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HomeMy WebLinkAboutNCG080583_MONITORING INFO_20181206STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /v O'$�S�'S DOC TYPE ❑ HISTORICAL FILE ?�, MONITORING REPORTS DOC DATE ❑ �ot� M YYYYMM DD STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG080000 CERTIFICATE OF COVERAGE NO. NCG08 O 5 FACILITY NAME in, n 4 d 0 r KI A+ 1 W (A PERSON COLLECTING SAMPLES G(A 1 Lord+ CERTIFIED LABORATORY V/10 � ua rt c u Lab # 3 �ccL Lab # SAMPLES COLLECTED DURING CALENDAR YEAR: 2ol R (This monitoring report is due at the Division no later than 30 days from f����o the sampling results from the laboratory.) C11/C �pr��tP� PHONE NO. {42U) 12 �4 P DEC a s zags PLEASE SIGN ON THE REVERSE 4 CENTRAL FILES Part A: Vehicle Maintenance Areas Monitoring Requirements DWR SECTION Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? )c yes ,no (if yes, report your analytical results in the table immediately below) Outfall No. Date Sample Collected, moldd/yr 00S30 00400 00556 Total Suspended Solids, 114LL pH, Standard units Oil and Grease, New Motor Oil Usage, Annual averse ailmo Benchmark 100 Within 6.0 — 9.0 30 - S- — bflt i P C 'U 1► q Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, 'you must implement Tier 1 or Tier 2 responses. See General Permit text. Part B: Oil/water Separators and Secondwy Containment Areas at Petroleum Bulk Stations and Terminals Outfall No. Date _ Sample Collected, mold r. ' 00556 , . ' 00530 00400 Oil and Grease, Total; Suspended`Solids; pH, ,Standard units Permit Limit - 30 400 6.0 — 9.0 STORM EVENT CHARACTERISTICS: Date l0l I I (first event sampled) Total Event Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Total EventPrecipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 SWU-250-102107 Page I of 2 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." �A, A J)t.AA—&-Ae-4 (Signatur f Permittee) o ksoi ie) (Date) SWU-250-102107 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCGO80000 SAMPLES COLLECTED DURING CALENDAR YEAR: CERTIFICATE OF COVERAGE NO. NCG08 iD -s e A (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME I COUNTY 1 { 1 PERSON COLLECTING SAMPLES ln, a V, j L b t2i _ _ PHONE NO. CERTIFIED LABORATORY }?/1 r� Lab # PLEASE SIGN ON THE REVERSE 4 Part A: Vehicle Maintenance Areas Monitoring Requirements Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? I yes _no (if yes, report your analytical results in the table immediately below) Outfall No. Date Sample Collected, mo/dLYZ 00530, 00400 00556 - Total Suspended Solids, ' pH, Staadard'units Oil 'and "Grease, New Motor Oil Usage, Annual ave a allmo Benchmark - 100 Withirf 6.'0 — 9.0.. 30' S -5 . to 10111 E3 - I I it) Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you trust implement Tier I or Tier 2 responses. See General Permit text. Part B: Oil/water Separators and Secon Containment Areas at Petroleum Bulk Stations and Terminals Outfall No. Date Sample Collected, mo/dd1yr 00556 00530 00400 Oil and Grease, Total Suspended Solids, pH, Standard units Permit Limit 30 100 6.0 — 9.0 STORM EVENT CHARACTERISTICS: Date 00(first event sampled) Total Event Precipitation (inches): 2 } 104,US Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 SWU-250-102I07 Page 1 of 2 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." L2L::QD,OL) 1413b116 (Signature,%f Permittee) (Date) swu-250-102107 Page 2 of 2 laneAhalytical www.petbla4wm October 25, 2018 Mr. Michael DeBraske Schneider National, Inc. PO Box 2545 Green Bay, WI 543062545 RE: Project: SNI-Charlotte, NC Pace Project No.: 92403089 Pace Analytical Services, LLC 9800 Klncey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Dear Mr. DeBraske: Enclosed are the analytical results for sample(s) received by the laboratory on October 11, 2018. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC 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, Trey Carter trey.carter@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Caryssa Berg, Schneider National Mr. Michael DeBraske, GEI Consultants, Inc. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, LLC. Page 1 of 14 Pace Analytical Services, LLC aceAnalytrcal® 9800 KlnCey Ave. Suite 100 Huntersvllle, NC 28078 w+w'•Pacelftcom (704)875-9092 CERTIFICATIONS Project: SNI-Charlotte, NC Pace Project No.: 92403089 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 South Carolina Certification #: 99006001 LoulsianalNELAP Certification # LA170028 Florida/NELAP Certification M E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification M 5342 VirginialVELAP Certification #: 460221 North Carolina Wastewater Certification M 12 Asheville Certification iDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 FlorldalNELAP Certification #: E87648 South Carolina Certification M 99030001 Massachusetts Certlflcation M M-NC030 VirginialVELAP Certification M 460222 North Carolina Drinking Water Certification M 37712 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 14 (.�15'neAnalytical www.paodeftcom Project: SNI-Charlotte, NC Pace Project No.: 92403089 Lab ID Sample ID 92403089001 SP-1 92403009002 SP-7 92403089003 SP-3 92403089004 SP-4 92403089005 SP-5 92403089006 SP-6 SAMPLE ANALYTE COUNT Method EPA 1664B SM 254OD-2011 EPA 9040C EPA 1664B SM 254OD-2011 EPA 9040C EPA 1664B SM 25400-2011 EPA 9040C EPA1664B SM 2540D-2011 EPA 9040C EPA1664B SM 25400-2011 EPA 9040C EPA1664B SM 254OD-2011 EPA 9040C 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 Klncey Ave. Suite 100 Huntersvllle, NC 28078 (704)875-9092 Analytes Analysts Reported Laboratory JMS 1 PASI-C CEH 1 PASI-A SMK 1 PASI-A JMS 1 PASI-C CEH 1 PASI-A SMK 1 PASI-A JMS 1 PASI-C CEH 1 PASI-A SMK 1 PASI-A JMS 1 PASI-C CEH 1 PASI-A SMK 1 PASI-A JMS 1 PASI-C CEH 1 PASI-A SMK 1 PASI-A JMS 1 PASI-C CEH 1 PASI-A SMK 1 PASI-A Page 3 of 14 acmnalytical o wwwpecefabacom ANALYTICAL RESULTS Pace Analytical Services, LLC 9800 Klncey Ave. Suite 100 Huntersville, NE 2807E (704)875-9092 Project: SNI-Charlotte, NC Pace Project No.: 92403089 Sample: SP-1 Lab ID: 92403089001 Collected: 10/11118 08:35 Received: 10/11/1 B 11:25 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Oil and Grease 2540D Total Suspended Solids Total Suspended Solids 9040 pH pH at 25 Degrees C Analytical Method: EPA 1664B NO mg1L 5.0 1 10/25/18 04:17 Analytical Method: SM 254OD-2011 8.5 mg1L 2.6 1 10/113/18 00:56 Analytical Method: EPA 9040C 6.3 Sid. Units 0.10 1 10/15/18 15:04 H3 Sample: SP-7 Lab ID: 92403089002 Collected: 10/11/18 09:35 Received: 10/11/18 11:25 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease 5.0 mg1L 5.0 1 10/25/18 04:17 2540D Total Suspended Solids Analytical Method: SM 254OD-2011 Total Suspended Solids 43.6 mg1L 5.0 1 10/13/1 B 00:59 D6 9040 pH Analytical Method: EPA 9040C pH at 25 Degrees C 7.3 Std. Units 0,10 1 10/15/18 15:21 H3 Sample: SP-3 Lab lD: 92403089003 Collected: 10111/18 08:45 Received: 10/11/18 11:25 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease 10.0 mg1L 5.0 1 10/26/18 04:17 2540D Total Suspended Solids, Analytical Method: SM 254OD-2011 Total Suspended Solids 497 mg1L 25.0 1 10/13/18 01:00 9040 pH Analytical Method: EPA 9040C pH at 25 Degrees C 6.3 Std. Units 0.10 1 10/15/18 15:07 H3 Sample: SP-4 Lab ID: 92403089004 Collected: 10/11/18 08:55 Received: 10/11/18 11:25 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg1L 5.0 1 10/25/18 04:18 Date: 10/25/2018 03:07 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 4of14 aceAnalyti+cal wwwpacdabs.c6m ANALYTICAL RESULTS Project: SNI-Charlotte, NC Pace Project No.: 92403089 Pace Analytical Services, LLC 9800 Kincey Ave. Sulte 100 Huntersville. NC 28078 (704)875-9092 Sample: SP-4 Lab ID: 92403089004 Collected: 10/11/18 08:55 Received: 10/11/18 11:25 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 25400-2011 Total Suspended Solids 289 mg1L 10.0 1 10/13/18 01:00 9040 pH Analytical Method: EPA 9040C pH at 25 Degrees C 6A Std. Units 0.10 1 10/15/18 15:10 H3 Sample: SIP-5 Lab ID: 92403089005 Collected: 10/11/18 09:05 Received: 10/11/18 11:25 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease 5.6 mg1L 5.0 1 10/25/18 04:21 2540D Total Suspended Solids Analytical Method: SM 254OD-2011 Total Suspended Solids 333 mglL 25.0 1 10/13/18 01:00 9040 pH Analytical Method: EPA 9040C pH at 25 Degrees C 7.8 Std. Units 0.10 1 10/15/18 15:14 H3 Sample: SP-6 Parameters Lab iD: 92403089006 Collected: 10111118 09:20 Results Units Report Limit DF Received: 10/11/18 11:25 Matrix: Water Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 16648 Oil and Grease ND mglL 5.0 1 10/25/18 04:21 2540D Total Suspended Solids Analytical Method: SM 2540D-2011 Total Suspended Solids 476 mglL 25.0 1 10/13/18 01:00 9040 pH Analytical Method: EPA 9040C pH at 25 Degrees C 7.6 Std. Units 0.10 1 10/15/18 15:19 H3 REPORT OF LABORATORY ANALYSIS This report shell not be reproduced, except in full, Date: 10/25/2018 03:07 PM wlthout the written consent of Pace Analytical Services, LI_C. Page 5 of 14 acemalytical' www.pacelabe.com QUALITY CONTROL DATA Project: 5N1-Charlotte, NC Pace Project No.: 92403089 QC Batch: 438223 Analysis Method: EPA 1664E QC Batch Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92403089001, 92403089002, 92403089003, 92403089004, 92403089005, 92403089006 METHOD BLANK: 2409478 Matrix: Water Associated Lab Samples: 92403089001,92403089002,92403089003,92403089004,92403089005,92403089006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg1L ND 4.8 10/25/18 04:13 Pace Analytical Services, LLC 9800 KlnteyAve. Suite 100 Huntersvllle, NLt 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 2409479 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L 38.5 37.2 97 78-114 MATRIX SPIKE SAMPLE: 2409480 35423532001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mglL 1.1 U 38.5 37.1 96 78-114 Results presented on this page era In the unite 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: 10/26/2018 03:07 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 14 aceAnalytical® www.pacelobil,com QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92403089 QC Batch: 436094 Analysis Method: SM 2540D-2011 QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92403089001 METHOD BLANK: 2399711 Matrix: Water Associated Lab Samples: 92403089001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 10/13/18 00:51 Pace Analytical Services, LLC 9800 Klncey Aye. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 2399712 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 251 242 96 90-110 SAMPLE DUPLICATE: 2399713 Parameter Total Suspended Solids 92403108002 Dup Units Result Result RPD Qualifiers mglL ND ND SAMPLE DUPLICATE: 2399714 92403275003 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 179 206 14 D6 Results presented on this peps are In the units Indicated by the 'units' column except where on alternate unit Is presented to the right or the fesutt. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 10/25/2018 03:07 PM without the wrltten consent of Pace Analytical Services, I.I.C. Page 7 of 14 aceAnaljftale wrrecpspela6ac= QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92403089 QC Batch: 436095 Analysis Method: SM 254OD-2011 QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids Associated Lacs Samples: 92403089002, 92403089003, 92403089004, 92403089005, 92403089006 METHOD BLANK: 2399715 Matrix: Water Associated Lab Samples: 92403089002, 92403089003, 92403089004, 92403089005, 92403089006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L NO 2.5 10/13/18 00:59 Pace Analytical Services, LLC 9800 Kint:eyAve. Suite 100 Huntersville, It 28078 (704)875.9092 LABORATORY CONTROL SAMPLE: 2399716 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 251 250 100 90-110 SAMPLE DUPLICATE: 2399717 92403089002 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 43.6 51.9 17 D6 SAMPLE DUPLICATE: 2399718 92403120005 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Sollds mglL 8.8 15.0 52 06 Results presented on this page are In the units Indicated by the "Unite 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: 10/25/2018 03:07 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 14 acMhalytical wwwpecekbacom QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92403089 QC Batch: 436234 Analysis Method: EPA 9040C QC Batch Method: EPA 9040C Analysis Description: 9040 pH Associated Lab Samples: 92403089001, 92403089002, 92403089003, 92403089004, 92403089005, 92403089006 SAMPLE DUPLICATE; 2400364 9240315B001 Dup Parameter Units Result Result RPD Qualifiers pH at 25 Degrees C Std, Units 6.4 6.4 0 H3 SAMPLE DUPLICATE: 2400365 92403134003 Dup Parameter Units Result Result RPD Qualifiers pH at 25 Degrees C Std. Units 6.2 6.2 0 H3 Pace Analytical Services, LLC 9800 Klncey Ave. Suite 100 Huntersvllle, NC 28078 (704)875-9092 Results presented on this peps are In the units Indleated 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: 10/25/2018 03:07 PM without the written consent of Pace Analytical Services, LLC, Page 9 of 14 Pace Analytical Services, LLC (�5aceftlyticalm 9800 KintieyAvQ. Suite 100 Huntersville, N�` 28078 •Pa�m� (704)875-9092 QUALIFIERS Project: SNl-Charlotte, NC Pace Project No.: 92403089 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 concentralion. 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 SW84e 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 NELAG Institute. LABORATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS De 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: 10/25/2018 03:07 PM without the writteri consent of Pace Analytical Services, I.L.C. Page 10 of 14 (�Iacie'Analytcal wwwpecwoft¢om QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Huntersvllle, NC 28078 (704)875-9092 Project: SNI-Charlotte, NC Pace Project No.: 92403089 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92403089001 SP-1 EPA 1664B 438223 92403089002 SP-7 EPA 1664E 438223 92403089003 SIP-3 EPA1664B 438223 92403089004 SP-4 EPA 1664B 438223 92403089005 SIP-5 EPA1664B 438223 92403089006 SP-6 EPA1664B 438223 92403089001 SP-1 SM 2540D-2011 436094 92403089002 SP-7 SM 254OD-2011 436095 92403089003 SP-3 SM 254OD-2011 436095 92403089004 SP-4 SM 2540D-2011 436095 92403089005 SP-5 SM 254OD-2011 436095 92403089006 SP-6 SM 254OD-2011 436095 92403089001 SP-1 EPA 9040C 436234 92403089002 SP-7 EPA 9040C 436234 92403089003 SP-3 EPA 9040C 436234 92403089004 SP-4 EPA 9040C 436234 92403089005 SIP-5 EPA 9040C 436234 92403089006 SP-6 EPA 9040C 436234 Date: 10/25/2018 03:07 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 11 of 14 Document Name: -, Document -No., Document Revised: February 7, 2018 I Pete 1 of 2 + laboratory receiving samples: Asheville ❑ Eden❑ Greenwood ❑ Huntersville 12/ Raleigh[] Mechanicsville[] Client Nome: WO# : 92403089 Project a: n �'�`r II1lll l �I �If 1�11l�! �l� Courier. F d Ex CUPS U5P5 Client ❑ Commercial Upace []Other: 92403089 Custady Seal Present? ❑Yo$ M4 Seats intact? Des Dho r�r / pate/initials Perron Examining eontenu: � - l + (-i tl Packing Material: ❑Bubble Wrap �VBubble Bags ❑None ❑ Other Biological Tissue F ozen? Thermometer: 92T045 Type of ice: �t ©Blue ONone Des❑No � �]N/A QdGul ID: Cooler Temp III: Correction factor: Add/Subtract ('C) p Temp should be above freezing to 6'C Cooler Temp Corrected ('C): []samples out of temp criteria, Samples an Ice, cooling process has begun USDA Regulated Sall e N/A, water sample) Old samples originate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (internationally, rlVes rlNe. lneludlns Namall end Puerto Weal? rites rlNe Comments Dlecre en Chain of Custody Present? JVes QNo N/A 1, Sam les Arrived within Hold Time? Yes No N/A 2. Short Hold lime Ana Le Q2 hr.? Yes I VrNo ONJA 3. Rush Turn Around Time Ra uested? QYes. a N a 4. Sufficient Volume? tfft No QN1e. S. Correct Containers Used? -Pace Containers Used? —Of, Yes oNo ON. I]N/A N A 6. Containers Intact? Ycs EINLN A 7. 01350lVed anal sis Samples Field rikered? Y Na N/A B. Sample Labels Math COC-e -lncludes Date(rIme/[D/Anal sis . Matrix: Ver ❑No I]N/A 9. Heads ace In VOA Vials >5.6mm)? ovel ONO 6111.4 10. Trip Blank Present? TripBlank CustodySeals Present? []Yes Yes ❑No No ❑ //A N A 11. COMMENTS/SAMPLE DISCREPANCY Person contacted: Project Manager SCURF Review: Project Manager SRF Review: 71rt� Date/Time: Field Date Required? ❑Yes []No Date: Date: Page 12 of 14 80080! ica!` Document Name: Sample Conditlon Upon Recel t SCUR Document Revised: February 7, 2018 Page 1 of 2 �.�Document.No.: F•CAR•0-033-11ev,06 Issuing Authartt : Pace Carolinas Quality Office *Check mark top half of box if pH and/or dechlorination Is verified and within the acceptance range for preservation samples. Ewceptions: VOA, Collform, TOC, Oil and Grease, DRO/8015 (water) DOC, LLHS **Bottom half of box is to list number of bottle Project e ' WO# : 92403089 PM; RWC Due Dale. 10/25/18 CLIENT: 92-SCHNEIDER YA00►►aV���� N �ii°u��►u�i�t►���a�ii�ii�i�i pH Adjustment tog for Preserved Samples sample t0 Type of preservative pH upon receipt Dote proservatlon adjusted Time preservation adjusted Amount of preservative added Lot p note: Wnenever Thera rf a aiscrepancy anecting mortn t.arouna compuance sampies, a copy or tors rorm wm ce sent to the inonn s amnna uttirm cercmarwn unite p.e. Out of hold, Incorrect preservative, out of temp, Incorrect containers. Page 13 of 14 CHAiNOF-CUSTODY 1 Analytical Request Document o The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed a= ratety. a_ ro Section A Section B Section C Required Client f.donnato : Required Protect Ltrornudion: tmdte bdornm on: Pa.,. 1 Of 1 tl Repot; To AC.etltipn' Aaaress: 240 SuWM Rasa Copy To Conomw Nww CNW10ft. NC 282$B Address: .ercer,mrt Pam Quote: .Fx Prp(Cq Nac SN-Ctwkme. NC C rwote.gasixow%kL@--acclabs.com l,ocaw"Prmre: - Regresteo DLx De'.e Prwd a: Pace Profile a: 2631.1 NC !Anhds Filtered . VATRIx CME 0 COLLECTED z Preservatives r- - $ u mav t� SAMPLE ID w � c� START END m One Chameter per box. ad Ww wP � � Sample Ids must be unique oov- T— orAR is DATE TIME DATE TIME 1:.. I /7y} /"7� SP-1 www®r X x x 2: + %W x x x J I ! 94 :- 3 SP-3 wT x x x I .:4 _ SP4 wr x x x i L DDs' SP- v wT X x x W1. L WT x x UV x 1 1 L I A°03 ONAL COMMENTS • - . ! � - REINCOU13"M BYlAFFO.tATWN F _ 'r DATE = ¢-. ` - Ac�TI-D riY7AFFa3AT10N-; OATE. - .� r$11MPLE COIY>Arl°Irt8 ' If 12- I a-4 • t I- Ty '" SAYPL M NUMAM G''.�-5�-. J ',T' •vc_ � w-xcr•.c.e.or•.- ;..w - �'S. �/wwx:z_. _ �-a-3= - _ _ _ Pill U N m of SAMIP"ftCL S > SIGNATURE $ ; L) v fig I Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Resources General Permit No. NCGO80000 Date submitted y [1-711 a CERTIFICATE OF COVERAGE NO. NCG08LL SAMPLE COLLECTION YEAR �Ly 18 FACILITY NAME f�(1�l QId fAI I �.(A S p c �+ I� f �PLE PERIOD ❑ Jan -June July -Dec COUNTY -T� 61ECFxi or Monthlyl AA — month PERSON COLLECTING SAMPL APR 2 ��SCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY Lab Cert. # 5 ❑Zero -flow ❑Wa#er Supply ❑SA r ��ES ❑Other Comments on sample collection or analysis: CENTRAL DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?� yes Ono (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable) ED No discharge this period' f Date Q4530 00400 00556 To# i Susndo ed pN, _ No" n Polai"�Oilrand Gr ae''�'se/TPH EPA New Motor Oil Usage, h111110 $Saririple Collected, ;Now'_g � , , mo/tld/,yr Solids, mg/,l Standard units Method 1664 (SGT.HEM}, mg/L Mnual average gal/mo ;Benchmarks ,.. r. - [SO.or l00see permit Within 6.0, S! 0 15 31-7( , 3 �- 3-7I S 1�-.4 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfall;� No ,f <R� :� 'Date Sample +i:ollectetl, mo/dd/yr 0055E Non -Polar OiliandTGrea e/'fPH EPA Method 16b_4;(SG HEM}, rrrg/,L 00530 Total Suspended.5olids, mg/L Qg400 pH, PtalidirdrunitMs Permit;limit - 15 501or 100 see permit fi.0 - 9,0 1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SW-250 last revised April 11, 2013 D­ } _ir'f STORM EVENT CHARACTERISTICS: Date 31'7118 (first event sampled) Total Event Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement leer 1, Ver 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES � No ❑ fo REGIONAL OFFICE CONTACT NAME: Z A in L d ><a h yt Mail an original and one copy of this DM in the case of "No Discharge" reports) to: Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 all "No worts, within 30 da, f the lab results (or at end YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature c# Permittee) �it��� (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/­ws/su/npdessw#tab-4 SWU=250 last revised April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Resources General Permit No. NCGO80000 Date submitted CERTIFICATE OF COVERAGE NO. NCG08_ FACILITY NAME COUNTY PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Comments on sample collection or analysis: SAMPLE COLLECTION YEAR SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑ Monthly' month DISCHARGING TO CLASS ❑ORW ❑HQW [-]Trout ❑PNA ❑Zero -flaw [—]Water Supply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?[] yes Ono (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) No discharge this period' Othfall' No.. •. 1 ti i . ` r_ -Date 'Sample:Collected, _a f �.. 'r mo/dd/yr_. ' [i653D = y 0&00 Total'Suspended _; _ � .}• r"' - Sys Q�_5olids,�mgfl-; = pH, - "Standard units No�Polar Oiliad}Grease/TPli�'iEPA ;'jkiviiMotor0il � ` Method 16WSGTYI�EM)„mg/L _ Usage,, 6n' � / r ♦., _ 19:5v` -' Annual,,average:gal/mo Benchmark L,50'or 100:see,per>Yiil - within f>rOr9�0 -15z`� -Y_ X-; ".. 'y1 - .ys 3 Z S 3 1 -7 Iti— '3 1 5 Part B. Oil/water Separators and Secondary Containment Areas at Petroleum Bulls Stations and Terminals (If applicable) x Dater sarri re corrected mo/da/Yr , ' ' r_i�DS30,,�� - 'Non Pplar0�l and Grease IEPA°�Method 1654;[SGT HAM),R/L Total Sus` ended,Solitls x;# �L: FI ` FM d' units f4 Stan ard= Permit Limn s -15' S0�or200"� r ° ay t For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Pave 1 of 2 ac e Analytical wwwpaoafab&WM March 20, 2018 Mr. Michael DeBraske Schneider National, Inc. PO Box 2545 Green Bay, WI 543062545 RE: Project: SNI-Charlotte, NC Pace Project No.: 92375878 Dear Mr. DeBraske: Pace Analytical Services, LLC 9800 Kincey Ave. Sulte 100 Huntersvllle, NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on March 07, 2018. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC 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, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Caryssa Berg, Schneider National Mr. Mlchael DeBraske, GEI Consultants, Inc, REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical 5ervlces, LLC. Page 1 of 13 Pace Analytical Services, LLC 6 ceAnalytr'cal 9800 KlnceyAve, Suite t00 Huntersville, NC 28078 a W m•pacefala om (704 )875-9092 CERTIFICATIONS Project: SNI-Charlotte, NC Pace Project No.: 92375878 Charlotte Certification lDs 9800 Klncey Ave. Ste 100, Huntersvllle, NC 28078 Loulslana/NELAP Certification # LAII 70028 North Carolina Drinking Water Certification M 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 Asheville Certification Ids 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 South Carolina Certification #: 99006001 Florida/NELAP Certification M E87627 Kentucky UST Certification M 84 VrginiaNELAP Certification M 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification A 99030001 VrginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the wrllten consent of Pace Analytical Services, LLC. Page 2 of 13 aceAnaIXical" xavw.pecWsb&=n Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 SAMPLE ANALYTE COUNT Project: SNI-Charlotte, NC Pace Project No.: 92375878 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92375878001 SP-1 EPA 1664B JMS 1 PASI-C SM 25400 MJP 1 PAS! -A EPA9040 KDF1 1 PASI-A 92375878002 SP-3 EPA 1664B JMS 1 PASI-C SM 2540D MJP 1 PASI-A EPA9040 KDF1 1 PASI-A 92375878003 SP-4 EPA 1664B JMS 1 PASI-C SM 2540D MJP 1 PASI-A EPA9040 KDF1 1 PASI-A 92375678004 SP-5 EPA 1664B JMS 1 PASI-C SM 2540D MJP 1 PASI-A EPA 9040 KDF1 1 PASI-A 92375878005 SP-6 EPA 1664B JMS 1 PASI-C SM 2540D MJP 1 PASI-A EPA9040 KDF1 1 PASI-A 92375876006 SP-7 EPA 1664B JMS 1 PASI-C SM 2540D MJP 1 PASI-A EPA 9040 KDF1 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 aceAnalytrcal e www.peooleb&wn Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704 )875-9092 ANALYTICAL RESULTS Project: SNI-Charlotte, NC Pace Project No.: 92375878 Sample: SP-1 Parameters Lab ID: 92375878001 Collected: 03/06/18 12:00 Results Units Report Limit DF Received: 03/07/18 10:56 Matrix: Water Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease 46.9 mglL 5.0 1 03/20/18 04:36 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 1000 mg/L 100 1 03/10/18 09:27 9040 pH Analytical Method: EPA 9040 pH 7.3 Sid. Units 0.10 1 03/08/18 02:11 H6 Sample: SP-3 Lab ID: 92375878002 Collected: 03106M8 12:15 Received: 03/07/18 10:56 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease 9.0 mglL 5.0 1 03/20/18 04:37 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 606 mg/L 71.4 1 03/10/18 09:27 9040 pH Analytical Method: EPA 9040 pH 7.1 Std. Units 0.10 1 03/08/18 02:11 H6 Sample: SP-4 Lab ID: 92375878003 Collected: 03/06/18 12:30 Received: 03/07/18 10:56 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease 11.4 mglL 5.0 1 03/20/18 04:37 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 652 mg1L 62.5 1 03/10/18 09:27 9040 pH Analytical Method: EPA 9040 pH 7.3 Sid. Units 0.10 1 03/08/18 02:11 H6 Sample: SP-5 Lab ID: 92375878004 Collected: 03/06/18 12:45 Received: 03/07/18 10:56 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease 25.8 mglL 5.0 1 03/20/18 04:37 Date: 03/20/2018 01:13 PM 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 13 aceAnaljftal o %"'Pewleft nT Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 ANALYTICAL RESULTS Project: SNI-Charlotte, NC Pace Project No.: 92375878 Sample: SP-5 Lab ID: 92375878004 Collected: 03/06/18 12:45 Received: 03/07/18 10:56 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 1170 mg/L 71.4 1 03/10/18 09:27 9040 pH Analytical Method: EPA 9040 PH 7.1 Std, Units 0.10 1 03/08/18 02:11 H6 Sample: SP-6 Parameters Lab ID; 92375878005 Collected: 03/06/18 13:00 Results Units Report Limit OF Received: 03/07/18 10:56 Matrix: Water Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease 15.9 mg/L 5.0 1 03/20/18 04:37 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 86.0 mg/L 12.5 1 03/10/18 09:27 9040 pH Analytical Method: EPA 9040 PH 6.3 Std. Units 0.10 1 03/08/18 02:11 H6 Sample: SP-7 Lab ID: 92375878006 Collected: 03/0611813:15 Received: 03/07/18 10:56 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qua[ HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease 36.5 mg/L 5.0 1 03/20/18 04:38 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 310 mg/L 16.7 1 03/10/18 09:28 9040 pH Analytical Method: EPA 9040 PH 6.8 Std. Units 0.10 1 03/08/18 02:11 H6 Date: 03/20/2018 01:13 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 5 of 13 aceAnalytical " warmpecews.com Pace Analytical Services, LLC 9800 Klncey Ave. Suite 100 Huntersvllle, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 9237,9878 QC Batch: 402639 Analysis Method: EPA 1664B QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92375878001, 92375878002, 92375878003, 92375878004, 92375878005, 92375878006 METHOD BLANK: 2233303 Matrix: Water Associated Lab Samples: 92375878001, 92375878002, 92375878003, 92375878004, 92375878005, 9237587B00fi Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg1L ND 5.0 03/20/18 04:33 LABORATORY CONTROL SAMPLE: 2233304 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L 40 37.2 93 78-114 MATRIX SPIKE SAMPLE: 2233305 92375928004 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mglL NO 40 38.5 95 78-114 Results presented on this page are In the units indicated by the "Units" column except where an altamale unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/20/2018 01:13 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 13 aceAna1jfta1e wwwpeoela6sc+om Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersvllle. NC Z8078 (704)875-9092 QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92375878 QC Batch: 401457 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92375878001, 92375878002, 92375878003, 92375878004, 92375878005, 92375878006 METHOD BLANK: 2226959 Matrix: Water Associated Lab Samples: 92375878001, 92375878002, 92375878003, 92375878004, 92375878005, 92375878006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 03/10/18 09:24 LABORATORY CONTROL SAMPLE: 2226960 Spike LCS Parameter Units Cone. Result Total Suspended Solids mg/L 250 232 SAMPLE DUPLICATE: 2226961 92375821007 Dup Parameter Units Result Result Total Suspended Solids mglL 10.2 15.6 SAMPLE DUPLICATE: 2226962 92375856001 Dup Parameter Units Result Result Total Suspended Solids mg/L NO NO LCS % Rae % Rec Limits Qualifiers 93 90-110 RPD Qualifiers 42 D6 RPD Qualifiers 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: 03/20/2018 01:13 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 13 acoAnaljdical o WWW'Dawabs.com Pace Analytical Services, LLC 9B00 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92375878 QC Batch: 401077 Analysis Method: EPA9040 QC Batch Method: EPA9040 Analysis Description: 9040 pH Associated Lab Samples: 92375878001, 92375878002, 92375878003, 92375878004, 92375878005, 92375878006 SAMPLE DUPLICATE: 2224580 92376862001 Dup Parameter Units Result Result RPD Qualifiers pH Std. Units 7.6 7.6 0 H6 SAMPLE DUPLICATE: 2224581 T 92376002001 Dup Parameter Units Result Result RPD Qualifiers pH Sld. Units 7.2 7.0 2 H6 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: 03/20/2018 01:13 PM without the written consent of Pace Analytical Services, Lt-C. Page 8 of 13 aceAnalytical o mrNrpacefe M=n Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 20078 (704)875-9092 QUALIFIERS Project: SNI-Charlotte, NC Pace Project No.: 92375878 DEFINITIONS OF - 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. PQL - Practical Quantitation Limit. RL - Reporting Limit. 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 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 ANALYTE QUALIFIERS 06 The precision between the sample and sample duplicate exceeded laboratory control limits. H6 Analysis Initiated outside of the 15 minute EPA required holding time. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 03/20/2018 01:13 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 13 aceAnalytical www.pacelaba.com Pace Analytical Services, LLC 9800 KinceyAve, Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: SNI-Charlotte, NC Pace Project No.: 92376878 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92375878001 SIP-1 EPA1664B 402639 92375878002 SP-3 EPAi664B 402639 92375878003 SP-4 EPA1664B 402639 92375878004 SP-5 EPA1664B 402639 92375878005 SP-6 EPA 1664B 402639 92375878006 SP-7 EPA 1664E 402639 92375878001 S P-1 SM 2540D 401457 92375878002 SP-3 SM 2540D 401457 92376876003 SP-4 SM 2540D 401457 92375878004 SP-5 SM 25400 401457 9237587800E SIP-6 SM 2540D 401457 92375878006 SP-7 SM 2540D 401457 92375878001 S P-1 EPA 9040 401077 92375878002 SP-3 EPA 9040 401077 92375878003 SP-4 EPA 9040 401077 92375878004 SP-5 EPA 9040 401077 92375878005 SP-6 EPA 9040 401077 92375878006 SP-7 EPA 9040 401077 Date: 03/20/2018 01:13 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Analytical Batch Page 10 of 13 Document Name: Document Revlsed; February 7, 2018 aceAnal bifY Sample Condition Upon Recel t SCUR) Page t of 2 Document No.-. Issuing Authority: F-CAR•CS-033•Rev,06 Pace Carolinas Quality Office Laboratory receiving samples: Asheville ❑ Eden❑ -Greenwood ❑ Huntersvlil Raleigh[] Mechanicsville❑ Client Name: Project fi Courier. Fe II` UPS LISPS Client ❑ Commercial ace ❑Qther: Custody Seel Present? ❑Yes No Seals Intact? Dyes �No Packing Material: ❑9ubble Wrap ubble Bags ❑None ❑ father Thermometer: T ❑ IR Gun IO: 9 6 Type of Its: Wet ❑Blue Cooler Temp {'C]: Z ' Correction Factor: Add/Subtract ('C) p,1 Coder Temp Corrected i'C): USDA Regulated Sol(( /A, water sample] Old samples original a quara'ritlne tone within the United States: CA, NY, or SC {check maps)? myes r71, +- a MQ 92375878 ��!'�ll lflal`Il 11�11I`�'11I•_. 9237 IB7 � t, Date/InitialsPam" Exemining Contents: Blologlcel a Frozen? ❑Yes o ❑N/A ❑None Temp should be above freezing to 6'C (3Samples out of temp criteria. Samples an Ice, Cooling process his begun Did iimpies originate from a foreign source (Inter tonally, ineludlne Hawall end Puarta Riml? f1Yas Nn Comments 0lscre a Chain of Custody Present? 171ho N A 1. Sam les Arrived within Hold Time? No N A 2. Short Hold Time Ane Is 42 hr.)? Yes o N A 3. Rush Turn Around TimeRequested? OVel N/A 4. Sufficlent Volume? Mof No N A 5. Correct Contalners Used? -Pace Containers Used? a ei (:)No No []N/A ONLA 6. Containers Intact? of Na N A 7. Dissolved analysis: Samples Field Flltered 7 Yes /A 8. Sampte Labels Match COC? -includes Date/Tlme iD Anal is Matrix: QN/A 9. N,, G^ S j 0 C , Heads are In VOA Vials sS•6mm Yes Ohlo A 10. 11. Trip Blank Present? (]Yes N/A Trip Blank Custod Seals Present? 0yes Cho A COMMENTS/SAMPLE DISCREPANCY Lot ID of split containers; CLIENT NOTIFICATION/RESOLUTION Person contacted; Date/rime: Field Data Required? ❑Yes ❑No Project Manager SCURF Review: r. Date: o Project Manager SRF Review: a 1Ur�� Date: . �' Page 11of13 Document Name; Document Revised: February 7, 2018 IceArfaly dl Sam le Condition Upon Recel t(SCUR) Page 1 of 2 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 # verified and within the acceptance range for preservation samples. Exceptions: VOA, Coliform, TOC, Oil and Grease, ORO/8015 (water) DOC, LLHS "Bottom half of box Is to list number of bottle WO# �.92375878 i PM NM' Ouse-"'IDate 1 03121/itf CLIENT:'82 SCHNEIDER � u�oaa��■��ao��i�i����an� ��■i���ii����iii�ii��� pH Adjustment Log for Preserved Samples Sample 10 Type of Preservalhre pH upon receipt Date preservation adjusted Time praurvation adjusted Amount of Preservatlw added Lot p Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certlflcatlon Office (i.e. Out of hold, Incorrect preservative, out of temp, Incorrect containers. Page 12 of 13 V CHAIN -OF -CUSTODY 1 Analytical Request Document o The Chain- -Custody is a LEGAL DOCUMENT. AI{ relevant fields must he c"npieted accurately. fi! 1Li! m rn __ .,--.----- Page: of d Section A Section B Section C 2192462 Required Client lt*wmation. Required Prpjoct Inlormabon_ Invoice lniormaltan'. Report To: A Copy To: Company Name: REGULATORY AGENCY F NPDES V GROUNDWATER r- DRINKING WATER F UST r RCRA OTHER JC Purdwse Order No.: Pac-a� Fax: Project Name: P 7O� Site Location STA TE. Q Ale: - Reques Mm V=eJTAT: Project Number: �'O° P'*ft s: Requested Analysis Filtered (YIN) Suction D Matrix Codas Requ:od(�cm lnlormalnn MAMlx r cooE - COLLECTED Preservatives = Drinking Weffir OW $ U Water WT Wa�teWater WW q, U SC01s'03ISE rE ENDCRAS z sowsod SL J } SAMPLE ID wX y er > (A-7- 0-91,-) Air AR W LU C Z m o Sample IDs MUST BE UNIQUE Issue TS O Z V Other OT X W 0 n 2 p m U j m a a U. U. a N z c� m m in C m / DATE TIME DATE TIME ED a M M x 2 z z z O .y Ir Pace Project Nol Lab I.D. • _ Z�� "i ��}1 �1�I 3 / is 4 ✓/� 5:1 1. 00 s �,�'�.►� �' y 33 a a \ 9 1� 10 1 ` 12 ADDmt�NAL COMMENTS RELING DATE , TWE ACCEPT BY I AFFRIA p TE SAMPLE comul 1ONs /TJntE SAWLERNAME AND .SIGNATURE ORIGINAL v c � m m PRINT Narno o! SAMPLER: r i } m SIGNATURE a[ SAMPLER DATE signed /r � V — j P m n} E 'IrpanmY Note: By stgn" e,s (con you am accepting Pace's NET 30 day pay mmd lama ww &We"to Late Agee d 15% per month to" ir$reioes rot paitl w0m 30 flays, - F-AU-0-O20rev.07. 1 s-May-2007 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCGO80000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2b ! 1 CERTIFICATE OF COVERAGE NO. NCG08 LD 59) �J (Tbis monitoring report is due at the Division no later than 30 days from I �the date the facility receives th sam ling results from the laboratory.) FACILITY NAME Y t U 1( * i(A � [) V1 1 10a ff l.. COUNTY PERSON COLLECTING SAMPLES PHONE NO. O CERTIFIED LABORATORY_]! (�l Lab # 63q Z Lab # PLEASE SIGN ON THE REVERSE 4 Part A: Vehicle Maintenance Areas Monitoring Requirements Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, report your analytical results in the table immediately below) Oatfall No. Date �� _: Sample Collected; mold 0053fl .:: 00:400 �'" OOSS6 r � :'.:. . _ — Total Suspended Sohds; # :: 4 pH;"� " • : .. Standardranits _ Oil,ancl Grease, r �`NewMotot ifiVE Otl Usage; A nualavera e"al%ma� Benchmark too A. � `` ;AWith .eAa: _s9:0 30M - 1 21.-7 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Part B: Oillwater Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No: -.Dates Sample�Collected, s 00556 - N ` _ _ r: O053I! 0040(1 : Oilland�Grease,a=F_11'zW.Y.TolESuspende'd its, H, F 1SUNRZIs - �Permit Limit Z 1 I -7 '7 1 -7 21 1 ., STORM EVENT CHARACTERISTICS: Date I 1 _1 1!first event sampled) nn �nn Total Event Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): RCt,,FI V EE) JAN 2 9-2018 DWR SECTION INFORMATION PROCESSING UNI. Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 S WU-250-102107 Page 1 of 2 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Permittee (Date) S WU-250-102107 Page 2 of 2 aceAnalytical www.peoebbaoarn Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersvllle, NC 28078 (704)875-9092 January 08, 2018 Mr. Michael DeBraske Schneider National, Inc. PO Box 2545 Green Bay, WI 543062545 RE: Project: SNI-Charlotte, NC Pace Project No.: 92367997 Dear Mr. DeBraske: Enclosed are the analytical results for sample(s) received by the laboratory on December 21, 2017. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC 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, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Ceryssa Berg, Schneider National Mr. Michael DeBraske, GEI Consultants, Inc. s REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, LLC, Page 1 of 14 aceAnalytical e wmpeoelabmm Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersvllle, NC 28078 (704)875-9092 Project: SNI-Charlotte, NC Pace Project No.: 92367997 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersvllle, NC 28078 LouisianalNELAP Certification # LA170028 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 Asheville Certiflcatlon IDs 2225 Riverside Drive, Asheville, NC 28804 Florids/NELAP Certification #: E87648 Massachusetts Certification #: M-NCO30 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS South Carolina Certification #: 99006001 Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 Vrginia/VEIAP Certification M 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 V rginia/VELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, I.I.C. Page 2 of 14 aceAnalytical e �rwM:peoele6s.corn Pace Analytical Services, LLC 9800 Klncey Ave. Sulte 100 Huntersville, NC U078 (704)875-9092 SAMPLE ANALYTE COUNT Project: SNI-Charlotte, NC Pace Project No.: 92367997 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92367997001 SP-1 EPA 1664B JMS 1 PASI-C SM 2540D SLB 1 PASi-A EPA 9040 ECH 1 PASI-A 92357997002 SP-3 EPA 1664B JMS 1 PASI-C SM 2540D SLB 1 PASI-A EPA 9040 ECH 1 PASI-A 92367997003 SP-4 EPA 1664B JMS 1 PASI-C SM 2540D SLB 1 PASI-A EPA9040 ECH 1 PASI-A 92367997004 SP-5 EPA1664B JMS 1 PASI-C SM 2540D SLB 1 PASI-A EPA 9040 ECH 1 PASI-A 92367997005 SP-7 EPA1664B JMS 1 PASI-C SM 2540D SLB 1 PASI-A EPA 9040 ECH 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 14 aceAnalytical " wwwpeoews.mn Pace Analytical Services, LLC 9800 KlnceyAve, Suite 100 Huntersville, NC 28078 (704 )875-9092 ANALYTICAL RESULTS Project: SNI-Charlotte, NC Pace Project No.: 92367997 Sample: SP-1 Parameters Lab ID: 923e7997001 Collected: 12/20/17 10:30 Results Units Report Limit DF Received: 12/21/17 14:32 Matrix: Water Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease 40.8 mg/L 5.0 1 01/08/18 04:13 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 252 mg1L 12.5 1 12/27/17 08:54 9040 pH Analytical Method: EPA 9040 pH 7.3 Std. Units 0.10 1 12/22/17 15:00 H6 Sample: SP-3 Lab ID: 92367997002 Collected: 12/20/17 10:45 Received: 12/21/17 14:32 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease 13.1 mg1L 5.0 1 01/08/18 04:14 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 457 mg/L 25.0 1 12/27/17 08:54 9040 pH Analytical Method: EPA 9040 pH 7.2 Std. Units 0.10 1 12/22/17 15:00 H6 Sample: SP-4 Lab ID: 92367997003 Collected: 12/20/17 11:00 Received: 12/21/17 14:32 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease 10.3 mg/L 5.0 1 01/08/18 04:14 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 290 mg/L 31.2 1 12/27/17 08:54 9040 pH Analytical Method: EPA9040 pH 7.3 Std. Units 0.10 1 12/22/17 15:00 H6 Sample: SP-5 Lab lD: 923e7997004 Collected: 12/20/17 11:15 Received: 12/21/17 14:32 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease 9.1 mg1L 5.0 1 01/08/18 04:14 Date: 01/08/2018 02:07 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, LLC, Page 4 of 14 aceAnalytical. wwwpecelaftwn Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersvllle, NC 28078 (704)875-9092 ANALYTICAL RESULTS Project: SNI-Charlotte, NC Pace Project No.: 92367997 Sample: SP-5 Lab ID: 92367997004 Collected: 12/20/17 11:15 Received: 12/21/17 14:32 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 25400 Total Suspended Solids 175 mg/L 25.0 1 12/27/17 09:21 9040 pH Analytical Method: EPA 9040 pH 6.9 Std, Units 0.10 1 12/22/17 15:00 H6 Sample: SP-7 Parameters Lab ID: 92367997005 Collected: 12/20/17 11:30 Results Units Report Limit DF Received: 12/21/17 14:32 Matrix: Water Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease 21.7 mg/L 5.0 1 01/08/18 04:15 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 305 mg/L 19.2 1 12/27/17 09:21 9040 pH Analytical Method: EPA 9040 pH 7.2 Std. Units 0.10 1 12/22/17 15:00 H6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 01/08/2018 02:07 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 14 aceAnalytical e ttnvtvpaoWabs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)B75-9092 QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92367997 QC Batch: 393437 Analysis Method: EPA 1664B QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92367997001, 92367997002, 92367997003, 92367997004, 92367997005 METHOD BLANK: 2181380 Matrix: Water Associated Lab Samples: 92367997001, 92367997002, 92367997003, 92367997004, 92367997005 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mglL ND 5.0 01/08/18 04:12 LABORATORY CONTROL SAMPLE: 2181381 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L 40 36.9 92 78-114 MATRIX SPIKE SAMPLE: 2181382 92367826004 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mglL ND 40 39.8 96 78-114 MATRIX SPIKE SAMPLE: 2181383 92368224001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mglL ND 40 37.3 92 78-114 MATRIX SPIKE SAMPLE: 2181384 92368612002 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mglL ND 40 37.0 92 78-114 Results presented on this papa are In the units indicated by the "Units" column except where an aRemate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/08/2018 02:07 PM without the written consent of Pace Analytical Services, LLC, Page 6 of 14 aceAnalylfical e wwwpeC wacom Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92367997 QC Batch: 392427 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 25400 Total Suspended Solids Associated Lab Samples: 92367997001, 92367997002, 92367997003 METHOD BLANK: 2176880 Matrix: Water Associated Lab Samples: 92367997001, 92367997002, 92367997003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 12/27/17 08:50 LABORATORY CONTROL SAMPLE: 2176881 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 250 100 90-110 SAMPLE DUPLICATE: 2176882 92367956001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 28.4 29.0 2 SAMPLE DUPLICATE: 2176883 92367981005 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 16.4 17.6 7 D6 Results presented on this page are In the units Indicated by the 'Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 01/08/2018 02:07 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 14 aceftlytical* wwwpacelab&MM Pace Analytical Services, LLC 9800 Klncey Ave. Suite 100 Huntersvllle, NC 28078 (704)B75.9092 QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92367997 QC Batch: 392428 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92367997004, 92367997005 METHOD BLANK: 2176884 Matrix: Water Associated Lab Samples: 92367997004, 92367997005 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 12/27/17 09:21 LABORATORY CONTROL SAMPLE: 2176885 Spike LCS LCS % Rec. Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mglL 250 240 96 90-110 SAMPLE DUPLICATE: 2176886 92367997004 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 175 170 3 SAMPLE DUPLICATE: 2176887 92368099003 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 20.2 22.0 9 D6 Results presented on this Pepe 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: 01/08/2018 02:07 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 14 aceAnalytical wwwpecefat amm QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92367997 QC Batch: 392108 Analysis Method: EPA 9040 QC Batch Method: EPA 9040 Analysis Descriptlon: 9040 pH Associated Lab Samples: 92367997001, 92367997002, 92367997003, 92367997004, 92367997005 SAMPLE DUPLICATE: 2175511 92367960001 Dup Parameter Units Result Result RPD PH SAMPLE DUPLICATE: 2175512 Parameter PH Std. Units 7.0 7.0 92367997004 Dup Units Result Result Std. Units 6.9 6.9 Qualiflers 1 H6 RPD Qualifiers 0 H6 Pace Analytical Services, LLC 9800 Klncey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 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: 01/08/2018 02:07 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 14 Pace Analytical Services, LLC 6 98001(inceyAve. Suite 100 aceMalXical Huntersvllle, NC 28078 www.pscefaftwn (704)875-9092 QUALIFIERS Project: SNI-Charlotte, NC Pace Project No.: 92367997 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 Quantltation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazlne 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 ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. H6 Analysis initiated outside of the 15 minute EPA required holding time. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 01/08/2018 02:07 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14 aceAnalytical e www,PODOWs.Com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: SNI-Charlotte, NC Pace Project No.: 92367997 Lab ID Sample ID QC Batch Method Analytical QC Batch Analytical Method Batch 92361997001 SP-1 EPA1664B 393437 92367997002 SP-3 EPA 1664B 393437 92367997003 SP-4 EPA 1664E 393437 92367997004 SP-5 EPA1664B 393437 92367997005 SP-7 EPA 1664E 393437 92367997001 SP-1 SM 2540D 392427 92367997002 SP-3 SM 2540D 392427 92367997003 SP-4 SM 2540D 392427 92367997004 SP-5 SM 2540D 392428 92367997005 SP-7 SM 2540D 392428 92367997001 SP-1 EPA 9040 392108 92361997002 SP-3 EPA 9040 392108 92367997003 SP-4 EPA 9040 392108 92367997004 SP-5 EPA 9040 392108 92361997005 SP-7 EPA 9040 392108 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 01/08/2018 02:07 PM without the written consent of Pace Analytical Services, LLC. Page 11 of 14 Document Name: Document Revised: August 4, 2017 ZC1eAna1jNca1' Sam le Condition U on Recei t SCUR Pa e 1 of 2 Document No.: Issuing Authority: F-CAR-CS-033-Rev.04 Pace Quality Office Laboratory receiving samples: Asheville ❑ Eden❑ Greenwood ❑ Huntersvill Ralelgh❑ Mechanicsville❑ Client Name: Protect q: � WO#i : 92367997 c-In�c,t vw Courier: Fe []UPS U5P5 Client it il❑ Commercial ace Other: 8 Custody Seal Present? Dyes Na Seals Intact? Dyes Dale/Irtltlals Person Examining Contents: Packing Material: [-]Bubble Wrap EjBu b Bags ❑None ❑ Other Biological Tl�oe Frozen? Thermometer: ❑Yes ;2% ❑N/A ❑ IN Gun ID: T wet []Blue []None ype Ice: Correction Factor: Cooler Temp Corrected (*Cl: • O Temp should be above freezing to VC ❑Samples out of temp criteria. Samples on Ice, cooling process has begun USDA Regulated Soil NIA, water sample) Did samples origl 4112 uarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (Intern finally, Myes includinc Hawaii and Puerto Rico)? ❑Yes [26 Comments/Dlscre an : Chain of Custody Present? a Na MNA 1. Sam le$ Arrived within Hold Time? QNo N A 2. Short Hold Time Analysis c72 hr. Yes N N/A 3. Rush Turn Around Time Requested? Yes o N/A 4. Sufficient Volume? Yes No N/A 5. Correct Containers Used? -Pace Containers Used?r2KanlrNo ❑No (:]N/A N A 6, Containers Intact? OYU nNo N A 7. Dissolved analysis: Samples Field Filtered? a ONJA 8. Sample Labels Match COC? -Includes Dale ime/iO/Anal sls Matrix: Ityes []No ❑N/A 4. Heads ace in VOA Vials >5.6mm ? Yes EJNo /A-"� 10. Trip Blank Present? Trip Blank Custody Seals Present? [Ives'P950 Yes L3NO ❑N/A QN7A 11. CLIENT NOTIFICATION/RESOLUTION Person Contacted: Date/Time: Comments/Sample Discrepancy: Field Dole Required? ❑Yes ❑No Lot ID of split containers, Project Manager SCURF Review: y' Date: t Project Manager SRF Review: Date: Z[ Z Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (Le. Out of hold, Incorrect preservative, out of temp, incorrect containers) Page 12 of 14 W 0 3 a v K n 9 n a z 0 0 w "o A x r rL. O s M ".3 R A ro K r► � O ao r, R ro 10 ro .4 a w m s m N s R W � R A m C C ir iiri- rrr :,• ■■■ ■■■■■ ■ ■■ ■ i rarr a it r rr r . „ .... rri- rriirri- rrrr - C-�* N-Ai=. rrrr rrrrarra r ri UPS rr r r r ir ■■■■■■■■■■■■ . - ■■■■■■■■■■■■ c . C m a m 3 Q. 3 S fD m n n n m to 3 W w b • A Sr A M, 3 m x S CD O Cr O x 7 a 0 Q eo A O m O 7 A Q Section A Reputed Clierd section B Required Project h4wamdpn: CHAIN -OF -CUSTODY I Analytical Request Document The Chalm-of-Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. sacdon C hreaice 64ormAbow Page : 1 Of 1 Comparrf SclrueKw Nat"W Repw1 To: r 2420 Starga Road Copy To: Company Nana: Charlode. NC 2a269 Address: - -RamuL&I ".'I- EmaB: �-.abm L_hf'i ": G �Y.r+i �sr . r _ Purchase Order r .. Pam Quate: Phone: (764)599-7413 Fax Prq- Name: SNI-Chi. NC pace ProFd Ub-g- rKole - Requested Due DWA: propo e: Pare Profit a: 2631-1 NC MUM coca: ° 4 ° COLLECTED * Preservativesy. a: } WY. Aa 3 ~ U 1Nay WaMf = Z e�.� crYe! S. p SAMPLE ID -" a tl a START EIM 'tr l- $ y One Character per box. WO. WP ry omw Or Sunpt ift aarst he rarigrre Taw. is 2 r•' e C ~ 47r 4 a n 7 cc4 i M D O Q C fA f = a - DATE ia� DATE TIME x z 2 i7 rs s L �/✓�t" r i 1 SP-1 Qr W, �:r fr !'L jt}3� x x x wT x x x �(yy L— 3'L sP-3 7: wT /O 0 5S x x x UI. r` � � l0� %I � . 4 SPr WT I I t I t t x X Ix S_ SP-5 , wT J/ !�'� x x x 4 •_72'i 1 _ 'AfmET10NAl C0�CB - BY7. oATE TtlF>=. A9CEF By l&-MATWN — DATE ` . ' T11fE e, T $AMPLE coom om '- ..a" `� z S 0,h 21-17 0 3 • N Ll c $ a PRDIT Marra of 8A1tlPlEr � has / c/� m ie i= g $ , d i= SIGNATI7RE ar L• - DATE Sigra • , P rn r STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCGO80000 SAMPLES COLLECTED DURING CALENDAR YEAR: _!] CERTIFICATE OF COVERAGE NO. NCGOS_ n O t7(-N (This monitoring report is due at the Division no later than 30 days from ( the t the facility receives the samplingresults from the laboratory.) FACILITY NAME C " V �. j �� COUNTY PERSON COLLECTING SAMPLES ✓✓✓ PHONE NO. (_q70) 5q'Z -5 47, CERTIFIED LABORATORY PAf t h u ttr h F Lab # 5547 I.ab # PLEASE SIGN ON THE REVERSE 4 R C C E I` E D Part A: Vehicle Maintenance Areas Monitoring Requirements Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, report your analytical results in the table immediately below) JUN 21 2017 CENTRAL FILES R SECTION Outran No. Date Sample Collected;. moJdd/ r =W30•_"' 00M. - -00556 Total Suspended Solids; ' -� -pH,-, Standard units Oil and'Giease, " . MWL New,Motor O�'1:Usage, - Annual average mo Benchmark . 100 . ' -Within 6:0.=9.0 S29 IOU 7- Co Eg!��j — 5 20 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outran No. Date Sample Collected'. mold ..00S56 " . - - - ;00530 Oil'mW..Grease, Total�Su inded'Solids; y - - ;PH, Stanilird units. PeridtLimiit _ `.'_ 30 STORM EVENT CHARACTERISTICS: Date (first event sampled) Total Event Precipitation (inches): - Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh. North Carolina 27699-1617 SWU-250-102107 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG080000 SAMPLES COLLECTED DURING CALENDAR YEAR: 7011— CERTIFICATE OF COVERAGE NO. NCG08 D D D D (This monitoring report is due at the Division no later than 30 days from f the date the facility receives the am ling results from the laboratory.) FACILITY NAM>w ` COUNTY ( g 13lrC l 3r� PERSON COLLECTING SAMPLES PHONE NO. ( Zhu) )QL- 9 $ CERTIFIED LABORATORY Lab #f) 3"2 Lab # PLEASE SIGN ON THE REVERSE Part A. Vehicle Maintenance Areas Monitoring Requirements Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _nn (if yes, report your analytical results in the table immediately below) Outfall No. Date Sample Collected,' mold r 00530 D0400 - - "00556' ; ` , 'TotW Suspended Sollds,. - 'pH, - - . Standard.imits Uilaiid:q ea ."New-Moton'00'Usage, ..Annual avers al/mo' Benchmark - i(10. - .--Witt" 30r-r.-- S 1 5 Notes If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Part B: Oilfwater Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Otttfall No. Date Sample Collected, mo/ rM91L 44556', -00530; 1:� Ofl aM'Grease, i -ToW S rd:So-lids;, 7. Standard units Permit Limit - 30-= - I00 &0 - 9.0 - STORM EVENT CHARACTERISTICS: Date (llrst event sampled) Total Event Precipitation (inches): _ Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 SWU-250- l 02107 Page 1 of 2 CeAnalytiical" WWW4 cubb&COM June 06, 2017 Mr. Michael DeBraske Schneider National, Inc. PO Box 2545 Green Bay, WI 543062545 RE: Project: SNI-Charlotte, NC Pace Project No.: 92341793 Pass Analytical Services, LLC 9800 Kincey Ave, Sulle 100 Huntersville, NC 28076 (704)875.9092 Dear Mr. DeBraske: Enclosed are'the analytical results for sample(s) received by the laboratory on May 24, 2017. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions conceming this.report, please feel free to contact me. Sincerely, Nicole Gasiorowski nicole.gasio rowski@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Caryssa Berg, Schneider National Mr, Michael DeBraske, GEI Consultants, Inc. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in Full, without the written consent of Pace Analytical Services, LLC. Page 1 of 14 Pace Analytical Services, LLC rGI, Y� 8800KinteyAlle, Suite100 Huntaraville, NC 26478 (�5aceAlical' •t swm (704)875.9092 CERTIFICATIONS Project: SNI-Charlotte, NC Pace Project No.: 92341793 Charlotte Certification IDS 98DO Kincey Ave. Ste 100, Hunlersville, NC 28078 South Carolina Certification #: 99006001 North Carolina Drinking Water Certification #: 37706 FloridalNELAP Certification #: E87627 North Carolina Field Services Certification M 5342 Kentucky UST Certification M 64 North Carolina Wastewater Certification #: 12 VirginlalVELAP Certification #: 460221 Asheville Certification IDS 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certification #: M•NC030 VlrginlaIVELAP 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 AnsWal services, LLC, Page 2 of 14 CeAnaljftal eww,papMep><com SAMPLE ANALYTE COUNT Project: SNI-Charlotte, NC Pace Project No.: 92341793 Pace Analytical Services, LLC 9800 Kincey Ave, Suite 100 Huntersvitle, NC 28078 {704}075-9092 Analyses Lab ID Sample ID Method Analysts Reported Laboratory 92341793001 SP-1 EPA 1664B JMS 1 PASI-C SM 2540D NAL 1 PASI-A EPA 9040 KDF1 1 PASI-A 92341793002 SP-2 EPA 16646 JMS 1 PASI-C SM 2540D CJH1 1 PASI-A EPA9040 KDF1 1 PASI-A 92341793003 SP-3 EPA 1664E JMS 1 PASI-C SM 2540D CJH1 1 PASI-A EPA9040 KDF1 1 PASI-A 02341793004 SP-4 EPA 1664E JMS 1 PASI-C SM 2540D CJH1 1 PASI-A EPA9040 KDF1 1 PASI-A 92341793005 SP-5 EPA 1864E JMS 1 PASI-C SM 25400 CJH1 1 PASI-A EPA9040 KDF1 1 PASI-A 92341793006 SP-6 EPA 16648 JMS 1 PASI-C SM 25400 CJH1 1 PASI-A EPA9040 KDF1 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, I.I.C. Page 3 of 14 aceAnalytica! wsw.psos(abs oom ANALYTICAL, RESULTS Project: SNI-Charlotte, NC Pace Project No.: 92341793 Pace Analytical Services, LLC 9800 Kinsey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 Sample: SPA Parameters Lab ID: 92341793001 Collected: 05/23117 13:45 Results Units Report Limit OF Received: 05/24/17 13:49 Matrix: Water Prepared Analyzed CAS No. Qual HEM, Oil and Grosse Analytical Method: EPA 1664B Oil and Grease 5.2 mglL 5.0 1 06106/17 07:06 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 108 mglL 16.2 1 05/26/17 17:27 9040 pH Analytical Method: EPA 9040 pH 7.1 Sid. Units 0,10 1 05126/17 00:23 H6 Sample. SP-2 Lab ID: 92341793002 Collected: 05/23/17 t3:30 Received: 05/24/17 13:49 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease NO mg1L 5.0 1 0610el17 07:07 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 55.2 mglL 10.0 1 05/27117 07:44 9040 pH Analytical Method: EPA 9040 pH 8.2 Sid. Units 0.10 1 05/26117 00:23 1-18 Sample: SP-3 Lab ID: 92341793003 Collected: 05/23117 13:10 Received: 05124M7 13:49 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 16649 Oil and Grease NO mg/L 5.0 1 06/06/17 07:08 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 280 mg1L 16.7 1 0527/17 07:44 9040 pH Analytical Method, EPA 9040 pH 7A Sid. Units 0.10 1 0526117 00:23 H6 Sample: SP-4 Lab ID: 92341793004 Collected: 05123117 12A5 Received: 05/24117 13:49 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Oil and Grease Date: 06/062017 02:49 PM Analytical Method: EPA 1664B NO mg1L 5.0 1 06/06/17 07:08 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in NO. without the wntien consent of Pace Analytical Services, I.L.C. Page 4 of 14 aceAnalAcal mrw.paoNaumn ANALYTICAL RESULTS Project: SNI-Charbtte, NC Pace Project No.: 92341793 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Kuritersvll[e, NC 28078 (704)875-9092 Sample: SP-4 Lab ID: 92341793004 Collected: 05/23/17 12:45 Received: 05/24/17 13:49 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 1060 mg1L 50.0 1 05/27/17 07A5 9040 pH Analytical Method: EPA9040 PH 7.6 Std. Units 0.10 1 05126M700:23 H6 Sample: SP-5 Lab ID: 92341793005 Collected: 05123117 12:10 Received: 05/24/17 13749 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua[ HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg1L 5.0 1 G6106117 07:08 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 386 mg1L 50.0 1 05/27117 07:45 9040 pH Analytical Method: EPA 9040 PH 7.1 Sid, Units 0.10 1 05126/17 00:23 H6 Sample: SP-6 Lab ID: $2341793006 Collected: 05/23117 12;30 Received: 05/24/17 13:49 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg1L 5.0 1 06/06/17 07:09 25400 Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 204 mg1L 33.3 1 05127/17 07:46 9040 pH Analytical Method: EPA 9040 pH 7.1 Sid. Units 0.10 1 05/26/17 00:23 H6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced. except in full, Date: 06/0612017 02:49 PM without the written consent of Pace Analytical Services, I.I.C. Page 5 of 14 aceAnaly iol www.pacefe6atttlm QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92341793 4C Batch: 363491 Analyst Method: EPA 16640 QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92341793001, 92341793002, 92341793003, 92341793004, 92341793005, 92341793006 METHOD BLANK: 2015170 Matrix: Water Associated Leb Samples: 92341793001, 92341793002, 92341793003, 92341793004, 92341793005, 92341793006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg1L NO 5.0 06106l17 07:05 Pace Analytical Services, LLC 9800 Kincey Ave. Sulte 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 2015171 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L 40 36.5 96 76-114 MATRIX SPIKE SAMPLE: 2015172 92341793001 Spike MS MS % Rec Parameter Units Result Cana. Result % Rec Limits Qualifiers Oil and Grease mg1L 5.2 40 43.7 96 78.114 Results presented on trite paue are In the units indlestee by the "Units" column except where an alternate unit Is presented to the right CO the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 06/0612017 02:49 PM without the written consent o1 Pace Analytical Services, LLC. Page 6 of 14 Iac)eAnalXical(�' www.panhbs.oam QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92341793 OC Batch: 362513 Analysis Method: SM 2540D OC Balch Method: SM 2640D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92341793001 METHOD BLANK: 2010010 Matrix: Water Associated Lab Samples: 92341793001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 05/26/17 17:17 Pate Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersvifle, NC 28078 (704)875-BD92 LABORATORY CONTROL SAMPLE: 2010011 Spike LCS LCS % Rec Parameter Units Conc. Result °% Rec Limits Qualifiers Total Suspended Solids mg1L 250 238 95 90.110 SAMPLE DUPLICATE: 2010012 92341670006 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 244 252 3 SAMPLE DUPLICATE: 2010013 92341754001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL ND NO Results presented w this page are In the units indlcated by the 'units" column except when an alternate unit Is presented to the rot of Me result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 06/06/2017 02:49 PM without the written consent a1 Pace Analytical Services, LLC. Page 7 of 14 aceAnalytical ..+e-0eciall 0aoom QUALITY CONTROL DATA Project: SNI•Charlotte, NC Pace Project No.: 92341793 QC Batch: 362555 Analysis Method: SM 2540D QC Balch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92341793002, 92341793003, 92341793004, 92341793005, 9234179300E METHOD BLANK: 2010145 Matrix: Water Associated Lab Samples: 92341793002, 92341793D03, 92341793DD4, 92341793005, 92341793006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 05/27/17 07:42 LABORATORY CONTROL SAMPLE: 2010146 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Hunlers011e. NC 28078 (704)875-9092 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualities Total Suspended Solids mg1L 250 240 96 90-110 SAMPLE DUPLICATE: 2010147 92341644001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 13.5 14.0 4 SAMPLE DUPLICATE: 2010148 92341819001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 5.6 6.2 10 D6 Results presented an this page are In the units Indicated by the "Units` column except where an ■rtemete unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/06/2017 02:49 PM wilhaut the wrtttan consent of Pace Analytical Services, LLC. Page 8 of 14 aceAnalyticale wwwP0othbs corn QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92341793 OC Balch: 362325 Analysis Method: EPA 9040 QC Balch Method: EPA 9040 Analysis Descriplion: 9040 pH Associated Lab Samples7 92341793001, 92341793002, 92341793003, 92341793004, 92341793005, 92341793006 SAMPLE DUPLICATE: 2009194 92341588002 Dup Parameter Units Result Result RPD Qualifiers pH Slid. Units 3.5 3.5 0 H6 SAMPLE DUPLICATE: 2009195 92341638002 Dup Parameter Units Result Result RPD Qualifiers pH SW. Units 6.4 6.4 0 H6 Pace AneWtcal Services, LLC 9800 KlnceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 Results praaanted on this page are In the units indicaud by the 'Units' Column except where an alternate unit Is presented to the right of We result. REPORT OF LA130RATORY ANALYSIS This report shall not be reproduced, except in full. Dale: 06106/2017 02:49 PM without the written consent of Pace Analytical SerAces, LLC. Page 9 of 14 CeAnalyt►C811 eM1►.paL1iIGS.CGm QUALIFIERS Project: SNI-Charlotte, NC Pace Project No.: 92341793 DEFINITION$ 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. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. POL - Practical Ouantitedon Limit. RL - Reporting Limit. Pace Analytical Services. LLC 9800 Klncey Ave. Suite 100 Hunloravillo, NC 28078 (704)875-9092 S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyze 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 INC - 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 Acralein and Acrytonitrile by EPA Method 6260. N-Nitrosodiphenylamine decomposes and cannot be separated from Olphenylamine using Method 8270. The result reported lot each analyze 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 DB The precision between the sample and sample duplicate exceeded laboratory control limits. HB Analysis initiated outside of the 15 minute EPA required holding time. REPORT OF LABORATORY ANALYSIS This report shall nol be reproduced. except In full. Date: 06/06=17 02:49 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14 CBAnalytkal wrw.pa W0b3 eam QUALITY CONTROL DATA CROSS REFERENCE TABLE Paco Analytical Services, LLC 9800 Kinoay Ave. Suite 100 Huntersville. NC 28078 (704)875.9092 Project SNI-Charlotte, NC Pace Project No.: 92341793 Analytical Lob ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92341793001 SP-1 EPA 1664B 363491 92341793002 SIP-2 EPA 1664B 363491 92341793003 SP-3 EPA 1664E 363491 92341793004 SP-4 EPA 1664B 363491 92341793005 SP-5 EPA 1664B 363491 92341793006 SP-6 EPA 1664B 363491 92341793001 Sp-1 SM 2540D 362513 92341793002 SP-2 SM 2540D 362555 92341793003 SIP-3 SM 2540D 362555 92341793004 SP-4 SM 2540D 362555 92341793005 SP-5 SM 2540D 362555 92341793006 SP-6 SM 2540D 362555 92341793001 SP-1 EPA 9040 362325 92341793002 SP-2 EPAS040 362325 92341793003 SP-3 EPA9040 362325 92341793004 SP-4 EPA 9040 362325 92341793005 SP-5 EPA 9040 362325 92341793006 SP-6 EPA 9040 362325 REPORT OF LABORATORY ANALYSIS This report shell not be reproduced. except In full, Date: 06ID612017 02:49 PM without the written consent of Pace Analytical Services, LLC, Page 11 of 14 Document Name: Document Revised: Sept. 21, 2016 ` Sample Condition Upon Recei t SCUR Page 1 of 2 Document No.: issuirig Authority: aCBAWl )Cal F-CAR-CS-033•Rev.01 Pace Quality Office Laboratory receiving samples: Asheville ❑ Eden[] Greenwood ❑ Huntersvllle Raleigh❑ Mechanicsville[] Client Name: ProjectWOE : 92341793 p: �i .y17CliJ;?i. j J Courier. F��d,Eir UPupS LISPS Client II I II' I II I � III III � � ill ❑ Commercial OPace ❑Other: 8234178'J 1 Custody Seal Present? ❑Yes No Sealt Intact? ❑Yes IgNo �II Pete/Initials Person Examining Contents: ' , i' � Packing Material: ❑Bubble Wrap Qeubble Bags []None [:]Other:Thermometer: ❑ IR Gun ID: Type o Ice: Wet ❑Blue ❑None +Simples on ice, cooling prgcess has begun Correction Factor: Cooler temp Corrected i'Cj: Biological Tissue Frozen? ❑Yes ❑No []N/A Temp should be above fre Ing to 6`C USDA Regulat d Soil ( N/A, water sample) Did samples O inate In a quarantine lone within the United States: CA, NY, or SC (check maps)? Chain of Custody Present? QVkS ONG N A 1. samples Arrived within Hold Time? yes ON.6 ON/A 2. Short Hold Time Anal sia c72 hr.? Oyes C& ONIA 3. Rush Turn Around Time Reauested? nyei Mi. i-7N/A 4. Sutticlent Volume? EK&s ONO N/A 1 5. Correct Containers Used? Yps [IN, ❑NIA 16. Old samples orI5lnate from a foreign source Including Hawaii and Puerto RICO)? ❑Yes Containers Intact? E3tiej OING N A 7- Samples Field Filtered? OYJNo N A S. Note if sediment Is vlsibie in the dissolved container Sample Labels Match COC7 m [:]No❑N1A 9. r� �+✓ l o" t ")'^" n I IZ 3 S -includes Date/nme/10/Analvsls Matrix: t1J� Heads ace In VOA Vials >5.6mm ? yes o NIA 10. Trip Blank Present? ❑yeg (21410 ❑ A 11. Trip Blank Custody Seals Present? OYes ONO NIA CLIENt NOTIFICATION/RESOLUTION Field Date Required? []Yes ONO Person Contacted: Comments/Sample Discrepancy: Date/Time: Project Manager scURr Review: _�17 Date:. Project Manager SRF Review: Date: ; 25 IA - Note: Whenever there is a discrepancy affecting North Carolina Compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (i.e. Out of hold, incorrect preservative, out of temp, incorrect Containers) Page 12 of 14 AA%td. CHAIN -Of -CUSTODY 1 Analytical Request Document The Chan I-Custctiy is a LEGAL DOCUMENT. M relevant fella must be compWied aamat*. Sordm A Secrke B Secrioa C Requb" CBewlk/Qem.dor► RaqUhd prejou rdwrarrtiea: tsaiwica kdWON M'. Pace : Of - r Kwkrw ReporI To: Gen Gon uda Roan To= %w,28269 .Dom Puram" Oiar N: Pam Owra:7<13 Fa Name: �.NC PawPrgeaakan.oer. ricWe. .ma erk5.__iJ.'.S+�c? W. Paw ProNs f. 2631.1 KC ! iJ COLLECTED PFCSavatW*S � � CODE 2 Qwmwww VAMNwr W01 $ W 1 Z SAMPLE ID � Owe ChUFUnW per OOT. YYe. wP All z Samph tda aem be unique saw. TS T,.,CTW s3 Q q0 a ~ a ,A saw a : i $ i rs P3 fL wr 7 f x x z oti t SP-Y wT x x x f- SPA ws e D x x x ao a a' SPA wr x x x� .�3. vff x x x v's SP-6 wT 1 x x x aa(c T � W i r ���j11�IIpNAI.40M7EBiA�t����A- 'Y.'."` _w.E •.....� - �,_� -:a«sc F43 JWMASHED BYlAFiiMlIAI Y-.nra-ss � i>A� � �- AOCFPiFD011/AFFR:ASIDN. -- ��� {� C:r-. OATF �,["i`4�,�. �}: = .�'�CLi�.�.-� x �-Woa180011,r110Fta ..cam-. �.J3.r'�'�.' P.. .7 ''t 7 1 .i ..V`JY r'7 FfJ f PRIM: Mama a( - � E z >� Zt i i t : 9 SIGMA ,ATE 5 �+ y 3 — 7W 3 a m m a v m m 0 A 3 'v i a a M c a m = a m C M o w n 3 m ry a 0 W moa n V ILro N 1 � t3i • a O. N w A A 4 d. .a O 7 � D C y n a CL a yM CIN `n ■■■■■■■■■■■■ .■ ■■.-■■■.■■ rr RA PA AVPAVPAV SA I Ar PA AMR m NSA WGVU-Wde-movthed Glass jar Unpreserved M■■■■■■■■E■■ - • - - - •(Cl-) MENMEMO N����� • - r IL MENEM MENEM MENNEN . ■■■■■■■■■■■■ '0AN e* � O � 3 S O � 3 0 3 -w c ti O X y N 0 N 3 a A a rt to AA STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG080000 SAMPLES COLLECTED DURING CALENDAR YEAR: ~J CERTIFICATE OF COVERAGE NO. NCG08 (This monitoring report is due at the Division no later than 30 days from the date the facility receives the camp ' resu is from the laboratory.) FACILITY NAME COUNTY PERSON COLLECTING SAMPLES 00 PHONE NO. (alb 1 CERTIFIED LABORATORY Lab # 5 &47 Lab # PLEASE SIGN ON THE REVERSE 4 Part A: Vehicle Maintenance Areas Monitoring Requirements Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, report your analytical results in the table immediately below) Outfall No. Date Sample Collected,. mo/dd/ r 00530: 00400 . F n?.s%00556 ..� y - Total Suspended Solids; - ' ' p , r.C_cStandardiunfts , $Oil andFGrease,; .PAnutisl OWUsag a aUmo Benchmark - Within 6!0 - 5 7. 5 5 iw I ZO Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier i or Tier 2 responses. See General Permit text. Part B: Oiltwater Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Ontfall No. Date Sample Collected, ma/d T t , 4 00556`�- - 0 00530 ;004 0 A. Oil aad{Grease,: s ANI , . n- TotalCSuspendedlSoliils, ._ * r a.. r�g1;3,` x -i ' Standard units 3 Permit Limit 6,%-- 9.0i .a STORM EVENT CHARACTERISTICS: Date (first event sampled) Total EventPrecipitation (inches): _ Date All! 17 (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 SWU-250-102107 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCGO80000 SAMPLES COLLECTED DURING CALENDAR YEAR: 7()1-1 0ERTIFICATE OF COVERAGE NO. NCG08 f) DSO (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling ults from the laboratory.) FACILITY NAME COUNTY If . + I PERSON COLLECTING SAMPLES PHONE NO. (A2U J. MW - ,:9$'$_, CERTIFIED LABORATORY Lab # Lab # EASE SIGN ON THE REVERSE Part A: Vehicle Maintenance Areas Monitoring Requirements NC " ✓ RECEIVED Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes _no (if yes, report your analytical results in the table immediately below) JUN 2 1 1017 Outfail No. Date Sample Collected, mold -00530-'• x 3r 4004WP `� 1 00556: = =f 4,_ `` TRAq - -Total Suspended'Sohds, pH, � Standaid units - ' ' Oil and Grease, a r ;-- 'New Mot Tl Annuil avera e, al/ino Benchmark - ==100� Wit>iin6:0='9:0 :5/7A log 3 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Part B: Oillwater Separators and See ndary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No. Date . Sample Collected, mo/dd/yry 00556 ; ' '' ' s%00530 `.. ; .; : :00400 - Od and Grease, - Total Suspended Sohds,� r.. �� pH; eStandad units Permit Limit 30 100 Ire. 6.0 _ 9 0, STORM EVENT CHARACTERISTICS: Date (first event sampled) Total Event Precipitation (inches): _ Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 =S N SWU-250-102107 Page 1 of 2 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." OAA,4J"IJ2:3-j01I 6 1S/ (Signature f Permittee) (Date) SWU-250-102107 Page 2 of 2 (�15'neAnalyficalo rra+rpatpm&oGm June 06, 2017 Mr. Michael DeBraske Schneider National, Inc. PO Box 2545 Green Bay, WI 543062545 RE: Project: SNI-Charlotte, NC Pace Project No.: 92341793 Dear Mr. DeBraske: Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Huntensville, NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on May 24, 2017. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC 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, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Caryssa Berg, Schneider National Mr. Michael DeBraske, GEI Consultants, Inc. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytcal Services, LLC, Page 1 of 14 Pace Analytical Services, LLC aceMalytical• sB00KincayAve. Suite 100 Huntersvllle, NC 2H078 7i3 www.Pmmkb&=n (704)875-9092 CERTIFICATIONS Project: SNI-Charlotte, NC Pace Project No.: 92341793 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 South Carolina Cerfification #: 99006001 North Carolina Drinking Water Certification M 37706 FloddalNELAP Certification M E87627 North Carolina Fleld Servlces Certification #: 5342 Kentucky UST Certification #: 84 North Carolina Wastewater Certification #: 12 VirglniaNELAP Certification #: 460221 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 FloridalNELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certificatlon #: 37712 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 VrglniaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not 6e reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 14 aceAnalytical o www.pecefebs.can SAMPLE ANALYTE COUNT Project: SNI-Charlotte, NC Pace Project No.: 92341793 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92341793001 SPA EPA 1664E JMS 1 PASI-C SM 2540D NAL 1 PAS I -A EPA9040 KDF1 1 PASI-A 92341793002 SP-2 EPA 1664E JMS 1 PASI-C SM 2540D CJH1 1 PASI-A EPA9040 KDF1 1 PASI-A 92341793003 SP-3 EPA 1664E JMS 1 PASI-C SM 25400 CJH1 1 PASI-A EPA9040 KDF1 1 PASI-A 92341793004 SP-4 EPA 1664E JMS 1 PASI-C SM 2540D CJH1 1 PASI-A EPA9040 KDF1 1 PASI-A 92341793005 SP-5 EPA 1664E JMS 1 PASI-C SM 2540D CJH1 1 PASI-A EPA9040 KDF1 1 PASI-A 92341793006 SP-6 EPA 1664E JMS 1 PASI-C SM 2540D CJH1 1 PASI-A EPA9040 KDF1 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace AnelyHcel Services, LLC. Page 3 of 14 IceAnalytical'o www,pacsfeba.c" ANALYTICAL RESULTS Project: SNI-Charlotte, NC Pace Project No.: 92341793 Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Huntersvllle, NC 28078 (704)875-9092 Sample: SP-1 Lab ID: 92341793001 Collected: 05/23/17 13:45 Received: 05/24/17 13:49 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease 5.2 mg/L 5.0 1 06/06/17 07:06 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 108 mg/L 16.2 1 05/26/17 17:27 9040 pH Analytical Method: EPA 9040 pH 7.1 Std. Units 0.10 1 05/26/17 00:23 H6 Sample: SP-2 Lab lD: 92341793002 Collected: 05/23117 13:30 Received: 05/24/17 13:49 Matrix: Water Parameters Results Units , Report Limit OF Prepared Analyzed CAS No, Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg1L 5.0 1 06/06/17 07:07 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 55.2 mg1L 10.0 1 05/27/17 07:44 9040 pH Analytical Method: EPA 9040 pH 8.2 Std. Units 0.10 1 05/26/17 00:23 H6 Sample: SP-3 Lab ID: 92341793003 Collected: 05123/17 13:10 Received: 05/24/17 13:49 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease NO mg1L 5.0 1 06/06/17 07:08 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 280 mg/L 16.7 1 05/27/17 07:44 9D40 pH Analytical Method: EPA 9040 pH 7.4 Std. Units 0,10 1 05/26/17 00:23 H6 Sample: SP-4 Lab ID: 92341793004 Collected: 05/23/17 12:45 Received: 05/24/17 13:49 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease NO mg/L 5.0 1 06/06/17 07:08 Date: 06/06/2017 02:49 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, LLC, Page 4 of 14 aceAnalytical www.pecelahe.eom ANALYTICAL RESULTS Project: SNI-Charlotte, NC Pace Project No.: 92341793 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: SP-4 Lab ID: 92341793004 Collected: 05/23/17 12:45 Received: 05/24/17 13:49 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 1060 mg1L 50.0 1 05/27/17 07:45 9040 pH Analytical Method: EPA 9040 pH 7.6 Std. Units 0.10 1 05/26/17 00:23 H6 Sample: SP-5 Lab ID: 9234179300E Collected: 05/23/17 12:10 Received: 05/24/17 13:49 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, 011 and Grease Analytical Method: EPA 1664E Oil and Grease ND mglL 5.0 1 06/06/17 07:08 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 386 mg1L 50.0 1 05/27/17 07:45 9040 pH Analytical Method: EPA 9040 pH 7.1 Std. Units 0.10 1 05/26/17 00:23 H6 Sample: SP-6 Lab ID: 92341793006 Collected: 05/23/17 12:30 Received: 05/24/17 13:49 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 16648 Oil and Grease ND mglL 5.0 1 06/06/17 07:09 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 204 mglL 33.3 1 05/27/17 07:46 9040 pH Analytical Method: EPA 9040 pH 7.1 Std. Units 0.10 1 05/26/17 00:23 H6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 06/06/2017 02:49 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 14 aceftlyrical' www.pacefebs cam QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92341793 QC Batch: 363491 Analysis Method: EPA 1664B QC Batch Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92341793001, 92341793002, 92341793003, 92341793004, 92341793005, 92341793006 METHOD BLANK: 2015170 Matrix: Water Associated Lab Samples: 92341793001, 92341793002, 92341793003, 92341793004, 92341793005, 92341793006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg1L NO 5.0 06/06/17 07:05 Pace Analytical Services, LLC 9000 Kincey, Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 LABORATORY CONTROL SAMPLE: 2015171 Spike LCS LCS % Rae Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mglL 40 38.5 96 78-114 MATRIX SPIKE SAMPLE: 2015172 92341793001 Spike MS MS % Rae Parameter Units Result Conc. Result % Rae Limits Qualifiers Oil and Grease mglL 5.2 40 43.7 96 78-114 Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/06/2017 02:49 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 14 aceAnalyrical www.pOCOMacpm QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92341793 QC Batch: 362513 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92341793001 METHOD BLANK: 2010010 Matrix: Water Associated Lab Samples: 92341793001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 05/26/17 17:17 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 2010011 Spike LCS LCS % Rae Parameter Units Cone. Result % Rae Limits Qualifiers Total Suspended Solids mglL 250 238 95 90-110 SAMPLE DUPLICATE: 2010012 92341670006 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 2" 252 3 SAMPLE DUPLICATE: 2010013 92341754001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL ND ND Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 06/06/2017 02:49 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 14 aceAnalyAca!° waw.Ppc"toom QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92341793 QC Batch: 362555 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92341793002, 92341793003, 92341793004, 92341793005, 92341793006 METHOD BLANK: 2010145 Matrix: Water Associated Lab Samples: 92341793002, 92341793003, 92341793004, 92341793005, 92341793006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 05/27/17 07:42 Pace Analytical Services, LLC 9800 Klncey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 2010146 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 240 96 90-110 SAMPLE DUPLICATE: 2010147 92341644001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 13.5 14.0 4 SAMPLE DUPLICATE: 2010148 92341819001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 5.6 6.2 10 D6 Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06106/2017 02:49 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 14 (�IacI Anapical e e wewpscelaO&Wn QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92341793 QC Batch: 362325 Analysis Method: EPA 9040 QC Batch Method: EPA 9040 Analysis Description: 9040 pH Associated Lab Samples: 92341793001, 92341793002, 92341793003, 92341793004, 92341793005, 92341793006 SAMPLE DUPLICATE: 2009194 92341588002 Dup Parameter Units Result Result RPD Qualifiers pH Sid. Units 3.5 3.5 0 H6 SAMPLE DUPLICATE: 2009195 92341638002 Dup Parameter Units Result Result RPD Qualifiers pH Slid, Units 6.4 6.4 0 H6 Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Huntersvllle, NC 28078 (704)875-9092 Results presented on this paps are In the units indicated by the "Unlb" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 06/06/2017 02:49 PM without the written consent of Pace Analytical Services, I.l-C. Page 9 of 14 11� aceArralytical rrrmpmoepCscam QUALIFIERS Project: SNI-Charlotte, NC Pace Project No.: 92341793 DEFINITIONS DF - Dilution Factor, it 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. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MD -Adjusted Method Detection Limit. PQL - Practical Quanlitation Limit. RL - Reporting Limit. Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Huntersvi Ile. NC 28078 (704 )875.9092 S - Surrogate 1,2-Dlphenylhydrazine 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-Nltrosodiphenylamine 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, H6 Analysis initiated outside of the 15 minute EPA required holding time. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/06/2017 02:49 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14 aceAnalytical www.paceleba.sam QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: SNI-Charlotte, NC Pace Project No.: 92341793 Lab ID Sample ID QC Batch Method QC Batch 92341793001 SPA EPA 1664E 363491 92341793002 SP-2 EPA16648 363491 92341793003 SP-3 EPA16648 363491 92341793004 SP-4 EPA16648 363491 92341793005 SP-5 EPA16648 363491 92341193006 SP-6 EPA1664B 363491 92341793001 SPA SM 2540D 362513 92341793002 SP-2 SM 25400 362555 92341793003 SP-3 SM 2540D 362555 92341793004 SP-4 SM 2540D 362555 92341793005 SP-5 SM 25400 362555 92341793006 SP-6 SM 2540D 362555 92341793001 SP-1 EPA 9040 362325 92341793002 SP-2 EPA 9040 362325 92341793003 SP-3 EPA 9040 362325 92341793004 SP-4 EPA 9040 362325 92341793005 SP-5 EPA 9040 362325 92341793006 SP-6 EPA 9040 362325 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/06/2017 02:49 PM without the written consent of Pace Analytical Services, LLC. Pace Analytical Services, LLC 9800 Kinrey Ave. Suge 100 Huntersville, NC 28078 (704)875-9092 Analytical Analytical Method Batch Page 11 of 14 Document Name: Document Revised: Sept. 21, 2016 8C6�ilTc�}�1C3�a Sample Condition Upon Recei t SCUR Page 1 of 2 F -Document No.: Issuing Authority: F-CAR-CS-033-Rev.01 Pace Quality Office Laboratory receiving samples: Asheville ❑ Eden[] Greenwood ❑ Huntersville Raleigh[] Mechanicsville[] Client Name: WO# : 92341793 nn yy Project d:• . 'Courier: Fx Client ❑Commercial 'UPS BCe ❑Other:/ 1923iii4278.3I I!!! 1 Present? Custody Seal ❑Yes No Seal -Intact? ❑Yes [24 Date/initials Person Examining Contents: 5-7L�--I1 Packing Material: ❑Bubble Wrap (Bubble Bags ❑None ❑Other: / Thermometer: ❑ IR Gun ID: T" ^� J_LiVV Type o icae Wet ❑Blue LJi ess has begun ❑None Samples on ice, cooli�ro❑N/A Correction Factor: Cooler temp Corrected (IQ . 0 Biological Tissue Frozen? []Yes Temp should be above fre )ng to VC USDA Regulat d Soli ( N/A, water sample} Did samples lginate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Dld samples originate from a foreign source lint r ationally, Yes o including Hawaii and Puerto Rico)? []YesNo ' . rnmmanlaInle"Anannrr Chain of Custody Present? s QN0 N A 1. Samples Arrived within Hold Time? 126yes UNif QN/k- 2. Short Hold Time Analysis 02 hr.)? Yes N A 3. Rush Turn Around Time Requested? Y ED4 M N A 4. Sufficient Volume?. s No N/A S. Correct Containers Used? -Pace Containers Used? Y's pS [IN, No ❑N/A QNJA 6. Containers Intact? es Cl& N A 7. Samples Field Filtered? C3V No N A 8. Note If sediment Is visible in the dissolved container. . Sample Labels Match C0C7 -Includes Dat me i0/Ana sis Matrix: lies [:]No ❑N/A 9. S (f S o^ G%^--`,-r ' t ►Z 7n1 ly -Sir an ttA-erf ,S 17 heads ace In VOA Vials >5-6mm Yes 040 N A 10. Trip Blank Present? Trip Blank Custody Seals Present? ❑Yes QYes CYNO No N/A 11. CLIENT NOTIFICATION/RESOLUTION Person Contacted: Comments/Sample Discrepancy: Field Data Required? ❑Yes ❑No Date/Time: Project Manager SCURF Review: tav u3 Date: Project Manager SRF Review: Date: Note: Whenever there Is a dlscrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina OEHNR Certiflcation Office (Le, Out of hold, incorrect preservative, out of temp, Incorrect contalners) Page 12 of 14 Vl JO E L abed P, O1 LL Z q `�Q 4wA1. p U 1's Y� L, .� �1n iF an iwA1 ��0I4� 1°nPlisN 4 q 7� Polup °gdw°g 5 w js p°less In 0 u! MR to'r sfOil �,'S I {}j! i7J a " i Hd Sal K x K % K K x X. K K. % x •� •.• ..:• _ MI Aq a°sup pus nO x K x x K x { • loumn.w . ; . � ' S 1 £ONION HORN to a. i r �' # 1. £ONH •: roszH PsAjossidun ' tt �. IMNIY1NO2 30I N0110311031Ydri3131dW" PLg - a 4 D —, fmMW.D6Mu�13any%1tllYW (0101-2 MO-01 3d/131dW B 5 r rz LL 29 LU � millz 01 A N m b v Z i R 0 3 ,10y V IS w n Q v H a � m w m G 04 m Cn e M n M N M 3 � m " a M _N m - CL m -a ro 0 a� MM n a m m_ c m s A ■■■■ ■■■■■■■■ 1 ■■■■■■■■■■■■ 11 - ■■■■�Emmm=© :. ii ri- i■ri- r it - • .. _ ... r :. . ■■■■■■■■■■■■ ■ ■■■■■■■■■■■■ 1 mLVOA ■■■■■■■■■■■■ , . • 1 • • . ■■■■■■■■■■■■ F'Ar IN WIMMUMPIVAPIAr EWE ■■■■■■■■■■■■ ■■■■■■■■■■ ■■ r� 0 In co CD C STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCGO80000 p Q CERTIFICATE OF COVERAGE NO. NCG08 6 A FACILITY NAME PERSON COLLECTING SAMPLES CERTIFIED LABORATORY '0 C91 Lab #ter Lab # SAMPLES COLLECTED DURING CALENDAR YEAR: 1 i_l i- (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY PHONE N6.(617(34 PLEASE SIGN ON THE REVERSE � Part A: Vehicle Maintenance Areas Monitoring Requirements Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?, yes _no (if yes, report your analytical results in the table immediately below) Outfall No. Date Sample Collected, mo/d 00530 00400< � 00556 v , Total Suspended Solids,':= pH* = Standard ,Oii and Grease, "•f'NewiMot6n0il Usage;k .. i.-,Annual ave - al/mo"te Benchmark Withm;6 0_-:9.0f 4 ._ 30 5 is 1 3 y 32 -7• N -7 5 a Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Ontfall No. Date Sample Collected; nwlats 00556'_ _ . : 0053E1_ `:: = . _ � ` R 00400 Oil and Grease, x _ Total Suspended`Sulids;, - _ „; �. -PH,..; Staridard:urii Permit Limit _ 30 I00r`�' = < . ::::: a., . b`0= 9.0 • STORM EVENT CHARACTERISTICS: Date Lf IS I N (first event sampled) Total Event Precipitation (inches): Q . Q 0 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): RECEIVED APR 2 5 2017 CENTRAL FILES DWR SECTION Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 SWU-250-102107 Page 1 of 2 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." A�24 L4 Zb f I-( (Signature ff Permittee) (Date) S WU-250-102107 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCGO80000 SAMPLES COLLECTED DURING CALENDAR YEAR: 1J 1- CERTIFICATE OF COVERAGE NO. NCG08 (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME i`_I(l n 1 n� COUNTY PERSON COLLECTING SAMPLES , Q UhN_ PHONE NO. IO CERTIFIED LABORATORY Ta C .R - Lab # 5, - Lab # PLEASE SIGN ON THE REVERSE Part A: Vehicle Maintenance Areas Monitoring Requirements Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes _no (if yes, report your analytical results in the table immediately below) Oatfall` No. z- Date zr . .Sample Collected; mold • �a °+' i 00534) _ _ 00WK IMA Total Suspended`Sohds,;pH;�"`"� „ i bStandard'ts ""Oil nd[Greas ;5 New'Motor OilUs`a a Annual�avera e, Vino Bknchmark = - r _rt 100, 1 ; "Within 6 WPWT0 g P '-i 5 -1y �] P y 3 Note: if you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall - Date ? - 4 Sample. Corrected, s, mold'.- .0t1556 f :r 0t1530 W47. 06 ri ` 4 `Oil and'Grease �Total,SuspendedlSolids, M pH; StaLndnard�l�tl+n�ltS%.Lz".'y _.6.V 910?�-_' STORM EVENT CHARACTERISTICS: Date H 15 111 (first event sampled) Total Event Precipitation (inches): AD Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 S WU-250- l 02107 Page 1 of 2 aceAnalytical• www-PS004 tri.com April 18, 2017 Mr. Michael DeBraske Schneider National, Inc. PO Box 2545 Green Bay, WI 543062545 RE: Project: SNI-Charlotte, NC Pace Project No.: 92336168 Dear Mr. DeBraske: Pace Analytical Services, LLC 9800 Klncey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 - Enclosed are the analytical results for sample(s) received by the laboratory on April 06, 2017. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC 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, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Caryssa Berg, Schneider National Mr. Michael DeBraske, GEI Consultants, Inc. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In Full, without the written consent of Pace Analytical Services, LLC. Page 1 of 14 Pace Analytical Services, LLC Kinrey Ave.ac100 eAnalytical o 9800Huntersvlle, C1te 28078 WWW4N celab`com (704)875-9092 CERTIFICATIONS Project: SNI-Charlotte, NC Pace Project No.: 92336168 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersvitle, NC 28078 South Carolina Certification #: 99006001 North Carolina Drinking Water Certification #: 37706 Florida/NELAP Certification #: E87627 North Carolina Field Services Certification M 5342 Kentucky UST Certification #: 84 North Carolina Wastewater Certification #: 12 VlrglniatVELAP Certification #: 460221 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification M E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 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. Page 2 of 14 aceAnalytical ' www.pacelabs.com SAMPLE ANALYTE COUNT Project: SNI-Charlotte, NC Pace Project No.: 92336168 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersvllle, NC 28078 (704)875-9092 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92336168001 SP 1 EPA 1664B JMS 1 PASI-C SM 2540D WRC 1 PASI-A EPA 9040 ALC 1 PASI-A 92336168002 SP 2 EPA 1664E JMS 1 PASI-C SM 2540D WRC 1 PASI-A EPA 9040 ALC 1 PASI-A 92336168003 SP 3 EPA 1664E JMS 1 PASI-C SM 2540D WRC 1 PASI-A EPA 9040 ALC 1 PASI-A 92336168004 SP 4 EPA 1664E JMS 1 PASI-C SM 2540D WRC 1 PASI-A EPA 9040 ALC 1 PASI-A 92336168005 SP 5 EPA 1664B JMS 1 PASI-C SM 2540D WRC 1 PASI-A EPA 9040 ALC 1 PASI-A 92336168006 SP 6 EPA 1664B JMS 1 PASI-C SM 2540D WRC 1 PASI-A EPA 9040 ALC 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 14 aceAnalytical ' www.psoefts can ANALYTICAL RESULTS Project. SNI-Charlotte, NC Pace Project No.: 92336168 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 Sample. SP 1 Lab ID: 92336168001 Collected: 04/05/1 T 00:00 Received: 04/06/17 10:55 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease 38.8 mg1L 5.0 1 04/18/17 07:28 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 323 mg1L 25.0 1 04/11/17 16:29 9040 pH Analytical Method: EPA 9040 pH 6.7 Std, Units 0.10 1 0410T117 13:59 H6 Sample: SP 2 Lab ID: 92336168002 Collected: 04/05/17 00:00 Recelved: 04/06/17 10:55 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 16648 Oil and Grease 7.8 mglL 5.0 1 04/18/17 07:28 2540D Total Suspended Solids Analytical Method: SM 25400 Total Suspended Solids 323 mglL 41.7 1 04/11/17 16:29 9040 pH Analytical Method: EPA 9040 pH 8.6 Std. Units 0.10 1 04/07/17 13:59 H6 Sample: SP 3 Lab ID: 92336168003 Collected: 04/05/17 00:00 Received: 04/06/17 10:55 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua[ HEM, Oil and Grease Analytical Method: EPA 1664E OII and Grease 7.0 mglL 5.0 1 04/18/17 07:29 2540D Total Suspended Solids Analytical Method: SM 25400 Total Suspended Solids 366 mglL 50.0 1 04/11/17 16:39 9040 pH Analytical Method: EPA 9040 pH 7.5 Std. Units 0.10 1 04/07/17 1159 H6 Sample: SP 4 Lab ID: 92336168004 Collected: 04/05/17 00:00 Received: 04/06/17 10:55 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 16648 Oil and Grease 7.6 mglL 5.0 1 04/18/17 07:30 Date: 0411812017 03:25 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, LLC. Page 4 of 14 aceAnaljdical" www.peoelaba.cam ANALYTICAL RESULTS Project: SNI-Charlotte, NC Pace Project No.: 92336168 Pace Analytical Services, LLC 9800 Klncey Ave. Suite 100 Huniersville, NC 28078 (704)875.9092 Sample: SP 4 Lab ID: 92336168004 Collected: 04/05/17 00:00 Received: 04/06/17 10:55 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 724 mg1L 50.0 1 04/11/17 16:40 9040 pH Analytical Method: EPA 9040 pH 7.3 Std. Units 0.10 1 04/07/17 13:59 H6 Sample: SP 5 Lab ID: 92336168005 Collected: 04/05/17 00:00 Received: 0410611710:65 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease 8.3 mglL 5.0 1 04/18/17 07:30 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 632 mglL 50.0 1 04/11/17 16:40 9040 pH Analytical Method: EPA 9040 pH 7.1 Sid. Units 0.10 1 04/07/17 13:59 H6 Sample: SP 6 Lab ID: 92336168006 Collected: 04/05/17 14:10 Received: 04/06/17 10:55 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease 6.2 mg1L 5.0 1 04/18/17 07:31 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 339 mg1L 33.3 1 04/11/17 16:41 9040 pH Analytical Method: EPA 9040 pH 6.8 Std. Units 0.10 1 04/07/17 13:59 H6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 0411812017 03:25 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 14 aceAnalytical www.pec"acom QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92336168 QC Batch: 356972 Analysis Method: EPA 1664B QC Batch Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92336168001, 92336168002, 92336168003, 92336168004, 92336168005, 92336168006 METHOD BLANK: 1980295 Matrix: Water Associated Lab Samples: 92336168001, 92336168002, 92336168003, 92336168004, 92336168005, 92336168006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg/L ND 5.0 04/18/17 07:25 Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1980296 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L 40 37.0 92 78-114 MATRIX SPIKE SAMPLE: 1980297 35305736004 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L 1 A U 40 38.1 95 78-114 ftevutts prevented on this page are In the units Indicated by the "UnlW column except where an alternate unit is presented to the right of the rmwtt. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 04/1812017 03:25 PM without the written consent of Pace Analytical Services, I.I.C. Page 6 of 14 aceAnalydcal W*W.pecelaDa.WM QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92336168 QC Balch: 356186 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92336168001, 92336168002 METHOD BLANK: 1975904 Matrix: Water Associated Lab Samples: 92336168001, 92336168002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 04/11/17 16:19 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersvllle, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1975905 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mglL 250 230 92 90-110 SAMPLE DUPLICATE: 1975906 92336086003 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL NO ND SAMPLE DUPLICATE: 1975907 92336086013 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL ND NO 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: 04/18/2017 03:25 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 14 (�15'cieftlytical* www.peceilabs.aom QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92336168 QC Batch: 356188 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92336168003, 92336168004, 92336168005, 92336168006 METHOD BLANK: 1975909 Matrix: Water Associated Lab Samples: 92336168003, 92336188004, 92336168005, 92336168006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 04/11/17 16:38 Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Huntersville, NC 28078 (704)875.9092 LABORATORY CONTROL SAMPLE: 1975910 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 244 98 90-110 SAMPLE DUPLICATE: 1975911 92336168003 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 366 358 2 SAMPLE DUPLICATE: 1975912 92336424001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL <5.0 ND Results presented on this papa 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: 0411812017 03:25 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 14 leAnalAcal` www.Pnowakcom QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92336168 QC Batch: 355720 Analysis Method: EPA 9040 QC Balch Method: EPA 9040 Analysis Description: 9040 pH Associated Lab Samples. 92336168001, 92336168002, 92336168003, 92336168004, 92336168005, 92336168006 SAMPLE DUPLICATE: 1973365 92336168001 Dup Parameter Units Result Result RPD Qualifiers pH Std. Units 6.7 6.7 1 H6 SAMPLE DUPLICATE: 1973366 92336050004 Dup Parameter Units Result Result RPD Qualifiers pH Std. Units 5.4 5.4 1 H6 Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 Results presented on this pane 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: 04/18/2017 03:25 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 14 Pace Analytical Services, LLC �acl Analytfcal ` 9800 Klncey Ave. Suite 100 Huntersvllle, NC 28078 sww.peCSIO ,00m (704)8759092 QUALIFIERS Project: SNI-Charlotte, NC Pace Project No.: 92336168 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. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL - Practical Quantltation Limit. RL - Reporting Limit. 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 Dlphenylamine 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 H6 Analysis Initiated outside of the 1S minute EPA required holding time. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/18/2017 03:25 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14 aceAnalyrlcal " WWWPXMbb&Com QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: SNI-Chartotte, NC Pace Project No.: 92336168 Lob ID Sample ID QC Batch Method QC Batch 92336168001 SP1 EPA 1664B 356972 92336168002 SP 2 EPA16648 356972 92336168003 SP 3 EPA 1664B 356972 92336168004 SP 4 EPA 1664E 356972 92336168005 SP 5 EPA 16648 356972 92336168006 SP 6 EPA1664B 356972 92336168001 SP 1 SM 2540D 356186 92336168002 SP 2 SM 2540D 356186 92336168003 SP 3 SM 2540D 356188 92336168004 SP 4 SM 25400 356188 92336168005 SP 5 SM 2540D 350188 92336168006 SP 6 SM 2540D 356188 92336168001 SP 1 EPA 9040 355720 92336168002 SP 2 EPA 9040 355720 92336168003 SP 3 EPA 9040 355720 92336168004 SP 4 EPA 9040 355720 92336168005 SP 5 EPA 9040 355720 92336168006 SP 6 EPA 9040 355720 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 04/18/2017 03:25 PM without the written consent of Pace Analytical Services, LLC. Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Hunteravllle, NC 28078 (704)8759092 Analytical Analytical Method Batch Page 11 of 14 Document Name: Document Revised: Sept. 21, 2d16 dCEARc7� lCc1�• Sam le Condition Upon Racei t SCUR Page 1 of 2 Document No.., issuing Authority: F-CAR-CS-033-Rev-01 Pace Quali Office Laboratory receiving samples: Asheville ❑ Eden[] Greenwood ❑ HuntersvilleF�dK Raleigh[] Mechanlcsvllle❑ CIlentName: Project W0# : 92336168 �:, ' Courier: d t:x UP U5P5[]Client ❑ Commercial ZPace ❑Other: ` 92336198 Custody Seal Present? Dyes ErNo Seals intact? ❑Yes []No} Date/Initials Person Examining for n �, Pecking Materiel; ❑Bubble Wrap bble Bags []None❑Other: Thermometer: ❑ IR Gun ID: I 1 �p Ty Ice• et ❑Blue ❑None ❑ ample, on Ice, cooling process has begun Correction Factor: Cooler Temp Corrected ('C): Biological Tissue Frozen? Yes [-]No N/A Temp should be above eezing to VC USDA Regulated S ❑ N/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 {interpt"ally, ❑Yes FlNo Including Hawaii and Puerto Rlcol? []Yes UNo Chain of Custody Present? es QNO N A 1. Samples Arrives! within Hold Time? es No N A 2. Short Hold Time Anal sls 02 hr.)? Yes RrNo N A 3. Rush Turn Around Time Re uested? Dyes LaWo N A 4. Sufficient Volume?' UVIr QN. N/A S. Correct Containers Used? -Pace Containers Used? Gies Yes ❑No No [IN/A' N A b. Containers Intact? flyes No QNLA 7. Samples Field Filtered? ❑Yes ❑No N/A 1 8. Note if sediment Is visible In the dissolved container Sample Labels Match COO ❑Yes [ado ❑N/A 9.N1 I3f1I1 51 ,lni -A Heads ace In VOA Vials >S-6mm ? QYes ONO N A 14. Trip Blank Present? ❑Yes []NO PA 11. Trip Blank Custody Seals Present? 13yes ❑No ❑tt/A CLIENT NOt1FIC1kTI0N/RES0LVTlON Person Contacted: Comments/Sample Discrepancy: Project Manager SCURF Review: Project Manager SRF Review: - Field Date Required? ❑Yes ❑No Date/Tlme, Date: l� Date: Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (Le. Out of hold, Incorrect preservative, out of temp, incorrect containers) Page 12 of 14 43 U3 m m O A 3 0 K m w m S a 0 3 C m � 9 3 M m mo rr o� co o u-9 16 R M H .1 O. Q 4 � � n 6 m a jD A 0 t= C w n a -0 n m m K s a i iiri- i MMiiiir .. . W M PAMM WAWA MMII BPNM r i i r 0 i i iri MI : 1 ■■■E■■■■■■■■ • - III/II/III/IIIIiIIII/M 1 • wM%MIT I/%I/III /I // . ■■■■■■■■■■■■ =" � l MON .. . 1 ■ . .. I■■■1■i■■■E■■■ M■■M■■■MEM �riiii Mii MM MM E ■i■ii■i■iii■ � n s m CHAIN -OF -CUSTODY / Analytical Request Document •, t-Q�Pi �'1! IR �f • The i7tain-of-Custody is a LEGAL DOCUMENT. All relevant rields must be completed accurately. p C to CHAIN -OF -CUSTODY I Analytical Request Document a The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately - Section A Section B Seetien C Repaired Client kdormatkwx Required Project Information: trnrafce Wormatierr: Pe 7 Of 5 Comparq: Srrireder Natural Report TO: Gene Gore CnarkOne. NC 20259 Emart cum . Purchase Order 2: Pace Qrnte: 5�a ��"w•': s" ?5-".+tStataJlomtian:. a-li= i=.>'" Pt+orre: f704jS99-74l3 Far Project Name: SNI-Chxk*e. NG Pace P"W Ma -W. rkow. .cmt Section D Matria Cadea Cliera k*wmabon MATRIK I CODE Omtkp W.I. DW - - 2 U COLLECTED Water WT $ " U Waite Water lNW o 0 r[EiE Product p - 9 srurt F.rtne SOWSaitl St. p SAMPLE ID 011 ape WP (A-Z. 0.9 r : l Air AR a w Samae IDS MUST BE UNIQUE Tissue TS 0 a OUrer OT U g X J E= T !V DATE TIME DATE Z ro V rJl 0 Z C Z LM 0 U IL LL to a Requested Analysis FRered (YIN) preservatives Z F o to U s z z mO _ Pace P ojett NoJ Lab I.D. 003 I ADDITIONAL COMMENTS I RELINQUISHED BY I AFFILIATION I DATE I TIME I • ACCEPTED BY l AMLIATION I DATE I TIME I SAMPLE CONDrTIONS I 4 SAMPLER NAME AND SIGNATURE ORIGINAL PRMTNameofSAMPLER SIGNATURE of SAY ' '6ripon..a NWu: 1'Jy �><] trr6 tam Ya+ are aorxrptrq Pam'S NETT 70 aaT pararan rorrrr5 a.tl �$w�! la tale dtdrget d 7.SX per fd• mry o s o ZV oUz wZ DS a} AE DATE Signed I'y E - $ m jMMfDDlYY): !J/ 5 I ( An rn wdt 9DGoys. F-ALL-"20rev.07.15-May-2047 cleAnalXical ww&pftvhftGvM QUALITY CONTROL DATA Project: SNl-Chartolte, NC Pace Project No.: 92336168 QC Batch: 355720 Ana"Is Method. EPA9040 QC Batch Method: EPA 9040 Analysis Description: 9040 PH Associated Lab Samples: 92336168001, 92336168002, 9233e168003, 92336168004, 92336168D05, 92336168006 SAMPLE DUPLICATE: 19733e5 923361e6001 Dup Parameter UrIb Result Result RPD Qualifiers PH Std, Units 6.7 6.7 1 HB SAMPLE DUPLICATE: 19733M 92330050004 Dup Parameter Units Result Resull RPD Quallfiers PH Std. Units 5.4 5.4 1 H6 Pace Anstytkel Setvkss, LLC 98M KinceyAve. Suite 100 Huntersville, MC 28078 (704)875-O092 Rasuhs pnMrlted en tf4s papa are In IM units Indicated by the •UnW Coloaat except wrwan saamsta unit is presented to vw right at 1M matt. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, exoept In full, Date: 0411 &2017 03:25 PM without the written consent of Pace Analytical Services, LLC. Pape 9 of 14 I'WeAnalyticsl Services, LLC 9800KInceyAve. Sults100 Huntaisville, NC 28078 M 1* (704)87"092 I QUALIFIERS Project SNI-Charlotte, NC Pace ProjectNo.: 92338168 DEFINITIONS DF - Dilution Fartor, 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. J - Estimated concentration above the adjusted method detection tirnit and below the adjusted reporting limit MDL - Adjusted Method Detection Limit, PQL - Prac tlwl Quantkatlon Limit. RL - Reporting Limit S - Surrogate 1.2-Dlpherty1hydrazine decomposes to and cannot be separated from Azobenxene using Method 8270. The result for each analyte is a combined ooncentration. 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 reel - Ciesn-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 4-6 is recommended In SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8200. N-Nitrosodlphenylamine decomposes and cannot be separated From Diphenylamine using Method 8270. The result reported for each analyte Is a combined eoricentration. Pace Analytical is TNt accredited. Contact your Pace PM for the current list of accredited analyies. TNI - The NELAC Institute. LABORATORIES PAST -A Pace Analytical Services - Asheville PAS I-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS H6 Analysis initiated outside of the 15 minute EPA required holding time. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in lull, Date: 04/1812017 03:25 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14 ceAnala aMw.paospbr.c+om QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: SNI-Charlotte. NC Paoe Project No.: 92330168 Pecs Analytical Servk", LLC 9800 Kirwey Ave. Suite 100 Huntnrsville, NC 28078 {704j8754m Lab ID Sample ID QC Batch Method Analytical GC Batch Analytical Method Batch 92336166001 SP 1 EPA 10648 360972 92336168002 SP 2 EPA 1064E 356972 923361SH03 SP 3 EPA 1664B 358972 92336168004 SP 4 EPA1664B 356972 92336160005 SP 5 EPA16648 358972 92336169006 SP 6 EPA1664B 355972 92336166001 SP 1 SM 2540D 356186 92335168002 SP 2 SM 2540D 356186 92336168003 SP 3 SM 2540D 356188 92336168004 SP 4 SM 25QD 355188 92336166003 SP S SM 2540❑ 356188 92336168006 SP 6 SM 2540D 350188 92336168001 8P 1 EPA 9040 355720 92=160002 Bpi EPA 0040 355720 92MI68003 SP 3 EPA 9040 355720 92336168004 SP 4 EPA 9040 355720 92338168005 SP 8 EPA 9040 355720 92336168009 SP6 EPA9040 355720 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/181201 i 03:25 PM without ttte written consent of Pace Analytical Services, LLC. Page 11 of 14 J Document Name: Document Revised: Sept. 21,2016 /Cain Sample Condition Upon Recel SCUR PaLe i of 2 Document No.: Issuing Authority: F-CAR-CS-033-Rev.01 Pace Quality Offke Laboratory receiving samples: Asheville ❑ Eden[] Greenwood ❑ Huntersvlller-L"' Raleigh[] Mechaanlcsvllle❑ Client Name: Project tt: WO# : i 92336 � 68 Courier: Ufad Ex EluprLISPS Eklient ❑ Commercial Pace ❑Other: Custody seal Presetlt? Dyes EJNo Seals Intact? QYes ONO onto/initiols Parson Examining�rfMn^ Packing Material: ❑Bubble Wrap bble Bags None []Other: Thermometer: � ❑ IR Gun iD: ��, et ❑Blue ❑Norte ❑Samples on ioe, cooling process has begun Correction Factor: Cooler Tamp Corrected (*Cl: n1l Biological Tissue Frozen? []Yes []No N/A Temp should be above k6e:ing to 6-C USDA Regulated S ❑ N/A, water sample) Did sampl!rriginate to a quarantine zone within the United States: CA, NY, or SC (check maps)? Dld samples originate from o tomign source (internauoiwttY, I—IYes i INa Includine fiawail and Puerto Rico)? ©Yes 0No of CustodyPresent? e NO NAChain I. Sam es Arrived within Hold 71me7 es 2. Shut Maid Tame Anal is 01 kr. ? Yes Na 3. Rush Turn Around Time Re ed? Yes o N A 4. ff d Suent Volume? o ONLA S. Correct Containers Used? G5es ❑No ON/A 6. Samples Field Filtered? QYes rlNq N A 8. Note if sediment Is visible In the dissolved container Sample labels Match COC? -- ❑Yes (moo []N/A 9. -Includes Date lm 10 Ana is Matrix: Heads ace In VOA Vials >5-6mm ? Oval ON, - Trip Blank Present? Oyes ❑No A 12. Trl Blank Custodyseals Present? Yes NO rIZA CLIENT NOTIFICATION/fiESOWTION Field Data Required? []Yes ONO Person Contacted: Date/Time: Comments/Sample Discrepancy:11�0.�+v1 1, Project Manager SCURF Review: _ 1 V VVIG Date: f �U Ln r Project Manager SRF Review: __l�i�j4 _� Date: �Ld l � Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (i.e. Out of hold, incorrect preservative, out of temp, Incorrect containers) Page 12 of 14 �] Document Name: Document Revised: Sept. 21, 2016 j' J� oaf 4 �'d Sam le Condition Upon Rece9 SCUtt pa e 2 of 2 Document No.: Issutng Authority. f-CAR•CS-033-Rev.01 Pace Quality Office *Check mark top half of box if pH and/or dechlorination is verified and within the acceptance range for preservation samples. **Bottom half of box Is to list number of bottles Project # W08 : 92335168 PM, FIN Duo Oatel 04/20/17 CLIENTt 82-SMIDER E 01 L IMMEMOMMEMOL '1000 ;me pH Adjustment log for Preserved Samples Sample to Type of Preservative pH upon receipt pate preservation adjusted Time pmservetlon adjusted Amount of Preservative added Lot a Page 13 of 14 CHAIN -OF -CUSTODY 1 Analytical Request Document pp,,,, ,,, The ChawHg-Cumoy as a LEGAL OOCUUENT. AA nA&e Am Rgku mug be mfnpicWd aeGrrarery. `p Pace, A,l T m CM CHAIN -OF -CUSTODY 1 Analytical Request Document a The Cnah-of-Custody is a LEGAL DOGUMEW- AN relevant fleWs must be CMpIaWd ac latety. Sset:oa A ScWon a Sea mn C Rew bud Min kdwwratR Rew*" Projml kdurcanion: bwaKe boom zbw Pa t aS 1 Ca'i�+l� Srtxrider ttrliofui RaOaR Ta. iisne Gars Gh ---- NC�268� _ - - gj .m JpLffdhasa Orear f: Pax Otlois: f1hww. it AASS-7413 Ipas IPFOPM Nair: SN4GhaMpd, NC Iftm Pry Manager. nicwe. .cam s.stlon o wabia cows _ ■Mgvw"Cftniv*—A o ►urinr r COr)F a COLLECTED DlaMaq wx" Ow z yvalfs U!T $� u Q Yratr WSW wY7 C=w1YrItC Sraai eo�aufe F.fOViAB U w Prod,q P CS e SAMPLE ID OW u V � wMe , a W IA-2.0.41.-1 Au AR G I Saa�le 0% MUST BE UMIOUE Tumn TS Odra OT O U f O A r t f-" DATE THE DATE TWE s 1 .-.5 of J14 t— En f Pmseroemves i f] GC Pw_o Project MoJ Lab I.D. ADDITUMAL COMMFXIS RUMMSHED BY I AFFMIAT1ON DATE TL¢ ACCEPTED BY ! AFFOAAT1OM OATS I Twe sAAv4z Cowurnam - � • �fVV�r/ i � �1 � -N- r err 'I 1 41 j -.%M% M Mid h iiI SAMPLER NAME AND SIGNATURE PRMIT WMW of SAMPLER SIGNATURE of +6T V wf La. l.y r'v.3u uar. u _ F-ALL-":!Orev.07= 154dav-20R7 STORMWATER DISCHARGE OUTFALL (SDO) MnhrFTnRrN(- RRPnRT NCG-ago5S3 GENERAL PERMIT NO. NCG080000 CERTIFICATE OF COVERAGE NO. NCG08 11n1)D FACILITY NAME Z�C)ArlftdXf NQnWAa L PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Lab # Lab # SAMPLES COLLECTED DURING CALENDAR YEAR: 2D 13 (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampliN results from the laboratory.) COUNTY PHONE NO. (!U 0 ) PLEASE SIGN ON THE REVERSE 4 Part A: Vehicle Maintenance Areas Monitoring Requirements Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes _.no (if yes, report your analytical results in the table immediately below) Outfa!! No. Date Sample Collected, maJMAj 00530. - 00400': x 005S6 Total.Snspended Solids; : ... pH, ;Y, f y _ ; -Standard uitits� s 011�arid Greases < , t New Mator OB Usage, " "Anaue! av al/mo _ Bendunark - 100 ; Wlthin' 6.0 ; `"9A - - SP- f. 1sI)I 5 it I VL- it 2 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Ontfall No. Date Sample Coiledetl, moJd 00551i . -; l . i '. 00530 ' - ��` 00400'. 7 Offhand Grease, ToW SuspeadedSWids, , _ F yp� -- ;Statidard'etteits Permit Limit - '30 ° I00 _ -"6.0 = 9.0 - STORM EVENT CHARACTERISTICS: Date Z)101 (first event sampled) Total Event Precipitation (inches): —D , q tp Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 SWU-250-102107 Page I of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCGO80000 SAMPLES COLLECTED DURING CALENDAR YEAR: CERTIFICATE OF COVERAGE NO. NCG08 (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME COUNTY PERSON COLLECTING SAMPLES PHONE NO. CERTIFIED LABORATORY Lab # Lab # PLEASE SIGN ON THE REVERSE -� Part A. Vehicle Maintenance Areas Monitoring Requirements Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes —no (if yes, report your analytical results in the table immediately below) Oatfali No. Date Sample Collected, mold 00530 00400,: = s 00556 _ , Total Suspended Solids, pH, "• r F _ Staailard;units ::= Oil an&Girease, _ �_ ..N6f Motor O11 Usage; ' r.:;Anuoal ave o, Benchmark - 400' Wltbin.6.0=9.0 ", ° 30�. 2 �• D It . O a Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No. Date Sample Collected, nw/d , 00556 Oil s_ ud Gam, =-, Toti&Sospeaded>Sollds, ...� . �< pH, ,,- Staudai d4filts Permit Limit - 3W. STORM EVENT CHARACTERISTICS: Date (first event sampled) Total Event Precipitation (inches): - Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 S WU-250-102107 Page 1 of 2 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." �AAA, L-JA &A 1Ze) 111 (Signaturlof Permittee) (Date) S"-25n-102107 F 2of2 (�15'ceAnailyficalo A* paoafaba.00m February 28, 2017 Mr. Michael DeBraske Schneider National, Inc. PO Box 2545 Green Bay, WI 543062545 RE: Project: SNI-Charlotte, NC Pace Project No.: 92330158 Dear Mr. DeBraske: Pace Analytical Services, LI_C 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on February 15, 2017. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC 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, / - Nicole Gasiorowski nicoie.gasiorowski@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Caryssa Berg, Schneider National Mr. Michael DeBraske, GEI Consultants, Inc. 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 13 Pace Analytical Services, LLC 98dO aceMalytical • Huntersvllle, NCi28078 www.paaalab&carn (704)975-9092 CERTIFICATIONS Project: SNI-Charlotte, NC Pace Project No.: 92330158 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 South Carolina Certification #: 99006001 North Carolina Drinking Water Certification #: 37706 Florida/NELAP Certification #: E87027 North Carolina Field Services Certification #: 5342 Kentucky UST Certification #: 84 North Carolina Wastewater Certification #: 12 VlrglnialVELAP Certification #: 460221 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NCO30 North Carolina Drinking Water Certification #: 37712 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 VlrginlalVELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, I.I.C. Page 2 of 13 Pace Analytical Services, LLC aceAnalytical a 9800 i<Incey Ave. 2 78 Huntersvllle, NCC 8078 m m'PowbWom (704)875-9092 SAMPLE ANALYTE COUNT Project: SNI-Charlotte, NC Pace Project No.: 92330158 Analyses Lab ID Sample ID Method Analysts Reported Laboratory 92330158001 SP-1 EPA 1664E JMS 1 PASI-C SM 2540D ALC t PASI-A EPA 9040 ALC 1 PASI-A 92330158002 SP-2 EPA 1664E JMS 1 PASI-C SM 2540D ALC 1 PAS1-A EPA 9040 ALC 1 PASI-A 92330158003 SP-3 EPA 1664E JMS 1 PAS!-C SM 2540D ALC 1 PASI-A EPA 9040 ALC 1 PASi-A 92330158004 SP-4 EPA 1664E JMS 1 PASI-C SM 2540D ALC 1 PASI-A EPA 9040 ALC 1 PASI-A 92330158005 SP-5 EPA 1664B JMS 1 PASI-C SM 2540D ALC 1 PASI-A EPA 9040 ALC 1 PASI-A 92330158006 SP-6 EPA 1664B JMS 1 PASI-C SM 2540D ALC 1 PASI-A EPA 9040 ALC 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 aceAnalytical wrw.peceiftcom ANALYTICAL RESULTS Project: SNI-Charlotte, NC Pace Project No.: 92330158 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: SP-1 Lab ID: 92330158001 Collected: 02/15/17 00:00 Received: 02/15/17 15:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease 9.0 mg1L 5.0 1 02/28/17 07:37 25400 Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 154 mg/L 12.5 1 02/20/17 11:34 9040 pH Analytical Method: EPA 9040 pH 6.9 Sid. Units 0.10 1 02/16/17 10:57 H6 Sample: SP-2 Lab ID: 92330158002 Collected: 02/15/17 10:35 Received: 02/15/17 15:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease NO mg1L 5.0 1 02128/17 07:38 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 212 mg1L 25.0 1 02120/17 11:34 9040 pH Analytical Method: EPA 9040 pH 8.4 Std. Units OJO 1 02/16/17 10:57 H6 Sample: SP-3 Lab ID: 92330158003 Collected: 02/15/17 10:05 Received: 02/15/17 15A5 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No, Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mg1L 5.0 1 02/28/17 07:38 25400 Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 208 mg1L 13.9 1 02/20/17 11:35 9040 pH Analytical Method: EPA 9040 pH 7.2 Std. Units 0.10 1 02/16/17 10:57 H6 Sample: SP-4 Lab ID: 92330158004 Collected: M15/17 09:55 Received: 02/15/17 15:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mg1L 5.0 1 02/28/17 07:39 Date: 02/28/2017 03:05 PM 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 13 aceAnalytical www.psi;Wabs=m ANALYTICAL RESULTS Project: SNI-Charlotte, NC Pace Project No.: 92330158 Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Huntersvllle, NC 28078 (704)875.9092 Sample: SP-4 Lab ID: 923301SBDD4 Collected: 0211511709:55 Received: 0211511715:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 407 mg/L 20.8 1 02/20117 11:35 904D pH Analytical Method: EPA 9040 pH 7.4 Std, Units 0.10 1 02/16/17 10:57 H6 Sample: SIP-5 Lab ID: 92330158005 Collected: 02J15/17 09:35 Received: 02/15/17 15:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mg1L 5.0 1 02/28/17 07:39 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 119 mg1L 11.4 1 02/20/17 11:37 9040 pH Analytical Method: EPA 9040 pH 7.0 Std. Units 0.10 1 02/16/17 10:57 H6 Sample: SP-6 Lab ID: 92330158006 Collected: 0211511170915 Received: 02/15117 15:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mg/L 5.0 1 02/28/17 07:39 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 40.3 mglL 6.9 1 02/20/17 11:37 9040 pH Analytical Method: EPA 9040 pH 6.9 Std, Units 0.10 1 02J16117 10:57 H6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 02/28/2017 03:05 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 13 aceAnalytical. anrw.peixlebaixvn QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92330158 QC Batch: 350071 Analysis Method: EPA 1664E QC Batch Method: EPA 16648 Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92330158001, 92330158002, 92330158003, 92330158004, 92330158005, 92330158006 METHOD BLANK: 1941864 Matrix: Water Associated Lab Samples: 92330158001, 92330158002, 92330158003, 92330158004, 92330158005, 92330158006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg1L ND 5.0 02/28/17 07:29 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 LABORATORY CONTROL SAMPLE: 1941865 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L 40 36.3 91 78-114 MATRIX SPIKE SAMPLE: 1941866 92330082004 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L ND 40 36.2 90 78-114 Results presented on We page are In the units Indicated by the "Units" column except where an altemate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/28/2017 03:05 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 13 aceAnalytical rww.peaelabacom QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92330158 QC Balch: 348957 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92330158001, 92330158002, 92330158003, 92330158004, 92330158005, 92330158006 METHOD BLANK: 1936095 Matrix: Water Associated Lab Samples: 92330158001, 92330158002, 92330158003, 92330158004, 92330158005, 92330158006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 02/20/17 11:27 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1936096 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mglL 250 226 90 90-110 SAMPLE DUPLICATE: 1936097 92330119001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 274 318 15 D8 SAMPLE DUPLICATE: 1936098 92330156002 Dup Parameter Units Result Result RPD Qualifier; Total Suspended Solids mg/L 14.0 14.2 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: 02/28/2017 03:05 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 13 (� aceAnalytical www.pecMeb&cum QUALITY CONTROL DATA Project: SNI-Chatiotte, NC Pace Project No.: 92330158 QC Batch: 348512 Analysis Method: EPA 9040 QC Batch Method: EPA 9040 Analysis Description: 9040 pH Associated lab Samples: 92330158001, 92330158002, 92330158003, 92330158004, 92330158005, 92330158008 SAMPLE DUPLICATE: 1933512 92329838002 Dup Parameter Units Result Result RPD Qualifiers pH Std. Units 5.8 5.9 1 H8 SAMPLE DUPLICATE: 1933513 92330155003 Dup Parameter Units Result Result RPD Qualifiers pH Std. Units 8.5 8.5 1 H6 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 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 resuh. REPORT OF LABORATORY ANALYSIS This report shell not be reproduced, except In full, Date: 02128/2017 03:05 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 13 aceAnalytical® *W..pacele6a.wm QUALIFIERS Project SNI-Charlotte, NC Pace Project No.: 92330158 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. