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HomeMy WebLinkAboutNCDENR Release Reporting Form pertinent pagesU S T -6 1 2 4 -H o u r R e l e a s e a n d U S T L e a k R e p o r t i n g F o r m . F o r R e l e a s e s i n N C T h i s f o r m s h o u l d b e c o m p l e t e d a n d s u b m i t t e d t o t h e U S T S e c t i o n ’s r e g i o n a l o f f i c e f o l l o w i n g a k n o w n o r s u s p e c t e d r e l e a s e f r o m a n u n d e r g r o u n d s t o r a g e t a n k (U S T ) s y s t e m . T h i s f o r m i s r e q u i r e d t o b e s u b m i t t e d w i t h i n 2 4 h o u r s o f d i s c o v e r y o f a k n o w n o r s u s p e c t e d r e l e a s e (D W M U S E O N L Y ) I n c i d e n t # ________ R i s k (H ,I ,L ,U )_______ R e c e i v e d O n ________ R e c e i v e d B y ________ R e p o r t e d b y (c i r c l e o n e ): P h o n e , F a x o r R e p o r t R e g i o n _______ S u s p e c t e d C o n t a m i n a t i o n ? (Y /N ) ________ C o n f i r m e d G W C o n t a m i n a t i o n ? (Y /N ) ______ C o n f i r m e d S o i l C o n t a m i n a t i o n ?(Y /N ) ______ S a m p l e s T a k e n ?(Y /N ) ______ F r e e P r o d u c t ? (Y /N ) _____ I f Y e s , S t a t e G r e a t e s t T h i c k n e s s ______________ F a c i l i t y I D N u m b e r ______________ D a t e L e a k D i s c o v e r e d ___________ C o m m /N o n -C o m m e r c i a l ? ________ R e g /N o n -r e g u l a t e d ? _____________ I N C I D E N T D E S C R I P T I O N I n c i d e n t N a m e : A d d r e s s : C o u n t y : C i t y /T o w n : Z i p C o d e : R e g i o n a l O f f i c e (c i r c l e o n e ): A s h e v i l l e , M o o r e s v i l l e , F a y e t t e v i l l e , R a l e i g h , W a s h i n g t o n , W i l m i n g t o n , W i n s t o n -S a l e m L a t i t u d e (d e c i m a l d e g r e e s ): L o n g i t u d e (d e c i m a l d e g r e e s ) : O b t a i n e d b y : B r i e f l y d e s c r i b e s u s p e c t e d o r c o n f i r m e d r e l e a s e : (i n c l u d i n g b u t n o t l i m i t e d t o : n a t u r e o f r e l e a s e , d a t e o f r e l e a s e , a m o u n t o f r e l e a s e , a m o u n t o f f r e e p r o d u c t p r e s e n t a n d r e c o v e r y e f f o r t s , i n i t i a l r e s p o n s e s c o n d u c t e d , i m p a c t s t o r e c e p t o r s ) G P S T o p o g r a p h i c m a p G I S A d d r e s s m a t c h i n g O t h e r U n k n o w n D e s c r i b e l o c a t i o n : H O W R E L E A S E W A S D I S C O V E R E D (R e l e a s e C o d e ) (C h e c k o n e ) R e l e a s e D e t e c t i o n E q u i p m e n t o r M e t h o d s D u r i n g U S T C l o s u r e /R e m o v a l P r o p e r t y T r a n s f e r V i s u a l /O d o r W a t e r i n T a n k W a t e r S u p p l y W e l l C o n t a m i n a t i o n G r o u n d w a t e r C o n t a m i n a t i o n S u r f a c e W a t e r C o n t a m i n a t i o n O t h e r (s p e c i f y ) _______________ S O U R C E O F C O N T A M I N A T I O N S o u r c e o f R e l e a s e (C h e c k o n e t o i n d i c a t e p r i m a r y s o u r c e ) C a u s e o f R e