NCG080428_MONITORING INFO_20191216

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
❑�MONITORING REPORTS
DOC DATE
❑ Q
YYYYMMDD

December 10, 2019
NC DEQ/Division of Water Resources
Attention: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
;k
APEX
RE' " V ED
DEC 16 2019
DWR $E:CT10111
RE: Discharge Monitoring Report —July-December 2019
Pilot #7971
1343 Rock Barn Road, NE
Conover, North Carolina
Permit NCG080428
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 [phone].
Sincerely,
�H+--
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. NCGO8 0 4 2 8 SAMPLE COLLECTION YEAR 2019
FACILITY NAME PFJ Southeast LLC #7971 SAMPLE PERIOD ❑ Jan -June ❑■ July -Dec
COUNTY Catawba or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES John McGuire r f� /C DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
LABORATORY Pace National Lab Cert. # 375 t"`,t;-CEV G [_]Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: B€� B Z019 ❑a Other C
FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
jN/R SECTIOPI
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes ❑■ no (if ves, complete Part A)
Part A: Vehicle & Equipment Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period2
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.
2 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 mg/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 period1
Outfall
No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Sample Collected`
mo/dd/yr
Total Suspended
Solids,
mg/L
pH,
Standard units
Non -Polar Oil &
Grease,
mg/L
Permit Limit _
-
-
100 or 50'
6.0 — 9.0
15
Parameter code �
-
46529
-
C0530
004DO
00552
001
1ill 2I19
0.33
11/12/19
248
8.0
20.3
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 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 ANYONE OUTFALL? YES ❑ NO Q
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal coov of this DMR. including all "No Discharqe" reports, within 30 days of receipt of the lab 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."
I �9
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

aceAnalytical ° ANALYTICAL REPORT
Nonunmcamnm.rLic1 Sato, November 19, 2019
Pilot Apex Environmental
Sample Delivery Group:
L1160275
Samples Received:
11/13/2019
Project Number:
768490-046
Description:
Pilot 7971
Site:
PILOT 7971
Report To: Robert Wagner
7724 Garland Circle
Roanoke, VA 24019
Entire Report Reviewed By
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
Analyliod National Is performed per guldance provided in laboratory standard operating procedures ENV-SOP-MLL-0067 and
ENV-SOP-MIA-0088. Where sampling conducted by the customer, results relate to the accuracy of the Information prodded.
and as the samples are received.
ACCOUNT: PROJECT: SDG: DATEMME: PAGE:
Pilot Apex Environmental 768490-046 L1160275 11117:14 1 of 10

TABLE OF CONTENTS
ONE LAB. NATIONWIDE.
Cp: Cover Page
1
CP
Tr. Table of Contents
2
Ss: Sample Summary
3
Cn: Case Narrative
4
Sr: Sample Results
5
3S5
CONOVER L1160275-01
5
,
Cn
Qc: Quality Control Summary
6
Gravimetric Analysis by Method 2540 D-2011
6
SSr
Wet Chemistry by Method 1664A
7
GI: Glossary of Terms
8
aQc
Al: Accreditations & Locations
9
7GI
Sc: Sample Chain of Custody
10
aAl
95C
ACCOUNT: PROJECT: SDG: DATERIME: PAGE:
Pilot Apex Environmental 768490-046 L1160275 11119/1917.14 2 of 10

SAMPLE SUMMARY
ONE LAB. NATIONWIDE.
n
Collected by
Collected date/time
Received date/time
CONOVER L1160275-01 GW
John M.
11/1211907:00
11/1311908:40
ICp
Method
Batch Dilution Preparation
Analysis
Analyst Location
date/time
dateltime
Tc
Gravimetric Analysis by Method 2540 D-2011
WG1380716 1 11f14/1917:34
11/14/1918:55
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
4Cn
SSr
6QC
7G1
aAl
u
eSC
ACCOUNT: PROJECT: SDG: DATE7TIME: PAGE:
Pilot Apex Environmental 768490-046 L1160275 11/19/1917:14 3 of 10

