NCG080896_MONITORING INFO_20190717

(PR"
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
2'MONITORING REPORTS
DOC DATE
❑ �) - -7
YYYYMMDD

: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 #7983
985 Peeler Road
Salisbury, North Carolina
Permit NCGO80896
Dear Sir/Madam:
I 'ftf 1/'ED
JUG 17 2019
pEitlTR,� FILES
pig SEC71pN
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/
CERTIFICATE OF COVERAGE NO. NCG080896
FACILITY NAME Pilot 7983
COUNTY Rowan
PERSON COLLECTING SAMPLES HC
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 ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -i
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
24.2
22.5
7.29
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 _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 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 oriainal and one coov of this DMR, including all "No Discharge" reports within 30 days of receipt of the lob 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."
�7� -/ 9
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.ore/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised April 11, 2013
Page 2 of 2

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

aceAnaiyticai ° ANALYTICAL REPORT
rreuo.relcp�ro.ro.r°w.rpamrrorewn June 27, 2019
it'
Pilot Apex Environmental
Sample Delivery Group: L1107730
Samples Received: 06/11/2019
Project Number:
Description: Pilot 7983
Report To: Robert Wagner
7724 Garland Circle
Roanoke, VA 24019
Entire Report Reviewed By: fa'�u
t /
Pam Langford
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.
*'
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pilot Apex Environmental L1107730 06/27/1911:05 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
3
SS
SALISBURY L1107730-01
5
Qc: Quality Control Summary
6
Rn
Gravimetric Analysis by Method 2540 D-2011
6
s
Sr
Wet Chemistry by Method 1664A
7
GI: Glossary of Terms
8
6
Qc
Al: Accreditations & Locations
9
Sc: Sample Chain of Custody
10
F
8AI
9SC
ACCOUNT: PROJECT: SDG: DATEnME: PAGE:
Pilot Apex Environmental L1107730 06/27/1911:05 2 of 10

SAMPLE SUMMARY
ONE LAB. NATIONWIDE. 0
Collected by
Collected date/time
Received date/time
SALISBURY L1107730-01 GW
Harrison Carter
06/07/1914:45
06/1111908:45
Method
Batch Dilution Preparation
Analysis
Analyst Location
date/time
date/time
Gravimetric Analysis by Method 2540 D-2011
WG1295310 1 06/141191145
0611411912:34
AEC Mt. Juliet, TN
Wet Chemistry by Method 1664A
WG1301971 1 06/25/1918*30
06/27/19 0131
MBP Mt. Juliet, TN
0
ACCOUNT: PROJECT: SDG: DATEITIME:
Pilot Apex Environmental L1107730 06/27/191105
PAGE:
3 of 10

CASE NARRATIVE ONE LAB. NATIONWIDE. J0
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.
Pam Langford
Project Manager
ACCOUNT: PROJECT: SDG: DATEITIME: PAGE:
Pilot Apex Environmental L1107730 06/2711911:05 4 of 10

SALISBURY SAMPLE RESULTS - 01 ONE LAB. NATIONWIDE.
Collected date/time: 06/07/19 14:45 L1107730
Additional Information
C
Result Units
Analyte
pH (On Site) 7.29 su
TC
Temperature (on -site) 7T8 Deg, F
E
Gravimetric Analysis by Method 2540 D-2011
Result Qualifier
RDL
Dilution Analysis
Batch
Cn
Analyte mg/I
mg/I
date/time
Suspended Solids 22.5
12.5
1 06/14/201912:34
WG1295310
Wet Chemistry by Method 1664A
fi
Result Qualifier
RDL
Dilution Analysis
Batch
QC
Analyte mg/I
mg/I
date/time
TPH - Oil B Grease 24.2
5.67
1 06/271201901:31
WG1301971
7GI
aAl
aSc
ACCOUNT:
PROJECT:
SDG:
DATEMME:
PAGE:
Pilot Apex Environmental
L1107730
06/27/1911:05
5 of 10