l e a s e (C h e c k o n e t o i n d i c a t e p r i m a r y c a u s e ) T y p e o f R e l e a s e (C h e c k o n e ) P r o d u c t T y p e R e l e a s e d (C h e c k o n e t o i n d i c a t e p r i m a r y p r o d u c t t y p e r e l e a s e d ) T a n k P i p i n g D i s p e n s e r S u b m e r s i b l e T u r b i n e P u m p D e l i v e r y P r o b l e m O t h e r U n k n o w n D e f i n i t i o n s p r e s e n t e d o n r e v e r s e S p i l l O v e r f i l l C o r r o s i o n P h y s i c a l o r M e c h a n i c a l D a m a g e I n s t a l l P r o b l e m O t h e r U n k n o w n D e f i n i t i o n s p r e s e n t e d o n r e v e r s e P e t r o l e u m N o n -P e t r o l e u m B o t h L o c a t i o n (C h e c k o n e ) F a c i l i t y R e s i d e n c e O t h e r G a s o l i n e / D i e s e l / K e r o s e n e H e a t i n g O i l O t h e r P e t r o l e u m P r o d u c t s M e t a l s O t h e r I n o r g a n i c s O t h e r O r g a n i c s D i e s e l /V e g . O i l B l e n d V e g e t a b l e O i l 1 0 0 % E 1 0 – E 2 0 E 2 1 – E 8 4 E 8 5 – E 9 9 E t h a n o l 1 0 0 % E 0 1 – E 0 9 O w n e r s h i p 1 . M u n i c i p a l 2 . M i l i t a r y 3 . U n k n o w n 4 . P r i v a t e 5 . F e d e r a l 6 . C o u n t y 7 . S t a t e O p e r a t i o n T y p e 1 . P u b l i c S e r v i c e 2 . A g r i c u l t u r a l 3 . R e s i d e n t i a l 4 . E d u c a t i o n /R e l i g . 5 . I n d u s t r i a l 6 . C o m m e r c i a l 7 . M i n i n g U S T F o r m 6 1 (0 2 /0 8 ) P a g e 1 o f 2 Ç Ç Ç Ç Ò ï î ñ ï ð ñ ï í Ý ±³³ Ò ±²ó ®»¹«´¿¬»¼ Ý ¸¿®´±¬¬» Ò Ý É ó é ð í ï ï ð ð É »-¬ Ì ®¿¼» Í ¬®»»¬ Ó »½µ´»²¾»®¹ Ý ¸¿®´±¬¬» î è î ð î í ë ò î í ë ê ó è ð ò è ë í ç Í ·¬» ·- ¿ ï ò î é ó ¿½®» °¿®½»´ ±º ª¿½¿²¬ ´¿²¼ò Ì »¬®¿ Ì »½¸ô × ²½ò °»®º±®³»¼ ¿ -·¬» ¿--»--³»²¬ ±² Ò ±ª»³¾»® ï ë ô î ð ï í ò Í ·¨ ¾±®·²¹- ©»®» ¿¼ª¿²½»¼ ¬± ®»º«-¿´ò ß -·²¹´» »¨½»»¼¿²½» º±® Ý ç ó Ý ï ð ¿®±³¿¬·½- ©¿- ¼»¬»½¬»¼ ·² -±·´ ¾±®·²¹ Í Þ ó ï ¿²¼ ¿ -·²¹´» »¨½»»¼¿²½» º±® Û Ð Ø ·² ¹®±«²¼©¿¬»® ©¿- ¼»¬»½¬»¼ ·² Í Þ ó ê ò Ì ¿¾´» ©·¬¸ ¿²¿´§¬·½¿´ ®»-«´¬- ¿²¼ ¿ º·¹«®» -¸±©·²¹ ¬¸» ¾±®·²¹ ´±½¿¬·±²- ·- ¿¬¬¿½¸»¼ò È È Ü «» ¼·´·¹»²½» ±º °®±°»®¬§ ½±²¼·¬·±²ò È È È È È ª¿½¿²¬ °¿®½»´ I M P A C T O N D R I N K I N G W A T E R S U P P L I E S W a t e r S u p p l y W e l l s A f f e c t e d ? 1 . Y e s 2 . N o 3 . U n k n o w n N u m b e r o f W a t e r S u p p l y W e l l s A f f e c t e d __________________ W a t e r S u p p l y W e l l s C o n t a m i n a t e d : (I n c l u d e U s e r s N a m e s , A d d r e s s e s a n d P h o n e N u m b e r s . A t t a c h a d d i t i o n a l s h e e t i f n e c e s s a r y ) 1 .2 .3 . U S T S Y S T E M O W N E R U S T O w n e r /C o m p a n y P o i n t o f C o n t a c t A d d r e s s C i t y S t a t e Z i p C o d e T e l e p h o n e N u m b e r U S T S Y S T E M O P E R A T O R U S T O p e r a t o r /C o m p a n y A d d r e s s C i t y S t a t e Z i p C o d e T e l e p h o n e N u m b e r L A N D O W N E R A T L O C A T I O N O F U S T I N C I D E N T L a n d o w n e r A d d r e s s C i t y S t a t e Z i p C o d e T e l e p h o n e N u m b e r D r a w