WI0400033_W/ Injection Evaluation_20080317

October 2007 Semiannual Ground Water
Monitoring and Injection Evaluation Report
Asheboro Sock Facility
515 West Balfour Avenue
Asheboro, Randolph County, North Carolina
Ground Water Incident No. 21340
Site Priority Ranking 60/D
March 14, 2008 RECEIVED I DEIJR I DINQ
hQUIPFR'r''nTr- T ION �FUIOU
MAR 17 2008.
Prepared For.
Kayser -Roth Corporation
Greensboro, North Carolina
Submitted To:
North Carolina Department of Environment and Natural Resources
Division of Waste Management - Superfund Section -Inactive Hazardous Sites Branch
1646 Mail Service Center
Raleigh, North Carolina 27699
Prepared By:
Duncklee & Dunham, P.C.
Cary, North Carolina
DUNCKLEE & DUNHAM, P.C.

DUNCKLEE ENVIRONMENTAL CONSULTANTS
511 KEISLER DRIVE - SLUTE 102
& DUNH" CARY, NORTH CAROLINA 27518
OFFICE: (919) 858 - 9898
FACSIIvME: (919) 858 - 9899
March 14, 2008
Mr. John Walch
North Carolina Department of Environment and Natural Resources
Division of Waste Management
Superfund Section -East Region Inactive Hazardous Sites Branch
1646 Mail Service Center
Raleigh, North Carolina 27699
Reference: October 2007 Semiannual Monitoring and Injection Evaluation Report
Asheboro Sock Facility, 515 West Balfour Avenue
Asheboro, Randolph County, North Carolina
Ground Water Incident Number 21340
Site Priority Ranking 60/D
Dear Mr. Walch:
On behalf of Kayser -Roth Corporation (Kayser -Roth), Duncklee & Dunham, P.C. has prepared this
October 2007 Semiannual Ground Water Monitoring and Injection Evaluation Report for the above -
referenced site. This report presents a summary of current injection activities and the results from the
semiannual sampling event conducted in October 2007.
Prior to the semiannual ground water sampling, water was injected in the area previously subjected to a
slurry injection of potassium permanganate. The water was delivered under hydraulic pressure to
enhance slurry contact with the aquifer matrix and forced into saprolite remnant fracture zones to better
distribute the oxidant and increase contact with the dissolved contaminants.
Two weeks subsequent to the water injection, ground water monitoring wells were sampled and submitted
for analysis. During the ground water sampling event, natural attenuation parameters, along with
colorimeter data were collected to ascertain the effectiveness of the injection event. Due to the recent
drought, a few key wells (e.g. MW-10b) contained limited or no water and were not sampled.
MAILING ADDRESS - POST OFFICE BOX 33366 - RALEIGH, NORTH CAROLINA 27636

Semiannual Monitoring and Injection Evaluation Report
Asheboro Sock Facility
March 14, 2008
Page 2 of 2
If there are any questions or you require any additional information, please do not hesitate to contact
Mr. Dave Duncklee at [e-mail] or [phone], or Mr. Laval Choiniere of
Kayser -Roth in Greensboro at [phone].
Sincerely,
DUNCKLEE & DUNHAM, P. C.
Christopher M. Fay
Project Geologist
•.•��� CARp�� "4y
David L. Duncklee, P.G., IC-S.Nt
Senior Hydrogeologist .=�����*
Senior Peer Review:
- t
James A. Bennett, P.G., R.S.M.
Senior Project Hydrogeologist
Attachments
c: Mr. Qu Qi- Aquifer Protection Section, UIC Group
Mr. Laval Choiniere — Kayser -Roth Corporation (2)
Ms. Doris H. Osborne — Adjacent Property Owner
P:\Kayser-Roth\Asheboro-02600\Reports\2007 SA Reports\2007 2nd Half Report\SA Ground Water Monitoring Report-07162.doc
DUNCKLEE & DUNHAM, P.C.

Table of Contents
1 Introduction
1.1 Site Background
1.2 Corrective Action Plan and Injection Permitting
1.3 Sampling and Analysis Plan Amendments
1.4 Summary of Previous Injection Activities
2 Injection and Ground Water Monitoring Activities
2.1 Injection Methods
2.2 Ground Water Sampling Methods
3 Injection and Sampling Results
3.1 Injection and Ground Water Flow Results
3.1.1 Injection Data Results
3.1.2 Ground Water Flow Direction
3.2 Ground Water Sampling Results
3.2.1 Saprolite Wells Sample Results
3.2.1.1 VOCs
3.2.1.2 Inorganic Data
3.2.1.3 Field Parameters
3.2.2 Bedrock Wells Sample Results
3.2.2.1 VOCs
3.2.2.2 Inorganic Data
3.2.2.3 Field Parameters
4 Conclusions and Recommendations
1
1
1
2
2
3
3
4
5
5
5
5
5
6
6
6
7
8
8
8
9
9
iv

Figures
Figure Title
1
Site Location Topographic Map
2
Site Plan
3
Water Injection Locations
4
Saprolite Unit Ground Water Contour Map — October 2007
5
Bedrock Unit Ground. Water Contour Map — October 2007
6
PCE Plume in Saprolite Unit —October 2007
7
PCE Plume in Bedrock Unit — October 2007
8
PCE Plume in Cross Section B-B'-October 2007
Tables
Table Title
1 Summary of Water Level Data — October 2007
2 Summary of Phase IV Injection Results
3 Field Measured Ground Water Data - October 2007
4 Historical Ground Water VOC Data
Appendices
Append ia Title
A Injection Event Record, GW-lb Form, and GW-30 Forms
B October 2007 Ground Water Analytical Laboratory Report
C Field Sampling Forms
D Plots of Select Historical Organic and Inorganic Analytical Results
v

October 2007 Semiannual Ground Water
Monitoring and Injection Evaluation Report
Asheboro Sock Facility
515 West Balfour Avenue
Asheboro, North Carolina
Introduction
1.1 Site Background
The Kayser -Roth Corporation (Kayser -Roth) -Asheboro plant facility ("the site") is located at 515 West
Balfour Avenue in Asheboro, North Carolina (see Figure D. The plant currently manufactures socks and
the property contains one main plant building and several smaller outbuildings located to the south and
southeast of the main plant (see Figure 2). Burlington Industries, Inc. (Burlington) constructed the main
plant building on undeveloped land in 1052 and operated the facility until 1982 when it was acquired by
the Kayser -Roth.
In the spring of 1999, environmental site assessment activities detected several chlorinated volatile
organic compounds (VOCs) in ground water at concentrations exceeding North Carolina 2L ground water
standards. The primary ground water constituent detectedis tetrachloroethene (PCE). According to plant
personnel, PCE (a common dry cleaning solvent) was used for weed control along the southern fence line.
Subsequently, this usage was discontinued in the late 1970s. A Comprehensive Site Assessment Report
(CSA) dated December 17, 1999, and several subsequent addendum reports were subsequently completed
by GaiaTech, Inc. (GaiaTech) of Atlanta, Georgia.
GaiaTech installed 11 on -site and eight off -site (i.e., off property to the south) saprolite unit wells, and
four on -site Type III bedrock unit (DW) monitoring wells to determine the horizontal and vertical extent
of dissolved VOC impact in ground water (see Figure 2).
Soil _ assessment activities conducted by GaiaTech did not indicate the presence of significant residual
PCE in the source area unsaturated zone. Low levels of residual PCE contamination were detected in
only one soil boring (the boring for monitoring well MW-10b) near the south fence line.
1.2 Corrective Action Plan and Injection Permitting
In late 2001, Duncklee & Dunham, P.C. (Duncklee & Dunham) continued site.assessment activities and
prepared a Corrective Action Plan (CAP) to address ground water remediation. The CAP, submitted to
the North Carolina Department of Environment and Natural Resources (DENR) in February 2002,
outlined a plan to address the dissolved PCE plume through in -situ chemical oxidation (ISCO) via
injection of potassium permanganate. Following the installation of an additional monitoring well as
requested by DENR, a CAP Addendum was submitted to the DENR — Division of Water Quality (DWQ)
on November 25, 2002.
Site assessment activities to support the CAP included further assessment in the reported source area (i.e.,
the southern fence line area). Soil samples were collected from several borings advanced along the
southern fence line near well MW-10b and revealed low levels of PCE in one soil sample. This result
supported the previous finding that residual soil PCE contamination along the southern fence line
appeared to be minor and isolated.
DUNCKLEE & DUNHAM, P.C.

October 2007 Semiannual Monitoring and Injection Evaluation Report
Asheboro Sock Facility, 515 West Balfour Avenue
Asheboro, Randolph County, North Carolina
March 14, 2008
Page 2 of 11
An injection pilot test was proposed in the CAP to determine the most practical and cost-effective method
of oxidant delivery and to estimate overall ground water treatment time. Duncklee & Dunham submitted
an Application for Permit to Construct and/or Use a Class 51Injection Well to the DENR, DWQ, Aquifer
Protection Section (APS)-Underground Injection Control (UIC) Program in late October 2002. An
injection permit was issued to Kayser -Roth by DWQ on January 7, 2003.
Duncklee & Dunham requested an amendment to the injection permit in a correspondence dated
September 27, 2004, which included current injection data results. DWQ amended the permit in early
2005 to allow the injection of permanganate slurry in the suspected source area. The injection permit was
renewed and approved without modification on August 1, 2007 by the DWQ UIC Program.
1.3 Sampling and Analysis Plan Amendments
Several adjustments to the site sampling and analysis plan have been made since the CAP was approved.
First, a request was made to restrict the VOC compound list in EPA method 8260B to a target compound
list (TCL) of compounds historically detected at the site. These target compounds include
tetrachloroethene (PCE), trichloroethene (TCE), cis and trans 1,2 dichloroethene, and vinyl chloride.
Second, two monitoring wells (MW-1 and MW-19) that have never shown impacts from VOCs have been
dropped from the sampling plan. Additionally, upgradient wells MW-4 and MW-11 are to be sampled on
an alternating basis during the spring and fall sampling events. Currently, 19 monitoring wells are
sampled on a semiannual basis to monitor the progress of the remedial activities.
As outlined in the CAP, UIC permit and requested UIC amendments to the UIC permit,semiannual
annual ground water monitoring is performed on saprolite wells MW-1, MW-3, MW-6b, MW-7, MW-8,
MW-10b, MW-13, through MW-1.8, MW-20, MW-21, MW-22, and bedrock wells DW-1 through DW-5
(see Table 1). In addition, upgradient wells MW-4 and MW-11 are sampled during alternating sampling
events.
1.4 Summary of Previous Injection Activities
Phase I injection pilot test activities, performed on July 14-16, 2003, and Phase II injection pilot test
activities, performed between September 16-19 and 22-25, 2003, were used to ascertain an effective
delivery method and evaluate the performance of the oxidant. Effectiveness monitoring tasks performed
during Phase I and Phase Il showed the 1 to 2.5% potassium permanganate solution injected significantly
reduced VOC levels in both the shallow and deep aquifer zones.
However, after a period of approximately six months subsequent to the Phase II injection, VOC
concentrations in saprolite wells near the source area rebounded to pre -injection levels. Contamination
rebound in the shallow aquifer zone was attributed to dissolution of residual contaminants remaining in
the source area. The 1 to 2.5% potassium permanganate solution, while highly effective in the dissolved
VOC area of the ground water plume, was not able to overcome the residual VOC levels in the source
area.
DUNCKLEE & DUNHAM, P.C.

October 2007 Semiannual Monitoring and Injection Evaluation Report
Asheboro Sock Facility, 515 West Balfour Avenue
Asheboro, Randolph County, North Carolina
March 14, 2008
Page 3 of 11
Phase III injection was conducted on March 15-17, 2005 and involved injection of a more concentrated
potassium permanganate slurry into the source area. The Phase III injection plan consisted of the
placement of potassium permanganate slurry in the -vicinity of MW-10b (see Figure 2). Prior to Phase III
injection event, Duncklee & Dunham -requested the UIC Program amend the injection permit for the use
of potassium permanganate slurry. Field and analytical data obtained during ground water sampling
subsequent to the Phase III injection event showed evidence that potassium permanganate had reached a
static state over time within the original injection zone. Therefore, a work plan was developed to inject
a water into the shallow aquifer and suspected source area to better distribute the potassium permanganate
slurry and improve oxidant contact with the contaminants.
In February 2007 Duncklee & Dunham requested that the injection permit be renewed to facilitate water
injection in to the aquifer. The purpose of the injection was to improve distribution and contact of residual
potassium permanganate with the aquifer by moving the slurry farther away from the injection zone. The
DENR approved the injection permit renewal as documented in a letter dated August 1, 2007.
Subsequently, on September 24-28, 2007 water was injected into boreholes within the source area near
the Phase III injection wells. The Phase IV water injection event is discussed in subsequent section of
this report.
2 Injection and Ground Water Monitoring Activities
In accordance with the 2007 UIC permit renewal, clean water was injected into the permanganate
injection zone on September 24-28, 2007. Following injection, and in general accordance with the
schedule established in the CAP, semiannual ground water monitoring was performed on October 8 and
9, 2007. This is the sixth monitoring event performed following the Phase III injection event. The
following sections of this report discuss the methods used. during the injection and ground water sampling
event and the results obtained from the field geochemistry and laboratory data collected.
2.1 Injection Methods
Following receipt of the injection renewal permit, Duncklee & Dunham contracted with Geologic
Exploration of Statesville, North Carolina to perform water injection at nine soil boring points (Pt-1 to Pt-
3 and Pt-5 to Pt-10, see Figure 3). Each point was advanced using a Gator mounted Simco direct push
probe rig using two inch steel rods. Each boring was advanced to approximately 30 feet below land
- surface (ft bls), with the exception of Pt-3 and Pt-8 which were advanced to refusal at 22 feet and 28 feet,
respectively.
No well casing, screen or other permanent appurtenances were installed in the boreholes to facilitate the
injection process. Following injection, each borehole was abandoned in accordance with 15A NCAC 2C
rules governing well construction and abandonment. Each probe point was abandoned by using bentonite
pellets. A summary of the Phase IV injection activities is included in Table 2. The injection and borehole
abandonment records are included in Appendix A.
LDUNCKLEE & DUNHAM, P.C.

