NCG080583_MONITORING REPORT_20210126

SCHNEIDER'
1/19/2021
31015. Packerland Dr
Green Bay, WI 54313
To Whom it May Concern:
I am making a late submission due to a misunderstanding. After an inspection last week, it was
brought to my attention that these submissions should be sent each month even if there was no sample
taken. I have included Our January and September Lab Results as well as the rest of the year when we
were not able to gather a valid sample due to either time between storms or the ability to get to the
outfalls within 30 minutes. During our inspection last week, the inspector gave us some tips and best
practices to enable us to be more consistent with this requirement. I will have monthly submissions
moving forward. Please contact me if there is anything missing at my email [e-mail]
or via phone at C920) 592-3928.
Sincerely,
Derek Townsend
Schneider National
Environmental Administrator
920-592-3928
[e-mail]
48M004 512016

NCDEQ Division of Energy, Mineral and Land Resources C�
Stormwater Discharge Monitoring Report (DMR) Form for NCG080000✓4* /�FQ
Transit and Transportation-9,9'?,'
J 0OUtoPy :2 020 �ucrc Here cur msirucaons a1
Complete, sign, scan and submit the DMR via the Stormwater 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 appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG08® Person Collecting Samples: r7 (or
Facility Name: c,r ms Laboratory Name: PoLce
Facility County: 11+ck(Cn Laboratory Cert. No.: ;7706'
Discharge during this period: ❑ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? [ryes ❑ No
If so, which Tier (I, II, or III)? 9 ( ) —(' 5 S
Part A: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall (
Outfall 3
Outfall z(
Outfall S
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
1113120
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15)
57.5
<J
10 9
LU A
C0530
I TSS in mg/L (100 or 50•)
(A`
1150
1 3o6
1
00400
1 pH in standard units (6.0-9.0)
6�. 2
NCOIL
New Motor/Hydraulic Oil Usage in
gal/month
OV
( S
Part B: Oil/Water Separators & Secondary Containment Areas at Bulk Stations & Terminals — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15)
C0530
I TSS in mg/L (100 or 50')
00400
1 pH in standard units (6.0-9.0)
' Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), 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."
Signature of p4rmittee or Delegated Authorized Individual
1/13/21
Date
7
Ao
60.3
s_ 6

r'
PkeAnalytical
www.pacelabs.ccm
January 27, 2020
Mr. Michael DeBraske
Schneider National, Inc.
PO Box 2545
Green Bay, WI 543062545
RE: Project: SNI-Charlotte, NC
Pace Project No.: 92460626
Dear Mr. DeBraske:
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on January 14, 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,
/ {u �'�d1/rJ ,.n-/"
Nicole Gasiorowski
[e-mail]
[phone]
Project Manager
Enclosures
cc: Mr. Michael DeBraske, GEI Consultants, Inc.
Derek Townsend, Schneider National
fr*`
r
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 12

aceAnalytical e
vnns.Dacelaas.com
Project: SNI-Charlotte, NC
Pace Project No.: 92460626
Pace Analytical Services Charlotte
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Louisiana/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
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
South Carolina Certification #: 99006001
Florda/NELAP Certification #: E87627
Kentucky UST Certification #: 84
VirginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirglniaNELAP 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
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 2 of 12

0 ,.-
- PaceAnalytical
www.pacslahsacm
SAMPLE ANALYTE COUNT
Project: SNI-Charlotte, NC
Pace Project No.: 92460626
Pace Analytical Services, LLC
9800 Kincey Ave. Suite too
Hunlersville, NC 28078
[phone]
Lab ID
Sample ID
Method
Analysts
Analytes
Reported
Laboratory
92460626001
SP-1 (pH 5)
EPA 1664B
HH
1
PASI-C
SM 2540D-2011
MJP
1
PASI-A
EPA 9040C
ECH
1
PASI-A
92460626002
SP-3 (pH 5)
EPA 1664B
HH
1
PASI-C
SM 2540D-2011
MJP
1
PASI-A
EPA 9040C
ECH
1
PASI-A
92460626003
SP-4 (pH 5)
EPA 1664E
HH
1
PASI-C
SM 2540D-2011
CJL
1
PASI-A
EPA 9040C
ECH
1
PASI-A
92460626004
SP-5 (pH 5)
EPA 1664E
HH
1
PASI-C
SM 2540D-2011
CJL
1
PASI-A
EPA 9040C
ECH
1
PASI-A
92460626005
SP-6 (pH 5)
EPA 1664B
HH
1
PASI-C
SM 2540D-2011
CJL
1
PASI-A
EPA 9040C
ECH
1
PASI-A
92460626006
SP-7 (PH 5)
EPA 1664B
HH
1
PASI-C
SM 2540D-2011
CJL
1
PASI-A
EPA 9040C
ECH
1
PASI-A
REPORT OF LABORATORY ANALYSIS
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without the written consent of Pace Analytical Services, LLC. Page 3 of 12

aceAnalytical
www.pecetabeson
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Klncey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: SNI-Charlotte, NC
Pace Project No.: 92460626
Sample: SP-1 (pH 5)
Lab ID: 92460626001 Collected:
01/13/2013:00
Received: 01/14/2012:48 Matrix: Water
Parameters
Results Units Report Limit OF
Prepared Analyzed CAS No. Oual
HEM, Oil and Grease
Analytical Method: EPA 1664E
Oil and Grease
5.3 mg/L
4.8 1
01/24/20 15:38
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Total Suspended Solids
166 mg/L
20.0 1
01/16/20 12:41
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
6.2 Sid. Units
0.10 1
01/19/20 12:49 H3
Sample: SP-3 (pH 5)
Lab ID: 92460626002 Collected:
01113/2013:15
Received: 01/14/2012:48 Matrix: Water
Parameters
Results Units Report Limit OF
Prepared Analyzed CAS No. Oual
HEM, Oil and Grease
Analytical Method: EPA 1664B
Oil and Grease
NO mg/L
4.8 1
01/24/20 15:38
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Total Suspended Solids
1130 mg/L
33.3 1
01/16/20 12:42
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
6.2 Std. Units
0.10 1
01/19/20 12:55 H3
Sample: SP-4 (pH 5)
Lab ID: 92460626003 Collected:
01/13/2013:30
Received: 01114/2012:48 Matrix: Water
Parameters
Results Units Report Limit OF
Prepared Analyzed CAS No. Oual
HEM, Oil and Grease
Analytical Method: EPA 1664B
Oil and Grease
ND mg/L
4.8 1
01/24/20 15:39
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Total Suspended Solids
306 mg/L
50.0 1
01/17/20 16:53
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
6.1 Std. Units
0.10 1
01/19/20 13:00 H3
Sample: SP-5 (pH 5) Lab ID: 92460626004 Collected: 01/13/20 13:40 Received: 01/14/2012:48 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Oual
HEM, Oil and Grease Analytical Method: EPA 1664E
Oil and Grease ND mg/L 4.8 1 01/24/20 15:39
Date: 01 /27/2020 07:17 AM
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 12