CASE NARRATIVE ONE LAB. NATIONWIDE.
1Cp
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 (LOCI 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
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.
aSr
aQC
7G1
Jason Romer
BAI
Project Manager
95C
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pilot Apex Environmental 768490-046 L1160275 11p9a917.14 4 of 10

CONOVER
SAMPLE
RESULTS
- 01
ONE LAB. NATIONWIDE.
Collected date/time: 11/12/19 07:00
L1160275
Additional Information
Result
Units
Cp
Analyte
z
pH ion Site) 8
su
TC
Temperature (on -site) 14.1
0
a
Flow Measure 5
CPM
SS
Gravimetric Analysis by Method 2540 D-2011
4Cn
Result
Qualifier
RDL
Dilution Analysis
Batch
Analyze mgn
mg0
date/time
Suspended Solids 248
J3
25.0
1 11/14/201918:55
WGI380716
Wet Chemistry by Method 1664A
aOc
Result
Qualifier
RDL
Dilution Analysis
Batch
Art mgll
rni
date/lime
7G
TPH - Oil & Grease 20.3
6.25
1 11118/2019 20:00
WG1382689
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pilot Apex Environmental 768490-046 L1160275 11A9A917:14 5 of 10

WG1380716 ___ QUALITYCONTROLSUMMARY ONE LAB.NATIONWIDE.
- Gravimetric Analysis by Method 2540 D-2011 L1160275-01
Method Blank (MB) t Cp
(MB) R3472326-1 1V14/1918:55
MB Result
Suspended Solids U
MB Oualifier MB MDL MB RDL
mg4 mg4
0.350 2.50
L1160203-02 Original Sample (OS) • Duplicate (DUP)
(OS) L1160203-02 11/14/1918:55 • (DUP) R3472326-3 1111411918:55
Original Result DUP Result . Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyze mgll mgll % %
Suspended Solids 1250 1240 1 0.803 5
L1160275-01 Original Sample (OS) • Duplicate (DUP)
(05) L1160275-01 IV14/1918:55 • (DUP) R34723264 11114/1918:55
Original Result DUP Result Dilution DUP RPD DUP Oualifier DUP RPD
Limits
AnaVe mgA mgll % %
Suspended Solids 248 265 1 6.63 J3 5
Laboratory Control Sample (LCS)
(LCS) R3472326-2 11/14/19 18:55
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Oualifier
Analyze mg4 mgn % %
Suspended Solids 773 800 103 85.0-115
ACCOUNT: PROJECT: SDG: DATEMME: PAGE:
Pilot Apex Environmental 768490-046 L1160275 1119/1917:14 6 of 10

-- _ NE LAB. NATIONWIDE.
WG1382689 --- - --. _ - - - - QUALITY CONTROL ,-_ _ - -_ _ - -ONE --
Wet Chemistry by Method 1664A L1160275-01
Method Blank (MB) Cp
(MB) R3473405-1 1VIM9 2000
MB Result
MB Qualifier MB MOIL
MB ROL
Anayte mgA
mgA
hi
TPH -Oil&Grease U
0.725
5.00
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3473405-2 11/18/19 20:00 • (LCSD) R3473405-3 11/18/19 20:00
Spike Amount LCS Result LCSD Result
Anayte mg/I mg4 mgA
LCS Rec.
%
LCSD Rec.
%
Rec. Limits
%
LCS Qualifier LCSD Qualifier RPD RPD Limits
% %
TPH -Oil&Grease 20.0 14.2 14.8
71.0
74.0
64.0-132
4.14 34
ACCOUNT:
PROJECT:
SDG: DATE/TIME:
Pilot Apex Environmental
768490-046
L1160275 11/19/1917.14
PAGE:
7 of 10