- October 2007 Semiannual Monitoring and Injection Evaluation Report
Asheboro Sock Facility, 515 West Balfour Avenue
Asheboro, Randolph County, North Carolina
March 14, 2008
Page 4 of 11
Z2 Ground Water Sampling Methods
Physical and geochemical parameters were collected from. saprolite monitoring wells MW-1, MW-3,
MW-6b, MW-8, MW-13, MW-17, MW-20, MW-21, MW-22, and bedrock wells DW-I through DW-5.
Additionally, monitoring well MW-11 was sampled during this event. Prior to sample collection, water
levels were collected in all wells, with the exception of MW-2b, which remains inaccessible.. Monitoring
wells MW-7, MW-10b MW-14, MW-15, MW-16 and MW-18 were dry during this sampling event and
ground water samples could not be collected.
Ground water samples were collected using EPA -approved low -flow sampling techniques in- the selected
saprolite and bedrock monitoring wells -located immediately adjacent to and within the core ground water
contamination plume. A low -flow electric submersible' pump equipped with new, disposable
polyethylene tubing was used to purge the well and withdraw each sample. The ground water samples
were collected in laboratory -provided bottles immediately after purging.
Saprolite wells (MW-1, MW-11, MW-20, and MW-22) located outside of the core ground water plume
was sampled using passive diffusion bag (PDB) samplers. Prior to sampling the bags were filled with
laboratory -provided, organic free deionized water then hung in the water column of the well for a period
of two weeks. At the end of the two week period, the PDBs were retrieved and the water from the bags
used to fill the laboratory provided bottles.
The sample bottles were labeled and logged on to a chain -of -custody form, and transported to Pace
Analytical Services (Pace) in Huntersville, North Carolina in an ice filled cooler. Ground water samples
were analyzed for PCE, TCE, cis and trans 1,2 dichloroethene, and vinyl chloride using EPA Method
8260B. Saprolite and bedrock monitoring wells located within and immediately adjacent to the core of
the ground water plume were also sampled for manganese and chromium according to Method 3030C,
and chloride according to Method 325.2. Copies of the laboratory analytical report and chain -of -custody
forms are included in Appendix B.
During the ground water sampling process, field geochemical parameters were collected from select
monitoring wells. The field parameters included pH, electrical conductivity, oxygen reduction potential
(ORP), dissolved oxygen (DO), and temperature. Additionally, a field colorimeter instrument was used
during the recent sampling event to evaluate potassium permanganate concentrations in select wells.. This
field data is summarized in Table 3 and the field sampling forms are included in Appendix C.
-i �- DUNCKLEE & DUNHAM, P.C.
r---J

October 2007 Semiannual Monitoring and Injection Evaluation Report
Asheboro Sock Facility, 515 West Balfour Avenue
Asheboro, Randolph County, North Carolina
March 14, 2008
Page 5-of 11
3 Injection and Sampling Results
3.1 Injection and Ground Water Flow Results
3.1.1 Injection Data Results
During the Phase IV injection event, water was injected into the shallow saprolite portion of the aquifer
that previously received the potassium permanganate slurry. City of Asheboro municipal water was
- injected into nine shallow boreholes advanced with geoprobe techniques. The water was injected at
pressures ranging from approximately 150 to 200 pounds per square inch (psi) at a rate of four to ten
gallons per minute (gpm). A summary of the injection point depths and water volume injected per point
is shown on Table 2. Approximately 5,969 gallons of water was injected in to the shallow saprolite
aquifer unit.
3.1.2 Ground Water Flow Direction
Following water injection, water levels measured (see Table Ion October 8, 2007 and used to create a
ground water contour map for the saprolite (Figure 3) and bedrock units (Figure 4). During this
monitoring event; ground water flow in the saprolite aquifer was found to be to the south-southeast at an
average horizontal hydraulic gradient calculated to be .approximately 0.033 ft/ft. Based on the data
collected from this sampling event, the flow direction and gradient is consistent with historical data
results.
Similar to previous results, this event revealed the presence of a divergent ground water flow direction to
the south-southwest and east across the site. This flow pattern, observed in the shallow aquifer (see
Figure 4), is believed to be influenced by remnant bedrock fracture patterns in the saprolite and partially
weathered rock. This divergent flow pattern is also evidenced by the shape of the dissolved PCE plume
in the saprolite "aquifer unit.
Ground water flow in the bedrock aquifer unit (see Figure 5) is primarily to the east-southeast in response
to an average horizontal hydraulic gradient of approximately 0.035 ftlft. The flow direction and hydraulic
gradient data is consistent with previous data.
3.2 Ground Water Sampling Results
PCE remains the primary ground water constituent present in saprolite and bedrock aquifer unit wells (see
Table 4). Recent PCE results found in the saprolite and bedrock aquifer unit wells collected during the
October 2007 semiannual sampling event have been contoured and shown in cross section and plan view
on Figures 6, 7, and 8. Inorganic metals and field geochemical data results are also included in Tables 3
and 4. Plots of selected analytical parameters are also shown in Appendix D.
DUNCKLEE & DUNHAM, P.C.

October 2007 Semiannual Monitoring and Injection Evaluation Report
Asheboro Sock Facility, 515 West Balfour Avenue
Asheboro, Randolph County, North Carolina
March 14, 2008
Page 6 of 11
3.2.1 Saprolite Wells Sample Results
3.2.1.1 VOCs
During this event VOCs were detected at various concentrations in MW-3, MW-6b, MW-8, MW-13,
MW-17, and MW-21. A summary of historical (i.e., pre -injection, Phase I and II pilot test, slurry
injection, and post water injection phases) and recent data results are shown in Table 4. Field parameter
data from this event are summarized on Table 3. Trend graphs for select wells are included in
Appendix D. Based on this data, the following observations are made:
• Monitoring wells MW-1, MW-6b, MW-11, MW-20, and NM-22 continue to show PCE below
laboratory detection limits.
• Monitoring wells MW-7 and MW-10b, which historically contain measurable water when
sampled, were dry during the October 2007 sampling event and were not sampled.
• The highest concentration of PCE occurred in MW-17 at 2,350 micrograms per liter (µg/L) The
remaining saprolite wells showed detectable PCE concentrations above the 2L ground water
standards at levels ranging from 14.7 µg/L in MW-13 to 456 µg/L in MW-3.
• Additionally, analytical data showed degradation compound TCE present in select saprolite wells.
TCE was detected above the 2L ground water standard in MW-3 at a concentration of 9.0 µg/L.
Chloroform, which historically has been detected in several well from an unknown source,
continues to be detected at low levels in several wells but not above the 2L ground water
standard. No other target VOCs were detected above the laboratory detection or 2L ground water
standards.
• Among the saprolite wells, key wells (MW-10b MW-8 and MW-17) are used in evaluating the
effectiveness of injection activities. An analysis of historical data in these wells shows a good
correlation between the byproducts of the- oxidation process and PCE concentrations. Trends
show that as manganese and chlorides increase in concentration, PCE decreases, and vice versa.
Recent data collected in MW-8 shows an increase in chlorides and manganese while PCE
decreased this event.
3.2.1.2 Inorganic Data
Chloride, manganese, and chromium are typical byproducts of the oxidation process,- and so are used to
evaluate PCE degradation and as a tracer to evaluate the distribution and impact of the oxidant to the
aquifer. These data results are summarized on Table 4 and the following observations can be made at this
time:
• Manganese levels remained elevated in saprolite wells closest to the injection zone. Data
collected in wells MW-8 (0.905 milligrams per liter (mg/L)) and MW-17 (0.818 mg/L) showed
manganese at concentrations slightly higher than peripheral wells MW-6b (0.173 mg/L and MW-
13 (0.161 mg/L). In addition, downgradient wells MW-21 (0.0549 mg/L) and MW-3 (<0.005
mg/L) contained manganese at levels much lower in comparison to wells adjacent to the injection
zone.
DUNCKLEE & DUNHAM, P.C.

October 2007 Semiannual Monitoring and Injection Evaluation Report
Asheboro Sock Facility, 515 West Balfour Avenue
Asheboro, Randolph County, North Carolina
March 14, 2008
Page 7 of 11
• Chloride concentrations continue to be elevated in source area well MW-8 at concentrations of
465 mg/L. Subsequently, chloride levels from the remaining saprolite wells ranged from 5 mg/L
in MW-13 to 92.6 to in MW-6b.
• Chromium levels showed a similar pattern -to manganese levels. Data collected from saprolite
wells closest to the injection zone showed chromium slightly higher than wells located on the
periphery or hydraulically downgradient. MW-8 and MW-17 contained chromium at 0.0073
mg/L and 0.0162 mg/L, respectively. Peripheral wells MW-6b and MW-13, in addition to
downgradient wells MW-21 and MW-3, showed chromium level below laboratory detection
limits.
3.2.1.3 Field Parameters
Field parameters collected during the October 2007 sampling event are presented in Tables 4. The field
parameters include pH, electrical conductivity, oxygen reduction potential (ORP), dissolved oxygen
(DO), and temperature. Additionally, a colorimeter was used to measure the concentration of potassium
permanganate in impacted wells. Based on the data collected, the following observations can be made.
• Based on the colorimeter data, detectable levels of permanganate were present in monitoring
wells MW-8, MW-3, MW-13, and MW-17. MW-8 exhibited the highest concentration with a
colorimeter reading of 1.4 mg/L. Historically, MW-10b has showed the highest concentrations of
permanganate. However, during the October 2007 sampling event, MW-10b was dry and could
not be sampled or any other analysis performed.
• DO levels in the wells sampled remained stable when compared to previous data. Elevated DO
levels continue in wells MW-8 (9.98 mg/L) and MW-17 -(7.58 mg/L). The remaining saprolite
wells showed DO levels ranging from 6.88 mg/L in MW-13 to 3.84 mg/L in MW-21.
• Generally, the pH data collected ranged from 5.01 to 5.80. Wells nearest to the source area, MW-
8 and MW-6b, showed pH values of 5.10 and 5.01, respectively. The remaining outlying
saprolite wells contained pH values ranging from 5.55 in MW-13 to 5.80 in MW-21.
• ORP data collected indicate increasing trends in wells closest to the injection zone following .the
water injection event. Among the saprolite unit wells, MW-8 showed the highest ORP reading at
604 mV (millivolts) while elevated ORP results were also noted in MW-6b (327 mV) and MW-
17 (419 mV). Data collected in the remaining saprolite wells showed ORP readings ranging from
271 mV (MW-13) to 279 mV (MW-21).
• During this monitoring event conductivity data results appear to fluctuate across the site. The
highest measurements of conductivity were measured in the outlying wells MW-6b (327 µS/cm),
MW-13 (530 micro -Siemens per centimeter (µS/cm)) and MW-21 (980 µS/cm). The remaining
saprolite. wells showed readings ranging from 46 µS/cm (MW-17) to 132 µS/cm (MW-8). This
data shows no discernible trends.
jj1 DUNCKLEE & DUNHAM, P.C.

October 2007 Semiannual Monitoring and Injection Evaluation Report
Asheboro Sock Facility, 515 West Balfour Avenue
Asheboro, Randolph County, North Carolina
March 14, 2008
Page 8 of 11
3.2.2 Bedrock Wells Sample Results
3.2.2.1 VOCs
During the October 2007 sampling event, PCE was the primary ground water constituent detected in the
bedrock wells DW-1, DW-2, DW-3, DW-4 and DW-5. A summary of historical (i.e., pre -injection, Phase
I and H pilot test, slurry injection, and post water injection phases) and recent data results are shown in
Table 4. Field parameter data from this event are summarized on Table 3. Based on this most recent
sampling event for the bedrock wells, the following observations are made:
• Analytical results show PCE continues to be present above 2L ground water standards. DW-2
continues to show the greatest impact of PCE at a concentration of 883 µg/L. In the remaining
bedrock wells, PCE ranged from 729 µg/L OW-1) to 1.1 µg/L (DW-4).
• Based on pre -injection and post injection PCE data trends, PCE appears to be increasing in the
bedrock wells following the injection work phases (see Appendix D). The post water injection
data results also show TCE and chloroform present in the bedrock wells at low to trace levels.
TCE ranged from 39.3 µg/L (DW-4) to 4.0 µg/L (DW-5), while chloroform ranged from 33.3
µg/L (DW-4) to 9.0 µg/L (DW-1). No other target VOCs were detected above the laboratory
detection limits in the bedrock wells.
• TCE and chloroform are often considered daughter products of chlorinated compound
degradation. Although trace amounts of these compounds have been seen in bedrock wells over
the course of the sampling program, the post injection data trend reveal a slight increase when
compared to pre -injection data results for TCE and chloroform. No other VOC daughter
products are present at this time.
• Among the bedrock wells, key wells (DW-I and DW-2) are used in evaluating the effectiveness
of injection activities. An analysis of historical data in these wells shows a good correlation
between the , byproducts of the oxidation process and PCE concentrations. Trends show as
manganese and chlorides increase in concentrations, PCE decreases and vice versa. Manganese
concentrations remain relatively low. However, the chlorides and PCE concentrations appear to
be in an increasing trend.
3.2.2.2 Inorganic Data
As stated earlier, chloride, manganese, and chromium are typical byproducts of the oxidation process to
evaluate PCE degradation and are used as a tracer to evaluate the distribution and impact of the oxidant to
the aquifer. These data results for the bedrock wells are also summarized on Table 4 and the following
observations can be made at this time:
• Manganese levels remained elevated in DW-1 (0.379 mg/L) and DW-4 (0.436 mg/L) at
concentrations at or just below data results obtained during the pre -water injection monitoring
event that occurred in April 2007. The remaining wells revealed no substantive increase or
decrease in data trends when compared to the pre -water injection and the October sample data
results.
DUNCKLEE & DUNHAM, P.C.

October 2007 Semiannual Monitoring and Injection Evaluation Report
Asheboro Sock Facility, 515 West Balfour Avenue
Asheboro, Randolph County, North Carolina
March 14, 2008
Page 9 of 11
• Among the bedrock wells, chloride concentrations are higher in downgradient wells compared to
wells closer to the source area. DW-1 and DW-4 contain chlorides at concentrations 23.2 mg/L
and 27.6 mg/L. However, downgradient wells DW-2, DW-3, and DW-5 contain chlorides at
concentrations 120 mg/L, 70.6 mg/L and 42.3 mg/L, respectively.
• Analytical data collected in the bedrock wells showed chromium levels decreased slightly in
comparison to the April 2007 sampling event. The highest chromium levels were detected in well
closest to the injection zone. DW-1 and DW-4 contained chromium at concentrations 0.0094
mg/L and 0.0072 mg/L while downgradient bedrock well DW-2 contained chromium at 0.0063
mg/L. Data collected in peripheral bedrock wells DW-3 and DW-5 showed chromium below the
laboratory detection limit of 0.005 mg/L.
3.2.2.3 Field Parameters
Field parameters collected in the bedrock wells during the October 2007 sampling event are presented in
Table 3. The field parameters include pH, electrical conductivity, ORP, DO, and temperature.
Additionally, a colorimeter was used to evaluate during the recent sampling period to ascertain the
relative concentration of potassium permanganate in impacted wells. Based on the data collected, the
following observations can be made.
• Based on the colorimeter data, detectable levels of potassium permanganate were present in three
of the five bedrock wells. Upgradient well DW-4 (0.98 mg/L) showed the highest concentration
of permanganate while downgradient well DW-3 (0.20 mg/L) showed the lowest concentration of
permanganate.
• Data collected in the bedrock wells continue to show aerobic conditions. DO levels ranged from
5.75 mg/L in DW-5 to 6.77 mg/L in DW-1. This data shows no discernible trends.
• ORP levels ranged from 209. mV (DW-3) to 239 mV (DW-4) While conductivity values ranged
from 117 µS/cm (DW-4) to 436 µ5/cm (DW-2). Based on previous ORP and conductivity
readings, no discernable trends can be seen at this time.
4 Conclusions and Recommendations
Based on the recent ground water monitoring results and injection data the. following conclusions and
recommendations are derived.
• Nine geoprobe boreholes were advanced and approximately 5,969 gallons of water injected in to
the shallow saprolite aquifer unit prior to conducting the ground water sampling event in October
2007. A follow-up ground water monitoring event was completed approximately two weeks
later, the results of which are presented in this report. Additional ground water monitoring events
are recommended to collect long term data to evaluate the effects of the water injection in to the
aquifer and contaminant source area.
DUNCKLEE & DUNHAM, P.C.