aceAnalytical e
www.pacalabs.tan
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: SNI-Charlotte, NC
Pace Project No.: 92460626
Sample: SP-5 (pH 5)
Lab ID: 92460626004 Collected:
01/1312013:40
Received:
01/14/2012:48 Matrix: Water
Parameters
Results Units Report Limit
DF
Prepared
Analyzed CAS No.
Qual
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Total Suspended Solids
87.0 mg/L
25.0
1
01/17/20 16:53
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
6.2 Std. Units
0.10
1
01119/2013:06
H3
Sample: SP-6 (pH 5)
Lab ID: 92460626005 Collected:
01/13/2013:55
Received:
01/14/2012:48 Matrix: Water
Parameters
Results Units Report Limit
OF
Prepared
Analyzed CAS No.
Qual
HEM, Oil and Grease
Analytical Method: EPA 1664E
Oil and Grease
NO mg/L
4.8
1
01/24/20 15:39
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Total Suspended Solids
174 mg/L
25.0
1
01/17/20 16:54
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
6.3 Sid. Units
0.10
1
01/19/20 13:12
H3
Sample: SP-7 (pH 5)
Lab ID: 92460626006 Collected:
01/1312014:10
Received:
01/14/2012:48 Matrix: Water
Parameters
Results Units Report Limit
OF
Prepared
Analyzed CAS No.
Qual
HEM, Oil and Grease
Analytical Method: EPA 1664E
Oil and Grease
NO mg/L
4.8
1
0112412015:40
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Total Suspended Solids
60.3 mg/L
8.3
1
01/17/20 16:54
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
5.6 Std. Units
0.10
1
01/19/20 13:18
H3
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
Date: 01/27/2020 07:17 AM without the written consent of Pace Analytical Services, LLC. Page 5 of 12

aceAnalytical
tawaweNeAum
QUALITY CONTROL DATA
Project: SNI-Charlotte, NC
Pace Project No.: 92460626
OC Batch: 521340 Analysis Method: EPA 1664B
QC Batch Method: EPA 16648 Analysis Description: 1664 HEM, Oil and Grease
Associated Lab Samples: 92460626001, 92460626002, 92460626003, 92460626004, 92460626005, 92460626006
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
METHOD BLANK: 2789133
Matrix:
Water
Associated Lab Samples: 92460626001, 92460626002, 92460626003, 92460626004, 92460626005, 92460626006
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
Oil and Grease
mg/L
ND
5.0
01/24/20 15:36
LABORATORY CONTROL SAMPLE:
2789134
Spike
LCS
LCS % Rae
Parameter
Units
Cone.
Result
%Rec Limits Qualifiers
Oil and Grease
mg/L
40
36.5
91 78-114
MATRIX SPIKE SAMPLE: 2789135
92460906001 Spike MS MS e/ Rae
Parameter Units Result Cone. Result % Rae Limits Qualifiers
Oil and Grease mg/L ND 38.5 35.1 89 78-114
Results presented on this page are In me 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: 01/27/2020 07:17 AM without the written consent of Pace Analytical Services, LLC.
Page 6 of 12

aceAnalytical"
www.pacelabsxcm
QUALITY CONTROL DATA
Pace Analytical Services, LLC
9B00 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: SNI-Charlotte, NC
Pace Project No.: 92460626
OC Batch: 519753
Analysis Method:
SM 254OD-2011
QC Batch Method: SM 254OD-2011
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92460626001, 92460626002
METHOD BLANK: 2781578
Matrix:
Water
Associated Lab Samples: 92460626001, 92460626002
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
NO
2.5 01/16/20 12:37
LABORATORY CONTROL SAMPLE:
2781579
Spike
LCS
LCS %Rec
Parameter
Units
Conc.
Result
% Rec Limits Oualifiers
Total Suspended Solids
mg/L
250
230
92 90-110
SAMPLE DUPLICATE: 2781580
92460563001
Dup
Parameter
Units
Result
Result
RPD Qualifiers
Total Suspended Solids
mg/L
167
167 0
SAMPLE DUPLICATE: 2781581
92460565001
Dup
Parameter
Units
Result
Result
RPD Qualifiers
Total Suspended Solids
mg/L
17000
16100
5
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
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Date: 01/27/2020 07:17 AM without the written consent of Pace Analytical Services, I.I.C. Page 7 of 12

n
aceAnalytical
lyww.pacllabs<am
QUALITY CONTROL DATA
Project: SNI-Charlotte, NC
Pace Project No.: 92460626
OC Batch: 520057 Analysis Method: SM 254OD-2011
OC Batch Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92460626003, 92460626004, 92460626005, 92460626006
METHOD BLANK: 2783143 Matrix: Water
Associated Lab Samples: 92460626003, 92460626004, 92460626005, 92460626006
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L NO 2.5 01/17/20 16:52
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE: 2783144
Spike LCS LCS %Rec
Parameter Units Cone. Result % Rec Limits Qualifiers
Total Suspended Solids mg/L 250 254 102 90-110
SAMPLE DUPLICATE: 2783145
92460641001 Dup
Parameter
Units
Result
Result RPD Qualifiers
Total Suspended Solids
mg/L
17.5
16.5 6
SAMPLE DUPLICATE: 2783146
92460764003
Dup
Parameter
Units
Result
Result RPD Qualifiers
Total Suspended Solids
mg/L
1420
1220 15
Results presentee on this page are in the units Indicated by the'nnits' column except "are an alternate unit Is presentee to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 01/27/2020 07:17 AM without the written consent of Pace Analytical Services, LLC. Page 8 of 12

PaceAnalytical
www.pacelabscurn
QUALITY CONTROL DATA
Project: SNI-Charlotte, NC
Pace Project No.: 92460626
QC Batch: 520143 Analysis Method: EPA 9040C
QC Batch Method: EPA 9040C Analysis Description: 9040 pH
Associated Lab Samples: 92460626001, 92460626002, 92460626003, 92460626004, 92460626005, 92460626006
SAMPLE DUPLICATE: 2783510
92460426001 Cup
Parameter Units Result Result RPD Qualifiers
pH at 25 Degrees C Slid. Units 5.9 5.7 3 D6,1-13
SAMPLE DUPLICATE: 2783511
92460684004 Cup
Parameter Units Result Result RPD Qualifiers
pH at 25 Degrees C Bid. Units 6.2 5.8 5 D6,H3
Pace Analytical Services, LLC
9a00 Kincey Ave. Suite too
Huntersville, NC 28078
[phone]
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,
Dale: 01/27/2020 07:17 AM without the written consent of Pace Analytical Services, LLC.
Page 9 of 12

aceAnalytical
r .pecelahuote
QUALIFIERS
Project: SNI-Charlotte, NC
Pace Project No.: 92460626
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
NO - 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.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
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 ofAcrolein 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
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
H3 Sample was received or analysis requested beyond the recognized method holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 01/27/2020 07:17 AM without the written consent of Pace Analytical Services, U.C. Page 10 of 12

