WA-92884_95955_CA_IAR_20210309

Initial Assessment Report
Atlantic Environmental Partners / Petroleum Release
March 9, 2021
Page 2

B. Background and Initial Response Activities
The subject site is located on the shoulder of the Eastbound lane of US-17 near the residential property
located at 5655 US-17; in Vanceboro, Craven County, North Carolina. The approximate location of the
site is graphically presented on Figure 1 and Figure 2 (included in Appendix A), and is situated at
approximate coordinates 35.250922 N and -77.090332 W. A map of the area impacted is included as
Figure 3.

Based on information obtained by Highlands Environmental Solutions, Inc. (HES), Atlantic Environmental
Partners (AEP) was contacted by local response personnel at 1300 hours on January 13, 2021, that a log
truck (owned and operated by K R Leach Trucking, LLC) was involved in a multiple-vehicle accident with
a commercial vehicle. After the head-on collision, the log truck left the roadway by overturning, causing a
release from the fuel tank and motor oil pan on the South side of US-17 in a grassy area and drainage
ditch near the residence located at 5655 US-17, in Vanceboro, North Carolina. The log truck came to rest
on its side in the stormwater drainage ditch and released an estimated 100 gallons of diesel fuel and 40-
quarts of motor oil to the unpaved surfaces to include the drainage ditch and grassy area at the subject
site.

AEP was contracted to perform mitigation activities from the release. HES was contracted by AEP for
emergency response field support, confirmation sampling, and regulatory reporting services. Personnel
from AEP and HES mobilized to the site on January 13, 2021, for emergency response activities. Initial
incident response actions included assessing the extent of the petroleum release and containing the
release using sorbent pads and booms. Hydrocarbon boom and pads were placed in the surrounding
areas of the petroleum release as a preventative measure from further impact of the stormwater system,
pending fluid recovery and excavation activities. The dispersed cargo logs from the accident were
gathered and removed; with the overturned tractor and trailer placed upright and removed from the
incident site.

Prior to any intrusive remediation activities, AEP notified the NC One-Call Center (811) to mark the area
for buried utilities. A site-specific health and safety plan (HASP) was developed by HES for site activities.
A copy of the HASP is included in Appendix B. A UST-62 form was filed for this release with the
NCDEQ – Washington Regional Office. A copy of this form is included in Appendix C.

C. Free Product Investigation and Recovery
As noted in Section B, the release included an estimated 100-gallons of diesel fuel and 40-quarts of
motor oil impacting the vegetation and a stormwater drainage ditch along the Southside shoulder of US-
17 East; near Vanceboro, North Carolina. Response personnel mobilized to the site on January 13, 2021,
and initially applied absorbent pads and booms in the drainage ditch Eastbound and Westbound lanes on
both the North and South sides of the roadway in an effort to prevent further impacts to the various
stormwater drainage ditches where the vehicles came to rest. During field activities on January 14
thru17, 2021, AEP and HES personnel recovered free hydrocarbon liquids from the stormwater drainage
ditch utilizing a drum vacuum and skimming petroleum liquids, and by using water absorbent material
(power pellets) to help de-water the drainage ditch and prevent petroleum impacted water from further
releasing downgradient from the incident site and excavated the impacted soil.

On January 17, 2021, a tanker and pump was stationed downgradient of the drainage ditch to recover
petroleum contact water (PCW) and to help with dewatering the drainage ditch during soil excavation
activities. During site activities approximately 14,200 gallons of PCW were recovered and transported for
disposal at SR&R Environmental, Inc (SR&R) in Wilmington, North Carolina. All spent sorbents were
recovered and containerized into 55-gallon steel drums. A total of 10 waste drums were removed by AEP
and transported to their facility in New Bern, North Carolina for proper disposal. A copy of the waste
manifest documentation is included in Appendix D.

Initial Assessment Report
Atlantic Environmental Partners / Petroleum Release
March 9, 2021
Page 3

D. Groundwater and Surface Water Investigation
As noted in Section B, the released petroleum product impacted the unpaved surfaces of the shoulder
and stormwater drainage ditch along the South side of the Eastbound lane of US-17 at the subject site.
The diesel fuel and motor oil traveled West along the stormwater system via the drainage ditch. The
released petroleum contained in an area approximately 175 feet from the initial incident location. The
petroleum product was contained using a series of hydrocarbon booms and water absorbent material,
and the petroleum contaminated liquids were recovered using a vacuum unit. The stormwater system
eventually discharges to an unnamed tributary that flows into Swift Creek. The surface water body of
Swift Creek was neither impacted nor threatened. As such a surface water investigation was not
performed.

Abandoned water supply wells were located on nearby properties surrounding the initial release location.
Groundwater was not encountered during soil excavation activities; therefore, a groundwater investigation
was not performed during site activities.

E. Initial Response and Abatement Activities.
Initial response and abatement actions are summarized in Section B, above.

F. Excavation of Petroleum Impacted Soil
Personnel from HES and AEP were on site to conduct soil excavation activities in the impacted areas on
January 17 and 18, 2021. Personnel from AEP utilized a track-mounted mini-excavator to excavate the
petroleum-impacted soil. As excavation proceeded, the soils were examined for evidence of petroleum
impacts (i.e. staining or odor).

The final excavation of the petroleum impacted soil measured approximately 124 feet long, 4 feet wide,
and half a foot deep in and around the impacted stormwater drainage ditch. As excavation proceeded, a
total of 41 confirmation soil samples were collected. The soil sample locations are depicted on Figure 4.
Additionally, confirmation soil samples were collected from the stormwater drainage system from the East
to the West, as well as on the North side of the roadway where the Kinetico commercial vehicle came to
rest. The 41 confirmation samples were placed in clean, labeled, zip-lock bags and analyzed on-site by
RedLab, LLC (RedLab) personnel for analysis of diesel range organics (DRO) and gasoline range
organics (GRO) using their NCDEQ approved UVF technology.

Laboratory analysis of the post-excavation confirmation samples did not result in the detection of either
GRO or DRO at concentrations greater than or equal to their respective State Action. A summary of the
soil analytical data is presented in Table 1 included as Appendix E. The complete laboratory analytical
data reports and chain-of-custody records for all samples are included as Appendix F.

During soil excavation activities, 26.85 tons of petroleum-impacted soil were excavated and transported
to Soilworks, Inc. (Soilworks) in Selma, North Carolina for proper disposal. A copy of the waste manifest
documentation for the petroleum-impacted soil is included in Appendix D. The excavated area was
backfilled with clean base material, then compacted with the excavation equipment. The excavated area
was seeded and covered with straw to prevent erosion. Selected photographs of the incident scene and
response activities are included in Appendix G.

G. Conclusions and Recommendations
On January 13, 2021, a log truck was involved in a head-on collision with a passenger vehicle, causing a
diesel fuel and motor oil release on US 17 Southbound. The log truck left the roadway by overturning,
causing a release from the fuel tank and motor oil pan, releasing an estimated 100 gallons of diesel fuel
and 40 quarts of motor oil. The release impacted unpaved surfaces and the stormwater drainage ditch off

Initial Assessment Report
Atlantic Environmental Partners / Petroleum Release
March 9, 2021
Page 4

the shoulder of US-17 S. AEP was contracted to perform mitigation activities from the release. HES was
contracted by AEP for emergency response, environmental oversight, sampling, and reporting services.

Personnel and equipment from AEP and HES mobilized to the site at 1300 hours on January 13, 2021.
AEP personnel applied absorbent pads and booms downgradient of the drainage ditch that runs parallel
to US-17 South and Northbound. The vehicle was removed from the incident site and the site was
secured with hydrocarbon boom and pads at the extent of the petroleum release.

