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HomeMy WebLinkAboutNCG100062_MONITORING INFO_20180809STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V CCU DOC TYPE ❑HISTORICAL FILE MONITORING REPORTS DOC DATE 0 n�01$ D �/ D °I YYYYMMDD Midklantic Engineering & Environmental Solutions August 2, 2018 NCDEQ/DWR Attention: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: STORMWATER SAMPLING RESULTS DEALS ON WHEELS, INC. 14473 NC 96 HIGHWAY ZEBULON, NORTH CAROLINA NPDES PERMIT NO. NCG100062 To Whom It May Concern: t eeovwD AUG 0 9 2018 CENTRAL FILES DWR SECTION 409 Rogers View Court Raleigh, NC 27610 office 919.250.9916 facsimile 919.2S0.9950 MAAONLINE.COM Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for the sampling conducted at the above -referenced site. A stormwater sample was collected from Outfall 001 on July 05, 2018 and analyzed for total suspended solids (TSS), pH, total recoverable lead, oil and grease and ethylene glycol. As indicated on the attached DMR, all parameters were reported below or within their respective benchmark values. If you have any questions or need additional information, please contact me at 919-250-9918. Sincerely, MID -ATLANTIC ASSOCIATES, INC. Ron Davis Stormwater Services Manager Attachment: Discharge Outfall Monitoring Report Laboratory Analytical Report EXPERIENCED CUSTOMER FOCUSED INNOVATIVE STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100062 FACILITY NAME Deals on Wheels, Inc. PERSON COLLECTING SAMPLE(S) Mike Bailey CERTIFIED LABORATORY(S) Pace Analytical Lab #12 Lab # Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: 2018 (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.) COUNTY Johnston PHONE NO. 919) 269-4587 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 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 60400 00530. ---- 77023 01051. 78141 pH, Standard, Units TotalSuspended Solids(TSS), mg%L Non -polar O&G/TPHt. {Method 1664 iHEM); mgLl► Ethylene.Glycol, mg/,L. Lead, Total Recoverable, mg/L Total Toxic 3 Organics. , mg/.L- Benchmark - - 6.0 — 9.0T 100/so2 15 '8;000.: (Tiers 2 and 3) 0.03 1.0. Outfall 001 07/05/18 6.8 36.4 < 5.0 < 5.0 0.0183 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. Form SWU-251, last revised October25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT 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. 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 directly responsible for gathering the information, the information submitted is, to the best of my knowledge a nd belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee oDesignee} (Date) Form SWU-251, last revised October 25, 2012 Page 2 of 2 aceAnalytical. www.pecelabs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 July 20, 2018 Chuck Hoffman Mid -Atlantic Associates, Inc 409 Rogers View Court Raleigh, NC 27610 RE: Project: Deal on Wheels, Inc Pace Project No.: 92390931 Dear Chuck Hoffman: Enclosed are the analytical results for sample(s) received by the laboratory on July 06, 2018. 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, r Tyriek Hooks tyriek.hooks@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Ron Davis, Mid AtlanticAssocialees, 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 aceAnalytical� Mrnw.pacefebs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Deal on Wheels, Inc Pace Project No.: 92390931 Indiana Certification IDs 7726 Moller Road, Indianapolis, IN 46268 Illinois Certification #: 200074 Indiana Certification #: C-49-06 Kansas/NELAP Certification #:E-10177 Kentucky UST Certification #: 80226 Kentucky WW Certification #:98019 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 Louisiana/NELAP Certification # LA170028 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification M 5342 North Carolina Wastewater Certification M 12 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification M M-NC030 North Carolina Drinking Water Certification #: 37712 M:1ftIIm-1191Ai[a:1y Ohio VAP Certification #: CL-0065 Oklahoma Certification M 2017-124 Texas Certification #: T104704355-18-12 West Virginia Certification #: 330 Wisconsin Certification M 999788130 USDA Soil Permit #: P330-16-00257 South Carolina Certification #: 99006001 Florida/NELAP Certification #: E87627 Kentucky UST Certification M 84 VirginiaNELAP Certification #: 460221 North Carolina Wastewater Certification M 40 South Carolina Certification M 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 aceAnalytical� www.peoutubs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 SAMPLE ANALYTE COUNT Project: Deal on Wheels, Inc Pace Project No.: 92390931 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92390931001 Outfall No.1 Deals on Wheels EPA 1664B JMS 1 PASI-C EPA 8015 Alcohol -Glycol RID 1 PASI-1 EPA 601 OD SH 1 1 PASI-A SM 2540D-2011 CRV 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 wwwpaoelaha.cam Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 ANALYTICAL RESULTS Project: Deal on Wheels, Inc Pace Project No.: 92390931 Sample: Outfall No.1 Deals on Wheels Parameters Lab ID: 92390931001 Collected: 07/05/18 19:20 Received: 07/06/18 11:20 Matrix: Water Results Units Report Limit DF Prepared Analyzed CAS No, Qual 1664 SGT-HEM, TPH Analytical Method: EPA 1664B Total Petroleum Hydrocarbons ND mg1L 5.0 1 07/20/18 03:58 8015M Glycols in water Analytical Method: EPA 8015 Alcohol -Glycol Ethylene glycol ND mg/L 5.0 1 07/17/18 13:57 107-21-1 6010 MET ICP Analytical Method: EPA 6010D Preparation Method: EPA 3010A Lead 18.2 ug1L 5.0 1 07/10/18 04:15 07/12/18 04:08 7439-92-1 2540D Total Suspended Solids Analytical Method: SM 254OD-2011 Total Suspended Solids 36.4 mg/L 5.0 1 07/09/18 10:06 D6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 07/20/2018 01:37 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 13 aceAnalytical WWW..pecBleCe.WM Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Deal on Wheels, Inc Pace Project No.: 92390931 QC Batch: 420186 Analysis Method: EPA 1664B QC Batch Method: EPA 1664B Analysis Description: 1664 SGT-HEM, TPH Associated Lab Samples: 92390931001 METHOD BLANK: 2328103 Matrix: Water Associated Lab Samples: 92390931001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Petroleum Hydrocarbons mg1L ND 4.8 07/20/18 03:48 LABORATORY CONTROL SAMPLE: 2328104 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mg1L 19.2 19.5 101 64-132 MATRIX SPIKE SAMPLE: 2328105 35402843002 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mg/L 4.8U 19.2 19.5 101 64-132 Results presented on this page are in the units indicated by the " UH15' 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: 07/20/2018 01:37 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 13 aceAnalytical www.pacelebs.c rn Pace Analytical Services, LLC 9BD0 KinceyAve. Suite 100 Huntersville, NC 28078 (704)B75-9092 QUALITY CONTROL DATA Project: Deal on Wheels, Inc Pace Project No.: 92390931 QC Batch: 451923 Analysis Method: EPA 8015 Alcohol -Glycol QC Batch Method: EPA 8015 Alcohol -Glycol Analysis Description: EPA 8015 Modified Associated Lab Samples: 92390931001 METHOD BLANK: 2088277 Matrix: Water Associated Lab Samples: 92390931001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Ethylene glycol mg/L ND 5.0 07/16/18 15:42 LABORATORY CONTROL SAMPLE: 2088278 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Ethylene glycol mg1L 25 15.9 64 55-144 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2088279 2088280 MS MSD 50200876001 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 20.1 28.8 62 97 38-154 36 R1 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: 07/20/2018 01:37 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 113 aceAnalytical www.pace1abxaoro Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Deal on Wheels, Inc Pace Project No.: 92390931 QC Batch: 418305 QC Batch Method: EPA 3010A Associated Lab Samples: 92390931001 METHOD BLANK: 2318841 Associated Lab Samples: 92390931001 Parameter Units Lead ug1L LABORATORY CONTROL SAMPLE: 2318842 Parameter Units Lead uglL QUALITY CONTROL DATA Analysis Method: EPA 601 OD Analysis Description: 6010 MET Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 07/12/18 03:12 Spike LCS LCS % Rec Cone. Result % Rec Limits Qualifiers 500 478 96 80-120 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2318843 2318844 MS MSD 92391000001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Lead uglL ND 500 500 472 474 94 95 75-125 0 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: 07/20/2018 01:37 PM without the written consent of Pace Analytical Services, LLC. Page 7of13 aceAnalyfibal ' tnvw.pecela6aoorn Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Deal on Wheels, Inc Pace Project No.: 92390931 OC Batch: 418187 Analysis Method: SM 2540D-2011 QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92390931001 METHOD BLANK: 2318251 Matrix: Water Associated Lab Samples: 92390931001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 07/09/18 10:03 LABORATORY CONTROL SAMPLE: 2318252 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 248 99 90-110 SAMPLE DUPLICATE: 2318253 92390908001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 10.6 10.4 2 SAMPLE DUPLICATE: 2318254 92390931001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 36.4 40.0 9 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, Dale: 07/20/2018 0137 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 13 aceAnalytt{cal. wrwpacelsbacom Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALIFIERS Project: Deal on Wheels, Inc Pace Project No.: 92390931 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. TNTC - Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and bias for a specific analyte in a specific matrix. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. Aseparate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte PASI-I Pace Analytical Services - Indianapolis ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. R1 RPD value was outside control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 07/20/2018 01:37 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 13 aceAnalytical www.pacehibs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Deal on Wheels, Inc Pace Project No.: 92390931 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92390931001 Outfall No.1 Deals on Wheels EPA 1664E 420186 92390931001 Outfall No.1 Deals on Wheels EPA 8015 Alcohol -Glycol 451923 92390931001 Outfall No.1 Deals on Wheels EPA 301 OA 418305 EPA 601OD 92390931001 Outfall No.1 Deals on Wheels SM 254OD-2011 418187 Date: 07/20/2018 01:37 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. 418350 Page 10 of 13 Document Name: Document Revised: February 7, 2018 " Sample Condition Upon Recelpt(SCUR) Page 1 of 2 �n, h � .,; aCBAf)BWbW Document No.: Issuing Authority: F-CAR-CS•033-Rev,06 Pace Carolinas Quality Office Laboratory receiving samples: Asheville ❑ Eden[] Greenwood ❑ Huntersville ❑ Ralelg ,r Mechanicsville[] Sample Condition Client Name: WO# : 9239®931 1 Project ff: 1 _ Courier: ❑Fed Ex ❑UPS LISPS ❑Client ❑ Commercial Pace_ _ _ []Other; 92390931 Custody Seal Present? Dyes Ma Seals Intact? ❑Yes Na iN_ Date/Initials Person Examining Contents: Packing Material: ❑Bubble Wrap ble Bags ❑None I -]other Biological Tissue aen? Ub Thermome er: 11 re.l ❑Yes []No- /A AR Gun ID:��/ Type of Ice: xlWet ❑Slue []None Cooler Temp ('C}; ction Factor: Add ubtra ('C) Temp should be above freezing to 6'C Cooler Temp Corrected ('C}: ❑Samples out of temp criteria. Samples on tee, cooling process has begun USDA Regulated SoH VN/A, water sample) i Did samples ori_ grate in a , arantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (Intern ionally, rIv,.