- October 2007 Semiannual Monitoring and Injection Evaluation Report
Asheboro Sock Facility, 515 West Balfour Avenue
Asheboro, Randolph County, North Carolina
March 14, 2008
Page 10 of 11
1 • In the saprolite wells, during this ground water sampling event, VOCs (mainly. PCE) were
detected at various concentrations in MW-3, MW-6b, MW-8, MW-13, MW-17, and MW-21.
MW-17 and MW-13 had the highest concentrations while MW-1, MW-6b, MW-11, MW-20, and
MW-22 continue to show PCE below laboratory detection limits. Additionally, analytical data
showed few biodegradation compounds, such as TCE, were present in the saprolite wells.
The highest concentration of PCE occurred in saprolite well MW-17 at 2,350 µg/L. This level of
PCE is significantly lower than the April 2007 sampling event results prior to the Phase IV water
injection event. Manganese and chlorides levels have shown slight increases since the April 2007
sampling event. Therefore, the water injection event appears to have hada short term impact in
this well and additional data is needed to evaluate the long term effects.
The level of 128 ug/L (ppb) for PCE in saprolite well MW-8 is the lowest concentration detected
in this well in two and a half years. Furthermore, ground water in this well exhibited the highest
colorimeter reading (indicative of dissolved permanganate) of the wells sampled. Chlorides and
manganese have increased as PCE has decreased. This shallow well is adjacent to and
hydraulically downgradient of the slurry injection and water injection area. Therefore, the water
injection event appears to have also had a short term impact in this well and additional data is
needed to evaluate the long term effects.
For the first time, well MW-10b was dry during a sampling event, so no data could be obtained
on PCE levels in the slurry injection area. However, previous sampling events have shown this
well to have no detectable levels of PCE above method detection limits for the past two years.
Monitoring wells MW-1, MW-6b, - MW- 11, MW-20, and MW-22 continue to show PCE below
- laboratory detection limits.
Field indicator parameters measured in key shallow saprolite wells indicate that VOCs may be
degrading aerobically due to the high DO and via enhanced degradation resulting from the
potassium permanganate injections as noted by the high ORP values. Based on the historical data
collected_ at the site, Duncklee & Dunham does not believe this ground water system will shift to
an anaerobic state.
In the bedrock wells, based on pre -injection and post injection PCE data trends, PCE appears to
be increasing following the injection work phases (see Appendix D). This can possibly be
explained by the formation of PCE concentration gradients in the aquifer as a result of the
permanganate injection. The water injection is believed to mobilize the PCE to a certain extent at
depth as it comes in contact with the permanganate slurry. However, future monitoring events
should reveal if PCE degradation is occurring or additional source is impacting ground water.
The post injection data results indicated TCE and chloroform were present in the bedrock wells at
low to trace levels. TCE ranged from 39.3 µg/L (DW-4) to 4.0 µg/L (DW-5), while chloroform
ranged from 33.3 µg/L (DW-4) to 9.0 µg/L (DW-1). No other target VOCs were detected above
the laboratory detection limits in the bedrock wells.
Bedrock wells DW-1 and DW-4, used to evaluate the injection process in and adjacent to the
source area, indicate PCE levels are slow to degrade. However, residual impacts of the potassium
permanganate oxidation process are present in the deep wells as evidenced by increased
magnesium concentrations.
j DUNCKLEE & DUNHAM, P.C.
�J

October 2007 Semiannual Monitoring and Injection Evaluation Report
Asheboro Sock Facility, 515 West Balfour Avenue
Asheboro, Randolph County, North Carolina
March 14, 2008
Page 11 'of 11
Field indicator parameters measured in the deep bedrock wells indicate that VOCs may be
degrading aerobically (via cometabolism or hydrolysis reactions) due to the high DO and via
enhanced degradation resulting from the potassium permanganate injections as noted by the high
ORP values. No other discernable data trends can be seen at this time.
• It is believed that the chloride concentrations measured in the monitoring wells area direct result
of the dechlorination of both PCE and TCE. In wells closest to the source area TCE and
chlorides were detected at relatively similar concentrations. However, the downgradient wells
show a proportionately higher concentration of chloride than TCE.. It is believed this
phenomenon is possible due to the distance and time traveled thereby allowing enough time to
lapse for the reductive dechlorination of. TCE toadd to the amount of chlorides previously
produced by the oxidation processes.
• Ground water in the shallow and deep portions of the aquifer was found to flow towards the
south-southeast and east southeast, respectively. Both sets of ground water flow data were
consistent with previous data sets collected on site. This indicates and supports information that
the ground water contamination plume direction has generally not changed. However, the
regional drought conditions have lowered the ground water table in the contaminant source area
have likely dewatering the slurry to some extent. The oxidant slurry requires saturated conditions
be present for satisfactory effectiveness. Once water table levels rise, it is expected that the slurry
injection area will once again be saturated and the oxidant once again able to perform as
designed.
• An additional semi-annual sampling event is recommended in April 2008 to gather long-term
data on the effects of the water injection in distributing the permanganate and the affects the
permanganate slurry has on PCE concentrations. Thereafter, once the drought conditions have
eased, a decision should be made on whether additional water injections have enhanced the in -site
chemical oxidation remedial system.
DUNCKLEE & DUNHAM, P.C.

Wooded Area
MW-22 ,
1-1
TS
DUNCKLEE 51MISLER DRAL C - SUS E IO2
SII KEffi.FR DRNE - SUITE 107
MW-5 CARY, NORni CAROLINA 27511
& DUNHAM VJEB:OFFI(91989
MAMCOM
WEB: DUNCKI.FEDUI,U3AMCOM
Job No. Layers Date
02600 0' 1 1/28/2008
� MW-12
Drawing Figure Scale
® 02600-1 2 As Shown
' Water
MW-11 Towers it e
Estimated Impacted0 & Site Plan
Source Area MW-4 Project
0 �+ Kayser Roth Facility
Asheboro, North Carolina
Brick DW-4 P-ASTs
Residential MW-13 MW-10b
Home
0 Legend
MW-17 ti 0 Property Line
M y MW-6b
X Fence Line
Main
MW-21 � Pump Plant
H Plant
Brick Building MW-16 Saprolite Unit Well
Garage AL MW-14
� _3 MW-2b
MW-18 ®DW-3 Bedrock Unit Well
Electrical Substation B B Cross Section Line
DW-1
Mobile Boiler
Homes ®DW-2 House M\ --/9
MW-20 MWA5 S" DW-3
MW-1
® 1
Trailer Park DW-5 0
MW-19
" MW-16
M -9 Fence ParLot
king
Bmtl Road (SR 1500)
Scale
90 45 0 90 180
1 11=901

Wooded Area
MW-22 &
Brick
Residential
Home
D
MW-210
Brick
Garage
Mobile
Homes
hi
ITUAraS
DUNCKLEE E11KEM`RDRIV °NSSUITE102
511 KEffi.ER DRIVE — SUITE IU2
MW-5 & CARY, NORTH CAROLINA 77511
& DUNHAM VJEB: (91 MiAMCOM
WEB: DUNCKLEEDUNHAMCO2d
Job No. Layers Date
02600 0, 1, 34 1/28/2008
� MW-12
Drawing Figure Scale
® 02600-1 3 As Shown
Water
MW-11 Towers itle Site Plan with Water Injection Point Locations
Estimated Impacted O September 24-27, 2007
Source Area MW-4
USTs Project Kayser Roth Facility
Asheboro, North Carolina
Pt I DW-4
MW-13 6 Pb` W-10b
MW-17 °v
M
Pt 9
MW-14
MW-18
MW-20., MW-1
DW-5
Trailer Park
MW-19
Burma Road (SR 1500)
Pt 6
•Pt8
9 MW-6b
Pt to
Pump
--'House
DW-1
D W-2
MW-1
N
Boiler
House
MW-2b
_7
D W-3
Main
Plant
Building
Electrical Substation
i' MW-16
Fence FParking
Legend
Property Line
X-----X
Fence Line
YMW-16
Saprolite Unit Well
DW-3
Bedrock Unit Well
Cross Section Line
40
Water Injection Point
Scale
90
45
0
90
180
1 11=901

Wooded Area
MW-22
Estimated Impacted
Source Area
169
16I I
Brick 165
Residential MW-13
Home 169.56)
163
(164.28)
MW-21
(160.03)
MW-5 5'
173
0 MW-12
Water
dw-11 Towers
0 t71 MW-4 .. _
ASTs
DW-4
1 �p �W. �10b
MW-6b
�u Pump
House
MW-14 /
3F) �1)I,'! 1 -3
MW-18
d
DW-1
16
Mobile
Homes ®DW-2
MW-20 MW-1 6 (163 351
�'5.30) MW-1
DW-5
Trailer Park
e (DRY)
MW-19
MW-16
C:::3
M -9
Burma Road (SR 1500)
Boiler
House
Fence
MW-2b
DUNCKLEE
& DUNHAM
SIMISLERDRILC- SUTAPIT5
Sll KE13.FR DRNE - SUITE 107
CARP, NI)UN0. U9-DUNA 77511
OFFICE: (919) 858 - 9898
WEB: GUNCKLEEDU"iAMCOM
Job No.
Layers
Date
02600
0, 1, 35
1/28/2008
Drawing
Figure
Scale
02600-1
4
As Shown
it e
Saprolite Ground Water Contour Map
October 8, 2007
Project Kayser Roth Facility
Asheboro, North Carolina
Main
Plant
Building
Electrical Substation
Parking
Lot
Legend
Property Line
X-----X Fence Line
MW-16 Saprolite Unit Well
DW-3 Bedrock Unit Well
Ground Water Elevation in Feet
Ground Water Contour Line in Feet
Inferred Ground Water Contour Line
- - Ground Water Flow Direction
Not Measured
Note: The average hydraulic gradient across the
site is 0.03 ft/ft based on well pair distances
between MW-I I to MW-13, MW-17 to MW-21,
and MW-3 to MW-1
Scale
90 45 0 90 180
1 "=90,

Wooded Area
MW-22 50
54
Brick
Residential
Home
D
MW-21 Is F-1
Brick
Garage
Mobile
Homes
Estimated Impacted
Source Area -,
„� MW-12
Water
MW-11 Towers
0
MW-4
9
(172.12)
DW-4
MW-13�A �
170
MW-17 &
M -�
165
MW-14"
MW-18� 16 — d
i
MW-20 e MW-
DW-5
railer Park (16z.7i
MW-19
Burma Road (SR 1500)
MW-6b
!R (161,93
DW-1
MW-5 S
Boiler
DW-2 House
161.97)
MW-1
nn
MW-2b&
MT IS (167.42)
�®
DW-3
166 167
-`•'� DUNCKLEE
pp� Lr A
& DUNHAM
s11K>:Is.Fxo>ave - smreioa
511 KEMLERDTAI. CONSULTANTS02
OFFICE: [phone]
VJEB:CARNORTH IFFT)UNA 77511
WEB: DUNCKLEFDUNHAMCOid
OM
Job No.
Layers
Date
02600
0,36
1/28/2008
Drawing
Figure
Scale
02600-1
5
As Shown
Title Bedrock Unit Ground Water Contour Map
October 8, 2007
Project Kayser Roth Facility
Asheboro, North Carolina
Legend
Property Line
X Fence Line
Main
Plant
Building
BMW-16 Saprolite Unit Well
fDW-3 Bedrock Unit Well
Electrical Substation
Ground Water Elevation in Feet
Ground Water Contour Line in Feet
Inferred Ground Water Contour Line
Ground Water Flow Direction
Not Measured
Note: The average hydraulic gradient across the
site is 0.04 ft/ft based on well pair distances
between DW-2 to DW-3, and DW-1 to DW-4
Fence Parking
Lot
Scale
90 45 0 90 180
1 "=90'

Wooded Area
Brick
Residential
Home
MW-22 9 I I MM
(<I) (9.7)
L
0
CA
�c
� IMobile
Homes
S MW-12
(<1) Water
MW-11 Towers
Estimated Impacted Oslo 0
Source Area MW-4
O(NS) C
D W-4
W-10b
(14.7) DRY)
M
(2350) MW-6b
— (128) (<1)
Pump
House
(DRY) MW-14
�V'r � (DRY) 3
MW-18 (45C,)
DW-2
6
MW-20 MW-]5 ,gA (DRY) MW-1
(<1)
DW-5 \ k
Trailer Park V �J
e (NS)
MW-19 (DRY)
MW-16
MW-5 &
ASTs
C
Boiler
House
MW-2b
(N ti)
\4T-7-
(DIZY) DW-3
Main
Plant
Building
Electrical Substation
1
M -9 Fence Parking
0 (NS) Lot
BurnW Road (SR 15%
Job No.
02600
Drawing
02600-1
it e
Project
DUNCKLEE ENMCW` ENTAL coNsnTA"
SIIKEMLERDMVE - MIMIC!
& DUNHAM CARP, NOR1H CA(9 9 858-9M
OFFICE'
WEB: WNCKLMUNHAMCOM
Layers Date
0,37 1/28/2008
Figure Scale
6 As Shown
PCE Plume in Saprolite Unit,
October 10, 2007
Kayser Roth Facility
Asheboro, North Carolina
Legend
Property Line
x X
Fence Line
k MW-16
Saprolite Unit Well
� DW-3
Bedrock Unit Well
(490)
PCE Concentration in ppb
(NS)
Not Sampled
PCE Concentration 1,000-10,000 ppb
PCE Concentration 100-1,000 ppb
❑
PCE Concentration 10-100 ppb
N
PCE Concentration BDL-10 ppb
Scale
90 45 0 90 180
1 "=90'

Wooded Area
MW-22 ,9
rD
b�
>v
rD
NTS
DUNCKLEE EN KEMLE DRrVENTAL - SLTI E102
s 11 KEIS[.FA oRroe - slnre 1 oa
MW-5151 & DUNHAM CARY, NORTH CAROLINA 17511
I[::) OFFICE[ (919
WEB: WNCKIFEDUMMiAMCOMAMCOM
Job No. Layers Date
02600 0,38 1/28/2008
MW-12
swing Figure Scale
02600-1 7 As Shown
Water
MW-11 Towers Title PCE Plume in Bedrock Unit,
Estimated Impacted 511 O October 10, 2007
Source Area MW-4 Project
ASTs Kayser Roth Facility
Asheboro, North Carolina
Brick � W-4
Residential MW-136+ -10b (1.1)
Home
Legend
MW-17 5 Property Line
Main
u S, MW-6b
X Fence Line
F-1
MW-21� Pump
Plant B
Brick Building MW-16 Saprolite Unit Well
Garage MW-14
_3 �
MW-18� MW-2bDW-3 Bedrock Unit Well
❑ Electrical Substation
(490) PCE Concentration in ppb
(NS) Not Sampled
Mobile
Homes Dose
� PCE Concentration 1,000-10,000 ppb
MW-20
- ® PCE Concentration 100-1,000 ppb
D - ❑ PCE Concentration 10-100 ppb
Trailer Park (2.8)
PCE Concentration BDL-10 ppb
MW-19
l MW-16
M _9 L� Fence Parking
Lot
Burnli1 Road (SR 1500)
Scale
90 45 0 90 180
111=901

rA U
°� o
z
r A n ¢ 0
210 MW-11 3 MW-10b MW-IOc 210
o
Pt-
Pt-5 Pt-7 MW_8 U
t-9 Q
200 Ground Surface MW-3 DW-1 DW-2 MW_I 200
5 190 Clay and Silt Saprolite _ 1� W ,
o to Soft Weathered Rock aV
180 180
—170
� o
160 + + + + + + + + + 1 ���� (<Li—_ 160 m �? N
+ + + + + + + + + +
150 150 — — — ,
+ + + + + + + + +
+ + + + + + + + + + + + + + + + + + + + + + — -- —
140 + + + + + + + + + + + + + + + + + + + +140
+ + + + + + + + + + + + Hard Weathered
130 '�� Rock to Fractures + + + + �z_
130 O
+ + + + + + t- + + + + + + + Bedrock + + + + + + + + + + _ �0
120 + + + + + + + + + + + + �� + + + + + + + + + + + + — -120
+ + + + + + + + + + + + - .= + + + + + + + + + +
+ + + + + + + + + + + + + + `'mod ` + + + + + + + + + + + -110 Z o o
110 + + + + + + + + + + + + + + + + + + + + + + + + _ `p
+ + + + + + + + + + + + + + + + + + + �' + + + + + — + + .. _ 100 '°o' o Q o
100 + + + + + + + + + + + + + + + + + + + + + + + 1 "i- =- + + + + +
+ + + + + + + + + + + + + + + + + + + + + + + + +_w +—1 + + + 90
90 + + + + + + + + + + + + + + + + + + + + + + +—
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 80
80
Legend:
Well Casing t Z
© Well Screen Approximate Horizontal Scale V=30' �'~ w
O t s� a
Vertical Scale as Shown
❑ Approximate Location of Potassium Permanganate Slurry Injection (Phase M
and Water Injection (Phase IV)
(3 30) PCE in ug/L (ppb)
[25] TCE Concentration
Water Table (10-08-07)
w
PCE Concentration 1,000-10,000 ppb
■ PCE Concentration 100-1,000 ppb
❑ PCE Concentration 10-100 ppb J Z
■ PCE Concentration BDL-10 ppb z ►'�
Note: Isoconcentration are dashed where inferred
ITemporary Injection Point Advanced on September 28, 2007