AEP utilized a drum vacuum and pump to recover and skim the visible petroleum liquids for the following
January 14, 15, 17, 2021. The released fuel was contained in the drainage ditch 175 feet North of the
release location. Additionally, absorbent pellets were placed at the end of concrete culvert pipes and at
multiple locations across the drainage ditch to prevent further petroleum impact during excavation. The
waste sorbents and fuel material recovered was containerized into 10 drums that were transported by
AEP to their facility in New Bern, NC for proper disposal. During site activities, approximately 14,200
gallons of PCW were recovered and transported via tanker for disposal at SR&R in Wilmington, North
Carolina.

Personnel and equipment from AEP and HES mobilized back to the site on January 17 and 18, 2021, for
excavation activities. Soil excavation activities associated with the removal of petroleum-impacted soil at
the site were performed on January 17 and 18, 2021, with 26.85 tons of petroleum-impacted soil being
removed. All excavated soil was transported to Soilworks in Selma, North Carolina for proper disposal.

The closest surface water body is an unnamed tributary of Swift Creek, located approximately 340 feet
Northwest of the release location. Swift Creek was neither impacted nor threatened by the release.

A total of 41 soil samples were collected from the stormwater drainage system from the East to the West,
as well as on the North side of the roadway where the Kinetico commercial vehicle came to rest for post-
excavation confirmation analysis. The confirmation soil samples were analyzed on-site by RedLab
personnel for analysis of DRO and GRO. Neither DRO nor GRO were detected at concentrations greater
than their respective NCDEQ action limits for the confirmation soil samples submitted for analysis.

Based on the results of environmental assessment activities, HES concludes that soil excavation
activities successfully remediated the area impacted by this petroleum release. As such, HES does
not recommend additional environmental assessment or remediation activities at the subject site with
regards to this incident. HES recommends that correspondence documenting ‘No Further Action’
required to be forwarded to K R Leach Trucking, LLC regarding this incident.

APPENDIX A

Drawing / Project Name
Client
Project #
DB Fig. Scale
Date
N
Base diagram from Google Maps
Incident Location Diagram
K R Leach Trucking LLC Petroleum Release
Vanceboro, North Carolina
Atlantic Environmental Properties, LLC
531005
JB As Shown
January 2021
1
PM PG
BA
PE

Approximate Scale
feet
0 820 410
KS
Location of
Incident

Drawing / Project Name
Client
Project #
DB Fig. Scale
Date
N
Base diagram from USGS Topographic Quadrangle; Rocky Mount, NC; 1985
Topographic Location Diagram
K R Leach Trucking LLC Petroleum Release
Vanceboro, North Carolina

Atlantic Environmental Partners, LLC.
531005
JB As Shown
January 2021
2
PM PG
BA
PE

KS
Approximate Scale
feet
0 2700 1350
Location of
Incident

Drawing / Project Name
Client
Project #
DB Fig. Scale
Date
N
Base diagram from Google Earth
Aerial Location Diagram
K R Leach Trucking LLC Petroleum Release
Vanceboro, North Carolina

Atlantic Environmental Properties, LLC
531005
JB As Shown
January 2021
3
PM PG
BA
PE

Approximate Scale
feet
0 400 200
KS
Location of
Incident
Water SupplyWellsB-S-7B-S-8B-S-9B-S-10B-N-6B-N-7B-N-8B-N-9B-N-10B-N-11B-E-1US-17US-175655Approximate ExcavationLimitsB-N-12B-S-6B-S-11B-S-12B-S-5B-N-5B-S-4B-N-4B-N-3B-S-3B-N-2B-S-2B-N-1B-S-1NApproximate Scale1530feet0PG:DB:Project Number:Date:Scale:PE:PM:Drawing NameSite / Client NameFig.Excavation and Sample Location DiagramKSBAJB531005January 2021As ShownPetroleum Spill RemediationAtlantic Environmental Partners / KR Leach TruckingVanceboro, NC4aSoil Boring LocationGravelExcavation Depth 6 inches
B-N-13B-N-14B-N-15B-N-16B-N-17B-S-13B-S-14B-S-15B-S-16B-S-17B-W-1I-N-1I-N-3I-N-2I-N-5Stormwater FlowStormwater FlowI-N-4US-17NLegendApproximate Scale2550feet0PG:DB:Project Number:Date:Scale:PE:PM:Drawing NameSite / Client NameFig.Sample Location DiagramKSBAJB531005January 2021As ShownPetroleum Spill RemediationAtlantic Environmental Partners / KR Leach TruckingVanceboro, NC4bSoil Boring LocationGravelSoil Boring Location

APPENDIX B

Highlands Environmental Solutions, Inc.

HEALTH AND SAFETY PLAN

For Site Activities near:

5655 US-17
Vanceboro, NC

January 2021

Minimum Level of Protection at this site is Level D
Contaminants of Concern are Petroleum Hydrocarbons

Kendall Sutler
Project Manager

The information in this HASP is provided solely for the protection of the health and safety of Highlands
Environmental Solutions employees and subcontractors working under the direct supervision and control of
Highlands Environmental Solutions on this project. Highlands Environmental Solutions assumes no liability
for, or responsibility to, any other parties for the accuracy or completeness of the information contained herein
for any use or reliance upon this HASP by any other party.
Health and Safety Plan
Vanceboro, NC January 2021

ii

IN THE EVENT OF ANY EMERGENCY, CONTACT PROJECT MANAGER OR
HEALTH AND SAFETY REPRESENTATIVE
SITE EMERGENCY FORM
Contaminants of Concern: Petroleum Hydrocarbons
Minimum Level of Protection: Level D

Do not endanger your life. Survey the situation before taking any action.
Highlands Environmental Solutions Office
Telephone: [phone]
Site Location Address: Near 5655 US-17; Vanceboro, NC
Telephone Located at: HES Personnel (cellular phone)

EMERGENCY
PHONE NUMBERS

Ambulance: 911
Fire: 911
Police: 911
Hospital Name: CarolinaEast Medical Center
Hospital Phone: [phone]
Project Manager: Kendall Sutler
Health and Safety Specialist: Kendall Sutler
Client Contact: Brian Davis
Poison Control: [phone]
State Agency: NCDEQ – Washington RO

UTILITY MARKER EMERGENCY TELEPHONE NUMBERS

Utility

Color Code

Telephone Number
Water
Gas
Electric
Telephone
Cable
Sewer
Blue
Yellow
Red
Orange
Orange
Green
[phone]
[phone]
[phone]
[phone]
[phone]
[phone]
Dig Safe Telephone Number: [phone]
Health and Safety Plan
Vanceboro, NC January 2021

iii

HOSPITAL LOCATION MAP

Hospital Directions:

Travel 0.1 miles Southeast on US-17S and turn
right onto NC-43 S and travel 8.7 miles.

Use the left 2 lanes to turn left onto NC-55 E and
travel 3.1 miles and turn left and follow signs for
emergency room.
Hospital Information:
Name: CarolinaEast Medical Center
Address: 2000 Neuse Blvd.
City, State: New Bern, NC
Phone: [phone]

Streamlined Health and Safety Plan Page 4
Vanceboro, NC January 2021

FIRST AID FOR PETROLEUM HYDROCARBON EMERGENCIES

Ingestion: DO NOT INDUCE VOMITING. Call Poison Control; follow instructions. Administer
cardiopulmonary resuscitation (CPR), if necessary. Seek medical attention.