aceAnalytical
www.incelabs.com
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: SNI-Charlotte, NC
Pace Project No.: 92460626
Lab ID Sample ID QC Batch Method QC Batch
92460626001
SP-1(pH
5) EPA 1664E
521340
92460626002
SP-3 (pH
5) EPA 1664B
521340
92460626003
SP-4 (pH
5) EPA 1664B
521340
92460626004
SP-5 (pH
5) EPA 1664B
521340
92460626005
SP-6 (pH
5) EPA 1664B
521340
92460626006
SP-7 (pH
5) EPA 1664E
521340
92460626001
SP-1(pH
5) SM 2540D-2011
519753
92460626002
SP-3 (pH
5) SM 2540D-2011
519753
92460626003
SP-4 (pH
5) SM 2540D-2011
520057
92460626004
SP-5 (pH
5) SM 2540D-2011
520057
92460626005
SP-6 (pH
5) SM 2540D-2011
520057
92460626006
SP-7 (pH
5) SM 2540D-2011
520057
92460626001
SPA (pH
5) EPA 9040C
520143
92460626002
SP-3 (pH
5) EPA 9040C
520143
92460626003
SP-4 (pH
5) EPA 9040C
520143
92460626004
SP-5 (pH
5) EPA 9040C
520143
92460626005
SP-6 (pH
5) EPA 9040C
520143
92460626006
SP-7 (pH
5) EPA 9040C
520143
Date: 01/27/2020 07:17 AM
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
9800 Kincey Ave. Suhe 100
Huntersville, NC 28078
[phone]
Analytical Method
Analytical
Batch
Page 11 of 12

WO • 9246O6Z6
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CHAIN -OF -CUSTODY Analytical Request Document
11t q
LAB USE ONLY-Af
FaceAnaljftal.•
N
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Chain -of -Custody
is a LEGAL DOCUMENT - Complete all relevent fields
IIIII
I
II
0
Company:
Billing Information:
92460626
`a—
�ALL!
G lJ J DER
7la�AL
Address: �a
Container Preservative i e
Lab Protect Manager:
Report To: A ^
0-�
Email To:
•' Preservative Types: (1) nitric acid, (2) sulfuric acid, (3) hydrochloric acid, (4) sodium hydroxide, (S) zinc acetate,
(6) methanol, (7) sodium bisulfate, (8) sodium thlosulfate, (9) hexane, (A) ascorbic acid, (B) ammonium sulfate,
Copy TO:
t [sec rl Info h�01=A1
(C) ammonium hydroxide, (D) TSP, (U) Unpreserved, (0) Other
Customer Project Name/Number:
State: County/Cit Time Zone Collected:
`�
Analyses
Lab Profile/Line:
r,a» sample Reccipt Checklist:
� ..� A
�
�vG J Gl�A�G��1 ( J PT [ ] MT ( J cT [ ] ET
Phone�f %jlj3
Site/F cility ID ##:
Compliance Monitoring?
Custody Seals _Present/Intact
Custody signatures Present
Y (E;hA
Y N C)
Email:
(A/�
( ] Yes [ ] No
Collector. Signature Present
N NA
, Collected By (print
Purchase Order N:
DW PWS ID ##:
Bottles Intact
correct Bottles
N NA
N NA
4::5-, .4pAP.
Quote ##:
DW Location Code:
Sufficient volume
N NA
Collette B sl t e :
By J
Turnaround Date Re uired:
qVOA
Immediately Pac a on Ice:
Samples Received on Ice
— Headspace Acceptable
USDA Regulated Soils
N NA
Y N
Y N
[ ]Yes [ INo
Sample Disposal:
Rush:
Field Filtered (if applicable):
Samples in }folding Time
Residual Chlorine Present
COP N NA
Y N JgD
( ) Dispose as appropriate ( ) Return
[ ] Same Day [ I Next Day
( I Yes I ) No
C1 Strips:
I ) Archive:
( ] 2 Day [ 13 Day ( ) 4 Day [ ] S Day
Analysis:
Sample pH Acceptable
Y ti iK
I ! Hold:
(Expedite Charges Apply)
pH Strips:
P
Sulfide Present
Y tt
• Matrix Codes (Insert in Matrix box below): Drinking Water (DW), Ground Water (GW), Wastewater (WW),
Lead Acetate Strips:
Product (P), Soil/Solid (SL), Oil (OL),
Wipe (WP), Air (AR), Tissue (TS), Bioassay (B), Vapor (V), Other (OT)
•
Comp /
Collected (or
Composite End
Res
# of
LAB USE ONLY:
Lab Sample # / Comments
Customer Sample ID
Matrix
Grab
Composite
Start)
Cl
Ctns
Date
Time
Date
Time
F� A P
/ Ob
ply Jr
13.E
sp, 7 l 9 Sy
14116
Customer Remarks /Special Conditions /Possible Hazards: Type of Ice Used: Wet Blue Dry None
Pac{Si ng M!a er al Usgd:
Radchem sample(s) screened (<S00 cpin): Y N NA
Relinquished by/Company: (Signature) Date/Time: ceived by/Com an (Signature)
Ale �Id Sc!-1nIE�p�R^�� 113 l�oa
Relinquished by/Co pang: (Signature) D to ime: Received by/Co (ia (Signature)
�3
Relinquished by/Company: (Signature) Date/Tme: (Received by/Company: (Sigrfature)
SHORT HOLDS PRESENT (e72 hours): Y . V N/A
Lab Tracking #: 2410705
Samples received via:
FEDEX UPS Client Courier ace Courier
Datefrime: MTJL LAB Y
able R:
Lab Sample Temperature Info:
Temp Blank Received: Y N 45)
Therm ID#i: fV_ %O 13
Cooler 1 Temp Upon Receipt:r - . oc
Cooler 1 Therm Corr. Factor: G oC
Cooler 1 Corrected Temp: oC
Comments:
Datec/lTme: Template: Trip Blank Received: Y N i
t !��� Prelogin: HCL McOH TSP Other
Date/Time:
PM: Non Conforman e(s): Page:
PB: YES /0 of:

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG08000(N`_c
Transit and Transportation flir4 k.,e fnr incrn�.Hnna J"'vA/�/
D.,
_.._...._.._...._1. 1-
Complete, sign, scan and submit the DMR via the Stormwater 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 appropriate DEMLRappropriate DEMLR Regional OfficeOffice.
Certificate of Coverage No. NCG08 O 5 8 3 Person Collecting Samples: Q-Ctcy LerA-
s r�
Facility Name: 5t6ne;cber 1k14i;o+n(Cnrr,cLaboratory Name: 1Qct Avtoly-pool
FacilityCounty: r"lcckk.+ Laboratory Cart. No.:37PU6
Discharge during this period: ❑ Yes [9No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? [XLyes ❑ No
If so, which Tier (I, 11, or III)? 1 %1
Part A: Vehicle & Equipment Maintenance Areas - Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15)
C0530
TSS in mg/L (100 or 50•)
00400
pH in standard units (6.0-9.0)
NCOIL
New Motor/Hydraulic Oil Usage in
gal/month
Part B: Oil/Water Separators & Secondary Containment Areas at Bulk Stations & Terminals - Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15)
C0530
TSS in mg/L (100 or 50•)
00400
pH in standard units (6.0-9.0)
" Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), 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."
re oOermittee or Delegated Authorized Individual Date