Table 1. Summary of Phase IV Injection Results, Kayser Roth Facility, Asheboro, NC
Avg.
Injection
Injection
Date Injection
Injection
Abandonment
Grout Vol
Injection Point
Depth (ft
Volume
Injectate
Performed
Pressure
Date
(gals)
bls)
(gal)
(psi)
Pt 1
9/24/2007
30
754.8
150
water
9/24/2007
6
Pt 2
9/25/2007
30
400.51
150
water
9/25/2007
6
Pt 3
9/27/2007
28
450
250
water
9/27/2007
6
Pt 5
9/27/2007
30
750.27
250
water
9/27/2007
6
Pt 6
9/27/2007
30
751.31
1 175
water
9/27/2007
6
Pt 7
9/27/2007
30
550
175
water
9/27/2007
6
Pt 8
9/27/2007
22
760.47
175
water
9/27/2007
5
Pt 9
9/28/2007
30
750
NR
water
9/28/2007
6
Pt 10
9/28/2007
30
802
NR
water
9/27/2007
6
Notes:
ft bls- Feet below land Surface
gal- gallons
psi- pounds per square inch
R- No reading obtained, pressure gauge malfunction
P: IKayser-Rothl4sheboro-026001Reports12007 SA Reports12007 2nd Half ReportlTableslReport tables Oct-07 JAB
comments

Table 2. Summary of Water Level Data, Kayser Roth Facility, Asheboro, NC
Nell
Aquifer (ode
Top of( asing
ElcNation
(11)
Nell Depth
Below Grade
O
Screen InterNA
Below Grade
(ft)
Depth to
NN ater
_ (ft)
Ground NN'ater
EleN ation
(ft)
MW-1
Saprolite
195.69
45.5
25.5 to 45.5
32.34
163.35
MW-2b
Saprolite
199.79
44
24 to 44
NM
NM
MW-3
Saprolite
199.11
46.5
26.5 to 46.5
32.45
166.66
MW-4
Saprolite
207.50
52
32 to 52
34.74
172.76
MW-5
Saprolite
200.53
52
32 to 52
26.11
174.42
MW-6b
Saprolite
205.35
46
26to46
35.02
170.33
NM-7
Saprolite
199.26
30
20to3O
DRY
DRY
MW-8
Saprolite
204.65
50
30 to 50
34.89
169.76
MW-9
Saprolite
175.17
15.71
10.71 to 15.71
DRY
DRY
MW-10b
Saprolite
207.61
38.5
19.5 to 38.5
DRY
DRY
MW-11
Saprolite
205.50
42
32 to 42
31.78
173.72
MW-12
Saprolite
203.65
42
32 to 42
30.74
172.91
MW-13
Saprolite
201.51
40.41
20.41to40.41
31.95
169.56
MW-14
Saprolite
199.44
24.78
14.79 to 24.78
DRY
DRY
MW-15
Saprolite
195.34
24.5
14.5 to 24.5
DRY
DRY
MW-16
Saprolite
191.42
14.87
4.87 to 14.87
DRY
DRY
MW-17
Saprolite
200.99
40.9
21.37 to 40.90
36.71
164.28
MW-18
Saprolite
199.70
21
11 to 21
DRY
DRY
MW-19
Saprolite
191.07
25.78
15.78to25.78
DRY
DRY
MW-20
Saprolite
198.53
42
32 to 42
33.23
165.30
MW-21
Saprolite
189.09
40
30 to 40
29.06
160.03
MW-22
Saprolite
182.64
37
22 to 37
25.23
157.41
DW-I
Bedrock
200.54
70
60 to 70
38.61
161.93
DW-2
Bedrock
196.53
96
86 to 96
34.56
161.97
DW-3
Bedrock
199.23
87
77 to 87
31.91
167.42
DW-4
Bedrock
207.93
98
SAD 98
35.71
172.12
DW-5
Bedrock
197.98
99
99 to 99
35.29
162.70
W = Well not measured, not accessible
Topof-ofelevations referenced to arbitrary site datum of 200.00 feet
P:\Kayser-Roth\Asheboro-02600\Reports\2007 SA Reports\2007 2nd Half Reporf Tables\Report tables Oct-07_JAB comments

Table 3. Field Measured Ground Water Data, October 2007. Kayser Roth Facility, Asheboro, North Carolina
Well
Temperature
(Deg. Celsius)
p[i
(Standard units)
Conductivity
(pSlcm)
ORP
(m%')
Dissolved Oxygen
AL (mg/l.)
Colorimeter
(mg/L)
MW-3
189
5.76
102
276
5.10
0.43
MW-6B
19.1
5.01
327.0
327
5.39
0.00
MW-8
18.6
5.10
132
604
9.98
1.40
MW-l0b
DRY
DRY
DRY
DRY
DRY
DRY
MW-13
17.1
5.55
530.0
271
6.88
0.38
MW-17
19.1
5.57
46
419
7.58
0.22
MW-21
17.5
5.80
980
279
3.84
0.01
DW-1
18.4
6.77
155
215
4.35
0.00
DW-2
19.3
6.16
436
236
5.31
0.00
DW-3
19.3
6.10
273
209
5.41
0.20
DW-4
18.4
6.14
117
239
6.21
0.98
DW-5
17.0
5.75
191
226
4.83
0.06
mg/L = Parts per million or ppm
,uSicm=micraseimens per centimeter
ORP = Oxidation Reduction Potential measured in millivolts
Duncklee Dunham Job No. 02600 Page 1 of 1 Report tables Oct-07_JAB comments

Table 4. Historical Ground Water VOC Data, Kayser Roth Asheboro Facility
MW-1 *
Sample Date
. PCE in µg/L
TCE m ItglL
Chloroform in
L
cis 1,2-D('F, in
/L
tran l,2-DCE
in /l.
Manganese in
m /l,
Chromium in
m /L
Chlorides in
m /l.
A Aril 9, 1999
<5
<5
5
<5
<5
NA
NA
NA
July 9 1999
<5
<5
<5
<5
<5
NA
NA
NA
September 2 1999
<5
<5
<5
<5
<5
NA
NA
NA
September 14 2000
<1
<1
2.7
<1
<1
NA
NA
NA
February 15, 2001
<0.5
<0.5
2.4
<0.5
<0.5
1 NA
NA
NA
May 8, 2001
<1
<1
2.1
<0.5
<0.5
NA
NA
NA
November 27 2001
<1
<1
3.3
<1
<1
0.12
NA
9.7
July 9, 2003 <1
July 30,2003 <1
<1
<1
<1 <1 <1
Phase I Pilot Test
<1 <1 <1
0.14
0.14
<0.002 96
0.0042 94
August 13, 2003
<1
<1
<1
<1
<1
0.13
<0.002
110
September 29,2003
<1
<1
Phase 11 Pilot Test
<1 <1 <1 0.13
<0.002 90
October 27 2003
<1
<1
1.2
<1
<1
0.13
<0.002
100
November 24 2003
<1
<1
<1
<1
<1
0.14
<0.002
120
February 16 2004
<1
<1
<1
<1
<1
0.15
<0.002
69
May 27 2004
<1
<1
<1
<1
<1
0.14
<0.002
130
March 3 2005
<1
<1
<5
<1
<1
0.12
<0.002
59
Slurry Injection
May 23, 2005
<1
<1
<5
<1
<1
NA
NA
NA
August 9 2005
<1
<1
<5
<1
<1
0.084
<0.010
35
December 5 2005
<1
<1
<5
<1
<1
NA
NA
NA
April 10 2006
<1
<1
<1
<1
<1
NA
NA
NA
October 11 2006
<1
<1
<1
<1
<1
NA
NA
NA
April 17 2007
<1
<1
<1
<1
<1
NA
NA
NA
e _ Water Injection
October 23, 2007
<1
I
3.5
1
<1
NA
NA
NA
2L Standard
0.7
2.8
70
70
1 100
MW-1)h
Sample Date
PCE in µg/L
TCE in AWL
Chloroform in
PAIL
cis 1,2-DCE in
Pal.
tran 1,2-DCE
in /L
Manganese in
m /L
Chromium in
m /L
Chlorides in
m /L
September 8, 1999
3
<1
41
<1
< I
NA
NA
NA
September 15 2000
9.1
<1
24
4
<1
NA
NA
NA
November 6 2000
6
<1
24
<1
<1
NA
NA
NA
February 15 2001
7.8
<0.5
23
<0.5
<0.5
NA
NA
NA
Well Not Accessible After Febru 2001
L Sta Q7 2.8 70 70 1 100
µg/L = Parts per billion or ppb All samples through May 1001 collected by GaiaTech, Inc.
BDL = Below detection limit (laboratory reporting limit unlmo-O • Samples Currently Collected in Passive Diffusion Bag Samplers
NA = Not Analyzed (compound not on target list) mgE=Paris per million or ppm
P: Kayser-Roth\Asheboro-02600\Reports\2007 SA Reports\2007 2nd Half Report\Tables\Report tables Oct-07_JAB comments

Table 4. Historical Ground Water VOC Data, Kayser Roth Asheboro Facility
MW-1
Sample Date
PCE in µg/I.
T,CE in µg/l,
Chloroform in
/l,
cis 1,2-DCE in
dl,
tran 1,2-DCE
in /l,
Manganese in
m /E
Chromium in
m /t,
Chlorides in
mg/I,
April 9, 1999
180
5
5
<5
<5
NA
NA
NA
July 91999
250
6
<5
<5
<5
NA
NA
NA
September 2 1999
160
10
10
<10
<10
NA
NA
NA
September 15 2000
440
6.3
4.6
<1
<1
NA
NA
NA
November 8 2000 1
270 1
5.4 1
3.9
<1 I
<1
NA
NA
NA
February 15 2001
1,100
<5
11
<5 1
<5
NA
NA
NA
May 8, 2001
800
<10
<10
<10
<10
NA
NA
NA
November 28, 2001
160
7.2
4.3
<1
<1
NA
NA
NA
Phase I Pilot Test
Phase 11 Pilot Test
<1 <1 <I <1 0.022 <Q002 T 1
August 13, 2003
600
Sem tember 29 2003
420
<1
<1
<1
<1
0.035
<0.002
8.4
October 27, 2003
670
<I
<1
<1
<1
0.043
<0.002
11
ovember 24 2003
540
<1
<1
<1
<1
0.028
<0.002
19
ebruary 16 2004
1100
<10
<10
<10
<10
0.034
<0.002
14
May 28 2004
460
<5
<5
<5
<5
0.021
<0.002
29
March 3, 2005
760
1.8
<5
<l
<1
1 0.053
1 <0.002
12
t Slurry Injection
May 23, 2005
690 4.1
<5
1
<1
0.047
<0.010
13
August 92005
410 6.4
<5
<1
<1
0,019
<0.010
13
December 5 2005
320 7.1
<5
<1
<1
NA
<0.010
14
April 11, 2006
660 5.2
2
<1
<1
0.0086
<0.002
14
October 11 ,2006
230 6.9
2.6
<1
<1
0.0088
0.011
19.9
A ril 17, 2007
390 <2
<2
<2
<2
0.078
<0.005
13.8
Water In jeetion
October 10, 2007
456.0 9.0
5.1
<5
<5
<0.005
<0.005
22.9
dard
0.7 1 2.8
70
1 70
100
pg/L = Parts per billion or ppb All samples through May 1001 collected by GaiaUch, Inc.
BDL = Below detection limit (laboratory reporting limit unknown) • Samples Currently Collected in Passive Dion Bag Samplers
NA = NotAw47ed (compound not on target list) mg1L=Parts per million or ppm
P:\Kayser-Roth\Asheboro-02600\Reports\2007 SA Reports\2007 2nd Half Report\Tables\Report tables Oct-07_JAB comments

Table 4. Historical C:round Water VOC Data, Kayser Roth Asheboro Facility
MU' 1
Sample Date
PCE in µg/1. ICE in µg/L
Chloroform in
/L
cis 1,2-DCE in
1,
tran 1,2-DCE
in /1,
Manganese in
m /L
Chromium in
In/I,
Chlorides in
mg/I,
September 9, 1999
<1 <1
<1
11
<t
NA
NA
NA
September 15 2000
<1 <1
<1
<1
<1
NA
NA
NA
February13 2001
<0.5 <0.5
<f1.5
<0.5
<0.5
NA
NA
NA
May 8, 2001
<0.5 <0.5
<0.5
<0.5
<0.5
NA
NA
NA
mber 26, 2001
<1 <1
<1
<1
<l
NA
NA
NA
Phase I Pilot Test _
Phase 11 Pilot Test "
mber 21, 2003
<1 <1 <1
I <1
NA
NA
NA
26 2004
<1<1 <1
I <1
NA
NA
NA
May 23 2005
Slurry Injection
<1 <1 <5 <1 <1 NA NA NA
December 5 2005
<1 <1 <5
<1 <1
I NA
NA
NA
April 12 2006
<1 <1 1.7
<1 <1
NA
NA
NA
cotber 12, 2006
<1 <1 <1
<1 <1
NA
NA
NA
April 17, 2007
<1 <1 1.1
<l <l
NA
NA
NA
Water Injection
October 10, 2007
NS NS NS
NS
NS
NS
NS
NS
2L Standard
0.7 2.8 70
70
100
141V C
Sample Date
PCE in µg/L
AL
TCE in µg/1,
Chloroform in
/L
cis 1,2-DCE in
/I,
tran l,2-DCE
in /L
Manganese in
m /L
Chromium in
m /L
Chlorides in
m /l,
April 9, 1999
15
<5
<5
<5
<5
NA
NA
NA
Jul 9 1999
<5
<5
<5
<5
<5
NA
NA
NA
September 2, 1999
<5
<5
<5
<5
<5
NA
NA
NA
September 14 2000
<1
<1
<1
<1
<1
NA
NA
NA
ebruary 12 2001
<1
<1
<1
<1
<1
NA
NA
NA
May 8 2001
<0.5
<0.5
1 <0.5
<0.5
<0.5
NA
NA
NA
November 26 2001
<1
<1
<1
<1
<1
NA
NA
NA
November 21 2003
<1
<1
<1
<1
<1
NA
NA
NA
May 26, 2004
<1
<1
<1
<1
<1
NA
NA
NA
L Standard
1 0.7
2.8
1 70
1 70
1 100
µgE = Part, per hillion ur pph All samples through May 2001 collected by GawTeck Itte.
BDL = Below detection limit (laboratory reporting limit unki—n) • Samples Currently Collected in Passive Diffusion Bag Samplers
NA = Not Analyzed (compound not on target list) mg/L=Parts per million or ppm
P \Kayser-Roth\Asheboro-02600\Reports\2007 SA Reports\2007 2nd Half Report\Tables\Report tables Oct-07_JAB comments