Inhalation: Remove person from contaminated environment. DO NOT ENTER A CONFINED
SPACE TO RESCUE SOMEONE WHO HAS BEEN OVERCOME UNLESS
PROPERLY EQUIPPED AND A STANDBY PERSON IS PRESENT. Administer
CPR if necessary. Seek medical attention.

Skin Contact: Brush off dry material, remove wet or contaminated clothing. Flush skin thoroughly
with water. Seek medical attention if irritation persists.

Eye Contact: Flush eyes with water for 15 minutes. Seek medical attention.

Exposure Symptoms: Headache, dizziness, nausea, drowsiness, irritation of eyes, nose, throat, breathing
difficulties.

Contingency Plan: Report incident to Project Manager (PM) after emergency procedures have been
implemented.

RESPONDER MUST HAVE A CURRENT CERTIFICATE TO ADMINISTER FIRST AID OR CPR

1. Survey the situation. Do not endanger your own life. DO NOT ENTER A CONFINED SPACE TO
RESCUE SOMEONE WHO HAS BEEN OVERCOME UNLESS PROPERLY EQUIPPED AND A
STANDBY PERSON IS PRESENT.

2. Call 911 (if available) or the fire department IMMEDIATELY. Explain the physical injury, chemical
exposure, fire, or release.

3. Decontaminate the victim without delaying life-saving procedures.

4. If the victim's condition appears to be noncritical, but seems to be more severe than minor cuts,
he/she should be transported to the nearest hospital by trained Emergency Medical Services (EMS)
personnel: let the doctor assume the responsibility for determining the severity of the injury. If the
condition is obviously serious, EMS must transport the victim.

5. Notify the PM.
Streamlined Health and Safety Plan Page 5
Vanceboro, NC January 2021

EMERGENCY FIRST AID PROCEDURES
To Stop Bleeding

CPR

1. Give medical statement.
2. Assure airway, breathing, and
circulation.
3. Use DIRECT PRESSURE over the
wound with clean dressing or your
hand (use nonpermeable gloves).
Direct pressure will control most
bleeding.
4. Bleeding from an artery or several
injury sites may require DIRECT
PRESSURE on a PRESSURE
POINT. Use pressure points for
30 - 60 seconds to help control
severe bleeding.
5. Continue primary care and seek
medical aid as needed.

1. Call for help.
2. Arousal: check for consciousness.
3. Open airway with chin-lift.
4. Look, listen, and feel for breathing.
5. If breathing is absent, give 2 slow, full
rescue breaths.
6. Check the pulse for 5 to 10 seconds.
7. If pulse is present, continue rescue
breathing: 1 breath every
5 seconds
8. If pulse is absent, start CPR:
15 compressions, 2 breaths (1 man)
Streamlined Health and Safety Plan Page 6
Vanceboro, NC January 2021

Project and Health and Safety Information
HES will be conducting remediation activities to include the excavation of a diesel fuel and moto oil
released during a multi-vehicle incident on Highway 17 near Vanceboro, in Craven County, North
Carolina.

All work will comply with the Occupational Safety and Health Act (OSHA) standard, "Hazardous Waste
Operations and Emergency Response," (29 CFR 1910.120), and other federal, state and local procedures
that require the development and implementation of a HASP. Generation of this document certifies that the
workplace has been evaluated for the hazards as described. A hazard assessment has been performed and
the adequacy of the personal protective equipment (PPE) selected is hereby certified per
29 CFR 1910.132(d) and is duly noted by the signature(s) and date appearing on the cover page of this
document. If any site conditions are encountered that are different from typical retail petroleum operations,
the field investigator is to stop work immediately and notify the Project Manager.

This plan addresses the safety issues associated environmental investigation and assessment activities
performed at sites related to petroleum operations and/or releases of petroleum from trucking incidents. For
this project, site investigation activities will involve the following (checked items):

Phase I Environmental Site Assessment Phase II Environmental Site Assessment
x Spill Response and Abatement x Soil sampling
Soil sampling (drilling) Monitoring well installation
UST removal (requires full HASP) x Soil excavation
Groundwater sampling/monitoring Groundwater remediation
Drum removal Site surveying
Soil Gas / VI assessment/survey Pump/Slug testing
Product Transfer Air Monitoring

All activities of this project will be carried out under Level D or Modified Level D. At a minimum, all
personnel will wear the following PPE based on the task to be performed at the site (checked items):

x Hard Hat x Safety Vest
x Steel Toe Boots Chemical Boots
x Nitrile gloves (sampling gloves) Heavy Nitrile gloves
x Safety glasses Ear plugs/ear muffs (sound suppression)
Yellow Tychem Yellow (polycoated) Tyvek

Special Hazards:

1 - Work area will be along an interstate highway and at night so all personnel will need to use caution and
pay attention to operational equipment and traffic on the roadway.
Streamlined Health and Safety Plan Page 7
Vanceboro, NC January 2021

HAZARD IDENTIFICATION AND CONTROL
Precautions must be taken to prevent injuries and exposures to the following potential hazards.

. Potential Hazards and Control

Potential Hazard

Control

Exposure to
Petroleum
Products

1. Stand up-wind of petroleum products whenever possible.
2. Minimize contact and contact time with petroleum products.
3. Avoid walking through discolored areas, puddles, leaning on drums, or
contacting anything that is likely to be contaminated.
4. Do not eat, drink, smoke and/or apply cosmetics in the hot or warm
zones.
5. Wear gloves when in contact with contaminated surfaces.
6. Safety glasses must be worn at a minimum.
7. Splash goggles must be worn when working with liquids.
8. >25 ppm organic vapors in breathing zone requires upgrade to Level C.
9. >250 ppm organic vapors in breathing zone requires upgrade from
Level C to Level B.
10. If unknown materials are encountered, call the HSS.
Vehicular
Traffic

1. Wear traffic safety vest when vehicle hazard exists.
2. Use cones, flags, barricades, and caution tape to define work area.
3. Use vehicle to block work area.
4. Engage police detail for high-traffic situations.
Vault Entry

1. HES Personnel do not perform Confined Space Entry.

Utility Lines
Contact

1. Contact Dig Safe to have utility lines marked prior to excavation/trenching.
2. Refer to site drawings or customer interviews if on private property for
utility locations.
3. Hand dig 3 to 5 feet down and 5 feet each side of utility marker to avoid
breaking utility lines.
Inclement
Weather

1. Stop outdoor work during electrical storms and other extreme weather
conditions such as extreme heat or cold temperatures.
2. Take cover indoors or in vehicle.
3. Listen to local forecasts for warnings about specific weather hazards such
as tornados, hurricanes, and flash floods.
Noise

1. Wear hearing protection when equipment such as a drill rig, jackhammer,
cut saw, air compressor, blower or other heavy equipment is operating on
the site.
2. Wear hearing protection whenever you need to raise your voice above
normal conversational speech due to a loud noise source; this much noise
indicates the need for protection.
Streamlined Health and Safety Plan Page 8
Vanceboro, NC January 2021

Potential Hazard

Control

Electric
Shock

1. Maintain appropriate distance from overhead utilities;
20-foot minimum clearance from power lines required;
10-foot minimum clearance from shielded power lines.
2. Use ground-fault circuit interrupters as required.
3. Perform lockout/tagout procedures (Appendix C).
4. Use three-pronged plugs and extension cords.
5. Contact your local underground utility-locating service.
6. Follow code requirements for electrical installations in hazardous
locations.
Physical
Injury

1. Wear hard hats and safety glasses when on-site.
2. Maintain visual contact with the equipment operator and wear orange
safety vest when heavy equipment is used on-site.
3. Avoid loose-fitting clothing (driller and driller's helper).
4. Prevent slips, trips and falls; keep work area uncluttered.
5. Keep your hands away from moving parts (i.e., augers).
6. Test the emergency shutoff switch on the drill rig daily.
Back Injury