i
NCDEQ ON ision of Energy, Mineral and Land Resources
Stormwater Discha ge Monitoring Report (DMR) Form for NCG080000
Transit and Trans orta ti
Ion
p �I
Click here for instructions
Complete, sign, scan and submit the DMR vi
30 days of receiving sampling results. Mail t
the Stormwater NPDES Permit Data Monitoring Report
(DMR) Upload form within
DEMLR Regional Office.
e original, signed hard copy of the DMR to the appropriate
Certificate of Coverage No. NCG08 O 5 SI
Person Collecting Samples:
ary i_&rA
Facility Name: S r kre,,d er- 0":oo a (
arr,-c s
Laboratory Name:
/ V'r"Y- }co' (
Facility County: rlecklew,
Laboratory Cent. No.: 377U
Discharge during this period:
❑
Yes
D�No (i
no, skip to signature and date)
Has your facility implemented mandatory Tier response
actions for any benchmark exceedances?
19Lyes ❑ No
If so, which Tier (1, II, or III)? 11\
Part A: Vehicle & Equipment Maintenance Are s — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15
C0530
I TSS In mg/L (100 or 50*)
00400
pH In standard units (6.0-9.0)
NCOIL
New Motor/Hydraulic Oil Usage in
gal/month
Part B: Oil/Water Separators & Secondary Containment Areas at Bulk Stations & Terminals — Belnchmarks in (Red)
Parramdeeter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YY
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15
C0530
I TSS in mg/L (100 or 50*)
00400
1 pH in standard units (6.0-9.0)
* Outfalls to Outstanding Resource Waters (I
have a benchmark TSS limit of 50 mg/L. All
"I certify by my signature below, under penalt
supervision in accordance with a system desig
submitted. Based on my inquiry of the person
gathering the information, the information su
aware that there are significant penalties for s
knowing violati
High Quality Waters (HOW), Trout Waters (Tr) and Prirclary Nursery Areas (PNA)
water classifications have a benchmark of 100 mg/L.
of law, that this document and all attachments were prepared under my direction or
ed to assure that qualified personnel properly gather and evaluate the information
r persons who manage the system, or those persons directly responsible for
nitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
bmitting false information, including the possibility of fines and imprisonment for
or Delegated Authoriz4d Individual

NCDEQ Di ision of Energy, Mineral and Land Resources
Stormwater Discha ge Monitoring Report (DMR) Form for NCGO80000
Transit and Transportation
Click here for instructions
Complete, sign, scan and submit the DMRvi3
30 days of receiving sampling results. Mail tie
the Stormwater NPDES Permit Data Monitoring
e ort DMR Upload form within
ro riate DEMLR Regional Office.
original, signed hard copy of the DMR to the a
Certificate of Coverage No. NCG08 p S S 3
Person Collecting Samples:
ary Lo-rd
Facility Name: salswc; ( llirkLr a(
nrr,ris
Laboratory Name: Pr,,e
AVtC tyf}cc j
Facility County: r"leckler
Laboratory Cert. No.:377U6
Discharge during this period: ❑
Yes
[3-No (i
no, skip to signature and date)
Has your facility implemented mandatory Tier fesponse
actions for any benchmark exceedances?
yes ❑ No
If so, which Tier (1,11, or III)? 1 Nt
Part A: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Paramdeeter
Co
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YY
46529
24-Hour Rainfall in inches
005S2
Non -Polar Oil & Grease in mg/L (15
C0530
TSS in mg/L(100 or 50*)
00400
1 pH in standard units (6.0-9.0)
NCOIL
New Motor/Hydraulic Oil Usage in
gal/month
Part B: Oil/Water Separators & Secondary Cor tainment Areas at Bulk Stations &Terminals — Bel
lnchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15
COS30
TSS in mg/L(100 or 50*)
00400
pH in standard units (6.0-9.0)
* Outfalls to Outstanding Resource Waters (i
have a benchmark TSS limit of 50 mg/L. All
"I certify by my signature below, under penalt
supervision in accordance with a system desig
submitted. Based on my inquiry of the person
gathering the information, the information su
aware that there are significant penalties for <.
knowing violations."
High Quality Waters (HOW), Trout Waters (Tr) and Pri ary Nursery Areas (PNA)
water classifications have a benchmark of 100 mg/L.
f law, that this document and all attachments were prepared under my direction or
f to assure that qualified personnel properly gather and evaluate the information
persons who manage the system, or those persons directly responsible for
itted is, to the best of my knowledge and belief, true, accurate, and complete. I am
mitting false information, including the possibility of fines and imprisonment for
1- lcl 202,
or Delegated Authoriz4d Individual

NCDEQ Di ision of Energy, Mineral and Land Resources ✓9�
Stormwater Discha ge Monitoring Report. (DMR) Form for N G080000
Transit and Transportation
Click here for instructions
Complete, sign, scan and submit the DMR vi
30 days of receiving sampling results. Mail t
the Stormwater NPDES Permit Data Monitorin
a ort DMR Upload form within
ro riate DEMLR Regional Office.
e original, signed hard copy of the DMR to the a
Certificate of Coverage No. NCG08 p 5rS I
Person Collecting Samples:
or-r Lerct
FacilityName: Sc,tint:cler lt1M;o+ta(
arr,rSs
Laboratory Name: (macce
Avwly-%*ca
Facility County: r1eckli-_611
Laboratory Cert. No.: 3720
Discharge during this period: ❑ Yes No (f
no, skip to signature and date)
Has your facility implemented mandatory Tier response
actions for any benchmark exceedances?
[zLyes ❑ No
If so, which Tier (I, Il, or III)? I %1
Part A: Vehicle & Equipment Maintenance Arelas —Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15
C0530
TSS In mg/L(100 or50*)
00400
pH In standard units (6.0-9.0)
NCOIL
New Motor/Hydraulic Oil Usage in
gal/month
Part B: Oil/Water Separators & Secondary Containment Areas at Bulk Stations & Terminals — Behr, chmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YY
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15
C0530
TSS in mg/L (100 or 50*)
00400
pH in standard units (6.0-9.0)
* Outfalls to Outstanding Resource Waters (ORW)l High Quality Waters (HQW), Trout Waters (Tr) and Prirr{'ary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All othe water classifications have a benchmark of 100 mg/L.
"I certify by my signature below, under penaltylof 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 qr persons who manage the system, or those persons directly responsible for
gathering the information, the information sub1mitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for s bmitting false information, including the possibility of fines and imprisonment for
knowing violations."
of Perpiiittee or Delegated Authoriz4d Individual