WG1295310
QUALITY CONTROL SUMMARY
ONE LAB. NATIONWIDE.
Gravimetrlc Analysis by Method 2540 D-2011
L1107730-01
Method Blank (MB)
Cp
(MB) R3421309-1 06/14/1912:34
MB Result MB Qualifier MB MDL MB RDL
Analyte mg4 mgA mgA
FTC]
Suspended Solids U 0.350 2.50
3Ss
4Cn
L1107059-02 Original Sample (OS) • Duplicate (DUP)
(OS) L1107059-02 06/14/1912:34 - (DUP) R3421309-3 06/14/1912:34
Original Result DUP Result Dilution DUP RPD
DUP Qualifier DUP RPD
Limits
s
$f
Analyte mg/I mgA %
%
Suspended Solids 66.0 75.3 1 13.2
P1 5
L1107069-02 Original Sample (OS) • Duplicate (DUP)
]GI
(OS) L1107069-02 06/14/19 12:34 - (DUP) R3421309-4 06/14/19 12:34
Original Result DUP Result Dilution DUP RED
DUP Qualifier DUP RED
Limits
aAl
Analyte mgA mgA %
%
Suspended Solids 13.7 14.3 1 4.71
5
e
Sc
Laboratory Control Sample (LCS)
(LCS) R3421309-2 06/14/1912:34
Spike Amount LCS Result LCS Rec. Rec. Limits
LCS Qualifier
Anafyte mgA mgA % %
Suspended Solids . 773 724 93.7 85.0-115
ACCOUNT:
PROJECT: SDG:
DATE/TIME: PAGE:
Pilot Apex Environmental
-TOn30
06127/1911:05 6 of 10

WG1301971 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. J0
Wet Chemistry by Method 1664A L1107730-01
Method Blank (MB)
(MB) R3425116-1 06/27/19 0131
MS Result MB Qualifier MB MDL MB RDL
Analyte mgA mg/I mg/I
TPH - Oil B Grease U 0.725 5.00
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3425116-2 06/27/19 01:31 • (LCSD) R3425116-3 06/27/19 01:31
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte mg/I mg/I mg4 % % % % %
TPH -Oil B Grease &0 20.4 19.3 102 96.5 64.0-132 5.54 34
ACCOUNT: PAGE: -
7 of 10
PROJECT:
SDG:
DATEnIME:
Pilot Apex Environmental
L110T730
06127A911:05

GLOSSARY OF TERMS
ONE LAB. NATIONWIDE.
Guide to Reading and Understanding Your Laboratory Report
Cp
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
�Tc
MDL
Method Detection Limit.
RDL
Reported Detection Limit.
SS
Rec.
Recovery.
RPD
Relative Percent Difference.
y
SDG
Sample Delivery Group,
Cn
U
Not detected at the Reporting Limit (or MDL where applicable).
Anayte
The name of the particular compound or analysis performed, Some Analyses and Methods will have multiple analytes
reported.
aSr
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 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.
AI
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
s
potentially a discussion of possible implications of the Qualifier in the Case Narrative if applicable.
$C
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 '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 (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
P1
RPD value not applicable for sample concentrations less than 5 times the reporting limit,
ACCOUNT: PROJECT: SDG: DATEMME: PAGE:
Pilot Apex Environmental L1107730 0627/1911:05 8 of 10

ACCREDITATIONS & LOCATIONS ONE LAB. NATIONWIDE.
Pace National Is the only environmental laboratory accredited/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 capacr y 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 Prevent ng 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
Arizona
AZO612
Arkansas
88-0469
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
Kentucky1°
90010
Kentucky'
16
Louisiana
A130792
Louisiana'
LA180010
Maine
TN0002
Maryland
324
Massachusetts
M-TNO03
Michigan
9958
Minnesota
047-999-395
Mississippi
TN00003
Missouri
340
Montana
CERT0086
Third Party Federal Accreditations
I80
Canada 1461.01
EPA—Crypto TN00003
Nebraska
NE-OSA5-05
Nevada
TN-03-2002-34
New Hampshire
2975
New Jersey—NELAP
TNO02
New Mexico'
Na
New York
11742
North Carolina
Env375
North Carolina'
DW21704
North Carolina'
41
North Dakota
R-140
Ohio—VAP
CLOO69
Oklahoma
9915
Oregon
TN200002
Pennsylvania
fib-02979
Rhode Island
LA000356
South Carolina
84004
South Dakota
Na
Tennessee "
2006
Texas
T104704245-19-15
Texas°
UB0152
Utah
TN00003
Vermont
VT2006
Virginia
460132
Washington
C847
West Virginia
233
Wisconsin
9980939910
Wyoming
A21-A
AIHA-LAP,LLC EMLAP 100789
DOD 1461.01
USDA P330-15-00234
Drinking Water ° Underground Storage Tanks 'Aquatic Toxicity 4 ChemlcallMicrobiological `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 once. Pace National performs all testing at our central laboratory.
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ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pilot Apex Environmental L1107730 0627A911:05 9 of 10

P
Analysis
Container
Pmervad"
Chain of Custody Page _ of
illooling information;
e"". Pres
flot Apex Envir6nmenta -Accounts Payable/ Gary Douglas , I
_. 1. . 1. - - * " . j- ChI;
isol; Lonas Roadjrd
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724 Garland Circle Knoxville, TN 37993
ase
:oanoke, VA 24019
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Email To:magnerg s
sporto:
6W75&Sss3
tobert Wagner
city/Sute
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VOA Zero Readspace:
twe) rip Blank Received; Yes
Received by'. (Sigra No
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