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HomeMy WebLinkAboutNCG210368_MONITORING INFO_20190326STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V u& DOC TYPE 0 HISTORICAL FILE f� MONITORING REPORTS DOC DATE ❑ aoI R 03 ate YYYYMMDD Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted 26 -2bj9 CERTIFICATE OF COVERAGE NO. NCG21 0 3 (a 9 FACILITY NAME ime. COUNTY O EEC L PERSON COLLEC ING SA PLES f1✓ .✓ vAl LABORATORY C Lab Cert. # 22 yd,i/loSOo1 . Comments on sample collection or analysis: SAMPLE COLLECTION YEAR �2 a/? SAMPLE PERIOD Jan -June ❑ July -Dec or ❑ Monthly' (month) R�3PNA %ka L_' iv C:CUO CLASS ❑oRW ero flo❑wH [:]WaterSupply❑❑ A MAR 2 6 2019 [�ther OENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 DIR SECTIOhj Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.) ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Chemical Oxygen Demand Total Suspended Solids Benchmarks =__> _ - 120 mg/L 100 mg/L or 50 mg/L4 oa D d/ 2•�. �.6 o �• , Z �• ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/U' where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 1 of 2 - Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?Z Outfall No. Date Sample Collected, (mo/dd/yr) 24-hour rainfall amount, Inches; Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L Footnotes from Part A also apply to this Part B Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART AAND PART B MONITORING RESULTS: + A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail on original and one copy of this DMR, including all "No Discharae" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharae" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, 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. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." JA ature .1•Za Zo/ (Date) Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 2 of 2 1�5a'ne Analytical www.pacefabs.com i March 14, 2019 Armando Swanson Northwest Hardwoods 203 College Dr Marion, NC 28752 RE: Project: Stormwater 311 Pace Project No.: 92419835 Dear Armando Swanson: Pace Analytical Services, LLC , 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Enclosed are the analytical results for sample(s) received by the laboratory on March 04, 2019. 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, Chris Derouen Christopher.derouen@pacelabs.com (828)254-7176 Project Manager Enclosures cc: Larry Hensley, Northwest Hardwoods Inc Ms. Tracy Schill, Northwest Hardwoods 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 g aceAnalytical —pacelabs.com 1 i Project: Slormwater 311 Pace Project No.: 92419835 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 #: 5342 North Carolina Wastewater Certification #: 12 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Flonda/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS South Carolina Certification #: 99006001 Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 VirginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 VirginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Pace Analytical Services, LLC , 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Page 2 of 13 aceAnalytical. j www.pBCBlabs.mm i SAMPLE ANALYTE COUNT Project: Stormwater 311 Pace Project No.: 92419835 Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 288134 (828)254-7176 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92419835001 OUTFALL 002 EPA 1664E JMS 1 PASI-C SM 254OD-2011 MJP 1 PASI-A EPA 9040C ECH 1 PASI-A SM 5220D-2011 GC 1 PASI-A 92419835002 STREAM INLET EPA 1664E JMS 1 PASI-C SM 254OD-2011 MJP 1 PASI-A EPA 9040C ECH 1 PASI-A SM 5220D-2011 GC 1 PASI-A 92419835003 OUTFALL 001 EPA 1664B JMS 1 PASI-C SM 254OD-2011 MJP 1 PASI-A EPA 9040C ECH 1 PASI-A SM 5220D-2011 GC 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 /5a'ceAnalXical' F wwxrpacela6s.cnm f ANALYTICAL RESULTS Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, 128804 (828)254-7176 Project: Stormwater 311 Pace Project No.: 92419835 Sample: OUTFALL 002 Lab ID: 92419835001 Collected: 03/01/19 12:40 Received: 03/04/19 15:25 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mglL 5.0 1 03/14/19 06:29 2540D Total Suspended Solids Analytical Method: SM 254OD-2011 Total Suspended Solids 53.7 mg/L 8.3 1 03106/19 09:39 9040 pH Analytical Method: EPA 9040C pH at 25 Degrees C 6.5 Std. Units 0.10 1 03107/19 19:12 H3 5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011 Chemical Oxygen Demand 43.2 mg/L 25.0 1 03/06/19 16:11 03/06/19 20:32 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/1412019 04:45 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 13 aceAnalytical® Hnvwpacelahs.cmr t ANALYTICAL RESULTS Project: Stormwater 311 Pace Project No.: 92419835 Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Sample: STREAM INLET Parameters Lab ID: 92419835002 Collected: 03/01119 13:00 Results Units Report Limit DF Received: 03/04/19 15:25 Matrix: Water Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease NO mg/L 5.0 1 03114/19 06:29 2540D Total Suspended Solids Analytical Method: SM 254OD-2011 Total Suspended Solids 33.2 mg/L 5.0 1 03/06/19 09:39 9040 pH Analytical Method: EPA 9040C pH at 25 Degrees C 6.9 Std. Units 0.10 1 03/07/19 19:23 H3 5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011 Chemical Oxygen Demand ND mg/L 25.0 1 03/06/19 16:11 03/06/19 20:32 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/14/2019 04:45 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 13 Pace Analytical Services, LLC aceMalX calO 2225 Riverside Asheville, NC 2880404 www pmwabs.com (828)254-7176 1 ANALYTICAL RESULTS Project: Stormwater 311 Pace Project No.: 92419835 Sample: OUTFALL 001 Lab lD: 92419835003 Collected: 03/01/19 12:30 Received: 03/04/19 15:25 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg/L 5.0 1 03/14/19 06:30 2540D Total Suspended Solids Analytical Method: SM 254OD-2011 Total Suspended Solids 46.6 mg/L 5.0 1 03/06/19 09:39 9040 pH Analytical Method: EPA 9040C ' pH at 25 Degrees C 6.9 Std. Units 0.10 1 03/07/19 19:06 H3 5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 52200-2011 Chemical Oxygen Demand NO mg/L 25.0 1 03/06/19 16:11 03/06/19 20:33 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/14/2019 04:45 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 13 �;a'ceAnalytical' J wwwA&calsbs.rr at t QUALITY CONTROL DATA Project: Stormwater 3/1 Pace Project No.: 92419835 QC Batch: 463221 Analysis Method: EPA 1664B QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92419835001, 92419835002, 92419835003 METHOD BLANK: 2520354 Matrix: Water Associated Lab Samples: 92419835001, 92419835002, 92419835003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg1L ND 4.8 03/14/19 06:15 Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 LABORATORY CONTROL SAMPLE: 2520355 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L 38.5 37.6 98 78-114 MATRIX SPIKE SAMPLE: 2520356 92419835003 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L ND 40 39.2 98 78-114 Results presented on this page are in the units indicated by the "Units" column except where an anemate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/14/2019 04:45 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 13 a&Mnalytrcal wmvpacelabs.com 3 QUALITY CONTROL DATA Project: Starmwater 311 Pace Project No.: 92419835 QC Batch: 461702 Analysis Method: SM 254OD-2011 QC Batch Method: SM 254OD-2011 Analysis Description: 25400 Total Suspended Solids Associated Lab Samples: 92419835001, 92419835002, 92419835003 METHOD BLANK! 2513506 Matrix: Water Associated Lab Samples: 92419835001, 92419835002, 92419835003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 03I06119 09:37 Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 LABORATORY CONTROL SAMPLE: 2513507 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 238 95 90-110 SAMPLE DUPLICATE: 2513508 92419852001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 213 198 7 D6 SAMPLE DUPLICATE: 2513509 92419783001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 5.2 ND Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/14/2019 04:45 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 13 1�5aceAnalyfical" lwww.pacelabs.=n t I QUALITY CONTROL DATA Project: Stormwater 311 Pace Project No.: 92419835 QC Batch: 462021 Analysis Method: EPA 9040C Cl Batch Method: EPA 9040C Analysis Description: 9040 pH Associated Lab Samples: 92419835001, 92419835002, 92419835003 SAMPLE DUPLICATE: 2515188 92419658001 Dup Parameter Units Result Result RPD Qualifiers pH at 25 Degrees C Std. Units 6.8 6.5 6 H3 SAMPLE DUPLICATE: 2515924 92419676001 Dup Parameter Units Result Result RPD Qualifiers pH at 25 Degrees C Std. Units 0.42 0.42 0 E,H3 Pace Analytical Services, LLC , 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Results presented an this page are in the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/14/2019 04:45 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 13 /5a'ceAna1XJIca1" wwwpaoalabs.corn QUALITY CONTROL DATA Project: Stormwater 311 Pace Project No.: 92419835 Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 288134 (828)254-7176 OC Batch: 461821 Analysis Method: SM 5220D-2011 QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD Associated Lab Samples: 924198350 01, 92419835002, 92419835003 METHOD BLANK: 2514214 Matrix: Water Associated Lab Samples: 92419835001, 92419835002, 92419835CO3 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chemical Oxygen Demand mg/L ND 25.0 03/06/19 20:28 LABORATORY CONTROL SAMPLE: 2514215 Spike LCS. LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg[L 750 752 100 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2514216 2514217 MS MSD 92419793001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Cone. