NCG100024_MONITORING INFO_20170612

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
�V Cc
DOC TYPE
El HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ q01 r7 bLQ 1 a
YYYYMMDD

Md Atlantic
Enginuaring 8 Environmental Solutions
May 18, 2017
NCDEQIDWR
Attention: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: STORMWATER SAMPLING RESULTS
FOSS AUTO RECYCLING
1915 RIDDLE ROAD
DURHAM, DURHAM COUNTY, NORTH CAROLINA
PERMIT NCGIO0024
MID -ATLANTIC JOB NO.00OR2066.00
To Whom It May Concern:
409 Rogers Vic* Court
Raleigh. NC 7 76 10
office 919.250 99I a
facsim;le 919 250.9950
MAAONLINE.COM
Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical
report for the sampling conducted at the above -referenced site. A stormwater sample was
collected on April 26, 2017 and analyzed for total suspended solids (TSS), pH, total
recoverable lead, oil and grease and ethylene glycol. As indicated on the attached DMR,
all parameters were below their respective benchmark values or within their benchmark
range. If you have any questions or need additional information, please contact me at
919-250-9918
Sincerely,
MID -ATLANTIC ASSOCIATES, INC.
?'� �� k S 7e - - a �
Ron J. Davis
Stormwater Services Manager
Attachments: Stormwater Discharge Monitoring Report
Laboratory Analytical Report
EXPERIENCED CUSTOMER FOCUSED INNOVATIVE

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100024 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Foss Recycling, Inc. Durham NC
PERSON COLLECTING SAMPLE(S) Anthony Smith
CERTIFIED LABORATORY(S) Pace Analytical Lab #12
Lab #
Part A: Stormwater Benchmarks and Monitoring Results
COUNTY Durham
PHONE NO.[phone]
PLEASE REMEMBER TO SIGN ON THE REVERSE —)
For sampling periods with no discharge, you must submit this discharge monitoring farm noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfall
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
inches
00400
00530
----
77023
01051
78141
pH,
Standard
Units
Total Suspended
Solids (TSS),
mg/L
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), mg/L
Ethylene Glycol,
mg/L
Lead, Total
Recoverable,
mg/L
Total Toxic
3
Organics ,
mg/L
Benchmark
-
-
6.0 — 9.01
100/502
15
8,000
(Tiers 2 and 3)
0.03
1.0
Outfall001
04/26/17
6.0
8.1
12.3
<5.0
<5.0
<0.005
NA
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 in the General
Permit.
1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark
range is the pH of the precipitation (within instrument accuracy)instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented
to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Form SWU-251, last revised October 25, 2012
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:
Solvent Management Plan Certification Statement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan
included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
Signature
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 MailServiceCenter
Raleigh, North Carolina27699-1617
Date
"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 di ctly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware tha re ar"ignificantBenat�s for submitting false information, including the possibility of fines and imprisonment for knowing violations."
;nature o .IPe ttee or
(Date)
Form SWU-251, last revised October25, 2012
Page 2 of 2

e
aceAnalytical
WW..pacelabs,mm
May 10, 2017
Chuck Hoffman
Mid -Atlantic Associates, Inc
409 Rogers View Court
Raleigh, NC 27610
RE: Project: Foss Recycling, Inc- Durham
Pace Project No.: 92338561
Dear Chuck Hoffman:
Pace Analytical services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NO 28078
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on April 27, 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
[e-mail]
[phone]
Project Manager
Enclosures
cc: Ron Davis, Mid Atlantic Associatees, Inc.
e;PCCRFO
TNi
l9e`RAjp
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

aceAnalytical e
w�vw,pacelabs.00m
Project: Foss Recycling, Inc- Durham
Pace Project No.: 92338561
Indiana Certification IDs
7726 Moller Road, Indianapolis, 1N 46268
Illinois Certification #: 003971
Indiana Certification #: C-49-06
Kansas/NELAP Certification #:E-10177
Kentucky UST Certification #: 80226
Kentucky WW Certification #:98019
Pace Analytical Services, LLC
9800 Kincey Ave, Suite 100
Huntersville, NC 20078
[phone]
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, 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
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
Ohio VAP Certification #: CL-0065
Oklahoma Certification #: 2016-075
Texas Certification #: T104704355-16-10
West Virginia Certification #: 330
Wisconsin Certification #: 999788130
USDA Soil Permit M P330-16-00257
South Carolina Certification #: 99006001
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
VirginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiafVELAP 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 13

(�IaceAnalytical
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Project: Foss Recycling, Inc- Durham
Pace Project No.: 92338561
Lab ID Sample I❑
92338561001 Outfall No. 1
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
SAMPLE ANALYTE COUNT
Method
Analysts
Analytes
Reported
Laboratory
EPA 1664B
JMS
1
PASI-C
EPA 8015 Alcohol -Glycol
RID
1
PASI-I
EPA6010
SH1
1
PASI-A
SM 2540D
MJP
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 3 of 13

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eAnalytical
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ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersvitle, NC 28078
[phone]
Project: Foss Recycling, Inc- Durham
Pace Project No.: 92338561
Sample: Outfall No. 1 Lab ID: 92338561001 Collected: 04/26/17 08:30 Received: 04/27/17 09:49 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1664 SGT-HEM, TPH Analytical Method: EPA 1664B
Total Petroleum Hydrocarbons ND mglL 5.0 1 05/01/17 07:12
8015M Glycols in water Analytical Method: EPA 8015 Alcohol -Glycol
Ethylene glycol ND mg1L 5.0 1 05/04/17 14:16 107-21-1
6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010A
Lead ND ug/L 5.0 1 05/0211711:30 05/09/1716:52 7439-92-1
2540D Total Suspended Solids Analytical Method: SM 25400
Total Suspended Solids 12.3 mg/L 8.3 1 05/02/17 10:45
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05110/2017 05:02 PM without the written consent of Pace Analytical Services, LLC.
Page 4 of 13

aceAnalytical
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Project: Foss Recycling, Inc- Durham
Pace Project No.: 92338561
QC Batch: 358573
QC Batch Method: EPA 1664B
Associated Lab Samples: 92338561001
METHOD BLANK: 1988785
Associated Lab Samples: 92338561001
Parameter Units
Total Petroleum Hydrocarbons mg/L
QUALITY CONTROL DATA
Analysis Method: EPA 1664B
Analysis Description: 1664 SGT-HEM, TPH
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 5.0 05/01/17 06:52
Pace Analytical Services, LLC
9900 Kincey Ave. Suite 100
Huniersville, NC 28078
[phone]
LABORATORY CONIROL SAMPLE:
1988786
Spike LCS
LCS
% Rec
Parameter
Units
Conc. Result
% Rec
Limits
Qualifiers
Total Petroleum Hydrocarbons
mg/L
20 19.2
96
64-132
MATRIX SPIKE SAMPLE:
1988787
92338516002 Spike
MS
MS
% Rec
Parameter
Units
Result Conc.
Result
% Rec
Limits Qualifiers
Total Petroleum Hydrocarbons
mg/L
ND 20
21.6
97
64-132
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: 05/10/2017 05:02 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 13