< R41Gn inch) ina Hawnil and Puertn Rlcnl? F lYes No • � CGrnmerds/D'ociepans.y: Chain of Custody Present? Yes ONO UNIA 1. Samples Arrived within Hold Time? Yes []NO NIA 2, Short Hold Time Analysis (<72 hr.)? ©Yes N/A 3. Rush turn Around Time Requested? Yes f2rNo N/A 4. Sufficient Volume? es No NIA 5. Correct Containers Used? -Pace Containers Used? es []No No ❑N/A N/A G. Containers Intact? QNa ❑N/ 7. Dissolved analysis: Samples Field Filtered? Ye ❑No N A 8. Sample Labels Match COC1 -Includes Date/Time/ID/Analysis Matrix: es []No ❑N/A 4. Headspace in VOA Vials (>S-6mm)7 ZY< C3N/A 10. Trip Blank Present? Trip Blank Custody Seals Present? ❑Yes ©yes ND No []N/A N/A 21. COMMENTS/SAMPLE DISCREPANCY CLIENT NOTIFICATION/RESOLUTION Person contacted: Project Manager SCURF Review: Project Manager SRF Review: Date/Time: Field Data Required? ❑Yes ❑No Lot ID of split containers: Date: Date: Page 11 of 13 Document Name: Document Revised: February 7, 2018 8C8M�lyffC81 Sample Condition Upon Receipt(SOUR) 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 verified and within the acceptance range for preservation samples. Exceptions: VOA, Coliform, TOC, Dil and Grease, DRO/015 (water) DOC, LLHg **Bottom half of box is to list number of bottle Project d W0# : 9239®93 1 PM: TIH Due Date: 07/20/18 CLIENT: 92-MID ATLAN B A 2 Y N Q 4 z _ = Z L Ci A10 » v v a — ¢ M Q 0 u v x� a a n ro u v Q a Z z a y Z z s? NV O p u 2 N a v v m a Z VI S [a v qq� tl to N i c C c O $ E Z ? z n n 7 ' rl N = Z Z N Z C U = a r N 0 ut ) _N W nti z D p C 7 V U m 3 V a a a Yn `n. ro a u o E a E E ¢ O a 6 ¢ O a O y u m E c E J J J a n J a J E a a ¢ ¢ J ry i E E E J E E �, E E v u w E v E d> rK E E E m E E E E In1❑fl N O LM in _ O LM lJ O O ❑ M pE ❑ O O H 14�! N N .�-� N 4 S 7V N M N 7 V R0. rl in .N-I of T 4M P VI 0a1 V t' �1 N F iL m CL A m 0, 4 6 m 4 m -„ . S. t7 a l7 �• rp., a t7 . a . C7 a �9 l9 G w U' > l7 o O > > 5i a A. 'l7 A ' U' G m as m a n w m a >2 t 3 N\� 3 \d\ J N�s 4 N N I I N\ 5 6 7 s 9 >.a N\N u 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 N Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina pEHNA Certification Office jl.e. Out of hold, incorrect preservative, out of temp, Incorrect containers. Page 12 of 13 ra CD CHAIN -OF -CUSTODY / Analytical Request Document P� LAe Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed acetiralety. If* Section A Section B • Section C Required Clkwd Informadon; RquliadPro'ject Infornarlow Invoke Iftfiorrmilon: . I Of camp": Mid JUIBndC Associaies, W— Report T- Chu& HjCffinen Attention: Address: 409 RoW" View Court Copy To: Company Name: Raleigh . NC 2761 D Address: r "7-, Email: Purchase Order b. pace Quatm II Phone: Fnc Project NaTrw, Deals on Wheels. Inc Pace ProOd Manal;ier. niede.psiorowski@pacolabo.com ;5"'�-^ 1 `L�sfT Stit[Ft- Locafth �,l :% -zxi -Requested Due Dan Project N'. Paco Profile 5921 11 NC -fl 4 " -�d k%"tx C00E 0 COLLEMO Pret"Irvatives WT PM" soamalk! SAMPLE ID g START END 4 1 ZI One Cnaracter per bGn. Wee VIP w w Aft (A-Z. 04 1, acmecT 0 0 M ?: . 2 U Sarnpta %is rnmt be unique TIP— TU w 0 V) C",cc WE TIME DATE TIME z z 0 a 7 YsV -7-5- cc:> I Oum, No. i wr x x x x �N- jj —7- 5e 1/ 2 lea? '71-7 118 VNNO 1,47 lI PRINT Nwrw of SAMPLER: CL Zi SIGNATIJRE RLE DAM qi"Z d: rd] w NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit Permit No.: hi, Facility Name: County; --- -s or Certificate of Coverage No.: rU.C/-Q Inspector: ] a-1 I-Q Date of Inspection: O — Time of Inspection: rVA Total Event Precipitation (inches): Was this a 'Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) 5j'�es ❑ No Please verify wh eth er Qu al i ta tive Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the I permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter i interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional pff�ce. _ _ _ � By this signature, I certify that this report is accurate and complete to the best of my knowledge: Permittee or Page 1 of2 SWU-242, Last modified 10/25/2012 1. Outfall Description, Outfall No. I� Structure (pipe, ditch, etc.) Receiving Stream: Cl�ezk- Describe the industrial activities that occur within the outfall drainage area: _ 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: I Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.):rty� 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and S is the surface covered with floating solids: (li 2 3 4 5 b. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and S is extremely muddy: 1 2 V 4 5 7. is there any foam in the stormwater discharge? Yes B. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may he indicative of pollutant exposure. These conditions warrant further investigation, Page 2of2 SWU-242, Last modified 10/25/2012 Hid Atlantic Engineering & Environmental Solutions January 22, 2018 NCDEQIDWR Attention: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: STORMWATER SAMPLING RESULTS (RECEIVED DEALS ON WHEELS, INC. FED D 5 2013 14473 NC 96 HIGHWAY ZEBULON, NORTH CAROLINA CENTRAL FILES NPDES PERMIT NO. NCG100062 DWR SECTION To Whom It May Concern: 409 Rogers View Court Raleigh, NC 27610 office 919.250.9918 facsimile 919.250.9950 MAAONLINE.COM Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for the sampling conducted at the above -referenced site. A stormwater sample was collected from Outfall No. 001 on December 21, 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 reported below or within their respective benchmark values, with the exception of lead. Please note that a Tier One Response has previously been implemented at the site, Best Management Practices are in place and batteries are stored indoors and under cover at all time. Therefore, the current and historical lead exceedances detected in stormwater runoff at the site are interpreted to be the result of naturally -occurring lead present in the native site soils. If you have any questions or need additional information, please contact me at 919-250-9918. Sincerely, MID -ATLANTIC ASSOCIATES, INC. Ron Davis Stormwater Services Manager Attachments: Discharge Outfall Monitoring Report Laboratory Analytical Report EXPERIENCED CUSTOMER FOCUSED INNOVATIVE STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100062 FACILITY NAME Deals on Wheels Inc. PERSON COLLECTING SAMPLE(S) Mike Bailey CERTIFIED LABORATORY(S) Pace Analytical Lab #12 Lab # Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 COUNTY Johnston PHONE NO. (919) 269-4587 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 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 Organics3, mg/L Benchmark - - 6.0 — 9.01 100/50. 15 8,000 (Tiers 2 and 3) 0.03 T.0 Outfall 002 12/21/17 0.75 7.2 93.0 < 5.0 < 5.0 0.0686 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 October25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." 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 directly responsible for gathering the information, the information submitted is, to the best of my knowledge a nd belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee or Designee} (Date) Form SWU-251, lost revised October 25, 2012 Page 2 of 2 ac, Analytical wm..pacefaU&=n Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, Nc 28078 (704)875-9092 January 05, 2018 Chuck Hoffman Mid -Atlantic Associates, Inc 409 Rogers View Court Raleigh, NC 27610 RE: Project: Deals on Wheels Pace Project No.: 92367946 Dear Chuck Hoffman: 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: Ron Davis, Mid Atlantic Associatees, Inc. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page i of 13 aceAnalytical MM.pecoDs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 CERTIFICATIONS Project: Deals on Wheels Pace Project No.: 92367946 Indiana Certification IDs 7726 Moller Road, Indianapolis, IN 46268 Ohio VAP Certification #: CL-0065 Illinois Certification #: 003971 Oklahoma Certification #: 2017-124 Indiana Certification M C-49-06 Texas Certification M T104704355-17-11 Kansas/NELAP Certification #:E-10177 West Virginia Certification M 330 Kentucky UST Certification M 80226 Wisconsin Certification #: 999788130 Kentucky WW Certification #:98019 USDA Soil Permit #: P330-16-00257 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 South Carolina Certification #: 99006001 Louisiana/NELAP Certification # LAII 70028 Florida/NELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification M 5342 VirginiaNELAP Certification #: 460221 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 North Carolina Wastewater Certification M 40 South Carolina Certification M 99030001 VirginiaNELAP Certification M 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 acmnalytical www.pera�labs.com Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875.9092 Project: Deals on Wheels Pace Project No.: 92367946 Lab ID Sample ID 92367946001 Outfall # 1 SAMPLE ANALYTE COUNT Method Analysts Analytes Reported Laboratory EPA 1664E JMS 1 PASI-C EPA 8015 Alcohol -Glycol RID 1 PASI-1 EPA 6010 SER 1 PASI-A SM 2540D NAL 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 aceAnalytrcalo WWW..A8C Aftoom Pace Analytical Services, LLC 9800 KinceyAve, Suite 100 Huntersville, NC 28078 (704)875-9092 ANALYTICAL RESULTS Project: Deals on Wheels Pace Project No.: 92367946 Sample: Outiall # 1 Parameters Lab ID: 92367946001 Collected: 12/20/17 01:30 Received: 12/21/17 12:10 Matrix: Water Results Units Report Limit OF Prepared Analyzed CAS No. Qual 1664 SGT-HEM, TPH Analytical Method: EPA 1664B Total Petroleum Hydrocarbons ND mg1L 5.0 1 01/0511804:45 8015M Glycols in water Analytical Method: EPA 8015 Alcohol -Glycol Ethylene glycol NO mg/L 5.0 1 12/26/17 11:28 107-21-1 6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010A Lead 68.6 ugIL 5.0 1 01/02/18 15:35 01/04/18 00:42 7439-92-1 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 93.0 mg/L 12.5 1 12/27/17 03:28 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/05/2018 01:02 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 13 a aceAnalyiical wwwpacelabs.com Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Deals on Wheels Pace Project No.: 92367946 QC Batch: 393325 QC Batch Method: EPA 16648 Associated Lab Samples: 92367946001 METHOD BLANK: 2180920 Associated Lab Samples: 92367946001 Parameter Units Total Petroleum Hydrocarbons mg1L QUALITY CONTROL DATA Analysis Method: EPA 1664B Analysis Description: 1664 SGT-HEM, TPH Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 01/05/18 04:32 LABORATORY CONTROL SAMPLE & LCSD: 2180921 2180922 Spike LCS LCSD LCS LCSD % Rec Max Parameter Units Conc. Result Result % Rec % Rec Limits RPD RPD Qualifiers Total Petroleum Hydrocarbons mglL 20 19.8 19.6 99 98 64-132 1 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: 01/05/2018 01:02 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 13 ace Analytical www.pacelabs,aom Project: Deals on Wheels Pace Project No.: 92367946 QC Batch: 421779 QC Batch Method: EPA 8015 Alcohol -Glycol Associated Lab Samples: 92367946001 METHOD BLANK: 1945165 Associated Lab Samples: 92367946001 Parameter Units Ethylene glycol mg/L LABORATORY CONTROL SAMPLE: 1945166 Parameter Units Ethylene glycol mg/L QUALITY CONTROL DATA Analysis Method: EPA 8015 Alcohol -Glycol Analysis Description: EPA 8015 Modified Matrix: Water Blank Reporfing Result Limit Analyzed Qualifiers ND 5.0 12/26/17 10:02 Spike LCS Conc. Result 25 30.3 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LCS % Rec % Rec Limits Qualifiers 121 41-162 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 /05/2018 01:02 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 13 ace Analytical w wpecdabacom Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Deals on Wheels Pace Project No.: 92367946 QC Batch: 392621 Analysis Method: EPA 6010 QC Batch Method: EPA 3010A Analysis Description: 6010 MET Associated Lab Samples: 92367946001 METHOD BLANK: 2177679 Matrix: Water Associated Lab Samples: 92367946001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Lead uglL ND 5.0 01/03/18 23:30 LABORATORY CONTROL SAMPLE: 2177680 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Lead ug1L 500 459 92 80-120 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2177681 2177682 MS MSD 92367744001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Lead ug/L ND 500 500 466 473 93 95 75-125 2 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/05/2018 01:02 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 13 aceAnalytical. www,pscekbi.