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL-Adjusted Method Detection Limit. POL - Practical Quantitation Limit. RL - Reporting Limit. Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 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 Chloroethylvinyi 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 ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. H6 Analysis Initiated outside of the 15 minute EPA required holding time. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/28/2017 03:05 PM without the written consent of Pare Analytical Services, LLC. Page 9 of 13 (�Ia'cmnalytical* www.pscefab&= QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: SNI-Charlotte, NC Pace Project No.: 92330158 Pace Analydcal Services, LLC 9800 KlnceyAve. Suite 100 Huntersville, NC 28070 (704)875.9092 Lab ID Sample ID QC Batch Method Analytical QC Batch Analytical Method Batch 92330158001 SP-1 EPA166413 350071 92330158002 SP-2 EPA 1664B 350071 92330158003 SP-3 EPA 1664B 350071 92330158004 SP4 EPA 1664B 350071 92330158005 SP-5 EPA 1664B 350071 92330158006 SP-6 EPA 1664B 350071 92330158001 SP-1 SM 2540D 348957 92330158002 SP-2 SM 2540D 348957 92330150003 SP-3 SM 2540D 348957 92330158004 SP-4 SM 2540D 348957 92330158005 SP-5 SM 2540D 348957 92330158006 SP-6 SM 2540D 348957 92330158001 SP-1 EPA 9040 348512 92330158002 SP-2 EPA 9040 348512 92330158003 SP-3 EPA 9040 348512 92330158004 SP-4 EPA 9040 348512 92330158005 SP-5 EPA 9040 348512 92330158006 SP-6 EPA 9040 348512 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 02/28/2017 03:05 PM without the written consent of Pace Analytical Services, LLC. Page 10 Of 13 Document Name: Document Revised: Sept. 21, 2016 lCal Sample Condition Upon Recei t SCUR Page 1 of 2 Document No.: Issuing Authority: aCeAIIaI F-CAR-CS-033-Rev.01 Pace Quality Office Laboratory receiving samples: Asheville ❑ Eden❑ Greenwood ❑ Huntersville 0� Raleigh[] Mechanicsville[] Client Name: � Wp#� 92330158 � Project#:` � ji Fx Client Commercial Qace UPS ❑0 her; 0 �� 7330188 1 Custody Seal Present? ❑Yes [2Na Seals Intact? ElYes [:]No i � Data/Initials Person Examining Contents: kJ Packing Material: []Bubble Wrap Bags ❑None ❑Other: Thermometer: ❑ IR Gun 10: M_ Type o Ica: Qw t ❑Blue ❑None ©6 mples on Ice, cooling process has begun Correction Factor: Cooler temp Corrected ('CI: Biological. Tissue Frozen? ❑Yes ❑NO [IN/1( Temp should be above free Trig to 6'C USDA Regulated Soil ( 7/A, water sample) Did samples or ginate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (Int©p_olonaliy, ❑Yes ❑ o IncludlnR Hawaii and Puerto Rico)? ❑Yes o Chain of Samples Rue) Turn Around Time Requested? Oyes N6'� N A 4, SuffidentVolume?' DY9 QNo N/A S. Correct Containers Used? ess ❑No ❑N/A 6. -Pace Containers Used? Yes QN. N A Containers Intact? Yes QN. N/A 7. Samples -Field Filtered? Dyes nNa H' a S. Note if sediment Is visible In the dissolved container • -- j Sample Labels Match COC? ❑Yes ❑Na ❑N/A 0Aoe_ p =5=7 Qo TSKc e A r -Includes DateMme/ID Anal sis Matrix: Heads ace In VOA Vials >5-6mm)? Dyes J3No 43QA 10. Trip Blank Present? ❑Yes ©No (]N/A 11. CLIENT NOTIFICATION/RESOLUTION Person Contacted: Comments/Sample Discrepancy: Date/Time: Field Data Required? ❑Yes ❑No Project Manager SCURF Review-,u! i Date: _ IL5_1%_1" Project Manager SRF Review: Date,. 2 7 Note: Whenever there Is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (i.e. Out of hold, Incorrect preservative, out of temp, Incorrect containers) Page 11 of 13 m m N O ■■■■■■■■■■■■■ R . . r MMMMMPV ■■■■■■■■■■■■ i ■ 4l W M CHAIN -OF -CUSTODY I Analytical Request Document " The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section A Section a Sectierl C Required Client Irdorrrunkirv. Requavd Project htlonllatlon: hrraice kdorrnatiorc patie C—pary. SarleiCer Nat=ml Report To- Tana Case Auer== Address: 2420 Slarna Roan Copy To: Canpmy Name: Ctarlaue. NC 211269 ' Email' .cprrl Purchase Orders. Pace Owe: Phone, (764►599.7433 IF. Prop=Nana: SNI.Cherlotte.NC paw Prgera mwkvw nimte. paeelabs.0wsk StateILocation _ Requgted Due Data: P""a a. Pace Prae9e a: 2631.1 NC Fherrd , in �Tj MTs>x CODE -' COLLECTED Z Preservatives - M' 0'" wad ow u ° was wr 8 "r wb� was w w SAMPLE ID � P < o s U ti v g 04 a One Character per fibx ws. wP ._. w START END n a a R t_A-7, 0-9 1. _} o�a�r AR o S` F o in W C�' idsmust heWugrp T_ TS rc W W O S c .d v �tZ�301 g � a o w z � a t `a W DATE TDdE DATE TIME a r , s x x z X O _� . O i- o 11 sP.t r In ,� x x x 00 k r .- 2 L SP•2 l i WT t✓r r '' j i0 `il x x x oo z 34� S" lc� NIT o. x x x 003 ' P a I C(D 4i SPA a VVT ! J x x x I 5: SP,S VVY t3 x x x m57 6 SPA WT 1 1 x x x i I I ago S �'S 9H*1 10. =:11. 12 . LL - 'BYI AF'fYI�:ION! �4� OASE. u +ter 7nrE "='- ACG�iI�rIY IAFF:JADOFI t = •-DATE.' T:EE �S�IiPLE Ol11m17i0N0 T.5 .Y �...�. L3 L T\---) v i SAYPLERNAMImANGSICaNATURE-;�'i'sr'�`u- -('iiO!'6i.$I♦JIPL♦riF: C c w : z a + $ _ZA SIGMTURE of SAMPLER DATE SiyneA: ` s r C. w U} la'ceAnalyfical www.peafebacae December 19, 2016 Mr. Michael DeBraske Schneider National, Inc. PO Box 2545 Green Bay, WI 543062545 RE: Project: SNI-Charlotte, NC Pace Project No.: 92322177 1� C' Q � � �� Pace Analytical Services, LLC 1 L Y / 9800 KinceyAve. Suite 100 Hunteraville, NC 2BG78 (704)8759092 RECEIVED ��N. 17 Z017 CENTRAL WRR ECTION Dear Mr. DeBraske: Enclosed are the analytical results for sample(s) received by the laboratory on December 06, 2016. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC 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, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com Project Manager Enclosures cc: Mr. Michael DeBraske, GEI Consultants, Inc. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 14 aceAnalytical` Wmiommucom Project: SNI-Charlotte, NC Pace Project No.: 92322177 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 Charlotte Certification IDs 9800 Kinsey Ave. Ste 100, Huntersvil le, NC 28078 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 FloridafNELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS South Carolina Certification #: 99006001 Florida/NELAP Certification #: E87627 Kentucky UST Certification M 84 Vlrginia/VEIAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 Vlrginia/VEIAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, LLC. Page 2 of 14 laceAnalyticalo WWWpaceotcom SAMPLE ANALYTE COUNT Project: SNI-Charlotte, NC Pace Project No.: 92322177 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Lab ID Semple ID Method Analysts Analysts Reported Laboratory 92322177001 SP-1 EPA 1664B JMS 1 PASI-C SM 2540D MLS 1 PASI-A EPA 9040 MLS 1 PASi-A 92322177002 SP-2 ' EPA 1664B JMS 1 PASI-C SM 2540D MLS 1 PASI-A EPA 9040 MLS 1 PASI-A 92322177003 SP-3 EPA 1664E JMS 1 PASI-C SM 2540D MLS 1 PASI-A EPA 9040 MLS 1 PASI-A 923221770" SP-4 EPA 1664B JMS 1 PASI-C SM 2540D MLS 1 PASI-A EPA 9040 MLS 1 PASI-A 92322177005 SP-5 EPA 1664E JMS 1 PASI-C SM 2540D MLS 1 PASI-A EPA 9040 MLS 1 PASI-A 92322177006 SP-6 EPA 1664E JMS 1 PASI-C SM 2540D MLS 1 PASI-A EPA 9040 MLS 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 14 la'c ie A na /y fical www.pac*b&CcM ANALYTICAL RESULTS Project: SNI-Charlotte, NC Pace Project No.: 92322177 Pace Analytical Services, LLG 9800 Kincey Ave. Suite 100 Huntersville. NC 28078 (704)875-9092 Sample: SP-1 Parameters Lab ID: 92322177001 Collected: 12/06/16 10:00 Results Units Report Limit DF Received: 12106/1614:10 Matrix: Water Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mglL 5.0 1 12/19/16 07:42 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 259 mg1L 16.7 1 12/12/16 11:11 9040 pH Analytical Method: EPA 9040 pH 7.1 Std. Units 0.10 1 12/12/16 12:23 H6 Sample: SP-2 Lab ID: 92322177002 Collected: 12/06/16 10:00 Received: 12/06/16 14:10 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mg1L 5.0 1 12/19/16 0TA2 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 155 mg1L 16.7 1 12/12/16 11:11 9040 pH Analytical Method: EPA 9040 pH 6.9 Std, Units 0.10 1 12/12116 12:23 H6 Sample: SP-3 Lab ID: 92322177003 Collected: 12/06/16 10:00 Received: 12/06/16 14:10 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg/L 5.0 1 12119M6 07:43 25400 Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 248 mg1L 16.7 1 12/12/16 11:12 9040 pH Analytical Method: EPA 9040 pH 6.9 Std. Units 0.10 1 12/12/16 12:23 H6 Sample: SP-4 Lab ID: 9232217TO04 Collected: 12/06/16 10:00 Received: 12/06/16 14:10 Matrix; Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 16648 Oil and Grease ND mg1L 5.0 1 12/19/16 07:44 Dale: 112/19/2016 03:04 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, LLC. Page 4 of 14 aceArralytical e wwr.POGWD&Corn ANALYTICAL RESULTS Project: SNI-Charlotte, NC Pace Project No.: 92322177 Pace Analytical Services, LLC 9800 Klncey Ave. Suite 100 Huntersvllle, NC 28078 (704)875.9092 Sample: SP-4 Lab ID: 92322177004 Collected: 12/06/16 10:00 Received: 12/06/16 14:10 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 245 mg1L 16.7 1 12/12/16 11:12 9040 pH Analytical Method: EPA 9040 PH 6.9 Std. Units 0.10 1 12/12/16 12:23 H6 Sample: SP-5 Lab ID: 92322177005 Collected: 12/06/10 10:00 Received: 12/06116 14: 10 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed GAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease NO mg1L 5.0 1 12/19/16 07:44 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 74.6 mg/L 14.8 1 12/12/16 13:05 06 9040 pH Analytical Method: EPA 9040 PH 6.7 Std. Units 0.10 1 12/12/16 12:23 H6 Sample: SP•6 Lab ID: 92322177006 Collected: 12/0611610:00 Received: 12/06/16 14:10 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 mg1L 5.0 1 12/19/16 07:45 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 159 mg1L 25.0 1 12/12/16 13:06 9040 pH Analytical Method: EPA 9040 PH 7.2 Std. Units 0.10 1 12/12/16 12:23 H6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 12/19/2016 03:04 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 14 aceAnalytical. rrrm.Paoefebscom QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92322177 QC Batch: 341435 Analysis Method: EPA 16648 QC Batch Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92322177001, 92322177002, 92322177003, 92322177004, 92322177005, 92322177006 METHOD BLANK: 1894518 Matrix: Water Associated Lab Samples: 92322177001, 92322177002, 92322177003, 92322177004, 92322177005, 92322177006 Blank Reporting Parameter Units Result limit Analyzed Qualifiers Oil and Grease mg1L ND 5.0 12/19/16 07:33 Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Huntersvllle, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE & LCSD: 1894519 1894520 Spike LCS LCSD LCS LCSD % Rec Max Parameter Units Conc. Result Result % Rec % Rec Limits RPD RPD Qualifiers Oil and Grease mglL 40 35.8 35.7 90 89 78-114 0 30 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: 12/19/2016 03:04 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 14 aceAnalytical to www.pagela6s.com QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92322177 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersvllle, NC 28078 (704)875-9092 QC Batch: 340332 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92322177001, 92322177002, 92322177003, 92322177004 METHOD BLANK: 1887729 Matrix: Water Associated Lab Samples: 92322177001, 92322177002, 92322177003, 92322177004 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 12/12/16 11:00 LABORATORY CONTROL SAMPLE: 1887730 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids - mg/L 250 248 99 90-110 SAMPLE DUPLICATE: 1887731 92322027001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L ND ND SAMPLE DUPLICATE: 1887732 92322075002 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 22.2 14.2 44 D6 Results presented on this page are In the units Indicated by the "Units' column except where an alternate unit is presented to the right or the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 12119/2016 03:04 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 14 laceAnalytical www.psowftcom QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92322177 QC Batch: 340333 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92322177005, 92322177006 Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 METHOD BLANK: 1887733 Matrix: Water Associated Lab Samples: 92322177005, 92322177006 Blank Reporting Parameter Units Result Llmit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 12/12/16 12:59 LABORATORY CONTROL SAMPLE: 1887734 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 252 101 90-110 SAMPLE DUPLICATE: 1887735 92322177005 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 74.6 88.8 17 D6 SAMPLE DUPLICATE: 1887736 92322225003 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Sollds mg/L ND ND Resufts presented on this paps are In the unit Indicated by the "Units' column except where an alternate unit Is presented to the right or the result. REPORT OF LABORATORY ANALYSIS This report shell not be reproduced, except In full, Date: 12/19/2016 03:04 PM without the written consent of Pace Analytical Services, I.I.C. Page 8 of 14 aceAnalytical " www.Pece OUcom QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92322177 QC Batch: 340391 Analysis Method: EPA 9040 QC Batch Method: EPA 9040 Analysis Description: 9040 pH Associated Lab Samples: 92322177001, 92322177002, 92322177003, 92322177004, 92322177005, 92322177006 SAMPLE DUPLICATE: 1887921 92322039001 Dup Parameter Units Result Result RPD Qualifiers pH Std. Units 7.3 7.3 0 H6 SAMPLE DUPLICATE: 1887922 92322097001 Dup Parameter Units Result Result RPD Qualifiers pH Sid. Units 6.3 6.3 0 H6 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersvllle, NC 28078 (704)875.9092 Results presented on this page are In the units indicated by the "Units" column except where an altemats unit Is presented to the right of the resuiL REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/19/2016 03:04 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 14 aceAnaiyiical aww.peaetabicom QUALIFIERS Project: SNI-Charlotte, NC Pace Project No.: 92322177 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. 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. Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Huntersvilie, NC 28078 (704)875-9092 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 of Acroleln and Acrylonitrile by EPA Method 8260. N-Nitrosodlphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TN 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. H6 Analysis initiated outside of the 15 minute EPA required holding time. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/19/2016 03:04 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14 aceAnalytical e %WWp80W8b8.com QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, LLC 9800 Kincey Ave. Suke 100 Huntersville, NC 28078 (704)875-9092 Project: SNI-Charlotte, NC Pace Project No.: 92322177 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92322177001 SIP-1 EPA1664B 341435 92322177002 SP-2 EPA1664B 341435 92322177003 SP-3 EPA 1664B 341435 92322177004 SP-4 EPA1664B 341435 92322177005 SP-5 EPA1664B 341435 92322177006 SP-6 EPA1664B 341435 92322177001 Sp-1 SM 2540D 340332 92322177002 SP-2 SM 2540D 340332 92322177003 SP-3 SM 2540D 340332 92322177004 SP-4 SM 2540D 340332 92322177005 SP-5 SM 2540D 340333 92322177006 SP-6 SM 2540D 340333 92322177001 SPA EPA 9040 340391 92322177002 SP-2 EPA 9040 340391 92322177003 SP-3 EPA 9040 340391 92322177004 SP-4 EPA 9040 340391 92322177005 513-5 EPA 9040 340391 92322177006 SP-6 EPA 9040 340391 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 12/19/2016 03:04 PM without the written consent of Pace Analytical Services, LLC. Page t i of 14 ' Document Name: Document Revised: Sept. 21, 2016 Sample Condition Upon Recei t SCUR Page 1 of 2 Document No.: Issuing Authority: ��aceAnaljft,71 F-CAR-CS-033-Rev.41 Pace Quallq Office - Laboratory receiving samples; Asheville ❑ Eden[:] Greenwood ❑ Huntersville Raleigh[] Mechanicsville[] Client Name: Project W0# : 92322177 II 'Courier: Fed Ex OUPS OUSK LiClientIN I'��I 111111 ❑ Commercial Q c ❑Other: 92322177 Custody Seal Present? Dyes �00 Seals intact? Dyes %lo �j Date/Initials Person Examining Contents: Packing Material: ❑Bubble Wrap c aubble Bags ❑None ❑Other: Thermomete Gun ID: �_ pe f Ice: et ❑Blue []None-�amples orrice, cooling process has begun Correction Factor: Cooler Temp Corrected (•C): Biological Tissue Frozen? Dyes �& []N/A Temp should be above &fApzlng to 6'C USDA Regulated Soil ( I/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, r 1Yes,o indudinrr Hawaii and Puerto Rico)? ❑Yes t❑fQjf I Chain of Custodv Present? of nVn f 'INo 11NYA 1 1. 1 Short Hold Time Analysis 1<72 hi.)? Dyes o N A 3. Rush Turn Around Time Requested? Dyes N A 4. 5. Sufficient Volume?' Subs QNO N A Correct Containers Used? -Pace Containers Used? .4es es ❑No ONO ❑N/A N A 6. 7. Containers Intact? rs No N A Samples Field Filtered? Yea Q No . A 8. Note If sediment is visible in the dissolved container • . Sample labels Match COC? -Includes Date/Time/lD/Anal sis Matrix: I&s ❑Na ❑N/A 9. Heads ace in VOA Vials >5.6mm ? QYes ONo IQ A 10. Trip Blank Present? ❑Yes A o ❑N/A 1 11. _ - . CLIENT NOTIFICATION/RESOLUTION Field Data Required? []Yes []No Person Contacted: Dategime: Comments/Sample Discrepancy: Project Manager SCURF Review: t; Date: Project Manager SRF Review: _ r v{z� _ Date: Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office the. Out of hold, Incorrect preservative, out of temp, Incorrect Containers) Page 12 of 14 Document Name: - a Sam le Condition Upon Recel aceAnalytical Document No.: F-CAR-CS-033-Rev.01 *Check mark top half of box if pH and/or dechlorination Is verified and within the acceptance range for preservation samples. "Bottom half of box is to list number of bottles Document Revised: Sept. 21, 2016 )t SCUR Page 2 of 2- issuing Authority: Pace Quality Office Project; Wp# : 92322177 PM: NMG - Due Date: 12/20/16 CLIENT: 82-SCHNEIVER pH Adjustment Log for Preserved Samples Sample iD Type of Preservative pH upon receipt Date preservation adjusted Time preservation adjusted Amount of Preservative added Lot # Page 13 of 14 I �=- CHAIN -OF -CUSTODY I Analytical Request Document a f The Chain -of -Custody is a LEGAL DOCUMENT. AD relevant fps must be.completed accurately. Section A - Section B Section C I{I J RegWnd Cuenn Irdormatian: Requited Project imormadw: Invoice Wonnatioru I - Page : ( t Of 1 Cw4-V Sduneider Nabmiat Report To: Cene Cara l 2420 Stw" Rand Copy To: Campamy Name: j CAarioft NC2t12t6 r:_ 'ti•: cti ;; i. :•!� - - - Entail .cam Purdlaw Order N: Pace Chow � 704j599-7413 Far prdea Name SNi-CharkMe. NC P— Prci- lanape< Hire.. .mm• Requested Due Date: Pmjnct 0. Para PraCde a; 2631-1 i NC I:- 'Requested Filtered rM,,,' Wreec CODE 8 c0i COLLECTED s Presefvalives - - 0." wear 06V p iL a 9 wMe WT wsa.w.a, VVW .2 0 SAMPLE ID od a START END 4 a t71Y t.11ifaGrer par t101L A. wP tA'Zr 0-9 t r W g0— or 6e � " iK.f rPrlSt Mh Te 8 Y m w c r A 7 .p O = c n 2 [7 0 c - A DATE TPAE DATE Tp1E . r x x z z O i O r n x SP-t Q r V wT /, x x x Q 2 �; SP-2 p 1 40 -T x x x oa v rp SP-3 TI wT a b x x x wT ra- x x x ' s SP-s tLf� wT i�' x x x 5 _� � >fi�' sPa wr 1a_ x x x e � _9 �7:�V::;.`r�^�.•AOt7r11Pa11tL'GO?tl1�rTS'� y., �:.k -��. � • CS ".�'•� �:OY./AF'FiL.IAiION +T`.'i�` ` �"74AE �• ,4 •.: Tom;, �}'` AGt $TI %J�.IA71oliF-`�"� - -•-. 4 r�_6� 1E :�,w��,- 7�,.y w '{'SAMPLE - cOKCIrio0t6 ��•• -v-� �viYT ;�cr '-+.a:�z"r1:e_.=k �. r'=.,r.:. �xa�=-.+r-r-ss,�.c n. i;'_»� �»�A*--.:-vi:R•'L:.-�cD�:.�,Fc"'-r�C.. F Hx7'a%E<.- -�:r�r-r_•� :s�Lrw-' �, .4.'�4��'�7•z-�.���.i�ax^r7aL�.3��',.`�'�-_ .4.t_ -.� � T_=-L:c.�.� .#`1...X�..ac_�.aSat=r.�r,..isl+=�•r�' r 1 z ,ZT. z..� . PRW Napa W I a rL 1. U t : SM"TURE of SWPLFR: DATE Signed:2 Go S �� STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCGO80000 t] b 9 SAMPLES COLLECTED DURING CALENDAR YEAR: 7r.�l Lo CERTIFICATE OF COVERAGE NO. NCG08 0060Ck (This monitoring report is due at the Division no later than 30 days from th�t Mg&�es the s ling results from the laboratory.) FACILITY NAME SC PERSON COLLECTING SAMPLES C- QU UnQQ T PHONE NO. Cg2Q 1 5q 0 - CERTIFIEED LABORATORY Lab # DEC 0 5 2016 Lab # PLEASE SIGN ON THE REVERSE 4 CENTRAL FILES Part A: Vehicle Maintenance Areas Monitoring Requirements DWR SECTION Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes _no (if yes, report your analytical results in the table immediately below) Outfall No. Date�, Sample CoQected, mold I10556� r s; "s Total: Suspended S6LdspH, xt ;Standard=units. . ,s 90d and'Grease, „ . :. Yr... _,. New MotorOilUsage, Annua4avera e, allino. , Benchmark - 100 Within 610 29:0. Note: if you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No. Date Sample`Collected, mo/ddlYe '.: o055b*'f 0.00530.. _.s. _SA' �`00400 :x Oil and.Grease, %T6611SuspendedlSolids, t.5 +" ' pH, _ �5tanda dunitsr�' Permit Limit _ 30_= to°s100ck' abAr=9'0. STORM EVENT CHARACTERISTICS: Date « i30 (first event sampled) Total Event Precipitation (inches): 11D LO Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 SWU-250-102107 Page 1 of 2 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (5ignatu of Permittee) 0 W 61 /Ito (Date) SWU-250-1021 a7 Page 2 of 2 0. ­�- �- 0 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted CERTIFICATE OF COVERAGE NO. N0008 5 1 V FACILITY NAME i 1�'�e — COUNTY PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Comments on sample collection or analysis: Part A: Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR SAMPLE PERIOD ❑ Jan June ❑ July -Dec or ❑ Monthly' month DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVED ero-flow Water Supply []SA RECEIVED Cp[]water JAN 3 0 2017 CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 DVVR SECTION W ivo discharge this period' Outfall No:a_­� Lj ' j'_: . Date =iSarnple Collected, �i'&r, r o/cld7yr. '00SW 00400 00556 Total Suspended Solids„rrtg/l, pH, Standard units Non -Polar Oil and Grease/TPH EPA Method:1664:(SGT_HE1VI), mg%L New Motor Oil Usage, Annual average gal/ma Benciirnarki _-. SOor100 see permit Within 6:0 - 9.0 15 - Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, report your analytical results in the table immediately below) Part S. Oil/water Separators and Secondary Containment Areas at Petroleum Sulk Stations and Terminals . "Outfal! . _ No. k �_.Z-�'. Mate.'