FA-29859_48958_CA_SCH_20230419

2725 E. Millbrook Road, Suite 121
Raleigh, North Carolina 27604
Telephone [phone]
Fax [phone]
www.oneatlas.com

April 19, 2023

Mr. Mike Haseltine
North Carolina Department of Environmental Quality
Fayetteville Regional Office
Division of Waste Management - UST Section
225 Green Street, Suite 714, Systel Building
Fayetteville, North Carolina 28301

Re: Site Check Report
Circle K Store #2723123
873 Longbranch Road
Dunn, Harnett County, North Carolina
NCDEQ Facility ID #00-0-0000029768

Dear Mr. Haseltine:

ATC Associates of North Carolina, LLC (ATC), on behalf of Circle K Stores, Inc., is submitting this Site Check
Report for the referenced facility.

If you have any questions or require additional information, please contact our office at [phone].

Sincerely,
ATC Associates of North Carolina, LLC

Maureen Jackson, P.G.
Senior Project Manager

cc: Mr. Alan Cubberley, Circle K Stores, Inc.

SITE CHECK REPORT

Circle K Store #2723123
873 Longbranch Road
Dunn, Harnett County, North Carolina
NCDEQ Facility ID #00-0-0000029768

Circle K Store#2723123
NCDEQ Facility tD #0-029768
April19,2023
Site Check Report
Site Check Report
A.Site Information
Site Identificationl
Date of Report: 0411912023
Facility ID #: 00-0-0000029768 UST Incident # Not Assigned
Site Name: Circle K Store #2723123
Site Street Address: 873 Longbranch Road
City/Town: Dunn Zip Code: 28334 County:Harnett
Description of Geographical Data Point: Diesel UST Basin
Location Method: Google Earth
Latitude: 35.269964" N Longitude
2. Information About Contacts
78.614652'W
UST Owner and Operator: Circle K Stores. Inc.
Address: I100 Situs Court. Suite 100 Raleigh" North Carolina 27606 Tel: Ql9\ 774-6700
Property Owner: Roxy Drive. LLC
Address: I l0 Roxy Drive Selma. North Carolina 27576
Property Occupant:Circle K Store #2723132
Address: 873 Lonsbranch Road Dunn. North Carolina28334
Consultant/Contractor: ATC Associates of North Carolina. P.C.
Address: 2725 E. Millbrook Road. Suite l2l Raleigh.North Carolina27604 Tel: [phone]
Analytical Laboratory: SGS North America. lnc.Cert #: 487
Address: 500 Ambassador Caffery Scott. Louisiana 70583 Tel: (.331\237-4775
3. Information About Release
Date Discovered: Not Applicable
Estimated Quantity of Release: Unknown
Cause of Release: Diesel Product Line Replacement
Source of Release: Diesel Product Line Replacement
Size and Contents of UST System: See Table I
Complete and include in report H in the order listed.
I, Maureen A. Jackson. a iates of North Carolina, P.C. do certifo that the
information contained in this to the best of my knowledge.
(Please Affix Seal and Sign
practice geology/engineering (circle one or both)ln
o
North Carolina. The certification n pany or corporation is ell98
Circle K Store #2723123 April 19, 2023
NCDEQ Facility ID #0-029768 Site Check Report

B. Site History

1. Provide UST Owner and Operator Information

See Table 1.

2. Provide UST Information

See Table 2.

3. Provide Non-UST Information

Two aboveground storage tanks (ASTs) are known to exist at the site. One AST holds
approximately 395 gallons of diesel fuel for the onsite generator. The second AST holds
approximately 6,500 gallons of diesel exhaust fluid (DEF).

4. Describe relation of location of current UST system to historical UST releases.

Four previous releases appear to have occurred at the facility. The first release was identified
during closure activities associated with three 10,000-gallon gasoline and one 6,000-gallon
diesel underground storage tanks (USTs). The release was reported to the North Carolina
Department of Environmental Quality (NCDEQ) on July 18, 2001 and issued UST incident
number 22318. Based on a review of the file, it is not known at the time of this report if this
incident remains open. The second release occurred on March 20, 2011 when a truck spilled
diesel fuel at the property. This was issued incident number 90102 and the incident was issued
a Notice of No Further Action (NFA) on August 5, 2011. The third release occurred on June
23, 2014 when approximately 50 to 175 gallons of diesel fuel was released from a truck saddle
tank. Approximately 10.63 tons of petroleum-impacted soil was removed from the facility.
Based on the soil excavation, it appeared petroleum-impacted soil was effectively removed, and
no further work was required. The fourth release was reported during February 2018 when a
failure of the diesel product line within diesel dispenser #20 occurred. The diesel fuel
overflowed the dispenser sump and spilled onto the nearby parking lot. Following clean up
activities, this release was issued a NFA on March 14, 2018.

5. Provide a Brief Description of Site Characteristics

The subject property consists of one convenience store building and petroleum fueling
equipment. The subject property and surrounding area are fairly level. The area mainly
consists of commercial businesses and undeveloped land. Public water appears to be supplied
to the site as a water meter was noted onsite. Water supply wells were not identified at the site.
A topographic map and site map are attached as Figures 1 and 2, respectively.

C. Site Check Procedures

1. UST System Testing
UST system testing is not available at the time of this report. Circle K replaced the diesel
product lines at the facility and installed a diesel exhaust fluid (DEF) tank. These activities
were completed during the Fall 2022. ATC was not onsite during these activities.
Circle K Store #2723123 April 19, 2023
NCDEQ Facility ID #0-029768 Site Check Report

2. Site Check Procedure
On March 30, 2023, ATC personnel contracted with AmeriProbe of Huntersville, North
Carolina to advance thirteen soil borings in proximity to the diesel dispensers, diesel product
lines, and the diesel UST basin. The soil borings were advanced to depths ranging from five to
thirteen feet below ground surface (bgs) using macro-core samplers. The locations of the soil
borings are provided on Figure 2.

3. Soil Excavation Activities
Soil excavation was not performed as part of this site check.

D. Site Investigation

1. Field Screening
Soil samples were collected at one-foot intervals from surface to boring termination depth at
either five or thirteen feet bgs. Each soil sample was screened with a photoionization detector
(PID) during boring advancement. The respective PID readings are provided on the boring
logs provided in Attachment I.

2. Soil Sampling Information
On March 30, 2023, thirteen soil borings were advanced at the facility, using macro-core
samplers, in proximity to the diesel dispensers, diesel product lines, and the diesel UST basin.
Soil borings SB-1, SB-2, SB-3, SB-4, SB-5, SB-12, SB-13, SB-14, and SB-15 were advanced
to five feet bgs. Soil borings SB-9 and SB-10 were advanced to thirteen feet bgs. The soils
were screened at one-foot intervals with a PID. The soil sample exhibiting the highest PID
reading per boring was submitted to the project laboratory for analyses. The soil encountered
at the sampling depths consisted of brown to reddish-brown silt and silty sand to a brown silty
clay.

The soil samples were shipped to a N.C. certified laboratory in a chilled cooler following
proper chain-of-custody procedures. The soil samples were requested to be analyzed by
TPH-Gasoline Range Organics (GRO) and TPH-Diesel Range Organics (DRO).

3. Groundwater and Surface Sampling Information
Groundwater and surface water samples were not collected during site check activities.

4. Quality Control Measures
The soil samples were placed in laboratory provided jars and vials. The samples were
immediately placed on ice and contained in a cooler during transportation. The samples were
transported by courier under a chain-of-custody to the laboratory for analyses.

5. Investigation Results
Laboratory analytical results of the soil samples collected in proximity to the diesel dispensers,
diesel product lines, and the diesel UST basin did not detect TPH-GRO or TPH-DRO
concentrations above established State Action Levels. Laboratory analytical results are
provided on Table 3. A copy of the laboratory report and chain-of-custody documents are
provided in Attachment II.

Circle K Store #2723123 April 19, 2023
NCDEQ Facility ID #0-029768 Site Check Report

E. Conclusion and Recommendations
Laboratory analytical results of the soil samples collected in proximity to the diesel dispensers,
diesel product lines, and the diesel UST basin did not detect TPH-GRO or TPH-DRO
concentrations above established State Action Levels. Therefore, it appears the diesel product
lines that were replaced did not cause a release of diesel fuel to the soil prior to their
replacement.