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Deals on Wheels Pace Project No.: 92367946 QC Batch: 392409 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92367946001 METHOD BLANK: 2176808 Matrix: Water Associated Lab Samples: 92367946001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 12/27/17 03:19 LABORATORY CONTROL SAMPLE: 2176809 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 252 101 90-110 SAMPLE DUPLICATE: 2176810 92367589003 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 280 324 15 06 SAMPLE DUPLICATE: 2176811 92367923002 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 555 575 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: 01 /05/2018 01:02 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 13 aceAnalytical s www.paceleb&com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALIFIERS Project: Deals on Wheels Pace Project No.: 92367946 DEFINITIONS ❑F - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. TNTC - Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. 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 PAS I-C Pace Analytical Services - Charlotte PASI-I Pace Analytical Services - Indianapolis ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/05/2018 01:02 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 13 aceAnalytical� www.peaelab&com Pace Analytical Services, LLC 9B00 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Deals on Wheels Pace Project No.: 92367946 Lab ID Sample ID QC Batch Method QC Batch 92367946001 Outfall # 1 EPA 1664B 393325 92367946001 Outfall # 1 EPA 8015 Alcohol -Glycol 421779 92367946001 Outfall # 1 EPA 3010A 392621 92367946001 Outfall # i SM 2540D 392409 Date: 01/05/2018 01:02 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Analytical Method EPA 6010 Analytical Batch 392714 Page 10 of 13 Document Name: Document Revised: July 25, 2017 �ClplAnalWal Sample Condition Upon Receipt(SCUR) Page 1 of 2 Document No.: Issuing Authority: F-CAR-CS-033-Rev.03 Pace Quality Office Laboratory-receiving.samples:--------- Asheville ❑ Eden❑ Greenwood ❑ Huntersville ❑ Raleigh Mechanicsville[] Client Name: %/ w®# : 92367946 �• Project #: Courier: ❑Fe �` ❑UPS ❑USPS OClient El commercial .2 ace �� ❑Other: 92367946 Custody Seal Present? ❑Yes o Sealslntact? Des No %1.L�� Date/Initials Person Examining Contents:—'.._ f?..�,LI Packing Material: ❑Bubble Wrap E uB bole Bags []None ❑ Other BlologicaI Tissue Fr Ft?""' Thermometer: �CtOB[ue []None Dyes [-]NO N/A ❑ iR Gun ID: S Type of Ice: �Correctlon-Factoc Cooler_Temp.Corrected ('C):_ _Temp should be above.freezing to VC []Samples out of temp criteria, Samples on Ice, cooling process has begun USDA Regulated Sail ( N/A, water sample) Did samples origin n a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source jintern�tio a�r` rr lYes a inrhedim Hawaii and Puerto Rimt? r lYpc Na Comments/Discrepancy: Chain of Custody Present? Yes No N/A 1. Samples Arrived within Hold Time? es ❑No NIA 2. Short Hold Time Analysis <72 hr.)? Dyes o N/A 3. Rush Turn Around Time Requested? Elyes E<o N/A 4. Sufficient Volume? es No N/A 5. Correct Containers Used? -Pace Containers Used? Yes No es NoEl ❑NIA N/A 6. Containers Intact? Yes ❑No [I N/A —77 Dissolved analysis: Samples Field Filtered? Yes ❑No /A 8, Sample Labels Match COC? -Includes DatelTime/ID/Analysis Matrix: 2r. []NO A f ❑N/A 9. Headspace in VOA Vials I>5-6mm)? 'il. []Yes No ❑N/A 10. Trip Blank Present? Trip Bla n k Custody Sea Is Present? ❑Yes []No QYes. []No N/A N/A 11. CLIENT NOTIFICATION/RESOLUTION Person Contacted: Comments/Sample Discrepancy: Date/Time: Field Data Required? ❑Yes ❑No Project Manager SCURF Review: — { Date:7�lSi 1 Project Manager SRF Review: �YV 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 (i.e. Out of hold, incorrect preservative, out of temp, incorrect containers) Page 11 of 13 a v K n M A 2 c n i c 7 n � y n 0- m o w m ro O o a Oa L O � a � N ro m ,. a CL n NI a � � a M a 3 c- n d s a i N �• r ID Co cn a w N r N O Itemb zzzzzzz zz 81`41.1-125 IIL Plastic Unpreserved (N/A) (CI-) BP3U-250 r L Plastic Unpreserved (N/A) BP2U-500 nliL Plastic Unpreserved (N/A) SP1U-1 lite II Plastic Unpreserved (N/A) i BP4S-125 mI Plastic H2SO4 (pH < 2) (CI-) BP314 -250 L plastic HNO3 (pH < 2) I BP32-250 mF Plastic ZN Acetate & NaOH (>9) BP3C-250 rrtL Plastic NaOH (pH > 12) (Cl-) WGFU-Wide-mouthed Glass jar Unpreserved 3 s AG1U-1 liter Amber Unpreserved (N/A) (Cl-) AGiH-1 lite 1 Amber HCI (pH < 2) \AG3U-250 ml. Amber Unpreserved (N/A) (Cl-) AG1S-1 Iiter�Amber H2504 (pH < 2) Xzv I AG3S-250 mL Amber H2SO4 (pH < 2) I AG3A(UG3A)-250 mL Amber NH4CI (N/A)(Cl•) DG9H-40 mL VOA MCI (N/A) A VG9T-40 mJVOA Na25203 (N/A) VG9U-40 mill VOA Unp (N/A) DG9P-00 mJ VOA H3PO4 (N/A) VOAK (S vials per kit)-5035 kit (N/A) V/GK (3 vials per kit)-VPH/Gas kit (N/A) i SPST-125 mL Sterile Plastic (N/A — lab) SP2T-250 mL Sterile Plastic (N/A — lab) VSGU-20MLISCintiliationvials (N/A) r4,-? PaeeAna1XJIoa1- CHAIN-OF-CUSTODY 1 Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. A1I relevant fields musl be completed accurately. T._ Section A Section B Section C Page: of tl Required Client Information: Required Project Information: Invoice Information: Company Report To: Attention: 2097729 Address: Copy To: Comps y;N a: REGULATORY AGENCY LU r NPDES F GROUNDWATER r DRINKING WATER F- UST r RCRA (" OTHER Email To: Purchase Order No.: Paw Ow[o Rotererice. o a: b5 Fax: Project Name: Paco Pros ci ter: Site Location STATE: Requested Due Data/TAT: Project Number: Puce Pro4w C: Requested Analysis Filtered {YIN) Section D Matrix Codas 2 Raqulrad Clw t tnt�Ueri MATRIX f CODE 9 d COLLECTED Preservatives 3-- , - Drinking Water DW a LUi 29 Wafer WTri Waste Water WW II Product P m START w _Z -Soilfsolid SL } SAMPLE ID woe a „OL (A-Z, 0.81; ! Air AR p w o_ Z I- o Sample IDS MUST BE UNIQUE Tissue TS O 2 w F-(r o Other OT U M. CL O Ot Oc yy w a LL a y O_ L n ` N TIME DATE TIME (A _ _DATE Z O a Pace Project No.1 Lab I.D. 1 Z - i1 - e �;!? 5— 2 w 3 4 5 6 7 6 9 1 lit 10 11 12 ADOMONAL,COMMENTS RELINQUISHED BY f AFFILIATION DATE TIME ACCEPTED BY f AFFILIATION DATE TIME SAMPLE CONDITIONS 12.-21- m Z Z-Zi-I d7l Z-Ll � i J z� � • SAMPLER NAME AND SIGNATURE ro ORIGINAL PRINT Name of SAMPLER: a i H L) z d z } DATE Signed F 0 n m n SIGNATURE of SAMPLER: 16lltif/DDfYY): w H 'ki,war ,ani Note: By scyvxj (Ns tam you are accepwV Paces NET 30 d:ry payment !errs and agre.M to Late charges of 1.5% per mmth W any :rlaias riot Paid vLd`kff1 30 nays. F-ALL-0-020rev.07, 15-May-2007 Nod Atlantic Enginoering & Environmental Solutions June 30, 2017 NCDEQ/DWR Attention: Central Files RECEIVED 1617 Mail Service Center Raleigh, North Carolina 27699-1617 JUL 12 2017 CENTRAL FILES Subject: STORMWATER SAMPLING RESULTS DWR SECTION DEALS ON WHEELS, INC. 14473 NC 96 HIGHWAY ZEBULON, NORTH CAROLINA NPDES PERMIT NO. NCG100062 To Whom It May Concern: 409 Rogm Vicw Court Raleigh, NC 77610 office 919-250 9918 facs3m610 919 250 9950 MAAONLINE.COM Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for the sampling conducted at the above -referenced site. A stormwater sample was collected from Outfall No. 1 on June 19, 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 reported below or within their respective benchmark values, with the exception of lead. Please note that a Tier One Response has previously been implemented at the site, Best Management Practices are in place and batteries are stored indoors and under cover at all time. Therefore, the current and historical lead exceedances detected in stormwater runoff at the site are interpreted to be the result of naturally -occurring lead present in the native site soils. If you have any questions or need additional information, please contact me at 919-250-9918. Sincerely, MID -ATLANTIC ASSOCIATES, INC. Ron Davis Stormwater Services Manager Attachments: Discharge Outfall Monitoring Report Laboratory Analytical Report EXPERIENCED CUSTOMER FOCUSED INNOVATIVE STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100062 FACILITY NAME Deals on Wheels, Inc. PERSON COLLECTING SAMPLE(S) Mike Bailey CERTIFIED LABORATORY(S) Pace Analytical Lab #12 Lab # Part A: Stormwater Benchmarks and Monitoring Results 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.) COUNTY Johnston PHONE NO. (919) 269-4587 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 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 Suspended Solids (T5S), 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 — 9.01 100/50z 15 8,000 (Tiers 2 and 3) 0.03 1.0 Outfall 001 6/19/17 0. 86.0 < 5.0 < 5.0 0.0395 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. ISee 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. Form SWU-251, last revised October 25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT 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. 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 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 rof Permittee or 1-//-/7 (Date) Form SWU-251, last revised October 25, 2012 Page 2 of 2 aceAnalytical. www.pacdahs.cam Pace Analytical Services, LLC 9800 Kinsey Ave. Suite 100 Huntersville, NC 28078 (704 )875-9092 June 27, 2017 Chuck Hoffman Mid -Atlantic Associates, Inc 409 Rogers View Court Raleigh, NC 27610 RE: Project: Stormwater Deals on Wheels Pace Project No.: 92344945 Dear Chuck Hoffman: Enclosed are the analytical results for sample(s) received by the laboratory on June 20, 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: Ron Davis, Mid AtlanticAssociatees, Inc. pcCR�r TNI a� �9BOR 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 e aceAnalyiical www.pace►ab&wn Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Stormwater Deals on Wheels Pace Project No.: 92344945 Indiana Certification IDs 7726 Moller Road, Indianapolis, IN 46268 Illinois Certification #: 003971 Indiana Certification #: C-49.06 Kansas/NELAP Certification #:E-10177 Kentucky UST Certification #: 80226 Kentucky WW Certification #:98019 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-NCO30 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* P330-16-00257 South Carolina Certification #: 99006001 Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 Virginia/VELAP Certification #. 