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L 10700 100 100 12500 12500 1870 1870 90-110 0 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2514218 2514219 MS MSD 92419789001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Cone. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L 124000 100 100 182000 180000 57900 55900 90-110 1 M1 Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/14/2019 04:45 PM without the wntten consent of Pace Analytical Services, LLC. Page 10 of 13 Pace Analytical Services, LLC 6 acemalytical 2225 Riverside Asheville, NC 2880444 rw wp&Wabs.com (828)254-717s t f QUALIFIERS Project: Stormwater 311 Pace Project No.: 92419835 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 Quantifation Limit. RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and bias for a specific analyte in a specific matrix. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pit of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS ❑6 The precision between the sample and sample duplicate exceeded laboratory control limits. E Analyte concentration exceeded the calibration range. The reported result is estimated. H3 Sample was received or analysis requested beyond the recognized method holding time. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, excepi in full, Date: 0311412019 04:45 PM without the written consent of Pace Analytical Services, LLC. Page 11 of 13 aceAnalytical wwwpaorlabscom QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Project: Pace Project No.: Stormwater 311 92419835 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92419835001 OUTFALL002 EPA1664B 463221 92419835002 STREAM INLET EPA 1664E 463221 92419835003 OUTFALL001 EPA 16643 463221 92419835001 OUTFALL 002 SM 254OD-2011 461702 92419835002 STREAM INLET SM 254OD-2011 461702 92419835003 OUTFALL 001 SM 254OD-2011 461702 92419835001 OUTFALL 002 EPA 9040C 462021 92419835002 STREAM INLET EPA 9040C 462021 92419835003 OUTFALL 001 EPA 9040C 462021 92419835001 OUTFALL 002 SM 5220D-2011 461821 SM 5220D-2011 461879 92419835002 STREAM INLET SM 5220D-2011 461821 SM 5220D-2011 461879 92419835003 OUTFALL 001 SM 52200-2011 461821 SM 5220D-2011 461879 Date: 03/14/2019 04:45 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 12 of 13 WO# : 92419835 i CHAIN-OF-CUSTODY Analytical Request Document LABU; lumber r PaceAnalytica!' M Chain -of -Custody is a LEGAL DOCUMENT - Complete all retevent fields III IIII�I! I II Company: ray,- i,fe tj!tt,% r•`f Billing Information: 92419835 ar Cr Address: 7 f } Container Preservative Type " Lab Project Manager, a /C' Jj jI Report To: Email To: • • Preservative Types: (1) nitric acid, (21 sulfuric acid, (3) hydrochloric add, {t) sodium hydroxide, (5) zinc acetate, 16) methannl, (7) sodium bisulfate, 181 sodium thiosulfate, (9) hexane, (A) ascorbic. acid, (6) ammanium sulfaty, (Cl ammonium hydroxide, to) TSP. (Ul Unpreserved, (0) Other Copy To: Site Collection Info/Address: Analyses JLab Profile/Line: Customer Project Name/Number; State: County/City: - Time Zone Collected: Lab Sample Receipt Checklist: / 0 /r� , I ]PT1 )MTj ICT ( )ET v�� Custody Seals Present/intact Y N NA Custody Signatures Prevent Y N NA Phone: Site/Facility ID p: Compliance Monitoring? Email: I I Yes ] IND Collector Signature Present Y N NA nettles intact Y N NA Correct Hott Les Y N NA C lected 8) print : Purchase Order I): DW PWS ID N: • �, Ip �,.•�.i4'/ :-'\ Quote 0: DW Location Code: Sufficient Volume Y N NA Samples Received on tee Y N NA VOA -• [teadspace Acceptable Y N NA eted H1!y (signaturt): Turnaround pate Required: irnmodime y Pace on Ice: ( IYes I IND Sails Y N NA ;,..._� SampUSDA esgulatod Sa[cples in Holding Time Y N NA Kvuldu,.1 Chte;i.nrz Fennant: y u NA Sample Disposal: Rush: Field Filtered (if applicable): I ] Dispose as appropriate I ] Return [ ] Same Day I I Next Day 1 I Yes I ] No Cl Strips: I I Archive: I] 2 Day 1 13 Day () A Day 11 S Day a 5anp2e pH Acceptable Y N HA I (Hold: (E:pediteCharges Aupiy] Analysis: p•} ��t.n.. v pH Strips: _ Sulfide Prouent Y N NA Lead Acetate strips: ' Matrix Codes (Insert in Matrix box below): Drinking WaterlDW), Ground Water (GW), Wastewater (WW), Product (PI, Soil/Sa)id (SL), Oil (OL), Wipe (WP), Air (AR), Tissue (TS), Bioassay (B), Vapor (V), Other (OT] !^. ! LAB USE ONLY: Lab Sample I / Comsaonts : Comp / Collected for Res a of Customer 5ample ID Matrix ' Grab Composite Start) Composite End CI Ctns _ O s j'2Gl if -3 5 Date Time Date Time Out 3b /,, U I J I OG) 7) Customer Remarks / Special Conditions 1 Possible Hazards: Type of Ice Used: We Blue Dry None SHORT HOLDS PRESENT (02 hours,: Y N N/A Lab Sample Temperature Info: Temp Blank Received: y NA The,.IDtf: Via' ICigh Packing Material Used: Lab Trackingtf: 2350220 Cooler 1 Tern Upon Receip[: 1 pC Cooler 1 Therm Corr, Factor:aC Samples received via: Radchem sample(s) screened (<SOD cpm); Y N NA FED£X UPS Client Courier Pace Courier Cooler 1 Corrected Tent oC Comments: Relinquished by/Company: (Signature) Date/Time: Received byy/`Com any: (Signature) Date/Time: MIX LAB USE ONLY 'Table R: 4 - G�� }_ � -' � " Ill j� SU Acctnum: Template: j ill 1 ReliWhby'lomparty: (SiF asure) Date/lime: +� J �n Received b,(/ mpany. (Signatlftel / \ / Date im �rl'.,� Trip Blank Received: Y N �CJ�� mp` e r7W 7� act /�f HCL McOH TSP Other I Prelogin: PM; Relinquished by/Company: (Signature) Date/Time: Received by/Company: (Signature) pate/Time; Non Conformance(s): Page- PB: YES / NO of: Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted 10-13-2018 CERTIFICATE OF COVERAGE NO. NCG210 3 6 8 SAMPLE COLLECTION YEAR 2018 FACILITY NAME Northwest Hrdwoods Inc. SAMPLE PERIOD ❑ Jan -June ❑■ July -Dec COUNTY McDowell or 0 Monthly' (month) PERSON COLLECTING SAMPLES Mark Swann `� DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA � � LABORATORY Pace Analytical Lab Cert. # 92403165001 11 ❑Zero -flow ❑Water Supply ❑SA Comments on sample collection or analysis: OCT 2 ❑Otherstrearn For Marion, NC Division CENTRJ'�L RLES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 oWR SECTICN Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.) ❑ No discharge this period?' l; I ll 1 :'.- , Ilai I € i I Date Sample 241hour ratnfall�, rtf �i t I ; I I outfall No 3'€ /� , IE I n C I{ I I dill 1 it i, ii.€I € 3 lli 4ailected II'I amount Ijl ul3'I Chemical OxygeniDemand Total Suspendetl Solidsl 'nches , t',i� :. Benchmarks > ' l ' 11 `3 III 120 rri L 'I g/ r 100 mg/L oil 4, mg/Lq . IIIII 1 II 001 10-11-2018 2.1 15.1 POND ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies, Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/Il where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. Footnotes from Part A also apply to this Part B Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Resources Attn: DWR Central Files . 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." /-+-13 Zo/B (Date) Permit Date:8/1/2018-7/31/2023 SWU-245, fast revised 8/6/2018 Page 2 of 2 aceAnalytical wwwpacefabs.cam ANALYTICAL RESULTS Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Project: 001 Pond-1011112018 Pace Project No.: 92403165 Sample: 001 POND Lab ID: 92403165001 Collected: 10/11/18 10:20 Received: 10/11118 15:40 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No, Qual Field Data Analytical Method: Collected By Mark 1 10/11118 10:20 Swann Collected Date 10111/18 1 10/11/18 10:20 Collected Time 10:20 1 10111118 10:20 pH 7.5 Sid. Units 0.10 1 10/11118 10:20 Temperature 22.1 deg C 0.50 1 10/11118 10:20 2540D Total Suspended Solids Analytical Method: SM 254OD-2011 Total Suspended Solids 15.1 mg1L 2.9 1 10/13/18 01:04 5220D COD Analytical Method: SM 522OD-2011 Preparation Method: SM 5220D-2011 Chemical Oxygen Demand ND mg1L 25.0 1 10/15118 20:00 10116/18 20:15 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/17/2018 11:48 AM without the written consent of Pace Analytical Services, -LC. Page 4 of 11 aceAnalytical WWW Pacefabs.com C QUALITY CONTROL DATA Project: 001 Pond-1011112018 Pace Project No.: 92403165 QC Batch: 436095 Analysis Method: SM 254OD-2011 QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92403165001 METHOD BLANK: 2399715 Matrix: Water Associated Lab Samples: 92403165001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 10/13118 00:59 LABORATORY CONTROL SAMPLE: 2399716 Parameter Units Total Suspended Solids mglL SAMPLE DUPLICATE: 2399717 Parameter Units Total Suspended Solids mg1L Spike LCS Conc. Result 251 250 92403089002 Cup Result Result 43.6 51.9 SAMPLE DUPLICATE: 2399718 92403120005 Cup Parameter Units Result Result Total Suspended Solids mglL 8.8 15.0 Pace Analytical Services, LLG 2225 Riverside Dr. Asheville, NG 28804 (828)254-7 ; 76 LCS % Rec % Rec Limits Qualifiers 100 90-110 RPD Qualifiers 17 D6 RPD Qualifiers 52 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 resuIt. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/17/2018 11-48 AM without the written consent of Pace Analytical Services, LLG. Page 5 of 11 aeeAna lytical wwwpacelabs-corn QUALITY CONTROL DATA Project: 001 Pond-1011112018 Pace Project No.: 92403165 QC Batch: 436320 Analysis Method: SM 5220D-2011 QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD Associated Lab Samples: 92403165001 METHOD BLANK: 2400694 Matrix: Water Associated Lab Samples: 92403165001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chemical Oxygen Demand mg/L NO 25.0 10/16/18 20:14 Pace Analytical Services, LLC 2225 Riverside or, Asheville, NC 28804 (828)254-7t76 LABORATORY CONTROL SAMPLE: 2400695 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg1L 750 756 101 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2400696 2400697 MS MSD 92403213001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L 88.7 100 100 228 226 140 137 90-110 1 M1 Results presented on this page are in the units indicated by the "Units- column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/1712018 11:48 AM without the written consent of Pace Analytical Services, LLC. Page 6 of 11 aceAnalytical wwwpecelab&=n i QUALIFIERS Project: 001 Pond-1011112018 Pace Project No.: 92403165 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. TNTC - Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7776 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) ❑UP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chlorcethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acmlein 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. TN - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. 04lili �il�Ll Ii];Lti6I;Y%1.I_1A&J6y This report shall not be reproduced, except in full, Date: 10117/2018 11:48 AM without the written consent of Pace Analytical Services, I.LG. Page 7 of 11 aceAnalXieaf wwwpacelabs.=rr QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NG 28804 (B28)254-7'76 Project: 001 Pond-1011112018 Pace Project No.: 92403165 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92403165001 001 POND 92403165001 001 POND SM 254OD-2011 436095 92403165001 001 POND SM 5220D-2011 436320 SM 5220D-2011 436533 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/17/2018 11:48 AM without the wntien consent of Pace Analytical Services, LLC. Page 8 of 11 ae:.,:nrnRnr: ouym�mr ueun� o•+mvxr r,:aig Sxn M Cs,eR{Rn Umn RrteVl{SR1R! R i tl 2 ��Y' +�' Nt,w:rrn No: IFIWM,4Sbnr: -__ .r....__.-. ,CP.[i-0S1Rn.e4 Pxx C+M1Wn»lh+iry Q'M1m wLwatary retehrinL saYCP4r. Ashevi9e[ Eden© Greenw—dC] Hunt—ilw[ Kaleigh[] ARecheninvllle cli,.,N.m WO# : 92403165 Nfv-T—elF l t cZwa P•eIe<:+r: I'd1 °h ' - llllllllllllllllllllll PrYfM Matblq: �btAak Vhay C'wraP: ey. �iq,:. � ouw:. wWPpiR�nrnnn rro+n.v ri3'lui':, J,.rww, pr.Y i]ra C-sr, [eawT..RPI'p: 4 e ConeiHmFacm•:hElhel.aupC1 C) giber Po•M be:lgw FrtsRy IDLY [004• SymoCa•m<ivu {'C1:=E:"--_- - L�irtV YF au w r•.y:rynu s.nns, w �., euuery:.ena in `ape wG, ngWged Sdk i3':'f4 nn..s.mq.l Ym� rc5�e4:aaYw�::+•mr uwW+:Fe'Jsyy S:rua'Cs. !.v aHhNc:nyyit da��,��.iur. WeF��A•*µnr::ueuvxr, Lin. rr:. Ru.R Yum,nrnrt T+na an iWS ,t'x r. 1•mr rn +awe pin n- p— 1 I!€ • y CMnYrrcrc �'Nw:T 1 - ?aFaYa9+W�.L�Ii eafkk aKe�01 Qnr 1e R I SrrxRrtl�• GY [OCr DiN QrY• QrRn i .ny1�,PIUr:-.MG4wMn we�lr w � xr+Ry,an YMY.a.1�58k:M1� R+n [jP. k, le r+0 LL>.J h r D,, 13» N! hMGDp+.p - a.., ❑. La r]NaNriw,wMn: LVexl xGm4,iiOWtNS� Vial P, ...,1 t - - 114 —.— —.— —.d:I.bw­ 1, —1, lop pal(V bow &PH aadjord-Illwl-flm is P.,4,t 9 WO#;92403165 w—tj-d and wIthio the .... pwr. —ise for P ..... V. amp es. Z CDI 0— 10/21/16 CL:EXT: 83411. "Bottom "f of bctw is Zv lot WmtHt, of bolik T Fl- I N, N\j I N 71— N Jk! PH Adjustment Log for Prewrwd Sar*s G CHAIN -OF -CUSTODY 1 Analytical Request Document Par-Arcrly7a7!' co naGaGVp R'Sr•:cr AlC ,i fY 7.5 t— .wrr i N'Ofl wAiG11 �' p�.+✓3N3 ✓�'��ER r JIrtN -- — SAMPLE ID i y— .cpnoxx us.x[xti '�C-_- Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted y'.,:1n % I CERTIFICATE OF COVERAGE NO. NCG21 D :3 (a FACILITY NAME /t/;i,12 S% !/ ��tleutJJ' r �./� // 'I//(/g/V COUNTY _ /'/ PERSON COLLECTOG SAMPLES �C _-Wf4/� LABORATORY r4C +< Lab Cert. # 2 % Comments on sample collection or analysis: SAMPLE COLLECTION YEAR .2018 SAMPLE PERIOD ❑ Jan -June D-ruly-Dec or ❑ Monthly' (month) Iff0 NG TO CLASS ❑ORW ❑HQW [:]Trout❑PNA � � ' " brother ro-flow Water Supply ❑SA OCT 0 5 2018 CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 DWR SECTION Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.) No dischome this period?` y' ... F3. 1 . ..ni . .... �. . b..J, Benchmarks > G E M ' 0 mg/L ' i , 100 mglL or50 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge, Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period:2 C `�s '- Out -fall No ,- DateSample. ` 24 hour raanfall 1, I .. r Collected' ,'., , , '3 amount, I Non polar 0&G by EPA ' , I Total Suspended'Sollds1 3 .i.:: .....1664JSGT-HEM] ' I 1; !. I IL o5U,ing/I. r '10g/L13enchmok ; Footnotes from Part A also apply to this Part B Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring Period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." re of Permit Date:B/1/2013-7/31/2018 (Date) SWU-245, last revised 7/31/2013 Page 2 of 2 Fnvironmenta! Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out thisform, please visit https:/Meg nc.goyiahout/divisionsencrcy-minera[ -land- resourceslenera -mineral-land-permits'stormweater- ei-mitsIn pcles-industrial-sw#tab-4 Permit No.: NICI&I Z// 101 C)I d/ G1' or Certificate of Coverage No.: NlCIGI zl%1 O1,31f61,91 Facility Name: Nd trh(h1fS j ,q#,P,)w0dAs / 4-1 C, County: �1Jca,I ,-4 Phone No- yf�2�-- (n �C? --2 k- (o K Inspector: ,Ale AU—)�,c�/��1 iy�y — -AI A/2 I< S LJAJiiJFJ Date of Inspection: 9 Time of Inspection: T� Total Event Precipitation (inches): ?-.0 All permits require qualitative monitoring to be performed during a "measurable storm event.' 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 DEMLR Regional Office. By this signature; I certify that this report is accurate and complete to the best of my knowledge: Permittee or Designee) 1. Outfall Description: Outf'all No. 0 b 1 Structure (pipe, ditch, etc.): Pi Pe. Receiving Stream: 41 A4I S JCa R K - (,"A P WAf !AI C %'/REF/eJ Describe the industrial activities that occur within the outfall drainage area: Page 1 of 2 Swq;-232. Last modified 0721812017 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc_) and tint (light, medium. dark) as descriptors: Z,41;iyr i 0 /0" liu �Lr' 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): /t/or/f 4. Clarit-v: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: l 0 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where l is no solids and 5 is the surface covered with floating solids: l� 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stonmwater discharge, where 1 is no solids and 5 is extremely muddy: 1 6) 3 4 5 7. Is there any foam in the stornnvater discharge? ® Yes ® No. 001 8. is there an oil sheen in the stormwater discharge? ®Yes ® No. bpi 9. Is there evidence of erosion or deposition at the outfall? 0 Yes AD. No. 00k 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 be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, last modified 07PS/2017 aceAnalj4ical - wwwpacetabs.com f SAMPLE ANALYTE COUNT Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 26804 (828)254-7176 Project: Pace Project No.: Plant Site Stormwaters-08121 92396826 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92396826001 POND 001 EPA 16646 JMS 1 PASI-C SM 254OD-2011 CEH 1 PASI-A SM 5220D-2011 GC 1 PASI-A 92396826002 STREAM DOWNSTREAM EPA 1664E JMS 1 PASI-C SM 254OD-2011 CEH 1 PASI-A SM 6220D-2011 GC 1 PASI-A 92396826003 UPSTREAM EPA 1664B JM5 1 PASI-C SM 254OD-2011 CEH 1 PASI-A SM 5220D-2011 GC 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LAC. Page 3 of 15 aceAnalytical www..p&Wabs.com 1' ANALYTICAL RESULTS Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28604 (828)254-7176 Project: Pond 001 Stormwater Pace Project No.: 132399809 Sample: POND 001 Lab ID: 92399809001 Collected: 09/16/18 14:49 Received: 09118/18 15:05 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual Field Data Analytical Method: Collected By Mark 1 09/16/18 14:45 Swann Collected Date 9116118 1 09/16/18 14:45 Collected Time 14:45 1 09/16/18 14:45 pH 4.45 Std. Units 0.10 1 09/16/18 14:45 Temperature 60 deg C 0.50 1 09/16/18 14:45 2540D Total Suspended Solids Analytical Method: SM 2540D-2011 Total Suspended Solids ` 5.9 mg/L 3.0 1 09/18118 18:34 52200 COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011 Chemical Oxygen Demand ND mg/L 25.0 1 09/19/18 22:40 09/20/18 10:24 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/21 /2018 07:08 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 11 aceAnalytrcal { Ixww.pacelabs.corn f QUALITY CONTROL DATA Project: Pond 001 Stormwater Pace Project No.: 92399809 QC Batch: 431275 Analysis Method: SM 254OD-2011 QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92399809001 METHOD BLANK: 2378524 Matrix: Water Associated Lab Samples: 92399809001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L NO 2.5 09/18/18 18:31 Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 2BB04 {828)254-7176 LABORATORY CONTROL SAMPLE: 2378525 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 256 103 90-110 SAMPLE DUPLICATE: 2378526 92399797001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L ND ND SAMPLE DUPLICATE: 2378527 92399703002 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L ND ND Results presented an this page are in the units indicated by the "units" column except where an alternate unit is presented to the right of the result, REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in Tull, Date: 09/21/2018 07:08 PM without the written consent of Pace Analytical Services, LLC, Page 5 of 11 aceAnalytical f wwrJpaoelabs.tom I QUALITY CONTROL DATA Project: Pond 001 Stormwater Pace Project No.: 132399809 QC Batch: 431563 Analysis Method: SM 5220D-2011 QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD Associated Lab Samples: 92399809001 METHOD BLANK: 2379770 Associated Lab Samples: 92399809001 Parameter Units Chemical Oxygen Demand mg/L LABORATORY CONTROL SAMPLE: 2379771 Parameter Units Chemical Oxygen Demand mg/L Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 25.0 09120/1810:20 