F. Figures
Figure 1 – Topographic Map
Figure 2 – Site Map

G. Tables
Table 1 – Site History - UST Owner and Operator Information
Table 2 – Site History – UST/AST System Information
Table 3 – Soil Analytical Results

H. Attachments
I – Boring Logs
II – Laboratory Report and Chain-of-Custody Documents

TABLES
TABLE 1
SITE HISTORY - UST OWNER AND OPERATOR INFORMATION
CIRCLE K STORE #2723123
873 LONGBRANCH ROAD
DUNN, HARNETT COUNTY, NORTH CAROLINA
NCDEQ FACILITY ID #00-0-0000029768
Revision Date:4/19/2023 Incident Number and Name:Circle K Store #2723123
UST ID Number A1 through A4 Facility ID Number 00-0-0000029768
City State Zip Telephone Number
Raleigh NC 27606 919-774-6700
City State Zip Telephone Number
Raleigh NC 27606 919-774-6700
UST ID Number 1 through 4 Facility ID Number 00-0-0000029768
City State Zip Telephone Number
Selma NC 27576 [phone]
City State Zip Telephone Number
Selma NC 27576 [phone]
Street Address
110 Roxy Drive
110 Roxy Drive
Name of Operator Dates of Operation (MM/DD/YY to MM/DD/YY)
A.G. Lee Oil Co.Unknown Date to Fall 2000
Name of Owner Dates of Operation (MM/DD/YY to MM/DD/YY)
A.G. Lee Oil Co.Unknown Date to Fall 2000
Street Address
Street Address
1100 Situs Court, Suite 100
1100 Situs Court, Suite 100
Name of Operator Dates of Operation (MM/DD/YY to MM/DD/YY)
Circle K Stores, Inc.Fall 2000 to Present
Name of Owner Dates of Operation (MM/DD/YY to MM/DD/YY)
Circle K Stores, Inc.Fall 2000 to Present
Street Address
TABLE 2
SITE HISTORY - UST/AST SYSTEM INFORMATION
CIRCLE K STORE #2723123
8783 LONGBRANCH ROAD
DUNN, HARNETT COUNTY, NORTH CAROLINA
NCDEQ FACILITY ID #00-0-0000029768
Revision Date:4/19/2023
UST ID Number Current/Last Contents
Previous
Contents
Capacity
(gallons)
Construction
Details
Tank
Dimensions
Description of
Associated
Piping and
Pumps
Date Tank
Installed Status of UST
Was Release
Associated with
the UST System?
A1 Gasoline (Regular)None 20,000 FRP Clad Steel Unknown DW Flex 01/01/01 Active No
A2 Gasoline (Premium)None 20,000 FRP Clad Steel Unknown DW Flex 01/01/01 Active No
A3 Diesel None 15,000 FRP Clad Steel Unknown DW Flex 01/01/01 Active No
A4 Diesel None 15,000 FRP Clad Steel Unknown DW Flex 01/01/01 Active No
AST ID Number Current/Last Contents
Previous
Contents
Capacity
(gallons)
Construction
Details
Tank
Dimensions
Description of
Associated
Piping and
Pumps
Date Tank
Installed Status of AST
Was Release
Associates with
the AST System?
Gen Diesel (Generator)None 395 Unknown Unknown Unknown Unknown Active No
5 DEF None 6500 Unknown Unknown Unknown Unknown Active No
Incident Number and Name:Circle K Store #2723123
TABLE 3
SOIL ANALYTICAL RESULTS
CIRCLE K STORE #2723123
873 LONGBRANCH ROAD
DUNN, HARNETT COUNTY, NORTH CAROLINA
NCDEQ FACILITY ID #00-0-0000029768
SB-1 (4-5)4-5 5.7 3/30/2023 <7.3 2.45J
SB-2 (3-4)3-4 5.1 3/30/2023 <7.4 3.35J
SB-3 (0-1)0-1 4.7 3/30/2023 <6.7 3.38J
SB-4 (1-2)1-2 4.5 3/30/2023 <7.1 3.16J
SB-5 (1-2)1-2 15.3 3/30/2023 <6.7 4.10J
SB-8 (12-13)12-13 7.7 3/30/2023 <6.9 <6.0
SB-9 (9-10)9-10 3.5 3/30/2023 <6.9 5.01J
SB-10 (1-2)1-2 54.2 3/30/2023 <6.6 4.06J
SB-11 (0-1)0-1 3.8 3/30/2023 <8.0 2.80J
SB-12 (3-4)3-4 15.4 3/30/2023 <8.3 2.82J
SB-13 (2-3)2-3 59.2 3/30/2023 <6.5 <6.2
SB-14 (4-5)4-5 10.7 3/30/2023 <6.8 2.40J
SB-15 (2-3)2-3 4.3 3/30/2023 <6.1 7.07
50 100
Notes:
1. Concentrations reported in milligrams per kilogram (mg/kg).
2. PID denotes photoionization detector.
3. PPM denotes parts per million.
4. < denotes concentration is less than the method detection limit.
State Action Level (mg/kg)
EPA METHOD 8015Analytical Method
Sample
Depth
(feet)
PID
Reading
(ppm)
Date
Sampled TPH-GROTPH-DRO

FIGURES
100 ft
N➤➤N
SB-1
SB-2
SB-3
SB-4 SB-5
SB-8
SB-9
SB-10
SB-11
SB-12
SB-13
SB-15
C
O
M
M
SB-14
GAS
DEF
TANK
EL
E
C
T
R
I
C
WATERDITCH