1. Use a mechanical lifting device or a lifting aid where appropriate.
2. If you must lift, plan the lift before doing it.
3. Check your route for clearance.
4. Bend at the knees and use leg muscles when lifting.
5. Use the buddy system when lifting heavy or awkward objects.
6. Do not twist your body while lifting.
Heat Stress

1. Increase water intake while working.
2. Increase number of rest breaks and/or rotate workers in shorter work
shifts.
3. Watch for signs and symptoms of heat exhaustion and fatigue.
4. Plan work for early morning or evening during hot months.
5. Use ice vests when necessary.
6. Rest in cool, dry areas.
7. In the event of heat stroke, bring the victim to a cool environment and
initiate first aid procedures.
Cold Stress

1. Take breaks in heated shelters when working in extremely cold
temperatures .
2. Remove the outer layer of clothing and loosen other layers to promote
evaporation of perspiration, upon entering the shelter.
3. Drink warm liquids to reduce the susceptibility to cold stress.
High Crime
Areas

1. Be aware of surroundings.
2. Use the buddy system.
3. Request police detail when appropriate.
Insects

1. Tuck pants into socks.
2. Wear long sleeves.
3. Use insect repellent.
Poisonous Plants
(Such as Poison
Ivy, Oak, etc.)

1. Don't enter areas infested with poisonous plants.
2. Immediately wash any areas that come into contact with poisonous
plants.
Streamlined Health and Safety Plan Page 9
Vanceboro, NC January 2021

Potential Hazard

Control

Ladders

1. Make sure ladder rungs are sturdy and free of cracks.
2. Use ladders with secure safety feet.
3. Pitch ladders at a 4:1 ratio.
4. Secure ladders at the top when possible.
5. Do not use ladders for access to air stripper towers.
6. Use non-conductive ladders near electrical wires.
Fire Control

1. Smoke only in designated areas.
2. Keep flammable liquids in closed containers.
3. Keep site clean; avoid accumulating combustible debris such as paper.
4. Follow Hot Work Safety Procedures when welding or performing other
activities requiring an open flame.
5. Isolate flammable and combustible materials from ignition sources.
6. Ensure fire safety integrity of equipment installations according to Hazard
Classification Diagram (Appendix G).
Static Electricity

1. Do not create static discharge in flammable atmospheres.
2. Electrically bond and ground pumps transfer vessels, tanks, drums,
bailers and probes, when moving liquids.
3. Electrically bond and ground vacuum trucks and the tanks they are
emptying.
4. Do not splash fill containers with flammable liquids.
Drilling/Boring
Operations

1. Driller and helper must be present during all active operations.
2. Driller helper and other site personnel must know location of emergency
shut off switch.
3. Unauthorized personnel must be kept clear of drilling rig.
4. Area of drilling operation must be cordoned off/barricaded.
5. When hazardous conditions are deemed present, operation must be shut
down.
Well Installation,
Well
Development,
Well Gauging,
Well Bailing,
Soil/Ground-
water Sampling

1. Wear appropriate PPE to avoid skin, eye, and inhalation contact with
contaminated groundwater and/or soil.
2. Stand upwind when conducting tasks and minimize possible inhalation
exposure; especially when first opening monitoring wells.
3. Conduct air monitoring to determine level of respiratory protection.
4. Utilize engineering controls such as portable venturi air movers to draw
away or blow away chemical vapors.
Welding, Cutting,
Brazing

1. Before conducting welding at a project site, contact the Project Manager..

Cleaning
Equipment

1. Wear appropriate PPE to avoid skin and eye contact with isopropyl
alcohol, alconox, or other cleaning materials.
2. Stand upwind to minimize any potential inhalation exposure.
3. Dispose of spent cleaning solutions and rinses accordingly.
First aid kit, emergency eye wash station, fire extinguisher, and absorbent
pads will be located on-site in the vehicle or site remediation system.
Health and Safety Plan
Vanceboro, NC January 2021

10

Signature Sheet

All persons entering the work zone or visiting the subject site for the purposes associated with the subject
investigation(s), or activities associated with the subject investigation(s) are required to notify the HES
representative on-site immediately upon arrival. All persons entering the work zone, or visiting the subject
site for the purposes associated with the subject investigation(s), or activities associated with the subject
investigation(s) are required to review appropriate health and safety procedures, and provide a signature
documenting they have been properly briefed on health and safety policies and procedures to be followed
while on-site. HES will not be responsible for personal injuries or death resulting from personal actions that
are considered negligent, or that result from personal activities that are contrary to this health and safety plan.

By my signature, I acknowledge that I have been briefed on site specific health and safety procedures,
that I am familiar with said health and safety procedures, and that I will follow all indicated health and
safety procedures while on-site.