aceAnalytical
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QUALITY CONTROL DATA
Project: Foss Recycling, Inc- Durham
Pace Project No.: 92338561
QC Batch: 385237 Analysis Method: EPA 8015 Alcohol -Glycol
QC Batch Method: EPA 8015 Alcohol -Glycol Analysis Description: EPA 8015 Modified
Associated Lab Samples: 92338561001
METHOD BLANK: 1776642 Matrix: Water
Associated Lab Samples: 92338561001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Ethylene glycol mg/L ND 5.0 05/04/17 12:45
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE: 1776643
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Ethylene glycol mg/L 25 29.6 118 41-162
r MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1776877 1776878
MS MSD
60243312001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Ethylene glycol mg/L ND 25 25 29.6 30.8 116 120 20-172 4
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: 05/10/2017 05:02 PM without the written consent of Pace Analytical Services, LLC.
Page 6 of 13

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IacleAnalyfical
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QUALITY CONTROL DATA
Project: Foss Recycling, Inc- Durham
Pace Project No.: 92338561
QC Batch: 358609 Analysis Method: EPA6010
OC Batch Method: EPA 3010A Analysis Description: 6010 MET
Associated Lab Samples: 92338561001
METHOD BLANK: 1988897
Associated Lab Samples: 92338561001
Parameter Units
Lead ug/L
LABORATORY CONTROL SAMPLE: 1988898
Parameter Units
Lead ug/L
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
NO 5.0 05/09/1716:46
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
500 455 91 80-120
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1988899 1988900
MS MSD
92338561001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc, Result Result % Rec % Rec Limits RPD Qual
Lead ug/L NO 500 500 465 422 93 84 75-125 10
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/10/2017 05:02 PM without the written consent of Pace Analytical Services, LLC.
Page 7 of 13

laceAnalyticalo
wwwpacefabs,com
QUALITY CONTROL DATA
Project: Foss Recycling, Inc- Durham
Pace Project No.: 92338561
QC Batch: 358767 Analysis Method: SM 2540D
QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92338561001
METHOD BLANK: 1989668
Associated Lab Samples: 92338561001
Parameter
Units
Total Suspended Solids
mg1L
LABORATORY CONTROL SAMPLE:
1989569
Parameter
Units
Total Suspended Solids
mglL
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 0510211710:43
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 248 99 90-110
SAMPLE DUPLICATE: 1989670
92338369003 Dup
Parameter Units Result Result
Total Suspended Solids mglL 100 104
SAMPLE DUPLICATE: 1989671
92338713004 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 164 157
RPD Qualifiers
4
RPD Qualifiers
4
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 repon shall not be reproduced, except in full,
Date: 05/10/2017 05:02 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 13

(�IaceAnalyticale
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QUALIFIERS
Project: Foss Recycling, Inc- Durham
Pace Project No.: 92338561
DEFINITIONS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
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.
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 analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270, The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute,
LABORATORIES
PASI-A Pace Analytical Services -Asheville
PASI-C Pace Analytical Services - Charlotte
PASI-I Pace Analytical Services - Indianapolis
REPORT OF LABORATORY ANALYSIS
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Date: 05/10/2017 05:02 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 13

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QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project:
Pace Project No.:
Foss Recycling, Inc- Durham
92338561
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch Analytical Method Batch
92338561001
Outfall No. 1
EPA 1664E
358573
92338561001
Outfall No. 1
EPA 8015 Alcohol -Glycol
385237
92338561001
Outfall No. 1
EPA 301CIA
358609 FPA6010 358879
92338661001
Outfall No. 1
SM 2540D
358767
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/10/2017 05:02 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 13

Document Name:
Document Revised: Sept. 21, 2016
e
�80AMXkal
Sample Condition Upon Receipt(SCUR)
Page 1 of 2
Document No.:
Issuing Authority:
F-CAR-CS•033-Rev.01
Pace Quality Office
Laboratory receiving samples:
Asheville [] Eden❑ Greenwood
Huntersvik±,L Raleigh[] Mechanicsville[]
- Sample ++ Client Name:
kecelpt{'� , j Protect
Courier: ed Ex ❑UPS ❑USPS ❑Client
❑ Commercial ❑Pace ❑Other:
Custody Seal Present? Dyes \-4No Seals Intact? []Yes
W0#:92338561
1111111111111111
92338561
Date/Initials Person Examining Con, iN' � % I
Packing Material: ❑bubble Wrap N:�8ubble Bags [-]None ❑Other:
Thermometer: —T f�
Gun ID: 1 1� Type of Ice; et []Blue ❑None c /i_.iSamples on Ice, cooling process has begun
eF1� r�f�,b N A
Correction Fa or; Cooler Temp Corrected ('C}: �- � Biological Tissue Frozen? ❑Yes �" ❑ /
Temp should be above f ezing to 6'C
USDA Regulated Soil /A, water sample)
Did sampl originate in uarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (In�ter�tionaliy,
MYesc Eo including Hawaii and Puerto Rico)? ❑Yes ' ]]W
Chain of Custody Present?
Samples Arrived within Hold Time?
Short Hold Time Analysis (02 hr.)?
Rush Turn Around Time Requested?
Sufficient Volume?
Correct Containers Used?
-Pace Containers Used?
Containers intact?
Samples Field Filtered?
Sample Labels Match COC?
-Includes Date/rime/ID/Analysis Matrix:oAr
Headspace in VOA Vials (>5-6mm)?
Trip Blank Present?
Trip Blank Custody Seals Present?
CLIENT NOTIFICATION/RESOLUTION
Person Contacted:
Comments/Sample
Discrepancy:
Project Manager SCURF Review:
Project Manager SRF Review:
No
❑N/A
1.
ONO
❑N/A
2.
N/A
3.
}Na
fro
❑N/A
4.
ONO
❑N/A
5,
[:]No
No
❑N/A
❑N/A
6.
No
❑N/A
7.
[:]No
9/A
1 8. Note if sediment is visible in the dissolved container
[]NO ❑N/A
Dyes ❑No /A 14.
©Yes dbN 11.
Oyes ONO C
ft
Field Data Required? ❑Yes ❑No
Date/Time:
Date: L��
Date:
as®
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