Table 4. Historical Ground Water VOC Data, Kayser Roth Asheboro Facility
MW_6h
Sample Date
PCE in µg/L
'ITCh in µg/l,
Chloroform in
pg/l,
cis 1,2-DCE in
L
tran 1,2-DCE
in /L
Manganese in
m /l,
Chromium in
m /L
Chlorides in
m /L
September 8, 1999
<1
<I
<1
<1
<I
NA
NA
NA
September 15 2000
<1
<1
<1
<1
<1
NA
NA
NA
February 13 2001
<0.5
<0.5
<0.5
<0.5
<0.5
NA
NA
NA
May 8 2001
<0.5
<0.5
<0.5
<0.5
<0.5
NA
NA
NA
November 27 2001
<1
<1
<1
<1
<1
0.98
A.002
48
July 9 2003
1.2
<1
<1
<1
<l
0.52
<0.002
220
Phase I Pilot Test
July 30, 2003
1.3
<I <I
<1
< I
0.45
<0.002
200
August 13 2003
<1
<1 <1
I
1
0.44
<0002
210
Phase 11 Pilot'lest
September 12, 2003
2
<1
<1
"1
1
0.41
<0.002
180
October27 2003
<1
<1
<1
<1
<1
0.51
<0.002
220
November 24 2003
2.8
<1
<1
<1
<1
0.48
<0.002
220
February 16 2004
2.2
<1
<1
<1
<1
0.58
<0.002
220
May 27, 2004
2.9
<1
<1
<1
<1
0.47
<0.002
390
Slurry Injection
MaV 23, 2005
1.4 <1 <1
<1
<1
0.370
<0.010
170
December 5, 2005
3.8 <1 <1
<1
<1
NA
<0.010
82
April 11, 2006
10 1 <1 <1
<1
<I
0.130
<0.002
121
October 11, 2006
5.4 <1 <1
<1
<1
0.210
0.0061
138
April 17, 2007
2.3 <1 <1
<1
<1
0.170
<0.005
128
", Water Injection
October 10, 2007
<1 I <1
<1
4
0.173
<0.005
92.6
tand a rd
pg;l. Pond per billion or ppb All samples through May 2001 collected by Gatal'eeh, Inc.
BDL - Below detection limit (laboratory reporting limit unknown) "Samples Currently Collected in Passive Diffusion Bag Samplers
NA = Not Analyzed (compound not on target list) mg/L-Paris per million or ppm
P:\Kayser-Roth\Asheboro-02600\Reports\2007 SA Reports\2007 2nd Half Report\Tables\Report tables Oct-07_JAB comments

Table 4. Historical Ground Rater VOC Data, Kayser Roth Asheboro Facility
MW-7*
Sample Date
PCIi in µg/I.
TC1; in µg/I,
('hloroform in
[to,
cis 1,24UC1,: in
PLO,
tran 1,2-DCE
in L,/L
11anganese in
m /1,
Chromium in
mu1,
Chlorides in
m /L
July 12, 1999
<5
7
5
<5
<5
NA
NA
NA
September 2 1999
<1
10
7
<1
<1
NA
NA
NA
September 15 2000
<1
4.4
7
<1
<1
NA
NA
NA
Februmy 15, 2001
<0.5
6.4
3.8
<0.5
<0.5
NA
NA
NA
May 8, 2001
1 <0.5
1 1.7
8.5
<0.5
-0 5
NA
NA
NA
-
Phase t Test
Phase 11 Pilot "Pest
November 24 2003
<1
<1
2.3
1
<1
NA
NA
NA
Ma may 25 2004
<1
<1
3.3
I
<1
NA
NA
NA
Slurr Injection
May 23 2005
<1
<1
<5
<1
- I
NA
NA
NA
December 5 2005
<1
<1
<5
<1
I
NA
NA
NA
April 12 2006
<1
<1
1.7
<I
I
NA
NA
NA
October 12, 2006
<1
<1
1
<l
.,:I
NA
NA
NA
April 17, 2007
<1
<1
<1
<1
<1
NA
NA
NA
Rater Injection
October I Q 2007
D
D
D
D
Dry
D
Dry
21, Standard
0.7 2.8
70
70
100
pgL 1'mto per hdi orppb All samplesThrough May 2001 eo1lcew,1 by (iaial'ech,/nc.
BDL = Below detection limit (laboratory reporting limit unknown) • Samples Currently Collected in Passive Diffusion Bag Samplers
NA = Not Analyzed (compound mil on target list) mglL=Parts per million or ppm
P:\Kayser-Roth\Asheboro-02600\Reports\2007 SA Reports\2007 2nd Half Report\Tables\Report tables Oct-07_JAB comments

Table 4. Historical Ground Water VOC Data, Kayser Roth Asheboro Facility
Sample Date
p
PCE in µglL
.TCE inµ L
Chloroform in
!L
cis 1,2-DCE in
!I,
tran 1,2-UCF,
in /L
Manganese in
m /L
Chromium in
m /L
Chlorides in
m /1,
September 15, 1999
650
<1
<1
I
<1
NA
NA
NA
September 15 2000
510
<1
<1
",I
<1
NA
NA
NA
November 8 2000
390
<10
<10
<10
<10
NA
NA
NA
February 12 2001
270
<1
<1
<1
<1
NA
NA
NA
May 8 2001
310
<10
<10
I <10
I <10
NA
NA
NA
November 28 2001
650
<1
<1
<1
. 1
0.35
NA
240
Julv 9, 2003
410
1
I
'I
<1
0.9
<0.002
1 620
—1-1- -- -
Phase I Pilot Test
July 30, 2003
8.6
<1
I
I
1
0.56
0.002
660
August 13, 2003
210
<1
<1
1
1
0.61
<0.002
710
Phase U Pilot Test -
September 29, 2003
170
<1
<1
<1
1
0.53
<0.002
660
October 27, 2003
190
<1
<1
<1
11
1
<0.002
680
November 25 2003
200
<1
<1
<1
<1
0.91
<0.002
850
Feb 16 2004
290
<5
<5
<5
<5
1.3
<0.002
660
May 28,2004
170
<1
<1
<1
<1
1.3
<0.002
1,300
March 3, 2005V260
<1
<5
<l
<1
1.4
<0.002
560
Slurry Injection
May 23, 2005
<1
<5
<1
1
1.4
<0.010
580
Au t 9 005
<1
<5
<1
<1
1.4
<0.010
480
December 5 2005
<1
<5
<1
<1
NA
<0.010
530
April 11 2006
<1
<1
<1
<1
1.5
<0.002
548
October 11, 2006
6.4
2.9
<2
2
0.16
<0.005
18.2
172007
Q
<22
2
0.98
<0.005
20,100
Water Injection
October I�02�O 7
128.0
1 <1
<1
1
<1
0.905
0.0073
465.0
0.7
2.8
70
70
100
pg/E = Parts per billion or ppb All samples through May 1001 collected by GataTeeh, Inc.
BDL = Below detection limit (laboratory reporting limit mdmown) `Smnples Currently Collected in Passive Diffusion Bag Sampler,
NA = Not Amllzed (compound not on target list) mg/L=Parts per million or ppm
P:\Kayser-Roth\Asheboro-02600\Reports\2007 SA Reports\2007 2nd Half Report\Tables\Report tables Oct-07_JAB comments

Table 4. Historical Ground Water VOC Data, Kayser Roth Asheboro Facility
MW_Q
Sample Date
PCP: in µfill,
TCE in µg/L
Chloroform in
/I
cis 1,24DCE in
/l,
tran 1,2-DCE
in /L
Manganese in
m /L
Chromium in
m /L
Chlorides in
m /L
November 20, 2003
1
I
I
. I
<1
NA
NA
NA
May 23, 2005
<1
<1
5
<1
<1
0.12
<0.010
27
December 5 2005
Dry
Dry
Dry
Dry
Dry
Dry
Dty
Dry
2L Standard . ,
0.7
2.8
70
70
too
MW-106
Sample Date
PCE in µg/L
TCE in µg/L
Chloroform in
lag/1'
cis 1,2-DCE in
L
tran 1,2-1)CE
in /L
Manganese in
m /L
Chromium in
m /L
Chlorides in
mg/1'
September 28, 1999
4,300
<50
<50
<50
<50
NA
NA
NA
October 6 1999
4,000
1
<1
<1
<1
NA
NA
NA
September 15, 2000
8,900
2.5
<1
<1
<1
NA
NA
NA
November 8 2000
6,300
<100
<100
<100
<100
NA
NA
NA
Februm 12, 2001
9 000
14
<1
<I
I <1
NA I
NA
NA
May 8, 2001
7 000
<10
<10
<I0
<10
NA
NA
NA
July 9, 2003
9,700
1.2
<1
I
1
0.084
0,0059
3
Phase I Pilot Test
J uly 30, 2003
6,900
<1
- 1
1
<1
0.053
0.0043
2A
August 13, 2003
9,300
<1
0.046
0.0028
29
Phase Il Pilot Test
September 29, 2003
5,800
< I
1
<1
< 11.1
0.01
72
October 27 2003
4 400
<1
<1
<1
I
0.24
0.0042
49
November 26 2003
6,400
<1
<1
<1
<l
0.22
0.0054
4.6
Febnuuy 16 2004
8,200
<200
<200
<200
<200
0.41
0.0043
3.8
May 28, 2004
10,000
<100
<100
<100
<100
0.26
0.0033
0
March 3, 2005
6,100
1.4
1 5
l
I
0.33
<0.010
1.5
Slurry Injection
May 23, 2005
<100
<100
<500
<100
100
730
<0.010
50
August 9 2005
<I
<I
<5
<1
1
23
0.012
<10
December 5 2005
2.6
<1
<5
<1
<1
NA
<0.010
<10
April 12 2006
<1
<1
<1
<i
<1
12
0.045
7.78
October 12 2006
<1
<1
<1
<1
<1
NS
NS
12.9
nil 17.2007 <I
<1
<t
<1
<1
270
0.011
42,900
Water Injection
Dry I D D D D Dry Dry
October 10 2007 1 Dry
0.7
2.8
70
70
100
ugE = Parts per billion or ppb NA ::Not Analyzed (compound not on target list) • Samples Currently Collected in Passive Diffusion Bag Samplers
BDL = Below detection limit (laboratory reporting limit unknown) All samples through May 2001 collected by GawTech, Inc
NS=Not Sampled mg/L=Parts per million orppm
P:\Kayser-Roth\Asheboro-02600\Reports\2007 SA Reports\2007 2nd Half Report\Tables\Report tables Oct-07_JAB comments

Table 4. Historical Ground Water VOC Data, Kayser Roth Asheboro Facility
MW-IOC
Chloroform in
cis 1,2-DCE in
tran 1,2-1)CE
Manganese in
Chromium in
Chlorides in
Sample Date
PCE in µg/L
TCE in µg/L
L
L
in IL
m r/L
m g/l,
m /L
May 28, 2004
42
1 I
1 2.6
„ 1
1
NA
NA
NA
2L Standard
0.7
1 2.8
1 70
70
1110
MW-11
Sample Date
PCE in µg/L
TCE in µg/L
Chloroform in
Ag/l,
cis 1,2-DCE in
L
tran 1,2-DCE
in AWL
Manganese in
m L
Chromium in
m L
Chlorides in
m /L
October 5, 1999
<1
<I
<I
<1
<1
NA
NA
NA
September 14, 2000
<1
<1
<1
<1
<1
NA
NA
NA
Februafy 13, 2001
<0.5
<0.5
<0.5
<0.5
<0.5
NA
NA
NA
May 8, 2001
0.62
<0.5
<0.5
<0.5
<0.5
NA
NA
NA
Phase I Pilot Test
Phase II Pilot Test
November 21, 2003
<1
<1
<I
<I
<I
NA
NA
NA
May 26, 2004
<1
<I
<1
<I
<I
NA
NA
NA
March 3, 2005
<1
<1
<5
<l
<1
0.02
<0.010
2.6
Slurry Injection
May 23, 2005
<1
<1
<5
<1
<1
0.019
<0.010
2.8
August 9, 2005
<1
<1
<5
<1
<1
0.022
<0.010
2.7
December 5, 2005
<1
<1
<5
<1
<1
NA
<0.010
2.5
ril 12, 2006
NS
NS
NS
NS
NS
NS
NS
NS
October 12, 2006
<1
<1
<1
<I
<1
0.046
<0.005
4.15
April 17, 2007
NS
NS
NS
NS
NS
NS
NS
NS
Water
Injection
October 23, 2007
<1
<1
<1
<1
<1
NA
NA
NA
Indffilpdard
0.7
2.8
70
70
100
ug/L = Parts per billion or ppb NA = Not Amlyzed (compound not on target list)
BDL = Below detection limit (labomtlory reporting limit unknown)
NS=Not Sampled
• Samples Currently Collected in Passive Diffusion Bag Samplers
All samples through May 1001 collected by GawTech, Inc.
mg/L=Pans per million or ppm
P:\Kayser-Roth\Asheboro-02600\Reports\2007 SA Reports\2007 2nd Half Report\Tables\Report tables Oct-07_JAB comments

Table 4. Historical Ground Water VOC Data, Kayser Roth Asheboro Facility
rtl ALMD)
Sample Date. ,
E in L
'ICE in µg/L
Chloroform in
/L
cis 1,2-DCE in
tran 1,2-DCE
in /L
Manganese in
m /l,
Chromium in
mg/I,
Chlorides in
m g/L
October 6, 1999
1
<1
<1
<1
<1
September 14, 2000
<1
<1
<1
<1
<1
Februaty 13 2001
<0.5
<0.5
<0.5
<0.5
<0.5
May 8 2001
<0.5
<0.5
<0.5
<0.5
<0.5
NA
NA
NA
ulY 9 2003
<l
<1
<1
<1
I <1
0.066
0.0048
3.7
Phase 1 Pilot'IesC Z-_-
uly 30, 2003
<1
<1
I
J
I <1
0.02
0.0027
2.9
August 13,2003
<1
<1
I
<1
<1
0.01
0.0021
3.1
Phase II Pilot Test
<1 <1 <1 <1 0.012 <0.002 15
September 29 2003
<1
October 27 2003
<1
<1
<1
<1
<1
0.0054
<0.002
2.5
November 21 2003
<1
<1
<1
<1
<1
0.012
0.0026
2.9
February 16 2004
<1
<1
<1
<1
<1
0.016
0.0021
2.6
May 26, 2004
1 <1
<1
<1
- 1
1
0.03
0.03
0
2L Standard
0.7
2.8-1
70
1 70
1 100
MW-12
Sample Date
PCE in µg/l. TCE in µg/L
Chloroform in
/l.
cis 1,2-DCE in
/L
Iran 1,24DCE
in 1 g/L
Manganese in
m /L
Chromium in
m /L
Chlorides in
m /L
Februaiy 15, 2001
24 <0.5
<0.5
<0.5
<0.5
NA
NA
NA
March 1, 2001
17 <0.5
<0.5
<0.5
<0.5
NA
NA
NA
May 9 2001
1.8 <0.5
<0.5
<0.5
<0.5
NA
NA
NA
November 28, 2001
9.2 <1
<1
<1
<1
NA
NA
NA
Phase I Pilot Test,
Phase Il Pilot Test
ovember 25, 2003
3.8
I
I
I
. 1
I NA
NA
NA
aV 28, 2004
I
1 3
I
- I
I
<1
NA
NA
NA
Slu ry Injection
M ay 23, 2005
<1
<1
<5
<1
<t
0.57
<0.010
2.7
December 5 2005
14
<1
<5
<1
<1
NA
0.011
2.4
April 10 2006
4
<1
4.1
<1
<1
0.15
0.0026
3.56
October 12 2006
5.2
<1
5.4
<1
<1
1.2
0.026
4.69
April 13, 2007
6.2
<1
6.4
<I
<1
0.19
<0.005
3.49
Water Injection
1 <1 <1 <1 0.161 <0.005 5.0
October 10, 2007 14.7
2L Standard 0.7
2.8
70
1 70
100
ug/L = Parts per billion or ppb NA = Not Analyzed (compound not on target list) • Samples Currently Collected in Passive Diffusion Bag Samplers
BDL = Below detection limit (laboratory reporting limit unknown) All samples through May 2001 collected by GaiaTech, 1=
mg2=Parts per million or ppm
R Kayser-Roth\Asheboro-02600\Reports\2007 SA Reports\2007 2nd Half Report\Tables\Report tables Oct-07_JAB comments