460221 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 13 aceAnalytical wwwpacalahs.=n Pace Analytical Services, LLC 9800 KinceyAve, Suite too Huntersville, NC 28078 (704)875-9092 SAMPLE ANALYTE COUNT Project: Stormwater Deals on Wheels Pace Project No.: 92344945 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92344945001 Outfall #1 EPA 1664B JMS 1 PASI-C EPA 8015 Alcohol -Glycol BJW 1 PASI-1 EPA6010 SH1 1 PASI-A SM 2540D CJH1 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 aceAnalyiical ..pacefabloorn Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 ANALYTICAL RESULTS Project: Stormwater Deals on Wheels Pace Project No.: 92344945 Sample: Outfall #1 Lab ID: 92344945001 Collected: 06/19/17 16:10 Received: 06/20/17 13:35 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 1664 SGT-HEM, TPH Analytical Method: EPA 1664E Total Petroleum Hydrocarbons ND mg/L 5,0 1 06/23/17 06:44 8015M Glycols in water Analytical Method: EPA 8015 Alcohol -Glycol Ethylene glycol ND mg/L 5.0 1 06/23/17 12:23 107-21-1 6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010A Lead 39.5 ug/L 5.0 1 06/22/17 17:30 06/27/17 02:02 7439-92-1 25400 Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 86.0 mg1L 16.7 1 06/22/17 06:05 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/27/2017 05:26 PM without the written consent of Pace Analytical Services, LtC. Page 4 of 13 aceAnalytical ..pacelabs.com Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704 )875-9092 QUALITY CONTROL DATA Project: Stormwater Deals on Wheels Pace Project No.: 92344945 QC Batch: 366181 Analysis Method: EPA 1664E QC Batch Method: EPA 1664E Analysis Description: 1664 SGT-HEM, TPH Associated Lab Samples: 92344945001 METHOD BLANK: 2029870 Matrix: Water Associated Lab Samples: 92344945001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Petroleum Hydrocarbons mg1L ND 5.0 06/23/17 06:32 LABORATORY CONTROL SAMPLE: 2029871 Parameter Units Total Petroleum Hydrocarbons mglL MATRIX SPIKE SAMPLE: 2029872 Parameter Units Total Petroleum Hydrocarbons mglL Spike LCS LCS Conc. Result % Rec 20 19.5 98 92345060001 Spike MS Result Conc, Result ND 20 19.7 % Rec Limits Qualifiers 64-132 MS % Rec % Rec Limits Qualifiers 98 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: 06/27/2017 05:26 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 13 aceAnalytrcal wwwpacelabs.crorn Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Stormwater Deals on Wheels Pace Project No.: 92344945 QC Batch: 393768 QC Batch Method: EPA 8015 Alcohol -Glycol Associated Lab Samples: 92344945001 METHOD BLANK: 1815337 Associated Lab Samples: 92344945D01 Parameter Units Ethylene glycol mg/L QUALITY CONTROL DATA Analysis Method: EPA 8015 Alcohol -Glycol Analysis Description: EPA 8015 Modified Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 06123/1712:05 LABORATORY CONTROL SAMPLE: 1815338 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Ethylene glycol mg1L 25 18.0 72 41-162 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1815339 1815340 MS MSD 92344945001 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 21.4 22.2 81 84 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: 06/27/2017 05:26 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 13 aceAnalytical wwwpacefabs.cw Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Stormwater Deals on Wheels Pace Project No.: 92344945 QC Batch: 365946 Analysis Method: EPA 6010 QC Batch Method: EPA 3010A Analysis Description: 6010 MET Associated Lab Samples: 92344945001 METHOD BLANK: 2028736 Matrix: Water Associated Lab Samples: 92344945001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Lead uglL ND 5.0 06/27/17 00:32 LABORATORY CONTROL SAMPLE: 2028737 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Lead ug/L 500 505 101 80-120 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2028738 2028739 MS MSD 92344769001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Lead ug/L ND 500 500 512 503 102 101 75-125 2 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/27/2017 05:26 PM without the written consent of Pace Analytical Services, LLC. Page 7of13 ace Analytical wwwpaoefabstxun Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Stormwater Deals on Wheels Pace Project No.: 92344945 QC Batch: 365982 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92344945001 METHOD BLANK: 2028873 Matrix: Water Associated Lab Samples: 92344945001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 06/22/17 05:57 LABORATORY CONTROL SAMPLE: 2028874 Parameter Units Total Suspended Solids mg/L SAMPLE DUPLICATE: 2028875 Parameter Units Total Suspended Solids mg/L SAMPLE DUPLICATE: 2028876 Parameter Units Totai Suspended Solids mg1L Spike LCS Conc. Result 250 264 92344589001 Dup Result Result 30.0 24.7 92344792001 Dup Result Result 30.0 29.5 LCS % Rec % Rec Limits Qualifiers 106 90-110 RPD Qualifiers 20 D6 RPD Qualifiers 2 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/27/2017 05:26 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 13 aceAnalytical www pacelabs.com Pace Analytical Services, LLC 9800 Kincey Ave, Suite 100 Huntersville, NC 28078 (704)875-9092 QUALIFIERS Project: Stormwater Deals on Wheels Pace Project No.: 92344945 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. 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 PASH Pace Analytical Services - Indianapolis ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/27/2017 05:26 PM without the written consent of Pace Analytical Services, Lt_C. Page 9 of 13 aceAnalytrcal www.pacelabs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Pace Project No.: Stormwater Deals on Wheels 92344945 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92344945001 Outfall #1 EPA 1664B 366181 92344945001 Outfall #1 EPA 6015 Alcohol -Glycol 393768 92344945001 Outfall #1 EPA 3010A 365946 EPA 6010 366506 92344945001 Outfall #1 SM 2540D 365982 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/27/2017 05:26 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 13 Document Name: ESI Tech Spec Document Revised: Sept. 21, 2016 c 2 aceAnaVical Sample Condition Upon Recei t(SCUR) Page 1 of 2 Document No.: Issuing Authority: F-CAR-QA-003-Rev,02 Pace Quality Office Laboratory receiving samples: Asheville ❑ Eden[] Greenwood ❑ Huntersville ❑ Raleigh® Mechanicsville❑ Sarnp . le Condition Upon Client (tame. WO# : 92344945 Reteiov O� �IieB.l� Project t Courier: Fed Ex ❑UPS ❑USPS Client III III 111111111 ❑ Commercial Pace ❑Other: 92344945 Custody Seal Present? ❑Yes [51�o Seats Intact? ❑Yes VINO "''���i111 Date/initials Parson Examining Cantcrrts:� Packing Material: []Bubble Wrap k6ubble Bags ❑None ❑Other: Thermometer: � ®IR Gun lD: ,- -IS-3492 _ _ NPe of ke: / /wet ❑6lue ❑None []Samples on Ice, cooling process has begun Correction Factor: aub.as Cooler Temp Corrected (T): _ W Biological Tissue Frozen? ❑Yes ❑No [-]N/A Temp Should be above freezing to 6'C USDA Regulated Soil (❑ N/A, water sample) Did samples originate in a quarantine zone within the United States: CA, NY, or 5C (check maps)? Did samples originate from a foreign source (internatlonaily, []Yes ❑No including Hawaii and Puerto Rico)? []Yes []No Comments/Discrepancy: Chain of Custody Present? ❑ 1. Samples Arrived within Hold Time? 2. Short Hold rime Analysis 1<72 hr.)? 3. Rush Turn Azound Time Requested? Q 4, Sufficient Volume? 5. Correct Containers Used? -Pace Containers Used? 6. Containers Intact) ❑ 7. Samples Fleld Filtered? ❑ H. Note if sediment is visible in the dissolved container Sample Labels Match COC? -Includes Date/Time/ID/Analysis 0 9. Headspace in VOA Vials (�,5-6mm)? Yes No N 10. Trip Blank Present? Trip Blank Custody Seals Present? C0 Yes ❑ Yes cc] No N ❑ No N k!. CLIENT NOTIFIt:AT(0N/RESOLtfT10N Fleld Data Required? UYes UNo Person Contacted: I Date/Time: Comments/Sample Dixcrepancy; Project Manager SCURF Review: N Date: (9 J � I fI` Project Manager SRF ! y Review: I 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 Certifitatian Office li.e. Out of hold, Incorrect preservative, out of temp, incorrect containers) Page 11 of 13 N O 3 d n x ra M = b tl o = m a .N-. Qm e 3 � y O r O � ti a o G IA N M m C L a N a m � H D 3 3 m p Q CL R S Q Or m a m s a H r O Oo v m v A W N I-, item$$ BP4U-125 mL Plastic Unpreserved (N/A) (0-) 13P3U-250 mL Plastic llnpreserved (N/A) SPZU-500 mL Plastic Unpreserved (N/A) 6P1U-1 liter Plastic Unpreserved (N/A) UP35-250 mL Plastic H2504 (pH < 2) (CI-) SP3N-250 mL plastic HNO3 (pH <2) 13P32-25D mL Plaetic2N Acetate & MON (>9) BP3C-250 mL Plastic N90H (pH > 12) (O-) WGFU-Wide-mouthed Glass jar Unpreserved AG1U-1 GterAmber Unpreserved (N/A) (CI-) dr. 7 AG1H-1 litee Amber NO (PH < 2) AG31.1-250 mL Amber Unpreserved (N/A) (CI-) AG1S-1 literAmber H2SO4 (pH <2) AG35.250 mL Amber H2SO4 (pH < 21 AG3A(DG3A)-250 mL Amber NH4C1 (N/A)(O-) -_._. ' l V" .................. D69H-40 mL VOA HCI (N/A) VG9T-40mL VOA Na75203 (N/A) VG91.140 mL VOA Unp (N/A) DG9P-40 mL VOA H3PO4 (N/A) VOAK (6 vials per kdt)-5035 kit (N/A) V/GK (3 vials per k1tFVPH/Gas kit (N/A) 5P5T-125 mL Sterile Plastic (NIA -tab) SP2T-250 mL Sterile Plastic (N/A- lab) 8P3A-250 mL Plastic {NH2)2SO4 (9.3-9.7) Cubltainet VSGU-20 mL Scintillation vials (N/A) GN CD -4 B r r t, h se 0 U co N W t0 01 W aceAnalytical ° www.pacelabs.com 6701 Conference Drive, Raleigh, NC 27607 ph: (919) 834-4984, fax: (919) 834-6497 NCWW Cert!►ti7, NCDW Cert#37731 Chain of Custody W.O. # 9�31M�I5 Report Results To: ` Company: <'- 5 CM tt�L►''� 5 Address: Bill To: Project Reference: Project Number: Attn: Purchase Order: Phone: ❑ Standard Report Delivery ❑ Rush Report Delivery (w/surcharge) Fax: "Rush projects are subject to prior approval by Sampled by (signature); the laboratory Requested Due Date: Sample Description . • Cwnpoalmw �sah - Start Date End, Date Matrix WW. aW. SW aW, Sod. etc. 