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MU-500 mL Plastic Unpreserved (N/A)
8P1U-1 liter Plastic Unpreserved (N/A)
BP3S-250 mL Plastic H2SO4 (pH < 2) (Cl-)
BP3N-250 mL plastic HNO3 (pH < 2)
BP32-250 mL Plastic ZN Acetate & NaOH (>9)
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WGFU-wide-mouthed Glass jar Unpreserved
AG1U-1 liter Amber Unpreserved (N/A) (Cl-)
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AGSH-1 liter Amber HCI (pH < 2)
AG3U-250 mL Amber Unpreserved (N/A) (CI-)
AG1S-1 liter Amber H2504 (pH < 2)
AG35-250 mL Amber H2SO4 (pH < 2)
AG3A(DG3A)-250 mL Amber NH4Cl (N/A)(CI-)
D69H-40 mL VOA HCI (N/A)
VG9T-40 mLVOA Na2S203 (N/A)
(JI
VG9U-40 mL VOA Unp (N/A)
DG9P-40 mL VOA H3PO4 (N/A)
VOAK 16 vials per kit)-5035 kit (N/A)
V/GK (3 vials per kit�VPH/Gas kit (N/A)
SPST-125 mL Sterile Plastic (N/A — lab)
SP2T-250 mt. Sterile Pia stic (N/A —lab)
BP3A-250 mL Plastic (NH2)2504 (9.3-9.7)
Cubitainer
VSGU-20 mL Scintillation vials (N/A)
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CHAIN -OF -CUSTODY 1 Analytical Request Document
The Chain-of-Cusiody is a LEGAL DOCUMENT All relevant fields must be completed accurately.
Section A Section 8 Section C Page
of f9
Required Clienl Infanm TTalion Required PMMCl Inforalion Invoice m hilolatron,
d 11
Company Mid -Atlantic Associates. Inc. Report To: Chuck Hoffman ([e-mail]) AlienUOn Chuck Hoffman
Aodres.S 409 Rogers View Court Copy
To Ron Davis ([e-mail]
Company Na-- Mid-Attantic Associates. inc.
REGULATORY AGENCY
Raleigh, NC 27610
Address 409 Rogers View Court. Raleigh, INC
— NPDES r GROUND W
I- UST i RCRA
TER ^ DRINKING WATER
OTHER
Email To [e-mail] Purchase
Order No. R2066.04
Pace Q11ple --
Reference
Phone. [phone] Fax [phone] Project
Name. Foss Recycling, Inc. - Durham
Ppce IMojen Nicole GasiorOwski
Site Location
Menager,
STATE:
NC
Requested Due DatefTAT: standard PmleCl
NUTTIDer. R2066.00 Task 40G00
Pace
Requested
Analysis
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(YIN)
Section D Valid Matrix Codes
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c
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ID
c
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3V S(v L
o
w
DATE
TIME
DATE
TIME
u
7
2?
2
2
i
O
a-
J
Pace Project NoJ Lab I.D.
1
Outfall No. 1
11
c
I
1
7
a
1 1
z
1
x
x
x
x
Rainfall (inches): P61
2
H:
3
4
5
6
7
B
9
10
11
12
ADDITIONAL COMMENTS
AFFILIATION
RELINQUISHED BY 1 AFFILIATION
DATE
TIME
ACCEP ED BY 1 AFFI TtON
DATE
' TIME
SAMPLE CONDITIONS
``
/7
SAMPLER NAME AND SIGNATURE
u
-0
a
W
E
vz
m`
Y
PRINT Name of SAMPLER: �. t�j l
y�
m z
V
a
E
A
SIGNATURE of SAMPLER;
DATE Signed
,yVl
'impenam N°ic. ey sgm..g Iho lore yo„ me ac Wrig Axes NET 30 day paymem 1— one agreeing 10 We Mrgcs or 1.5% per rnmlie rur any,muces ;b Pala .�D,ie �D c, F-A'-Q-02Crev.D8, 12.001-2007

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100024 SAMPLES COLLECTED DURING CALENDAR R: 2014
(This monitoring report shall be received b ivis' later than 30 days
from the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Foss Recycling, Inc., Durham, INC COUNTY Durham
PERSON COLLECTING SAMPLE(S) Anthony Smith PHONE NO. [phone]
CERTIFIED LABORATORY(S) Pace Analytical Lab # 1.2
Lab # PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results
For sampling periods with no discharge, you must submit this discharge monitoring farm noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfall
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
inches
00400
00530
----
77023
01051
78141
pH,
Standard
Units
Total Suspended
Solids (TSS),
mg/L
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), mg/L
Ethylene Glycol,
mg/L
Lead, Total
Recoverable,
mg/L
Total Toxic
prganics3,
mg/L
Benchmark i
-
-
6.0 — 9.01
100/50,
15
8,000
(Tiers 2 and 3)
0.03
1.0
Outfall001
11/17/14
0.5
7.8
24.0
<5.0
<10.0
<0.0050
NA
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 in the General
Permit.
1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark
range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented
to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table 11 of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Form SWU-251, last revised October 25, 2012
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:
Solvent Monogement Plan Certification Statement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan
included in the Stormwater Pollution Prevention Plan."
Name (Print name)
-fir
Title (Prin ti e)
Signature Date
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons dire y responsi or gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that t r are sigpirigark penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
or.09'signeej
(Date)
Form SWU-251, last revised October25, 2012
Page 2 of 2

HUM Atlantic
Engineering & Environmental Solutions
December 9, 2014 +��C��VCU
NCDENRIDWQ CU
Attention: Central Files AOG 2 4 2015
1617 Mail Service Center CENTRAL FILES
Raleigh, North Carolina 27699-1617 DWR SECTION
Subject: STORMWATER SAMPLING RESULTS
FOSS AUTO RECYCLING
1915 RIDDLE ROAD
DURHAM, DURHAM COUNTY, NORTH CAROLINA
PERMIT NCGIO0024
MID -ATLANTIC JOB NO. OOOR2066.00
To Whom It May Concern:
409 Rogers View Court
Raleigh, NC 27610
office 919.250.9918
facsimile 919.250.9950
MAAONLINE.COM
Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for
the sampling conducted at the above -referenced site. A stormwater sample was collected on
November 17, 2014 and analyzed for total suspended solids (TSS), pH, total recoverable lead, oil
and grease and ethylene glycol. As indicated on the attached DMR, all parameters were below
their respective benchmark values or within their benchmark range. If you have any questions or
need additional information, please contact me at 919-250-9918
Sincerely,
MID -ATLANTIC ASSOCIATES, INC.
c� Q�-
Charles B. Hoffman, PG
Project Geologist
Attachments: Stormwater Discharge Monitoring Report
Laboratory Analytical Report

