NCG060352_COMPLETE FILE - HISTORICAL_20190701

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v Cc,5, o
DOC TYPE
"ISTORICALFILE
❑ MONITORING REPORTS
DOC DATE
p Dbl� 0,
YYYYMMDD

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality a eral Permit No. NCG060000
Date submitted Z %
CERTIFICATE OF COVERAGE NO. NCG06__6_��Z SAMPLE COLLECTION YEAR % d 13
FACILITY NAME 5+b COW C �'3,Xq Q_,mc_,ec� eo -[L C1--_S FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Q _S C" f--l 4D-De/process meats Kuse animal fats/byproducts
PERSON COLLECTING SAMPLES e 1 5e DISCHARGING TO SALTWATERS? EYES /JVO
LABORATORY,EqCg hkhk Lab Cert. # 53 Z4 JUL Q 1 2019
LEASE REMEMBER TO SIGN ON THE REVERSE 4
WEni-! kAL FILE
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 1. 5'jl or ❑ No discharge this period
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coiiform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
100 or 50
Within 6.0 — 9.0
120
30
1000
500
U 2�
I
I
I
4 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ;N no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at pnV outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18. 2012
Page l of 2

jr—
*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 ❑
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 (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, NC 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."
M,,,- ("'-' - i(/Zq1,ra
(Signature of Permittee) (Dat )
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/­wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 19. 2012
Paee 2 of 2

aceAnalytical'
wwwpacelahacam
June 17, 2019
Sal DiGiovanni
S&D Coffee
300 Concord Pkwy S
Concord, NC 28027
RE: Project: STORMWATER SAMPLING
Pace Project No.: 92432353
Pace Analytical Services, Ll-C
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Dear Sal DiGiovanni:
Enclosed are the analytical results for sample(s) received by the laboratory on June 10, 2019. The
results relate only to the samples included in this report. Results reported herein conform to the most
current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where
applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Angela Baioni for
Sarah Graham
[e-mail]
[phone]
Project Manager
Enclosures
cc: Mark Weisel, S&Q Coffee
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 14

IaceAnalXical"
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Hunfersville, NC 2847876
www.pacelabs.com
[phone]
CERTIFICATIONS
Project: STORMWATER SAMPLING
Pace Project No.: 92432353
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
South Carolina Certification #: 99006001
LouisianalNELAP Certification # LA170028
Florida/NELAP Certification #: E87627
North Carolina Drinking Water Certification #: 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification #: 5342
VirginiafVELAP Certification #: 460221
North Carolina Wastewater Certification #: 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
North Carolina Wastewater Certification #: 40
Florida/NELAP Certification #: E87648
South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030
VirginiaNELAP Certification #: 460222
North Carolina Drinking Water Certification #: 37712
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 14

leAnaVical *
www.pacelab&mm
Project: STORMWATER SAMPLING
Pace Project No.: 92432353
Lab ID Sample ID
SAMPLE SUMMARY
Matrix Date Collected Date Received
92432353001 MAIN SWO-1 Water 06/10/19 10:15 06110/19 13:20
REPORT OF LABORATORY ANALYSIS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, l_LG.
Page 3 of 14

aceAnalytical
www.pacelabs.mn
SAMPLE ANALYTE COUNT
Project: STORMWATER SAMPLING
Pace Project No.. 92432353
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Analytes
Lab ID Sample ID Method
Analysts
Reported
92432353001 MAIN SWO-1 EPA 1664E
JMS
1
SM 254OD-2011
MJP
1
EPA 9040C
ECH
1
SM 5220D-2011
GC
1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 4 of 14

aceAnalyticalo
wwwpacelabs.cw
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 1C0
Huwersville, NC 28078
[phone]
Project: STORMWATER SAMPLING
Pace Project No.: 92432353
Sample: MAIN SWO-1 Lab ID: 92432353001 Collected: 06/10/19 10:15 Received: 06110/19 13:20 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664E
Oil and Grease
NO mglL
4.8 1
06/12/19 06:03
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Total Suspended Solids
66.4 mg/L
20.0 1
06/14/19 12:27
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
6.6 Sid. Units
0.10 1
06/16/19 13:52 H3
5220D COD
Analytical Method: SM 5220D-2011
Preparation Method: SM 5220D-2011
Chemical Oxygen Demand
246 mglL
25.0 1
06/14/19 18:00 06/17/19 15:53
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/17/2019 04:43 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 14