_ - Sarriple [ollidbd,l� _mojdT%yr z- �l '-- 00556 00530 00400 . Non=Polar Oil and.Giease/TPH'EPA Method _ � 165�r{kG HEiVi);�fk%Li-R`' �1' Total Suspended Solids, pH, 5tandardguttits Per€rtii L'irhlt ._ i - - , � =�_ ' ;1�5, 50"or 100 seeio efiit.. 6.0 - 9.0 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised October 25, 2012 STORM EVENT CHARACTERISTICS: Date (first event sampled) Total Event Precipitation (inches): _ Date (list each additional event sampled this reporting period, and rainfall amount) R Total Event Precipitation (inches): Note: If *u report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: 0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION e. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an orl inal and one copy -of this DM1R lnclud n all "No Discharge' reports,within 30 days of r cei t o the lab results or at end a mQnitorin period in the case of "No Disrhgrcre"_reports�to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center t Raleigh, North Carolina 27699-1617 'YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." CAP '7 r- (Signature of Permittee) (bate) Additional copies of this form may be downloaded at:.httR://portaLncdenr.org/webLwq/wsLsu/npdessw#tab4 SWU-250 last revised October 25, 2012 Pam 2 of 2 (�Ia'cmnalytical* wrwwooft oom October 19, 2016 Mr. Michael DeBraske Schneider National, Inc. PO Box 2545 Green Bay, WI 543062545 RE: Project: SNI-Charlotte, NC Pace Project No.: 92315307 REC'EI VED OCT 3 r 2016 CENTRAL FILES DWR SEC7.10N Pace Analytical Services, LLC 9600 KlnceyAve, Suite 100 Huntersville, NC 28078 (704)875-9092 Dear Mr. DeBraske: Enclosed are the analytical results for sample(s) received by the laboratory on October 07, 2016. 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, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com Project Manager Enclosures cc: Mr. Michael DeBraske, GEI Consultants, Inc. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, LLC. Page 1 of 14 (�aneAnalyticalo rwvw.pewl4�bi com Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 CERTIFICATIONS Project: SNI-Charlotte, NC Pace Project No.: 92315307 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 South Carolina Certification #: 99006001 North Carolina Drinking Water Certification M 37706 FloddalNELAP Certification #: E87627 North Carolina Field Services Certlfication #: 5342 Kentucky UST Certification #: 84 North Carolina Wastewater Certification #: 12 Mrglnia/VELAP Certification #: 460221 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification M M-NC030 North Carolina Drinking Water Certification M 37712 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 Virginia/VELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, LLC. Page 2 of 14 aceAnaly ical e wwwpeafaba.oxn SAMPLE ANALYTE COUNT Project: SNI-Charlotte, NC Pace Project No.: 92315307 Pace Analytical Services, LLC 9800 Kincey Ave, Sulte 100 Hunlersville, NC 28078 (704)875.9092 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92315307001 #1 Outfall EPA1664B JMS 1 PASI-C SM 2540D MLS 1 PASI-A EPA 9040 ALC 1 PASI-A 92315307002 #2 Outfall EPA 1664B JMS 1 PASI-C SM 2540D MLS 1 PASI-A EPA 9040 ALC 1 PASI-A 92315307003 03 Outfall EPA 1664B JMS 1 PASI-C SM 2540D MJ51 1 PASI-A EPA 9040 ALC 1 PASI-A 92315307004 04 Outfall EPA 1664E JMS 1 PASI-C SM 2540D MJS1 1 PASI-A EPA 9040 ALC 1 PASI-A 92315307005 #5 Outfall EPA 1664B .iM3 1 PASI-C SM 2540D MJ31 1 PASI-A EPA 9040 ALC 1 PASI-A 92315307006 #6 Outfall EPA1664B JMS 1 PASI-C SM 2540D MJS1 1 PASI-A EPA9040 ALC 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shell not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 14 (�IaceAnalyfical* www.pecalebtcom ANALYTICAL RESULTS Project: SNI-Charlotte, NC Pace Project No.: 92315307 Pace Analytical services, I_LC 9800 Kincey Ave. Suite 100 Hunterevllle, NC 28078 (704)875-8092 Sample: #1 Outfall Lab ID: 92315307001 Collected: 10/07/16 10:10 Received: 10/07/16 13:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease 8.3 mg1L 5.0 1 10/19/16 08:30 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 423 mg1L 16.7 1 10/12/16 13:28 9040 pH Analytical Method: EPA 9040 pH 7.7 Std. Units 0.10 1 10/17/16 15:13 H6 Sample: #2 Outfall Lab ID: 92315307002 Collected: 10/07/16 10:20 Received: 10/07/16 13:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease 12.8 mglL 5.0 1 10/19/16 08:30 2540D Total Suspended Solids Analytical Method: SM 25400 Total Suspended Solids 894 mglL 50.0 1 10/12/16 13:28 9040 pH Analytical Method: EPA 9040 pH 7.6 Std, Units 0.10 1 10/17/16 15:13 H6 Sample: #3 Outfall Lab ID: 92315307003 Collected: 10107M6 10:35 Received: 10/07/16 13:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Clual HEM, Oil and Grease Analytical Method: EPA 16048 Oil and Grease 15.2 mglL 5.0 1 10/19/16 08:30 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 519 mglL 33.3 1 10/12116 18:05 9040 pH Analytical Method: EPA 9040 pH 7.5 Std, Units 0.10 1 10/17/16 15:13 H6 Sample: #4 Outfall Lab ID: 92315307004 Collected: 10/07/16 10:50 Received: 10/07/16 13:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease 9.7 mglL 5.0 1 10/19/16 08:30 Date: 10/19/2016 03:35 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, Ll-C. Page 4 of 14 (�Ia'aeAnalyfical* wwwpeWMbamm ANALYTICAL RESULTS Project: SNI-Charlotte, NC Pace Project No.: 92315307 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersvllle, NC 28078 (704)875r9092 Sample: #4 Outfall Lab ID: 92315307004 Collected: 10/07/16 10:50 Received: 10/07/16 13:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 542 mg1L 25.0 1 10/12/16 18:05 9040 pH Analytical Method: EPA 9040 pH 7.7 Sid. Units 0.10 1 10/17/16 15:13 H6 Sample: #5 Outfall Lab ID: 92315307005 Collected: 10/07/16 10:50 Received: 10107116 13:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease 13.6 mg/L 5.0 1 10/19/16 08:30 25400 Total Suspended Solids Analytical Method: SM 25400 Total Suspended Solids 944 mg1L 25.0 1 10/12/16 18:06 9040 pH Analytical Method: EPA 9040 pH 7.6 - Sid. Units 0.10 1 10/17/16 15:13 H6 Sample: #6 Outfall Lab 1D: 92315307006 Collected: 10/07/16 11:10 Received: 10/07116 13:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease 18.1 mg1L 5.0 1 10/19/16 08:30 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 660 'mg1L 25.0 1 10/12/16 18:06 9040 pH Analytical Method: EPA 9640 pH 6.9 Sid. Units 0.10 1 10/17/16 15:13 H6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 1011912016 03:35 PM without the written consent of Pace Analytical Services, LLC, Page 5 of 14 (�Ia'oeAnalyficale wwwPaceAtbacom QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92315307 QC Batch: 333689 Analysis Method: EPA 1664E OC Batch Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92315307001, 92315307002, 92315307003, 92315307004, 92315307005, 92315307006 ME THOD BLANK: 1849195 Matrix: Water Associated Lab Samples: 92315307001, 92315307002, 92315307003, 92315307004, 92315307005, 92315307006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mglL ND 5.0 10/19/16 08:30 LABORATORY CONTROL SAMPLE: 1849196 Parameter Units Oil and Grease mg1L Pace Analytical Services, LLC 9000 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Spike LCS LCS % Rec ' Conc. Result % Rec • Limits Qualifiers 40 37.5 94 . 78-114 MATRIX SPIKE SAMPLE: 1849197 92315432002 Spike MS MS % Rec Parameter Units Result Conc• Result % Rec Limits Qualifiers Oil and Grease mg1L ND 40 36.1 90 78-114 Results presented an this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 10/19/2016 03:35 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 14 'eAnalXical*c rnvw.paoefeUMM QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92315307 QC Batch: 332687 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92315307001, 92315307002 METHOD BLANK: 1843631 Matrix: Water Associated Lab Samples: 92315307001, 92315307002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 10/12/16 13:21 Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1843632 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 246 98 90-110 SAMPLE DUPLICATE: 1843633 92315396001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 262 258 2 SAMPLE DUPLICATE: 1843634 92315393005 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL ND ND Results presented on this page are in the units Indicated by the'UnitC 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: 10/19/2010 03:35 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 14 ,IRCalytical " www.pacefaCs.com QUALITY CONTROL DATA Project: SNI-Charlotte, NC Pace Project No.: 92315307 QC Batch: 332888 Analysis Method: SM 25400 QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92315307003, 92315307004, 92315307005, 92315307006 METHOD BLANK: 1844772 Matrix: Water Associated Lab Samples: 92315307003, 92315307004, 92315307005, 92315307006 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL NO 2.5 10l12118 18:04 Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Huntersville, NC 2907E (704)875-9092 LABORATORY CONTROL SAMPLE: 1844773 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 228 91 9D-110 SAMPLE DUPLICATE: 1844774 92315307003 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 519 512 1 SAMPLE DUPLICATE: 1844775 92315341004 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L NO NO Results presented on this page are In the units Indicated by the "Units" column except where an aitemato unit is presented to the right of the resutt. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/19/2016 03:35 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 14 (�Ia'cieAnalydcale` wew.pacakos.mm QUALITY CONTROL DATA Project: 5NI-Charlotte, NG Pace Project No.: 92315307 QC Batch: 333423 Analysis Method: EPA 9040 QC Batch Method: EPA 9040 Analysis Description: 9040 pH Associated Lab Samples: 92315307001, 92315307002, 92315307003, 92315307004, 92315307005, 92315307006 SAMPLE DUPLICATE: 1847788 92315235001 Dup Parameter Units Result Result RPD Qualifiers pH Std. Units 7.1 7.2 1 H6 SAMPLE DUPLICATE: 1847789 Parameter pH 92315307006 Dup Units Result Result Std. Units 6.9 7.0 RPD Qualifiers 0 H6 Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Hunteraville, NC 28078 (704)875-9092 Results presented on this page are In the units Indicated by the "Units" column except whore an ilteroats unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/19/2016 03:35 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 14 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 aceAnalXical Huntersvllle, NC 28078 www.pet labsoom (704)875-9092 QUALIFIERS Project: SNI-Charlotte, NC Pace Project No.: 92315307 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. J - Estlmated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. POL - Practical Quantitation Limit. RL - Reporting Limit. 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-Nitrosodlphenylamine 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 HIS Analysis initiated outside of the 15 minute EPA required holding time. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 10/19/2016 03:35 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14 aceAnaljftal welr.Pacefaftcom Project: SNI-Charlotte, NC Pace Project No.: 92315307 Lab ID Sample ID 92315307001 #10utfall 92315307002 #2 Outfall 92315307003 #3 Outfall 92315307004 44 Outfall 92315307005 #5 Outfall 92315307006 #6 Outfall 92315307001 #10utfall 92315307002 #2 Outfall 92315307003 #3 Outfall 92315307004 #4 Outfall 92315307005 #5 Outfall 92315307006 #6 Outfall 92315307001 #1Outfall 92315307002 #2 Outfall 92315307003 #3 Outfall 92315307004 #4 Outfall 92315307005 #5 Outfall 92315307006 #6 Outfall Date: 10/19/2016 03:35 PM Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE QC Batch Method QC Batch Analytical Method EPA1664B 333889 EPA1664B 333689 EPA1004B 333689 EPA1664B 333689 EPA 1664E 333889 EPA 1664B 333689 SM 2540D 332687 SM 2540D 332687 SM 2540D 332888 SM 2540D 332688 SM 2540D 332888 SM 2540D 332888 EPA 9040 333423 EPA 9040 333423 EPA 9040 333423 EPA 9040 333423 EPA 9040 333423 EPA 9040 333423 REPORT OF LABORATORY ANALYSIS This report small not be reproduced, except In full, without the written consent of Pace Analytical Services, LLC. Analytical Batch Page 11 of 14 Document Name: Document Revised: Sept. 21, 2016 a����,11�. r' Sample Condition Upon Recei t SCUR Page 1 of 2 Document No.: Issuing Authority: F-CAR-CS-033-Rev.00 Pace Quall Office W®# . ��� Page 2 of 2 for Internal Use ONLY Cllen ame: 1530? Project #. Courier: F dEx UPS- LISPS -[]Client 1 11111 111111111111111 i 0231 1 ❑ commercial [ace ❑Other. @7 Custody Seal Present? Dyes I23No Seals Intact? ❑Yes []No �� Date/initials Peron Examining Cont�htli11ba „_, Packing Material: []Bubble Wrap [Rubble Sags []None []Other: Thermometer: 124et ❑Blue ❑None PSarrfples on ice, cooling process has begun ❑ IR Gun ID: `T15d5 a of Ice: Correction Factor: Cooler Temp Corrected 1'C): nj Biological Tissue Frozen? ❑Yes El No E2K/A Temp should be above freezing to 6'C J USDA Regulated Soil ( Q N/A, water sample) Did samples originate! a quarantine tone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (internationally, 1711rac rlNn Indudlna Hawall and Puerto ilral? 171Yes r INo Comments Discre an : Chain of Custody Present? f7l<ex CINO N A 1. Samples Arrived within Hold Time? QNo omlA 2. Short Bold Time Analysis s72 hr.)? Dyes No N A 3. Rush Turn Around Time Requested? Yes QKa N A 4. Sufficient Volume? es No N A S. Correct Containers Used? jdfes [:]NO ❑N/A 6. -Pace Containers Used? Yes nNo N/A Containers Intact? eyes No N A .7. Samples Field Filtered? QYes No A B. Note If sediment Is visible In the dissolved co taine Sample Labels Match COC? ©Yes Mdo ❑N/A 9. 0 >Oj -includes Date/nme/ID/Anal sis Matrix: ' C All containers needing acid/base have been documented SCURF? Checked and on page two of QYes ❑No /A I� 111D Exceptions: VOA, Coliform, TOC, Oil and Grease, DRO/8015� (water) DOC, LLHg 11. Samples checked for dechlorination? MYes QN0 A Heads ace in VOA Vials >5.6mm 7 OYes Q No A 12. Trip Blank Present? []Yes ONO 13. Trip Blank Custody Seals Present? Dyes ❑No /�/A ❑N/A Pace Trip Blank Lot p if purchased): CLIENT NOTIFICATION/RESOLUTION Person Contacted: Comments/Sample Discrepancy: Date/Time: Field Data Required? []Yes []No Project Manager SCURF Review: 14 MU Date: (i71�\0 Project Manager SRF Review: Vac, Date: lo Note: Whenever there Is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (i.e. Out of hold, Incorrect preservative, out of temp, Incorrect containers) Laboratory receiving samples: Asheville ❑ Eden❑ Greenwood ❑ Huntersville ❑ Ralelgh❑ Mechanicsville[] Page 12 of 14 CBAl1c'1lyhCai Section A RmpArad Client 6rfornwU m: e r— T fpa /1a.c. r. Section B Required Rojas tr k-na>wL Report To: % Copt, To: �J (D9 Pradrase 0rdw No.: Rdied Name: c . % - CHAIN -OF -CUSTODY I Analytical Request Document The Chwi of -Custody is a LEGAL DOCUMENT. AN relevwd melds must be mrpleted amuraWy. Section C Page. at � : 2069485 Kowa" Name: � secow D Mai: codes a urm*,eson e�AT�lx r coos Dm*uv Warr Dw COLLECTED o water wT waste wow ww Prodtas P s Compeam w SaYSCGd SL SAMPLE ID Co C 5 � U (A-Z M I.-) Air AR a G 0 W SMVIO IDS M UST aE UNIQUE rasue TS Outer OT o U �: a z >t F X Iu w U DATE I TIME DATE TIME a 2 4i4 10-7M/o,-716; 5 c I '7: !o'7 0 n REGULATORY AGEN r KPDES r- GROUNDWATER F DRINKING WATER I- UST r RCRA r OTHER 14C4 G 1 .Q Sits Location STATE: ftqumWd Anaysis I:Lfered (YIN) z Preservatives y m n U m Q r1-3 ! 5 3d`l a w Pace Proiect Nor Lab L.D. AODITIWIAL G3011E31T5 RELOCA2 SHIM BY r AFFnAATION DATE TIME ACCEPTED BY r AFMIATM DATE THEE SAMPLE CONDn 10" b-7 13a�1 - a 7 3uv A -7 I I3Sy t4-VIY1, —,rnAA In17(!<< 1-�Stl S.9 SAMPLER NAILS AND SJGNATIM ORIGINAL PRIM Name of SAMPLE SIGNATURE of SAhWtFJ : n U `o Z n a m z E "4aporLmi NoW ay .Fna era A" yw Pam NET 3a Cap peymml lenm wW ag� m Ins dmges d l.M pm at O for my IrrUtIeCD ndl paid wClfin 30 OUM F-ALL-O-020rev.R7. tS•May2W7 .°� CHAIN -OF -CUSTODY I Analytical Request Document The Chah-of-Custody is a LEGAL DOCUMENT. All relevant fields must be Completed accurately. 5ec4on A Sacbon a 5ectkm C Requites Cbeot hdoaw.,roo: Requited Project Inrorrttrtlon- 6troice effermatio2 Pa 1 Of 1 �• � Sdreicler Natiohsl Report To. Gar (`we JAU&tM Address: 2420 Starita Roan Copy To: Campary Name: CKaAo.te. NC 28269 AdWess - rT+ail: 90r0cftscS c,ditr,Com Pw=hwe Order a; Pace Quote: Phtxn: 17C )SW7a13 Jr. ProR'ci Nam: SNKhartotle• NC P-- Fs P n00W pas' mm. - - .. state l Localkm . P.equested Ole Dale; Projecto IPam Pm6b& a: 2631-1 NC - RaMms Filtered wtau C= 3 u COLLECTED z Preservatives Y C a-W ml« ow WT 1f W.W Watts W, Ww v m U x Z SAMPLE ID a °'° a r I sTMT END U w Doe Character per box. Ww rota w w a i n .00 {AZA. W,O.9l,-j cu AR 0 r i z n 5 �2� em ty. V m Saple Ids must be unique I- Ts � � ~ x i i f O O n ¢ DATE TOWE DATE TWIE: A- sP-1 WT X x x SP-2 VVT X X X SP3 WT x X X az' SPA WY x x x :5 SP-s WT x x x SPA WT X X x . A811" 9r� r-` -i0i! ra12�9 ! = '"` '' '= °'a' -. ". .wqun`_ e`YJiiFFAliiitt7ei+ °r1 ialE �.T •t ^� a:-Ac�iEnoirrAFFIIJRTu71il:,n"'� '^".' - aATE. L }role bk SA&LL CO1�1isO�8£t ,n�' ,.-L �:i �.sa:aa`Y^ �+= 1C_ k'-.?4-� L,.`�.+3. .SH- +w. - 4i A!klYitif�`ACF rr'! d-• Q R ��r �t• rs4 .n. 1 l'3.r�`Y '-`Y�Q i�fCll: ...- --ra y i PRINT Name of SAMPLM S w 2 _ $ e z SIGNATURE of SAMPLER DATE Sf f cc Iu— re`c� 0 a In m a- ceAnalyrical October 19, 2016 Mr. Chris Ray Town of Zebulon 450 East Horton Zebulon, NC 27597 NCG-og6696 6' RE: Project: STORMWATER Pace Project No.: 92315301 RECEIVED OCT 2 5 2016 CENTRAL FILES DWR SECTION Pace AnaWical Services, LLC 9800 Kincey Ave. Suite 100 Huntersvilla, NC 28078 (704)875-9092 Dear Mr. Ray: Enclosed are the analytical results for sample(s) received by the laboratory on October 07, 2016. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Angela Baioni angela.baioni@pacelabs.com Project Manager Enclosures cc: Ms. Robyn Snow, Town of Zebulon 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 10 aceAnaliftal e WWW.Psook.com Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Huntersvllle, NC 28078 (704)875-9092 CERTIFICATIONS Project: STORMWATER Pace Project No.: 92315301 Charlotte CertlFlcatlon IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 South Carolina Certification #: 99006001 North Carolina Drinking Water Certification #: 37706 Florida/NELAP Certification #: E87627 North Carolina Field Services Certification #: 5342 Kentucky UST Certification #: 84 North Carolina Wastewater Certification #: 12 Mrginia/VELAP Certification #: 460221 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 FloridalNELAP Certification #: E87648 Massachusetts Certification #: M-NCO30 North Carolina Drinking Water Certification #: 37712 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 VirginiafVELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not he reproduced, except In full, without the written consent of Pace Analytical Services, LLC. Page 2 of 10 Pace Analytical Services, LLC 5aneAmlyticale 9800 KinceyAve. Suite 100 Muntersvllle, NC 28078 WWW.PWW&kc" (704)875-9092 SAMPLE ANALYTE COUNT Project: STORMWATER Pace Project No.: 92315301 Ana lytes Lab ID Sample ID Method Analysts Reported Laboratory 92315301001 #11#2 STORMWATER EPA 1664E JMS 1 PASI-C SM 2540D MLS 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 10 Pace Analytical Services, LLC 9B06 ceAnalytrcal * Huntersvllle, NC328078 enre .ire (704)875-9092 ANALYTICAL RESULTS Project: STORMWATER Pace Project No.: 92315301 Sample: #11#2 STORMWATER Lab ID: 92315301001 Collected: 10/07116 06:34 Received: 10/07/16 12:35 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mglL 5.0 1 10/19/16 08:30 2540D Total Suspended Solids Analytical Method: SM 25400 Total Suspended Solids 68.5 mglL 12.5 1 10/12/16 13:27 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/19/2016 03:34 PM without the written consent of Pace Analytical Services, LLC, Page 4 of 10 aceAnalytical wrrw.paoNei*cUrn QUALITY CONTROL DATA Project: STORMWATER Pace Project No.: 92315301 QC Batch: 333689 Analysis Method: EPA 1664B QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92315301001 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 METHOD BLANK: 1849195 Matrix: Water Associated Lab Samples: 92315301001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg1L NO 5.0 10/19/16 08:30 LABORATORY CONTROL SAMPLE: 1849196 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L 40 37.5 94 78-114 MATRIX SPIKE SAMPLE: 1849197 92315432002 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L NO 40 36.1 90 78-114 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: 10/19/2016 03:34 PM without the written consent of Pace Analytical Services, LLC, Page 5 of 10 ('1a'veAnalyfical wmrpactiArDs.carr QUALITY CONTROL DATA Project: STORMWATER Pace Project No.: 92315301 Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 HuntersAile, NC 28078 (704)875-9092 QC Batch: 332687 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92315301001 METHOD BLANK: 1843631 Matrix: Water Associated Lab Samples: 92315301001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L NO 2.5 10/12/16 13:21 LABORATORY CONTROL SAMPLE: 1843632 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 246 98 90-110 SAMPLE DUPLICATE: 1843633 92315396001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 262 258 2 SAMPLE DUPLICATE: 1843634 92315393005 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L NO NO 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: 10/19/2016 03:34 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 10 IeAnalytical trww.peor�b>.cam QUALIFIERS Project: STORMWATER Pace Project No.: 92315301 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. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL - Adjusted Method Detection Limit. PQL - Practical Quantitatlon Limit. RL - Reporting Limit. Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersvllle, NC 28078 (704)875-9092 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-Nitrosodiphenylam ins 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. TN -The NELAC Institute. LABORATORIES 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, Date: 10/19/2016 03:34 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 110 (�'aceAnalytical w".psafaDs.sem QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: STORMWATER Pace Project No.: 92315301 Lab ID Sample ID QC Batch Method QC Batch 92315301001 92315301001 #11#2 STORMWATER #11#2 STORMWATER EPA 1664B SM 2540D 333689 332687 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 10/19/2016 03:34 PM without the written consent of Pace Analytical Services, LLC. Pace Analytical Services, LLC 9800 KlnceyAve. Suite 100 Huntersvllle, NC 28078 (704)875-9092 Analytical Analytical Method Batch Page 8 of 10 Document Nemq: .: :+;1 pot ument Revised; way 24, 2016 CBAItr?r lCdl� Sample Coridh36n U 'ui, rfja a i'o�" Document No.: Issuing Authority: 1 y P-RA4CS-W1 R@v.04 Pace Raleigh QUIRIV Office Client Name- p:W�� oII� yl�9� 2I 3I I1 # �5I`I 3®1 UA?LIftject courier. Ci ❑ Commercial da []Other: 8Z31'3301 " Custody Seal PnMent? ❑Yes Seats intact? []Yes kao Oate/tnitlah Person Examining Cant" �!d (y ParadrlgMaterial: ❑Bubble Wrap ❑6ubbie Bags Oon�eQOtiter: 41 Tharmometer: T1505 TM d toar R+ Wet []Blue ❑Nome ❑5amplm on Ice, cooling process has begun Correction Factor: 0A'G Gooier Temp Corrected ('C}: Je \ Blofoglal Tissue Frozen? []Yes []NO JrN A -- -__ Temp should be above fre 17 to VC USDA Regulated Soil (ZA, water sample) Did sampi j orlglnate in a quarantine zone within the United States: CA, NY, or SC (check maps)? rid samples originate from a foreign source (internationally, I-'ires n Irm"ine Hawaii and Puerto Ricoh ayes rim; CammetttaJDlser Chain of Custody Present? No N A 1. samples Arrived within Hold Time? e'S ONO ONJA 2. 