!ceAna1j&a1'
www.pacefabsxarn
r
November 25, 2014
Darin McClure
Mid Atlantic Associates, Inc.
RE: Project: Foss Recycling, Inc - Durham
Pace Project No.: 92226130
Dear Darin McClure:
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NO 28078
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on November 18, 2014.
The results relate only to the samples included in this report. Results reported herein conform to the
most current TNi standards and the laboratory's Quality Assurance Manual, where applicable, unless
otherwise noted in the body of the report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Nicole Gasiorowski
[e-mail]
Project Manager
Enclosures
cc: Joanna Crow, Mid Atlantic Associates, Inc.
Chuck Hoffman, Mid Atlantic Associates
Beverly Oglesby, Mid Atlantic Associates, Inc.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 1 of 12

aceAnalytical
vnnepacelabs.com
Project: Foss Recycling, Inc - Durham
Pace Project No.: 92226130
Indiana Certification IDs
7726 Moller Road, Indianapolis, IN 46268
Illinois Certification #: 200074
Indiana Certification #: C-49-06
Kansas Certification #: E-10247
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
South Carolina Certification #: 99006001
Asheville Certification l0s
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
Kentucky UST Certification #: 0042
Louisiana/NELAP Certification #: 04076
Ohio VAP Certification #: CL-0065
West Virginia Certification #: 330
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
West Virginia Certification #: 357
Virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
West Virginia Certification #: 356
Virginia/VELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 2 of 12

Ic
eAnalytical
www.pacelabs.com
SAMPLE ANALYTE COUNT
Project: Foss Recycling. Inc - Durham
Pace Project No.: 92226130
Pace Analytical Services, Inc.
9800 Kincey Ave- Suite 100
Huntersville, NC 28078
[phone]
Lab ID Sample ID Method
Analysts
Analytes
Reported
Laboratory
92226130001 Outfall No. 1 EPA 1664E
CLW
1
PASI-C
EPA 8015 -Alcohol-Glycol
DMT
1
PASI-1
EPA6010
JMW
1
PASI-A
SM 2540D
WRC
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page 3 of 12

ace Analytical
—pacelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersvitle, NC 28078
[phone]
Project: Foss Recycling, Inc - Durham
Pace Project No.: 92226130
Sample: Outfall No. 1 Lab ID: 92226130001 Collected: 11/17/14 09:00 Received: 11/18/14 16:00 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1664 SGT HEM, TPH
Analytical Method: EPA 16648
Total Petroleum Hydrocarbons
ND mg1L 5.0 1
11/21/14 10:08
8015M Glycols in water
Analytical Method: EPA 8015 -Alcohol-Glycol
Ethylene glycol
ND mg/L 10.0 1
11/20/14 22:31 107-21-1
6010 MET ICP
Analytical Method: EPA 6010 Preparation Method: EPA 3010
Lead
ND ug1L 5.0 1 11/19/14 16:10
11/20/14 06:16 7439-92-1
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
24.0 mg1L 12.5 1
11/20/14 17A7
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11/25/2014 03:16 PM
without the written consent of Pace Analytical Services, Inc..
Page 4 of 12

aceAnalytical
' www.pacelabs.com
QUALITY CONTROL DATA
Project: Foss Recycling, Inc - Durham
Pace Project No.: 92226130
QC Batch: GCSV119571 Analysis Method: EPA 1664B
QC Batch Method: EPA 1664B Analysis Description: 1664 SGT-HEM, TPH
Associated Lab Samples: 92226130001
METHOD BLANK: 1335595
Associated Lab Samples: 92226130001
Parameter Units
Total Petroleum Hydrocarbons mg1L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 5.0 11/21/14 09:54
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
hunlersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE:
1335596
Spike LCS
LCS
% Rec
Parameter
Units
Conc. Result
% Rec
Limits
Qualifiers
Total Petroleum Hydrocarbons
mglL
20 17.8
89
64-132
MATRIX SPIKE SAMPLE:
1335597
92226171001 Spike
MS
MS
% Rec
Parameter
Units
Result Conc.
Result
% Rec
Limits Qualifiers
Total Petroleum Hydrocarbons
mg/L
ND 20
16.9
84
64-132
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right or the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11 /25/2014 0316 PM without the written consent of Pace Analytical Services, Inc,. Page 5 of 12

aceAnalytical
www.pacelabs.com
Project: Foss Recycling, Inc - Ourham
Pace Project No.: 92226130
QC Batch: GCSV113524
QC Batch Method: EPA 8015 - Alcohol -Glycol
Associated Lab Samples: 92226130001
METHOD BLANK: 1192335
Associated Lab Samples:
Parameter Units
Ethylene glycol mg/L
LABORATORY CONTROL SAMPLE: 1192336
Parameter Units
Ethylene glycol mg1L
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Analysis Method: EPA 8015 - Alcohol -Glycol
Analysis Description: EPA 8015 Modified
Matrix: Water
Blank Reporting
Result limit Analyzed Qualifiers
ND 10.0 11/20/14 21:35
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 256 102 79-129
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1192337 1192338
MS MSD
92225933001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Ethylene glycol mg1L ND 250 250 249 257 99 103 67-133 3
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11/25/2014 03:16 PM without the written consent of Pace Analytical Services, Inc..
Page 6 of 12

aceAnalytical
r
www.pacelabs.com
Project: Foss Recycling, Inc - Durham
Pace Project No.; 92226130
QC Batch: MPRP117384
QC Batch Method: EPA 3010
Associated Lab Samples: 92226130001
METHOD BLANK: 1334135
Associated Lab Samples: 92226130001
Parameter Units
uglL
Lead
LABORATORY CONTROL SAMPLE: 1334136
Parameter Units
Lead ug1L
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Analysis Method: EPA 6010
Analysis Description: 6010 MET
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 5.0 11/20/14 05:42
Spike LCS LCS % Rec
Cone. Result % Rec Limits Qualifiers
500 461 92 80-120
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1334137 1334138
MS MSD
92225784001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual
Lead ug1L 24.5 500 500 465 461 88 87 75-125 1
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11/25/2014 03:16 PM without the written consent of Pace Analytical Services, Inc..
Page 7 of 12