acmnalytical
www.pacetabacom
QUALITY CONTROL DATA
Project: STORMWATER SAMPLING
Pace Project No.: 92432353
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersviile, INC 28078
[phone]
QC Batch: 480559
Analysis Method:
EPA 1664E
QC Batch Method: EPA 1664E
Analysis Description:
1664 HEM, Oil and Grease
Associated Lab Samples: 92432353001
METHOD BLANK: 2599794
Matrix: Water
Associated Lab Samples: 92432353001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Oil and Grease
mg/L
ND 4.8
06/12/19 05:55
LABORATORY CONTROL SAMPLE:
2599795
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Oii and Grease
mg1L
38.5 37A
97 78-114
MATRIX SPIKE SAMPLE:
2599796
92432130001 Spike
MS MS % Rec
Parameter
Units
Result Conc.
Result % Rec Limits Qualifiers
Oil and Grease
mg/L
ND 38.5
38.1 96 78-114
Results presented an this page are in the units Indicated by the "Units" column except where an alternate unit Is presented to the right at the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/17/2019 04:43 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 14

(�IacieAnalytical *
www.p&Dofabs.com
QUALITY CONTROL DATA
Project: STORMWATER SAMPLING
Pace Project No.: 92432353
QC Batch: 481178 Analysis Method: SM 2540D-2011
QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92432353001
METHOD BLANK: 2602782 Matrix: Water
Associated Lab Samples: 92432353001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 06/14/19 12:25
LABORATORY CONTROL SAMPLE:
2602783
Parameter
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE; 2602784
Parameter
Units
Total Suspended Solids
mglL
SAMPLE DUPLICATE: 2602785
Parameter
Units
Total Suspended Solids
mglL
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)B75-9092
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
251 250 100 90-110
92432316001 Dup Max
Result Result RPD RPD Qualifiers
525 572 9 5 D6
92432341001 Dup Max
Result Result RPD RPD Qualifiers
14.0 15.2 8 5 D6
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/17/2019 04:43 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 14

aceAnalytical
www pacelabs.com
QUALITY CONTROL DATA
Project: STORMWATER SAMPLING
Pace Project No.: 92432353
QC Batch: 481387 Analysis Method: EPA 9040C
QC Batch Method: EPA 9040C Analysis Description: 9040 pH
Associated Lab Samples: 92432353D01
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
SAMPLE DUPLICATE: 2603787
92432907001 Dup Max
Parameter Units Result Result RPD RPD Qualifiers
pH at 25 Degrees C Std. Units 6.9 6.6 4 9 H3
SAMPLE DUPLICATE: 2603893
92432429004 Dup
Parameter Units Result Result
pH at 25 Degrees C Std. Units 1.0 1.0
Max
RPD RPD Qualifiers
0 9 1g,H3
Results presented on this page are in the units indicated by the "Units" column except where an altemate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 06117/2019 04:43 PM without the written consent of Pace Analyticai Services, LLC. Page 8 of 14

aceAnalytical
www.pecelabs.mm
QUALITY CONTROL DATA
Project: STORMWATER SAMPLING
Pace Project No.: 92432353
QC Batch: 481291 Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD
Associated Lab Samples: 92432353001
METHOD BLANK: 2603444
Associated Lab Samples: 92432353001
Parameter Units
Chemical Oxygen Demand mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 25.0 06/17/1915:53
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE: 2603445
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Chemical Oxygen Demand mg/L 750 755 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2603446 2603447
MS MSD
92432353001 Spike Spike MS MSD MS MSD % Rec Max
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual
Chemical Oxygen Demand mg/L 246 100 100 351 349 105 103 90-110 1 3
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2603448 2603449
MS MSD
92432572003 Spike Spike MS MSD MS MSD % Rec Max
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual
Chemical Oxygen Demand mg/L 26.5 100 100 129 151 103 124 90-110 15 3 M1,R1
Results presented on this page are In the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/17/2019 04:43 PM without the written consent of Pace Analytical Services, LLC.
Page 9 of 14

