NCG100008_2020 DMR_20201201

0
Mid Atlantic
Engineering & Environmental Solutions
November 23, 2020
NCDEQIDWR
Attention: Central Files
450 West Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
Subject: STORMWATER SAMPLING RESULTS
LEWISVILLE MOTOR COMPANY, INC.
5600 COUNTRY CLUB ROAD
WINSTON-SALEM, FORSYTH COUNTY, NORTH CAROLINA
PERMIT NCG100008
MID -ATLANTIC JOB NO.000R1946.00
To Whom It May Concern:
409 Rogers View Court
Raleigh, NC 27610
office 919.250.9918
facsimile 919.250,9950
MAAONLINE,COM
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 OutfaI1 001 on November 11, 2020 and analyzed for total suspended solids
(TSS), pH, total recoverable lead, oil and grease and ethylene glycol. As indicated on the
attached DMR, the results were reported below their respective benchmark values or
within their benchmark range. If you have any questions or need additional information,
please contact me at 919-250-9918.
Sincerely,
MID -ATLANTIC ASSOCIATES, INC.
Paul W. Spangenberg
Director of Environmental Compliance
Attachments: Stormwater Discharge Monitoring Report
Laboratory Analytical Report
EXPERIENCED CUSTOMER FOCUSED INNOVATIVE

NCIDEQ Division of Energy, Mineral and Land Resources
5tormwater Discharge Monitoring Report (DMR) Form for NCG10D000
Used Motor Vehicles
Click here for instructions
Complete, sign, scan and submit the DMR via the _S..tormwater NPDES Permit Data Monitoring Report (DMR] Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the approRriate DEMLR Regional Office.
Certificate of Coverage No. NCG10 0 D D 8 Person Collecting Samples: JUstln Myers
Facility Name: Lewisville Motor Company Laboratory Name: Pace
Facility County: Forsyth Laboratory Cert. No.: 12
Discharge during this period: ❑ Yes K No ofkipgnature and date)
Has yourfacility implemented mandatoryTier response actions for any benchmark exceedances? ❑ Yes 0 No
If so, which Tier (I, II, or III)?
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities - Benchmarks in (Red)
Parameter
Code
Parameter
Outfall 1 Outfall Outfall Outfall
Outfall
N/A
Receiving Stream Class
C
N/A
Date Sample Collected MM/DD/YYYY
11/1112020
45529
24-Hour Rainfall in inches
0.61
00400
pH (6-9)
8.9
C0530
TSS in mg/L (100 or 501
3.5
01051
Lead, Total Recoverable in mg/L
[
0.005
(.075)
78141
Total Toxic Organics in mg/L (1)
N/A
Ethylene Glycol in mg/L (any amount
77023
detected Tier One; 8,000 mg/L Tier
[ 5
Two and Three)
f V
00552
Non -Polar Oil & Grease in mg/L (15)
¢5.0
NCOIL
New Motor/Hydraulic Oil Usage in
N/Agal/month
" Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L.
Notes (optional):
"I certify by my signature below, 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." _
of permittee or Delegated Authorized Individual
/� - / - '�4
Date

"Analgicale
www.pecNapt, m
November 19, 2020
Paul Spangenberg
Mid -Atlantic Associates
409 Rogers View Court
Raleigh, NC 27610
RE; Project: Lewisville Motor Company
Pace Project No.: 92505491
Dear Paul Spangenberg;
Pace Analytical Services, LLC
9800 Kincey Ave. SuU 900
Huntersviiie, NC 28078
(704)e75-9092
Enclosed are the analytical results for sample(s) received by the laboratory on November 11, 2020. The results relate only
to the samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network;
• Pace Analytical Services -Asheville
• Pace Analytical Services - Charlotte
• Pace Analytical Services - Indianapolis
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Tyriek Hooks
tyriek. hooks@pacelabs. oom
[phone]
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In fuii,
without the written consent of Pace AnalyllcaI Services, LLC.
Page 1 of 13

www.picrllrbs.c=
Project: Lewisville Motor Company
Pace Project No.: 92505491
Pace Analytical Services Indianapolis
7726 Moller Road, Indianapolis, IN 46268
Illinois Accreditation M 200074
Indiana Drinking Water Laboratory #: C-49-06
KansaslTNI Certification M E-10177
Kentucky UST Agency Interest M 80226
Kentucky WW Laboratory ID M 98019
Michigan Drinking Water Laboratory #9054
Pace Analytical Services Charlotte
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Lou isiana/NELAP Certification # LA170028
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
F lorl d a/N E LAP Certification #: E87648
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
Ohio VAP Certified Laboratory #: CLOD65
Oklahoma Laboratory #: 9204
Texas Certification #: T104704355
West Virginia Certification #: 330
Wisconsin Laboratory #: 999788130
USDA Soil Permit* P330-19.00257
South Carolina Certification #: 99006Do1
Florida/NELAP Certlfrcabon #: E87627
Kentucky UST Certification M 84
VirginialVELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginialVELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Pace Analytical Services, LLC
e800 Kincey Ave. Suite 100
Huntersville, NO 28078
t704a875-9092
Page 2 of 13

