NCG100199_DMR_20200207

409 Rogers View Court
Raleigh,NC 27610
Mid Atlantic office 919.250.9918
Engineering& Environmental Solutions facsimile 919.250.9950
MAAONLINE.COM
February 20, 2020
NCDEQ/DWR
Attention: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: STORMWATER SAMPLING RESULTS
G&N USED AUTO PARTS
3850 SOUTH CHURCH STREET
ROCKY MOUNT, NORTH CAROLINA 27803
NPDES PERMIT NO. NCG100199
To Whom It May Concern:
Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical
report for the sampling conducted at the above-referenced site. A stormwater sample was
collected from Outfall 001 on February 7, 2020 and analyzed for total suspended solids
(TSS), pH, total recoverable lead, oil and grease and ethylene glycol. As indicated on the
attached DMR, all parameters were reported below or within their respective benchmark
values. If you have any questions or need additional information, please contact me at
919-250-9918.
Sincerely,
MID-ATLANTIC ASSOCIATES, INC.
Paatw. sfuogrAdiegf
Paul W. Spangenberg
Director of Environmental Compliance Services e'`��
MAR ��D
Attachment: Discharge Outfall Monitoring Report 02 20�0
Laboratory Analytical Reports �FI� F
WR Secri
EXPERIENCED CUSTOMER FOCUSED INNOVATIVE

STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100199 SAMPLES COLLECTED DURING CALENDAR YEAR:2020
FACILITY NAME G&N Used Auto Parts COUNTY Nash
PERSON COLLECTING SAMPLE(S)George Vagnieres PHONE NO. [phone]
CERTIFIED LABORATORY(S)Pace Analytical Lab#12
Lab# PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow"or "No Discharge"within
30 days of the end of that period to comply with permit reporting requirements.
Outfall Date 00400 00530 ---- 77023 01051 78141
No. Sample Collected, Total pH, Total Suspended Non-polar Ethylene Glycol, Lead,Total Total Toxic
mo/dd/year Rainfall, Standard Solids(TSS), O&G/TPH mg/L Recoverable, Organics3,
inches Units mg/L (Method 1664 mg/L mg/L
SGT-HEM), mg/L
8,000
Benchmark 6.0—9.01 100/502 15 (Tiers 2 and 3) 0.03 1.0
Outfall 001 02/07/2020 3 8.0 9.8 <4.8 <5.0 0.0085 NA
RECEIVED
okR 0 2 -L020
CEt\ 1 p`t.F- S
ILn
Note: If you report a sampled value in excess of the benchmark value,or outside the benchmark range for pH,you must implemenYtier 1 or Tier 2 responses in the General
Permit.
1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower,then the lower threshold of this benchmark
range is the pH of the precipitation(within instrument accuracy)instead of 6 S.U. Readings from an on-site or local rain gauge(or local precipitation data) must be documented
to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D,Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Form SWU-251,last revised October25,2012
Page 1 of 2

STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver,the
discharger shall sign the following certification statement:
Solvent Management Plan Certification Statement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics(TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent
management plan included in the Stormwater Pollution Prevention Plan."
2J7/
Name(Print name)
n6/i/
Title(P ' t title)
4lea/14/ //r//ea1/61 -o7--C-20Q6
Signature Date
Mail Original and one copy to:
Division of Water Quality
Attn:Central Files
1617 MailServiceCenter
Raleigh, North Carolina27699-1617
"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 away,that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations."
Form SWU-251,last revised October 25,2012
Page 2 of 2

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.psalsbs.com [phone]
I
February 19, 2020
Paul Spangenberg
Mid-Atlantic Associates
409 Rogers View Court
Raleigh, NC 27610
RE: Project: G&N Used Auto Parts
Pace Project No.: 92464393
Dear Paul Spangenberg:
Enclosed are the analytical results for sample(s) received by the laboratory on February 10, 2020.
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,
Tyriek Hooks
[e-mail]
[phone]
Project Manager
Enclosures
\ REPORT OF LABORATORY ANALYSIS
0 4 This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 1 of 13