ATTACHMENT I
04-13-2023 S:\Enviro\Pantry\2723123 - Dunn\Boring Logs\SB-1.borClient: Circle K Stores, Inc.
ATC Project No. CIRK3123PL
Dunn, North Carolina
873 Longbranch Road
Circle K #2723123
ppm = parts per million
PID = Photoionization Detector
ft bgs = feet below ground surface
Soil sample collected: SB-1 at 4-5 ft bgs
BORING LOG: SB-1
(Page 1 of 1)
Date(s) Drilled : 03/30/2023
Drilling Contractor : AmeriProbe
Drilling Method : Hand Auger
Boring Diameter : 2.25 Inches
Sampling Method : Hand Auger
Sampling Interval : Continuous
Logged By : Laura de Sousa
Depth In Feet (BGS)0
1
2
3
4
5 USCSGRAPHICDESCRIPTION PID
(ppm)
1.5
2.4
2.5
4.6
5.7
AR
CL
Asphalt, aggregate
Brown silty CLAY
End of boring
04-13-2023 S:\Enviro\Pantry\2723123 - Dunn\Boring Logs\SB-2.borClient: Circle K Stores, Inc.
ATC Project No. CIRK3123PL
Dunn, North Carolina
873 Longbranch Road
Circle K #2723123
ppm = parts per million
PID = Photoionization Detector
ft bgs = feet below ground surface
Soil sample collected: SB-2 at 3-4 ft bgs
BORING LOG: SB-2
(Page 1 of 1)
Date(s) Drilled : 03/30/2023
Drilling Contractor : AmeriProbe
Drilling Method : Hand Auger
Boring Diameter : 2.25 Inches
Sampling Method : Hand Auger
Sampling Interval : Continuous
Logged By : Laura de Sousa
Depth In Feet (BGS)0
1
2
3
4
5 USCSGRAPHICDESCRIPTION PID
(ppm)
3.6
2.7
1.7
5.1
4.3
AR
CL
Asphalt, aggregate
Brown silty CLAY
End of boring
04-13-2023 S:\Enviro\Pantry\2723123 - Dunn\Boring Logs\SB-3.borClient: Circle K Stores, Inc.
ATC Project No. CIRK3123PL
Dunn, North Carolina
873 Longbranch Road
Circle K #2723123
ppm = parts per million
PID = Photoionization Detector
ft bgs = feet below ground surface
Soil sample collected: SB-3 at 0-1 ft bgs
BORING LOG: SB-3
(Page 1 of 1)
Date(s) Drilled : 03/30/2023
Drilling Contractor : AmeriProbe
Drilling Method : Hand Auger
Boring Diameter : 2.25 Inches
Sampling Method : Hand Auger
Sampling Interval : Continuous
Logged By : Laura de Sousa
Depth In Feet (BGS)0
1
2
3
4
5 USCSGRAPHICDESCRIPTION PID
(ppm)
4.7
3.7
3.7
0.9
2.5
AR
CL
ML
Asphalt, gravel
Brown silty CLAY
Reddish brown clayey SILT
End of boring
04-13-2023 S:\Enviro\Pantry\2723123 - Dunn\Boring Logs\SB-4.borClient: Circle K Stores, Inc.
ATC Project No. CIRK3123PL
Dunn, North Carolina
873 Longbranch Road
Circle K #2723123
ppm = parts per million
PID = Photoionization Detector
ft bgs = feet below ground surface
Soil sample collected: SB-4 at 1-2 ft bgs
BORING LOG: SB-4
(Page 1 of 1)
Date(s) Drilled : 03/30/2023
Drilling Contractor : AmeriProbe
Drilling Method : Hand Auger
Boring Diameter : 2.25 Inches
Sampling Method : Hand Auger
Sampling Interval : Continuous
Logged By : Laura de Sousa
Depth In Feet (BGS)0
1
2
3
4
5 USCSGRAPHICDESCRIPTION PID
(ppm)
0.7
4.5
1.9
2.1
2.2
AR
CL
Asphalt, aggregate base
Brown silty CLAY
End of boring
04-13-2023 S:\Enviro\Pantry\2723123 - Dunn\Boring Logs\SB-5.borClient: Circle K Stores, Inc.
ATC Project No. CIRK3123PL
Dunn, North Carolina
873 Longbranch Road
Circle K #2723123
ppm = parts per million
PID = Photoionization Detector
ft bgs = feet below ground surface
Soil sample collected: SB-5 at 1-2 ft bgs
BORING LOG: SB-5
(Page 1 of 1)
Date(s) Drilled : 03/30/2023
Drilling Contractor : AmeriProbe
Drilling Method : Hand Auger
Boring Diameter : 2.25 Inches
Sampling Method : Hand Auger
Sampling Interval : Continuous
Logged By : Laura de Sousa
Depth In Feet (BGS)0
1
2
3
4
5 USCSGRAPHICDESCRIPTION PID
(ppm)
4.1
15.3
2.9
14.4
3.1
AR
CL
CL
Asphalt, aggregate base
Brown silty CLAY
Reddish brown silty CLAY
End of boring
04-13-2023 S:\Enviro\Pantry\2723123 - Dunn\Boring Logs\SB-9.borClient: Circle K Stores, Inc.
ATC Project No. CIRK3123PL
Dunn, North Carolina
873 Longbranch Road
Circle K #2723123
BORING LOG: SB-8
(Page 1 of 1)
Date(s) Drilled : 03/30/2023
Drilling Contractor : AmeriProbe
Drilling Method : Hand Auger
: Direct Push Technology (DPT)
Boring Diameter : 2.25 Inches
Sampling Method : Hand Auger & Macrocore
Sampling Interval : Continuous
Logged By : Laura de Sousa
Depth In Feet (BGS)0
1
2
3
4
5
6
7
8
9
10
11
12
13 USCSGRAPHICDESCRIPTION
ML
ML
ML
Brown sandy SILT
Light brown SILT
Reddish brown SILT
End of boring
PID
(ppm)
1.4
3.6
2.4
1.9
1.3
3.5
5.1
5.6
6.1
6.8
5.7
7.4
7.7
ppm = parts per million
PID = Photoionization Detector
ft bgs = feet below ground surface
Soil sample collected: SB-8 at 12-13 ft bgs
04-13-2023 S:\Enviro\Pantry\2723123 - Dunn\Boring Logs\SB-10.borClient: Circle K Stores, Inc.
ATC Project No. CIRK3123PL
Dunn, North Carolina
873 Longbranch Road
Circle K #2723123
BORING LOG: SB-9
(Page 1 of 1)
Date(s) Drilled : 03/30/2023
Drilling Contractor : AmeriProbe
Drilling Method : Hand Auger
: Direct Push Technology (DPT)
Boring Diameter : 2.25 Inches
Sampling Method : Hand Auger & Macrocore
Sampling Interval : Continuous
Logged By : Laura de Sousa
Depth In Feet (BGS)0
1
2
3
4
5
6
7
8
9
10
11
12
13 USCSGRAPHICDESCRIPTION
ML
ML
SM
Brown sandy SILT; fine grained
Brown to red SILT
Reddish brown silty SAND
End of boring
PID
(ppm)
0.3
0.4
0.4
0.5
0.8
1.7
0.3
0.5
0.4
3.5
1.9
2.6
2.3
ppm = parts per million
PID = Photoionization Detector
ft bgs = feet below ground surface
Soil sample collected: SB-9 at 9-10 ft bgs
04-13-2023 S:\Enviro\Pantry\2723123 - Dunn\Boring Logs\SB-1.borClient: Circle K Stores, Inc.
ATC Project No. CIRK3123PL
Dunn, North Carolina
873 Longbranch Road
Circle K #2723123
BORING LOG: SB-10
(Page 1 of 1)Depth In Feet (BGS)0
1
2
3
4
5
6
7
8
9
10
11
12
13 USCSGRAPHICDESCRIPTION PID
(ppm)
26.9
54.2
17.9
11.4
6.1
2.6
0.8
1.0
2.8
0.6
3.7
5.2
0.9
ppm = parts per million
PID = Photoionization Detector
ft bgs = feet below ground surface
Soil sample collected: SB-10 at 1-2 ft bgs
Date(s) Drilled : 03/30/2023
Drilling Contractor : AmeriProbe
Drilling Method : Hand Auger
: Direct Push Technology (DPT)
Boring Diameter : 2.25 Inches
Sampling Method : Hand Auger & Macrocore
Sampling Interval : Continuous
Logged By : Laura de Sousa
AR
CL
ML
ML
SM
Asphalt, aggregate
Brown silty CLAY
Brown and red clayey SILT
Reddish brown clayey SILT
Tan and red silty SAND; fine grained, sub angular
End of boring
04-13-2023 S:\Enviro\Pantry\2723123 - Dunn\Boring Logs\SB-11.borClient: Circle K Stores, Inc.
ATC Project No. CIRK3123PL
Dunn, North Carolina
873 Longbranch Road
Circle K #2723123
ppm = parts per million
PID = Photoionization Detector
ft bgs = feet below ground surface
Soil sample collected: SB-11 at 0-1 ft bgs
BORING LOG: SB-11
(Page 1 of 1)
Date(s) Drilled : 03/30/2023
Drilling Contractor : AmeriProbe
Drilling Method : Hand Auger
Boring Diameter : 2.25 Inches
Sampling Method : Hand Auger
Sampling Interval : Continuous
Logged By : Laura de Sousa
Depth In Feet (BGS)0
1
2
3
4
5 USCSGRAPHICDESCRIPTION PID
(ppm)
3.8
1.2
1.0
2.0
2.5
AR
CL
Asphalt, aggregate
Reddish brown silty CLAY
End of boring
04-13-2023 S:\Enviro\Pantry\2723123 - Dunn\Boring Logs\SB-12.borClient: Circle K Stores, Inc.
ATC Project No. CIRK3123PL
Dunn, North Carolina
873 Longbranch Road
Circle K #2723123
ppm = parts per million
PID = Photoionization Detector
ft bgs = feet below ground surface
Soil sample collected: SB-12 at 3-4 ft bgs
BORING LOG: SB-12
(Page 1 of 1)
Date(s) Drilled : 03/30/2023
Drilling Contractor : AmeriProbe
Drilling Method : Hand Auger
Boring Diameter : 2.25 Inches
Sampling Method : Hand Auger
Sampling Interval : Continuous
Logged By : Laura de Sousa
Depth In Feet (BGS)0
1
2
3
4
5 USCSGRAPHICDESCRIPTION PID
(ppm)
3.2
4.5
8.6
15.4
9.4
AR
CL
Asphalt, aggregate
Reddish brown silty CLAY
End of boring
04-13-2023 S:\Enviro\Pantry\2723123 - Dunn\Boring Logs\SB-13.borClient: Circle K Stores, Inc.
ATC Project No. CIRK3123PL
Dunn, North Carolina
873 Longbranch Road
Circle K #2723123
ppm = parts per million
PID = Photoionization Detector
ft bgs = feet below ground surface
Soil sample collected: SB-13 at 2-3 ft bgs
BORING LOG: SB-13
(Page 1 of 1)
Date(s) Drilled : 03/30/2023
Drilling Contractor : AmeriProbe
Drilling Method : Hand Auger
Boring Diameter : 2.25 Inches
Sampling Method : Hand Auger
Sampling Interval : Continuous
Logged By : Laura de Sousa
Depth In Feet (BGS)0
1
2
3
4
5 USCSGRAPHICDESCRIPTION PID
(ppm)
2.4
6.4
59.2
32.1
2.8
AR
CL
Asphalt, aggregate
Reddish brown silty CLAY
End of boring
04-13-2023 S:\Enviro\Pantry\2723123 - Dunn\Boring Logs\SB-14.borClient: Circle K Stores, Inc.
ATC Project No. CIRK3123PL
Dunn, North Carolina
873 Longbranch Road
Circle K #2723123
ppm = parts per million
PID = Photoionization Detector
ft bgs = feet below ground surface
Soil sample collected: SB-14 at 4-5 ft bgs
BORING LOG: SB-14
(Page 1 of 1)
Date(s) Drilled : 03/30/2023
Drilling Contractor : AmeriProbe
Drilling Method : Hand Auger
Boring Diameter : 2.25 Inches
Sampling Method : Hand Auger
Sampling Interval : Continuous
Logged By : Laura de Sousa
Depth In Feet (BGS)0
1
2
3
4
5 USCSGRAPHICDESCRIPTION PID
(ppm)
1.6
1.7
1.4
1.6
10.7
AR
CL
Asphalt, aggregate
Reddish brown silty CLAY
End of boring
04-13-2023 S:\Enviro\Pantry\2723123 - Dunn\Boring Logs\SB-15.borClient: Circle K Stores, Inc.
ATC Project No. CIRK3123PL
Dunn, North Carolina
873 Longbranch Road
Circle K #2723123
ppm = parts per million
PID = Photoionization Detector
ft bgs = feet below ground surface
Soil sample collected: SB-15 at 2-3 ft bgs
BORING LOG: SB-15
(Page 1 of 1)
Date(s) Drilled : 03/30/2023
Drilling Contractor : AmeriProbe
Drilling Method : Hand Auger
Boring Diameter : 2.25 Inches
Sampling Method : Hand Auger
Sampling Interval : Continuous
Logged By : Laura de Sousa
Depth In Feet (BGS)0
1
2
3
4
5 USCSGRAPHICDESCRIPTION PID
(ppm)
0.7
1.6
4.3
2.1
4.2
AR
CL
Asphalt, aggregate
Reddish brown silty CLAY
End of boring