(�15'ceAnalytical
trww.Peedmlaxam
Project: Lewisville Motor Company
Pace Project No.: 92505491
Lab ID Sample ID
92505491001 Outfall No.1
PAS I -A = Pace Analytical Services - Asheville
PAS I-C. = Pace Analytical Services - Charlotte
PAS I -I = Pace Analytical Services - Indianapolis
Pace Analytical Services, LLC
9800 Kincey Ave. Sufte 400
Huntersville, NC 28078
[phone]
SAMPLE ANALYTE COUNT
Analytes
Method
Analysts
Reported
Laboratory
EPA 1664B
HH
1
PASI-C
EPA 8015 Alcohol -Glycol
CPH
1
PASI-I
EPA6010D
BG2
1
PASI-A
SM 254OD-2011
ALP
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

I
eAnLilXical40
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ANALYTICAL RESULTS
Pace Analytical Services, LLC
9600 Kincey Ave. Suite 100
Hurdersville, NC 28078
[phone]
Project: Lewisville Motor Company
Pace Project No.: 92505491
Sample: Outfall No.1
Lab ID: 92505491001 Collected: 11/11/20 08:30 Received: 11/11/20 14:00 Matrix: Water
Parameters
Results Units Report Limit
DF Prepared
Analyzed CAS No. Oual
Field Data
Analytical Method:
Pace Analytical Services - Charlotte
Performed by
Lewisville
1
11/11/20 08:30
Motor
Company
Collected By
Justin M.
1
11/11120 08:30
Collected Date
11111120
1
11/11/20 08:30
Collected Time
08:30
1
11/11/20 08:30
pH
8.9 Std. Units
1
11/11/20 08:30
1664 SGT-HEM, TPH
Analytical Method: EPA 1664E
Pace Analytical Services - Charlotte
Total Petroleum Hydrocarbons
ND mglL 5.0
1
11/19/20 09.46
8015M Glycols in water
Analytical Method: EPA 8015 Alcohol -Glycol
Pace Analytical Services - Indianapolis
Ethylene glycol
ND mg/L 5.0
1
11/17/20 19:42 107-21-1
6010 MET ICP
Analytical Method: EPA 6010D Preparation Method: EPA 3010A
Pace Analytical Services -Asheville
Lead
ND ug/L 5.0
1 11/13120 02:07
11/16/20 18:18 7439-92-1
2540D Total Suspended Solids
Analytical Method; SM 254OD-2011
Pace Analytical Services - Ashevi lie
Total Suspended Solids
3.5 mg/L 2.5
1
11/14120 11:48
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11/19/2020 04:39 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 13

aceAnalj6cal
tstrritpn�Itlgs.cm
Project: Lewisville Motor Company
Pace Project No.: 92505491
QC Batch: 581465
QC Batch Method: EPA 1664B
Associated Lab Samples: 92505491001
METHOD BLANK: 3075444
Associated Lab Samples: 92505491001
Parameter Units
Total Petroleum Hydrocarbons mg/L
LABORATORY CONTROL SAMPLE: 3075445
QUALITY CONTROL DATA
Analysis Method: EPA 1664B
Analysis Description: 1664 SGT-HEM, TPH
Laboratory: Pace Analytical Services - Charlotte
Matrix: Water
Blank Reporting
Result Limit Analyzed qualifiers
ND 5.0 11/19/20 09:39
Pace Anatytical Services, LLC
9800 Kinney Ave. Suite 100
H unte rsville, NC 28078
[phone]
Parameter
Units
Spike LCS
Conc. Result
LCS
% Rec
% Ree
Limits
Qualifiers
Total Petroleum Hydrocarbons
mg1L
20 18.5
92
64-132
MATRIX SPIKE SAMPLE:
3075446
Parameter
Units
92504562002 Spike
Result Conc.
MS
Result
MS
% Ree
% Rec
Limits Qualifiers
Total Petroleum Hydrocarbons
mg1L
6.6 20
12,7
30
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: 11/19/2020 04:39 PM without the written consent of Pace Analytical Services, LI_C,
Page 5 of 13

