L1086898
Gravimetric Analysis by Method 2540 D-2011
Result Qualifier
RDL
Dilution Analysis Batch
Cp
Analyte mg/I
Tagil
date/time
z
Suspended Solids 76.0
25.0
1 04/12/201922*51 WG1264491
TC
Wet Chemistry by Method 1664A
aSs
Result Qualifier
RDL
Dilution Analysis Batch
Analyte mg4
mgll
date/time
Cn
TPH -Oil&Grease NO
5.68
1 04/11/201914:31 WG1264354
6QC
7G1
aAl
95C
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pilot Apex Environmental 768490-046 L1086898 04/15/1914107 5 of 10

WG1264491 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE.
Gravimetric Analysis by Method 2540 D-2011 L1086898-01
Method Blank (MB) C
(MB) R3401530-1 04/12/19 22:51
MB Result
MB Qualifier MB MOIL
MBROL
Analyte mg4
mgll
mg/I
Suspended Solids U
0.350
2.50
L1O86494-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1086494-01 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
Analyte mg/I mgll % %
Suspended Solids 17.4 26.0 1 39.6 J3 5
L1086559-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1086559-01 04/12/19 22:51 • (DUP) R3401530-4 04/12/19 22:51
Original Result DUP Result Dilution DUP RED DUP Qualifier DUP RPD
Limits
Analyte mg/I mg/I % %
Suspended Solids 245 308 1 22.8 J3 5
Sample Narrative:
OS: All that would ffter.
Laboratory Control Sample (LCS)
(LCS) R3401530-2 04/12/19 22:51
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte mg/I mgll % %
Suspended Solids 773 772 99.9 85.0-115
_ ACCOUNT: PROJECT: SIDE: DATE/TIME: PAGE:
Pilot Apex Environmental 768490-046 L1086898 04/15/19 14:07 6 of 10

WG1264354 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE.
Wet Chemistry by Method 1664A L1086898-01
Method Blank (MB)
(MB) R3400773-1 04/11/1914:31
Cp
MR Result MR Qualifier MR MDL
Ani mg/I mg/I
MR RDL
mg/I
z
TC
TPH - Oil & Grease U 0.725
5.00
3Ss
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
4
(LCS) R3400773-2 04/11/1914:31 • (LCSD) R340OT73-3 04/11/1914:31
Cn
Spike Amount LCS Result LCSD Result
Analyte mg/I mg/I mgll
LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
% % % % %
s
$r
TPH - Oil & Grease 20.0 22.0 21.7
110 109 64.0-132 1.37 34
7GI
aAl
eSe
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pilot Apex Environmental 768490-046 L1086898 04/15p914:07 7 of 10

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
Cp
intended as a comprehensive explanation, and if you have additional questions please contact your project representative.
Abbreviations and Definitions
'Tc
MDL
Method Detection Limit,
ND
Not detected at the Reporting Limit (or MDL where applicable).
3
SS
RDL
Reported Detection Limit,
Rec.
Recovery.
4
RPD
Relative Percent Difference.
Cn
SDG
Sample Delivery Group.
U
Not detected at the Reporting Limit (or MDL where applicable). 6
$r
Analyte
The name of the particular compound or analysis performed. Some Analyses and Methods will have multiple analytes
reported.
6
If the sample matrix contains an interfering material, the sample preparation volume or weight values diner from the QC
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 analyles recovered or
duplicated within these ranges.
s
Original Sample
The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) from a quality control
Ai
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
SC
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 analyze.
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 (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 (So)
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: DATE71ME: PAGE:
Pilot Apex Environmental 768490-046 L1086898 04n5n914:07 8 of 10

ACCREDITATIONS & LOCATIONS ONE LAB, NATIONWIDE. 410
Pace National Is the only environmental laboratory accredited/certifed to support your work nationwide from One location. One phone call, one paint 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 locus 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
Arizona
AZO612
Arkansas
88-0469
California 2932
Colorado TN00003
Connecticut PH-0197
Georgia
NELAP
Georgia
923
Idaho
TN00003
Illinois
200008
Indiana
C-TN-01
Iowa
364
Kansas
E-10277
Kentucky1°
90010
Kentucky
16
Louisiana
A130792
Louisiana'
LA180010
Maine
TN0002
Maryland
324
Massachusetts
M-TNO03
Michigan
9958
Mississippi TN00003
Missouri 340
Montana CERT0086
Third Party Federal Accreditations
Nebraska
NEOS-15-05
Nevada
TN-03-2002.34
New Hampshire
2975
New Jersey—NEU1P
TNO02
New Mexico'
are
New York
11742
North Carolina
Env375
North Carolina'
DW21704
North Carolina'
41
North Dakota
R140
Ohio—VAP
CLOO69
Oklahoma
9915
Oregon
TN200002
Pennsylvania
68-02979
Rhode Island
LA000356
South Carolina
94004
South Dakota
Na
Tennessee''
2006
Texas
T104704245.1845
Texas'
LAB0152
Utah
TN00003
Vermont
VT2006
Virginia
460132
Washington
C847
West Virginia
233
Wisconsin
9980939910
Wyoming
QLA
A21A—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—Crypto
TN00003
'Drinking Water 2 Underground Storage Tanks 3 Aquatic Toxicity 'ChemicaVMicroblological 'Mold 'Wastewater are 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.
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ACCOUNT: PROJECT: SDG: DATE7TIME: PAGE:
Pilot Apex Environmental 768490-046 L1086898 04n5n9 14:07 9 of 10

d.' l7uin of CustodyPas,—of—
Ana sis/Conbiner/Preservative ,
Billing information- .1 -
• Gary Douglas •Pres �'�"�a,{/�
Pilot Apex Environmental, ADcopnt6Pa/able/. y Chk �a�
- 5508 Lonas Road:'
, Knoxville TN 37943,.. 7724 Garland Circled .;
° Roanoke,VA 24019.,
_ moon Met TN 3713a'� `
N,on 61S7sass, a
Report to: Email To:![e-mail] Lrs�, ,.e aoo-767
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Robert Wagner ;z
_ City/state.?.
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