S k e t c h o f A r e a (s h o w i n g t w o m a j o r r o a d i n t e r s e c t i o n s ) o r A t t a c h M a p P e r s o n R e p o r t i n g I n c i d e n t C o m p a n y T e l e p h o n e N u m b e r T i t l e A d d r e s s D a t e U S T F o r m 6 1 (0 2 /0 8 ) P a g e 2 o f 2 D e f i n i t i o n s o f S o u r c e s T a n k : m e a n s t h e t a n k t h a t s t o r e s t h e p r o d u c t a n d i s p a r t o f t h e u n d e r g r o u n d s t o r a g e t a n k s y s t e m P i p i n g : m e a n s t h e p i p i n g a n d c o n n e c t o r s r u n n i n g f r o m t h e t a n k o r s u b m e r s i b l e t u r b i n e p u m p t o t h e d i s p e n s e r o r o t h e r e n d -u s e e q u i p m e n t (V e n t , v a p o r r e c o v e r y , o r f i l l l i n e s a r e e x c l u d e d .) D i s p e n s e r :i n c l u d e s t h e d i s p e n s e r a n d t h e e q u i p m e n t u s e d t o c o n n e c t t h e d i s p e n s e r t o t h e p i p i n g (e .g ., a r e l e a s e f r o m a s u c t i o n p u m p o r f r o m c o m p o n e n t s l o c a t e d a b o v e t h e s h e a r v a l v e ) S u b m e r s i b l e T u r b i n e P u m p (S T P ) A r e a i n c l u d e s t h e s u b m e r s i b l e t u r b i n e p u m p h e a d (t y p i c a l l y l o c a t e d i n t h e t a n k s u m p ), t h e l i n e l e a k d e t e c t o r , a n d t h e p i p i n g t h a t c o n n e c t s t h e s u b m e r s i b l e t u r b i n e p u m p t o t h e t a n k D e l i v e r y P r o b l e m : i d e n t i f i e s r e l e a s e s t h a t o c c u r r e d d u r i n g p r o d u c t d e l i v e r y t o t h e t a n k . (T y p i c a l c a u s e s a s s o c i a t e d w i t h t h i s s o u r c e a r e s p i l l s a n d o v e r f i l l s .) O t h e r : s e r v e s a s t h e o p t i o n t o u s e w h e n t h e r e l e a s e s o u r c e i s k n o w n b u t d o e s n o t f i t i n t o o n e o f t h e p r e c e d i n g c a t e g o r i e s (e .g ., f o r r e l e a s e s f r o m v e n t l i n e s , v a p o r r e c o v e r y l i n e s , a n d f i l l l i n e s ) U n k n o w n : i d e n t i f i e s r e l e a s e s f o r w h i c h t h e s o u r c e h a s n o t b e e n d e t e r m i n e d D e f i n i t i o n s o f C a u s e s S p i l l : u s e t h i s c a u s e w h e n a s p i l l o c c u r s (e .g ., w h e n t h e d e l i v e r y h o s e i s d i s c o n n e c t e d f r o m t h e t a n k f i l l p i p e o r w h e n t h e n o z z l e i s r e m o v e d f r o m t h e d i s p e n s e r ) O v e r f i l l : u s e w h e n a n o v e r f i l l o c c u r s (e .g ., o v e r f i l l s m a y o c c u r f r o m t h e f i l l p i p e a t t h e t a n k o r w h e n t h e n o z z l e f a i l s t o s h u t o f f a t t h e d i s p e n s e r ) P h y s i c a l o r M e c h a n i c a l D a m a g e :u s e f o r a l l t y p e s o f p h y s i c a l o r m e c h a n i c a l d a m a g e , e x c e p t c o r r o s i o n (e .g ., p u n c t u r e o f t a n k o r p i p i n g , l o o s e f i t t i n g s , b r o k e n c o m p o n e n t s , a n d c o m p o n e n t s t h a t h a v e c h a n g e d d i m e n s i