acmwlXimls
rMm"Webign
Project: Lewisville Motor Company
Pace Project No.: 92505491
QC Batch: 593663
QC Batch Method: EPA8015AIcohol-Glycol
Associated Lab Samples: 92505491001
METHOD BLANK: 2739045
Associated Lab Samples: 92505491001
Parameter Units
Ethylene glycol mg/L
LABORATORY CONTROL SAMPLE: 2739046
Parameter Units
Ethylene glycol mg/L
Pace Anatytical Services, LLC
9800 Kincey Ave, Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Analysis Method: EPA 8015AIcohol-Glycol
Analysis Description: EPA 8015 Modified
Laboratory: Pace Analytical Services - IndlanapDlis
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 5.0 11/17/2019:02
Spike LCS LCS % Rec
Conc. Result % Rec Limits Quallfiers
25 19.0 76 47-167
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2-139114 2739115
MS MS0
92506089001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RP❑ Qual
Ethylene glycol mg1L ND 25 25 21.6 24.2 82 92 31-179 11
Results presented on this page are in the units Indicated by the "Units" colunnn 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: 11119/2020 04.39 PM without the written consent of Pace Analytical Services, LLC,
Page 6 of 13

CeAna6ftal
►ryrw.�an9aths.cunl
Project: Lewisville Motor Company
Pace Project No.: 92505491
QC Batch: 58OD91
QC Batch Method: EPA 3010A
Associated Lab Samples: 92,905491001
METHOD BLANK: 3068763
Associated Lab Samples: 9250,9491001
Parameter Units
Lead ug1L
LABORATORY CONTROL SAMPLE: 3068764
Parameter Units
Lead ug/L
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersvllle, NC 28078
[phone]
QUALITY CONTROL DATA
Analysis Method: EPA 6010D
Analysis Description: 6010 MET
Laboratory: Pace Analytical Services - Asheville
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
NO 5.0 1111512017:55
Spike LCS LCS °% Rec
Conc. Result °% Rec Limits Qualifiers
500 486 97 80-120
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3068765 3DB8766
MS MSD
92505711001 Spike Spike MS MSD MS MSD °% Rec
Parameter Units Result Conc. Cone. Result Result % Rec °% Rec Limits RPD Qual
Lead uglL ND 250 250 243 247 96 98 75-125 2
Results presented on this page are in the units Indicated by the "Units- column except where an alternate unit is presented to the right or the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11/19/2020 04:39 PM without the written consent of Pace Analytical Services, LLC.
Page 7 of 13

IeArralyrcal�
r►wIlLpawabo no
Project: Lewisville Motor Company
Pace Project No.: 92505491
QC Batch: 580381
QC Batch Method: SM 254OD-2011
Associated Lab Samples: 92505491001
METHOD BL
QUALITY CONTROL DATA
Analysis Method; SM 254OD•2011
Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services - Asheville
ANK. 3D7D273 Matrix: Water
Associated Lab Samples: 92505491001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 11/14/20 11:47
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE: 3070274
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Suspended Solids mg/L 250 248 99 9D-110
SAMPLE DUPLICATE: 3070322
Parameter
Total Suspended Solids
SAMPLE DUPLICATE: 3070323
Parameter
Total Suspended Solids
92505206003 Dup
Units Result Result RP❑ Qualifiers
mg1L 244 260 7
92505566001 Dup
Units Result Result RPD Qualifiers
mg/L 60.2 61.6 2
Results presented an this page are in the units indicated by the "tlnitC 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: 11 /1912020 04:39 PM without the written consent of Pace Analytical Services, LLC.
Page 9 of 13

aceAnalylical
Wormpledahs.etun
QUALIFIERS
Project: Lewisville Motor Company
Pace Project No.: 92505491
DEFINITIONS
Pace Analytical ServiCes, LLG
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
❑F - 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, unroundad data are displayed and have been used to calculate c/o recovery and RP values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS[D] - Matrix Spike (Duplicate)
❑UP - 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 Ch I o roeth ylv in yl 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-NitrosodIphenylamIna decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported far
each analyte is a combined concentration.
Pace Analytical is TN accredited. Contact your Pace PM far the current list of accredited analytes.
TNI - The NELAC Institute,
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: 11119/2020 04:39 PM without the written consent of Pace Analytical Services, LLG. Page 9 of 13