NCDEQ Di ision of Energy, Mineral and Land Resources{1
Stormwater Discha ge Monitoring Report (DMR) Form for N G080000 `
Transit and Transportation 4,41,9 �O
Click here for instructions 1%
Complete, sign, scan and submit the DMR A the Stormwater NPDES Permit Data Monitoring Report (DMR) Uoload form within
30 days of receiving sampling results. Mail t e original, signed hard copy of the DMR to the appropriate DEMLR Regional Office„
Certificate of Coverage No. NCGOB O S S
Person Collecting Samples:
ot•y Lora.
Facility Name: sctint;de( lV4ib ta(
o,r, s
Laboratory Name:
Atauty-*coy(
Facility County: Mtcklt.+
Laboratory Cent. No.: 37;U
Discharge during this period: ❑ Yes No (i
no, skip to signature and date)
Has your facility implemented mandatory Tier iesponse
actions for any benchmark exceedances?
2-Yes [-]No
If so, which Tier (I, II, or III)? - 1 %k
Part A: Vehicle & Equipment Maintenance Ar s - Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YY
Y
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15
C0530
TSS in mg/L (100 or So*)
00400
pH in standard units (6.0-9.0)
NCOIL
New Motor/Hydraulic Oil Usage in
gal/month
Part B: Oil/Water Separators & Secondary Containment Areas at Bulk Stations & Terminals - Benchmarks in ( Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YY
46529
24-Hour Rainfall in inches
005S2
Non -Polar Oil & Grease in mg/L (15
C0530
TSS in mg/L(100 or 50*)
00400
pH in standard units (6.0-9.0)
* Outfalls to Outstanding Resource Waters(
have a benchmark TSS limit of 50 mg/L. All
"I certify by my signature below, under penalt
supervision in accordance with a system desig
submitted. Based on my inquiry of the person
gathering the information, the information sul
aware that there are significant penalties for s
knowing violations."
High Quality Waters (HQW), Trout Waters (Tr) and P
water classifications have a benchmark of 100 mg/L.
If law, that this document and all attachments w
d to assure that qualified personnel properly gat
persons who manage the system, or those pers(
itted is, to the best of my knowledge and belief,
mitting false information, including the possibilil
or Delegated Authoriz4d Individual
Nursery Areas (PNA)
e prepared under my direction or
!r and evaluate the information
s directly responsible for
ue, accurate, and complete. I am
of fines and imprisonment for
20.2(

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG080000
Transit and Transportation
Click here for instructions
Complete, sign, scan and submit the DMR vi the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail t e original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG08 O 5' $ 3
Person Collecting Samples:
ow j LsrA
Facility Name: sr,7snt:ule(' lVa-tb-ta(
orr,-rfs
Laboratory Name: (-Ire
jAvw Iy_0ea(
Facility County: r Uckltw•-111r
Laboratory Cert. No.: 3720
Discharge during this period: ❑ Yes K_No (i
no, skip to signature and date)
Has your facility implemented mandatory Tier i
esponse actions for any benchmark exceedances?
RYes ❑ No
If so, which Tier (I, II, or III)? 11\
Part A: Vehicle & Equipment Maintenance Are s- Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YY
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15
C0530
TSS in mg/L (100 or 50*)
00400
pH in standard units (6.0-9.0)
NCOIL
New Motor/Hydraulic Oil Usage in
gal/month
Part B: Oil/Water Separators & Secondary Containment Areas at Bulk Stations & Terminals - Beiinchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YY
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15
C0530
TSS in mg/L (100 or 501
00400
pH in standard units (6.0-9.0)
* Outfalls to Outstanding Resource Waters (i
have a benchmark TSS limit of 50 mg/L. All
"I certify by my signature below, under penalt
supervision in accordance with a system desig
submitted. Based on my inquiry of the person
gathering the information, the information su
aware that there are significant penalties for s
knowing violations."
of Pefmittee or Delegated
High Quality Waters (HOW), Trout Waters (Tr) and Priniary Nursery Areas (PNA)
water classifications have a benchmark of 100 mg/L.
of law, that this document and all attachments were prepared under my direction or
ad to assure that qualified personnel properly gather and evaluate the information
r persons who manage the system, or those persons directly responsible for
nitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
bmitting false information, including the possibilit of fines and imprisonment for
/- /9 -202(
d Individual Date

i
NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discha ge Monitoring Report (DMR) Form for NCGO80000
Transit and Transportation
Click here for instructions
Complete, sign, scan and submit the DMR vi
30 days of receiving sampling results. Mail t
the Stormwater NPDES Permit Data Monitoring
a ort DMR Upload form within `
ro riate DEMLR Regional Office.
e original, signed hard copy of the DMR to the a
Certificate of Coverage No. NCGOB O S S
Person Collecting Samples:
rorry Ltrd
FacilityName: Sctint:cA Alaioha(
nrneSs
Laboratory Name: Pa,al/;vtaly
COL
Facility County: Mcckk.+
Laboratory Cert. No.: 3770
Discharge during this period:
❑ Yes
No fl
no, skip to signature and date)
Has your facility implemented mandatory Tier response
actions for any benchmark exceedances?
[ayes ❑ No
If so, which Tier (l, il, or III)? 11\
Part A: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parmdeter
Co
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YY
Y
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15
C0530
I TSS in mg/L(100 or 50*)
00400
pH in standard units (6.0-9.0)
NCOIL
New Motor/Hydraulic Oil Usage in
gal/month
Part B: Oil/Water Separators & Secondary Cor tainment Areas at Bulk Stations & Terminals — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YY
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15
C0530
TSS in mg/L (100 or 50*)
00400
pH in standard units (6.0-9.0)
* Outfalls to Outstanding Resource Waters (ORW))l High Quality Waters (HOW), Trout Waters (Tr) and Prirri�ary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All othe water classifications have a benchmark of 100 mg/L. 11
"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 desigr ad to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person c r 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, Prue, accurate, and complete. I am
aware that there are significant penalties fors bmitting false information, including the possibilitly of fines and imprisonment for
knowing violations."
of PprMittee or Delegated Authorized Individual
l- 17 - 2Oz1
Date

Sc,P-terl der 2�2 c�
NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCGO80000
Transit and Transportation
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater 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 appropriate DEMLR Regional Office.
Certificate of Coverage No. NCGOS Q 4 3 Person Collecting Samples:
Facility Name: Scw�• da�N>-sM.. I CAr�rc(S Laboratory Name: P� tit
FacilityCounty: w a cE(� s„� Laboratory Cent. No.: 3r70 6
Discharge during this period: [KYes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? IRYes ❑ No
If so, which Tier (I, II, or III)? A-N 'r -5 5
Part A: Vehicle & Equipment Maintenance Areas— Benchmarks in (Red)
Parramdeter
Co
Parameter
Outfall i
Outfall g
Outfall
Outfall -,S
Outfall 6
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
`WZ_ 2
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15)
N
C0530
TSS in mg/L (100 or 50*)
(5,17
1 0 1
77&4
) 3 0
00400
pH in standard units (6.0-9.0)
' j,
6. j1
6, 3
0
NCOIL
New Motor/Hydraulic Oil Usage in
gal/month
_
15 U 0"
Part B: Oil/Water Separators & Secondary Containment Areas at Bulk Stations & Terminals — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15)
C0530
TSS in mg/L (100 or 50*)
00400
pH in standard units (6.0-9.0)
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), 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 Pe ittee or Delegated Authorized Individual date
T
..0 ID
5-7. 2
S ct

0
aceAnalyiical
w .pscolebsson
September 08, 2020
Mr. Michael DeBraske
Schneider National, Inc.
PO Box 2545
Green Bay, WI 543062545
RE: Project: SNI-Charlotte, NC
Pace Project No.: 92492195
Dear Mr. DeBraske:
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on August 24, 2020. The results relate only to
the samples included in this report. Results reported herein conform to the applicable TNIINELAC 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
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Nicole Gasiorowski
[e-mail]
[phone]
Project Manager
Enclosures
cc: Mr. Michael DeBraske, GEI Consultants, Inc.
Derek Townsend, Schneider National
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 11

aceAnalytical
srrrw.paeelaes.cara
Project: SNI-Charlotte, NC
Pace Project No.: 92492195
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Pace Analytical Services Charlotte
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Louisiana/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
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
South Carolina Certification #: 99006001
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
VrginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VrginiaNELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, I.L.C. Page 2 of 11