Pace Analytical Services,LLC
9800 Kincey Ave. Suite 100
aceAnalytical Huntersville,NC 28078
www.pacslabs.con
[phone]
CERTIFICATIONS
Project: G&N Used Auto Parts
Pace Project No.: 92464393
Pace Analytical Services Indianapolis
7726 Moller Road, Indianapolis, IN 46268 Ohio VAP Certification#:CL0065
Illinois Certification#:200074 Oklahoma Certification#:9204
Indiana Certification#:C-49-06 Texas Certification#:T104704355
Kansas/NELAP Certification#:E-10177 West Virginia Certification#:330
Kentucky UST Certification#:80226 Wisconsin Certification#:999788130
Kentucky WW Certification#:98019 USDA Soil Permit#:P330-19-00257
Michigan Department of Environmental Quality,Laboratory
#9050
Pace Analytical Services Charlotte
9800 Kincey Ave.Ste 100, Huntersville,NC 28078 South Carolina Certification#:99006001
Louisiana/NELAP Certification#LA170028 Florida/NELAP Certification#:E87627
North Carolina Drinking Water Certification#:37706 Kentucky UST Certification#:84
North Carolina Field Services Certification#:5342 VirginiaNELAP Certification#:460221
North Carolina Wastewater Certification#:12
Pace Analytical Services Asheville
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 13

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
ww.paalebs.con
[phone]
SAMPLE ANALYTE COUNT
Project: G&N Used Auto Parts
Pace Project No.: 92464393
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92464393001 Outfall No.1 EPA 1664E WAM 1 PASI-C
EPA 8015 Alcohol-Glycol CPH 1 PASI-I
EPA6010D SH1 1 PASI-A
SM 2540D-2011 MJP 1 PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 3 of 13

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacslsbs.con
[phone]
ANALYTICAL RESULTS
Project: G&N Used Auto Parts
Pace Project No.: 92464393
Sample: Outfall No.1 Lab ID: 92464393001 Collected: 02/07/20 10:30 Received: 02/10/20 10:48 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1664 SGT-HEM,TPH Analytical Method:EPA 1664E
Total Petroleum Hydrocarbons ND mg/L 5.0 1 02/19/20 09:03 M1
8015M Glycols in water Analytical Method:EPA 8015 Alcohol-Glycol
Ethylene glycol ND mg/L 5.0 1 02/14/20 09:11 107-21-1
6010 MET ICP Analytical Method:EPA 6010D Preparation Method:EPA 3010A
Lead 8.5 ug/L 5.0 1 02/15/20 00:46 02/15/20 14:38 7439-92-1
2540D Total Suspended Solids Analytical Method:SM 2540D-2011
Total Suspended Solids 9.8 mg/L 5.4 1 02/14/20 13:03
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:02/19/2020 03:44 PM without the written consent of Pace Analytical Services,LLC. Page 4 of 13

Pace Analytical Services,LLC
aceAnalytical® 9800 KinceyAve. Suite 100
Huntersville,NC 28078
www.pacelabs.con
[phone]
QUALITY CONTROL DATA
Project: G&N Used Auto Parts
Pace Project No.: 92464393
QC Batch: 525853 Analysis Method: EPA 1664E
QC Batch Method: EPA 1664E Analysis Description: 1664 SGT-HEM,TPH
Associated Lab Samples: 92464393001
METHOD BLANK: 2810601 Matrix: Water
Associated Lab Samples: 92464393001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Petroleum Hydrocarbons mg/L ND 5.0 02/19/20 09:03
LABORATORY CONTROL SAMPLE: 2810602
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Total Petroleum Hydrocarbons mg/L 20 14.7 74 64-132
MATRIX SPIKE SAMPLE: 2810603
92464393001 Spike MS MS %Rec
Parameter Units Result Conc. Result %Rec Limits Qualifiers
Total Petroleum Hydrocarbons mg/L ND 20 6.1 25 64-132 M1
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:02/19/2020 03:44 PM without the written consent of Pace Analytical Services,LLC. Page 5 of 13