Pace Analytical SevIC@5, LLC
aceARalyical ^ 9800 KinceyAve, Suite 100
vrww.pacelahs.com Huntersville, No 28078
! [phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Lewisville Motor Company
Pace Project No.: 92505491
Lap ID
Sample ID
QC Batch Method
Analytical
QC Batch Analytical Method Batch
92505491001
Outfall No.1
92505491001
Outfall No.1
EPA 1664B
581465
92505491001
Outfall No.1
EPA 8015 Alcohol -Glycol
593663
92505491001
Outfall No.1
EPA 3010A
580091 EPA 6010D 580106
92505491001
Outfall No.1
5M 254OD-2011
580381
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11l19/2020 04:39 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 13

i �
,��
PaceAnalyfical
Sample Condition Upon Receipt(SCUR) Page 1 of 2
Document No.: issuing Authority:
F-CAR•CS-033•Rev.07 Pace Carolinas Quality Office
Laboratory receiving samples:
Asheville ❑ Eden❑ Greenwood ❑ Huntersvilie 0 Raleigh[]
Mechanicsuiite❑ Atlanta(] Kernersville❑
SampledClient Dame: Project t W V# . 9Z505491
❑Fed Ex UP5 ❑LISPS ❑Client
�� � �I�
❑Courier:
Commercial ❑Pace ❑other:
JJ � �����
�������
�I�
92505491
Custody Seal Present? ❑Yes ❑No seals Intact? ❑Yes []No
�}
Date/Initials Person Examining Contents; r'
Packing Material: ❑Bubble Wrap []Bubble Bags []None ❑ other
Biological tissue Fro2en?
Thermometer;
1 i13 Gun ID: 92TO61 [Net ❑Blue
❑Yes []No S'N/A
❑None
Type of Ice:
Correction factor:
3-7
Cooler Temp: Add/Subtract (°C) 0,10
Ternp should be above freezing to VC
Confer Temp Corrected �'arl, w ; a' �°
❑Sampie s out of temp criteria. Samples on ice, canting process
USDA Regulated Sail (Q'N/A, water sample)
has begun
{]id samples origin to in a quarantine tone within the United States: CA, NY, or 5C (check maps)?
❑Y@s L50
Did samples originate from a foreign source (insersrationally,
including Hawaii and Puerto Rico)? []YesNo
Comm ants/Discrepancy:
Chain of Custody Present?
Samples Arrived within Hold Time?
Short Hold Time Analysis (e72 hr.)?
Rush Turn Around Time Requested?
Sufficient Volume?
Correct Containers Used?
-Pace Containers Used?
Containers Intact?
Dissolved analysis: Samples Field Filtered?
Sample Labels Match COC?
-Includes Date/Time/ID/Analysis Matrix:
Headspace in VOA Vials (>S-Emm)?
Trip Blank Present?
Trip lllanl Custody5eals Present?
COMMENTS/SAMPLE DISCREPANCY
CLIENT NOTiFiCATION/RESOLUTION
Person Contacted:
Project Manager SCURF Review:
Project Manager 511RF Review:
LvIlres UNo UNIA
1.
es
[]NO.
©NIA
2.
❑Yes
Na
❑NIA
3.
Dyes
%o
NIA
4.
es
❑No
❑NIA
5.
Dres
❑No
❑NIA
s.
No
❑NIA
,M,Y�es
Lgres
ON-
[]NIA
7,
[]Yes
❑Nci
❑N A
S.
© es
❑IVo
❑NIA
4.
k:.) i-
❑ND
r1No
Date/Time:
Lot to of split containers:
Date:
Date:
Field Data Required? Dyes ❑ND
Page 11 of 13 -__

/ FR/WeAt7alyflcal Sample Condition Upon ftecei t{5CtlR) Pa e 2 of 2
00curnent No.: Issuing Authority:
r F-CAR-CS-033-Rev.07 I Pace Carolinas Quality Office
"Check mark top half of box if pH and/or dechlorination is Project #
verified and within the acceptance range for preservation # W0� : 925^6491
samples, � j
Exceptions: VOA, CcIiform, TOC, till and Grease, DRO/A015 (svater) QOC, LLHg PM; TIN Due Date: 11 /20/20
"Bottom half of box is to list number of bottles CLIENT: 92-1`1ID ATLAN
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PH Adjustment Log for Preserved Samples
Sample to Type of Preservative pH upon receipt Date preservation adjusted Time presenretion Amount of Preservative Lot p
adju I added
Note: Whenever there is a discrepancy affecting North Caroiina compliance samples, a Copy of this Form will be sent to the North Carolina DERNR Certirtcation Office [i,e.
Out of hold, incorrect preservative, out of temp, incorrect containefs.
- Page 12.of 13

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