ATTACHMENT II
04/12/23
Technical Report for
Atlas
CK #3123-Dunn, NC
CIRK3019SC
SGS Job Number: LA89288
Sampling Date: 03/30/23
Report to:
ATC Group Services LLC.
2725 East Millbrook Road Suite 121
Raleigh, NC 27604
[e-mail]
ATTN: Maureen Jackson
Total number of pages in report:
Certifications: LDEQ(2048), LDHH(LA150012), AR(14-045-04), AZ(AZ0805), FL(E87657), IL(200082), KY(#31),
NC(487), SC(73004001), NJ(LA007), TX(T104704186-18-16), WV(257)
This report shall not be reproduced, except in its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
SGS North America Inc. • 500 Ambassador Caffery • Scott, LA 70583 • tel: [phone]
Test results contained within this data package meet the requirements
of the National Environmental Laboratory Accreditation Program
and/or state specific certification programs as applicable.
Client Service contact: Rebecca Hebert 337-237-4775
Kesavalu Bagawandoss
General Manager
Scott, LA 04/12/23
e-Hardcopy 2.0
Automated Report
50
SGS is the sole authority for authorizing edits or modifications to this document.
Unauthorized modification of this report is strictly prohibited.
Review standard terms at: http://www.sgs.com/en/terms-and-conditions
The results set forth herein are provided by SGS North America Inc.
Please share your ideas about
how we can serve you better at:
[e-mail]
1 of 50
LA89288
Table of Contents
-1-
Sections:
Section 1: Sample Summary ...................................................................................................3
Section 2: Summary of Hits ....................................................................................................5
Section 3: Sample Results ........................................................................................................7
3.1: LA89288-1: SB-1 (4-5) ................................................................................................8
3.2: LA89288-2: SB-2 (3-4) ................................................................................................10
3.3: LA89288-3: SB-3 (0-1) ................................................................................................12
3.4: LA89288-4: SB-4 (1-2) ................................................................................................14
3.5: LA89288-5: SB-5 (1-2) ................................................................................................16
3.6: LA89288-6: SB-8 (12-13) ............................................................................................18
3.7: LA89288-7: SB-9 (9-10) ..............................................................................................20
3.8: LA89288-8: SB-10 (1-2) ..............................................................................................22
3.9: LA89288-9: SB-11 (0-1) ...............................................................................................24
3.10: LA89288-10: SB-12 (3-4) ..........................................................................................26
3.11: LA89288-11: SB-13 (2-3) ...........................................................................................28
3.12: LA89288-12: SB-14 (4-5) ..........................................................................................30
3.13: LA89288-13: SB-15 (2-3) ..........................................................................................32
Section 4: Misc. Forms ............................................................................................................34
4.1: Chain of Custody ...........................................................................................................35
Section 5: GC Volatiles - QC Data Summaries .....................................................................42
5.1: Method Blank Summary ................................................................................................43
5.2: Blank Spike/Blank Spike Duplicate Summary ..............................................................44
5.3: Matrix Spike/Matrix Spike Duplicate Summary ...........................................................45
Section 6: GC/LC Semi-volatiles - QC Data Summaries .....................................................46
6.1: Method Blank Summary ................................................................................................47
6.2: Blank Spike/Blank Spike Duplicate Summary ..............................................................49 1234562 of 50
LA89288
SGS North America Inc.
Sample Summary
Atlas
Job No:LA89288
CK #3123-Dunn, NC
Project No: CIRK3019SC
Sample Collected Matrix Client
Number Date Time By Received Code Type Sample ID
This report contains results reported as ND = Not detected. The following applies:
Organics ND = Not detected above the MDL
LA89288-1 03/30/23 12:55 LDS 04/04/23 SO Soil SB-1 (4-5)
LA89288-2 03/30/23 15:15 LDS 04/04/23 SO Soil SB-2 (3-4)
LA89288-3 03/30/23 15:05 LDS 04/04/23 SO Soil SB-3 (0-1)
LA89288-4 03/30/23 13:00 LDS 04/04/23 SO Soil SB-4 (1-2)
LA89288-5 03/30/23 14:40 LDS 04/04/23 SO Soil SB-5 (1-2)
LA89288-6 03/30/23 15:50 LDS 04/04/23 SO Soil SB-8 (12-13)
LA89288-7 03/30/23 16:00 LDS 04/04/23 SO Soil SB-9 (9-10)
LA89288-8 03/30/23 15:45 LDS 04/04/23 SO Soil SB-10 (1-2)
LA89288-9 03/30/23 15:00 LDS 04/04/23 SO Soil SB-11 (0-1)
LA89288-10 03/30/23 14:50 LDS 04/04/23 SO Soil SB-12 (3-4)
LA89288-11 03/30/23 12:50 LDS 04/04/23 SO Soil SB-13 (2-3)
LA89288-12 03/30/23 14:30 LDS 04/04/23 SO Soil SB-14 (4-5)
Soil samples reported on a dry weight basis unless otherwise indicated on result page.
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LA892881
SGS North America Inc.
Sample Summary
(continued)
Atlas
Job No:LA89288
CK #3123-Dunn, NC
Project No: CIRK3019SC
Sample Collected Matrix Client
Number Date Time By Received Code Type Sample ID
LA89288-13 03/30/23 15:10 LDS 04/04/23 SO Soil SB-15 (2-3)
Soil samples reported on a dry weight basis unless otherwise indicated on result page.
4 of 50
LA892881
Summary of Hits Page 1 of 2
Job Number:LA89288
Account:Atlas
Project:CK #3123-Dunn, NC
Collected:03/30/23
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
LA89288-1 SB-1 (4-5)
TPH-DRO (C10-C28)2.45 J 6.4 1.9 mg/kg SW846 8015C
LA89288-2 SB-2 (3-4)
TPH-DRO (C10-C28)3.35 J 6.5 1.9 mg/kg SW846 8015C
LA89288-3 SB-3 (0-1)
TPH-DRO (C10-C28)3.38 J 6.0 1.7 mg/kg SW846 8015C
LA89288-4 SB-4 (1-2)
TPH-DRO (C10-C28)3.16 J 6.3 1.8 mg/kg SW846 8015C
LA89288-5 SB-5 (1-2)
TPH-DRO (C10-C28)4.10 J 6.1 1.8 mg/kg SW846 8015C
LA89288-6 SB-8 (12-13)
No hits reported in this sample.
LA89288-7 SB-9 (9-10)
TPH-DRO (C10-C28)5.01 J 6.0 1.7 mg/kg SW846 8015C
LA89288-8 SB-10 (1-2)
TPH-DRO (C10-C28)4.06 J 6.0 1.8 mg/kg SW846 8015C
LA89288-9 SB-11 (0-1)
TPH-DRO (C10-C28)2.80 J 6.6 1.9 mg/kg SW846 8015C
LA89288-10 SB-12 (3-4)
TPH-DRO (C10-C28)2.82 J 6.5 1.9 mg/kg SW846 8015C
LA89288-11 SB-13 (2-3)
No hits reported in this sample.
5 of 50
LA892882
Summary of Hits Page 2 of 2
Job Number:LA89288
Account:Atlas
Project:CK #3123-Dunn, NC
Collected:03/30/23
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
LA89288-12 SB-14 (4-5)
TPH-DRO (C10-C28)2.40 J 6.2 1.8 mg/kg SW846 8015C
LA89288-13 SB-15 (2-3)
TPH-DRO (C10-C28)7.07 6.0 1.7 mg/kg SW846 8015C
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LA892882
SGS North America Inc.
Sample Results
Report of Analysis
Scott, LA
Section 3
7 of 50
LA892883
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-1 (4-5)
Lab Sample ID:LA89288-1 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C Percent Solids:77.8
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 LP313683.D 1 04/05/23 13:52 MB n/a n/a GLP3590
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 5.50 g 5.0 ml 100 ul
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-GRO (C6-C10)ND 7.3 3.6 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
460-00-4 4-Bromofluorobenzene 77%64-128%
540-36-3 1,4-Difluorobenzene 96%80-122%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
8 of 50
LA8928833.1
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-1 (4-5)
Lab Sample ID:LA89288-1 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C SW846 3546 Percent Solids:77.8
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 X0023128.D 1 04/06/23 01:45 NS 04/05/23 08:30 OP22517 GLB2527
Run #2
Initial Weight Final Volume
Run #1 20.0 g 1.0 ml
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-DRO (C10-C28)2.45 6.4 1.9 mg/kg J
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