'Analyses Requested ' samulee Start Time i End Time ALVJA1 C S /� Q Ltit I- tit 4 TPIt ! s-f'�G r5-I .6LI l C, t, !forn Relinq ished by (slgnatt r R ived by (signature) Date Time i3 ,Relinquished by {si nature) eceiv {si to Date Time fi'I/ Relinquished V(signature) Received by (signature) Date Time Receipt Con iligns (Lab Usk Only) ❑ 4t2°C Cy Temp:°C Res. Chlorine: ❑ Absent ❑ Present ❑ nla Acid preserv. <2? ❑ Yes ❑ No ❑ nla Base preserv. >127 ❑ Yes 0 Ntpaib r14 of 13 Mid Atlantic Engineering & Environmental Solutions February 1, 2016 NCDEQIDWR Attention: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 RECEIVED FEB 202016 CENTRAL FILES DWR SECTION Subject: STORMWATER SAMPLING RESULTS DEALS ON WHEELS, INC. 14473 NC 96 HIGHWAY ZEBULON, NORTH CAROLINA NPDES PERMIT NO. NCG100062 To Whom It May Concern: 409 Rogers View Court Raleigh, NC 27610 office 919.250.9918 facsimile 919.250.9950 MAAONLINE.COM Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for the sampling conducted at the above -referenced site. A stormwater sample was collected from Outfall No. 1 on December 22, 2015 and analyzed for total suspended solids (TSS), pH, total recoverable lead, oil and grease and ethylene glycol. As indicated on the attached DMR, all parameters were reported below or within their respective benchmark values, with the exception of lead and total suspended solids. If you have any questions or need additional information, please contact me at 919-250-9918. Sincerely, MID -ATLANTIC ASSOCIATES, INC. Ron Davis Stormwater Services Manager Attachments: Discharge Outfall Monitoring Report Laboratory Analytical Report EXPERIENCED CUSTOMER FOCUSED INNOVATIVE aceAnal�/�'ical� J' www,pacefaftcom Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 January 04, 2016 Chuck Hoffman Mid -Atlantic Associates, Inc 409 Rogers View Court Raleigh, NC 27610 RE: Project: DEALS ON WHEELS Pace Project No.: 92281162 Dear Chuck Hoffman: Enclosed are the analytical results for sample(s) received by the laboratory on December 24, 2015. 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 nicole.gasiorowski@pacelabs.com Project Manager Enclosures cc: Ron Davis, Mid Atlantic Associatees, 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 wwY�omlab&mn Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: DEALS ON WHEELS Pace Project No.: 92281162 Indiana Certification IDs 7726 Moller Road, Indianapolis, IN 46268 Illinois Certification #: 200074 Indiana Certification #: C-49-06 Kansas Certification #:E-10177 Kentucky UST Certification #: 0042 Kentucky WW Certification #:98019 Louisiana Certification #: 04076 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 M 12 South Carolina Certification #: 99000001 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 FloridalNELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS Ohio VAP Certification #: CL-0065 Oklahoma Certification M 2014-148 Texas Certification #: T104704355-15-9 West Virginia Certification #: 330 Wisconsin Certification #: 999788130 USDA Soil Permit #: P330-10-00128 Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 West Virginia Certification #: 357 Virginia/VELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification M 99030001 West Virginia Certification #: 356 Virginia/VELAP Certification #: 460222 IN42 ]:tie] 91WA * ]:Ti 110]Xiff—AM W,f-IK This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 12 aceAnalytical s wwwoatelabs.rom Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)675-9092 SAMPLE ANALYTE COUNT Project: DEALS ON WHEELS Pace Project No.: 92281162 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92281162001 OUTFALL NO. 1 EPA 1664E JMS 1 PASI-C EPA 8015 Alcohol -Glycol RID 1 PASI-1 EPA 6010 CDF 1 PASI-A SM 2540D MDW 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not he reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 12 • aceAnalyircal www.pacelabs.carrr Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 ANALYTICAL RESULTS Project: DEALS ON WHEELS Pace Project No.: 92281162 Sample: OUTFALL NO. 1 Lab ID: 92281162001 Collected: 12/22/15 09:35 Received: 12/24/15 11:20 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 mg1L 5.0 1 12/30/15 04:55 8015M Glycols in water Analytical Method: EPA 8015 Alcohol -Glycol Ethylene glycol 6.0 mg1L 5.0 1 12/30/15 16:28 107-21-1 6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010A Lead 51.9 ug/L 5.0 1 12129/1517:15 12/3011517:44 7439-92-1 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 131 mg/L 25.0 1 12/29/15 08:12 D6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01 /04/2016 08:38 AM without the written consent of Pace Analytical Services, Inc- Page 4 of 12 aceAnaljtical 1` www.pacelabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: DEALS ON WHEELS Pace Project No.: 92281162 QC Batch: GCSV/23703 QC Batch Method: EPA 1664E Associated Lab Samples: 92281162001 METHOD BLANK: 1638915 Associated Lab Samples: 92281162001 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 12/30/15 04:44 LABORATORY CONTROL SAMPLE: 1638916 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mglL 20 17.3 87 64-132 MATRIX SPIKE SAMPLE: 1638917 92261078001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mg1L ND 20 13.4 67 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: 01/04/2016 08:38 AM without the written consent of Pace Analytical Services, Inc.. Page 5 of 12 aceAnalytrcal "..pacelabs.carn Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: DEALS ON WHEELS Pace Project No.: 92281162 QC Batch: GCSV118014 QC Batch Method: EPA 8015AIcohol-Glycol Associated Lab Samples: 92281162001 METHOD BLANK: 1454409 Associated Lab Samples: Parameter Units Ethylene glycol mglL LABORATORY CONTROL SAMPLE: 1454410 Parameter Units Ethylene glycol mg1L QUALITY CONTROL DATA Analysis Method: EPA 8015 Alcohol -Glycol Analysis Description: EPA 8015 Modified Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 12/30/15 15:12 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 25 25.5 102 79-129 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1454606 1454607 MS MSD 92281238001 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 30.3 26A 119 102 67-133 15 Results presented on this page are in the units indicated by the "Units" column except whefe 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: 01/04/2016 08:38 AM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 aceAnalytical tvttn+;pacelabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: DEALS ON WHEELS Pace Project No.: 92281162 QC Batch: MPRPI20389 Analysis Method: EPA 6010 QC Batch Method: EPA 3010A Analysis Description: 6010 MET Associated Lab Samples: 92281162001 METHOD BLANK: 1638246 Matrix: Water Associated Lab Samples: 92281162001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Lead uglL ND 5.I1 12131/1511:58 LABORATORY CONTROL SAMPLE: 1638247 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Lead ug1L 500 429 86 80-120 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1638248 1638249 MS MSD 92281141001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Lead uglL ND 500 500 414 421 83 84 75-125 2 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/04/2016 08:38 AM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 aex, Analytical www.nacelabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704 )875-9092 QUALITY CONTROL DATA Project: DEALS ON WHEELS Pace Project No.: 92281162 QC Batch: WETI42206 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92281162001 METHOD BLANK: 1638112 Matrix: Water Associated Lab Samples: 92281162001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 12/29/15 08:11 LABORATORY CONTROL SAMPLE: 1638113 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 242 97 90-110 SAMPLE DUPLICATE: 1638114 92281162001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 131 139 6 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: 01104I2016 08:38 AM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 aceAnaljtical J' wwwaacefabs.oam Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALIFIERS Project: DEALS ON WHEELS Pace Project No.: 92281162 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. 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) PUP - 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, Styrene, and Vinyl chloride. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte PASI-I Pace Analytical Services - Indianapolis ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01 /04/2016 08:38 AM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 aceAnal ical ww&pacelabs.=n Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Pace Project No.: DEALS ON WHEELS 92281162 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92281162001 OUTFALL NO. 1 EPA 1664B GCSV/23703 92281162001 OUTFALL NO. 1 EPA 8015 Alcohol -Glycol GCSV/18014 92281162001 OUTFALL NO. 1 EPA 3010A MPRP120389 EPA 6010 ICP118397 92281162001 OUTFALL NO. 1 SM 2540D WET/42206 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01 /04/2016 08:38 AM without the written consent of Pace Analytical Services, Inc.. Page 10 of 12 �, c=Analytical Document'N6;:.. F-CH R-CS-003-rev.17 fssulrig I�iitharityi � Pace Huntersvlfle-Cldall�;Office.' []Other: Used: Type of ice: pWet ❑Blue ❑None Dan, pies o tce;cooling process has begun Cooler Temp Corrected (°C)i 2 ) Biological Tissue.Frozen?- Yesfa ;,. NIA ' r Temp should be above fr zing to VC Correction Factor; 0.0 °C Date and Initials of Person Examining:f�ont61s ?: �� %r e ` USDA Regulated SoilN /A, water sample) r ` Did samples originate a quarantine zone within the United States: CA, NY, or SC (check maps)? D:d Ohples originate irotn'3'faMin source (intemaUonalfy, ❑Yes /(�No' Includlog Hawaii an41`64o illc [Yes ENO if Yes to either question, fill out.a Regulated Soil Checklist and Include with wSCUR/Coc-paperworK, '' COMMENTS:.` Chain of Custody Present? Y []No N/A 1. Chain of Custody Filled Out? Yes []No ❑N/A 2. .Chain of Custody Relinquished? Ye [']No N/A 3. . Sampler Name and/or Signature on COC? '. 2(yp ONO NIA 4. Sam tes Arrived within Hold Time? Yes ❑No R/A S. Short Huld Time Analysis (e72 hr)? OYes. ONo.....❑N/A 6.. �1. -;•r: - Rush Turn Around Time Requested? ❑Yes No N/A 7. , .. Sufficient Volume? a ❑No ❑N/A 8, `� - Correct Contalners Used?• Yes ONO []N/A 9. p't ` s" ' -Pace CQptalners Used? Yes No NIA : s: Containers Intact? Yes No NIA 10, Filtered Volume Received for Dissolved Tests? Yes No /A 11. Note If sedlment is vfslble !n tfi dQoived container Sample Labels Match COC?' Yes [:]No []N/A 12. -Includes Date/TimeAD/Anal sis Matrix: 1 / 'Ail containers needingacfd/base preservation Have been checked?❑No ❑N/A 13 .. .. All containers needing preservation are found to be In compliance with EPA recommendation? (hNO3, H2S0,, HCi<2; NaOH >9 Sulfide, NaOH>32 Cyanide) 16eyle, ❑No ❑NIA Exceptions: VOA, Coliform, TOC, Oil and Grease, - - DRO 8015 (water DOC LLHg No ONJA Sam es checked fordechlorizatlon YesONO ❑N/A 14. HeadspaceinVOA Vials >5-6mm)? ❑Yes Z Na. ❑N/A 15. Trip Blank Present? []Yes []No /A ,16. , Trip Blank Custody Seals Present? ❑Yes []No, /a•• r .�•' . • .:r ;: -,-.'. Pace Trip Blank Lot tl If purchased): CLIENT NOTIFIC4TI6N/RES0LUTIDN' Person Contacted: Comments/Resolution: Client blame: Project if: low Courier: Fed UPS LISPS Client ❑Commercial []Pace []Other: Custody Seal on Cooler/Box Present? []Yes /['jNo Packing Material: ❑Bubble Wrap Bubble Bags Thermometer 171"TT1505 WOi6:92281162 92281162 Seals Intact? ❑Yes -QNo ❑None Field Data;tequlretl? [,Yes ❑No Project Manager SCURF Review.. ��1j __ Date, 2 y t� Note: Whenever there Is a discrepancy affecthts North Carolina comfliahce samples, a copy of this form wlll be sent'to the North tarolina DEHNR Certification Office (Le. Out of hold, Incorrect preservative, out OftemP,incorrect containers). Page 11 of12 Date/Time: - - ;ZeAnalXical CHAIN -OF -CUSTODY 1 Analytical Request Document The Chairs -of -Custody is a LEGAL DOCUMENT. AD relevant fields must be completed accurately. !ction A Section B Section C Page. [ of 1 tquired Client Information: Required Project Information: Invoice Information: f a )mpany: Mid -Atlantic Associates, Inc. Report To Chuck Hoffman (choffman@maaonline.com) Attention. Chuck Hoffman (dress: 409 Rogers View Court Copy To: Ron Davis (rdavis@maaanline.com Company N—o: Mid -Atlantic Associates, inc. REGULATORY AGENCY Raleigh, NC 27610 Address: 409 Rogers View Court, Raleigh, NC F NPDES r GROUND WATER I- DRINKING WATER F UST ; RCRA f- OTHER ,act To choffman@maaontine.com Purchase order No.: R231 D.00 Pace Quote _ Reference: tone: E 14 250 9916 Fax: 919-25D-995D Ptoj1!CI Name: Deals on Wheels Pace Prged Nicole Gasiorow5ki Site Location Managm: STATE: rquestec Due Date/TAT: Standard Project Number. R2310.00 Pace Profile b: -- �aZt ,. 