aceAnalytical
www.pacelabs.com
QUALITY CONTROL DATA
Project: Foss Recycling, Inc - Durham
Pace Project No.: 92226130
QC Batch: WET134380 Analysis Method: SM 2540D
QC Batch Method: SM 25400 Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92226130001
METHOD BLANK: 1335352
Associated Lab Samples: 92226130001
Parameter
Units
Total Suspended Solids
mglL
LABORATORY CONTROL SAMPLE:
Parameter
1335353
Units
Total Suspended Solids
mg1L
SAMPLE DUPLICATE: 1335354
Parameter
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 1336355
Parameter
Units
Total Suspended Solids
mg1L
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 11/20/1417:43
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 230 92 90-110
92225937001 Dup
Result Result
2640 2740
92226135013 Dup
Result Result
ND ND
RPD Qualifiers
4
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: 11/25/2014 03:16 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12

aceAnalytical
1
www.pacefabs.com
QUALIFIERS
Project: Foss Recycling, Inc - Durham
Pace Project No.: 92226130
DEFINITIONS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture content.
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 Quantitalion Limit.
RL - Reporting Limit.
S - Surrogate
1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene.
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.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270, The result reported for
each analyte is a combined concentration.
Acid preservation may not be appropriate for 2-Chloroethylvinyt ether, Styrene, and Vinyl chloride.
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
PASW Pace Analytical Services - Indianapolis
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11/25/2014 03:16 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12

aceAnalytrcal
1r www.pacelabs.com
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Foss Recycling, Inc - Durham
Pace Project No.: 92226130
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Nuntersville, NC 28078
[phone]
Lab ID
Sample ID
QC Batch Method
Analytical
QC Batch Analytical Method Batch
92226130001
Outfall No. 1
EPA 1664E
GCSV119571
92226130001
Outfall No. 1
EPA 8015 - Alcohol -Glycol
GCSVl13524
92226130001
Outtall No. 1
EPA3010
MPRP117384 EPA6010 ICPI15666
92226130001
Outfall No. 1
SM 2540D
WET134380
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 14/25/2014 03:16 PM without the written consent of Pace Analytical Services, Inc.. Page 10 of 12

•• �l°c�CEftlk7fyflCc71
Document Number: Issuing Authority:
F-CHR-CS-003-rev.16 Pace Huntersville Quality Office
Client Name: u fa- ,4fq c, n 4-,
Courier: ❑ Fed Ex ❑ LIPS❑ LISPS[] Client❑ Commercial❑ Pace Other
Custody Seal on Cooler/Box Present: ❑ yes ❑ono Seals intact: ❑ yes ❑ no f{� �x ' 1,055V
.,
Packing Material: B Bubble VDp [Bubble Bags ❑ None ❑ Other ,,---,, �
Thermometer Used: IR Gun 1 1 Type of Ice: et Blue None LYSamples on ice, cooling process has begun
Temp Correction Factor T1401 No Correction
Corrected Cooler Tern 3 •C
p
Temp should be above freezing to 6°C
Biological Tissue Is Frozen: Yes No NIA
Comments:
date and Initials of person examining
contents: I► lrh% _
Chain of Custody Present:
Crres ONO
❑NIA
1.
Chain of Custody Filled Out:
Dyes Galo
❑NIA
2. JJ a cA.& k HWV
Chain of Custody Relinquished:
l�res ONO
❑NIA
3. 13�0 f-�� Say
n/ 11 "4 (�i°+ Q r+n.
Sampler Name & Signature on COC:
2<es ONO
❑NIA
4,
Samples Arrived within Hold Time:
13 rea ❑No
❑NIA
5.
Short Hold Time Analysis (<72hr):
Dyes 29',
❑NIA
6.
Rush Turn Around Time Requested:
Ono
❑.
❑NIA
7.
�Yeses
Sufficient Volume: r /ram/+'ilaYes N
❑NIA
S, 01111( I`Cu.vt(
I 0& 6—a+k-1 -
Correct Containers Used:
-Pace Containers Used:
/Yes ❑No
❑Yes Ono
❑NIA
❑NIA
9.
Containers Intact:
Yes ONO
❑NIA
10,
Filtered volume received for Dissolved tests
Dyes ONO
0N'1A
11.
Sample Labels match COC:
-Includes date/time/ID/Analysis Matrix:
s ❑No
❑NIA
12.
All containers needing preservation have been checked.
All containers needing preservation are found to be in
compliance with EPA recommendation.
exceptions: VOA, ooliform, TOG, O&G, wl-DRO (water)
Eyes ❑No
�es ONO
�,��
I.d Yes [IN.
❑NIA
❑NIA
13,
Samples checked for dechlorination:
11 Yes ❑No
NIA
14.
Headspace in VOA Vials >6mm :
Ye ©No
NIA
15. 1l
Trip Blank Present:
Trip Blank Custody Seals Present
Pace Trip Blank Lot # (if purchased):
Dyes ❑No
Dyes ONO
NIANIA
ONA
16.
Client Notification/ Resolution: Field Data Required? Y I N
Person Contacted: R 0 ((-iVV.t Vj DatelTime: 11 1616
Comments/ Resolution; ^ j/; I: n)i� o(W (7 f1 _l.y�
SCURF Review: U'' W jDate: It y W®# ; 9222613-
SRF Review: �`i( Date: �'
Note: Whenever there Is a discrepancy affecting North Carolina compliance IIfIIlIIl11I11Ifllll
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, 92226130
incorrect containers)
Page 11 of 12