Name Signature

APPENDIX C

UST-62 24-Hour Notification of Discharge Form
For Non-UST
Releases of
Petroleum in NC
This form should be completed and submitted to the UST Section’s regional office following a known or suspected release of
petroleum from a source other than an underground storage tank. This form is required to be submitted within 24 hours of
discovery of a known or suspected petroleum release
(DWM USE ONLY)
Incident # ___________ Priority Rank (H,I,L,U) _____
Received (time/date) ___________________________
Received by ________________ Region __________
Reported by (circle one): Phone, Fax or Report
Suspected Contamination? (Y/N) ___
Confirmed GW Contamination? (Y/N) ___
Confirmed Soil Contamination ?(Y/N) ___
Samples taken?(Y/N) ___ Free product? (Y/N) ___
If Yes(free product), state greatest thickness: _____feet
Release discovered
(time/date):______________
_______________________
INCIDENT DESCRIPTION
Incident Name:
Address (street number/name):County:
City/Town: Zip Code: Regional Office (circle one): Asheville, Mooresville, Fayetteville, Raleigh, Washington, Wilmington, Winston-Salem
Latitude (decimal degrees): Longitude (decimal degrees) :Obtained by:
Describe suspected or confirmed release (nature of release, time/date of release, quantity of release, amount of free
product): GPS
Electronic topographic map
GIS Address matching
Describe initial response/abatement (time/date release stopped, cleanup begun/completed, quantity of product
soil removed, confirmation sampling):
Other
Unknown
Describe impacted receptors: Describe location:
HOW RELEASE WAS DISCOVERED (Release Code)
(Check one)
Observation of Release at Occurrence
Visual or Olfactory Evidence
Soil Contamination
Groundwater Contamination
Water Supply Well Contamination
Surface Water Contamination
Other (specify) _______________
SOURCE OF CONTAMINATION
Source of Release
(Check one to indicate primary
source)
Cause of Release
(Check one to indicate primary
cause)
Type of Release
(Check one)
Product Type Released
(Check one to indicate primary petroleum product
type released)
AST (tank)
AST Piping/ Dispenser
AST Delivery Problem
OTR Vehicle Tank
OTR Bulk Transport Tank
RR Bulk Transport Tank
Transformer
Unknown
Other ______________
Definitions presented on reverse
Spill (Accidental)
Spill (Intentional)
Corrosion
Physical or Mechanical
Damage
Equipment Failure
AST Overfill
AST Installation Problem
Unknown
Other ______________
Definitions presented on reverse
Petroleum
Both Petroleum
& Non-Petroleum
Location
(Check one)
Facility
Residence
Highway/Road
Railway
Other
Gasoline/ Diesel/
Kerosene
E11 – E20
E21 – E84
E85 – E99
Ethanol 100%
Diesel/Veg. Oil
Blend
Vegetable Oil 100%
Heating Oil
Waste Oil
Mineral Oil-no
PCBs
Mineral Oil-PCBs
Other Petroleum
Products ________
Ownership
1. Municipal 2. Military 3. Unknown 4. Private 5. Federal 6. County 7. State
Operation Type
1. Public Service 2. Agricultural 3. Residential 4. Education/Relig. 5. Industrial 6. Commercial 7. Mining
Guidance presented on reverse
UST Form 62 (04/10) Page 1 of 2
IMPACT ON DRINKING WATER SUPPLIES
Water Supply Wells Affected? 1. Yes 2. No 3. Unknown Number of Water Supply Wells Affected ______
List of Water Supply Wells Contaminated: (Include Users Names, Addresses and Phone Numbers. Attach additional sheet if necessary)
1.
2.
3.
PARTY RESPONSIBLE FOR RELEASE
(if the source of the release is not an AST system or if it is an AST system and there is a responsible party other than the AST system owner/ operator)
Name of Person/Company Address
City State Zip Code Telephone Number
AST SYSTEM OWNER (if the source of the release is an AST system)
AST Owner/Company Address
City State Zip Code Telephone Number
AST SYSTEM OPERATOR (if the source of the release is an AST system)
UST Operator/Company Address
City State Zip Code Telephone Number
LANDOWNER AT LOCATION OF INCIDENT
Landowner Address
City State Zip Code Telephone Number
Draw Sketch of Area or Provide Map (showing incident site, location of release, two major road intersections, potential
receptors)
Attach sketch or map to form.
Give Directions to Incident Site Attach directions to form if necessary.
Person Reporting Incident Company Telephone Number
Title Address Date
UST Form 62 (04/10) Page 2 of 2
Definitions of Sources
AST (Tank): means the tank is used to store product
AST Piping: means the piping and connectors running from the tank to the dispenser or other end-use equipment
AST Dispenser: includes the dispenser and the equipment used to connect the dispenser to the piping
AST Delivery Problem: identifies releases that occurred during product delivery to the tank.
OTR Vehicle Tank: means the tank is used to store product to fuel an over the road vehicle
OTR Bulk Transport Tank: means a tank that is used to transport product in bulk over the road (by truck)
RR :bulk Transport Tank: means a tank that is used to transport product in bulk by train
Transformer: means electrical transformer
Other: serves as the option to use when the release source is known but does not fit into one of the preceding categories
Unknown: identifies releases for which the source has not been determined
Definitions of CausesSpill (Accidental): use this cause when a spill occurs accidentally(e.g., when the delivery hose is disconnected from a fill pipe)
Spill (Intentional): use this cause when a spill occurs intentionally (e.g., intentional dumping or breakage)
Corrosion: use when a metal tank, piping, or other component has a release due to corrosion
Physical or Mechanical Damage: use for all types of physical or mechanical damage, except corrosion
Equipment failure: use when a release occurs due to equipment failure other than corrosion or physical or mechanical damage
AST Overfill: use when an overfill occurs (e.g., overfills may occur from the fill pipe at the tank or when the nozzle fails to shut off at the dispenser)
AST Installation Problem: use when the problem is determined to have occurred specifically because the AST system was not installed properly
Other: use this option when the cause is known but does not fit into one of the preceding categories
Unknown: use when the cause has not been determined
Guidance: Ownership and Operator TypeOwnership select the category which describes owner of the AST system, bulk transport tank, or other release source
Operator Type select the category which describes the operation in which owner uses the AST system, bulk transport tank, or other release source
Incident Site

APPENDIX D

APPENDIX E

Collection
Date
Collection Depth
(ft. BGS)
B-E-1 1/17/21 Surface 0.45 0.45
B-N-1 1/17/21 0.5 ND 2.5
B-S-1 1/17/21 0.5 3 0.84
B-N-2 1/17/21 0.5 ND 0.73
B-S-2 1/17/21 0.5 ND 10.4
B-N-3 1/17/21 0.5 ND 0.59
B-S-3 1/17/21 0.5 1.4 3.6
B-N-4 1/17/21 0.5 1.2 4.2
B-S-4 1/17/21 0.5 ND 5.4
B-N-5 1/17/21 0.5 5.5 8.9
B-S-5 1/17/21 0.5 0.7 3.6
B-N-6 1/17/21 0.5 3.6 8.8
B-S-6 1/17/21 0.5 4.4 7.6
B-N-7 1/17/21 0.5 9.3 8.0
B-S-7 1/17/21 0.5 ND 5.8
B-N-8 1/17/21 0.5 20.8 10.1
B-S-8 1/17/21 0.5 7 0.72
B-N-9 1/17/21 0.5 ND 0.53
B-S-9 1/17/21 0.5 ND ND
B-N-10 1/17/21 0.5 4.8 18.9
B-S-10 1/17/21 0.5 8.9 7
B-N-11 1/17/21 0.5 ND 0.34
B-S-11 1/17/21 0.5 ND 24.7
B-N-12 1/17/21 0.5 5 4.4
Sample ID
Number
Constituent of Concern Gasoline
Range
Organics
(mg/kg)
Diesel Range
Organics
(mg/kg)
Table 1
Atlantic Environmental Partners / K R Leach Trucking
Petroluem Spill Remediaton
HES Project #531005
Summary of Analytical Data
(Soil Samples)
Analytical Method (e.g., VOC by EPA 8260B)RedLab UVF
Collection
Date
Collection Depth
(ft. BGS)
B-S-12 1/17/21 0.5 5.3 3.6
B-W-1 1/18/21 surface 2.2 16.8
B-N-13 1/18/21 0.5 11.9 0.81
B-S-13 1/18/21 0.5 5.8 1.5
B-N-14 1/18/21 0.5 ND 0.34
B-S-14 1/18/21 0.5 ND 0.93
B-N-15 1/18/21 0.5 ND 2.7
B-S-15 1/18/21 0.5 ND 0.56
B-N-16 1/18/21 0.5 ND 0.64
B-S-16 1/18/21 0.5 ND 1.1
B-N-17 1/18/21 0.5 ND 0.72
B-S-17 1/18/21 0.5 ND 0.91
I-N-1 1/18/21 surface ND 16
I-N-2 1/18/21 surface MD 3
I-N-3 1/18/21 surface MD 4.5
I-N-4 1/18/21 surface ND 5.4
I-N-5 1/18/21 surface ND 6.4
50 100
Notes: ND Denotes not detected. Shaded area denotes not analyzed.
Bold denotes concentration greater than State Action Limits.
Gasoline
Range
Organics
(mg/kg)
Diesel Range
Organics
(mg/kg)
Table 1 (cont'd)
NCDEQ State Action Limit
Analytical Method (e.g., VOC by EPA 8260B) RedLab UVF
Well ID Number
Constituent of Concern