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 750 765 102 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2379772 2379773 MS MSD 92398538001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L ND 100 100 ND 12.8J 2 5 90-110 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2379774 2379775 MS MSD 92399814007 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L 98.7 100 100 103 103 5 5 90-110 0 M1 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/21/2018 07:08 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 11 aceAnalytical www.pacefabs.corrr QUALIFIERS Project: Pond 001 Stormwater Pace Project No.: 92399809 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. TNTC - Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. Pace Analytical Services, LLG 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 POL - Practical Quantitation Limit. RL - Reporting Limit - The iowest 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-Diphenythydrazine 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 phi 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. TN - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09121/2018 07:08 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 11 aceAnalytical Hnnvpacela6s.cam i QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254a 1 76 Project: Pond 001 Stormwater Pace Project No.: 92399809 Analytical Lab lD Sample ID QC Batch Method QC Batch Analytical Method Batch 92399809001 POND 001 92399809001 POND 001 SM 254OD-2011 431275 92399809001 POND 001 SM 5220D-2011 431563 SM 5220D-2011 431658 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in Tull, Date: 09/21/2018 07:08 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 11 10! aceAnalAcal ' rkl�he �nm CHAIN -OF -CUSTODY 1 Analytical Request Document The Chain-o(•Cu$iody i5 a LEGAL DOCUMENT. All relevant fields must be completed accuralety. rage: / of m Section A Suction B Section C / d Required Client Inrwmation: Required Project information: Invoice Information: Company' Report To: Attention: �.vlC r .[ .✓ -� G✓� v� v.✓ 226 9474 Ad s� `11G Copy To: Company Name: REGULATORY AGENCY '/j/j N� WP, Address: N 1 PDES F GROUNDWATER r- DRINKING WATER r y� i UST r RCRA jOTHER Emait To: Purchase Order No.: Pao-0-1. Refnnlou- Phone: fax: P 'ecl Namo: G S�,.t Paw Prgcct Site Location i1i U �, � ktvlolftr: STATE. Rtquested Due Dat*FrAT: Project Number: Pace Piano 0; Requested Anatysis Filtered (YIN) Section D Matrl. Codas y Required Client Wormahon MALTSIX y CODE o a COLLECTED Preservatives 5- Dimkiira Water DW 00 Water LVT WnSin Water WW U COMPOSITE, :�l kfil C"POSiSE Lnlin:ltnlr F"Muct peS 50450fid St. p w -0 -. SAMPLE ID ail OL �; CD Wipe VVP (A-Z. 0.91,) Air AR p w a w H V 'c 0 Sample IDs MUST BE UNIQUE Ttsstlo TS 0 � � � v w Glher OT U z O c f x lu g at vQ O m C "t a <` aL 0 n z Z U a m m c d Q ` w w r z (0 N GAT//E�' TIME CATE TIME to >k 7 _ _ = z z Q •-► IK Pace Project No./ Lab I-D. 1 �w i v 2 4 5 6 7 a 9 N11 ADDITIONAL COMMENTS INQ 3 H Y 1 AFFILIATION DATE TIME ACCEPTED BY I AFFILIATION OATS T)ME SAMPLE CONDITIONS k"qO'-2!d.� C1. �y COQ SAMPLER NAME AND SIGNATURE �?j O �+ I .t PRtN7 Name of SAMPLER:ik -� ?% �$ v2 DATE Signed ti J SIGNATURE of SAMPLER: Ix sj E (MwOOrYYI: r' ( rn 'lnpoit:W Not: ey iliruivt era tef111 you ac :Irrkyuix3 Paco+f NET }e dry N1y1M ttl raises ru,d eprex;iiq m kft tl—gm of 15e1 per —olh tat ony —li am I:.,id wall:, 16 day;„ F-ALL-C-010-rcv.00, 09Nov2017 v a m 0 O A w ra a •e 0 A m 2 S m z 0 a n � ro � CL 4 G D wr 3 N r4 j ru n O m � a m N r0 3 rrD a � e a m M 0 � 3 w Fi a v a � Cf. u 2 b M a a L lu M ~ Itemrf BP4U-125 ml.Plastic Unpreserved IN/A) (CI-) [[ f [[ BP3U-250 mL Plastic UnpreServed (N/A) BPZU-500 mL Plastic Unpreserved (N/A) r BP1U-1 liter Plastic Unpreserved (NJA) 8P45.125 mL Plastic H2504 (pH < 2) (CI-) $P3N-2S0 mt plastic HNO3 (PH < 2) BP4Z-125 mL Plastic ZN Acetate & NaOH (>9) BP4C-125 mL Plastic NaOH (pH > 12) (CI-) WGFU-Wide-mouthedGlass jar Unpreserved liter Amber Unpreserved {N/A) (Cl.) tAG1U•1 AG1H-1 literAmber HCl (PH 4 2) AG3U-250 ml.Amber Unpreserved (N/A) (0-) Z X1 AGIS-1 liter Amber H2SO4 (pH < 2) A05.250 mL Amber H25O4 (pH < 2) AG3A(DG3A)-250 ml. Amber NH4Cl (N/A)(Cl-J DG9H-40 mL VOA HCl (N/A) VG9T-40 mL VOA Na2S203 (N/A) VG9U-40 t von isnp (MIA) DG9P-40 mL VOA H3PO4 (N/A) VOAK J6 vials per kit)-5035 kit (N/A) V/GK (3 vials per kit)-VPH/Gas kit (N/A) SP5T-125 mL Sterile Plastic (N/A — lab) SP2T-250 mL Sterile Plastic (N/A —lab) BP3A-250 mL Plastic (NH2)250419.3-9.7) AGOU-100 mL Amber Unpreserved vials (N/A) V5GU-20 mL Scintillation vials (N/A) DG9U-40 mL Amber Unpreserved vials (N/A) O 3 '^ rD ». CS 3 e 3 d nor ? p z- o 0 o 3 x � z Q O O O p O O d ra x .a C Cl 7 tr o Y 7 CD � � -Oi� p � 6 Cr Wo 0 a m rt 0 L7 ? a C O M m < Cu O cr H CQ O v S P M w Document Name: Document Revised: February 7, 2016 a 27COAnalydcaI Sample Condition Upon Receipt(SCUR) Page 1 of 2 Document No.: Issuing Authority: F-CAR-CS-033-Rev.05 Pace Carolinas Quality Office Laboratory receiving samples: Asheville [2" Eden[] Greenwood ❑ Huntersville❑ Raleigh[] Mechanicsville❑ Client Name: W®# : 92399809 � r Project ii: Courier: ❑Fed Ex ❑UPS ❑USPS []Client��� ❑ Commercial Erpace ❑Other: 92398809 l I l 11 Custody Seal Present? ❑Yes DIN10 Seals Intact? -' Yes [:]No Q Gate/Initials Person Examining Contents:,lp� TT Packing Material: ❑Bubble Wrap ❑Bubble Bags [lone ❑ Other 9iologicalTissue rozen? Thermometer : '7 i [R Gun ID: T Type of Ice: [Vet ❑Yes ❑No UN/A []Blue❑ticne Cooler Temp ('C):Correction Factor: Add/Subtract (°C) O 2 � Cooler TempCorrected C J� Temp should be above freezing to 5°C (°) : []Samples out of temp criteria. Samples on ice, cooling process has begun USDA Regulated Soil ([/N/A, water sample) Did samptes originate in a quarantine zone within the United States: CA, NY, or SC {check maps)? Did samples originate from a foreign source (internationally, 11Yes MNo inriudine Hawall and Puerto Rlcoi? 1-1yes FlNo Comments /Discrepancy: Chain of Custody Present? E Yes []No N/A I. Samples Ar€ived within Hold Time? 9 es ONO ❑NIA 2. Short Hold Time Analysis (02 hr.)? []Yes XIG ❑N!A 3. Rush Turn Around Time Requested? ❑Yes [[�No [:]N/A 4. Sufficient Volume? es ❑No ❑N/A i 5. Correct Containers Used? -Pace Containers Used? OYes r[fYes [:]No []NO ❑N/A []N/A 6. Containers Intact? [Yes []No ❑N/A 7. Dissolved analysis: Samples Field Filtered? ❑Yes ❑ffo ❑N/A a. Sample Labels Match COC? -Includes Date/Time/ID/Analysis Matrix: Yes v!� ❑No ❑NIA 9. Headspace in VOA Vials (>5-6mm)? []Yes ❑No N/A 10. Trip Blank Present? Trip Blank Custody Seals Present? ❑Yes []Yes ONO [—]NO N/A E 11141A 11, - COMMENTS/SAMPLE DISCREPANCY Lot ID of split containers: CLIENT NOTIFICATION/RESOLUTION Person Contacted: Project Manager SCURF Review: Project Manager SRF Review: Field Data Required? ❑Yes [—]NO �^ Date/Time: Date:! Date: Page 9 of 11 aceAnalytical www.paCCfa6s.Gnm l September 21, 2018 Ms. Tracy Schill Northwest Hardwoods Inc 203 College Dr Marion, NC 28752 RE: Project: Pond 001 Stormwater Pace Project No.: 92399809 Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Dear Ms. Schill: Enclosed are the analytical results for sample(s) received by the laboratory on September 18, 2018. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Chris Derouen christopher.derouen@pacelabs.com (828)254-7176 Project Manager Enclosures cc: Larry Hensley, Northwest Hardwoods Inc Armando Swanson, Northwest Hardwoods REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, m1hout the written consent at Pace Analytical Services, LLC Page 1 of 11 aceAnalytical —pocelabs.com 1 F Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 CERTIFICATIONS Project: Pond 001 Stormwater Pace Project No.: 132399809 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersvilte, NC 28078 South Carolina Certification #: 99006001 Louisiana/NELAP Certification # LA170028 Florida/NELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification 4: 84 North Carolina Field Services Certification #: 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 #: 40 South Carolina Certification #: 99030001 VirginiaNELAP 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 11 aceAnalXical www.pacelabs.com t SAMPLE ANALYTE COUNT Project: Pond 001 Stormwater Pace Project No.: 92399809 Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 All Lab ID Sample ID Method Analysts Reported Laboratory 92399809001 POND] 001 SM 2540D-2011 CRV 1 PASI-A SM 5220D-2011 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 11 '?6CC1VED SEP Z Y 2018 CFN71r qL FILES DWR SEC-rjo O�` a Semi-annual Stormwater Discharge Monitoring Report 1D 0 j for North Carolina DEMLR General Permit No. NCG210000 1v Date submitted CERTIFICATE OF COVERAGE NO. NCG21 O d _O c5 FACILITY NAME S -5 1WC, COUNTY Mt D _ PERSON COLLEQNG SAMPLES P1 r�ASIAtA LABORATORY Ar-6 A n21-C&I- Lab Cert. ft s_ Comments on sample collection or analysis: SAMPLE COLLECTION YEAR Q ora SAMPLE PERIOD ❑ Jan -June Z July -Dec or ❑ Monthly' !month) DISCHARGING TO CLASS ❑ORW, ❑HQW ❑Trout ❑PNA ❑ o-flow 4Water supply ❑SA Other ,ti`r1i PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (71 days.) ❑ No discharge this period?Z Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches' Chemical Oxygen Demand Total Suspended Solids Benchmarks =__> 120 mg/L 100 mgf L or 50 mg/L O n ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. ' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or rer 3 responses. See General Permit text. Permit Date:8/1/2013-7/31/2918 SWU-245, last revised 7/31/2013 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. n No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches; Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks ===> 15 mg/L 100 mg/L or 50 mg/P Footnotes from Part A also apply to this Part B Note: if you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See Genera! Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTIONS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one coov of this OMR. includina all "No Oischaroe" reoorts. within 30 dovs of receipt of the lab results /or at end of monitoring period in the case of "No Wschorae" reports) to: Division of Water Quality Attn: DWQCentrol Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, 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. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 2 of 2 �-PaceAnalytica,'' CHAIN -OF -CUSTODY I Analytical Request Document The Chain-of-C"tody i5 a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section A Section 8 Section C Page; of 1 M / Required Client Wormation: Required Prajeet Information: Invoice Information: Company 1! Report To: Attention: I��:tYN€✓;-i 1' P ,f{nriir'r a) ,.7Jh-9.✓:7:7 �✓n.:1 i7•u' 2116500 Address: Copy To: Company Name: REGULATORY AGENCY / " t �✓ Address: r NPDES r' GROUNDWATER r- DRINKING WATER/� ' UST — — f .: %,"T 4,`"Yr i rRGRA OTHER Email To: Purchnse Order No.: Piucr P�ou, Rdetonce Phorne: Fax: Prajoct Namo: !! ! �^ �✓� �+l h 1 �:=L,�. ��+ f.L..:. Paco Rrnjnct mmagttr, Site Location STATE: , C 1]IV/ Roquastvd Duo Dat*JTAT: Project Number: P.xe PtoNu •': Roquested Analysis Filtered (Y/N) Sett€pn D Matrix Codes Repulrod CIKTA1Nomwion MAIREX 1.000E — e A COLLECTED Pteservatives r z r nrir*inr Wnlnr DW O a Water 5%q Waste Water WW 9m U COMPMTE ;;rrws G(>�OSnTE ci+rvcsrnn w z_ Product P Soillsolid St. ad r, p �► SAMPLE ID of OL = m 'Alpe WP (A-Z,0-S1.-i Air AR 4tij a V F ' Sample rOs MUST BE UN WE Tmsuo TS p a Other ar X x Its a Q o ��°�°ro n r �� a iv ' S V��� `} t. — z DATE rips UArE TIME O Paco pro No.l tab I,D, 2 S ��.c.. �, .'tJ✓� frtr� '� { �- --OQ G— _Zf r. 4 5 7 8 9 H12 ADDITIONAL CC'AMENTS RELINQUISHED BY f AFFILIATION DATE TIME ACCEPTED 81 1 AFFILIATION DATE TIME SAMPLE CONDITIONS 7.00 -2 SAMPLER NAME AND SIGNATURE U u ORIGINAL a 8 z 3�? - PRINT Name et SAMPLER; c p o —' L) u SIGNATi1RE of SAMPLER: DATE Sirrined fMMloolYYl: 'tmnonant Nato: By sign' gm ram you are a=,%rnq Puce s NET 30 Day payment terms arts agreeing la Ara charges or 1.5%per rrle?,Oor arty ih a not PMd w j* 3o cays. ! F-ALL-Q.020rev.07, 15-Nlay2007 Document Name: Document Revised: February 7, 2018 % Sample Condition Upon Receipt(SCUR) Page 1 of 2 Document No,: Issuing Authority: / _� wnalj4kat i F-CAR-CS-033-Rev.06 Pace Carolinas Quality Office Laboratory receiving samples: Asheviile,❑J Eden❑ Greenwood ❑ Huntersville ❑ Raleigh[] Mechanicsville❑ Client Name- w®# . 9' Z396826 Project d: Courier: ❑Fed Ex ❑UP1S ❑USPS ❑Client ❑ Commercial 'Flpace ❑Other: S2396626 Custody Seal Present? [-]Yes [No --Seals Intact? ❑Yes QN0 g �� c.� oatelinitials Persons Examining ¢o>7tents. l PackingMaterial; / ❑Bubble Wrap ,QBubble Bags ❑None '❑ Other Thermometer; ❑IRGunio:A���WO Type of Ice: P4Vet ❑efue Cooler Temp (`C): D Correction Factor: Add/Subtract J*C) Cooler Temp Corrected ('C): USDA Regulated Soil Q-W water sample) Did samples originate in a quarantine zone within the United States: CA, NY, of SC (check maps)? F lYes F1Nn Biological Tissue Frozen? ❑Yes ❑No,QN/A alone Temp should be above freezing to 6'C []samples out of temp criteria. samples on ice, cooling process Ns begun Did s,rnples originate from a foreign source (internationally, inrlutine Hawaii and Puerto Ricol? ❑Yes ❑No Comments/Discrepancy: Chain of Custody Present? R,% No ©N/A 1. Samples Arrived within Hold Time? ei ❑No N/A 2, Short Hold Time Analysis (<72 hr.)? Yes EJ*5 ❑N/A 3. Rush Turn Around Time Requested? ❑Yes 0, N/A 4. Sufficient Volume? 8Yes No N/A S. Correct Containers Used? -Pace Containers Used? =jam PYes ©No []No ❑N/A ❑N/A 6. Containers Intact? YeS- ❑No Q NIA 7. Dissolved analysis: Samples Field Filtered? ❑Yes J]tu fls ❑N1A S. Sample Labels Match CDC? -Includes Date/Time/ID/Analysis Matrix: ,©Yes ❑No ❑N/A 9. Fteadspace in VOA Vials J>5-6mm)? ❑Yes ❑ND } ©, N/A 10, Trip Blank Present? Trip Blank Custody Seals Present? ❑Yes ElYeS []No QNO ❑NIA i EINIA 11. COMMENTS/SAMPLE DISCREPANCY Lot 10 of split containers: CLIENT NOTIFICATION/RESOLUTION Person contacted: Project Manager SCURF Review: ProJect Manager SRF Review: Date/Time: Field Data Required? Oyes ❑No Date:fi.g i Page 13 of 15 N m A 0 Cyl A m in v 1 N O v e m m R T 0 n � � n Q.. C- w O u m rr m fD d r 0 t0 a r:' 0 z C n � w -1 3 y ro a LC i.. o N ro � 0 {� n 0 c G 0 a a v p, R c a R Item4t BP4U-125 MLYlastic Unpreserved (N/A) (Cl.) MU•250 mL Plastic Unpreserved (N/A) SP211.500 mL Plastic Unpreserved (N/A) 8P1U-1 liter Plastic Unpreserved (N/A) ,` 8P4S-125 mL Plastic H2SO4 (pH c 2) (Cl.) SP314-250 mL plastic HNO3 (ph, 21 BP4Z-12S m€ Plastic ZN ,acetate & NaOH (>9) BP4C-125 mL Plastic NaOH (pH > 12) (Cl-) WGFU-Wide-mouthed Glass jar Unpreserved AG1U-1 liter Amber Unpreserved (N/A) JCl-) N AG1H-Sliter Amber HC#(pH<2) AM-250 mL Amber Unpreserved (N/A) (CI-) AG1S-1 liter Amber H2SO4 (PH < 2) AG35-250 mt. Amber H2SO4 (PH < 2) AG3A(DG3A)-250 mL Amber NH4Cl (N/A)(CI-) DG9H-4D mL VOA HCI (N/A) VOT 40 mL VOA Na2S203 (NIA) VGOU-40 i L VOA Unp (MJA) DG9P•40 mL VOA H3PO4 {N/A) VOAK (6 vials per kit)•5035 kit (N/A) VJGK (3 vials per kit)-VPII/Gas kit (N/A) SPST•125 mL Sterile Plastic (N/A - lab) SP2T-250 mL Sterile Plastic (N/A -lab) BP3A-250 mL Plastic INH2)2SO4 (9.3.9.7) AGOU-100 mL Amber Unpreserved vials (NIA) VSGU-20 mL Scintillation vials (NJAJ D69U-40 mL Amber Unpreserved vials (N/A) O n) n r* i y w 1D 00 N 0) Q M 0 w to Q m Of 00 aceAnalXical wwwpacelabs.com ANALYTICAL RESULTS Pace Analytical Services, LLC 2225 Riverside or. Asheville, NC 28804 (828)254-7176 Project: Plant Site Stormwaters-08121 Pace Project No.: 92396826 Sample: POND 001 Lab ID: 92396826001 Collected: 08/21/18 15:07 Received: 08122/18 16:15 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual Field Data Analytical Method: Collected By Thomas 1 08/21/18 15:08 O'Shea Collected Date 8121118 1 08/21/18 15:08 Collected Time 15:08 1 08/21/18 15:08 pH 7.0 Std. Units 0.10 1 08/21/18 15:08 Temperature 6.21 deg C 0.50 1 08/21118 15:08 HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg/L 5.0 1 09/05/18 04:34 2540D Total Suspended Solids Analytical Method: SM 2540D-2011 Total Suspended Solids 35.0 mg/L 6.2 1 08/22118 23:27 5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011 Chemical Oxygen Demand 39.2 mg/L 25.0 1 08/23118 17:07 08/23/18 23:11 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/0612018 01:50 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 15 1�;a'&Mnalyfical" www.pacela6s.com ANALYTICAL RESULTS Project: Plant Site Stormwaters-08121 Pace Project No.: 92396826 Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Sample: STREAM DOWNSTREAM Lab ID: 92396826002 Collected: 08/21/18 15:12 Received: 08/22/18 16:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No, Qual Field Data Analytical Method: Collected By Thomas 1 08121/18 15:12 O'Shea Collected Date 8121118 1 08/21/18 15:12 Collected Time 15:12 1 08/21/18 15:12 pH 7.0 Std. Units 0.10 1 08/21/18 15:12 Temperature 7.22 deg C 0.50 1 08/21/18 15:12 HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg/L 5.0 1 09/05/18 04:34 2540D Total Suspended Solids Analytical Method: SM 2540D-20t1 Total Suspended Solids 33.3 mg/L 5.6 1 08/22/18 23:32 5220D COD Analytical Method: SM 522OD-2011 Preparation Method: SM 5220D-2011 Chemical Oxygen Demand ND mg/L 25.0 1 08/23/18 17:07 08/23/18 23:11 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/06/2018 01:50 PM without the written consent of Pace Analytical Services, LLG. Page 5 of 15 aceAnalytical " wwwpocwabs.com ANALYTICAL RESULTS Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Project: Plant Site Stormwaters-08121 Pace Project No.: 92396826 Sample: UPSTREAM Lab ID: 92396826003 Collected: 08/21/18 15:08 Received: 08/22/18 16:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No, Qual Field Data Analytical Method: Collected By Thomas 1 08/21/18 15:07 O'Shea Collected Date 8121/18 1 08/21/18 15:07 Collected Time 15:07 1 08/21/18 15:07 pH 7.0 Sid. Units 0.10 1 08/21/18 15:07 Temperature 7.24 deg C 0.50 1 08/21/18 15:07 HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg1L 5.0 1 09/05/18 04:35 2540D Total Suspended Solids Analytical Method: SM 254OD-2011 Total Suspended Solids 397 mg1L 25.0 1 08/22/18 23:32 5220D COD Analytical Method: SM 522OD-2011 Preparation Method: SM 5220D-2011 Chemical Oxygen Demand 46.2 mg/L 25.0 1 08/23/18 17:07 08/23/18 23:11 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/06/2018 01:50 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 15 aceAnalytical www.pacelabs.wm i QUALITY CONTROL DATA Project: Plant Site Stormwaters-08121 Pace Project No.: 92396826 QC Batch: 428805 Analysis Method: EPA 1664B QC Batch Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples7 92396826001, 92396826002, 92396826003 METHOD BLANK: 2368026 Matrix: Water Associated Lab Samples: 92396826001, 92396826002, 92396826003 J Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg/L NO 4.8 09/05/18 04;29 Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 LABORATORY CONTROL SAMPLE: 2368027 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg/1- 38.5 38.7 101 78-114 MATRIX SPIKE SAMPLE: 2368028 92396742004 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mglL ND 38.5 38A 97 78-114 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shalt not be reproduced, except in full, Date: 09/06/2018 01:50 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 