Pace Analytical Services, LLC
cEAnalytical® 9844 KinceyAve, Suite i40
HuntorsviUe, NC 28478 a
www.pacelahs.mm
[phone]
QUALIFIERS
Pro}ect: STORMWATER SAMPLING
Pace Project No.: 92432353
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
ANALYTE QUALIFIERS
1g Sample was not suitable to be use a probe on; pH strips used
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
H3 Sampie was received or analysis requested beyond the recognized method holding time.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
R1 RPD value was outside control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 0611712019 04:43 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14

aceAnalytical.
wivw,p 001abs.mn
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Pfaject.
Pace Project No.:
STORMWATER SAMPLING
92432353
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch Analytical Method Batch
92432353001
MAIN SWO-1
EPA 1664B
480559
92432353001
MAIN SWO-1
SM 254OD-2011
481178
92432353001
MAIN SWO-1
EPA 9040C
481387
92432353001
MAIN SWO-1
SM 5220D-2011
481291 SM 52200-2011 481335
Date: 06/17/2019 04:43 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC,
Page 11 of 14

��1,,�s Sam le Condltlw Upon Rael SCUR Pa e 1 al l
kg'1`kde bowmen[ No.:
LI--WC
hstdry Authmitsr
F•CARdS-033'•Rev.D_6____ Pace Grpllnas QuaQtY DNkE _.
Laboratory recehrin` samples:
AshoON ❑ Eden[] Greenwood ❑ Huntersolaa— Ralelsh❑ Mechanlcsrrllle©
Q]erltName: WO# : 92432353
• Sa-� %o r Project e.
Oradea. Fed Fa UPS Ousin LJCmml I� I fll it IQfI�III II �If
❑ Commercial 2r+a []other:_ 02432353
Custody Seal Present? ❑Yes Vo Seale hHaa7 D. �Qmr.- /
pate/Inuit PMen E...oAre CenOlAtl: �`l.G
Pat" INatwlal: []Bubble Wrap uttble Baas ❑Mona ❑ Other Blaio=IalTimym
stue Fr en7 i
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�pn out as temp uft W. Samphi en ke, ceol3na Precut
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USDA Resulated Saa{kJ NfA, water sample]
Did samples arp In a 4mnntkw zone wRh6 the Urdted States: CA, NT,er SC{[heck mapsl? ten safer dlickm he. a fmataa taeke Isnrnn ally. .
❑Yes Inctuma Hawadand Fuene RICO? Ova
Chain of Oftdy Present?
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S&Mpibs lurhred eAthln Hold TFme7
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hdudes Dat me/iD/Am s MatdA: w
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Fkld DM K"1AM1? Ares D.
Project Maruaer SCURF Reulew: �Ben:
Project Manger SRF Review: Date:
Page 12 of 14

�eSam fe Cenditlae UPC"
MCI,t Sam P S of 2
AWCd Daatoteet ko.: 1u�na Atsilterttp.
f-UR QG33Aer.0a ►aa CwOnas Qualty ONke
*Check mark top half of box if pH and/or dechiorinatlan Is
verified and within the acceptance range for presarvatlon
samples.
eaa0adem MA, Confarn% ft7t.Oa and Grem, oaolamS J..Wi DOC. uNy
"Bottom half of box is to list number of bottle
Project W®# : 92432353
PH: SKO the Oats: 06/17/19
CLCENT: 92-S&D
no
in
ONE
iu�ii�►iii
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pH Adjustment Log for Preserved Samples
SaePle D
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0 of held. b—..t P—..Oa.a, era of We%hrt ed owdak a
Page 13 of 14

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