Table 4. Historical Ground Water VOC Data, Kayser Roth Asheboro Facility
sj %ww
Sample llate
PCE in µg/L
TCE in µg/L
Chloroform in
L
cis 1,2-DCE in
L
tran 1,2-DCE
in /L
Manganese in
m /L
Chromium in
rn /I,
Chlorides in
m /L
February15, 2001
2,500
4.6
1.2
<0.5
<0.5
NA
NA
NA
March 1, 2001
2
6.2
1.4
<0.5
<0.5
NA
NA
NA
May 9,2001
9600
<100
100
<1,000
<1,000
NA
NA
NA
November 28 2001
1,200
6.9
1.9
<1
1.5
NA
NA
NA
Phase I Pilot Test
August 13, 2003
13 000
<1 <1 <1 <1
0.026 0.002 10
Se tember 29, 2003
<1
Phase 11 Pilot Test
<1 <1 <1 <1
12 0.020 14
October 27, 2003
900
<1
2.1
<1
<1
9.6
0.016
16
November 25 2003
5 00
<1
1.9
<1
<1
2.4
0.019
17
eb 16 2004
1 00
<50
<50
<50
<50
11
0.021
11
a 28 2004
760
<10
<10
<10
<10
35
0.024
20
arch 3, 2005
6 500
8.8
<5
<1
<l
0.14
0.020
> 4
Slurr Injection
May 23, 2005
6,300
<20
<100
<20
<20
0.53
0.023
5.2
August 9 2005
5,800
<20
<100
<20
<20
0.43
0.015
4.9
December 5 2005
720
<20
<100
<20
<0
NA
<0.010
5.7
April 12 2006
6,800
<50
<50
<50
<50
0.35
0.019
7.49
October 12 2006
1,800
<20
20
<20
<0
1.5
0.019
8.36
April 17, 2007
7,200
<10
10
<10
<10
0.044
0.015
5.81
Water Injection
October 10, 2007
2,350.0
<50
<10
<10
<10
0.818
0.0162
7.8
21, Standard
0.7
2.8
70
70
100
ug L Pans per hilhun or pph NA = Not Analyzed (compound not on target list) *Samples Currently Collected in Passive Diffusion Bag Samplers
HI )L = Below detection limit (laboratory reporting limit unknown) All samples through May 1001 collected by GaiaTech, Inc.
mg L-Pans per million or ppm
P \Kayser-Roth\Asheboro-02600\Reports\2007 SA Reports\2007 2nd Half Report\Tables\Report tables Oct-07_JAB comments

Table 4. Historical Ground Water VOC Data, Kayser Roth Asheboro Facility
%IXX - In
Sample Date
PCE in µg/l.
'ICE in µg/I,
Chloroform in
/L
cis 1,2-DCE in
/L
tran 1,2-DCE
I in r /L
Manganese in
m /1,
Chromium in
m /L
Chlorides in
m /L
Phase I Pilot Test
Phase 11 Pilot Test
November 20, 2003
<1 I I <1 I NA NA NA
NNW Slurry Injection
May 23 2005
<1
1I
5
.11
I
0.65
'0.010
2.4
December 5, 2005
Dry
Dn
Dry
Dry
Dr%
Dn
Dro
D
21, Standard
0.7
1 2.8
70
70
100
%IX% -701
Sample Date
PCI( in pg/L
'VCls in µg/l.
Chloroform in
r L
cis 1,2-UCE in
/I,
Iran 1,2-DCE
in i g/I.
Manganese in
m /L
Chromium in
in/1,
Chlorides in
m /L
Novcmbcr27_ `oiil
1
- 1
11
1
1
NA
NA
NA
Phase I Pilot Test
Phase Il Pilot Test
November 25, 2003
3 1
<1
I
I
<1
NA
NA
NA
Mav 26, 2004
1
<1
I
I
<1
NA
NA
NA
Slu ry Injection
May 23 2005
<1
<1
<5
<1
<1
NA
NA
NA
December 5 2005
<1
<1
<5
<1
<1
NA
NA
NA
April 12 2006
<1
<1
<1
<1
<1
NA
NA
NA
October 10 2006
April 17, 2007
<1
<1
<1
<1
<1
NA
NA
NA
Water Injection
October 23. 2007
<1
<1
3.9
_1
<1
NA
NA
NA
21, Standard
1 0.7
1 2.8
70
1 70
100
ug/L = Parts per billion or ppb *Samples Currently Collected in Passive Diffusion Bag samplers
BDL = Below deteclum limit (laboratory reporting limit unknown) mg/L=Pans per million or ppm
NA = Not Analyzed (compound not on target list)
P:\Kayser-Roth\Asheboro- 02600\Reports\2007 SA Reports\2007 2nd Half Report\Tables\Report tables Oct-07_JAB comments

Table 4. Historical Ground Water VOC Data, Kayser Roth Asheboro Facility
MNi -2I
Sample Date
PCEI in µg/L TCE inµ L
Chloroform in
I.
cis 1,2-DCE in
/L
Iran 1,2-DCE
in /L
Manganese in
m /L
Chromium in
m /L
Chlorides in
m /L
November 27, 2001
11 <1
I
< 1
0.068
0.002
17
July 9, 2003
1 <1
�l
I
1
0.03
<0.002
12
Phase 1 Pilot 'Pest
July 30 2003
18
<1
I
<l
I
Q017
<0.002
16
August 13, 2003
�-I
<1
I
J
1
0.04
0,002
8.4
21 <1
Phase
U Pilot Test
September 29 2003
<1
<1
<l
0.014
<0.002
19
October 27 2003
30
<1
1.5
<1
<1
0.016
<0.002
19
November 20 2003
35
<1
1.9
<1
<1
0.0004
<0.002
26
February 16 2004
30
<1
<1
<1
<1
0.02
<0.002
22
May 25, 2004
26
<1
1.9
<1
<1
0.024
0.024
23
March 3, 2005
23
<1
<5
' I
<1
0.013
<0.010
16
May 23 2005
24
<1
Slu ry Injection
<5 <1 I 0.023
<0.010 16
August 9 2005
24
<I
<5
<1
<l
0.028
<0.010
17
December 5 2005
35
<1
<5
<1
<1
NA
<0.010
19
April 10 2006
45
<1
2.6
<1
<1
0.0098
<0.002
22.7
October 10, 2006
28
<1
1.5
<1
<1
0.034
<0.005
19.3
April 17, 2007
39
<1
L8
<t
I <1
0.014
<0.005
19.2
October 10, 2007
9.7
Water In on
1 <1 I <I <1 <I 0.0549 <0.005 11.4
2L Standard
1 0.7
1 2.8
1 70
70 100
ug/L = Parts per billion or ppb ' Samples Currently Collected in Passive Diffusion Hag .S'amplerc
BDL = Below detection limit (laboratory reporting limit unknown) mg/L=Parts per million orpp.
NA = NotAna&ed (compound not on target list)
P.\Kayser-Roth\Asheboro-02600\Reports\2007 SA Reports\2007 2nd Half Report\Tables\Report tables Oct-07_JAB comments

Table 4. Historical Ground Water VOC Data, Kayser Roth Asheboro Facility
MW-22*
Sample 1)ate
PCE in µg/L
TCE in µg/L
JChloroform in
L
cis 1,2-DCF, in
L
tran 1,2-DCE
in /L
Manganese in
m /L
Chromium in
m /L
Chlorides in
m /L
Sc temlxr 20 3002
1
I
<I1
-1
1 "I
NA
NA
NA
Phase I Pilot Test
Phase II Pilot Test
November 20, 2003
<1 <1
I
I
1
NA
NA
NA
Mav 28, 2004
<1 <1
I
I
<l
NA
NA
NA
Slu ry Injection
May 23 2005 <1 <1 <5 <1 <1 NA NA
5 2005
<1 <1
<5
<1
<I
NA
NA
A ril 122006
<1 <1
<5
<t
<1
NA
NA
ctober 10 2006
]NADecember
A nil 172007
<1 <1
<1
<1
<I
NA
NA
Water Injection
October 23, 2007
<1
<1 <1
<1
1
NA
NA
2L Standard
0.7
2.8 19
70
7
I)XV-1
Sample Date
PCE in µg/L
TCE in µg/L
Chloroform in
/L
cis 1,2-DCE in
L
tran 1,2-DCE
in /L
Manganese in
L
Chromium in
mgJL
Chlorides in
m /L
July 12, 1999
120
10
11
<5
.--5
NA
NA
NA
September 8 1999
210
12
8
<1
<1
NA
NA
NA
September 15 2000
190
11
9.3
<1
<1
NA
NA
NA
November 8 2000
240
9.4
8.9
<1
<l
NA
NA
NA
February 15 2001
310
14
1 12
<2.5
<2.5
NA
NA
NA
May 8 2001
240
12
14
<I0
<10
NA
NA
NA
November 28, 2001
11
8.6
4.2
<1
<1
NA
NA
NA
Phase 1 Pilot Test
Phase 11 Pilot Test
November 24, 2003
<1
<1
6
1
< 1
NA
NA
NA
May 27, 2004
540
11
1
I
I
NA
NA
NA
March 3, 2005
270
<25
<25
<25
0.012
0.017
15
400 16
slurryn
<5 <10 <10 <0.010 0.014
14
a 23 2005
August9 2005
400
15
<5
<1
<1
0.19
0.013
14
December 5 2005
420
16
<5
<1
<1
NA
0.014
15
April 11, 2006
590
16
4.1
<1
<1
3.6
0.012
20.7
October 11, 2006
440
15
3.8
<1
71
1.2
0.012
22.3
April 17, 2007
480
16
<5
<5
<5
0.01
0.01
23.9
Water Injection
October 10, 2007
729.0
1 24.6
1 6.1
<5.0
<5.0
0.379
0.0094
23.2
21, dard
1 0.7
2.8
1 70
70
100
ugE = Paris per hill,- or ppb • Samples Currently Collected in Passive Diffusion Hag Samplers
BDL = Below detection limit (laboratory reporting limit unlaown) mg/L=Parts per million or ppm
NA = Not Analyzed (compound not on target list)
R\Kayser-Roth\Asheboro-02600\Reports\2007 SA Reports\2007 2nd Half Report\Tables\Report tables Oct-07_JAB comments

Table 4. Historical Ground Water VOC Data, Kayser Roth Asheboro Facility
nw-1
Sample Date
PCE ill L
TCE in µg/L
Chloroform in
L
cis 1,2-DCF, in
/l,
tran 1,2-DC@
in /l.
Manganese. in
m /L
Chromium in
m /L
Chlorides in
July 12, 1999
140
<25
<25
25
<25
NA
NA
NA
Selotember 8 1999
190
3
14
<1
<I
NA
NA
NA
Se tember 15 2000
320
3.3
18
<1
<1
NA
NA
NA
November 8 2000
410
<10
19
<10
<10
NA
NA
NA
February 15 2001
420
Q.5
14
<2.5
<2.5
NA
NA
NA
May 8 2001
420
<10
18
<10
<10
NA
NA
NA
November 28 2001
340
4.5
15
<1
<1
0
NA
85
Jul 9, 2003
350
<1
' I
<1
<1
0
<0.002
130
['base I Pilot Test
July30 2003 250
<1
15
- I
Q
0
<0.002
120
August 13 2003 370
<1
33
< I
<1
0
<0.002
130
Phase H Pilot TestAL
Se tember 29 2003 <1 <1 11 <1 <l 29 0.044 89
October 27 2003
290
1.5
15
<1
<1
0.079
0.11
100
November 24 2003
21
<1
16
<1
<1
9.3
0.12
130
Feb 16,2004
81
<1
<1
<1
<1
1
0.18
80
May 27 2004
550
1.4
10
<1
<1
0.016
0.075
160
March 3 2005
340
3.7
15
<1
<1
<0.010
0.031
90
May 23, 2005
Slu ry Injection
390
3.4
14
<10
10
<0.010
0.022
98
Au 9, 2005
330
3.7
11
<1
<1
<0.010
0.021
88
December 5, 2005
390
4.3
11
<1
<1
<0.010
0.021
83
April 11 2006
710
5.5
12
<1
<1
0.0083
0.017
80.1
October 11 2006
430
4.6
15
<I
<1
<0.005
0.013
97.0
April 17, 2007
610
<5
15
<5
0.037
0.0089
98.7
Water Injection
!#5
October 10, 2007
883.0
5.6
25.2
<5
0.0344
0.0063
120.0
2L Standard
0.7
1 2.8
70
70
100
ug i, Parts per billion or ppb . Samples Currently Collected in Passive Diffusion Hag Samplers
BDL = Below detection limit (laboratory reporting limit unbmwn) mg/L-Parts per million or ppm
NA = Not Analyzed (compound not on target list)
P:\Kayser-Roth\Asheboro-02600\Reports\2007 SA Reports\2007 2nd Half Report\Tables\Report tables Oct-07_JAB comments

Table 4. historical Ground Water VOC Data, Kayser Roth Asheboro Facility
nw_ A
Sample Date
PCE in Pg/L
TCE in µg/l,
Chloroform in
Itg/l,
cis 1,2-DCE in
/L
tran 1,2-DCE
in /l,
Manganese in
m /l,
Chromium in
m /L
Chlorides in
m =/L
July 12, 1999
38
15
33
<5
NA
NA
NA
September 9 1999
37
31
34
<1
<1
NA
NA
NA
September 15, 2000
54
37
41
<1
<1
NA
NA
NA
November 8 2000
47
18
59
<1
<1
NA
NA
NA
February 15 2001
70 1
22
86
<0.5 1
<0.5 1
NA
NA
NA
May 8, 2001
78
18
78 1
<l I
<1
NA
NA
NA
November 27, 2001
51
28
43
--1
�l
NA
NA
NA
Phase I Pilot "lest
August 13, 2003
99
<1 39 < I <1 0 <0.002 61
Phase 11 Pilot hest Tw
90 26 30 <1 <1 0 <0.002 60
September 29, 2003
October 27 2003
230
57
55
<1
<1
0
<0.002
65
November 24 2003
110
26
36
<1
<1
0
<0.002
77
Febnuuy 16 2004
100
32
33
<20
<20
0
<0.002
64
May 25, 2004
97
29
32
<1
<1
0
<0.002
140
March 3, 2005
85
27
38
<1
<1
<0.010
<0.010
64
Slu ry injection
May 23 2005
98
25
29
<10
<10
0.03
<0.010
65
August9,2005
76
26
26
<1
<1
<0.010
<0.010
64
December 5 2005
80
23
28
<1
<1
NA
<0.010
65
April 10 2006
110
26
35
<1
<1
<0.005
<0.002
71.4
October 10 2006
97
23
30
<t
<1
<0.005
<0.005
70.5
April 17, 2007
120
24
29
<1
<1
<0.005
<0.005
1 71.6
Water Injection
October 10, 2007
126.0
28.9
33.3
<1
<1
<0.005
<0.005
70.6
2L Standard
1 0.7
1 2.8
1 70
70
100
ug. L — Paris per billion or ppb ' Samples Currently Collected in Passive Dion Bag Samplers
BDL = Below detection limit (laboratory reporting limit unknown) mg L= Parts per million or ppm
NA = Not Analyzed (compound not on target list)
P:\Kayser-Roth\Asheboro-02600\Reports\2007 SA Reports\2007 2nd Half Report\Tables\Report tables Oct-07_JAB comments