15 aeeAnalXical wwwpecelabs.com Project: Plant Site Stormwaters-08121 Pace Project No.: 92396826 QC Batch: 426528 QC Batch Method: SM 2540D-2011 Associated Lab Samples: 92396826001 METHOD BLANK: 2357358 Associated Lab Samples: 92396826001 Parameter Units Total Suspended Solids mg/L QUALITY CONTROL DATA Analysis Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 08/22/18 23:22 Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 LABORATORY CONTROL SAMPLE: 2357359 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 251 248 99 90-110 SAMPLE DUPLICATE: 2357360 92396716001 Dup Parameter Units Result Result RPD Qualifiers lbtal Suspended Solids mglL 7.8 7.2 8 D6 SAMPLE DUPLICATE: 2357361 92396726021 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 5.OU ND Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/06/2018 01:50 PM without the written consent of Pace Analytical Services, LLC, Page 8 of 15 aceAnalXical" —pacelabs.carn / QUALITY CONTROL DATA Project: Plant Site Stormwaters-08/21 Pace Project No.: 92396826 OC Batch: 426529 Analysis Method: SM 254OD-2011 QC Batch Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended'Solids Associated Lab Samples: 92396826002, 92396826003 METHOD BLANK: 2357362 Matrix: Water Associated Lab Samples: 92396826002, 92396826003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 08/22/18 23:32 Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 LABORATORY CONTROL SAMPLE: 2357363 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mgtL 251 236 94 90-110 SAMPLE DUPLICATE: 2357364 92396826002 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 33.3 34.7 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 he reproduced, except in full, Date: 09/06/2018 01:50 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 15 aceAnalytical wwwpacefabs.com f QUALITY CONTROL DATA Project: Plant Site Stormwaters-08121 Pace Project No.: 92396826 QC Batch: 426770 Analysis Method: SM 5220D-2011 QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD Associated Lab Samples: 92396826001, 92396826002, 92396826003 METHOD BLANK: 2358477 Matrix: Water Associated Lab Samples: 92396826001, 92396826002, 92396826003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chemical Oxygen Demand mg1L ND 25.0 08/23/18 23:06 Pace Analytical Services, LLG 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 LABORATORY CONTROL SAMPLE: 2358478 Spike LCS LCS % Rec Parameter Units Conic. Result % Rec Limits Qualifiers Chemical Oxygen Demand mglL 750 735 98 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2358479 2358480 MS MSD 92396418001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L ND 100 100 121 117 110 105 90-110 4 R1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2358481 2358482 MS MSD 92396695003 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mglL 112 100 100 206 234 94 122 90-110 13 M1,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: 09/0612018 01:50 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 15 Pace Analytical Services, LLC aceMalytrcal' 2225 Riverside Asheville, NO 2880404 www.pacelabs.com (828)254a17s t f QUALIFIERS Project: Plant Site Stormwaters-08I21 Pace Project No.: 92396826 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. 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 Analyticai is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TN -The NELAC institute. LABORATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. R1 RPD value was outside control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/0612018 01:50 PM without the written consent of Pace Analytical Services, LLC. Page 11 of 15 0 aceAnalytrcal • � www.pacelabs.com QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Project: Pace Project No.: Plant Site Stormwaters-08121 92396826 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92396826001 POND 001 92396826002 STREAM DOWNSTREAM 92396826003 UPSTREAM 92396826001 POND 001 EPA 1664B 428805 92396826002 STREAM DOWNSTREAM EPA 1664E 428805 92396826003 UPSTREAM EPA1664B 428805 92396826001 POND 001 SM 2540D-2011 426528 92396826002 STREAM DOWNSTREAM SM 254OD-2011 426529 92396826003 UPSTREAM SM 254OD-2011 426529 92396826001 POND 001 SM 5220D-2011 426770 SM 5220D-2011 426833 92396826002 STREAM DOWNSTREAM SM 5220D-2011 426770 SM 5220D-2011 426833 92396826003 UPSTREAM SM 5220D-2011 426770 SM 5220D-2011 426833 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/06/2018 01:50 PM w thout the written consent of Pace Analytical Services, LLC. Page 12 of 15 RECEIVED APR 112018 �117� l.�{L7 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidarrce onfilling out thisform, please risil https:r`deci.ne,eov/about/divisions/encrw-mineral-land- resourceslenerev-mineral-land-nermit.vormwater-nermits/nudes-industrial- ah-a Permit No.: NIG_l_I 1 1_I_I_I or Certificate of id"No.: 1�'-rCIGI 21 I �13/G 1.8 1 Facility Name: T County: H c D auJj9C.4_ Phone No. Inspector: 62_�4jeA/ Date of Inspection: Time of Inspection: I SAb Total Event Precipitation (inches): 1.5 All permits require qualitative monitoring to be performed during a "measurable storm event." 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) een•at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a~.iot�er interval is representative for local storm events during the sampling period, and the pp..".el . tains approval from the local DEMLR Regional Office. _ 'Zola DW1r SSCt1p S By this signature, I certify that this report is accurate and complete to the best of my knowledge: ,Kiignafure of Permi' ee or Designee) 1. Outfall Description: Outfall No. / Structure (pipe, ditch, etc.): Receiving Stream: Describe the industrial activities Aiat occur ,ithin the outfall drainage area: Page I of 2 SWU-242, Last modified 07/2512017 2. Color: Describe the color of the discharge using basic colors (red, brown. blue. etc.) and tint (light, medium. dark) as descriptors: �`G V X tAW 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 0 Al E 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1 � 3 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 5 is the surface covered with floating solids: 0 2 3 4 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 1 r2 3 4 5 7. Is there any foam in the stormwater discharge? o Yes (W No. 1 S. Is there an oil sheen in the stormwater discharge? (DYes Q) No 9. Is there evidence of erosion or deposition at the outfall? a Yes W No. f 10. Other Obvious Indicators of Stormwater Pollution: List and describe r 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 07P-612017 aceAnay' ca! www.paDelabs.com r March 13, 2018 Keith Horn Industrial Timber & Lumber 203 College Dr Marion, NC 28752 RE: Project: Stormwater 311 Pace Project No.: 92375297 . Pace Analytical Services, LLC 2225 Riverside Dr, Asheville, NC 28804 (828)254-7176 Dear Keith Horn: Enclosed are the analytical results for sample(s) received by the laboratory on March 01, 2018. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Chris Derouen christopher.derouen@pacelabs.com (828)254-7176 Project Manager Enclosures cc: Larry Hensley, Industrial Timber & Lumber REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 14 aceAnalj cal ~ W"w.pacelabs.com Project: Storrnwater 311 Pace Project No.: 92375297 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersvifle, NC 28078 Louisiana/NELAP Certification # LA170028 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 FloridalNELAP Certification #: E87648 Massachusetts Certification #: Ids-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS South Carolina Certification #: 99006001 FloridalNEt_AP Certification #: E87627 Kentucky UST Certification #: 84 VirginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 VrginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Page 2 of 14 aceAnalytical � wrwpacela6s.com SAMPLE ANALYTE COUNT Project: Stormwater 311 Pace Project No.: 92375297 Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (B28)254-7176 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92375297001 Upstream EPA 16643 JMS 1 PASI-C SM 2540D ANAL 1 PASI-A SM 5220D EWS 1 PASI-A 92375297002 Downstream EPA 1664B JMS 1 PASI-C SM 2540D NAL 1 PASI-A SM 5220D EWS 1 PASI-A 92375297003 001 Outfall (Pond) EPA 1664B JMS 1 PASI-C Skit 2540D NAL 1 PASI-A SM 5220D EWS 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 14 saceAnalj4ical _ � wrctiupacefabacam ANALYTICAL RESULTS Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Project: Stormwater 311 Pace Project No.: 92375297 Sample: Upstream Lab ID: 92375297001 Collected: 03/01/18 11:00 Received: 03/01/18 15:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual Field Data Analytical Method: Collected By Thomas O 1 03/01/18 13:40 Shea Collected Date 3l1118 1 03/01/18 13:40 Collected Time 13:40 1 03/01/18 13:40 pH 7.3 Std. Units 0.10 1 03/01/18 13:40 Temperature 12.2 deg C 0.50 1 03/01/18 13:40 HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mglL 5.0 1 03/13/18 04:39 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 49.0 mglL 12.5 1 03/06/18 17:15 5220D COD Analytical Method: SM 5220D Chemical Oxygen Demand 201 mglL 25.0 1 03/12/18 14:25 REPORT OF LABORATORY ANALYSIS This report shalt not be reproduced, except in full. Date: 03/13/2018 01:48 PM without the written consent of Pace Analytical Services, LLG, Page 4 of 14 r. aceAnaVical o wvcx:p9ce1abs.00M i ANALYTICAL RESULTS Pace Analytical Services, LLC 2225 Riverside Dr. Asheviile, NC 28804 (828)254-7176 Project: Stormwater 3/1 Pace Project No.: 92375297 Sample: Downstream Lab ID: 92375297002 Collected: 0310111 8 10:30 Received: 03/01/18 15:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual Field Data Analytical Method: Collected By Thomas O 1 03/01/18 13:53 Shea Collected Date 3/1118 1 03/01/18 13:53 Collected Time 13:53 1 03/01/18 13:53 pH 7.1 Std. Units 0.10 1 03/01/18 13:53 Temperature 11.8 deg C 0.50 1 03/01/18 13:53 HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease IND mg/L 5.0 1 03/13/18 04:40 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 32.2 mg1L 9.3 1 03/06/18 17:16 5220D COD Analytical Method: SM 5220D Chemical Oxygen Demand ND mg1L 25.0 1 03/12/18 14:25 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/13/2018 01:48 PM volhout the written consent of Pace Analytical Services, LLC, Page 5 of 14 �;a'ceAnay'ical' ws;vvpacelabs.com ANALYTICAL RESULTS Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 2BB04 (828)254-7176 Project: Stormwater 311 Pace Project No.: 92375297 Sample: 001 Outfall (Pond) Lab ID: 92375297003 Collected: 03/01/18 10A0 Received: 03101118 15:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual Field Data Analytical Method: Coilected By Thomas O 1 0310111.8 13:50 Shea Collected Date 311118 1 03/0111 B 13:50 Collected Time 13:50 1 03/01/18 13:50 pH 7.2 Std. Units 0.10 1 03/01/18 13:50 Temperature 14.1 deg C 0.50 1 03/01/18 13:50 HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg1L 5.0 1 03/13/18 04:40 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 152 mg1L 31.2 1 03/06/18 17:16 5220D COD Analytical Method: SM 5220D Chemical Oxygen Demand 210 mg1L 25.0 1 03/12/18 14:25 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/1312018 01:48 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 14 , !?ce A nal'yfical WyW..Pa V elabs.com QUALITY CONTROL DATA Project: Stormwater 311 Pace Project No.: 92375297 Pace Analytical Services, LLC 2225 Riverside Dr. Asheviile, NC 28804 (828)254-7176 QC Batch: 401685 Analysis Method: EPA 1664B OC Batch Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92375297001, 92375297002, 92375297003 METHOD BLANK: 2228025 Matrix: Water Associated Lab Samples: 92375297001, 92375297002, 92375297003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers , Oil and Grease mglL ND 5.0 03/13/18 04:33 LABORATORY CONTROL SAMPLE: 2228026 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L 40 37.0 92 78-114 MATRIX SPIKE SAMPLE: 2228027 92375210001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L ND 40 39.6 97 78-114 Results presented on this page are in the units Indicated by the "Units" column except where an ahemate, unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not he reproduced, except in full, Date: 03/13/2018 01:48 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 14 _ ?Ce A nalj cal iwtvw.psceJabs.com QUALITY CONTROL DATA Project: Stormwater 3I1 Pace Project No.:/32375297 QC Batch: 400776 Analysis Method- SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92375297001, 92375297002, 92375297003 METHOD BLANK: 2222445 Matrix: Water Associated Lab Samples: 92375297001, 92375297002, 92375297003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 03106/18 17:13 Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 LABORATORY CONTROL SAMPLE: 2222446 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mglL 250 232 93 90-110 SAMPLE DUPLICATE: 2222447 92375189001 DUp Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 10.2 9.8 5 SAMPLE DUPLICATE: 2222448 92375310002 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 24.3 28.3 15 D6 Results presented on this page are in the units indicated by the "Units" column except where an altemate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 0311312018 01:48 PM vnthout the written consent of Pace Analytical Services, LLC, Page 8 of 14 I.Aace Analytical wrwpacelabs.com QUALITY CONTROL DATA Project: Stormwater 311 Pace Project No.: 92375297 QC Batch: 401149 Analysis Method: SM 5220D QC Batch Method: SM 5220D Analysis Description: 5220D COD Associated Lab Samples: 92375297001, 92375297002, 92375297003 METHOD BLANK: 2224883 Matrix: Water Associated Lab Samples: 92375297001, 92375297002, 92375297003 Blank Reporting Parameter Units Result Limit Analyzed Chemical Oxygen Demand mg/L ND 25.0 03/12/18 14:25 Qualifiers Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 LABORATORY CONTROL SAMPLE: 2224884 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Chemical Oxygen Demand mglL 750 755 101 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2224885 2224886 MS MSD 92375725001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L NO 100 100 110 110 102 102 90-110 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2224887 2224888 MS MSD 92375751001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qua] Chemical Oxygen Demand mg/L 1480 100 100 1580 1560 104 84 90-110 1 M1 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/13/2018 01:48 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 14 aceAnalytical rrr pacelabs.=' QUALIFIERS Project: Stormwater 3/1 Pace Project No.: 92375297 DEFINITIONS Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28504 (828)254-7175 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. MID L-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 EPAguidelines, 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 fn SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenyiamine 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 fist of accredited analytes. TN -The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in fall, Date: 03/13/2018 01:48 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14 Zace Analytical / WY.'W.paCefa63.COffl 1 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Stormwater 311 Pace Project No.: 92375297 Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NG 28804 (828)254-7176 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92375297001 Upstream 92375297002 Downstream 92375297003 001 Outfall (Pond) 92375297D01 Upstream EPA1664B 401685 92375297002 Downstream EPA 1664B 401685 92375297003 001 Outfall (Pond) EPA 1664B 401685 92375297001 Upstream SM 2540D 400776 92375297002 Downstream SM 2540D 400776 92375297003 001 Outfall (Pond) SM 2540D 400776 92376297001 Upstream SM 5220D 401149 92375297002 Downstream SM 5220D 401149 92375297003 001 Outfall (Pond) SM 5220D 401149 Date: 03113/2018 01:48 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, w thout the written consent of Pace Analytical Services, LLC. Analytical Batch Page 11 of 14 Document Name: 1 Document Revised: February 7, 2016 Fd i � ' Sample Condition Upon Receipt(SCUR) I Page 1 of 2 Document No.: Issuing Authority: "PaCcAnalytica1 F-CAR-CS-033-Rev.06 Pace Carolinas quality Office Laboratory receiving samples Asheville [3"� Eden❑ Greenwood [] Huntersville ❑ Mechanicsville[] Client Name:, WO ° 923 f 529 i' 1 Project 9 Courier: [-]Fed Ex [—]UPS ❑USPS ❑Client! ❑ Commercial ❑Pace ❑other: 92375297 Custody Seal Present? ❑Yes ❑No' Seals Intact? ❑Yes ❑No Date/Initials Person Examining Contents: Packing Material: ❑bubble Wrap ❑Bubble Bags ❑fdone ❑ Other Biological ;issue Frozen? : / ❑!'es Thermometer(]W]ilk �u/A / �ji�` Type of Ice: et []Blue ❑9lone ❑1R Gun ID: Cooler Temp ('C): •,�� Correction Factor: Add/Subtract ('C) (' j _ Temp should be above freezing to 6°C Cooler Temp Corrected ('C): DSamples aut oftemp criteria. Sampleson ice, cooling process has begun USDA Regulated Soil (❑ sample) Did samples originate in a quarantine zone wkhin the United States: CA, NY, or5C (check maps)? Did samplesoriginate from a farOgn source linternatinnallq', Fly;-s FlNe, incleriin➢ Ha�vniiand Puerto Rico)? nYes nN`o Comments/Discrepari Chain of Custody Present? C es ,❑P:o ❑r-l/A 1. Samples ' rre lesArrived w: thin Hoid Time? / Y'e5 ❑NO ,-'❑FI/A Z. Short Hold Time Analysis (<72 hr.)? ❑'fes ©rvo .❑rvJA 3. Rush Turn Around Time Requested? ❑les DPloy ❑NY' Q• Sufficient Volume? Yes/ ❑13o ❑rJJA 5. Correct Containers Used? [Dyes ❑No ©P!/A 6. -Pace Containers Used? ❑ eY s ❑N/A '7. Containers Intact? Yes ❑No ❑N,//A / Dissolved analysis: Samples Field Filtered? ❑yes/ /IOMa ❑M/A g. Sample Labels Match COC? [Yes ❑No ❑rJJA 9, ti ) cn KC -Includes Date/Time/ID/Analysis ivlatrix: Headsoace in VOA Vials(>S•Smm)? ❑Yes ❑Ma i] /?+/ . ` 10, Trip Slank present? Dyes ❑i4o NI 11. Trip Blank Custody Scars Presents ❑Yes ❑too COMMENTS/SAMPLE DISCREPANCY CLIENT NOTIFICATIDWIRESOLUTION Person contacted: Project Manager SCURF Review: Project Manager SRF Review: Date/Time: Field Data Required? ❑Yes ©No Lot ID c soffit containers: I Date: !L ..{ ; ,' Date: Page 12 of 14 0 w 0 A a 0 0 v m 2 w x a D LZ O N. m v a � p. O y •�U" Q (D w ro 3 c rD m C tti CL a � iit � O (p N D a u n m � d C a o .. ItemlJ / , I BP4U-125 ml- Plastic Unpreserved (N/A) (Cl-) — 6P3U-250 rnL Plastic Unpreserved (N/A) BP2U-500 nrS. Plastic Unpreserved (IJ/A) 13P1U-1 liter Plastic Unpreserve0 (N/A) / ✓ ` BP4S•125 mL Plastic H2SO4 (pH c 2) (Cl-) / / \ 6P3N-250 ntL plastic HNO3 (phi < 2) / / f !!! 8P47-125 mL Plastic ZII Acetate & NaOH (>9} 101M -125 mL Plastic Na01-I (pH > 12) (Cl-) WGFU-IN}de•lnouthed Glass jar Unpreserved AG1U-1 liter Amber Unpreserved (NIA) (CI-) / AG1H-1 llterAmher llCl (pli < 2) AG3U-250 mL Amber Unpreserved (N/A) (Cl-) // / AG15-1liter Amber 112SO4(pi I<2) / AG3S-250 mL Amlmr 125C14 (pH t 2) /AG3A(QG 3A)-250 mL Amber NIMCI (N/A)(Cl-) VG9H-40mLVOAHCI (N/A) VG91'-40 mL VOA Na25203 (N/A) vG9uni7 nir,v0n unli {tJ/Ai .G91'-4U mL VOA 113P011 (N/A) VOAK (6 vials per kit)-5035 kit (N/A) V/GK (3 vials per kit)-VP11/Gas kit (N/A) — SPST-125 ritL 5ter0e I'lastic {N/A — lab) SP2T-250 mLSterilePlasric (N/A —lab) 9P3A-250 ml. Plastic (I41i2)2SO4 (9.3-9.7) AGOU400 mt Arnber Unpreserved vials (N/A) V513U-20 mL Scintillation vials (rl/A) DG9U-40 mL Amber Unpreserved vials (N/A) -Y rn rn C y �+ n o T rSo s} _.rD Ort lD CL T. cn C j W 0 a -+ 0 1 4 — 7:; -ui X M -, , 0 0 p Cr n lD X �- 3 v w rn6 N M n fl 3 CL � o o o' rD d fD a rR O Vn m 0 !Q ^ o Q O O W > o r 0n p to 3 s tn' � o ro w u a .. m 4 P3 c � A � ro m ti r) o n n .