84-15-1 o-Terphenyl 89%31-127%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
9 of 50
LA8928833.1
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-2 (3-4)
Lab Sample ID:LA89288-2 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C Percent Solids:76.2
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 LP313684.D 1 04/05/23 14:20 MB n/a n/a GLP3590
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 5.60 g 5.0 ml 100 ul
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-GRO (C6-C10)ND 7.4 3.6 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
460-00-4 4-Bromofluorobenzene 78%64-128%
540-36-3 1,4-Difluorobenzene 96%80-122%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
10 of 50
LA8928833.2
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-2 (3-4)
Lab Sample ID:LA89288-2 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C SW846 3546 Percent Solids:76.2
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 X0023129.D 1 04/06/23 02:12 NS 04/05/23 08:30 OP22517 GLB2527
Run #2
Initial Weight Final Volume
Run #1 20.1 g 1.0 ml
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-DRO (C10-C28)3.35 6.5 1.9 mg/kg J
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
84-15-1 o-Terphenyl 93%31-127%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
11 of 50
LA8928833.2
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-3 (0-1)
Lab Sample ID:LA89288-3 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C Percent Solids:82.7
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 LP313685.D 1 04/05/23 14:48 MB n/a n/a GLP3590
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 5.30 g 5.0 ml 100 ul
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-GRO (C6-C10)ND 6.7 3.3 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
460-00-4 4-Bromofluorobenzene 77%64-128%
540-36-3 1,4-Difluorobenzene 95%80-122%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
12 of 50
LA8928833.3
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-3 (0-1)
Lab Sample ID:LA89288-3 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C SW846 3546 Percent Solids:82.7
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 X0023130.D 1 04/06/23 02:38 NS 04/05/23 08:30 OP22517 GLB2527
Run #2
Initial Weight Final Volume
Run #1 20.2 g 1.0 ml
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-DRO (C10-C28)3.38 6.0 1.7 mg/kg J
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
84-15-1 o-Terphenyl 96%31-127%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
13 of 50
LA8928833.3
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-4 (1-2)
Lab Sample ID:LA89288-4 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C Percent Solids:79.9
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 LP313686.D 1 04/05/23 15:16 MB n/a n/a GLP3590
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 5.40 g 5.0 ml 100 ul
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-GRO (C6-C10)ND 7.1 3.4 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
460-00-4 4-Bromofluorobenzene 73%64-128%
540-36-3 1,4-Difluorobenzene 96%80-122%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
14 of 50
LA8928833.4
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-4 (1-2)
Lab Sample ID:LA89288-4 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C SW846 3546 Percent Solids:79.9
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 X0023131.D 1 04/06/23 03:06 NS 04/05/23 08:30 OP22517 GLB2527
Run #2
Initial Weight Final Volume
Run #1 20.0 g 1.0 ml
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-DRO (C10-C28)3.16 6.3 1.8 mg/kg J
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
84-15-1 o-Terphenyl 91%31-127%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
15 of 50
LA8928833.4
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-5 (1-2)
Lab Sample ID:LA89288-5 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C Percent Solids:81.9
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 LP313687.D 1 04/05/23 15:45 MB n/a n/a GLP3590
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 5.50 g 5.0 ml 100 ul
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-GRO (C6-C10)ND 6.7 3.3 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
460-00-4 4-Bromofluorobenzene 76%64-128%
540-36-3 1,4-Difluorobenzene 95%80-122%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
16 of 50
LA8928833.5
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-5 (1-2)
Lab Sample ID:LA89288-5 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C SW846 3546 Percent Solids:81.9
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 X0023132.D 1 04/06/23 03:33 NS 04/05/23 08:30 OP22517 GLB2527
Run #2
Initial Weight Final Volume
Run #1 20.0 g 1.0 ml
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-DRO (C10-C28)4.10 6.1 1.8 mg/kg J
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
84-15-1 o-Terphenyl 93%31-127%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
17 of 50
LA8928833.5
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-8 (12-13)
Lab Sample ID:LA89288-6 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C Percent Solids:83.2
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 LP313688.D 1 04/05/23 16:13 MB n/a n/a GLP3590
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 5.10 g 5.0 ml 100 ul
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-GRO (C6-C10)ND 6.9 3.4 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
460-00-4 4-Bromofluorobenzene 77%64-128%
540-36-3 1,4-Difluorobenzene 96%80-122%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
18 of 50
LA8928833.6
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-8 (12-13)
Lab Sample ID:LA89288-6 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C SW846 3546 Percent Solids:83.2
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 X0023136.D 1 04/06/23 05:20 NS 04/05/23 08:30 OP22517 GLB2527
Run #2
Initial Weight Final Volume
Run #1 20.2 g 1.0 ml
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-DRO (C10-C28)ND 6.0 1.7 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
84-15-1 o-Terphenyl 93%31-127%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
19 of 50
LA8928833.6
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-9 (9-10)
Lab Sample ID:LA89288-7 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C Percent Solids:83.1
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 LP313691.D 1 04/05/23 17:37 MB n/a n/a GLP3590
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 5.10 g 5.0 ml 100 ul
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-GRO (C6-C10)ND 6.9 3.4 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
460-00-4 4-Bromofluorobenzene 98%64-128%
540-36-3 1,4-Difluorobenzene 97%80-122%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
20 of 50
LA8928833.7
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-9 (9-10)
Lab Sample ID:LA89288-7 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C SW846 3546 Percent Solids:83.1
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 X0023137.D 1 04/06/23 05:46 NS 04/05/23 08:30 OP22517 GLB2527
Run #2
Initial Weight Final Volume
Run #1 20.0 g 1.0 ml
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-DRO (C10-C28)5.01 6.0 1.7 mg/kg J
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
84-15-1 o-Terphenyl 94%31-127%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
21 of 50
LA8928833.7
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-10 (1-2)
Lab Sample ID:LA89288-8 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C Percent Solids:82.4
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 LP313692.D 1 04/05/23 18:05 MB n/a n/a GLP3590
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 5.50 g 5.0 ml 100 ul
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-GRO (C6-C10)ND 6.6 3.2 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
460-00-4 4-Bromofluorobenzene 80%64-128%
540-36-3 1,4-Difluorobenzene 95%80-122%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
22 of 50
LA8928833.8
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-10 (1-2)
Lab Sample ID:LA89288-8 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C SW846 3546 Percent Solids:82.4
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 X0023138.D 1 04/06/23 06:13 NS 04/05/23 08:30 OP22517 GLB2527
Run #2
Initial Weight Final Volume
Run #1 20.1 g 1.0 ml
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-DRO (C10-C28)4.06 6.0 1.8 mg/kg J