o n ) C o r r o s i o n :u s e w h e n a m e t a l t a n k , p i p i n g , o r o t h e r c o m p o n e n t h a s a r e l e a s e d u e t o c o r r o s i o n (e .g ., f o r s t e e l ,c o r r o s i o n t a k e s t h e f o r m o f r u s t ) I n s t a l l a t i o n P r o b l e m : u s e w h e n t h e p r o b l e m i s d e t e r m i n e d t o h a v e o c c u r r e d s p e c i f i c a l l y b e c a u s e t h e U S T s y s t e m w a s n o t i n s t a l l e d p r o p e r l y O t h e r : u s e t h i s o p t i o n w h e n t h e c a u s e i s k n o w n b u t d o e s n o t f i t i n t o o n e o f t h e p r e c e d i n g c a t e g o r i e s (e .g ., p u t t i n g r e g u l a t e d s u b s t a n c e s i n t o m o n i t o r i n g w e l l s ) U n k n o w n : u s e w h e n t h e c a u s e h a s n o t b e e n d e t e r m i n e d Þ ¿²µ ±º ß ³»®·½¿ Ý ±®°±®¿¬» É ±®µ°´¿½» ï ð î ð Ò ò Ú ®»²½¸ Í ¬®»»¬ É ·´³·²¹¬±² Ü Û ï ç è è ì í ð î ó ì î ð ó è ï í ï Ú ·¹«®» ¿¬¬¿½¸»¼ Î ±² Ù ®±ª»® Ì »¬®¿ Ì »½¸ô × ²½ò ê ï ë ó í ì é ó ì é ê í Ñ °»®¿¬·±²- Ó ¿²¿¹»® é ï î Ó »´®±-» ß ª»ò ô Ò ¿-¸ª·´´»ô Ì Ò í é î ï ï Ü »½»³¾»® ï ï ô î ð ï í ® 0 2,0001,000 FeetSOURCE: MODIFIED FROM USGS, MOUNTAIN ISLAND LAKE, NC 1997& DERITA, NC 1993 & CHARLOTTE WEST, NC 1993& CHARLOTTE EAST, NC 1988 QUADRANGLES. FIGURE 1SITE LOCATION MAP D a t e S a v e d : 1 2 /9 /2 0 1 3 1 1 :1 4 :3 4 A M U s e r : d a l e .v o n b u s c h P a t h : C :\C A D D \P \2 2 1 0 \C h a r l o t t e \C h a r l o t t e _F i g 1 .m x d CHARLOTTE - NCW-7031100 WEST TRADE STREETCHARLOTTE, NORTH CAROLINA Property Boundary SITELOCATION ® 0 10050 FeetSOURCE: MODIFIED FROM BING MAPS HYBRID, 2011-2012. FIGURE 2BORING LOCATION MAP D a t e S a v e d : 1 2 /9 /2 0 1 3 1 1 :0 3 :3 8 A M U s e r : d a l e .v o n b u s c h P a t h : C :\C A D D \P \2 2 1 0 \C h a r l o t t e \C h a r l o t t e _B o r i n g s .m x d CHARLOTTE - NCW-7031100 WEST TRADE STREETCHARLOTTE, NORTH CAROLINA Property Boundary NCW-703 Former Tank Area Former Soil Stockpiles &(Soil Boring Location &( B4 &(B1 &( B3&( B2 &( B5 &( B6 Direction ofGroundwater Flow W 5th St N S y c a m o r e S t W Trade St SB-1 SB-1 SB-2 SB-3 SB-3 SB-4 SB-4 SB-5 SB-5 SB-6 503 17.1 0.1 0.3 0.2 0.2 2.5 0.0 0.0 0.1 15-17 21-23 7-9 10-12 5-7 10-12 17-19 10-12 12-14 12-14 Chemicals of Concern(mg/kg)2 Analytical Method Detected Constituent Acetone ND 0.0277 J ND 0.0757 0.0349 J 0.118 0.0360 J ND 0.0796 ND 14,000 360,000 Benzene ND 0.0018 J ND ND ND 0.0045 J ND ND ND ND 18.0 164 n-Butylbenzene 17.90 0.0055 ND ND ND ND ND ND ND ND 626 16,350 sec-Butylbenzene 6.56 0.0031 J ND ND ND ND ND ND ND ND 626 16,350 Ethylbenzene 33.50 0.176 ND ND ND ND ND ND ND ND 1,560 40,000 Isopropylbenzene 11.70 0.0151 ND ND ND ND ND ND ND ND 1,564 40,880 p-Isopropyltoluene 3.47 0.0019 J ND ND ND ND ND ND ND ND 100 4,000 Methyl Tert Butyl Ether 0.252 J 0.207 ND ND ND ND 0.0234 ND ND ND 350 3,100 Naphthalene 39.90 0.0995 ND ND ND ND ND ND ND ND 313 8,176 n-Propylbenzene 55.40 0.053 ND ND ND ND ND ND ND ND 626 16,350 1,2,4-Trimethylbenzene 323.00 0.158 J ND ND ND ND ND ND ND ND 782 20,440 