GLOSSARY OF TERMS ONE LAB. NATIONWIDE.
Guide to Reading and Understanding Your Laboratory Report
C
The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not
p
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,
z
TC
Sample ID, Sample Matrix, Sample Preservation, Field Blanks, Field Spikes, Field Duplicates, On -Site Data. Sampling Collection Dates/Times, and
3SS
Sampling Location. Results relate to the accuracy of this information provided, and as the samples are received.
Abbreviations and Definitions
MDL Method Detection Limit.
4
RDL Reported Detection Limit.
Cn
Rec. Recovery.
RPD Relative Percent Difference.
s
5r
SDG Sample Delivery Group.
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
QC
❑
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 analyzes 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 OC Sample analysis will target all analytes recovered or
aAl
duplicated within these ranges.
The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) from a quality control
Original Sample sample. The Original Sample may not be included within the reported SDG.
SC
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 Confidence level of 2 sigma.
(Radiochemistry)
Case Narrative (Cn)
Quality Control
Summary (Qcl
Sample Chain of
Custody (Sc)
Sample Results (Sr)
Sample Summary (Ss)
Qualifier
J3
A brief discussion about the included sample results, including a discussion of any non -conformances to protocol
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.
This section of the report includes the results of the laboratory quality control analyses required by procedure or
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
date of collection, the person collecting the samples, and the analyses that the laboratory is requested to perform. This
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
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.
This section of the Analytical Report defines the specific analyses performed for each sample ID, including the dates and
limes of preparation and/or analysis.
Description
The associated batch OC was outside the established quality control range for precision.
ACCOUNT:
Pilot Apex Environmental
PROJECT: SDG: DATE/TIME: PAGE:
768490-046 L1160275 11/1911917:14 8 of 10

ACCREDITATIONS & LOCATIONS ONE LAB. NATIONWIDE,
Pace National is the only environmental laboratory accredit¢d/certifed 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 conective 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
turnamund 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.
' Accredltatlon is only applicable to the ten 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
Florida
E87487
Georgia
NELAP
Georgia
923
Illinois
200008
Indiana
C-TN-01
Iowa
364
Kansas
E-10277
Kentucky 1°
90010
Kentucky'
16
Louisiana
A130792
Louisiana'
tA180010
Maine
TN0002
Maryland
324
Massachusetts
M.TNO03
Minnesota 047-999-395
MISSISSippl TN00003
Third Party
Federal Accreditations
A21A — ISO 17025
1461.01
A21A—ISO 17025°
1461.02
Canada
1461.01
EPA—Crypto
TN00003
Nebraska
NE-0S15-05
Nevada
TN-03.2002-34
New Hampshire
2975
New Jersey—NELAP
TNO02
New Mexico'
n/a
New York
11742
North Carolina
Env375
North Carolina'
DW21704
North Carolina
41
North Dakota
R-140
Ohio—VAP
CL0069
Oklahoma
9915
Oregon
TN200002
PennsyNanla
68-02979
Rhode Island
LA000356
South Carolina
84004
South Dakota
n/a
Tennessee "
2006
Texas
T104704245-18-15
Texas'
LA80152
Vermont
VT2006
VVgina
460132
Washington
C847
West Virginia
233
Wisconsin
99BG939910
Wyoming
A21-1
AIHA-AP,LLC EMLAP 100789
000 1461.01
USDA P330-15-00234
'Drinking Water 3 Underground Storage Tanks 3 Aquatic Toxicity'ChemlcaVMicrobiodogical °Mold "Wastewater Na Accredllation not applicable
Our Locations
Pace National has sixty -lour client support centers that provide sample pickup and/or the delivery of sampling supplies. It 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
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OR MN
T IO so T Vvl NY
VVY MI T
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CA CO
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T KS MO T M,
T TLT
N
TAZ NM O� AR •• t T sC
his Ai CA
T TX LA �^rt
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ACCOUNT: PROJECT: SDG: DATE7TIME:
Pilot Apex Environmental 768490-046 L1160275 11119M917.14
me
PAGE:
9 of 10

N
Biing information:—
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Pilot Apex Envi',,-•
Aiccoun Payable/ Gary Douglas, !res
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7r
55bg Lopnas Road•
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19
Knoxville TN 37993 - 1`1
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Roanoke ;VA240
Repo" to:
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R6ben Wagner
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Description: Pilot 797Collected:�,xa4i[L�
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Phone: S40-563-4920
Client Protect P
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Site/Facilily to #
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Pila4,
7emplate:T144526
Collected nature
Rj)jh? (Lab MUST Be Notified) Quote #
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P,elogin: P708029
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