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
84-15-1 o-Terphenyl 89%31-127%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
23 of 50
LA8928833.8
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-11 (0-1)
Lab Sample ID:LA89288-9 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C Percent Solids:75.2
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 LP313693.D 1 04/05/23 18:33 MB n/a n/a GLP3590
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 5.20 g 5.0 ml 100 ul
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-GRO (C6-C10)ND 8.0 3.9 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
460-00-4 4-Bromofluorobenzene 75%64-128%
540-36-3 1,4-Difluorobenzene 95%80-122%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
24 of 50
LA8928833.9
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-11 (0-1)
Lab Sample ID:LA89288-9 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C SW846 3546 Percent Solids:75.2
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 X0023139.D 1 04/06/23 06:40 NS 04/05/23 08:30 OP22517 GLB2527
Run #2
Initial Weight Final Volume
Run #1 20.1 g 1.0 ml
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-DRO (C10-C28)2.80 6.6 1.9 mg/kg J
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
84-15-1 o-Terphenyl 91%31-127%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
25 of 50
LA8928833.9
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-12 (3-4)
Lab Sample ID:LA89288-10 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C Percent Solids:76.7
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 LP313694.D 1 04/05/23 19:01 MB n/a n/a GLP3590
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 4.80 g 5.0 ml 100 ul
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-GRO (C6-C10)ND 8.3 4.1 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
460-00-4 4-Bromofluorobenzene 72%64-128%
540-36-3 1,4-Difluorobenzene 96%80-122%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
26 of 50
LA8928833.10
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-12 (3-4)
Lab Sample ID:LA89288-10 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C SW846 3546 Percent Solids:76.7
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 X0023140.D 1 04/06/23 07:07 NS 04/05/23 08:30 OP22517 GLB2527
Run #2
Initial Weight Final Volume
Run #1 20.1 g 1.0 ml
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-DRO (C10-C28)2.82 6.5 1.9 mg/kg J
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
84-15-1 o-Terphenyl 90%31-127%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
27 of 50
LA8928833.10
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-13 (2-3)
Lab Sample ID:LA89288-11 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C Percent Solids:79.7
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 LP313695.D 1 04/05/23 19:29 MB n/a n/a GLP3590
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 6.00 g 5.0 ml 100 ul
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-GRO (C6-C10)ND 6.5 3.2 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
460-00-4 4-Bromofluorobenzene 76%64-128%
540-36-3 1,4-Difluorobenzene 95%80-122%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
28 of 50
LA8928833.11
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-13 (2-3)
Lab Sample ID:LA89288-11 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C SW846 3546 Percent Solids:79.7
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 X0023141.D 1 04/06/23 07:33 NS 04/05/23 08:30 OP22517 GLB2527
Run #2
Initial Weight Final Volume
Run #1 20.3 g 1.0 ml
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-DRO (C10-C28)ND 6.2 1.8 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
84-15-1 o-Terphenyl 91%31-127%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
29 of 50
LA8928833.11
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-14 (4-5)
Lab Sample ID:LA89288-12 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C Percent Solids:80.2
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 LP313696.D 1 04/05/23 19:58 MB n/a n/a GLP3590
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 5.60 g 5.0 ml 100 ul
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-GRO (C6-C10)ND 6.8 3.3 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
460-00-4 4-Bromofluorobenzene 80%64-128%
540-36-3 1,4-Difluorobenzene 96%80-122%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
30 of 50
LA8928833.12
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-14 (4-5)
Lab Sample ID:LA89288-12 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C SW846 3546 Percent Solids:80.2
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 X0023142.D 1 04/06/23 08:00 NS 04/05/23 08:30 OP22517 GLB2527
Run #2
Initial Weight Final Volume
Run #1 20.2 g 1.0 ml
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-DRO (C10-C28)2.40 6.2 1.8 mg/kg J
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
84-15-1 o-Terphenyl 90%31-127%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
31 of 50
LA8928833.12
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-15 (2-3)
Lab Sample ID:LA89288-13 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C Percent Solids:82.3
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 LP313697.D 1 04/05/23 20:27 MB n/a n/a GLP3590
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 6.00 g 5.0 ml 100 ul
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-GRO (C6-C10)ND 6.1 3.0 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
460-00-4 4-Bromofluorobenzene 94%64-128%
540-36-3 1,4-Difluorobenzene 95%80-122%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
32 of 50
LA8928833.13
SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:SB-15 (2-3)
Lab Sample ID:LA89288-13 Date Sampled:03/30/23
Matrix:SO - Soil Date Received:04/04/23
Method:SW846 8015C SW846 3546 Percent Solids:82.3
Project:CK #3123-Dunn, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 X0023189.D 1 04/10/23 17:59 NS 04/07/23 13:30 OP22536 GLB2530
Run #2
Initial Weight Final Volume
Run #1 20.2 g 1.0 ml
Run #2
CAS No.Compound Result RL MDL Units Q
TPH-DRO (C10-C28)7.07 6.0 1.7 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
84-15-1 o-Terphenyl 85%31-127%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
33 of 50
LA8928833.13
SGS North America Inc.
Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
Scott, LA
Section 4
34 of 50
LA892884
CHAIN OF CUSTODY PAGE OFI
SGS l{orth Amorlcr lnc. - Scot!
500 Ambassador Calfery Parkway, Scoit, LA 70583
rEL. 337 -237 -4775 FAX: [phone]
www.sgs com/ehsusa
/-r.,1 r)
Cllent / Rof,ordng lntormrtion.. Prolecl.lniormation Roquostsd Anrlyli3 ( leo TEST CODE !h6st)"*'*ATc
C-K 3ta3
eXe(nue@.( Oo Strtat Blllim lntomarion { it difloBnr iiod Rooonro)
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Note: Sample invety pt
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E 5 Bu!r.d. D.y. RUSX
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E 1Bu!In... Oay EflERGENCY
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€ftrgscy & RugN/A d6ta availabro via L.bhk Appova ^eed€n lor RUSH/ErerOficy TAT
arprcv.d By ls6s Pr[) / o'b]
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mu3t be docofi.nted b€low .ach time sam"31!ilx riffi \I!Z)nn<ll 4,\.t.dG- , -.9r1
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LA89288: Chain of Custody
Page 1 of 7
35 of 50
LA8928844.1