-r z O H •• 1 rlCD V n -4 D n ro .. to W � r= r, � � 1 o c, � fo • � � w� ou oo 1 C>::�a a p o ti rn� 1 N O v r• ©\VL m D O W W Ln w a p CHAIN -OF -CUSTODY I Analytical Request Document PaceAnaoica! Thn Chaln-of-Ci slody is a LEGAL DOCUMENT. All relevant fields must be coniplowd accurately, wvrr.aacclahs.cen Section A Section fl Section C P300: f of N EL Required Gir-nl InlarrrnzRont Required Prniacl lnlulnlalion: 11mire Inlomillion: f;nlllpilny.r / y ROpert To: ATienliow / r j (� fi rb:1.-•;�c1 �t.✓r,.'✓'i4r=/ C_ _ �,� �� J Adrtrnss: 'nJ Copy TO: Gonlpany Name. REGULATORY AGENCY �lr�Gr.Jr1 n +� 42-2 1 v Addruss: NPDES r GROUNO WATER DRINKING WATER UST j' RCRA OTHER Ec:d 7O_ i mvulTo P/lrX rtyIw ..l� - PrnlCrl Nana: (! 6':rr.Plnjr..l Site L.Ocation k,pr3-f %� 7 STATE: Roquasrnd Doe DatelTAT: Proh:ct Nuudx:r. P:ru; Proli", F: Requested Analysis Filtered (Y11N) Section D M.W. Odes Ftieyuired C6ul+l inlarnla!iun tthTl21% ! COLLECTED f leselvdtfVeS i• Water WT 4 U r`CI;M1fi+TF C-OMMISITl5 V W:sliSi. W:i1=+r -/JW Prorluo I. SOWS011d SL "- t7 ••'ar.r p y SAMPLE I❑ Oil OL " V m L 0 t1ipu WP (A-Z, !1-9 ! .-1 ar AR $ 111 r &.-pI. IDs M JST DE tJrll'7UL flssue TS Other O'f 6 U a it `w w H Z U 41 o rn -N ' -h "� �- .-. U ti � g a ii LL n 0 p^ 470 7� ~ z N pA7E rihle DATE Tl?.1E N z x L L O tr Pace Project No-! Lab LD- t I % � Lip x . j ,�:✓ c f 2C: 3 -0 (> i �' ��;_•�: "• ':�) 5 I I C�'yv t u; k u K 4 5 ' ti 7 8 4 10 11 12 — — ElE ADOIT1017AL CC MMENTS RELINOUISHED BY 1 AFFILIATION r DATE TIME ACCEPTED BY 1 AFFILIATION DATE TIME SAMPLE CONDITIONS } �C � r`r � �` i�r �': „ 's � �� c.: V �' �� u' � �- 'o�c-:.Cr •'f i i`;� E3; � R' 16 , �LL r'f� �= A1�l 1 j l ► . + `I '?I(q`' It, SAMPLER NAME AND SIGNATURE v o u _ Q ' _ G - PRINT Name of SAfdPLER: ( j `- _ SIGNATURE of SAMPLER: ��, f i DATE Signed 4j 31 -1 8 r = `l o s E {n £:✓ ✓r— �� IfdMIDDIYYI: 'ilnpnnm I N.te: Dy'Ir•'n II MM f0inl yar.:uu n:a:cpnlyl Pu;c': NLT W Ity paynlenl leg rs .md apvo:Igl to Ill, clvur.lcs al 1.51.5 1%r ainnja?v "w inrmw, not paid de y�:. F-ALL-0-02llrev.07. 15-May-2007 ys Semi-annual Stormwater Discharge Monitoring Report REGE1 Pa or North Carolina DEMLR General Permit No. NCG210000 SEp.16 ZU14 Date submitted _ 2-12 - ZOII g CENTRAL FILES CERTIFICATE OF COVERAGE NO. CG21 coO O SAMPLE COLLECTION YEAR Z&Ve DWR SECTION FACILITY NAME O4Sr 91..1a e e5yx Cp . SAMPLE PERIOD Jan �] July -Dec COUNTY . /�I'a,rrl�LL or ❑ Monthly' (month) PERSON COLLEC NG SAMPLES /�_G�pGrR.✓ DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY LE � /C L Lab Cert. # _21L'/t3 l[i ❑Zero -flow ❑Water Supply Comments on sample collection or analysis: ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE --) Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.) ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Chemical Oxygen Demand Total Suspended Solids Benchmarks =__> _ 120 mg/L 100 mg/L or 50 mg/L° 002 8-21- ly �. 75 `l (D.O ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. See General Permit text; Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 1 of 2 \C - Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. No discharge this period ?2 Outfall No. date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar 0&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> _ - 15 mg/L 100 mg/L or SO mg/L Footnotes from Part A also apply to this Part B Note: If you report a sample value In excess of the benchmark, you must implement Tier I, Tier2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES []NOCR IF YES, HAVE YOU CONTACTED THE DEMLR EGIONAL OFFICE? YES ❑ NO [❑ REGIONAL OFFICE CONTACT NAME:. A5 kr V r I �A. Mail an original and one cope of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period In the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, 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." (Date) Permit Date:8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 2 of 2 +� NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: 17tto;//nortal.ncdenr.a[•g/we /h /nndes-storntwater/ Permit No.: N/L/ G/ 2/! / v/ a/ o/ o/ or Certificate of Coverage No.: Facility Name: ._�-r!DusTR�,A�• irtR .t !��l��F� 6a,!e k County: M <VealeLL Phone No. Inspector: j!(gEz7,—V G; 4d;-,*AJ Date of Inspection: b' -Z 1 rZa/� Time of Inspection: re Total Event Precipitation (inches): 1.7 f Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® 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. A "measurable storm event" is a storm evert 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 j obtains approval from the local DWQ Regional Office. By this signature, 1 certify that this report is accurate and complete to the best of my knowledge. ture of Permittet or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. Q0Z Structure (pipe, ditch, etc.) 10, PE Receiving Stream: Describe the in ust ial activities that occur within the outfall drainage area: b 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 6&A LkL 1 W [a o f 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): -VI e rJ 6- 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 0 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 © 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 V 4 5 7. Is there any foam in the stormwater discharge? Yes (o S. Is there an oil sheen in the stormwater discharge? Yes oNo 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 be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 ;I. ��aceAnalytical' CHAIN -OF -CUSTODY ! Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT, All relevant fields must be completed accurately. 0 • rn or Page: of Section A Section B Section C 0- Required Client Information: Required Project information: Invoice Information! I ^ A "JL. Company: �. Report To: ` Attention: 1 L. •Tarn ; e C-4..l SG,JC CLJ! 35 79 Address: D Copy To; Company Name: REGULATORY AGENCY t � Address: r NPDES r GROUNDWATER r DRINKING WATER �t r UST r RCRA (✓ OTHER 6fM WqT Email To: Purchase Order No.: pace Cne1e Reference: Phone: Fax: Project Name. S fG T M t�c� Pace Proieet Manager: Site Location - - - STATE: IV .. . Requested Due Date/TAT: - Project Number: Pace Profile #: Requested Analysis Filtered (YIN) , Section 6 _ Matrix Codes 19 a . z Rayuired Client Information MATRIX 1 CODE COLLECTED Preservatives - Drinking Water DW - S u • o - Water WT u Ww ossrre cPstWater 0 z . ' SoilfSolld SL ° SAMPLE ID Oil OL .. Wipe WP (A-Z,O-gl,-1 Air AR q. w a z H. Sample IDS MUST BE UNIQUE Tissue TS O U (L w�w ti z m ' w z Other OT r 70 `N Of IL it (/) 9 -� w ~ 4 N O c V) z U Q R r m 'Q, 'y a) g DATE TIME DnTe TIME rn x 7 = r z z 2 O OfPace'Project No./ Lab I.D. i` �Z1- lby Z l { 9 k 1 4 70Oo � 2, ,3 '4 5' B B g 10 1T 12 ADDITIONAL COMMENTS _ RELINQUISHED BY I AFFILIATION - DATE TIME ACCEPTED BY I AFFILIATION DATE TIME SAMPLE CONDITIONS KiVL -� 1 �06 4- ORIGINALSAMPLER NAME AND SIGNATURE U °Z ` �8 � PRINT Name of SAMPLER: Ci d h 'a 2 n SIGNATURE of SAMPLER: j� i DATE Signed Q ` , E r°1- `—' d E _ (MM1DDlYYy. -important Note: By signing this form you are accepting Pace's NET 30 day payment terms and agreeing to late charges of 1.5% per month for any invoices not paid wtthin�30 days- F-ALL-Q-D20rev.47, 15•May-2007 Document Name: Sample Condition Upon Document Revised: June 10, 2014 aceAnlalyticalo Receipt (SCUR) Page 1 of 2 Document No.: Issuing Authorities: wwFv.pncOln65.G0/li F-ASV-CS-003-rev.14 Pace Asheville Quality Office Client Name. Courier (Circle): Fed Ex UPS USPS Tent Commercial Custody Seal on Cooler/Box Present: yes no Seals intact: Packing Material: Bubble Wrap ❑ Bubble Bags NoneaBlue Other Thermometer Used: IR Gunrt3-130265963 Type of Ice: Gun #4 SN140290365 Other: Temp Correction Factor: Add kfubtract 6 C ace ther yes no None Samples on ice, cooling process has begun Corrected Cooler Temp.: 4. C Temp should be above freezing to 6°C T Biological Tissue is Frozen: Yes No(N1,A1 Comments: Date and Initials of person examining contents: gl f l AGT Chain of Custody Present: es ❑No ❑NIA 1. Chain of Custody Filled Out: -.Yes ❑No ❑NIA 2. Chain of Custody Relinquished: Zi YYes ❑No C1NIA 3. Sampler Name & Signature on COC:. es ❑No ❑wA 4. Samples Arrived within Hold Time: Yes ❑No El NIA 5. Short Hold Time Analysis (<72hr): ❑Yes No ❑NIA 6. Rush Turn Around Time Requested: ❑Yes No ❑NIA 7. Sufficient Volume: des ❑No El N/A 8. Correct Containers Used: -Pace Containers Used: pees ❑No Yes El No ©NIA ❑NIA 9. Containers Intact: Z Yes ❑No L]wA 10. Filtered volume received for Dissolved tests Dyes PIo El N/A 11. Sample Labels match COC: -Includes dateltime/IDIAnalysis • Matrix: ;3�os ❑No W4 ❑NIA 12. All containers needing preservation have been checked. All containers needing preservation are found to be in compliance with EPA recommendation. exceptions: VOA, coliform, TOC, O&G, WI-DRO (water) i ��7,( a ❑No ryes ❑No �` ` ❑Yes ❑NIA ❑N/A 13. ' Samples checked for dechlorination: es ❑No A 14. Headspace in VOA Vials ( >6mm): ❑Yes ❑No NIA 15. Trip Blank Present: Trip Blank Custody Seals Present Pace Trip Blank Lot # (if purchased): ❑Yes ❑ND ❑Yes.❑No IN/A /N/A 16. Client Notification! Resolution: Field Data Required? Y / N Person Contacted: Datefrime: Comments/ Resolution: SCURF Review: SRF Review: lDate: 2.7 "" Note: Whenever there is a discrepancy affecting North'Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office ( i.e out of hold, incorrect preservative, out of temp, incorrect containers) Page 10 of 10