�PaceAnalyiical
www.pacelabs.com
SAMPLE ANALYTE COUNT
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project:
Pace Project No.:
SNI-Charlotte, NC
92492195
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92492195001
SP-1
EPA 1664E
HH
1
PASI-C
SM 2540D-2011
RED
1
PASI-A
EPA 9040C
SMK
1
PASI-A
92492195002
SP-3
EPA 1664B
HH
1
PASI-C
SM 2540D-2011
RED
1
PASI-A
EPA 9040C
SMK
1
PASI-A
92492195003
SP-4
EPA 1664B
HH
1
PASI-C
SM 2540D-2011
RED
1
PASI-A
EPA 9040C
SMK
1
PASI-A
92492195004
SP-5
EPA 1664E
HH
1
PASI-C
SM 2540D-2011
RED
1
PASI-A
EPA 9040C
SMK
1
PASI-A
92492195005
SP-6
EPA 1664E
HH
1
PASI-C
SM 2540D-2011
RED
1
PASI-A
EPA 9040C
SMK
1
PASI-A
92492195006
SP-7
EPA1664B
HH
1
PASI-C
SM 2540D-2011
RED
1
PASI-A
EPA 9040C
SMK
1
PASI-A
PASI-A = Pace Analytical Services -Asheville
PASI-C = Pace Analytical Services - Charlotte
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 11

Pace Analytical Services, LLC
2C2AnalytiCal 98001(inceyAve. Suite100
Humersville, NC 28078
www.pacelabs cnm
[phone]
ANALYTICAL RESULTS
Project: SNI-Charlotte, NC
Pace Project No.: 92492195
Sample: SP-1
Lab ID: 92492195001 Collected:
08121/2012:35
Received: 08/2412013:30 Matrix: Water
Parameters
Results Units Report Limit OF
Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664E
Pace Analytical Services - Charlotte
Oil and Grease
NO mg/L
5.0 1
09/08/20 08:54
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Pace Analytical Services -Asheville
Total Suspended Solids
15.9 mg/L
2.5 1
0S/27/20 19:44
9040 pH
Analytical Method: EPA 9040C
Pace Analytical Services - Asheville
PH at 25 Degrees C
4A Sid. Units
0.10 1
08/30/20 12:38 H3
Sample: SP-3
Lab ID: 92492195002 Collected: 08/21/20 12:45 Received:
08/24/20 13:30 Matrix: Water
Parameters
Results Units Report Limit OF Prepared
Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664B
Pace Analytical Services - Charlotte
Oil and Grease
5.4 mg/L 5.0 1
09/08/20 08:55
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Pace Analytical Services - Asheville
Total Suspended Solids
101 mg/L 11.1 1
08/27/20 19:44
9040 pH
Analytical Method: EPA 9040C
Pace Analytical Services -Asheville
pH at 25 Degrees C
6.1 Std. Units 0.10 1
08/30/20 12:49 H3
Sample: SP4
Lab ID: 92492195003 Collected: 08/21/20 13:00 Received:
08/24/20 13:30 Matrix: Water
Parameters
Results Units Report Limit OF Prepared
Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664E
Pace Analytical Services - Charlotte
Oil and Grease
NO mg/L 5.0 1
09/08/20 08:55
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Pace Analytical Services - Asheville
Total Suspended Solids
774 mg/L 50.0 1
08/27/20 19:46
9040 pH
Analytical Method: EPA 9040C
Pace Analytical Services - Asheville
pH at 25 Degrees C
6.3 Std. Units 0.10 1
08/30/20 12:55 H3
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 09/08/2020 03:59 PM
without the written consent of Pace Analytical Services, LLC.
Page 4 of 11

(�IaceAnalytical
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ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)8759092
Project SNI-Charlotte, NC
Pace Project No.: 92492195
Sample: SP-5
Lab ID: 92492195004 Collected:
08/21/20 13:15
Received:
08/24/20 13:30 Matrix: Water
Parameters
Results Units Report Limit
DF
Prepared
Analyzed CAS No. Qua[
HEM, Oil and Grease
Analytical Method: EPA 1664E
Pace Analytical Services - Charlotte
Oil and Grease
NO mg/L
5.0
1
09/08/20 08:55
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Pace Analytical Services -Asheville
Total Suspended Solids
128 mglL
12.5
1
08/27/2019:46
9040 pH
Analytical Method: EPA 9040C
Pace Analytical Services -Asheville
pH at 25 Degrees C
5.0 Sid. Units
0.10
1
08/30/20 13:01 H3
Sample: SP-6
Lab ID: 92492195005 Collected:
08/21/20 13:30
Received:
08/24/20 13:30 Matrix: Water
Parameters
Results Units Report Limit
OF
Prepared
Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664E
Pace Analytical Services - Charlotte
Oil and Grease
NO mg/L
5.0
1
09/08/20 08:56
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Pace Analytical Services -Asheville
Total Suspended Solids
230 mg/L
25.0
1
08/27/20 19:48
9040 pH
Analytical Method: EPA 9040C
Pace Analytical Services -Asheville
pH at 25 Degrees C
6.2 Std. Units
0.10
1
08/30/20 13:07 H3
Sample: SP-7
Lab ID: 92492195006 Collected:
08/21/20 13:45
Received: 08/24/20 13:30 Matrix: Water
Parameters
Results Units Report Limit
OF
Prepared Analyzed CAS No. Oual
HEM, Oil and Grease
Analytical Method: EPA 1664E
Pace Analytical Services - Charlotte
Oil and Grease
NO mg/L
5.0
1
09/08/2008:56
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Pace Analytical Services -Asheville
Total Suspended Solids
57.2 mg/L
10.0
1
08/27/20 19:49
9040 pH
Analytical Method: EPA 9040C
Pace Analytical Services -Asheville
pH at 25 Degrees C
5.9 Std. Units
0.10
1
08/30/20 13:12 H3
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Dale: 09/08/2020 03:59 PM without the written consent of Pace Analytical Services, U.C. Page 5 of 11

(�IaceAnalytcal*
r1wlrpeoN�bs.wn
QUALITY CONTROL DATA
Project: SNI-Chadotte, NC
Pace Project No.: 92492195
OC Batch: 564879 Analysis Method: EPA 1664E
QC Batch Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease
Laboratory: Pace Analytical Services - Charlotte
Associated Lab Samples: 92492195001, 92492195002, 92492195003, 92492195004, 92492195005, 92492195006
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
METHOD BLANK: 2994150
Matrix:
Water
Associated Lab Samples: 92492195001, 92492195002, 92492195003, 92492195004, 92492195005, 92492195006
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
Oil and Grease
mg/L
ND
5.0
09/08/20 08:48
LABORATORY CONTROL SAMPLE:
2994151
Spike
LCS
LCS % Rae
Parameter
Units
Cone.
Result
%Rec Limits Oualifiers
Oil and Grease
mg/L
40
39.3
98 78-114
MATRIX SPIKE SAMPLE: 2994152
35573607001 Spike MS MS % Rae
Parameter Units Result Cone. Result % Rec Limits Qualifiers
Oil and Grease mg/L <1.3 40 16.3 40 78-114 M1
Results presented on this page are in the units Indicated by the "Units" column except More 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: 09/08/2020 03:59 PM without the written consent of Pace Analytical Services, I.I.C.
Page 6 of 11