scqSGS NORTH AMERIGA INC. LABORATORIES CHAIN OF CUSTODY INSTRUCTIONSEnter the company name. address, phone number. and person designated to receive the analytical report- Sampler's full name(s) and phone numbet needsbe entered in case the laboratory discovers a sampling anomaly and needs to make a call. The name(s) will correspond with sampler's initials listed in thelection section under sampled byll rnall the requested information that ia available. This information is critical to matching up specific project and billing information in our LIMS to the jobon the chain. The state olorigin must be filled in to ensure that our reporting format meets the requirements of that specific state and to ensure that wecertifrcations for that state.istedLEARLY, write in the sample lD, dates, times and samplers initials. AII information must be legible. Use one line per sample point unless the sample wasaken at multiple times for different tests. ln such a case use a separate line for the bottles taken at different times. Enter the date, and time of each samplePlease note AM and PM or use Military time. Check this information and the Field lDs against the information recorded on lhe bottles. Make sure allinformation matchgs exactly.Etandard abbreviations for matrix codes are listed on the right side of the chain. OW- Drinking Water, Gw-Ground Water, WW- Water orWastewater, SW-urface Water, SO- Soil, SL- Sludge, SED-Sedim6nt, Ol- Oil, LIQ- Other Liquid, SOL- Other Solid, WP- Wipe, AIR- Air. FB- Field Blank, RB- Rinse Blank.B- Equipment Blank, TB- Trip Blank. Enter the matrix code in the matrix column. Enter the total number of bottles for the sample in the designated columnnd list the number of bottles of each preservative type in the designated column One field under presorvation has been left blank and can be filled in if annlisted preservative was used.he last page of the chain of costody form contains a list of the most common tests perforned. lf the analysis you require is listed here, please use the SGS -cation T€ST CODE and write it in the columns labeled under "Requested Analysis". lfthe analysis you require cannot be found on the list, please state thenalysis as clearly as possible in the columns by providing the analytical method and reporting list where applicable- Put an X in the box correlating withach test needed for the samples lasted on the chain. lf an analysis is on HOLD do not put an X in the column for that test, use an H and Footnote in thements section H= HOLD. ll is your responsibility to contact the lab to activate any contingent samples placed on HOLD pending review of the data for theirst tier analysis. Samples placed on HOLD will only b€ held for 30 days after report completionf the quote number is known, please write the quole number in this field. The bottle order control numb€r is listed on the bottle order form, which waslivered with the coolers. Please wrile in the number from this form in this fieldase do lqt write in these fieldsan X in the box next to the desired turnaround time. Turnaround lime is calculated using business days, M-F. For multiple turnaround times, clearlyesignate the tumaround for specific samples and tests. lJse the comment section or list a sp€cial tumaround time next to the test in the requested analysison if necessary. lf the turnaround time is not listed, the samples will be run at standard turnaround timeLrtXlothehardcopyreportpackagtythatreqUiredCOMMA(Rtsv)COMMB(ResullOCri)NJREDT2(tsQCSadPartiaIdata)LLT1(ResultQCsriedIdata)NYAS(Resullsly)NYASPB(oCSumnddata)cL(R1tsoCSIdatardinstoCLStnt)DeblestbeallobsdgnateiverabletyptdItlosalysandrtrsthfiIdpackaspletraIrgedanddatedbvthepersonqhsthethegtheplesMsrgdatiotdtidatealIrkthethethdsatedattthef there are any speciat instructions, write them in this fleld. lf the metals samples are to be lab filtered, document this in the comment section. Metalsamples submitted for lab filtralion must be unpreservedfthere is more than a one-page chain ofcustody, write in the upper left-hand comer, 1of 2, 2 of 2 etc. for the pages submitted. This is to indicale to theaboratory. that the samples aie all to be put on one job upon assignment of our job and sample numbers.he chain of custody is a legal document, use only black or blue ink and do not use whiteout or correction tape. To correct an error, either rewfite theocument; or draw; single-iine through the incorrect information, and write in the corrected information. Dale and initial all strikeouts.ICopy of EHSA-QAC-OO2&00-FORM-Sc.tt - Standard COC-FINAL (1)Rev. Date:4/'10/18LA89288: Chain of Custody
Page 2 of 7
36 of 50
LA8928844.1
CHAIN OF CUSTODY PAGE Qo,aSGS North Amorica lnc. - Scott
500 Ambassador Caffery Parkway, Scott, LA 70583-rEL 337 231 4775 FAX:[phone] I r' ^a.: .-)r.2
R.qu6sl€d Anrly!is ( s6a TESTCODE !he!t)
ATC cK 3ta3
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It-)4 E5a-3 ,t I l6iD _J_I J
Tuhaound Tm6 ( Business dEys)Data Delverab e informalion Commenls / Speoal lnslruclions
IaboratoryNote: Sampte irwemory is verified upon receimlhe
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Ssmpl€ CGlody mGl b€ documonl€d bolow 6ach limo sampl€5 chanqo poss€ssion, including counor dolivory
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LA89288: Chain of Custody
Page 3 of 7
37 of 50
LA8928844.1
SGS NORTH AMERICA INC, LABORATORIES CHAIN OF CUSTODY INSTRUCTIONSnter the company name, address, phone number, and person designated to receive the analytical report. Sampler's full name(s) and phone number needsbe entered in case the laboratory discovers a sampling anomaly and needs to make a call. The name(s) will correspond with sampler's initials listed in thelection section under sampled byill in all the requested information that is available. This information is critical to matching up specific proiect and biliing information in our LIMS to the jobisted on the chain. The state of origin must be filled in to ensure thal our reporting format meets lhe requirements of that specitic state and to ensure that \ €ave certifications for that state.LEARLY, write in lhe sample lD, dates, times and samplers initials. All information must be legible. Use one line per sample point unless the sarnple wasaken at multiple times for different tests ln such a case use a separate line for the bo(les taken at different times Enter the date, and time of each samplelease note AM and PM or use Military time. Check this information and the Field lDs against the information recorded on the bottles. Make sure allrmation matches exactlytandard abbreviations for matrix codes are listed on lhe right side of the chain. DW- Drinking Water, Gw-Ground Water, WW- Water orWastewater, SW-rface Water, SO- Soil, SL- Sludge, SED Sedimenl, Ol- Ojl, LIO- Other Liquid, SOL Other Solid, WP- Wipe, AIR- Air. FB- Field 8lank, RB' Rinse Blank:B- Equipment Blank, TB- Trip Blank. Enter the matrix code in the matrix column. Enter the total number of bottles for the sample in the designated columnnd list the number of bottles of each preservative type in the designated column. One field under preservation has been lefr blank and can be filled in if annlisted preservative was used.he last page of the chain of custody form contains a list of the most common tests perforned. lfthe analysis you require is listed here, please use the SGS -tion TEST COOE and write it in the columns labeled under "Requested Analysis". lf the analysis you require cannot be found on the list, please state thenalysis as clearly as possible in the columns by providing the analytical method and reporting list where applicable. Put an X in the box correlaling withlest needed for the samples listed on the chain. lf an analysis is on HOLD do not put an X in the column for thal test, use an H and Footnote in themments sectlon H= HOLD. lt is your responsibility to contact the lab to activate any contingent samples placed on HOLD pending review of the data for thersl-tier analysis Samples placed on HOLD will only be held for 30 days after report completionf the quote number as known, please write the quote number in this lleld. The bottle order control number is listed on the bottle order form, $,hich waselivered with the coolers. Please write in the number from this form in this fleldlease do no! write in these fieldsut an X in the box next to the desired turnaround time. Tumaround time is calculated using business days, M-F. For multiple tumaround times, clearlyesignate the turnaround for specific samples and tests. Use the comment section or list a special tumaround time next to the test in the requested analysisection if necessary. lfthe tumaround time is not listed, the samples will be run at standard turnaround time.ut an X next to the hardcopy report package type that is required COMMA (Results only), CONTMB (Results and QC summaries), NJREDT2 (Results, QCummaries, and partial raw data). FULLTI (Results, QC Summaries, and atl raw data), NYASPA (Results only), NYASPB (Results, QC Summaries, and allw data), CLP (Results, QC Summaries, and raw data according to CLP statement of work). Deliverables must be selected for all jobs. Failure to designateliverable type could result in incorrecl log in, analysis, and reporting of the final data packagell sample transfe6 must be signed and dated by the person relinquishing the samples and the person receiving the samples. Missang signatures andstody information could invalidate all work done on the job. Fill in the custody seal number in the section designated at the bottom of the chain.lf there are any special instructions, write them in this field. lf the metals samples are to be lab filtered, document this in the comment section. Metalsples submitted for lab filtration must be unpreservedf there is more than a one-page chain of custody, write in lhe upper bn-hand corner, 1of 2.2 ol2 elc.lot the pages submitted. This is to indicate to theratory. that th6 samples are allto be put on onejob upon assignment of ouriob and sample numbers.he chain of custody is a legal document, use only black or blue ink and do not use whiteout or correction tape- To correct an erroa, either rewrite theocument; or draw a single line through the incorrect infonnation, and write in the corrected information. Date and initial all strikeouts.Copy of EHSA-QAC-0026-00-FORN4-SCoII - Standard COC-FINAL (1)Rev. Dator 4/10/18LA89288: Chain of Custody