APPENDIX F

Hydrocarbon Analysis Results
Client:Highlands Environmental Solutions Samples taken Thursday, January 14, 2021
Address:Raleigh, NC Samples extracted Thursday, January 14, 2021
Samples analysed Friday, January 15, 2021
Contact:Kendall Sutler Operator Caroline Stevens
Project:#531005
1 F03640
Matrix Sample ID Dilution
used
BTEX
(C6 - C9)
GRO
(C5 - C10)
DRO
(C10 - C35)
TPH
(C5 - C35)
Total
Aromatics
(C10-C35)
16 EPA
PAHs BaP HC Fingerprint Match
% light % mid %
heavy
s WP/DISPOSAL 3116.0 <155.8 575.9 5793 6369 1934 71.3 <3.1 77 22.4 0.6 Deg.Diesel 82.4%,(FCM)
Initial Calibrator QC check OK Final FCM QC Check OK 113.1 %
Results generated by a QED HC-1 analyser. Concentration values in mg/kg for soil samples and mg/L for water samples. Soil values are not corrected for moisture or stone content
Fingerprints provide a tentative hydrocarbon identification. The abbreviations are:- FCM = Results calculated using Fundamental Calibration Mode : % = confidence for sample fingerprint match to library
(SBS) or (LBS) = Site Specific or Library Background Subtraction applied to result : (PFM) = Poor Fingerprint Match : (T) = Turbid : (P) = Particulate present
Ratios
QED Hydrocarbon FingerprintsProject:#531005 Friday, January 15, 2021
12145
WP/DISPOSAL : Deg.Diesel 82.4%,(FCM)
Hydrocarbon Analysis Results
Client:HES Samples taken Monday, January 18, 2021
Address:5610 US 17 Vanceboro, NC Samples extracted Monday, January 18, 2021
Samples analysed Monday, January 18, 2021
Contact:Kendall Sutler Operator Tori Kelly
Project:#531005
10 U04049
Matrix Sample ID Dilution
used
BTEX
(C6 - C9)
GRO
(C5 - C10)
DRO
(C10 - C35)
TPH
(C5 - C35)
Total
Aromatics
(C10-C35)
16 EPA
PAHs BaP HC Fingerprint Match
% light % mid %
heavy
s B-E-1 17.8 <0.45 <0.45 0.45 0.45 0.45 <0.14 <0.018 0 66.5 33.5 V.Deg.PHC 54.7%,(FCM),(P)
s B-N-1 12.7 <0.32 <0.32 2.5 2.5 1.6 <0.1 <0.013 0 52.5 47.5 V.Deg.PHC 74.1%,(FCM),(BO),(P)
s B-S-1 11.5 <0.29 3 0.84 3.84 0.45 <0.09 <0.012 89.1 7.2 3.6 Deg.PHC 92.3%,(FCM)
s B-N-2 18.2 <0.45 <0.45 0.73 0.73 0.63 <0.15 <0.018 0 67.6 32.4 V.Deg.PHC 61.1%,(FCM),(P)
s B-S-2 20.6 <0.52 <0.52 10.4 10.4 4.5 0.21 <0.021 0 73.4 26.6 Deg.Fuel 75.3%,(FCM),(BO)
s B-N-3 13.3 <0.33 <0.33 0.59 0.59 0.59 <0.11 <0.013 0 62 38 V.Deg.PHC 60.7%,(FCM),(P)
s B-S-3 16.7 <0.42 1.4 3.6 5 1.8 <0.13 <0.017 49.4 37.2 13.4 Deg.PHC 73.9%,(FCM)
s B-N-4 16.0 <0.4 1.2 4.2 5.4 2 <0.13 <0.016 43.2 42 14.8 Deg.PHC 75.8%,(FCM),(BO)
s B-5-4 20.5 <0.51 <0.51 5.4 5.4 2.6 <0.16 <0.02 0 76.2 23.8 Deg.PHC 76.7%,(FCM),(BO)
s B-N-5 14.8 <0.37 5.5 8.9 14.4 3.4 0.15 <0.015 73.8 19.5 6.7 Deg.Fuel 82.1%,(FCM),(BO)
Initial Calibrator QC check OK Final FCM QC Check OK 95 %
Results generated by a QED HC-1 analyser. Concentration values in mg/kg for soil samples and mg/L for water samples. Soil values are not corrected for moisture or stone content
Fingerprints provide a tentative hydrocarbon identification. The abbreviations are:- FCM = Results calculated using Fundamental Calibration Mode : % = confidence for sample fingerprint match to library
(SBS) or (LBS) = Site Specific or Library Background Subtraction applied to result : (PFM) = Poor Fingerprint Match : (T) = Turbid : (P) = Particulate present
Ratios
QED Hydrocarbon FingerprintsProject:#531005 Monday, January 18, 2021
2562
B-E-1 : V.Deg.PHC 54.7%,(FCM),(P)
8603
B-N-1 : V.Deg.PHC 74.1%,(FCM),(BO),(P)
2402
B-S-1 : Deg.PHC 92.3%,(FCM)
3368
B-N-2 : V.Deg.PHC 61.1%,(FCM),(P)
9971
B-S-2 : Deg.Fuel 75.3%,(FCM),(BO)
2465
B-N-3 : V.Deg.PHC 60.7%,(FCM),(P)
6182
B-S-3 : Deg.PHC 73.9%,(FCM)
7233
B-N-4 : Deg.PHC 75.8%,(FCM),(BO)
7077
B-5-4 : Deg.PHC 76.7%,(FCM),(BO)
9027
B-N-5 : Deg.Fuel 82.1%,(FCM),(BO)
Hydrocarbon Analysis Results
Client:HES Samples taken Monday, January 18, 2021
Address:5610 US 17 Vanceboro, NC Samples extracted Monday, January 18, 2021
Samples analysed Monday, January 18, 2021
Contact:Kendall Sutler Operator Tori Kelly
Project:#531005
20 U04049
Matrix Sample ID Dilution
used
BTEX
(C6 - C9)
GRO
(C5 - C10)
DRO
(C10 - C35)
TPH
(C5 - C35)
Total
Aromatics
(C10-C35)
16 EPA
PAHs BaP HC Fingerprint Match
% light % mid %
heavy
s B-S-5 12.5 <0.31 0.7 3.6 4.3 1.7 <0.1 <0.013 35.2 49.3 15.5 Deg.PHC 76.9%,(FCM),(BO)
s B-N-6 17.9 <0.45 3.6 8.8 12.4 4.2 0.21 <0.018 51.6 37.2 11.2 Deg.PHC 76.2%,(FCM),(BO)
s B-S-6 17.6 <0.44 4.4 7.6 12 5 0.23 <0.018 76.1 18.4 5.5 Deg.Fuel 76.1%,(FCM),(BO)
s B-N-7 16.4 <0.41 9.3 8 17.3 3.3 <0.13 <0.016 82 13 5 Deg.Fuel 78.2%,(FCM)
s B-S-7 12.2 <0.31 <0.31 5.8 5.8 5.1 0.24 <0.012 0 49.8 50.2 Deg.Fuel 58.2%,(FCM)
s B-N-8 18.4 <0.46 20.8 10.1 30.9 6.1 0.31 <0.018 76.9 17.4 5.7 Deg.PHC 77.2%,(FCM),(BO)
s B-S-8 14.1 <0.35 7 0.72 7.72 0.43 <0.11 <0.014 95.3 3 1.7 Deg.PHC 77.7%,(FCM)
s B-N-9 21.1 <0.53 <0.53 0.53 0.53 0.43 <0.17 <0.021 0 44.8 55.2 Residual HC
s B-S-9 24.3 <0.61 <0.61 <0.61 0.55 0.55 <0.19 <0.024 0 59.4 40.6 Residual HC
s B-N-10 21.0 <0.52 4.8 18.9 23.7 11.9 0.58 <0.021 32.7 59.1 8.2 Deg Fuel 74.8%,(FCM)
Initial Calibrator QC check OK Final FCM QC Check OK 93.4 %
Results generated by a QED HC-1 analyser. Concentration values in mg/kg for soil samples and mg/L for water samples. Soil values are not corrected for moisture or stone content
Fingerprints provide a tentative hydrocarbon identification. The abbreviations are:- FCM = Results calculated using Fundamental Calibration Mode : % = confidence for sample fingerprint match to library
(SBS) or (LBS) = Site Specific or Library Background Subtraction applied to result : (PFM) = Poor Fingerprint Match : (T) = Turbid : (P) = Particulate present
Ratios
QED Hydrocarbon FingerprintsProject:#531005 Monday, January 18, 2021
7128
B-S-5 : Deg.PHC 76.9%,(FCM),(BO)
11747
B-N-6 : Deg.PHC 76.2%,(FCM),(BO)
5697
B-S-6 : Deg.Fuel 76.1%,(FCM),(BO)
8034
B-N-7 : Deg.Fuel 78.2%,(FCM)
17681
B-S-7 : Deg.Fuel 58.2%,(FCM)
20016
B-N-8 : Deg.PHC 77.2%,(FCM),(BO)
1618
B-S-8 : Deg.PHC 77.7%,(FCM)
2637
B-N-9 : Residual HC
1822
B-S-9 : Residual HC
28926
B-N-10 : Deg Fuel 74.8%,(FCM)
Hydrocarbon Analysis Results
Client:HES Samples taken Monday, January 18, 2021
Address:5610 US 17 Vanceboro, NC Samples extracted Monday, January 18, 2021
Samples analysed Monday, January 18, 2021
Contact:Kendall Sutler Operator Tori Kelly
Project:#531005
26 U04049
Matrix Sample ID Dilution
used
BTEX
(C6 - C9)
GRO
(C5 - C10)
DRO
(C10 - C35)
TPH
(C5 - C35)
Total
Aromatics
(C10-C35)
16 EPA
PAHs BaP HC Fingerprint Match
% light % mid %
heavy
s B-S-10 20.5 <0.51 8.9 7 15.9 4.1 0.21 <0.02 69.4 22.2 8.3 Deg.PHC 69.5%,(FCM)
s B-N-11 13.4 <0.34 <0.34 0.34 0.34 0.31 <0.11 <0.013 0 66.5 33.5 V.Deg.PHC 63.7%,(FCM)
s B-S-11 243.0 <6.1 <6.1 24.7 24.7 8.8 <1.9 <0.24 0 77.8 22.2 Deg.Fuel 55.4%,(FCM)
s B-N-12 18.4 <0.46 5 4.4 9.4 1.6 <0.15 <0.018 90.7 6.5 2.8 Deg.Fuel 80.5%,(FCM)
s B-S-12 14.1 <0.35 5.3 3.6 8.9 1.4 <0.11 <0.014 92.5 4.1 3.3 Deg.Fuel 70.4%,(FCM)
Initial Calibrator QC check OK Final FCM QC Check OK 99.2 %
Results generated by a QED HC-1 analyser. Concentration values in mg/kg for soil samples and mg/L for water samples. Soil values are not corrected for moisture or stone content