1,3,5-Trimethylbenzene 97.80 0.104 ND ND ND ND ND ND ND ND 782 20,440 Toluene 0.0812 J 0.0017 J ND ND ND ND ND ND ND ND 1,200 3,200 Xylene (total)235.00 0.296 J ND ND ND ND ND ND ND ND 3,129 81,760 m,p-Xylene 184.00 0.219 J ND ND ND ND ND ND ND ND -- o-Xylene 51.90 0.21 ND ND ND ND ND ND ND ND -- Benzo(a)anthracene 0.0244 J ND ND ND ND ND ND ND ND ND 0.8800 8.00 Chrysene 0.0237 J ND ND ND ND ND ND ND ND ND 88.0 780 Fluoranthene 0.0507 J ND ND ND ND ND ND ND 0.0262 J ND 620 16400 Fluorene 0.0335 J ND ND ND ND ND ND ND ND ND 620 16400 1-Methylnaphthalene 2.61 ND ND ND ND ND ND ND ND ND 20.0 100 2-Methylnaphthalene 6.84 ND ND ND ND ND ND ND ND ND 63.0 1635 Naphthalene 5.60 ND ND ND ND ND ND ND ND ND 313 8176 Phenanthrene 0.0838 J ND ND ND ND 0.0212 J ND ND ND ND 469 12264 Pyrene 0.0475 J ND ND ND ND ND ND ND 0.0265 J ND 469 12264 Benzene ND ND ND ND ND 0.0824 ND ND ND ND 18.0 164 Ethylbenzene 17.0 0.314 ND ND ND ND ND ND ND ND 1,560 40,000 Methyl Tert Butyl Ether ND 0.309 ND ND ND ND 0.155 ND ND ND 350 3,100 Naphthalene 24.2 ND ND ND ND ND ND ND ND ND 313 8,176 Toluene ND ND ND ND ND 0.0669 J ND ND ND ND 1,200 3,200 m,p-Xylene 62.9 1.49 ND ND ND 0.208 J ND ND ND ND -- o-Xylene 46.9 0.427 ND ND ND 0.178 ND ND ND ND -- C5- C8 Aliphatics (Unadj.)ND ND ND ND ND 4.440 J ND ND ND ND 939 24,528 C9- C12 Aliphatics (Unadj.)399.0 2.310 J ND ND ND ND ND ND ND ND 1,500 40,000 C9- C10 Aromatics (Unadj.)814.0 2.370 J ND ND ND ND ND ND ND ND 469 12,264Benzo(g,h,i)perylene ND ND ND ND ND ND ND 0.156 J ND ND 469 12,264 2-Methylnaphthalene 9.42 ND ND ND ND ND ND ND ND ND 63.0 1,635 Naphthalene 13.80 0.154 JB 0.177 JB 0.169 J 0.151 JB 0.172 J 0.205 JB 0.205 JB 0.210 J 0.207 JB 313 8,176 C11-C22 Aromatics (Unadj.)ND ND ND 11.100 JB b ND 10.800 JB b ND ND 12.100 B b ND 469 12,264 C11-C22 Aromatics ND ND ND 11.000 JB b ND 10.600 JB b ND ND 11.900 B b ND 469 12,264 C9-C18 Aliphatics 914 ND ND ND ND ND ND ND ND ND 1,500 40,000 Chromium 6.3 10 2.3 3.4 13.1 c 25.3 c 10.5 c 29.7 c 41.3 91.2 47.0 1,226 Lead 15.7 4.7 2.9 3.4 9.1 36.1 6.1 7.0 11.8 5.0 400 400 Shaded results indicate a detection above the laboratory MDL; a shaded and bolded detection indicates an exceedence of the applicable MSCC. Notes: 1 Regulatory values obtained from the North Carolina Department of Environment and Natural Resources, Division of Waste Management, Underground Storage Tank Section, Guidelines for Assessment and Corrective Action for UST Releases, Table 1 Maximum Soil Contaminant Concentration Levels (MSCCs), revised April 16, 2012. 2 Only chemicals detected above the laboratory MDL are presented in this table. a Result is from run number 2b Result is from run number 3 c Associated BS recover outside control limits Acronyms:B - Analyte found in associated method blank EPA - U.S. Environmental Protection Agency EPH - Extractable petroleum hydrocarbons ft - Feet GC - Gross ContaminantID - Identification J - Estimated value MDL - Method Detection Limit mg/kg - milligrams per kilogram MSCC - Maximum Soil Contaminant ConcentrationND - Not detected above the MDL PAH - Polyaromatic