aceAnalXical
-J.1%ars01C .
Ction A
quires Client In:armatiors
CHAIN -OF -CUSTODY 1 Analytical Request Document
The Chain -of -Custody is a LEGAL DOCUMENT. All relevant Gelds must be completed aeiaratety.
Section B Section C
Required Project IMartnation; Invoice Information:
N
Page: of
mpany: Mld-.+Gamic Associates, Inc. Report
To; Chuck Hoffman (Choffman ?maaonllne.com)
Attenton: Chuck Hoffman
dress: 409 Rogers View Court copy
Ta Joanna Crow ([e-mail])
Company Name: Mid -Atlantic Associates, inc.
REGULATORY AGENCY
Raleigh, NC 27610
Address: 409 Rogers View Court, Raleigh, NC
r- NPOES r GROUNDWATER r DRINKING WATER
F- UST f RGRA )— OTHER
iaa Tv [e-mail] Purchase
Order Na: R2066.04
PaCe Qj Ke -
Reference:
919-250-9918 919-250-9950 project
Name: Foss Recycling, Inc. - Durham
P-- "eO Kevin Herring
Site Location
heanaw.
STATE:
NC
Quested Due DatarrAT: Snndard Project
Numtler. R2066.00 Task 40000
puce PSO�'O s: —
Requested
Analysis
Fittered
(YIN)
Section D Valid Matrix Codes
a
E.
a
Rvquirad Came Information MATRI
COLLECTED
Preservatives
y
N
Y
N
Y
DRNW° *WATER OW
-
F
m
WATER Wr
$
V
O
WAST£ WATrF Ww
to
COLO-O&TE
COMPOSITE
PROOLICT P
START
FNOIGRAe
softJSOw er.
>
z
v
Y
Oft m
SAMPLE ID +� W°
p
o
rn
I
rn
c°
p
U
(A-z 0-9i OTHER or
4
w
a
,.y
Sample tOs MUST BE UNIQUE TISSUE TS
U
a
F
y
t
C0
u
x
W
,�,�
d
O
g
c
F
a
�t222r ti3 a
CL
IL
L
°
o
L
_
e
H
DATE
TIME
DATE
TIME
a
2
=
i
Z
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Q
0.
tx
Pace Project Nol Lab I.D.
f
Outfall No. 1
wr
G
7
4
1
1 t
1 21
x I
x
x
I x I
I
Rainfall (inches):
2
H:
3
4
5
5
7
8
9
ID
E1
2
ADDtT1ONAL COMMENTS
RELINQUISHED BY AFRUATION
DATE
TIME
ACCEPTED BY I AFFILIATION
DATE
TIME
SAMPLE CONDITIONS
4 -7 L-"
I -l5- t (1
.:
[(.Uv
3.Y
!J
Y
SAMPLER NAME AND SIGNATURE
r�
8z
v
m
m�
PRINT Name of SAMPLER:
n
SIGNATURE of $AMPEER: r Igned~IX
�/�.� TM�
O -
- _
�v-gn'
—
4�1
v r
Important Note: By algning Wa forth you are wopt++g Paee'a NET 30 day payment tams and agraeinp to We charges d 1.5% per momh fu any Invoices not paid "WA 30 a F-ALL-0-020rev,08, t 2-Oct-2907

slid Atlantic
Engineering & Environmental Solutions
March 11, 2014
NCDENR/DWQ
Attention: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: STORMWATER SAMPLING RESULTS
FOSS AUTO RECYCLING
1915 RIDDLE ROAD
DURHAM, DURHAM COUNTY, NORTH CAROLINA
PERMIT NCGl00024
MID -ATLANTIC JOB NO. OOOR2066.00
To Whom It May Concern:
REECEIVF®
Nov 10 2014
CENTRAL FILES
DWR SECTION
409 Rogers View Court
Raleigh, NC 27610
office 919.250,9918
facsimile 919.250.9950
MAAONLINE.COM
Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for
the sampling conducted at the above -referenced site. A stormwater sample was collected on
February 18, 2014 and analyzed for total suspended solids (TSS), pH, total recoverable lead, oil
and grease and ethylene glycol. All parameters were below their respective benchmark values or
within their benchmark range. If you have any questions or need additional information, please
contact me at 919-250-9918
Sincerely,
MID -ATLANTIC ASSOCIATES, INC.
et. I -
Charles B. Hoffman, PG
Project Geologist
Attachments: Stormwater Discharge Monitoring Report
Laboratory Analytical Report

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCGIO0024 SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Foss Recycling, Inc. Durham, NC COUNTY Durham
PERSON COLLECTING SAMPLE(S) Anthony Smith PHONE NO. [phone]
CERTIFIED LABORATORY(S) Pace Analytical Lab # 12
Lab # PLEASE REMEMBER TO SIGN ON THE REVERSE �l
Part A: Stormwater Benchmarks and Monitoring Results
For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfall .
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
inches
00400
00530
- - - -
77023`"
01051
78141
pH,
Standard
Units
Total'Sdspended'
Solids (TSS),
mg/L
-..,.
Non=polar,,.,
O&G/TPH
(Method 1664
SGT-H.EM)mg/:L .
Ethylene..Glycol,
mg/L
:Lead, Total.
Recoverable,^
mg/L
Total Toxic
Organics3,
mg/L
Benchmark
-
-
6.0 — 9.o
100/502
15
8 000.. `
(Tiers 2 and.3).
0.03`
1.0
Outfall001
02/18/14
1.5
7.6
6.2
<5.0
<10.0
<0.0050
NA
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 in the General
Permit.
1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark
range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented
to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Form SW U-251, last revised October 25, 2012
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:
Solvent Management Plan Certification Statement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan
included in the Stormwater Pollution Prevention Plan." I t
�t *UY iw��
Name (Print name)
Date
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel props gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons re
ctly responsihl o athering the information, the information submitted is, to the hest of my knowledge and belief, true, accurate, and complete. i
am aware th there are signipfarXpenalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature/off ermittee or
v
�O r /
(Date}
Form SW U-251, last revised October 25, 2012
Page 2 of 2

aceAnalytical
wwwpacelahs.com
February 26, 2014
Beverly Oglesby
Mid Atlantic Associates, Inc.
409 Rogers View Court
Raleigh, NC 27610
RE: Project: FOSS AUTO RECYCLING DURHAM
Pace Project No.: 92190076
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Dear Beverly Oglesby:
Enclosed are the analytical results for sample(s) received by the laboratory on February 19, 2014.
The results relate only to the samples included in this report. Results reported herein conform to the
most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless
otherwise noted in the body of the report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Jon D Bradley
[e-mail]
Project Manager
Enclosures
cc: Joanna Crow, Mid Atlantic Associates, Inc.
Darin McClure, Mid Atlantic Associates, Inc.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 1 of 13

acmnalytical
+w+w.pacOahs.com
Pace Analytical Services, Inc.
9800 Kincey Ave, Suite 100
Huntersville, NC 28078
[phone]
Project: FOSS AUTO RECYCLING DURHAM
Pace Project No.: 92190076
Indiana Certification IDs
7726 Moller Road, Indianapolis, IN 46268
Illinois Certification #: 200074
Indiana Certification #: C-49-06
Kansas Certification #: E-10247
Kentucky UST Certification #: 0042
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
South Carolina Certification #: 99006001
Asheville Certification IDs
2225 Riverside Dr., Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
Louisiana/NELAP Certification #: 04076
Ohio VAP Certification #: CL-0065
Pennsylvania Certification #: 68-04991
West Virginia Certification #: 330
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
West Virginia Certification #: 357
Virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
West Virginia Certification #: 356
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, Inc.. Page 2 of 13