4 1 Requested Analysis Filtered AIN) Section D Valid Matrix Codes r z Required client lntomtal= MATRIX CODE e g COLLECTED Preservatives `> N Y N Y DRIWnMGWATER OW - 0 Z N WATER WY WASTE WATER WW E h U COMPOSITE COMPOSITE O U N z PR004XT P s d7 START PNOC..RAe } SOIUSOUD SL cc > OL oL SAMPLE ID WIPEAIR WP AR o = O E? O " CO LLI do O u (A-Z. 0-9 ! .-1 OTHER of p 1u a a = `J l Sample IDS MUST BE UNIQUE T SUF Ts p M to a CD w a a a M. O E c Z m m-W Cc L Q a1 m DATE TIME DATE TIME rn D z" z U x z z Z O Q I atOi fx Pace Project Not Lab I.D. 1 Outfall No. 1 vvT G - 7 a 11 2 1 x x x x Rainfall (inches): i. 2 f;?5 If -}( x H: 3 4 5 6 7 e 9 10 11 i2 ADDITIONAL COMMENTS RELINQUISHED BY 1 AFFILIATION DATE TIME ACCEPTED BY 1 AFFILIATION DATE TIME SAMPLE CONDITIONS SAMPLER NAME AND SIGNATURE n > g g z c mz PRINT Name of SAMPLER: 1 1'Q - • E u m? H`. SIGNATURE of SAMPLER: DTE S,ignyed 2 E MAATE (: . -important Now By sighing this form you are accepting Pace's NET 30 day payment terms and agreeing to late charges of 1.5% per morph for any invoices not paid mlhiA 30 day]. 0 F-ALL-0-020rev.08, 12.Oct-2007 RUNK Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit. http://portl.n� denr.org/web/wq/`ws/su/BWessw#tab-4 Permit No.: Facility Name: na & 1 ASP County: f+ inspector: Date of Inspection: 2-2 — 2- ,2 2 Time of Inspection: !2: 9 S" 14- or Certificate of Coverage No.: .0h 1 AC _ Total Event Precipitation (inches): /. S FEB 2 0 2016 CENTRAL FILES Was this a "Representative Storm Event" or "Measureable Storm Event" as defineArPxtE(D4r4Qsx? (See information below.) Ef Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. i A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office,• By this signature, I certify that this report is accurate and complete to the best of my knowledge: ,A e2 • - (Signatdre of Permittee or Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 4 1. Outfall Description: � Outfa/ ll No. �_ Structure (pipe, ditch, etc.) _ -- `" Receiving Stream: / Describe the i dustrial activities that occur within the outfall drainage area: .�UA-A-4- 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 0 4 5 7. Is there any foam in the stormwater discharge? Yes No B. Is there an oil sheen in the stormwater discharge? Yes S 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: r List and describe_ :cam a P—e&- C-0 Note: Low clarity, high solids, and/or the presence of foam,, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 M'O(d Atlantic Engineering & Environmental Solutions December 28, 2015 NCDENRIDWQ Attention: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 409 Rogers View Court Raleigh, NC 27610 office 919.250.9918 facsimile 919.250.9950 MAAONLINE.COM RECEIVED JAN 08 Coro CENTRAL FILES DWR SECT[ON Subject: STORMWATER SAMPLING RESULTS LOUTA MOTOR COMPANY 2647 EAST HIGHWAY 64 LEXINGTON, DAVIDSON COUNTY, NORTH CAROLINA PERMIT NCGl00066 MID -ATLANTIC JOB NO. 00OR2083.00 To Whom It May Concern: Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for the sampling conducted at the above -referenced site. A stormwater sample was collected from Outfall 001 on November 9, 2015 and analyzed for total suspended solids (TSS), pH, total recoverable lead, oil and grease and ethylene glycol. As indicated on the attached DMR, all parameters were reported below 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. Ron Davis Stormwater Services Manager Attachments: Stormwater Discharge Monitoring Report Laboratory Analytical Report EXPERIENCED CUSTOMER FOCUSED INNOVATIVE e -�ceArraly�cal�� i�c�wt+:p966febs cagT: Pace Analytical Services, Inc. . 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 November 18, 2015 Chuck Hoffman Mid -Atlantic Associates, Inc 409 Rogers View Court Raleigh, NC 27610 RE: Project: LOUTA MOTOR COMPANY Pace Project No.: 92275521 Dear Chuck Hoffman: Enclosed are the analytical results for sample(s) received by the laboratory on November 10, 2015, 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. 'ru Nicole Gasiorowski nicole.gasiorowski@pacelabs.com Project Manager Enclosures cc: Ron Davis, Mid Atlantic Associatees, 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 gjaea! ' feat' ilYW.11t�dC918b9.CGNl, Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, 14C 28078 (704)875-9092 CERTIFICATIONS Project: LOUTA MOTOR COMPANY Pace Project No.: 92275521 Indiana Certification IDs 7726 Moller Road, Indianapolis, IN 46268 Ohio VAP Certification #: CL-0065 Illinois Certification #: 200074 Oklahoma Certification #: 2014-148 Indiana Certification #: C-49-06 Texas Certification M T104704355-15-9 Kansas Certification #:E-10177 West Virginia Certification #: 330 Kentucky UST Certification #: 0042 Wisconsin Certification #: 999788130 Kentucky WW Certification #:98019 USDA Soil Permit #: P330-10-00128 Louisiana Certification #: 04076 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Hunlersville, NC 28078 North Carolina Drinking Water Certification M 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #; E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 Florida/NELAP Certification #: E87627 Kentucky UST Certification 9: 84 West Virginia Certification #: 357 VirginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 VirginiaNELAP 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 12 7mcm- az' VIC ;l�ivhcpaalabscvn}, Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 SAMPLE ANALYTE COUNT Project: LOU IA MOTOR COMPANY Pace Project No.: 92275521 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 9227SS21001 OUTFALL NO. 1 EPA 1664E JMS 1 PASI-C EPA 8015 Alcohol -Glycol BJW 1 PASI-1 EPA6010 CDF 1 PASI-A SM 2540D SAM 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 yxvAnalytrcal 1 . rilvlx yeCelabS. CtMt, Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, IVC 28078 " (704)875-9092 ANALYTICAL RESULTS Project: LOUTA MOTOR COMPANY Pace Project No.: 92275621 Sample: OUTFALL NO. 1 Lab ID: 92275521001 Collected: 11/09/15 09:25 Received: 11/10/15 15:20 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 1664 SGT-HEM, TPH Analytical Method: EPA 1664E Total Petroleum Hydrocarbons ND mg/L 5.0 1 11/17/15 07:29 8015M Glycols in water Analytical Method: EPA 8015 Alcohol -Glycol Ethylene glycol NO mg/L 5.0 1 11/13/15 12:49 107-21-1 6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010 Lead 9.2 ug/L 5.0 1 11/12/15 19:30 11/16/15 23:00 7439-92-1 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 16.8 mg/L 2.5 1 11/11/15 09:35 Date: 11/18/2015 02:33 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 4 of 12 yceArralycal' Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 { (704)875-9092 QUALITY CONTROL DATA Project: LOUTA MOTOR COMPANY Pace Project No.: 92275521 QC Batch: GCSV/23224 Analysis Method: EPA 1664E QC Batch Method: EPA 1664B Analysis Description: 1664 SGT-HEM, TPH Associated Lab Samples: 92275521001 METHOD BLANK: 1608003 Associated Lab Samples: 92275521001 Parameter Units Total Petroleum Hydrocarbons mg/L LABORATORY CONTROL SAMPLE: 1608004 Parameter Units Total Petroleum Hydrocarbons mg/L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 11/17/15 07:12 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 20 14.0 70 64-132 MATRIX SPIKE SAMPLE: 1608005 92274641001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mg/L ND 20 13.0 65 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: 11/18/2015 02:33 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 12 ac0nalytcal� 'i i`WWWDBC6I868,40RT: Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 " (704)875-9092 QUALITY CONTROL DATA Project: LOUTA MOTOR COMPANY Pace Project No.: 92275521 QC Batch: GCSV117488 Analysis Method: EPA 8015 Alcohol -Glycol QC Batch Method: EPA 8015 Alcohol -Glycol Analysis Description: EPA8015 Modified Associated Lab Samples: 92275521001 METHOD BLANK: 1423868 Associated Lab Samples: Parameter Units Ethylene glycol mg/L LABORATORY CONTROL SAMPLE: 1423869 Parameter Units Ethylene glycol mg/L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 11/13/15 12:02 Spike LCS. LCS % Rec Conc. Result % Rec Limits Qualifiers 25 28.5 114 79-129 MATRIX SPIKE 8, MATRIX SPIKE DUPLICATE: 1423870 1423871 MS MSD 60206933001 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 29-9 30.3 119 121 67-133 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 shad not be reproduced, except in full, Date: 11 /18/2015 02:33 PM without the written consent of Pace Analytical services, Inc.. Page 6 of 12 .; Ana�ycali i `�thN±:pecefsha;4nrr! Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: LOUTA MOTOR COMPANY Pace Project No.: 92275521 QC Batch: MPRP120015 Analysis Method: EPA6010 QC Batch Method: EPA 3010 Analysis Description: 6010 MET Associated Lab Samples: 92275521001 METHOD BLANK: 1605410 Associated Lab Samples: 92275521001 Parameter Units Lead ug1L LABORATORY CONTROL SAMPLE: 1605411 Parameter Units Lead ug1L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 11/16/15 22:18 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 500 466 93 80-120 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1605412 1605413 MS MSD 92275750001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result • % Rec % Rec Limits RPD Qual Lead uglL ND 500 500 452 446 90 89 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: 11118l2015 02:33 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 aceAr�a`lyica!" iIYKMttpdC9it1t1S:t71YtF. Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 " (704)a75-9092 QUALITY CONTROL DATA Project: LOUTA MOTOR COMPANY Paoe Project No.: 92275521 QC Batch: WET141326 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92275521001 METHOD BLANK: 1603465 Associated Lab Samples: 92275521001 Parameter Units Total Suspended Solids mglL LABORATORY CONTROL SAMPLE: 1603466 Parameter Units Total Suspended Solids mglL SAMPLE DUPLICATE: 1603467 Parameter Total Suspended Solids SAMPLE DUPLICATE: 1603468 Parameter Total Suspended Solids Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 11/11/15 09:26 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 250 254 102 90-110 92275465001 Dup Units Result Result mglL 131 137 92275374003 Dup Units Result Result mglL 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 /18/2015 02:33 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 �ce�A�a�y>tcal-' h ;lv_�tcpacefab9.Canf Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALIFIERS Project: LOUTA MOTOR COMPANY Pace Project No.: 92275521 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. 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, Styrene, and Vinyl chloride. 