hydrocarbons PID - Photoionization detector `RCRA - Resource Conservation Recovery Act REV - RevisionMADEP - Massachusetts Department of Environmental Protection SB - Soil boring SVOCs - Semi-volatile organic compounds Unadj. - Unadjusted VOCs - Volatile organic compoundsVPH - Volatile petroleum hydrocarbons -- - Regulatory Limits Not Established SVOCs (EPA 8270D) GC Volatiles (MADEP VPH REV 1.1) GC Semi-volatiles (MADEP EPH REV 1.1) RCRA Metals (EPA 6010C) TABLE 1: SOIL BORING SUMMARY AND ANALYTICAL RESULTS Soil Boring ID PID (mg/kg) Sample Depth (ft) Regulatory Limits1 VOCs (EPA 8260B) Residential Soil Cleanup Levels (mg/kg) Industrial/Commercial Soil Cleanup Levels (mg/kg) SB-6 (SB-6 )Regulatory Limits1 35.0 Chemicals of Concern(µg/L)2 Analytical Method Detected Constituent 2-Methylnaphthalene 3.6 J 12,500 C11-C22 Aromatics (Unadj.)588 31.0 C11-C22 Aromatics 583 31.0 Shaded results indicate a detection above the laboratory MDL; a shaded and bolded detection indicates an exceedence of the applicable GC Level. Notes: 1 Regulatory values obtained from the North Carolina Department of Environment and Natural Resources, Division of Waste Management, Underground Storage Tank Section, Guidelines for Assessment and Corrective Action for UST Releases, Table 2 Gross Contamination Levels for Groundwater, revised April 16, 2012. 2 Only chemicals detected above the laboratory MDL are presented in this table. Acronyms: EPH - Extractable petroleum hydrocarbons ft - Feet GC - Gross Contaminant ID - Identification J - Estimated value MDL - Method Detection Limit µg/L - Micrograms per Liter REV - Revision MADEP - Massachusetts Department of Environmental Protection SB - Soil boring Unadj. - Unadjusted TABLE 2: GROUNDWATER ANALYTICAL RESULTS Soil Boring ID (Sample ID) Total Temporary Well Depth (ft) GC Semi-volatiles (MADEP EPH REV 1.1) GC Levels for Groundwater (µg/L) 12/05/13 Technical Report for Tetra Tech, Inc Bank of America; 1100 W Trade St, Charlotte, NC 103P221049 Accutest Job Number: FA10093 Sampling Date: 11/15/13 Report to: Tetra Tech, Inc 712 Melrose Ave Nashville, TN 37211 ron.grover@tetratech.com ATTN: Ron Grover Total number of pages in report: Certifications: FL (E83510), LA (03051), KS (E-10327), IA (366), IL (200063), NC (573), NJ (FL002), SC (96038001) DoD ELAP (L-A-B L2229), CA (04226CA), TX (T104704404), PA (68-03573), VA (460177), AK, AR, GA, KY, MA, NV, OK, UT, WA This report shall not be reproduced, except in its entirety, without the written approval of Accutest Laboratories. Test results relate only to samples analyzed. Southeast • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: 407-425-6700 • fax: 407-425-0707 • http://www.accutest.com 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: Andrea Colby 407-425-6700 Harry Behzadi, Ph.D. Laboratory Director Southeast 12/05/13 e-Hardcopy 2.0 Automated Report 198 Accutest Laboratories is the sole authority for authorizing edits or modifications to this document. Unauthorized modification of this report is strictly prohibited. 1 of 198 FA10093