Page 4 of 7
38 of 50
LA8928844.1
TOSAMPI-E hcuerulrruscs scOTT TA UIBORAIORY109 C0MMtsst0NBLVDF'tgsgErrE LA 70508illllltilnt[ilillllltl[IIlilililtiltIlltIflltilltflIlFedExExptEar,i.qIsn;f rt11112IY OUERIIIIUEPRIOAPRBI1f# lvtASTER ##GHT&.XH LFTA.flAllilililliltililIIIilililtilfl lilillt//t/il1tilil/ililillillE,)?ot,7050s irA-us LFT:::6E=tE,LA89288: Chain of Custody
Page 5 of 7
39 of 50
LA8928844.1
Job Number:LA89288 Client:ATC
Date / Time Received:4/4/2023 10:00:00 AM Delivery Method:FEDEX EXPRESS
Project:CK 3123
4. No. Coolers:1
Airbill #'s:570790511112
Cooler Security
1. Custody Seals Present:
Y or N
2. Custody Seals Intact:
3. COC Present:
4. Smpl Dates/Time OK
2. Thermometer ID:
Cooler Temperature Y or N
1. Temp criteria achieved:
3. Cooler media:
IR002;
Ice (direct contact)
Quality Control Preservation Y or N N/A
1. Trip Blank present / cooler:
2. Trip Blank listed on COC:
3. Samples preserved properly:
4. VOCs headspace free:
Sample Integrity - Documentation Y or N
1. Sample labels present on bottles:
2. Container labeling complete:
3. Sample container label / COC agree:
Sample Integrity - Condition Y or N
1. Sample recvd within HT:
3. Condition of sample:
2. All containers accounted for:
Sample Integrity - Instructions
1. Analysis requested is clear:
2. Bottles received for unspecified tests
3. Sufficient volume recvd for analysis:
4. Compositing instructions clear:
5. Filtering instructions clear:
Intact
Y or N
Comments Received Terre Core Kits containers per I.d. Containes consist of 2 40ml Methanol, 1 40ml Sodium Bisufate, and 1 2oz soil.
Client checked off HCL, and unppreserved container.
Y or N N/A
Cooler Temps (Initial/Adjusted):#1: (4.2/4);
SGS Sample Receipt Summary
LA89288: Chain of Custody
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LA8928844.1
Page 2 of 2
Problem Resolution
CSR:Response Date:
Response:
Job Number:LA89288
LA89288: Chain of Custody
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LA8928844.1
SGS North America Inc.
GC Volatiles
QC Data Summaries
Includes the following where applicable:
• Method Blank Summaries
• Blank Spike Summaries
• Matrix Spike and Duplicate Summaries
Scott, LA
Section 5
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LA892885
Method Blank Summary Page 1 of 1
Job Number:LA89288
Account:ATCNCR Atlas
Project:CK #3123-Dunn, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
GLP3590-MB1 LP313682.D 1 04/05/23 MB n/a n/a GLP3590
The QC reported here applies to the following samples:Method: SW846 8015C
LA89288-1, LA89288-2, LA89288-3, LA89288-4, LA89288-5, LA89288-6, LA89288-7, LA89288-8, LA89288-9,
LA89288-10, LA89288-11, LA89288-12, LA89288-13
CAS No.Compound Result RL MDL Units Q
TPH-GRO (C6-C10)ND 5.0 2.4 mg/kg
CAS No.Surrogate Recoveries Limits
460-00-4 4-Bromofluorobenzene 90%64-128%
540-36-3 1,4-Difluorobenzene 99%80-122%
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LA8928855.1.1
Blank Spike/Blank Spike Duplicate Summary Page 1 of 1
Job Number:LA89288
Account:ATCNCR Atlas
Project:CK #3123-Dunn, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
GLP3590-BS1 LP313680.D 1 04/05/23 MB n/a n/a GLP3590
GLP3590-BSD1 LP313681.D 1 04/05/23 MB n/a n/a GLP3590
The QC reported here applies to the following samples:Method: SW846 8015C
LA89288-1, LA89288-2, LA89288-3, LA89288-4, LA89288-5, LA89288-6, LA89288-7, LA89288-8, LA89288-9,
LA89288-10, LA89288-11, LA89288-12, LA89288-13
Spike BSP BSP BSD BSD Limits
CAS No.Compound mg/kg mg/kg %mg/kg %RPD Rec/RPD
TPH-GRO (C6-C10)50 52.2 104 52.9 106 1 79-112/15
CAS No.Surrogate Recoveries BSP BSD Limits
460-00-4 4-Bromofluorobenzene 104%101%64-128%
540-36-3 1,4-Difluorobenzene 105%104%80-122%
* = Outside of Control Limits.
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LA8928855.2.1
Matrix Spike/Matrix Spike Duplicate Summary Page 1 of 1
Job Number:LA89288
Account:ATCNCR Atlas
Project:CK #3123-Dunn, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
LA89288-13MS LP313700.D 1 04/05/23 MB n/a n/a GLP3590
LA89288-13MSD LP313701.D 1 04/05/23 MB n/a n/a GLP3590
LA89288-13 LP313697.D 1 04/05/23 MB n/a n/a GLP3590
The QC reported here applies to the following samples:Method: SW846 8015C
LA89288-1, LA89288-2, LA89288-3, LA89288-4, LA89288-5, LA89288-6, LA89288-7, LA89288-8, LA89288-9,
LA89288-10, LA89288-11, LA89288-12, LA89288-13
LA89288-13 Spike MS MS Spike MSD MSD Limits
CAS No.Compound mg/kg Q mg/kg mg/kg %mg/kg mg/kg %RPD Rec/RPD
TPH-GRO (C6-C10)ND 123 118 96 123 121 99 3 60-118/16
CAS No.Surrogate Recoveries MS MSD LA89288-13 Limits
460-00-4 4-Bromofluorobenzene 109%99%94%64-128%
540-36-3 1,4-Difluorobenzene 105%103%95%80-122%
* = Outside of Control Limits.
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LA8928855.3.1
SGS North America Inc.
GC/LC Semi-volatiles
QC Data Summaries
Includes the following where applicable:
• Method Blank Summaries
• Blank Spike Summaries
• Matrix Spike and Duplicate Summaries
Scott, LA
Section 6
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LA892886
Method Blank Summary Page 1 of 1
Job Number:LA89288
Account:ATCNCR Atlas
Project:CK #3123-Dunn, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
OP22517-MB X0023110A.D 1 04/05/23 NS 04/05/23 OP22517 GLB2527
The QC reported here applies to the following samples:Method: SW846 8015C
LA89288-1, LA89288-2, LA89288-3, LA89288-4, LA89288-5, LA89288-6, LA89288-7, LA89288-8, LA89288-9,
LA89288-10, LA89288-11, LA89288-12
CAS No.Compound Result RL MDL Units Q
TPH-DRO (C10-C28)ND 5.0 1.5 mg/kg
CAS No.Surrogate Recoveries Limits
84-15-1 o-Terphenyl 86%31-127%
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LA8928866.1.1
Method Blank Summary Page 1 of 1
Job Number:LA89288
Account:ATCNCR Atlas
Project:CK #3123-Dunn, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
OP22536-MB X0023165A.D 1 04/09/23 NS 04/07/23 OP22536 GLB2529
The QC reported here applies to the following samples:Method: SW846 8015C
LA89288-13
CAS No.Compound Result RL MDL Units Q
TPH-DRO (C10-C28)ND 5.0 1.5 mg/kg
CAS No.Surrogate Recoveries Limits
84-15-1 o-Terphenyl 89%31-127%
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LA8928866.1.2
Blank Spike/Blank Spike Duplicate Summary Page 1 of 1
Job Number:LA89288
Account:ATCNCR Atlas
Project:CK #3123-Dunn, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
OP22517-BS1 X0023111A.D 1 04/05/23 NS 04/05/23 OP22517 GLB2527
OP22517-BSD1 X0023112A.D 1 04/05/23 NS 04/05/23 OP22517 GLB2527
The QC reported here applies to the following samples:Method: SW846 8015C
LA89288-1, LA89288-2, LA89288-3, LA89288-4, LA89288-5, LA89288-6, LA89288-7, LA89288-8, LA89288-9,
LA89288-10, LA89288-11, LA89288-12
Spike BSP BSP BSD BSD Limits
CAS No.Compound mg/kg mg/kg %mg/kg %RPD Rec/RPD
TPH-DRO (C10-C28)150 137 91 150 100 9 49-118/19
CAS No.Surrogate Recoveries BSP BSD Limits
84-15-1 o-Terphenyl 100%106%31-127%
* = Outside of Control Limits.
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LA8928866.2.1
Blank Spike/Blank Spike Duplicate Summary Page 1 of 1
Job Number:LA89288
Account:ATCNCR Atlas
Project:CK #3123-Dunn, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
OP22536-BS1 X0023166A.D 1 04/09/23 NS 04/07/23 OP22536 GLB2529
OP22536-BSD1 X0023167A.D 1 04/09/23 NS 04/07/23 OP22536 GLB2529
The QC reported here applies to the following samples:Method: SW846 8015C
LA89288-13
Spike BSP BSP BSD BSD Limits
CAS No.Compound mg/kg mg/kg %mg/kg %RPD Rec/RPD
TPH-DRO (C10-C28)150 144 96 137 91 5 49-118/19
CAS No.Surrogate Recoveries BSP BSD Limits
84-15-1 o-Terphenyl 105%100%31-127%
* = Outside of Control Limits.
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LA8928866.2.2