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 PAS I -A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte PASI-I Pace Analytical Services - Indianapolis REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11 /18/2015 02:33 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 aceAnalycal i 1✓rdlxp6C6184S. POrt7, Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 kuntersville, N% 28078 (704)875.9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: LOUTA MOTOR COMPANY Pace Project No.: 92275521 Lab ID Sample ID QC Batch Method Analytical QC Batch Analytical Method Batch 92275521001 OUTFALL NO. 1 EPA 1664B GCSV123224 92275521001 OUTFALL NO. 1 EPA 8015AIcohol-Glycol GCSV117488 92275521001 OUTFALL NO. 1 EPA 3010 MPRP120015 EPA6010 ICP118048 92275521001 OUTFALL NO. 1 SM 2540D WET/41326 Date: 11/1812015 02:33 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc . Page 10 of 12 or I 6i r n UJU i i,,O'A V, 'M Mal bij.'rO tbmme e bth6f4--,. rc no 1,07 al present yes � WN1ADB Dite.MImNa�n9. i—Rbun l9462i Ty 166�. 029 WE @,8 -f i - - emp;Jdorreic@onTactor T-1402 N61--d6ifeicidin I Date and ifittloWd'.08'rk,on, ted- o6lir.Titbo! 4 I. Frozen: Y" i� contents To to! CK6KbVCatddy Pies6-Wl - ----- bKa-W6fCii§t6dq FillididOijt "a'Kof 'C'r6td-dq tIOWN .3.. Sir Oli'r' mg�k Simpli Hold, ELP, Qkq IOW R-AFflVe—d:wltblfi., 6. e R6ihjTUffiIAi66fi-d TlhiW,"R ............. ©ices, 0 NO Corr- 6i,cbfit6ini7rs",Uiao Wd riOko E)Wk- e bi, nersUsed: todainersilritaa. i Y14, -J�J�N[A�. ­0 1 '46 N(�i teredlv6lume recelVed". r, DlMlVedHt" : s A, M M Al I b6n It aln-6rs nded W9' Ore s 6N a tj.p iI h.v OWAI 4ii-corairriers'�neadlqg,,preservition�alb,,,f6,u—nai;t6.,b.b [h &*Ia6a whk PA exceptions: Qyis�p o, A ch)k, 18,.: Oyes ON6. IllruY Rk Tap.'r""", Is FiA Data:Raquireft y ri, f14, k%O_a acted Dated iirte' - 65 9 1 S RF R 69 kW g, affecting kq,,,NodWiCe mo � 1�� �'�;�� ���i�1�4 �� ` T; Page 11 of 12 ]CHAIN OF=CUS OY�i,Analytical Request Document " Th i'ChaGi:d-candy Es a iEGAL I2G10E1MENT AB t'elBvarrtTieltls IlWst'be Camp ted:accuraiety r 1 e N �,,,, Raqulrod C6ern {n{gmalk, Sectiotl I� Rn9uleerl P`irdoFiiialloni - �SB;tioe C � _. Pagai t'ot m _ ;[mr,Iritomfallot M1d-1 i2t1UC 1i55flClaf S,,It1C ; RepoR Ta , CIIUCk°FHOfiTtldil (ChOfhT18R( t1123Qr1I1E18:Cori1) Atta�dfal %Chii& Hbffm3nl f s ___. a 409 Rogers:Vte 'Court Gopy 7o.`t Ran;Davis'{ndavis@fi aaonUm'omT - n1_ M]"flantic'A'ssoi lates;4i ir- gEGULATORY AGENCY { R2lelghiJC 27610 - _ Asidress:' - 9;Ro-dFW1eirCnuti?Rafe3gh�=NCi ' - i y DES GRouPlp wgTER; DRINxfuG;wATE"Ri lJS"Tt 7HEft �E[rtad,Tq: choiiman[d�maaonlirie com PerCt--Ord- No.:: R208100-- e 91.9.25U-49i8 " ' Fa�c 9i3 25d�9954 P .K-cr :LduEa M6tdt Co-rfiW- P Nux�ie asiorowslii �,� iteTLacat oo t- Rt uestedQua'.daisfFAT swtw;a Pt�ecxNurnber. _ R2083i00' i pac�P,ra>iroxs - NC sts Fitteretl YIN S f u _ Sast[on G lfitld leahllc Codes OCSerd<t c ten [AOE _ S , .a ; COLLECTED _ 1 f J I - - -- .. _Preservatives z } N - '-Y - tN Yi E _ i WATM r WA$TB i a t� t, f I I .._.. .. _ IMITEJI PROOucr.�_..P 'dMJ54'7lA _ 4vW 1dp Isv 1 i i K 4 E sTNiry lA�1SE j' f V fJyiy F I II Q i I SAMOf-,E NU r, C i k 5 :SBmp]elps;�EtiST-9E'EJNtQt)E 71SS1i6 s fiat tTs I A �+7 W i 0. �� 1Q } 3 � 4 `N �. e 7M F� m (� m I t I (j _ O. th _ r xi - -- -- ---- — ! :DATE, �U q- ,TtMEi f' iDiATE !�` _ TIME: 9CaZy� # +37, � Oat ' z: 2 21 Z z 'g: A .a' �' �z . `::x i .xa m. x: ] _ I , I - �: �� j-- _ _ Pace`P o ect HoJ:1"ati`LD, -Rainfall: Inches : tan _ Outfall.No. i wr. IGa L� to Ali{ HIM— — P..-_" — 5 - - ,- i l y 1 — -71 — - I ' 1 lAI I VIA f ' 771 , ADCITIONAL COA6MENTS' RELINGUISNEO ;��.- BY'1 AFF1LlATION ..tea.-•�'•,--- x ' `DATE '�'- TIME - cc TED --�+sk��.s 6Y l AFi1LWTiQN ttJJ OIiTE .a TIME { SAMPLEyCONf?}I IONS;; -� - PRlN7 Name cl SAEIPiLE- z Y� tlV. CL w_ — ' �@ r•-- ��QATirSlgned.- _ S[GTWTi}RE OT $ANIPI FR - y • ,-+r f ''�Q �� ~_ � of �F"" _�; �� `3 �� �>... tq -- •trispoAain A>aia ev:�a �+ �rw m. xxyuny ?«ey }"_�IEr�3o ear paymrriatenn.;,,p ap�eeu�i.m we ceoipsa'ut,t'Si.'pc'�main� sx'enjr icra-7Ee`s"`riot p:la;�hm`§e`o4ra:• F�ALLAG-0xUrev 48 ,� 2-c�"c#:2607 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100062 FACILITY NAME Deals on Wheels, Inc. PERSON COLLECTING SAMPLE(S) Mike Bailey CERTIFIED LABORATORY(S) Pace Analytical Lab #12 Lab # Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR:2015 (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.) COLT NTY Johnston PHONE NO. (919) 269-4587 PLEASE REMEMBER TO SIGN ON THE REVERSE --> 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 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 Organics3, mg/L Benchmark - - 6.0 — 9.01 100/502 15 8,000 (Tiers 2 and 3) 0.03 1.0 Outfall001 12/22/15 1.5 7.2 131 <5.0 6.0 0.0519 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. Form SWU-2S1, last revised October25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT 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. 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 directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee or Designee) �,,?-/7-16 (Datej Form SWU-251, last revised October 25, 2012 Page 2 of 2 • STATE u RECEIVED Stormwater Discharge Out€all (SDO) OCT 262015 Qualitative Monitoring Report CENTRAL FILES Q g P DWR SECTION For guidance onfrlling out thisform, please visit: http://h2o.enr.state.ne.us/su/Forms Doeurnents.htm#tniscforms Permit No.: NICI l�l I I I I_I or Certificate of Coverage No,: NIC/G/ J/ 0/0ldl aI 4 Facility Name: E�s r C- County: Phone No. _ 19�� % —A S IR7 Inspector: Date of inspection: — Time of Inspection: __ _ �' ��� �}^i✓i Total Event Precipitation (inches): 0 Was this a Representative Storm Event? (See information below) ["Yes ❑ No Please check your permit to verify if Qualitative Monitoring must he performed during a representative storm event (requirements vary). A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. By this signature, I certify that this report is accurate and complete to the best of my knowledge: Permittee or Designee) L Qutfall Description: Outfall No. 6) Structure (pipe, ditch, etc.) Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: ._ tom-e'b,rle 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: '7 4 VoN 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): Page 1 of 2 5 WU-242- I ! 2b0R 4� r 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: v 1 2 a 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 4 5 7. Is there any foam in the stormwater discharge? Yes 0 8. is there an oil sheen in the stormwater discharge? Yes 0 9. Is there evidence of erosion or deposition at the outfall? Yes lD 14. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 S WU-242- l 12608 mod Atlantic Engineering & Environmental Solutions October 6, 2015 NCDENRIDWQ Attention: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: STORMWATER SAMPLING RESULTS DEALS ON WHEELS, INC. 14473 NC 96 HIGHWAY ZEBULON, NORTH CAROLINA NPDES PERMIT NO. NCG100062 To Whom It May Concern: RECEIVED OCT 26 2015 CENTRAL FILES DWR SECTION 409 Rogers View Court Raleigh, NC 27610 office 919.250.9918 facsimile 919.2S0.9950 MAAONLINE.COM Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for the sampling conducted at the above -referenced site. A stormwater sample was collected from Outfall No. 1 on August 31, 2015 and analyzed for total suspended solids (TSS), pH, total recoverable lead, oil and grease and ethylene glycol. As indicated on the attached DMR, all parameters were reported below or within their respective benchmark values, with the exception of lead (Note: lead was detected at a concentration of 0.0374 mg/L, which slightly exceeds the established benchmark value of 0.030 mg/L). Based on these results, a Tier One Response has been implemented at the facility. If you have any questions or need additional information, please contact me at 919-250-9918. Sincerely, MID -ATLANTIC ASSOCIATES, INC. Ron Davis Stormwater Services Manager Attachments: Discharge Outfall Monitoring Report Laboratory Analytical Report EXPERIENCED CUSTOMER FOCUSED INNOVATIVE aceAnalytical www.pacelabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 September 09, 2015 Chuck Hoffman Mid -Atlantic Associates, Inc 409 Rogers View Court Raleigh, NC 27610 RE: Project: DEALS ON WHEELS R2310.00 Pace Project No.: 92265903 Dear Chuck Hoffman: Enclosed are the analytical results for sample(s) received by the laboratory on September 01, 2015. 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 nicole.gasiorowski@pacelabs.com Project Manager Enclosures cc: Ron Davis, Mid Atlantic Associatees, 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 aceAnalytical wwwpacelabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)675-9092 Project: DEALS ON WHEELS R2310.00 Pace Project No.: 92265903 Indiana Certification IDs 7726 Moller Road, Indianapolis, IN 46268 Illinois Certification M 200074 Indiana Certification #: C-49-06 Kansas Certification #:E-10177 Kentucky UST Certification #: 0042 Kentucky WW Certification #:98019 Louisiana Certification #: 04076 Raleigh Certification IDs 6701 Conference Drive, Raleigh, NC 27607 North Carolina Wastewater Certification #: 67 Charlotte Certification IDs 9800 KinceyAve. 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 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 #: 2014-148 Texas Certification #: T104704355-15-9 West Virginia Certification #: 330 Wisconsin Certification #: 999788130 USDA Soil Permit #: P330-10-00128 North Carolina Bioassay Certification #: 16 North Carolina Drinking Water Certification #: 37731 Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 West Virginia Certification #: 357 VirginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 VirginiaNELAP 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 aceAnalytrcal www.pacefabs.crom Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 SAMPLE ANALYTE COUNT Project: Pace Project No.: DEALS ON WHEELS R2310.00 92265903 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92265903001 OUTFALL NO 1 EPA 16646 JMS 1 PASI-C EPA 8015 Alcohol -Glycol BJW 1 PASI-1 EPA 6010 JDA 1 PASI-A SM 2540D RC 1 PASI-R 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 13 ac..-lAnalytical www.pacerabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 25078 (704)875-9092 ANALYTICAL RESULTS Project: DEALS ON WHEELS R2310.00 Pace Project No.: 92265903 Sample: OUTFALL NO 1 Lab ID: 92265903001 Collected: 08/31/15 09:45 Received: 09/01/15 17:10 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 mg1L 5.0 1 09/08/15 09:01 8015M Glycols in water Analytical Method: EPA 8015Alcohol-Glycol Ethylene glycol ND mg1L 5.0 1 09/03/15 18:41 107-21-1 6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010 Lead 37.4 uglL 5.0 1 09/04/15 18:30 09/08/15 20:27 7439-92-1 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 85.7 mglL 11.5 1 09/07/15 15:21 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/09/2015 06:20 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 13 accAnalytical www.pacelaftom Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: DEALS ON WHEELS R2310.00 Pace Project No.: 92265903 QC Batch: GCSV/22507 QC Batch Method: EPA 1664B Associated Lab Samples: 92265903001 METHOD BLANK: 1550125 Associated Lab Samples: 92265903001 Parameter Units Total Petroleum Hydrocarbons mg/L LABORATORY CONTROL SAMPLE: 1550126 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 09/08/15 08:46 Spike LCS LCS % Rec Cone. Result % Rec Limits Qualifiers 20 13.3 66 64-132 MATRIX SPIKE SAMPLE: 1550127 92266221001 Spike MS MS % Rec Parameter Units Result Cone. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mg/L ND 20 13.7 68 64-132 Results presented on this page are in the units indicated by the "Units" column except whore an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/09/2015 06:20 PM without the written consent of Pace Analytical Services, Inc. Page 5 of 13 aceAnalyfical www.pacelabs.com Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: DEALS ON WHEELS R2310.00 Pace Project No.: 92265903 OC Batch: GCSV/16642 Analysis Method: EPA 8015 Alcohol -Glycol OC Batch Method: EPA 8015 Alcohol -Glycol Analysis Description: EPA 8015 Modified Associated Lab Samples: 92265903001 METHOD BLANK: 1371542 Matrix: Water Associated Lab Samples: Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Ethylene glycol mg/L ND 5.0 09/03/15 17:02 LABORATORY CONTROL SAMPLE: 1371543 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Ethylene glycol mg/L 25 27.2 109 79-129 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1371623 1371624 MS MSD 92265903001 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 22.1 25.1 70 82 67-133 13 Results presented on this page are in the units indicated by the "units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/09/2015 06:20 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 13 �ace AnalWical www.pacelabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: DEALS ON WHEELS R2310.00 Pace Project No.: 92265903 QC Batch: MPRP/19423 Analysis Method: EPA 6010 QC Batch Method: EPA 3010 Analysis Description: 6010 MET Associated Lab Samples: 92265903001 METHOD BLANK: 1549347 Matrix: Water Associated Lab Samples: 92265903001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Lead ug/L ND 5.0 09/08/15 20:12 LABORATORY CONTROL SAMPLE: 1549348 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Lead ug/L 500 450 90 80-120 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1549349 1549350 MS MSD 92265903001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc, Result Result % Rec % Rec Limits RPD Qual Lead ug/L 37.4 500 500 488 490 90 90 75-125 0 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/09/2015 06:20 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 13 m aceAnalytical www,pacelabs.aom Pace Analytical Services, Inc. 9800 Kincey Ave Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: DEALS ON WHEELS R2310.00 Pace Project No.: 92265903 QC Batch: RWET18642 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92265903001 METHOD BLANK: 1550090 Associated Lab Samples: 92265903001 Parameter Units Total Suspended Solids mg/L LABORATORY CONTROL SAMPLE: 1550091 Parameter Units Total Suspended Solids mg/L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 0910711515:20 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 250 220 88 90-110 SAMPLE DUPLICATE: 1550092 92266345003 Dup Parameter Units Result Result Total Suspended Solids mgtL 578 678 RPD Qualifiers 16 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: 09/09/2015 06:20 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 13 accAnalytrcal wwwpacofabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Hintersville, NC 28078 (704)875-9092 QUALIFIERS Project: DEALS ON WHEELS R2310.00 Pace Project No.: 92265903 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. 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, Styrene, and Vinyl chloride. 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 PASI-R Pace Analytical Services - Raleigh ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/09/2015 06:20 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 13 a cO Analytical www.pacelah&= Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersvihe, NC 28078 (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: DEALS ON WHEELS R2310.00 Pace Project No.: 92265903 Lab ID Sample ID QC Batch Method 92265903001 OUTFALL NO 1 EPA 1664B 92265903001 OUTFALL NO 1 EPA 8015 Alcohol -Glycol 92265903001 OUTFALL NO 1 EPA 3010 92265903001 OUTFALL NO 1 SM 2540D Date: 09/09/2015 06:20 PM QC Batch Analytical Method GCSV122507 GCSVI16642 MPRP119423 EPA 6010 RWETI8642 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Analytical Batch ICP117457 Page 10 of 13 Document Name: Sample Condition Upon Document Revised: May 15, 2015 ;acmnafyfical Receipt (SCUR) Page 1 of 2' Document No,: Issuing Authorities: F-RAL-CS-001-rev.03 Face Raleigh Cluality Office 'Pane 2 of 2 is for Internal Use Only Client Name:, La. )N Gl;�/l'i"I 1��5 � 'I Courier (Circle): Fed 8x UPS LISPS - Client Commercial Pac Other_ Custody Seal on Cooler/Box Present: ❑ yes V no Seals lnlacl. yes no Packing Material: [] Bubble Wrap s None Other Circle Thermometer Used: IR Gun S :1220S53f37T t Q. el Blue None Samples on ice, cooling process has begun IR Gun 8uak4Jw,§N"122065371 Tamp Correction Factor: Add / 1wract �` C Corrected Cooler Tam C 8lological Tissuo is Frozen: Yes N WA P Temp should be above freezing to 8'C Comments: Data and initials of person examining coal cheek: Chairs of Custody Present: Yae ❑No ❑NIA 11, Chain of Custody Filled Out: Yes Ono ❑NIA 2, Chain of Custody Relinquished: es ❑No CNIA 3. Sampler Name & Signature on COC: es ONo LIMA 4. Samples Arrived within Hold Time: OYris ONo ❑NIA 5, Short Hold Time Anal sls <72hr : Ciyes VN. ❑NIA 6. Rush Turn Around Time Re uested: ❑Yae No GNIA 7. Sufficient Volume: J&as ONo ❑N/A B. Correct Containers used: -Pace Containers Used: XYes ❑No Y s ON. ONIA ❑NIA 9. Containers Intact: Yes ❑Nu ❑WA 10. Filtered volume received for Dissolved tests ❑Yea ❑Nu RNIA 11. Sample Labels match COG: -Includes dateltime/iDlAnal sIs Matrix: Y ❑rda ❑wA 12. All containers needing preservation have been chocked. All containers needing preservation are found to be in compliance with EPA recommendation. exceplbns: VOA, colifami,TOG, O&G.MORO(water) Yoe 1.7No pjYes ONo r 4Yes ❑No ❑NJA ©NIA 13. Sam fes checked for dechlorination: vas ONo ❑NIA 14. Heads ace in VOA Vials(>6mm : QYaa ONo NIA 15. Trip Blank Present: Trip Blank Custody Seals Present Pace Trip Blank Lot At It purchased): ❑Yes ONo f VNIA ❑Yes ONO NIA 16. Client Notlffcatlonl Resolution: Field Data Required? Y I N Person Contacted: DaleMma: Comments) Resolution: SCURF lSRF i gate.. -1(2 [ J W®# : 92265903 Revlew:: i� L_ Z / Note: Whenever there is a discrepancy affecting ::arth Carolina compliance samples, a copy of this form will be sent to the 4odh Carolina DEHNR Cartiflcatlon Office (i.e out of hold, Incr,;fact p-mervc.'ne, ou: of temp. Incorrect corla!ners) iiaIII anaIII unnm 92265903 -- Page i� 3 Document Name: Sample Condition Upon Oocument Revised: May 15, 2015 "dCBAli3lytreaJ• Receipt (SCUR Page 2 of 2 Document No.; issuing Authorities: ,.vi..•p�e•InAl �.vn F-RAL-CS-001-rev.03 Pace Raleigh Quality Office Sample Bottle Codes " rr rr ■r rr •■ rr ra rr r a ■ • e • i �a■MEN n■a■OE■®■EE■OMEEOE■■■■ �■■E■■■MEMEE■■ ONE ■MEN ■■■■■ �■■■■■■■■■■■■■■■■■■■■■NONE NOON■■■EN■■■■■■■■■■■■■■■■■■ ME�O■E■■OEOEE■EEEO■EE■EO■■ MEN ■■MI■■■■r■■■■■■ M■■ ■EEE■EEN■E■■IMMIMMEMMEM■ON■■NNE■ ■EEN■E■EEEE■■E■NENEEENEEEE■ EEE■E■■■■■ N■■EEEE■■E■MEM Client Sample ID s Sample Discrepancy H Adjustment Log for Preserved Sample. Sample ID Type of Preservative pH upon receipt Date preservation Adusted Time Preservation Adjusted Amount of Preservative added Lot# of Preservative Bottle Code Key 125 ml Plastic Unp: BP4U 250 m€ Plastic Unp: BP31-1 500 ml Plastic Unp: SP2U 1 Liter Plastic Unp: 8P1 U 250 ml Plastic H2304: BP3S 250 ml Plastic HNO3: BP3N 250 m€ Plastic ZN Acetate: BP3Z 250 ml Plastic NaOH: BP3C Wide mouthed glass jar unp: WGFU 1 Liter Amber Unp: AG1U 1 Liter Amber HC1: AGIH 500 ml Amber Unp: AG2U 1 Ll to r Amber H2SO4: AG IS 250 ml Amber H2 304: AWS 250 ml Amber NH4CL: AG3A 40 ml VOA HCl: 0G9H 40 ml VOA Na2S203: VG9T 40 mi VOA Unp:VG9U 40 ml VOA H2SO4: DG9P 5035 Kit: VOAK VPH / Gas Kit: V/GK 125 ml Sterile Plastic: SP5T 250 ml Sterile Plastic: SP2'T Page 12 of 13 M - .. ace.4nalytica! - SeCftn A Requued Cton!lKan,\llNR: 4;., -pt° Section a R ©aired Pm.l Ir,tarm¢t- CHAIN-OF-CUSTODY 1 Analytical Request Document The Chaal.of-Custody Is a LEGAL DOCUM2NT. WI rekwprt Raids mttst be completed aciaxw y. Section C °ago: 1 a Comaany: Mid-Adantic Associates, tnc_ Repert To: Chuck Hoffman (choffman@maaonline.ram) AtM11s1lan Chuck Koffman L . ALWL--s 409 Rogers view Court C3-PY TO. Joanna Crux (jcrxnv[3jmaaDNirle.Cpm} Nmrto� �a^Y Mid -Atlantic Associates, inc. REGl1L.'ATORYAGEJQCIR' `f' Raleigh. NC 27610 A —SS-. 409 Rogers fiex Court, ROSeigh. NC f'" NPDES GROUNDWATER r— DRINI{tNG WATER r UST 1- RCRA S- OTHER Enim To. chaffman aQmaaonline.com °worse Omer No.: R2310.00 Pow OUG" - Rehnrra, vra,c: 919-250-991a Fax919-250-9951) Pro- N— deals on Vvheel5 AM':* P qb0 Nicole Geswowski Siw Loci' 0 STATE, NC Rogwrttd Due ostrJTA7: snnaa.a PrgeG twmper R23i0.00 PawPro"Je/: q E ' :.::Ftegtietteii AtIYI)rsEti FEltinvd. (YWY .. _ Stcdon o vgtld uaaixCodes ? a z- tc.00rteCantinformation r CODE s COLLECTED Preservatives DnPnmc+.'rc: Ow U wArex WT U 01 WASTE w,<TER hw PRpg1':T P t9 e0+n+osttE ;TARS C AG -OWE UMR;R ato l'— .,. ZOLISOLID St. ¢ .! y } SAMPLE ID � Wr �_ V W �. Co C AM (A-Z 0-,91,_) CnEA O' 4 Ru 0. 2: OQ 58mple iOs MUST BE UNIQUE TcsvE Ts V at EIJw � z V mo w m '�• ;.� m i m m o H � v O Y 4 rn a IC51 W DATE ttME DATE TINE x IC5= 2 s Z i 2 b a w m IxPace Project NOJ Lab I.D. Outfali No. 1 nr G 7 1 1 1 1 2 :: x x x x Rainfall (inches): 2 i 9 Ss ? Iq 1 10:= k k 1c )o K - 10 -At7�[110MAL CDRkEHTS.'.' ... - .:-iCFEP'tED f PIFFit.U1 -_ -=p�riTC sneE'::- SArPLEGONwTloMB SPAPLER NAME AMD'SIGMATURJ 5-7 + PR(NT Mann of SAMPLER: 8 td g7pgS �� ' SIGNATURE of SAMPLER TE Slgnep r a: U n ` (R(M7DUlYYi: � U 0 co -rnoaro.x Noto: By sInrl sws ram you "=;wWkV aaoo's NET 30 day prpirmi t I=M aso oy+edry 4left =&rWs or 1 Sx pa north to, my tnveiees not pa.0 wttdn 30 aayn. F ALL-"70rev.08, 12-0d-2007 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCGI00062 FACILITY NAME Deals on Wheels. Inc. PERSON COLLECTING SAMPLE(S) Mike Bailey CERTIFIED LABORATORY(S) Pace Analytical Lab #12 Lab # Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR:2015 (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.) COUNTY Johnston PHONE NO. (919) 269-4587 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 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 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 Organics3, mg/L Benchmark - - 6.0 — 9.01 IOD/50Z 15 8,000 (Tiers 2 and 3) 0.03 1.0 Outfall001 09/01/15 0.7 7.4 85.7 <5.0 <10.0 0.0374 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. 4' 'See 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. Form SWU-251, last revised October25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT 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. Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQwaive 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 directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee o'r Designee) ���4J4w JS� (Date) Form SWU-251, last revised October25, 2012 Page 2 of 2