Table 4. Historical Ground Water VOC Data, Kayser Roth Asheboro Facility
"w-A
Sample Date
PCE in L
'10E in µg/l.
Chloroform in
1.
cis 1,2-DCF, in
/l,
tran 1,2-DCE
in /l,
Manganese in
m /L
Chromium in
m /L
Chlorides in
m /L
September 9, 1999
<1
39
<1
U
<1
NA
NA
NA
September 14 2000
<1
44
<1
<1
<1
NA
NA
NA
February 15 2001
<0.5
1.2
<0.5
<0.5
NA
NA
NA
May 8 2001
<1
10
1.5
<1
<1
NA
NA
NA
November 28, 2001
1 <1
2')
1 1.7
<1
<1
NA
NA
NA
Phase 1 Pilot Test
Phasc I Pilot Test
November 21, 2003
<1
24
2.6
1 1
1 I
1 NA
NA
NA
May 26, 2004
<1
25
3.4
1 <1
I
NA
NA
NA
Slu Injection
IMay 23, 2005
1.2
24
5.3
<1
<1
0.14
<0.010
13
Limber 5, 2005
<1
31
<5
<1
<1
NA
0.037
14
1xil 10, 2006
<1
35
7.4
<1
<1
0.67
0.021
NA
October 10 2006
<1
37
6.6
<1
<1
021
0.0086
22.3
April 17, 2007
<1
37
9.5
<l
<1
0.85
0.028
29.2
Water Injection
121,
October10,2007
1.1
393
9.0
1<1
<1
0-436
0.0079
27.6
Standard
1 0.7
2.8
70
1 70
IOU
11%" -S
Sample Date
PCE, in µg/l.
"I'CE in µg/L
Chloroform in
IL
cis 1,2-DCE in
L
tran 1,2-DCE
in /L
Manganese in
In /1.
Chromium in
In /1,
Chlorides in
rn /l,
Novcmhei 27, 1001
1
12
I I
�' I
I
NA
NA
Phase 1 Pilot Test
Phase 11 Pilot Test
November 25, 2003
8.5
8.2
15
I
I
NA
NA
NA
Ma 25, 2004
4.5
63
17
I
<1
NA
NA
NA
Slurry Injection
May 23, 2005
444..0
16
<1
<1
0.029
<0.010
52
December 5 2005
2.8
11
<1
<1
NA
<0.010
37
April 10, 2006
2.4
15
<1
<1
0.013
<0.002
42.9
October 10, 2006
2.9
13
f
<1
<1
0.014
<0.005
40.4
A n 17, 2007
3.0
13
<1
<1
0.0078
<0.005
47.5
Water n ection
Octuhcr 10, 2007 2.8 15,0
1 <1
<1
<0.005
<0.005
42.3
2L Standard 0.7 2.8 70
70
100
ug/L - Parts per billion or ppb + Samples Currendy Collected in Passive Diffusion Bag Samplers
BDL = Below, detection limit (laboratory reporting limit wAnown) mg/L=Pals per million or ppm
NA = Not Analyzed (compound not on target list)
P \Kayser-Roth\Asheboro-02600\Reports\2007 SA Reports\2007 2nd Half Report\Tables\Report tables Oct-07_JAB comments

1--,
LI
MCTION E NT RECORD
_jM.
Nor& Carolina Depaftent of Environment and Nonal. Resomves -' Division ,0fWater Quality
1. Permit Information
F=MWC
Facility Name
NC-
FacRity Address
gy"plo MAO
r
JnJB&On COVOWICr /0' apal'u'&M,
Street Addres& 1-1 r, -Ckn6rnaAx;e
S­�A
City Staw. -zip Code,
L 4)::
Area code:- Phoiiei number
3. Wen Infolmaden,
Nmber - of wells:used, for injection 9
Were.any new, wells bMW duflng diis- injection
event?
0 Nb
rf yes, please pwV* the following id6mation:
IXUMba'DfMIDnkIQdUkWCUS nO'I'P,
IN-mbff of Injection, WAS
Jew of Well Instillid (Check vOlicable tWY
ErBand Q DOW 11 Diana rush
Hand-Augm-ad [I Ott w(fivmify)
Pima include two wpW of the aw-lb for eovh
Well inswed
were any vwAs abandoned'during this injection
event?
Ryes ❑ No
If yes, please provide the following information:.
NumbefofMcnitolingWells non'Q-
Nuaftr of Injection Wells
Please -include two COP=. f oftbe GW-30:for each
well abandoned:
4.; Injectant Mornadon
P;20
Injecmnc rye
Iconcentration. 10.0
If d.winjectmt is dffiad please indicate, the scum
dilution fluid.,_
Total Volumt bdemd Scl Co 'A a%
Volume Necta per WdL q-.-I
5: 4jewca History
wa;don nVagm (e.g. 3 Of 5)14
Is Ws ft lwt.injection at dais site?
0 yes No
I DO HEREBY CERTIFY THAT AU - THE
WFORMATION ON -I= FORM IS CORRECT TO
'TM BEST OF,MY =OV&EDW AND MT THE
RQEMON WAS.PERFORMED WITHIN UiE
STAM" �DS LAID
MPERMT.
Submit-tworiginal of this to tW.D&Won-ofWa= Qofity within 30 days ofiqlMdom
Atw. UIC'Ptogmm, 1616 ma aqvim czmw, Ralcigk NC 27699-1636, Phmto,'No. 919-733=I,
AA
Form UIC-1 M-
Rgv. 11106
TOTAL P.02
OCT-08-2007 09:24AN From: 704872EV8. ID:DUNCKLEE AND DLWOM Pase:002 R . =97%

—.17
N_ ON RESIDENTIAL wFu CoxsrRUCTION RECORD
North Carolina Depmtmem of Environment and NxwW Reaurces- Division of Water Quatiry
WELL CONTRA417170111 CERTIFICATION H 28S4
1. UIiELL CON'fRACTOR:
STEPHEN SLOAIN
wee cowacta (Initioduai) ysane
GEOLOGIC WftORATION, INC
Well Canaador Car WwY Nane
STREET ADDRESS 176 CCMMERC"F BL VD
STATESVtLLF NC �'56
City or Tom State Zip C:oOs
t 704 )- A72-71586
Area :)otlrL Phone nuN"r
2- WEAL INFORMATION:
SITE WELL ID "I M0101 ere), FT-1
STATE WLLL PERM17W.if apphcaWe)
DWQ or OTHER PERMIT #f a PI"hle)
WELL USE (Cneck Applicab s Box) Monitcring L wtinicipaVPublic r,-,
IndustT4'Commarcl9 AgrlrulttxaO Rewo&yC Injection
irrlgabonp 01hor M (liat uee) INJECTTCN
DATE DRILLED 0&2v07
TIME COMPLETED_,___- AM Q ?M ❑
3, WELL LOCATION:
CITY' ASHEBORO COUNTY % ANDOLPH
5i 5 WEST SALFOLR AVENUE
;Street Name, Number. Cernmumtj. $ob"oion Lot No., Parcel, Zip God)
TOPOGRAPHIC / LAND SETTING:
CSIopo C�Vatiey [Flat ❑Ridge G Other
(motto bon0
LATI-UI)T:1May W in dcgrm,
minutes, sceondsor
LONGITUDE in a deciml format
LatitudeAongitude source: ❑GPS C T opographic rnap
fk>cation of wed mue be shown on a USG S topo mep and
attached to th s fU" A not usb+g GPS)
4. FACILITY• s t+a nw a or"ruilrVcr -hero Aria wr,a; Is k.Ute]
FACILITY ID St1f applicu le)
NAMF OF FACU"Y KAYSFR.ROT'H _
STREET ADORE5S 515 WEST BALFOUR AVENUE
ASHEBORU NC
Cry or Town State Zip Code
hONTACT PERSON LAVAL CHDINrCRE
'V,AILIr-1G p.DORFSS 5i5 WEST BALFOUR AVENUF
ASHEBORO NC
City or Town State Zip Code
672-1000
Area co09 • Phone number
6. WLLL DETAILS:
p. TOTAL DEPTH: 30 0 FLET
b. DOES WELL REPLACE EXISTING WELL? YES O NO K
c. WATER LEVEL Derv+,' Tot` of Casing' N/A rT
IUse "+" !f Atove Top of Caning)
d. TOP OF CASING M N/A
FT. Abcw Land Sumacs'
—op of cmvig terminated atfor below land surface rney requtre
a vartsxe ,n accorcance with 15A NCAC 20.0118.
e, YIELD (gpm): MA
METHOD OF TEST NIA
1. MSINFECTION:Type NIA
A,7+ount N/A
g. WATER ZONES (daoth)-
From To
From To
From To
Fran To
F orn Ta
S. CASING:
TTuclomas/
Depth
Diame W Weight Mattxial
From To Ft.
From To FI.
7. GROUT: Depth
Material Mrhnrl
From To___ FL
Fran To Ft Y
From To--
FL-
8. SCREEN: Depth Giamwer Slot Size Material
Fran
FromT To
From Ta Ft. In_ in
9. SAND/GRAVEL PACK:
Depth Size mAerial
From To FL
From .—To__ FI —
10. DRILLING LOG
From To Fo"atian Description
0.0 30.0 _ DIRLQT POSH EQUIPMENT
11. REMARKS:
INJEC-ION POINT 766.0 GALLONS OF WATER INJECTED.
100 KRMY VFMFY THAT THIS WELL WAS CONSTRUCTED N ACCMDANCt WITH
1 Th NCAC2QjWFLL CONSTitLU TION STANCARI)5. AND TIN' A COPY OF THS
q[-OORQt'ENF�E OWNER.
,a1 sroT
SIGNATUR F CERTIFIED WELL CON RACOR CATL
ST£PHEN SL'oAN
j PRINT[ D NAME OF PERSON CONSTRUCTING THE WEL.
Submit the original to the Division of Water Quality within 30 days. Attn: Information Mgt.,
1617 Mail Service Center - Raleigh, NC 27699-1617 Phone No, [phone] ext 588.
Form Gw-10
Rev. 710E
TCTAL P.19
OCT-1 '�-t C1E17 02: `0PM From: 70487202-18 ID: DUNCK.LEE AND DUNHAM Page: AI9 R=97

NoN RESIDEN,T`XAL WELL CONSTRUCTION RECORD
North Carolina Dcpanmenc of Erivironmcnt and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2854
1. WELL CONTRACTOR:
STEPHEN SLOAN
Wet Crnttractor (indmoual) Name
GEOLOGIC EXP_ORATION, INC
Well Contraetui Company Name
STREET ADDRESS 1.76 COMMERCL B`_'VO
STATFSVILLE NC 28625
Gty or Tavn State Zip Cade
7( p4 t_ 872-7680
Area code- Phone number
2. WELL INFORMATION:
SITE 'NELL ID #(if applr-,.�ble) PT-2
STATE WELL PERMIT*(d apoicabie)_
DWQ or OTHER PERMIT #(if appilcable)`
WELL USE (Check Applicable Box) Mootonng � Municipal/Flubllc
IWustriallCoirmemal ❑ Agricultural D Recovery ❑ Infection L,
Imgetion❑ Other C (6at use) INJECTION
DATE DRILLED 09/25107
TIME COMPLETED AM L PM 1
3, WELL LOCATION:
CITY ASHEBORO COUNTY RANDOLPH
61S WEST BALFOUR AVENUE
Strut Neme, Numben. Community, SusdMeion, Lct No. Parcel, Zip Coee;
TOPOGRAPHIC 1 LAND SETTING:
$"a -Valley MFIat [_7Rtoge ❑ Other
L[nfwA epproor!atn bo)C
LATITUDE V icy be ra degrees,
ininuuz, seconds or
LONGITUDF- _ in a decimal format
Latitude/longitude source: MOPS CTopogratphic map
(iocetron of wa must be snowm on a LISGS tDpo mso and
arfreched to this ibrm if r1oi! vsing GPS)
4. FACILITY• 14 the n*me a ere pweiness w we ere wets is i«.rea
FACILITY 10 *(tf appticabie) _
NAME OF FACILITY KAYSER-ROTH
STREET ADDRESS 515 WEST BALFCUR AVENUE
ASHEBORO NC
City or Town State Zip Code
CONTACT PERSON L.AVAL CHOINIERE
MAILING ADDRESS 515 WEST BALFOUR AVENUE
ASHESORO NC
City or Town -- -State - Zip Code
336 1, 672.1000
Area cede- Phone number
6, WELL DETAILS:
a, TOTAL OrPTH: 30.0FEET
b. DOES WELL REPI ACE EXISTING WELL? YES C NO 90
a WATER LEVEL Below Top of Casing: N/A FT.
Jce - rf Above 70P of CWine?
d. TOP OF CASING IS NiA `-l . Above Land Surface`
-Tap of casing term,nated allor below land surface may requiro
a vanan^_e In accordance with 15A NCAC 2C .0118
e. YIELD (gpm): _ N/A METHOD OF TEST ti,A_ ,
f. DISINFECTION: Typa N/A Amount NA
g. WATER ZONES (depth).
I rom T o
From rn
rrom To
From To
From 1 o
Fran To
S. CASING:
Thickness/
Depth Diameter Weght Mate�lal
Front To Ft_
From To _ Ft.__
From Ta Ft.
7. GROUT Depth Materi:� Melhod
From To Ft.
From To Ft. _
From To -Ft.___
Ft.
8. SCREEN: Depth Diameter SlotSlre Material
From --To , Ft. In. in.
From To Ft. in. in.
From, —To— Ft—_ in. in.
S. SANDJGRAVEL PACK:
DeIrtt^ Sire Material
From To Ft.
From To FL
Fran To Ft
10. DRILLING LCG
From To
0.0 300
Forinatieon Description i
DIRECT PLISH EUIIPMENT u�
11. REMARKS:
INJECTION POINT 407 S GALLONS OF WATER INJECTED
I DO HER68`r CERTIFY THAT THL5 WELL WAS COONSTRUCTCO (NACCORDANCE WITH
115A NCA ^ WFLL CONSTRLC' IQN STANDARDS, AND THAT A COPY OF TH S
QC-I:ORD �N��� T+E ` LL OWNER.
1011S/0r
51GNATU OF CERTIFIED WELI MWRAACTTOR DATE
STEPFM'r SLOAN
PRINTED NAME OF PERSON CONSTRUCTING THE WELL -
Submit the original to the Division of Water Quality within 34 days. Attn; lnfonnatlon Mgt,
1617 Mall Service Center - Raleigh, NC 27699.1617 Phone No. [phone] ext 569
OCT-15-2007 02:57PM From: 7048720248 ID:CAJNCKLEE AND DINWV
Form GW in
Rev, 'Klf.
Page:017