Fingerprints provide a tentative hydrocarbon identification. The abbreviations are:- FCM = Results calculated using Fundamental Calibration Mode : % = confidence for sample fingerprint match to library
(SBS) or (LBS) = Site Specific or Library Background Subtraction applied to result : (PFM) = Poor Fingerprint Match : (T) = Turbid : (P) = Particulate present
Ratios
QED Hydrocarbon FingerprintsProject:#531005 Monday, January 18, 2021
12152
B-S-10 : Deg.PHC 69.5%,(FCM)
2253
B-N-11 : V.Deg.PHC 63.7%,(FCM)
939
B-S-11 : Deg.Fuel 55.4%,(FCM)
1868
B-N-12 : Deg.Fuel 80.5%,(FCM)
2825
B-S-12 : Deg.Fuel 70.4%,(FCM)
Hydrocarbon Analysis Results
Client:HES Samples taken Monday, January 18, 2021
Address:5610 US 17 Vanceboro, NC Samples extracted Monday, January 18, 2021
Samples analysed Monday, January 18, 2021
Contact:Kendall Sutler Operator Tori Kelly
Project:#531005
28 U04049
Matrix Sample ID Dilution
used
BTEX
(C6 - C9)
GRO
(C5 - C10)
DRO
(C10 - C35)
TPH
(C5 - C35)
Total
Aromatics
(C10-C35)
16 EPA
PAHs BaP HC Fingerprint Match
% light % mid %
heavy
s B-W-1 19.8 <0.5 2.2 16.8 19 9.8 0.56 <0.02 20.9 72.1 7 Deg Fuel 74.1%,(FCM),(BO)
Initial Calibrator QC check OK Final FCM QC Check OK 90.5 %
Results generated by a QED HC-1 analyser. Concentration values in mg/kg for soil samples and mg/L for water samples. Soil values are not corrected for moisture or stone content
Fingerprints provide a tentative hydrocarbon identification. The abbreviations are:- FCM = Results calculated using Fundamental Calibration Mode : % = confidence for sample fingerprint match to library
(SBS) or (LBS) = Site Specific or Library Background Subtraction applied to result : (PFM) = Poor Fingerprint Match : (T) = Turbid : (P) = Particulate present
Ratios
QED Hydrocarbon FingerprintsProject:#531005 Monday, January 18, 2021
21745
B-W-1 : Deg Fuel 74.1%,(FCM),(BO)
Hydrocarbon Analysis Results
Client:HES Samples taken Monday, January 18, 2021
Address:5610 US 17 Vanceboro, NC Samples extracted Monday, January 18, 2021
Samples analysed Monday, January 18, 2021
Contact:Kendall Sutler Operator Tori Kelly
Project:#531005
33 U04049
Matrix Sample ID Dilution
used
BTEX
(C6 - C9)
GRO
(C5 - C10)
DRO
(C10 - C35)
TPH
(C5 - C35)
Total
Aromatics
(C10-C35)
16 EPA
PAHs BaP HC Fingerprint Match
% light % mid %
heavy
s I-N-1 18.6 <0.46 <0.46 16 16 9.4 0.49 <0.019 0 80 20 Deg Fuel 73.8%,(FCM),(BO)
s I-N-2 22.6 <0.57 <0.57 3 3 1.9 <0.18 <0.023 0 72.1 27.9 Deg.PHC 75.7%,(FCM),(BO)
s I-N-3 16.0 <0.4 <0.4 4.5 4.5 2.6 <0.13 <0.016 0 71.5 28.5 Deg.PHC 71.7%,(FCM)
s I-N-4 14.6 <0.37 <0.37 5.4 5.4 2.4 <0.12 <0.015 0 75.4 24.6 Deg.Fuel 72.3%,(FCM)
s I-N-5 15.5 <0.39 <0.39 6.4 6.4 3.8 0.19 <0.015 0 73.7 26.3 V.Deg.PHC 69.4%,(FCM),(BO)
Initial Calibrator QC check OK Final FCM QC Check OK 99.8 %
Results generated by a QED HC-1 analyser. Concentration values in mg/kg for soil samples and mg/L for water samples. Soil values are not corrected for moisture or stone content
Fingerprints provide a tentative hydrocarbon identification. The abbreviations are:- FCM = Results calculated using Fundamental Calibration Mode : % = confidence for sample fingerprint match to library
(SBS) or (LBS) = Site Specific or Library Background Subtraction applied to result : (PFM) = Poor Fingerprint Match : (T) = Turbid : (P) = Particulate present
Ratios
QED Hydrocarbon FingerprintsProject:#531005 Monday, January 18, 2021
15938
I-N-1 : Deg Fuel 73.8%,(FCM),(BO)
4253
I-N-2 : Deg.PHC 75.7%,(FCM),(BO)
7071
I-N-3 : Deg.PHC 71.7%,(FCM)
6719
I-N-4 : Deg.Fuel 72.3%,(FCM)
10242
I-N-5 : V.Deg.PHC 69.4%,(FCM),(BO)
Hydrocarbon Analysis Results
Client:HES Samples taken Monday, January 18, 2021
Address:5610 US 17 Vanceboro, NC Samples extracted Monday, January 18, 2021
Samples analysed Monday, January 18, 2021
Contact:Kendall Sutler Operator Tori Kelly
Project:#531005
38 U04049
Matrix Sample ID Dilution
used
BTEX
(C6 - C9)
GRO
(C5 - C10)
DRO
(C10 - C35)
TPH
(C5 - C35)
Total
Aromatics
(C10-C35)
16 EPA
PAHs BaP HC Fingerprint Match
% light % mid %
heavy
s B-N-13 13.5 <0.34 11.9 0.81 12.71 0.77 <0.11 <0.013 93.9 4.2 1.8 Deg.Gas,(FCM)
s B-S-13 15.1 <0.38 5.8 1.5 7.3 0.9 <0.12 <0.015 87.7 8.6 3.7 Deg.PHC 73.8%,(FCM)
s B-N-14 13.4 <0.34 <0.34 0.34 0.34 0.23 <0.11 <0.013 0 69.6 30.4 45.1%,(FCM),(BO),(P)
s B-S-14 16.8 <0.42 <0.42 0.93 0.93 0.58 <0.13 <0.017 0 67 33 V.Deg.PHC 89.9%,(FCM)
s B-N-15 18.2 <0.45 <0.45 2.7 2.7 0.78 <0.15 <0.018 0 67.7 32.3 V.Deg.Diesel 69.3%,(FCM),(BO)
Initial Calibrator QC check OK Final FCM QC Check OK 97.2 %
Results generated by a QED HC-1 analyser. Concentration values in mg/kg for soil samples and mg/L for water samples. Soil values are not corrected for moisture or stone content
Fingerprints provide a tentative hydrocarbon identification. The abbreviations are:- FCM = Results calculated using Fundamental Calibration Mode : % = confidence for sample fingerprint match to library
(SBS) or (LBS) = Site Specific or Library Background Subtraction applied to result : (PFM) = Poor Fingerprint Match : (T) = Turbid : (P) = Particulate present
Ratios
QED Hydrocarbon FingerprintsProject:#531005 Monday, January 18, 2021
3821
B-N-13 : Deg.Gas,(FCM)
3503
B-S-13 : Deg.PHC 73.8%,(FCM)
5045
B-N-14 : 45.1%,(FCM),(BO),(P)
1539
B-S-14 : V.Deg.PHC 89.9%,(FCM)
2899
B-N-15 : V.Deg.Diesel 69.3%,(FCM),(BO)
Hydrocarbon Analysis Results
Client:HES Samples taken Monday, January 18, 2021
Address:5610 US 17 Vanceboro, NC Samples extracted Monday, January 18, 2021
Samples analysed Monday, January 18, 2021
Contact:Kendall Sutler Operator Tori Kelly
Project:#531005
5 U04049
Matrix Sample ID Dilution
used
BTEX
(C6 - C9)
GRO
(C5 - C10)
DRO
(C10 - C35)
TPH
(C5 - C35)
Total
Aromatics
(C10-C35)
16 EPA
PAHs BaP HC Fingerprint Match
% light % mid %
heavy
s B-S-15 16.0 <0.4 <0.4 0.56 0.56 0.55 <0.13 <0.016 0 63.7 36.3 V.Deg.PHC 60%,(FCM),(BO)
s B-N-16 20.0 <0.5 <0.5 0.64 0.64 0.4 <0.16 <0.02 0 51.7 48.3 Deg.PHC 51.5%,(FCM),(BO)
s B-S-16 26.0 <0.65 <0.65 1.1 1.1 0.62 <0.21 <0.026 0 53.2 46.8 Deg.PHC 52.3%,(FCM),(BO)
s B-N-17 23.0 <0.58 <0.58 0.72 0.72 0.45 <0.18 <0.023 0 62.7 37.3 V.Deg.PHC 68.9%,(FCM),(BO),(P)
s B-S-17 24.5 <0.61 <0.61 0.91 0.91 0.87 <0.2 <0.025 0 61.7 38.3 Residual HC
Initial Calibrator QC check OK Final FCM QC Check OK 99.3 %
Results generated by a QED HC-1 analyser. Concentration values in mg/kg for soil samples and mg/L for water samples. Soil values are not corrected for moisture or stone content
Fingerprints provide a tentative hydrocarbon identification. The abbreviations are:- FCM = Results calculated using Fundamental Calibration Mode : % = confidence for sample fingerprint match to library
(SBS) or (LBS) = Site Specific or Library Background Subtraction applied to result : (PFM) = Poor Fingerprint Match : (T) = Turbid : (P) = Particulate present
Ratios
QED Hydrocarbon FingerprintsProject:#531005 Monday, January 18, 2021
3001
B-S-15 : V.Deg.PHC 60%,(FCM),(BO)
2690
B-N-16 : Deg.PHC 51.5%,(FCM),(BO)
2397
B-S-16 : Deg.PHC 52.3%,(FCM),(BO)
4568
B-N-17 : V.Deg.PHC 68.9%,(FCM),(BO),(P)
4274
B-S-17 : Residual HC