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacilsbs con [phone]
I
QUALITY CONTROL DATA
Project: G&N Used Auto Parts
Pace Project No.: 92464393
QC Batch: 547415 Analysis Method: EPA 8015 Alcohol-Glycol
QC Batch Method: EPA 8015 Alcohol-Glycol Analysis Description: EPA 8015 Modified
Associated Lab Samples: 92464393001
METHOD BLANK: 2524703 Matrix: Water
Associated Lab Samples: 92464393001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Ethylene glycol mg/L ND 5.0 02/14/20 09:02
LABORATORY CONTROL SAMPLE: 2524704
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Ethylene glycol mg/L 25 25.9 104 48-150
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2524705 2524706
MS MSD
92464393001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Ethylene glycol mg/L ND 25 25 23.0 24.8 90 97 34-153 7
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:02/19/2020 03:44 PM without the written consent of Pace Analytical Services,LLC. Page 6 of 13

Pace Analytical Services,LLC
aceAnalytical e 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacalabs.con [phone]
i
QUALITY CONTROL DATA
Project: G&N Used Auto Parts
Pace Project No.: 92464393
QC Batch: 525315 Analysis Method: EPA 6010D
QC Batch Method: EPA 3010A Analysis Description: 6010 MET
Associated Lab Samples: 92464393001
METHOD BLANK: 2808070 Matrix: Water
Associated Lab Samples: 92464393001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Lead ug/L ND 5.0 02/15/20 13:29
LABORATORY CONTROL SAMPLE: 2808071
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Lead ug/L 500 462 92 80-120
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2808072 2808073
MS MSD
92463622001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Lead ug/L ND 500 500 493 490 99 98 75-125 1
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:02/19/2020 03:44 PM without the written consent of Pace Analytical Services,LLC. Page 7 of 13

Pace Analytical Services,LLC
aceAnalytica!e 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.psalsbs.con [phone]
I
QUALITY CONTROL DATA
Project: G&N Used Auto Parts
Pace Project No.: 92464393
QC Batch: 525245 Analysis Method: SM 2540D-2011
QC Batch Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92464393001
METHOD BLANK: 2807452 Matrix: Water
Associated Lab Samples: 92464393001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 02/14/20 13:02
LABORATORY CONTROL SAMPLE: 2807453
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Total Suspended Solids mg/L 250 242 97 90-110
SAMPLE DUPLICATE: 2807454
92464769001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 152 147 3
SAMPLE DUPLICATE: 2807455
92464620001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 50.7 46.0 10
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:02/19/2020 03:44 PM without the written consent of Pace Analytical Services,LLC. Page 8 of 13

Pace Analytical Services,LLC
aceAnalytical` 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.ca n
[phone]
QUALIFIERS
Project: G&N Used Auto Parts
Pace Project No: 92464393
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.
LABORATORIES
PASI-A Pace Analytical Services-Asheville
PASI-C Pace Analytical Services-Charlotte
PASI-I Pace Analytical Services-Indianapolis
ANALYTE QUALIFIERS
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample(LCS)recovery.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:02/19/2020 03:44 PM without the written consent of Pace Analytical Services,LLC. Page 9 of 13

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.paalabs.con [phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: G&N Used Auto Parts
Pace Project No.: 92464393
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92464393001 Outfall No.1 EPA 1664E 525853
92464393001 Outfall No.1 EPA 8015 Alcohol-Glycol 547415
92464393001 Outfall No.1 EPA 3010A 525315 EPA 6010D 525336
92464393001 Outfall No.1 SM 2540D-2011 525245
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:02/19/2020 03:44 PM without the written consent of Pace Analytical Services,LLC. Page 10 of 13