3. Short HoW Time Anafols 102 hr.)? N A Rush Turn Around Thna vested? Elyes MKI A 4. Suff1clent Voltane? as ONO A S. Correct Containers Used? 9a ❑No ❑WA 6. -PaceContalners Uaedi No ONJA Containers Intact? as QNo N/A 7. Samples Field Filtered? Yes QNo R<A a, Note if sediment is visible In the dissolved oontalner Sample labels Match COC? es ON. ❑N/A 9. -Indudes Date/TIw*AY±!wIysIs Matrix., All containers needing add/base preservation have been 10. woo" crocked? of [:]No ❑WA All containers needing preservation are found to be In "tlra° complianc4 with EPA recommendation? wIMM04 (HMOs, H2SO4, HCk2; Na0H 4 Sulfide, NeOH>12 Cyanide) a ONO ❑N/A Exceptions: VOA, Collforrn, TOC, Oil and Grosse, DRO 8015 w DorPN CjYes QNo &NIA Samples clacked for dechlorination? es QNo 11, Head ate In VOA Vlals >5-6mm 7 es No 12. Trip Blank Present? ❑Yes ❑No fN 11 Trip Blank Custody Seals Present? ❑Yes ©No Pace Trip Blank lot # Jif purchased): CLIENT NOTBFICATIOWRESDLI11ION FkAd Data Required? []Yes []NO Person Contacted: Comments/Sempte Discrepancy: Date/Time: Project Manager SCURF Review: Date: Project Manager SRF Review: ffily]�> _ Date: Nwa: Whenever there is a discrepancy affecting North Csrotlno compliance samples, a copy of this form wit be sent to the North Carolina DEHNR Certification Offioe (i.e. Owl of told, incorrect preservative, out of temp, Incorrect containers) Page 9of10 CHAIWOF-CUSTODY 1 Analytical Request Document FdL�214f1a1}! l • "a Chain cPCL*Ddy In a LEGAL DOCUMExr.,w rakwwA fiaMs mull be wroalad acomaldy. ?� n n F 0 I-MMM. sun .. _. ' • i e -- [�l�� MO■■■ME■■■ "■■■■■M■■■■■■ • e ., r�r�r�■■■■�;■■■■ ■M■■■■■■■■■■■ ® ■■■■■■■■■■■■■ e ■■�■■■�■■�■�■■�■■■■�■■■■ ■■■■■■■■■■■■■ -wylws•t Nu4: By �iV�! tIs �o.w yw a,a+m�P�9 P�oY! MEi 70 a7y pt}at� NNW aw aQvg 10 tMM wta M 14% oo GKCdh+w aft � W p: 44 .k. W don F-ALL-Q-WOMVv T. lb-May-Z Mr .INKS Review your project results through Have a Question? Ask - The Ex ert Visit+us at: www.testa mericainc.com' tV C (,- v S v 75-y TestAmenca THE LEADER IN ENVIRONMENTAL TESTING ANALYTICAL REPORT TestAmerica Laboratories, Inc. TestAmerica Savannah 5102 LaRoche Avenue Savannah, GA 31404 Tel: (912)354-7858 TestAmerica Job ID: 680-130885-1 Client Project/Site: CA RR For: Genesee & Wyoming, Inc. tCEIV D Railroad Company, Inc 200 Meridian Centre NDV 14 Z016 Suite 300 RAL FILES Rochester, New York 14618 D\NR SECTION Attn: Mr. William Ross �r Authorized for release by: 1012012016 2:04:38 PM Lisa Harvey, Project Manager II (912)354-7858 e.3221 lisa.harvey@testamericainc.com The test results in this report meet all 2003 NECAC and 2009 TNl requirements for accredited parameters, exceptions are noted in this report. This report may not be reproduced except in full, and with written approval from the laboratory. For questions please contact the Project Manager at the a -mail address or telephone number listed on this page. This report has been electronically signed and authorized by the signatory. Electronic signature is intended to be the legally binding equivalent of a traditionally handwritten signature. Results relate only to the items tested and the sample(s) as received by the laboratory. Definitions/Glossary Client: Genesee & Wyoming, Inc. Project/Site: CA RR Qualifiers General Chemistry Qualifier Quatitier Description H F Field parameter with a holding time of 15 minutes. Test performed by laboratory at client's request. Abbreviation These commonly used abbreviations may or may not be present In this report. o Listed under the "D" column to designate that the result is reported on a dry weight basis %R Percent Recovery CFL Contains Free Liquid CNF Contains no Free Liquid DER Duplicate error ratio (normalized absolute difference) Oil Fac Dilution Factor DL, RA, RE, IN indicates a Dilution, Re -analysis, Re -extraction, or additional Initial metalslanion analysis of the sample DLC Decision level concentration MDA Minimum detectable activity EDL Estimated Detection Limit MDC Minimum detectable concentration MDL Method Detection Limit MIL Minimum Level (Dioxin) NC Not Calculated NO Not detected at the reporting limit (or MOIL or EDL if shown) PQL Practical Quantitabon Limit QC Quality Control RER Relative error ratio RL Reporting Limit or Requested Limit (Radiochemistry) RPD Relative Percent Difference, a measure of the relative difference between two points TEF Toxicity Equivalent Factor (Dioxin) TEQ Toxicity Equivalent Quotient (Dioxin) TestAmerica Job ID: 680-130885-1 TestAmerica Savannah Page 2 of 12 10/20/2016 Client: Genesee & Wyoming, Inc. Project/SiW CA RR Lab Sample ID Client Sample ID 680-130885-1 Waste Water Holding Tank Sample Summary Matrix Water TestAmerica Job ID: 680-130885-1 Collected Received 10113116 14:00 10/14/16 09:50 TestAmerica Savannah Page 3 of 12 10/20/2016 Client: Genesee & Wyoming, Inc. Project/Site: CA RR Job ID: 680-130885-1 Laboratory: TestAmerica Savannah Narrative Case Narrative Client: Genesee & Wyoming, Inc. Project: CA RR Report Number: 680-130885-1 TestAmerica Job ID: 680-130885-1 With the exceptions noted as flags or footnotes, standard analytical protocols were followed in the analysis of the samples and no problems were encountered or anomalies observed. In addition all laboratory quality control samples were within established control limits, with any exceptions noted below. Each sample was analyzed to achieve the lowest possible reporting limit within the constraints of the method, In the event of interference or analytes present at high concentrations, samples may be diluted. For diluted samples, the reporting limits are adjusted relative to the dilution required. RECEIPT The samples were received on 10/14/2016; the samples arrived in good condition, properly preserved and on ice. The temperature of the cooler at receipt was 0.3 C. HEM AND SGT-HEM Sample Waste Water Holding Tank (680-130885-1) was analyzed for HEM and SGT-HEM in accordance with EPA Method 1664B. The samples were prepared and analyzed on 10/18/2016, No analytical or quality issues were noted, other than those described above or in the Definitions/Glossary page. TOTAL SUSPENDED SOLIDS Sample Waste Water Holding Tank (680-130885-1) was analyzed for total suspended solids in accordance with SM 2540D. The samples were analyzed on 10/17/2016. No additional analytical or quality issues were noted, other than those described above or in the Definitions/Glossary page. CORROSIVITY (PH} Sample Waste Water Holding Tank (680-130885-1) was analyzed for corrosivity (pH) in accordance with SM 4500 H+ B. The samples were analyzed on 10/1812016. This analysis is normally performed in the field and has a method -defined holding time of 15 minutes. This sample was analyzed in the laboratory outside the 15 minute timeframe. No analytical or quality issues were noted, other than those described above or in the Definition slGlossa ry page. TestAmerica Savannah Page 4 of 12 10/20/2016 Client Sample Results Client: Genesee & Wyoming, Inc. Project/Site: CA RR Client Sample ID: Waste Water Holding Tank Date Collected: 10113/1614:00 Date Received: 10/14110 09:50 General Chemistry Analyte Result Qualifier HEM (Oil & Grease) 2.8 Total Suspended Solids 18 pH 7.9 HF RL MUL Unit 2.6 0.73 mg1L 7.1 7.1 mg/L SU TestAmerica Job ID: 680-130885-1 Lab Sample ID: 680-130886-1 t Matrix: Water D Prepared Analyzed Dil Fac 10118116 08:41 10/18116 12:04 10117116 12:04 1 10/18/16 09:59 1 _i TestAmerica Savannah Page 5 of 12 10/20/2016 Client: Genesee & Wyoming, Inc. Project/Site: CA RR QC Sample Results TestAmerica Job ID: 680-130885-1 Method: 1664E - HEM and SGT-HEM a Lab Sample ID: MB 680-45365411-A Client Sample ID: Method Blank Matrix: Water Prep Type: Total/NA Analysis Batch: 453730 Prep Batch: 453654 MB MB Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac HEM (Oil & Grease) <5.0 5.0 1.4 mg1L 1ail ail 6 08;41 10/16/16 12:04 1 Lab Sample ID: LCS 680-453664/2-A Client Sample ID: Lab Control Sample Matrix: Water Prep Type: Total/NA Analysis Batch: 453730 Prep Batch: 453654 L °� Spike LCS LCS %Rec. Analyte Added Result Qualifier Unit D %Rec Limits HEM (Oil & Grease) 40,0 32.20 mg1L _ 80 78. 114 Lab Sample ID: LCSD 680.453654/3-A Client Sample ID: Lab Control Sample Dup Matrix: Water Prep Type: Total/NA Analysis Batch: 453730 Prep Hatch: 453654 Spike LCSD LCSD %Rec. RPD ; Analyte Added Result Qualifier Unit D %Rec Llmfts RPD Limit HEM fOil & Gressel 40.0 31.80 mall- 79 78 - 114 1 18 Method: 2540 D-2011 - Total Suspended Solids (Dried at 103-105°C) Lab Sample ID: MB 680-45353211 Client Sample ID: Method Blank Matrix: Water Prep Type: Total/NA Analysis Batch: 453532 MI9 MB Analyte Result Qualifier RL MDL Unit D Prepared Analyzed DII Fac Total Suspended Solids <1.0 1.0 1.0 mg1L 10117116 12:04 1 Lab Sample ID: LCS 680-453532/2 Matrix: Water Analysis Batch: 453532 Analyte Total Suspended Solids Lab Sample ID: LCSD 68045353213 Matrix: Water Analysis Batch: 453532 Analyte Total Suspended Solids Spike LCS LCS Added Result Qualifier Unit 20.0 16.0 mg1L Client Sample ID: Lab Control Sample Prep Type: Total/NA %Rec. D %Rec Limits 80 80-120 Client Sample ID: Lab Control Sample Dup Prep Type: Total/NA Spike LCSD LCSD %Rec. RPD Added Result Qualifier Unit D %Rec Limits RPD Limit 20.0 17.5 mg1L 88 80. 120 8 25 Method: 4500 H+ B-2011 - pH Lab Sample ID: LCS 680-45373815 Client Sample ID: Lab Control Sample Matrix: Water Prep Type: Total/NA Analysis Batch: 453738 Spike LCS LCS %Rec. Anatyte Added Result Qualifier Unit D %Rec Limits pH 7.00 7.1 SU 102 63 _ 158 TestAmerica Savannah Page 6 of 12 10/20/2016 QC Association Summary Client: Genesee & Wyoming, Inc. ProyecVSite: CA RR General Chemistry Analysis Batch: 453532 Lab Sample ID Client Sample ID Prop Type 680-130885-1 Waste Water Holding Tank TotalINA MB 680-45353211 Method Blank TotalINA LCS 680-453532/2 Lab Control Sample TotallNA LCSD 680-453532/3 Lab Control Sample Dup TotalINA Prep Batch: 453654 FLab Sample ID Client Sample ID Prep Type TestAmerica Job ID: 680-130885-1 i, Matrix Method Water 2540 D-2011 Water 2540 D-201I Water 2540 D-2011 Water 2540 D-2011 Matrix Method 680-130885-1 Waste Water Holding Tank Total/NA Water 1664E MB 680453654/1-A Method Blank Total/NA Water 1664B LCS 680453654I2-A Lab Control Sample Total/NA Water 1664E LCSD 680453654/3-A Lab Control Sample Dup Total/NA Water 1664E Analysis Batch: 453730 Lab Sample ID Client Sample ID Prep Type Matrix Method 680-130885-1 Waste Water Holding Tank Total/NA Water 1664E MB 680-453654/1-A Method Blank TotalINA Water 1664E LCS 680-453654/2-A Lab Control Sample TotalINA Water 1664E LCSD 68045365413-A Lab Control Sample Dup TotalINA Water 1664E Analysis Batch: 463738 Lab Sample ID Client Sample ID Prep Type Matrix Method 680-130885-1 Waste Water Holding Tank Total/NA Water 4500 H+ B-2011 LCS 660-45373815 Lab Control Sample Total/NA Water 4500 H+ B-2011 Prop Batch L _` t 4 Prep Batch ik o I Prep Batch 453654 453654 453654 453654 Prop Batch TestAmerica Savannah Page 7 of 12 10/20/2016 Lab Chronicle E Client: Genesee & Wyoming, Inc. TestAmerica Job ID: 680-130885-1 Project/Site: CA RR Client Sample ID: Waste Water Holding Tank Date Collected: 10113116 14:00 Date Received:10114116 09:50 Batch Batch Prep Type Type Method Run Total/NA Prep 1664B Total/NA Analysis 1664B Instrument ID: NOEQUIP Total/NA Analysis 2540 0-2011 Instrument ID: NoEquip Total/NA Analysis 4500 H+ 6-2011 lnstrument ID: MANTECH Lan Sample ID: buu-930585-1 Matrix: Water ail Initial Final Batch Prepared Factor Amount Amount Number or Analyzed Analyst Lab 959 mL 500 mL 453654 10118116 08:41 JNN TAL SAV 1 453730 10/18/16 12:04 JNN TAL SAV 1 140 mL 1000 mL 453532 10117M6 12:04 JCM TAL SAV ©_ 1 453738 10118M6 09:59 LAF TAL SAV Laboratory References: TAL SAV = TestAmerice Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL (912)354-7858 TestAmerica Savannah Page 8 of 12 10/20/2016 Certification Summary Client: Genesee & Wyoming, Inc. Project]Site: CA RR Laboratory: TestAmerica Savannah The certifications listed below are applicable to this report. F TestAmerica Job ID: 680-130885-1 Authority Program EPA Region Certification ID Expiration Date A2LA DoD ELAP 399.01 02-28-17 A2LA ISOtIEC 17025 399.01 02-28-17 Alabama State Program 4 41450 06-30-17 Arkansas DEQ State Program 6 88-0692 01-31-17 California State Program 9 2939 07-31-16 ` Colorado State Program B NIA 12-31-16 Connecticut State Program 1 PH-0161 03-31-17 Florida NELAP 4 E87052 06-30-17 GA Dept. of Agriculture State Program 4 NIA 06-12-17 Georgia State Program 4 NIA 06-30-17 Georgia State Program 4 803 06-30-17 Guam State Program 9 15-005r 04-16-17 Hawaii State Program 9 NIA 06-30-17 Illinois NELAP 5 200022 11-30-16 Indiana State Program 5 NIA 06-30-17 Iowa State Program 7 353 06-30-17 Kentucky (DW) State Program 4 90084 12-31-16 Kentucky (UST) State Program 4 18 06-30-17 Kentucky (IN1h!) State Program 4 90084 12-31-16 Louisiana NELAP 6 30690 06-30-17 Louisiana (DW) NELAP 6 LA160019 12-31-16 Maine State Program 1 GA00006 09-24-18 Maryland State Program 3 250 12-31-16 Massachusetts State Program 1 M-GA006 06-30-17 Michigan State Program 5 9925 06-30-17 Mississippi State Program 4 NIA 06-30-16 ` Nebraska State Program 7 TestAmerica-Savannah 06-30-17 New Jersey NELAP 2 GA769 06-30-17 New Mexico State Program 6 NIA 06-30-17 New York NELAP 2 10842 03-31-17 North Carolina (DW) State Program 4 13701 07-31-17 North Carolina "IS" State Program 4 269 12-31-16 Oklahoma State Program 6 9984 08-31-17 Pennsylvania NELAP 3 68-00474 06-30-17 Puerto Rica State Program 2 GA00006 12-31-16 South Carolina State Program 4 98001 06-30-17 Tennessee State Program 4 TN02961 06-30-17 Texas NELAP 6 T104704185-15-8 11.30-16 USDA Federal SAV 3-04 06-11-17 Virginia NELAP 3 460161 06.14-17 Washington State Program 10 C805 06-10-17 West Virginia (DWy State Program 3 9950C 12-31-16 West Virginia DEP State Program 3 094 08-31-16 ' Wisconsin State Program 5 999819810 08-31-17 Wyoming State Program 8 8TMS-L 06-30-16 ` ` Certification renewal pending - certification considered valid. TestAmerica Savannah Page 9 of 12 10/20/2016 Method Summary Client: Genesee & Wyoming, Inc. TestArnerica Job ID: 680-130885-1 Project/Site! CA RR Method Method Descrtptlon Protocol Laboratory 16648 HEM and SGT-HEM 16648 TAL SAV 2540 D-2011 Total Suspended Solids (dried at 103-105°C) SM TAL SAV 4500 H+ B-2011 pH SM TAL SAV Protocol References: 1664E = 166413 SM = "Standard Methods For The Examination Of Water And Wastewater', Laboratory References: TAL SAV = TestAmerica Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL (912)354-7858 TestAmerica Savannah U] ;,N i �. Page 10 of 12 10/20/2016 Gs Serial Number 95349 ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD TestAmeCicaSavannah. THE LEADER IN ENVIRONMENTAL TESTING TeslAmerlca Savannah Website: www.testamericainc.com T 5102 LaRoche Avenue Phone: (912)354.7858 GA 314D4 Fax: (912) 352-0165 0 Alternate Laboratory Name/Location Phone: Fax: PRGL<T RUMEN CA A4�� PR9=T NO, PROJECT LOCATION (STATE) /(� G MATRIX TYPE REQUIRED ANALYSIS PAGE OF TAL (LAB) PROJECT MANAGER 4 is'yj y VB P.O. NUMBER CONTRACT NO. � m 0 0 q a O a a o ,„ v. o 0 rn a _ r y -� `n o o a O 0 a 0 z Vj � STA14DARD REPORT DELIVERY D DATE DUE EXPEDITED REPORT DELIVERY (SURCHARGE) OATEDUE _ CLIENT (SITE) PM �3e c� CLIENT PHONE �ZI.69S'_S CLIENT FAXZ52 332-322 CLIENT NAME �f Cr`� A 4, CLIENT E-MAIL CLIENT ADDRESS l� G C NUMBER OF GOOLERS SUBMITTED PER SHIPMENT - COMPANY COMPA Y CONTRACTING THIS WORK (il applicable) SAldPL F SAMPLE IDENTIFICATION �ufn 0 v NUMBER OF CONTAINERS SUBMITTED REMARKS DATE TIME ( FI III I I I l I I C II I I 680-1,30885 Chaon of Custocl I RELI LSHE BY: ISZMTUREI DATE �3 r� TIME Z rdf RELINQUISHED BY: f%NATUREI DATE TIME RELINQUISHED BY: (SWATURE) DATE TIME W�WED BY;(SlGNATunn DATE TIME RECEIVED BY: IS1Gr ATUAE1 DATE I TIME RECEIVED BY. isEG0TURE) DATE TIME LABORATORY USE ONLY RECEIVED FOR RATORY BY: DATE (5�(SMTUTsE)10 TIME CUSTODY INTACT YES Q CUSTODY SEAL NO. SAVANNAH LOG NO. CA$ORATpRY REMARKS TALS240.8ao (IWO) Login Sample Receipt Checklist Client: Genesee & Wyoming, Inc. Login Number: 130885 List Number: 1 Creator: Flanagan, Naomi V Question Radioactivity wasn't checked or is <1= background as measured by a survey meter. The cooler's custody seal, If present, is Intact. Sample custody seals, if present, are intact. The cooler or samples do not appear to have been compromised or tampered with. Samples were received on ice, Cooler Temperature is acceptable. Cooler Temperature is recorded. COC is present. COC is filled out in Ink and legible. COC Is filled out with all pertinent information. Is the Field Samplers name present on COC? There are no discrepancies between the containers received and the COC. Samples are received within Holding Time (excluding tests with immediate HTs) Sample containers have legible labels. Containers are not broken or leaking. Sample collection date/times are provided. Appropriate sample containers are used. Sample bottles are completely filled. Sample Preservation Verified. There is sufficient vol. for all requested analyses, incl. any requested MSlMSDs Containers requiring zero headspace have no headspace or bubble is <6mm (114"). Mulliphasic samples are not present. Samples do not require splitting or conipositing. Residual Chlorine Checked. Answer Comment N/A True True True True True True True True True True True True True True True True True True True NIA True True NIA Job Number: 680-130886-1 } List Source: TestAmerica Savannah - f F-12 TestAmerica Savannah Page 12 of 12 10/20/2016 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCGO80000 SAMPLES COLLECTED DURING CALENDAR YEAR: 71) I Lo CERTIFICATE OF COVERAGE NO. NCG08QS$ 9 (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME Schyw cfi f K )a 0 I & I COUNTY M,tC Vag-Q bu r PERSON COLLECTING SAMPLES PHONE NO. CERTIFIED LABORATORY P Lab #]� Lab # PLEASE SIGN ON THE REVERSE Part A: Vehicle Maintenance Areas Monitoring Requirements Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? A yes _no (if yes, report your analytical results in the table immediately below) Oitfall Na. `' - Date Sample Collected;, mold 00530'. ` .:00400 >r'00556"K ' Total Suspended Solids, , _ - ` t`' 5tandard�units .=r, Oil a"nd'GreM.ase F ~ `New Ma , - sage, H s !�Annualiavera e Benchmark .100. . ° within 6:a,='9.0N,'NMM uv I 121ov ll.►- Uu2 $1 55 . �' 0013 at -5 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 respons �� �, VrE D See General Permit text. Part B: On/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals -..Outran No -Date ` . ' Sample :Collected , :OOSS6 = . ,� 00530 .. s`�0040tli• *__ Od and Grease; Total Suspended+Solids, Pe�mit Limit STORM EVENT CHARACTERISTICS: Date IZd(Xe 4(first event sampled) Total Event Precipitation (inches): D . V Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 JAN 17 Z017 CENTRAL FILES DWR SECTION SWU-250-102107 Page 1 of 2 "I certify, under penalty of law, that this document and all.attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (SIgnatuh of Permittee) CT (Date) SWU-250-102107 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCGO80000 SAMPLES COLLECTED DURING CALENDAR YEAR: IN kp CERTIFICATE OF COVERAGE NO. NCGOS 65 $ - (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME StSh"jQW_NUrIOM i COUNTY PERSON COLLECTING SAMPLES 81{" e1off- PHONE NO. (C� 1 CERTIFIED LABORATORY_ pry l►rt-tfa% Lab #�Q(� �— Lab # PLEASE SIGN ON THE REVERSE 4 Part A: Vehicle Maintenance Areas Monitoring Requirements Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ^ yes no (if yes, report your analytical results in the table immediately below) Outfall No. Date Sample Collected, mold 00530 00400 00556 Total Suspended Solids, pH;_ Standard units Oil and`Grease, '• New?Motor Oil Usage', Annual ave e' mo Benchmark - 100 Within 6.0 — 9.0 30' 12 D(A 11LO ZL4 v u Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No. Date Sample Collected, mo/ddl 00556 00400 ,4 Oil and Grease, Total Suspended Solids, , x :._ ,.. :E pH, . _ _ Standasd,units Permit Limit - _ 30 .. 100 -• . - 6:0. - 9:0 STORM EVENT CHARACTERISTICS: ' Mail Original and one copy to: f Division of Water Quality Date IQI 14fi st event sampled) Attn: DWQ Central Files Total Event Precipitation (inches): 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): SWU-250-102107 Page 1 of 2 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." � �� � W If PFJ . J.W)-�ry . W6- 111-511`1 _ (Date) SWU-250-102107 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 pS S—SrDaatte submitted I0 JZ U ( 1 b CERTIFICATE OF COVERAGE NO. NCG08_L k 0 O SAMPLE COLLECTION YEAR DLO I LP FACILITY NAME S SAMPLE PERIOD ❑ Jan -June ❑ July -Dec COUNTY or ®Month�J��' Lmonth] PERSON COLLECTING SAMPLEV ri I On M& DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY Lab Cert. # 3`} �n i . RECEIVED ❑Zero -flow ❑Water Supply ❑SA [:]OtherComments on sample col lectio or analysis: 0 C r 31 2016 CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE �n Did this facility perform Vehicle Maintenance Activities using more than 55 gallons ofnrAcirr month? yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period; Outfall No. Date;005303x. Sam le CollectedTota! p 00400 wY._� , Im55f:��<:y Sus ' nded< Pe SOIEtls; mg/�L� PH Standard units_ Non -Polar Oil a dG` rea a- /TPIi EPA ..N�yew Method 16" (SGT;HEM), mg/,L sMotor0il U�s�agemo/dil/yl' Annual average,l/,mod Benchmark. 11]04e penfiit INit1iE'rt6�0 0 15 1 u •5 1 5 2 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfall No: Date: Sample Collected, ° yra g 00556 .� -EN019dWRO0530 0040Q Nan=Polar'OEland�Grease%TPH�EPAMetfiod -1fi64 (EMj, rrtg/Lmg/L Total�Suspended Sofids, �IIad/ units Pernniturhi ': 3 � 15; 50(or 100 see n fi.0 9 I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Page 1 of 2 Semi-annual Stormwater Discharee MonitoringReRort for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted '' CERTIFICATE OF COVERAGE NO. N0008 0 _(�U !�L FACILITY NAME !' COUNTY PERSON COLLECTING SAMPLES LABORATORY If Lab Cert. # ' Comments on sample collection or analysis: SAMPLE COLLECTION YEAR SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly( ' ' (month) DISCHARGING TO CLASS ❑ORW ❑HCIW ❑Trout ❑PNA []Zero -flow ❑Water Supply [—]SA ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no Of yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) No discharge this period WNJ—al-i No. Date Sample Collected, m_o/,dtlyr 00530 Total SuspendedM 5olid5, mg/L 00400 Standats IpHP 00556 Non -Polar Oil and Grease/TPH EPA Method 16G4 (SGT KELKI mg/L INe—w Motor Oil Usage, Annual average gal/1no (3Benchmark ® - 50,or 100isee permit W_ _ithin 5.0M 0 - 1-I IDIL9 5 Z q- -1 S 0 017 H U A i4q -I . LP I - Cp I 0 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) 0utfa11 No. Date Sample Collected, m%dd/,yr 00556 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGTY-HEM), mg/1L 00530 Total Suspended Solids, mg/L 00400 p�uoits Standa Permit Limit 15 5Qo7r100,see permit 6.0�9.0 I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SA U-250 last revised April 11, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date O� (first event sampled) Total Event Precipitation (inches): 0 - L � Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES El NO Vx IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one cony of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case o f "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, thatthis 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." Permittee) 2 Ib (Date) Additional copies of this form may be downloaded at:.http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SW-250 last revised April 11, 2013 Page 2 of 2