aceAnalyticaI
WW..pacefabs.com
Project FOSS AUTO RECYCLING DURHAM
Pace Project No.: 92190076
Lab ID Sample 1D
92190076001 OUTFALL Net
SAMPLE ANALYTE COUNT
Method
EPA 1664B
EPA 8015 - Alcohol -Glycol
EPA 6010
SM 2540D
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Pace Anatytrcal Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Analytes
Analysts
Reported
Laboratory
CLW
1
PASI-C
CEM
1
PASI-I
JMW
1
PASI-A
WRC
1
PASI-A
Page 3 of 13

aceAnaIXical
wmepscelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, Inc,
9800 Kincey Ave, Suite 100
Huntersville, NC 28078
[phone]
Project: FOSS AUTO RECYCLING DURHAM
Pace Project No.: 92190076
Sample: OUTFALL N01 Lab ID: 92190076001 Collected: 02/18/14 12:00 Received: =19114 09:40 Matrix: water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua]
1664 SGT-HEM, TPH Analytical Method: EPA 1684E
Total Petroleum Hydrocarbons ND mg1L 5.0 1 02/21/14 09:30
8015M Glycols In water Analytical Method: EPA 8015 -Alcohol-Glycol
Ethylene glycol ND mg1L 10.0 1 02/21/14 19.40 107-21-1
6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010
Lead ND ug1L 5.0 1 02l20114 10:40 02/21/14 20:18 7439-92-1
2540D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids 6.2 mg/L 2.6 1 02/25/14 15:08
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/26/2014 03:37 PM without the written consent of Pace Analytical Services, Inc..
Page 4 of 13

aceAnalXical
wwwpacefabs.com
Project: FOSSAUTO RECYCLING DURHAM
Pace Project No.: 92190076
QC Batch: GCSV116720
QC Batch Method: EPA 16648
Associated Lab Samples: 92190076001
METHOD BLANK: 1141757
Associated Lab Samples: 92190076001
Parameter Units
Total Petroleum Hydrocarbons mg1L
LABORATORY CONTROL SAMPLE: 1141758
Parameter Units
Total Petroleum Hydrocarbons mg/L
Date: 02/26/2014 03:37 PM
QUALITY CONTROL DATA
Analysis Method: EPA 1664E
Analysis Description: 1664 SGT-HEM, TPH
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 5.0 02/21/14 09:29
Spike LCS
Cone. Result
20 16.9
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
LCS % Rec
% Rec Limits Qualifiers
84 64-132
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 5 of 13

acmnalytical
wwwpacdahs.com
QUALITY CONTROL DATA
Project: FOSS AUTO RECYCLING DURHAM
Pace Project No.: 92190076
Pace Analytical Services, Inc.
9800 Kincey Avo. Suite 100
Huntersville, NC 28078
[phone]
QC Batch: GCSV112145 Analysis Method: EPA 8015 - Alcohol -Glycol
QC Batch Method: EPA 8015 - Alcohol -Glycol Analysis Description: EPA 8015 Modified
Associated Lab Samples: 92190076001
METHOD BLANK: 1051466 Matrix: Water
Associated Lab Samples:
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Ethylene glycol mg1L NO 10.0 02/22/14 13:54
LABORATORY CONTROL SAMPLE: 1051467
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Ethylene glycol mg1L 250 255 102 79-129
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1051468 1051469
MS MSD
92190076001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Ethylene glycol mg1L NO 250 250 247 247 97 97 67-133 0
Date: 02/26/2014 03:37 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 6 of 13

aceAnalytical
—pacelahs.=n
I
Project: FOSS AUTO RECYCLING DURHAM
Pace Project No.: 92190076
QC Batch: MPRPI15271
QC Batch Method: EPA 3010
Associated Lab Samples: 92190076001
METHOD BLANK: 1141178
Associated Lab Samples: 92190076001
Parameter Units
ugfL
Lead
QUALITY CONTROL DATA
Analysis Method: EPA 6010
Analysis Description: 6010 MET
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 5.0 02121/1419:08
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE:: 1141179
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Lead ug/L 500 484 97 80-120
MATRIX SPIKE 8 MATRIX SPIKE DUPLICATE; 1141180 1141181
MS MSD
92190006008 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Lead ug1L 35.7 500 500 510 508 95 94 75-125 0
Date: 02/26/2014 03:37 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 7 of 13

aceAnalytical
www.pacelaDs.cam
1
Pace Analytical Services, Inc,
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOSS AUTO RECYCLING DURHAM
Pace Project No.: 92190076
QC Batch: WETl29688
QC Batch Method: SM 2540D
Associated Lab Samples: 92190076001
METHOD BLANK: 1144769
Associated Lab Samples: 92190076001
Parameter Units
Total Suspended Solids mglL
LABORATORY CONTROL SAMPLE: 1144770
Parameter Units
Total Suspended Solids mglL
SAMPLE DUPLICATE: 1144771
Parameter
Total Suspended Solids
SAMPLE DUPLICATE: 1144772
Parameter
Total Suspended Solids
Date: 02/26/2014 03:37 PM
Analysis Method: SM 2540D
Analysis Description: 2540D Total Suspended Solids
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 02/25/1415:01
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 268 107 80-120
92190015002 Dup
Units Result Result
mglL 18.0 19.0
92190047001 Dup
Units Result Result
mglL ND ND
RPD Qualifiers
5
RPD Qualifiers
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 8of13

aceAnaIXical
www.pecelabs.=n
QUALIFIERS
Project: FOSSAUTO RECYCLING DURHAM
Pace Project No.: 92190076
DEFINITIONS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28070
[phone]
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture content.
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.
PRL - Pace Reporting Limit.
RL - Reporting Limit.
S - Surrogate
1,2- Dip henylhydrazine (8270 listed analyte) decomposes to Azobenzene.
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.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride.
Pace Analytical is TN I accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
PAST-C Pace Analytical Services - Charlotte
PAST -I Pace Analytical Services - Indianapolis
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/26/2014 03:37 PM without the written consent of Pace Analyticat Services, Inc.. Page 9 of 13

aceAnalytical
www.pacefabs.=
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project:
Pace Project No.:
FOSS AUTO RECYCLING DURHAM
92190076
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch Analytical Method Batch
92190076001
OUTFALL N01
EPA 1664E
GCSV116720
92190076001
OUTFALL N09
EPA 8015 - Alcohol -Glycol
GCSV112145
92190076001
OUTFALL N01
EPA3010
MPRP115271 EPA6010 ICP113856
92190076001
OUTFALL N01
SM 2540D
WET129688
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/26/2014 03:37 PM without the written consent of Pace Analytical Services, Inc.. Pagel 0 of 13