Document Name: Document Revised:February 7,2018
Sample Condition Upon Receipt(SCUR) Page 1 of 2
7eraceAnalytical Document No.: Issuing Authority:
F-CAR-CS-033•Rev.06 Pace Carolinas Quality Office
Laboratory receiving samples:
Asheville ❑ Eden❑ Greenwood❑ Huntersville!D '' Raleigh❑ Mechanicsville❑
Sample Condition - Client Name: W®# 92464393
upon Receipt ��1/Ge ��/� Project#:
Courier: rimed Ex f ❑UvPS �❑USPS EClient 11111111
11111 1111
I III
❑Commercial ['Pace ['Other:
92464393
-
Custody Seal Present? Dies ❑Nc1 Seals Intact? ❑Yes ❑No
Date/Initials Person Examining Contents: r'` r t• ..(z)
Packing Material: ['Bubble Wrap 013ubble Bags [hone ❑ Other Biological Tissue Frozen?
Thermometer: We Dyes ,�No ON/A
DIR Gun ID: 92T058 Type of Ice: t ❑Blue ❑None
Cooler Temp(°C): (;-Ci Correction Factor:Add/Subtract(*CI 0.0°C
( � (/ t Temp should be above freezing to VC
Cooler Temp Corrected(°C): '-t •v ❑Samples out of temp criteria.Samples on ice,cooling process
has begun
USDA Regulated Soil (QN/A,water sample)
Did samples originate in a quarantine zone within the United States:CA,NY,or SC(check maps)? Did samples originate from a foreign source(internationally,
i
❑Yes ❑rNG Including Hawaii and Puerto Rico)?Des ❑No
Comments/Discrepancy:
Chain of Custody Present? tai Yes ❑No ON/A 1.
Samples Arrived within Hold Time? Wes ❑No ❑N/A 2.
Short Hold Time Analysis(<72 hr.)? Oyes ...ONO" ❑N/A 3.
Rush Turn Around Time Requested? Oyes -eNo ❑N/A 4.
Sufficient Volume? ❑No ON/A 5.
Correct Containers Used? 12•res ❑No ON/A 6.
-Pace Containers Used? +es ❑No ❑N/A
Containers Intact? _J s ❑No ON/A_. 7.
Dissolved analysis:Samples Field Filtered? Over ❑No LJN/A B.
Sample Labels Match COC? Dies ❑No ON/A 9.
-Icludes Dntn/Tmie/ID/Anaty.ri, Matrix. 1�� 1 I
Headspace in VOA Vials(>5-6mm)? .ices ❑No ON/A 10. CO 14,r1/1"\ hec1. c [,i
Trip Blank Present? Oyes ENo ON/A 11.
Trip Blank Custody Seals Present? Oyes ❑No DMA
COMMENTS/SAMPLE DISCREPANCY Field Data Required? Eyes [No
Lot ID of split containers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted: Date/Time:
Project Manager SCURF Review: /. Date: f�1�p`(}
Project Manager SRF Review: d Date: r4/7;96
Page 11 of 13

Document Name: Document Revised:February 7,2018
Sample Condition Upon Recelpt(SCUR) Page 1 of 2
4 c7 eAnalytical Document No.: Issuing Authority
F-CAR-CS-033•Rev.06 Pace Carolinas Quality Office
*Check mark top half of box if pH and/or dechlorination Is Project t# W0# ; 92464393
verified and within the acceptance range for preservation W Due Date: 02/19/20
samples. pM: TIH
Exceptions:VOA,Coliform,TOC,Oil and Grease,DRO/8015(water)DOC,LLHg CLIENT: 92-MID ATLRN
**Bottom half of box is to list number of bottle I
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Z ry n Z ry Z m m >
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7 fi S ry Z y 7 S r' = EtJ '4 crL . « a z 2
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v, o 0 = u, F., v, 'n 3 = _ _ � " o 0, 0 0
" N V1 — - N N " - N7 N o 0 "0 0 mn„ ,n N el
a j > > h 2 N u LL 6 i j 4 M �Q 2rman Y Y .
E a en .i a e m a a t7 •a •. m a▪ m 7 CS
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pH Adjustment Log for Preserved Samples
Sample ID Type of Preservative pH upon receipt Date preservation adjusted Time preservation Amount of Preservative lot S
adjusted added
Note: Whenever there is a discrepancy affecting North Carolina compliance samples,a copy of this form will be sent to the North Carolina DEfiNR Certification Office(i.e.
Out of hold,incorrect preservative,out of temp,incorrect containers.
Page 12 of 13