APPENDIX G

Photograph Number 1: Photo of the log truck where it came to rest on US-17 on the date of the
incident (January 13, 2021).

Photograph Number 2: Photo of the log truck where it came to rest after a multiple vehicle
accident. An estimated 110-gallon of petroleum was released is the roadside drainage ditch.

Photograph Number 3: Photo of stormwater drainage ditch impacted with motor oil and diesel
fuel that released from the log truck.

Photograph Number 4: Photo of initial response and the extent of the spill release, the spill was
contained with absorbent booms and pads on January 13, 2021.

Photograph Number 5: Photo of initial response activities on the roadside drainage ditch on the
Northbound lane of US-17.

Photograph Number 6: Photo of initial response activities on the roadside drainage ditch on the
Northbound lane of US-17.

Photograph Number 7: Photo of vacuum unit used to recover petroleum fluids from the
stormwater drainage ditch on January 14, 2021.

Photograph Number 8: Photo of the impacted drainage ditch, just upgradient from the incident
site. Absorbent pellets were placed in the ditch to prevent further impacts to the drainage ditch.

Photograph Number 9: Photo of response activities completed on January 14, 2021. Vacuum
unit was used to skim and remove the hydrocarbon sheen from the surface of the water in the
ditch.

Photograph Number 10: Remediation activities completed on January 15, 2021 to include
recovery of petroleum by using the vacuum unit to further skim the water in the ditch.

Photograph Number 11: Photo of the additional remediation activities (vacuum and application
of absorbent pellets) completed on the west end of the stormwater drainage ditch on January 16,
2021.

Photograph Number 12: Photo after dewatering the drainage ditch and the initiation of
excavation activities completed on January 16, 2021.

Photograph Number 13: In flow of groundwater caused additional petroleum sheen on the water
in the ditch. Photo taken during remediation activities completed on January 17, 2021.

Photograph Number 14: Additional vacuuming activities completed downgradient of the release
site.

Photograph Number 15: Photo of excavation and sampling locations in the drainage ditch on
January 17, 2021.

Photograph Number 16: Photo of excavation and sampling activities.

Photograph Number 17: Photo of excavation and sampling locations in the drainage ditch on
January 18, 2021.

Photograph Number 18: Photo of the sampling locations on the west end of the impacted
drainage ditch.

Photograph Number 19: Photo of the sampling locations on the Northbound lane of US-17.

Photograph Number 20: Photo of the sampling locations on the Northbound lane of US-17.

Photograph Number 21: Photo of excavated area after backfilling and application of seed and
straw matting to prevent erosion.