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QUALITY CONTROL DATA
Project: SNI-Charlotte, NC
Pace Project No.: 92492195
QC Batch: 562905 Analysis Method: SM 254OD-2011
QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services - Asheville
Associated Lab Samples: 92492195001,92492195002,92492195003,92492195004,92492195005,92492195006
METHOD BLANK: 2985122 Matrix: Water
Associated Lab Samples: 92492195001,92492195002,92492195003,92492195004,92492195005,92492195006
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L NO 2.5 08/27/20 19:32
LABORATORY CONTROL SAMPLE: 2985123
Parameter Units
Total Suspended Solids mg/L
SAMPLE DUPLICATE: 2985124
Parameter Units
Total Suspended Solids mg/L
Spike LCS
Conc. Result
250 236
92492230001 Dup
Result Result
220 224
SAMPLE DUPLICATE: 2985125
92491919001 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 1950 1980
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
LCS % Rec
% Rec Limits Qualifiers
94 90-110
RPD Qualifiers
2
RPD Qualifiers
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: 09/08/2020 03:59 PM without the written consent of Pace Analytical Services, LLC.
Page 7 of 11

1aceAnalytical
rfrin.Deeeleeecen
QUALITY CONTROL DATA
Project: SNI-Charlotte, NC
Pace Project No.: 92492195
QC Batch: 563307 Analysis Method: EPA 9040C
QC Batch Method: EPA 9040C Analysis Description: 9040 pH
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92492195001, 92492195002, 92492195003, 92492195004, 92492195005, 92492195006
SAMPLE DUPLICATE: 2986843
92493044001 Dup
Parameter Units Result Result RPD Qualifiers
pH at 25 Degrees C Std, Units 6.3 6.3 1 H3
SAMPLE DUPLICATE: 2986844
92492422001 Cup
Parameter Units Result Result RPD Qualifiers
pH at 25 Degrees C Std. Units 6.7 6.7 0 H3
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Hunter ville, NC 28078
[phone]
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: 09/08/2020 03:59 PM without the written consent of Pace Analytical Services, I.I.C.
Page 8 of 11

ZeAnalXicalo
("'0 ~.paalallixon
QUALIFIERS
Project: SNI-Charlotte, NC
Pace Project No.: 92492195
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.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
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 analyle 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 ofAcrolein and Acrylonitdle by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamme using Method 8270. The result reported for
each analyle 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
H3 Sample 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.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 09/08/2020 03:59 PM without the written consent of Pace Analytical Services, U.C. Page 9 of 11

aceAnalytical e
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QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: SNI-Charlotte, NC
Pace Project No.: 92492195
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Lab ID
Sample ID
QC Batch Method
Analytical
QC Batch Analytical Method Batch
92492195001
SP-1
EPA 16646
564879
92492195002
SP3
EPA 16649
564879
92492195003
SP-4
EPA1664B
564879
92492195004
SP-5
EPA 1664E
564879
92492195005
SIP-6
EPA 1664E
564879
92492195006
SP-7
EPA 1664E
564879
92492195001
SIP-1
SM 2540D-2011
562905
92492195002
SP-3
SM 254OD-2011
562905
92492195003
SP-4
SM 254OD-2011
562905
92492195004
SP-5
SM 25400-2011
562905
92492195005
SP-6
SM 254OD-2011
562905
92492195006
SP-7
SM 254OD-2011
562905
92492195001
SP-1
EPA 9040C
563307
92492195002
SP-3
EPA 9040C
563307
92492195003
SP-4
EPA 9040C
563307
92492195004
SP-5
EPA 9040C
563307
92492195005
SP-6
EPA 9040C
563307
92492195006
SP-7
EPA 9040C
563307
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 09/08/2020 03:59 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 11

o- Analytical Request Document
CHAIN-OF-CUSTODY
PaceAnalXical "
Chain-of-Custody is a LEGAL DOCUMENT - Complete all relevent fields
V-
LAB USE ON' �� : ����� �� or or 4--
V-
III III II II IIIII I I II III CL
Container Pt 92482195
Company:
SGNN.� f JD�a ,o NA
Billing Information:
Address: AR ?R D Cy
Report To: A/Q �^►0�
Email To:
• • Preservative Types: (1) nitric acid, (2) sulfuric acid, (3) hydrochloric acid, (4) sodium hydroxide, (5) zinc acetate,
(6) methanol, (7) sodium bisulfate. (S) sodium lhiosulfate.19) hexane, (A) ascorbic acid, (B) ammonium sulfate,
(C) ammonium hydroxide, (D) TSP, (U) Unpreserved. (0) Other
Copy To- lNry %�fQ�
/�
Site Collection Info/Address:
Analyses
Lab Profile/Line:
Customer Project Name/ u��m7j►ber: [�
I4
C Rr Y• /.90/Zr—.A3
State: County/City: Time Zone Collected:
/ [ JPT[ JMT[ ICT [ ]ET
Lab Sample Receipt Checklist:
Custody Seals Present/IntactQ%N NA
Custody signatures Present N NA
Collector Signature Present N NA
Bottles Intact N NA
Correct Bottles 4ON HA
Sufficient Volume 021 NA
Samples Received on Ice NA
VOA - Headspace Acceptable N
USDA Regulated Soils Y N
Samples in Holding Time ON Ng
Residual Chlorine Present Y N
C1 Strips: �
Sample pH Acceptable Y N (CA)
pH Strips:
Sulfide Present Y NCA
Lead Acetate Strips:
LAB USE ONLY:
Lab Sample # / Comments:
77ll
L�NGi ZIGt f
Phoner%Q�� �
Email:
Site/Facility ID H:
Compliance Monitoring?
[ I Yes I J No
Collected TV (print):
Gam¢
Purchase Order ff:
Quote H:
DW PWS ID ff:
DW Location Code:
Collected By (s) atur
Turnaround Date Required:
Imme iate y Pace on Ice:
[ ]Yes [ ]No
SarWe Disposal:
I I Dispose as appropriate [ I Return
I] Archive:
I I Hold:
Rush:
( J Same Day [ ] Next Day
I J 2 Day 11 3 Day [ 14 Day 11 5 Day
(Expedite Charges Apply)
Field Filtered (if applicable):
[ ] Yes [ ] No
Analysis:
' Matrix Codes (Insert in Matrix box below): Drinking Water (DW), Ground Water (GW), Wastewater (WW),
Product (P), Soil/Solid (SL), Oil (OL), Wipe (WP), Air (AR), Tissue (TS), Bioassay (B), Vapor (V), Other (OT)
Customer Sample ID
Matrix '
Comp J
Grab
Collected (or
Composite Start)
Composite End
Res
Cl
# of
Ctns
Date
Time
Date
Time
G
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A- S� /01X
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Customer Remarks / Special Conditions / Possible Hazards:
Type of Ice Used: et Blue
Dry None
SHORT HOLDS PRESENT
(<72 hours): Y N N/A
Lab Sample Temperature Info:
Temp Blank Received: Y N
Therm ID#: R2r&61
Cooler 1 Temp Upon Receipt: Z.• oC
Cooler 1 Therm Corr. Factor: J oC
Cooler 1 Corrected Temp: s o oC
Comments:
Packing Material Used:
134 07 (7e 6a.. r
Lab Tracking #:
2429304
LRadchem sample(s) screened (<500 cpm)Samples
sample(s) screened (<500 cpm): Y N NA
received via:
FEDEX UPS Client Courier ace Courier
Relinquished by/Company: (Signature)
Date/Time:
;) -" 1
R ceived by/Company: (Signature)
f
Dat /Time:
, ����1
MTIL B U LY
Table #:
Acctnum:
Template:
Prelagin:
PM:
PB:
ReMquisiled by/Corijpany: (Signature)
i '
Datb/Time:
R ' ip' d by/Compari : (Signature)
f
Dafe/Time:
Trip Blank Received: Y N
HCL McOH TSP Other
Relinquished by/Company: (Signature)
Date/Time:
Received by/Company: (Signature)
Date/Time:
Non Conformance(s):
YE3.,1 NO
Page:
of:

NCDEQ Di ision of Energy, Mineral and Land Resources
Stormwater Discha ge Monitoring Report (DMR) Form for N G080000
Transit and Transportation ✓qH
Click here for instructions
Complete, sign, scan and submit the DMRvii
30 days of receiving sampling results. Mail tie
the Stormwater NPDES Permit Data Monitoring Report
(DMR) Upload form within
ro riate DEMLR Re Tonal Office.
original, signed hard copy of the DMR to the a
Certificate of Coverage No. NCG08 0 5 S
Person Collecting Samples:
0,r-Y Lar4
FacilityName: SckAt.-aA lvai;o�a(
arr,rfs
Laboratory Name: Pp,c
Alnoly coo
FacilityCounty:
Laboratory Cert. No.: 3770
6
Discharge during this period:
❑ Yes RI No (i
no, skip to signature and date)
Has your facility implemented mandatory Tier iesponse
actions for any benchmark exceedances?
[Yes [—]No
If so, which Tier (1, 11, or III)? 111
Part A: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red) i
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YY
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15
C0530
I TSS In mg/L (100 or 50*)
00400
pH in standard units (6.0-9.0)
NCOIL
New Motor/Hydraulic Oil Usage in
gai/month
Part B: Oil/Water Separators & Secondary Containment Areas at Bulk Stations & Terminals — Be chmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15
C0530
TSS in mg/L (100 or 50*)
00400
pH in standard units (6.0-9.0)
* Outfalls to Outstanding Resource Waters (ORW)l High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All othed water classifications have a benchmark of 100 mg/L. II
"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 desigr ed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person r persons who manage the system, or those persons directly responsible for
gathering the information, the information sub itted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for SL bmitting false information, including the possibility of fines and imprisonment for
knowing violations."
/'II-?02
or Delegated Authoriz4d Individual

i
NCDEQ Di ision of Energy, Mineral and Land Resources
Stormwater Discha ge Monitoring Report (DMR) Form for NCGO80000 4.
Transit and Transportation
Click here for instructions
Complete, sign, scan and submit the DMR vi
30 days of receiving sampling results. Mail t
the Stormwater NPDES Permit Data Monitoring lie
port DMR Upload form within
ro riate DEMLR Regional Office.
e original, signed hard copy of the DMR to the a
Certificate of Coverage No. NCG08 p 5 $
Person Collecting Samples:
ary Ler4
FacilityName: SLkrvc,,4A lvwito+tnl
nrr,cCs
Laboratory Name: (-c,4--
/Avnc.lyy}ca(
Facility County: r"luklt..
Laboratory Cert. No.: 3770
G
Discharge during this period: ❑ Yes 0
No (i
no, skip to signature and date)
Has your facility implemented mandatory Tier i
esponse actions for any benchmark exceedance7Yes
❑ No
If so, which Tier (I, Il, or III)? IN
Part A: Vehicle & Equipment Maintenance Arelas— Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YY
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15
C0530
I TSS In mg/L (100 or 50*)
00400
pH in standard units (6.0-9.0)
NCOIL
New Motor/Hydraulic Oil Usage in
gal/month
Part B: Oil/Water Separators & Secondary Containment Areas at Bulk Stations & Terminals — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
j
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15
C0530
TSS in mg/L(100 or 50*)
00400
pH in standard units (6.0-9.0)
* Outfalls to Outstanding Resource Waters(
have a benchmark TSS limit of 50 mg/L. All
"I certify by my signature below, under penalt
supervision in accordance with a system desig
submitted. Based on my inquiry of the person
gathering the information, the information sul
aware that there are significant penalties for s
knowing violation��
High Quality Waters (HOW), Trout Waters (Tr) and Pri ary Nursery Areas (PNA)
water classifications have a benchmark of 100 mg/L.
f law, that this document and all attachments were prepared under my direction or
i to assure that qualified personnel properly gather and evaluate the information
persons who manage the system, or those persons directly responsible for
itted is, to the best of my knowledge and belief, true, accurate, and complete. I am
mitting false information, including the possibility of fines and imprisonment for
of P@4rmittee or Delegated Authorized Individual

NCDEQ Di ision of Energy, Mineral and Land Resources
Stormwater Discha ge Monitoring Report (DMR) Form for N G080000
Transit and Transportation
Click here for instructions
Complete, sign, scan and submit the DMR vi
30 days of receiving sampling results. Mail tie
3 the Stormwater NPDES Permit Data Monitoring
'e ort DMR Upload form within
ro riate DEMLR Regional Office.
original, signed hard copy of the DMR to the a
Certificate of Coverage No. NCGO8 O 5 S
Person Collecting Samples:
Facility Name: S c 1,„e: r lticv t;o t o l
a,r ccs
LaboratoryName: j=ckce
Avaty r}ca j
FacilityCounty: r1ccklt+
Laboratory Cert. No.:372U
Discharge during this period:
❑ Yes No (i
no, skip to signature and date)
j
Has your facility implemented mandatory Tier i
esponse actions for any benchmark exceeciances?
Ryes ❑ No
If so, which Tier (I, II, or III)? 11k
Part A: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
I
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YY
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15
C0530
I TSS in mg/L(100 or 50*)
OG400
I pH in standard units (6.0-9.0)
NCOIL
New Motor/Hydraulic Oil Usage in
gal/month
Part B: Oil/Water Separators & Secondary Containment Areas at Bulk Stations & Terminals — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YY
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15
C0530
TSS in mg/L (100 or 50*)
00400
pH in standard units (6.0-9.0)
* Outfalls to Outstanding Resource Waters('
have a benchmark TSS limit of 50 mg/L. All
"I certify by my signature below, under penalt
supervision in accordance with a system desi@
submitted. Based on my inquiry of the person
gathering the information, the information su
aware that there are significant penalties for!
knowing violations."
High Quality Waters (HOW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
water classifications have a benchmark of 100 mg/L.
f law, that this document and all attachments were prepared under my direction or
i to assure that qualified personnel properly gather and evaluate the information
persons who manage the system, or those persons directly responsible for
itted is, to the best of my knowledge and belief, rue, accurate, and complete. I am
mitting false information, including the possibilitl of fines and imprisonment for
( WAUj
or Delegated Authoriz4d Individual