p' CHAIN-OF-CUSTODY/Analytical Request Document
PaceAnalytical The Chain-of-Custody is a LEGAL DOCUMENT.All relevant fields must be completed accurately
nr4.4 ld_e,n05�.
Section A Section B Section C page: of
Required Client Information. Required Project Information Invoice Information
company Mid-Atlantic Associates.Inc. Report To pad Spangenberg(pspengenberg@maaonline,cc Attention Paul Spangenberg
Address 409 Rogers View Court Copy To Beverly Oglesby([e-mail] Company Name. Mid-Atlantic Associates,inc.
REGULATORY AGENCY
Raleigh,NC 27610 Address 409 Rogers View Court,Raleigh,NC NPDES GROUND WATER DRINKING WATER
•
Email To [e-mail] Purchase Order No R2037.00 Pace Quote __ UST RCRA OTHER
Reference.
Phone- 919-250-9918 Fax [phone] Project Name G&N Used Auto Parts Pace Project Tyriek Hooks Site Location -
Mnnoner NC
Requested Due DaterTAT: Standard Project Number R2037.00 Pace Profile it: __
STATE:
Requested Analysis Filtered(YIN)
Section D Valid Matrix Codes — z
Required Client Informatwn MATRIX CODE — _a COLLECTED Preservatives 5 N Y N V
DRINroNG WATER ow 0 -
WATER WI o
U 0 e)
WASTE WATER COMPOSITE p U COMPOSITE H .0
PRODUCT Ti co START ENO/CRAB J r4 Z
SOIL/SOLID SL ' d)
OIL OL (7 r
SAMPLE ID WIPE we
Z..' W
(7 U Id — T— U C
O (U
AIR AR U .—
(A-t,0-91,-) OTHER OT W
w a Z ,D (_ O >, CCO
Sample IDs MUST BE UNIQUE Tissue Ts O 0- g F m to ,c 0 To L
U w z o •tn N N p To
n X Fr LA W 00 O m T c I— — / 4.� _
w ¢ ¢ a I'LO n O Z 0 to d L Q O 2 L v �ZLIUi I
~ 2 v) DATE TIME DATE TIME rn at C I I I Z Z .2 O r 1-- 1--
d w _I CC Pace Project No.!Lab I.D.
1 Outfall No. 1 wr G -- - a-7-2G(o id:`.l?L'ttt 7 4 1 2 x x x x Rainfall(inches):41ri(.• jt'464
2 pH:S_�? l
3
4
5
6
7
8
9
10
II
12
ADDITIONAL COMMENTS RELINQUISHED BY(AFFILIATION DATE TIME CEPTED BY/ �F/A LIATION DATE TIME SAMPLE CONDITIONS
k:r
-c
co SAMPLER NAME AND SIGNATURE �) c
0
4) oZ m—y
W PRINT Name of SAMPLER: y v/�,2/.L� U/1/ r L ?`—S T '6 n
o (�.�` c� tC` riF-/`-'DATE Signed - —�, n
SIGNATURE of SAMPLER 7 n t - '- rr - <)
42 '" 6/24/0 (mwootYYI: r '�C U rn
(.) fff
•I•npnrant Hole.By worn tors tone you are accepting Pace's NET 3n dnv n.vmenr'err..n•d:,me-.r-•-,...•.•rr.rrn.--r.f 1 5°:.per e,nnm for any rnvorces nor pale v:r^,r 3 i days F-ALL-O-020rev.06.12-Oct-2007