�• ��rf
l?1ceAr�aly�lcar
le Condition Upon Receipt (SCU
Document Number:
F-C H R-C S-03-rev.13
Page 1 of 2
Issuing Authority:
Pace Huntersville Quality Office
Client Name:-Wlb
Courier: Fed Ex ❑ ups[]USPS❑ Client❑ m❑ Pace Other Comercial "' ?
Ofianal'.
Duebate ,
Custody Seal on Cooler/Box Present: ❑ yes Q/no Seals intact: El yes ❑ no g
Packing Material: ❑ Bubble Wrap ❑ Bubble Bags ❑ None ❑ Other
Thermometer Used: IR Gun T1102 13 1 Type of lee: L"e Blue None E-8amples on ice, cooling process has begun
Temp Correction Factor T1102: No Correction T1301: No Correction
Corrected Cooler Temp.:___ �j� C Biological Tissue is Frozen: Yes No NIA Date an tit o examining
conten
Temp should be above freezing to VC Comments:
Chain of Custody Present: es ONO ❑NIA 1.
Ye Chain of Custodv Filled Out: lds ONO ❑NIA 12.
Sampler Name & Signature on COC:
tans ❑No
❑NIA
4.
Samples Arrived within Hold Time:
eyes ONO
❑NIA
5.
Short Hold Time Analysis (<72hr):
❑Yes /dNo
❑NIA
6.
Rush Turn Around Time Requested:
❑Yes Ptro
❑NIA
7,
Sufficient Volume:
OYees ONO
❑NIA
8.
Correct Containers Used:
-Pace Containers Used:
Yes ONO
Ores ONO
❑NIA
❑NIA
9.
Containers Intact:
❑Yes ON
❑NIA
10.
Filtered volume received for Dissolved tests
❑Yes ONO
11'NIA
11.
Sample Labels match COC:
-Inc3udes date/time/ID/Analysis Matrix:
o
❑NIA
12. � �`- 15[�ll� DA
All containers needing preservation have been checked.
yes ONO
1JN1A
1
13.
All containers needing preservation are found to be in
EPA
❑ s ONO
❑NIA
comp)€ance with recommendation.
exceptions: VOA, colirorm, TOC, O&G, WI-DRO (water)
❑Yes ❑No
Samples checked for dechlorination:
Oyes ONO
NIA
14,
Headspace in VOA Vials (>6mm):
❑Yes IWo
❑NIA
15,
Trip Blank Present:
❑Yes ONO
EWiA
16.
Trip Blank Custody Seals Present
❑Yes ONO
C]'NIA
Pace Trip Blank Lot # (if purchased):
Client Notification/ Resolution:
Person Contacted: Date/Time:
Comments/ Resolution:
SCURF Review: --N)kj I Date:
SRF Review: I —�vb I Date: 1 A 14I1
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)
I.t
Field Data Required? Y 1 N
Page 11 of 13

N
O
W
ace Analytical
Section A
R—imd Gent lrsomratidn:
CHAIN -OF -CUSTODY I Analytical Request Document
The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields musl be completed accurately.
Section R Section C
Required Project Infovmacion'. Invoice Information
Page: of
company- Mid -Atlantic Associates, Inc.
Report To: ChUCx Hoffman ([e-mail])
Atlefltiorl: Chuck Hoffman
Address: 409 Rogers View Court
COPYTO: Joanna Crow [e-mail])
company Name: Mid -Atlantic Associa,as, inc.
REGULATORY AGENCY
Raleigh, NC 27610
Address: 409 Rogers View Court, Raleigh, NC
r- NPDES r- GROUNDWATER r- DRINKING WATER
i UST r RCRR [- OTHER
Ernay TO: [e-mail]
Purchase Order No.: R2066.04
Pace Quote --
Refaren Ce:
Phone. [phone]$
Fax: [phone]
Projecl Name: Foss Recycling, Inc. - Durham
P00ePmieet Kevin Herring
Site Location
Manager
STA TE:
NC
Requested Due Data/TAT: Stindard
Project Number. R2066.00 Task 40000
Pau Profle a, _
Requested
Analysis
Filtered
(YIN)
Section D valid Maki: codes
o
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Requlred client IAformalion MATRIX CODE
o
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COLLECTED
Preservatives
>
N
Y
N
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WATFR WT
WASTE WATER WW
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111
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2
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ADprtIONAL�IAENT9
RELINQUISHED BTlAFFtLIATION
DATTc,
TIME
- ACCEPTED lay!AFFILIATION
_
DATE
..,nms -'
SAMPLE CONDMONS
SAMPLER NAME AND SIGNATURE
_
PRINT Name of SAMPLER:
Eg
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SIGNATURE of SAMPLER; flATESlel.d
a
Impw s Neta: lay sjw" v a norm yw we soeeptirgl Pace's NET 30 day Payment terms and agreeing to Iota charges off.$% per mash for"imoius rnt paid etthln 30 days.
F-ALL-G-020rev.08, 12-Oct-2007

"�ace Anavicai
vnm.parslahs.com
Section A
Required Client Information;
CHAIN -OF -CUSTODY I Analytical Request Document
The Chain -of -Custody is a LEGAL DOCUMENT, All relevant fiords must be completed accurately.
Section B Section C
Required Project Information: Invoice Information:
Page: of
C-Arlag
Report To:
Attention;
1bb0311
AAkLin-k'iC
Address:,,,, w
COPY TO:
Company Name:
REGULATORY,
-
-Svc
t Cr 2-7 10
Address,
NPIDES F- GROUND WATER F- DRINKING WATER
F- UST 1- RCRA OTHER
Email To: lo Purchase
Order No.:
Pam Cluote
Reference:
4W.-
Fax: Project
Name:
Pa
Pa� Project
L - c�A
zso-
Requested Due DaterrAT: Project
Number
Pace Profile 0:
Section D matrix Codes
Z
COLLECTED
Preservatives
z
T11
RequiredCbent Information MATRIX I CODE
Drinking Water DW
water WT
je
0 C)
z
Waste Water WW
P Product
COMPOSITE
START
COMPOSITE
ENO)GKAH
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SL
soilisolid
0
SAMPLE ID Oij OL
Wipe VVP
0
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