NONREsiD£NTm4 V1'ELLCONSTRLCTION RECORD
North Cuolino Depmancnt of Environr.9mrit and Nemril Itmoroes-Division orwater Quul,ry
WELL CONTRACTOR CERTIFICAVON # zass
1. tt eLL CONTRACTOR:
STEPHEN $LOAN
Wel Contractor pndrvoual) Name
GEOLOGIC EXPLORATION, INC.
Wel Contractor CoMpBny Name
STREET ADDRESS 11,6 COMMERCE BL.VD
S1ATF-SVILLE NC 28625
City or Town Stott+ Zip Code
7L o4 - 872-7586 _
Arse code- Phone number
2- WELL INFORMATION:
81TE WELL ID 3t1f r ppicat* PT-3
STATE WELL PERMITS(d epplicobie)
DWQ or OTHER PERMIT #(if sopftcaWe)
WELL USE (Check Applicable BON Monitoring O MunicapaWubilC ❑
IndustriallCommarelid ❑ Agricultural Q RecoveTy 7, Inaction 0
IrrlgationL7 Omer 0 (list use) INJECTION
DATE DRILLED 09/27/07
TIME. COMPLETEP,_,.__.__ AMC PM
3. WELL LOCATION:
^I—v ASHEBORO COUNTY RANDOLPH
515 WEST BALFOUR AVENUE
(Street Nern*' N,rrfbera, Com;; nI Y, Supdrosbn. Lot No Panel, Zip Code,
TOPOGIRAPHIC / LAND SETTING.
O Slope F l Vail" I! Flat C Ridge, C Other
(Check appropriate bo%l
LATITUDE Mav be ir, dcgrces.
= minutes, 3cconds or
LONGITUDE in a decfMal romizit
Latitude/tongitude source: DGPS CTopographic map
(bcataun of wo# must be shown on a LISGS topo mep and
attached to this krm. A not using SPS)
4, FACILITY �s ma -,ems ar me Ws; w wriwe *w w 41 �s IxVea
FACILITY ID *(`f applicable)
NAME OF FACILITY KAYSER-BOTH
STRFFT ADDRESS 515 WEST RALFOUR AVENUL
A814EBORO NC
City or Tam State Zip Code
CONTACT PERSON LAVAL CHOINIERE
MAILING ADDRESS 51S WEST BALFOURAVENUE
ASHEBORO NC
City or Town State ZIP Code
33f 672-1000
Area code - $hone number
5, WELL DETAtt-S:
a. TOTAL DEPTH: 3G C FEET
b. DOES WELL REPLACF EXISTING WELL? YES ❑ NO Ir
c. WATFR LEVEL Below Top of Casing N/A FT,
;USe rf Above Top of (asing)
L_ -
d. TOP OF CASING M NIA
FT. Abow Land Surface'
'Top of casing termnatetl at/or below Iona surface may require
a %*ffan!.e in accordance Witt, 15A NCAC 2C .011 B.
o. YIELD (gpm): _N/A
METHOD OF TEST N/A I
t, DISINFECTION Typ• NIA
Amount N-A
p. WATER ZONES laepth):
r Mom Tn
F rom To__
From, To—
From To I
F:cx'— — To_ —
From
R CASING:
TNckness/ i
Cepth
Diameter Weight Material I
From To Ft.
From To Ft.
From To FL
7. GROUT Depth
Mated2i wthod
From To Ft.
Fran!_ To Ft.
From To Ft.
{. SCREEN: Depth Diameter $10 Size MsWls1
From To Ft,
In. In.
Fran,!_ To Ft.
in. — in,
From To Ft.
In to
5. SAND/GRAVEL PACK:
Depth
Size Material
i
Fran To Ft
From To Ft.
Fran To Ft
10. DRILLM LOG
From To Formation Description
010 30.0 DIRECT PUSH F-CRAIPMENT
11. REMARKS:
INJECTION POINT 450 0 GALLONS OF WATER INJECTED.
I
I DC MEREeY CQRTIFY THAT Th11S WELL WAS CONSrRUCID IN ACCORDANCE Wrli I
'SAIC- 2C. Wk CONSTRUCnoN STAYDARCS, AND THAT A COPY OF TH6
RECO SBE NPR TU Wra OWNEfi,
G 15'0:
ir
SIGNAT RE OF CERTIFIED WELL CONTRACTOR DATL
STEFi:EN SLOAN
_ i
PRINTED NAME O� PERSON CCINSTRUCTMIG THE WELL �
Submit the original to the Division of Water Quality within 30 days. Attn: Information MgL,
1617 Mall Service Centsir— Raleigh, NC 276994617 Phone NO.019) T33.7016 ext 568.
Form GW-1 h
Rev, 7105
; ,=,rnr., From: 7048720248 ID:DUNO(LEE AND DIEM Page:015 P=100'.

NONRESIDENTIAL WELL CONSTRICTION RECORD
`bfth Fuolina Depattmcnt of Environment and Natural Resourrec. Division of Watcr Quality
WELL CONTRACTOR CERTIFICATION # 2854
1. WELL CONTRACTOR:
$TFPHEN SLOAN
Well Cwtractor (Indtvioual) Name
GFO�OGIC EXPLORATION, INC.
Well Contractor Company Name
STREFT ADDRESS 176 COMMERCE RLVD
$TATESVILLF NC 18625
City or Tcwn State ZIP Code
t 704 - �_ 672-7686 Area code Phone number
2. WELL INFORMATION:
SITE'HELL ID df(It applicable)-! 1 5
STA i E VVEL-L PERMIr*(If apphcaWe)
DWQ or OTHER PERMIT AM"if applicable}
WELL USE (Check Applicable Box) Mon toiing :1 Municipal/Public ❑
Industnai/Cwrnerdal ❑ Agncultu,al Z1 Recovery ❑ In,*clon r
Irrlpabono Other L' (list use) INJECTION
DATE DRILLED 09/27107
TIMF COMPLETED_ AM G PM ❑
3. WELL LOCATION:
CITY ASHEBCRO COUNTY RANDOLPH
515 WEST GALFOUR AVENUE
(Strad Name, Nunbert, Community, Sv5di,Aeron Lot No., parcel. ZioCede)
TOPOGRAPHIC / LAND SETTING:
❑SWO ❑Valley aFlat CRidge ❑ Other
(Cneck appropnat* bdx)
LATRUDL Mlty be in degrees
minutes,seconCs or
LONG(TUDE in a dcc MI format
Latitudei longitude source: m GPS pTopographic map
(Jocaticn of w@9 must be shown on a USGS wpo map and
61fached to this form tf not r sing SPS)
d. FACILITY. I, uw none of the naimsj wren Ufa wed is 1=&od
FACILITY ID #(If applicable)
NAM- OF FACILITY KAYSER-ROTH
STREET ADDRESS 515 WEST 11ALFOJR AVFNUE
ASHEUURC NC
City or Town State -- Z P; Code
CONTACT PERSON tAVAL CHOINIERE
MAILING ADDRESS 515 WEST BALFOURAVENUE
ASHEe0RO NC
. ty x Town Stare Zip Coale
33C y_ 872-1000
Area woe - Phone number
6. WELL DETAILS'
a. TOTAL DEPTH, $0.0 FCET
b. DOES WELL REPLACE EXISTING WELL? Yi'S ❑ NO C
c. WATER LEVEL 94ow Top of Casing. WA FT.
111,3e + If gt:ove Top of Casing)
d. TOP OF CASING IS NIA
FT, Above Land Surface'
'Top of casing tarn nated War below land Sulam may require
a vorian;.e in accordance with 15A NCAC ZC n119.
O. YIELD (gpm): NIA_ _ --
AaFTHOD OF TEST N/A
f. DISINFECTION: Type NIA
Amount NIA
g. WATER ZONES tdapth)
From To
From T o
f-ror-n To
From To
F-om To
From Tc
S. CASING:
Thickness!
copth
Liarreto VIright vatsial
From To
Ft,
Frprn To
FL
From To
rt.
7. GROUT: Depth
materlai Method
From To
Ft._
From To—
FL
From To
_
Ft.
I. SCREEN: Depth
Diameter Slot She Matoria:
From To
FL_in. in
From _ Ta
Ft. In. in. _
From To
Ft. In. in
9. SANDIGRAVEL PACK:
Depth
Size Material
From To
FL
FM l TD
Ft. _
From _To
FL-
Ia. DRILLING L06
From To
Fortnntion Description
0.0 30.0
DIR FCT PUSH EQUIPMENT
11. RWARKS,.
INJECTION POINT 750.0 GALLONS OF WATER INJECTED,
1 DC HERINY C"TIFY YMT Ttiq WELL WAG CONSTRUCM N ACCORDANC! 1M*H
15A NCAWC WELL CCNETRVCTION STANDARDS. AND P %T A COPY OF TM
R[CO BEEF I.t OWNM.
11Y15107
SIGNATU11111E. OF CERTIFIED WELL :.ONTRACTOR DATE
STEPHEN SLOAN
PRINTED NAME OF PERSON CONSTRUGTMIG THE WELL
Submit the original to the Division of Water Quality within 30 days. A,tn: Informa"on MgLr
1617 Mall Service Center — Raleigh, NC 27699.1617 Phone No. [phone] ext 696.
ID: DUNCKLEE AND DLNJHAM
Faun GW1 b
Rev. 7M5
Paae:013 R- i-100'•

NON R SIDL�'NTTAL wEL<, co;vsrxticr>Iov REcot>;u
North Carolina DcDatr mt i of Loviroomcnt vW NatwA Resources- Dwision of lister Quality
WELL CONTRACTOR CERTITWATTON # 2854
J. WELL CONTRACTOR:
sTEPHEN SLOAN
Well P.ontrWor (Individual) Yame
GEOLOGIC EXPLORAIION, !N(;.
Wei Contractor Company Name
STREET ADDRESS 1175 COMMERCE BLVD
STATESVILLE NC; 28625
Csty or Town Stale NP Cafe
r 704 }- 872-7$S
Area Cods- PhW* nurnber
2, WELL INFORMATION:
SITE WELL ID cifapaiicahle) PT-6 ---
STATE WELL PERMITO(N appirtxde)
DWQ or OT4ER PERMIT #(d applicable)
WELL USE (Check Apphcahle B" Mr)nllcnrq C MunicipaYloubrc I-
IndustrtaVCommartial ❑ Agrlcuitt.Tei O Recovery _] Irjection 0
Irngat.on Other 0 (Wt use) INJECTION
DATE GRILLED 08r27/07
TIME CUMPLETEp AM D PM 0
3. WELL LOCATION:
CITY. ASHEBORO COUNT'r RANDOLPH
S?5 wFST BALFOUR AVENUE
($tn»t Name. Nun*ete, Comrnur^. Subdivision, Lot No. Parcel, Zip Code)
TOPOGRAPHIC / LAND SETTING:
M Stope C Vaiey INplat —Ridge p Other
(chalk epproloriam bm)
LATITUDE May be in de7ees.
-- minute& seconds or
LONGITUDE �n a dectmal format
Lativade/longitude source- CGPS CTopographie map
rbcariorn of weu must bo shown on a USGS t'Opo map and
attached to this form d nOt using GIPS)
4- FACILITY- �s r* name er vie nmirn s w?W* ha .eu -6 located,
FACILITY ID *(?f *Plicebre)
NAME OF FACILITY KAYSER-RO H
STREL r ADORES$ $15 WEST BALFOUR AVENUE
ASHEBORO NC
City or Town State Zip Code
CONTACT PERSON LAVAL CHOINIERE
MAILING ADDRESS 516 WEST BALFOUR AVENUE
ASHEBORO NC
City or Town State Zip Code
r 336 ). 672-1 WO
Area code - Phone number
S. WELL TIFTAIL9:
L TOTAL DEPTH: 30.0 FEET _
h. DOFS WELL REPLACE EXISTING WELL7 YES ❑ NO E,
c. WATER LEVEL below Top 7r Casing: N/A. FT.
(ilse "�' if Above Top of Ca5in8)
d. TOP OF CASING IS N A
FT. Above Land Surface'
*Top of casing termnateo atlo• below land surfsoe may require
a valiance in accordance with 15A NCAC 20 0118.
a. YIELD (gpm): NIA
METHOD OF TEST NIA
f. DISINFECTION: Type N/A
Amount NIA
g. WATER ZONES ,doptM
lm;om i c
From T a
F-orn To
From ro
1•romTo
FrCm�__�To
a. CASING:
I hickness/
Depth Diameter Weight Maternal
From
To Ft. __ !
From
To F(,�
From
TO Ft. !_ _
7. GROUT:
Depth Material Method
From To
Ft.
From To _
FL
-
From To
Ft.
8. SCREEN: Depth
Diameter
SIN Site Msww
From To
Ft.__—
in. f ITI.
From To
Ft.
in. y in,
From. _ Yo
Ft.
in I,
9. SANDIC-RAVEL PACK:
Depth
Sze Material
From To
Ft.
From To�_--
Fr
From To
FL
10. DRILLING LOG
From To
Fortllation Description
0.0 30.0
DIRECT
PUSH EQUIEK T
1
11, REMARKS:
INJECTION POINT 751.0 GALLONS Of WAI LR INJECTFD.
100 HE -,,COY CERTIFY THAT THIS WELL WAS CONSTRUCTED M ACCORDANCE WITH
15A NCACIP, WEL. WN:TRUCrIDN STAAGARUS AND THA1TA COPS (17 TINS i
IIECOgD BEEN taw
T1{
19/151C7
SIGNATURE OF CERTIFIED WELL CONTRACTOR Di, >
STEPHEN SLOAN
PRINTED NAME OF PERSON CONSTRJCTING THE WELL
Submit the original to the Division of Water QualRy within 30 days. Attn: Information Mgt,
1617 Mali Service Center- Raleigh. NC 21699-1617 Phone No, [phone] ext b68.
Form GW-1t
Rev. 7/05
OCT-15-2007 02:56PM From: 7048720248 ID:DUNCKLEE AND DUNHAM Faye:IJ11 ? 11ii

NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Dcpamnent of Environment and Natural Resources- Divisior. of Waiter Quality
WELL CONTRACTOR CERTIFICATION # 2854
1. WELL CONTRACTOR:
STEPHFN SLOAN
vveg Coxmador (I-dlvidual) Neme
GFOLOaIC EXPLORATION. INC.
well Contractor Company Name
STREET ADDRESS 111, COMMERCE ALVD
STATESVIL.LE NC 28825
City or Towr State Jip Code
70( 4 )_ 812-7686
Area Code. Phone- numbe-1
2. WELL INFORMATION:
SITE HELL ID *(If applicable) PT- 7
STATF WELL PERM(T*(e applicable!
DWO of OTHER PERMIT ill applicable,,
WFl L USE (Check Appfcabie Box; Monitoring L3 MunictPal/Public 0
Industrial/Commercial C Agncultural Cl Recowry [-1 In,ection
Irr QSWnQ Other D (list usej INJECTION -
DATE DRILLED 09/27/07
TIME COMPLETED AM :1 PM C
J. WELL LOCATION:
II-Y .ASHEDORO COUNTY RANDOLPH
515 WEST SAL=OUR AVENUE
(Street Nsme, Nunben, Communry $ubdlViwon, LOt Na.. Parcel, Zip Cooe'
TOPOGRAPHIC / LAND SETTING:
❑Slope (Walley (1Flat ORidge C Other
(cheek apprcpnsm box)
LATITUDE May be in degrms,
-- — minutes, seconds m
LONGITUDE in • decimal format
Latitude/longitude source: OGPS gTopographic map
(beatton of wM must be Shown or a USG.S tope map and
attached to this form if not using 3PS)
4. FACIUtY-;s tha nam■ d the Wvri o wean v+e well : Ixs ea
FACILITY ID *(f applicabla)
NAME OF FACILITY KAYSER-ROTH
S-REET ADDRESS 515 WEST 9ALFOLIR AVENUE
ASHEBORO NC
Ctty or Town State Zip Code
CONTACT PERSON LAVAL CHOINIERE
MAILING ADDRESS 515 WEST BALFOUR AVENUE:
ASHEBORO No
City Or Town State Zip Code
336. 572-1000
Area coda- Phone numbdr
d. TOP OF CA511dG IS NIA FT. Above Lind Surface•
'Top of casing terrnwiatac allot below land suAace may requlre
a wance in accorJanca with 1 SA NCAC 2C .U115
e. YIELD (gpm). NIA METHOD OF TEST N/A
f. DISINFECTION: Type P/A Amount WA
g. WATER ZONES (depth):
From Tc From Tc
From To From 'n
From To Fran 10
6. CASING: TNcknese/
Depth Diameter Weight Mate lal
From To Ft.
From To Ft
From To Ft.
7. GROUT: Depth Material Melhod
From
TO
Ft.
From
To
Ft.
From
Tc
Ft.
A. SCREEN:
Depth
Diameter Slot Size Materiel
From
TO
FL in. ir.
Fr7R
TO
Fl, in. in,
from
To,._Ft.
tn. In
S. SANDIGRAVEL PACK:
Depth
Size AAatill"
From_ ,TO
Ft.
From
To
Ft.
From
TO
Ft.
10. DRILLING LOG
From To Formation Description
0.0 30.0 DIRECT FWSM EQUIPMENT
11. REMARKS:
INJECTION POINT 550.0 GALLONS OF WATER INJECTED
I
6_ WELL t7ETAll.9: IOOARKRYCER,it, WYhTHIS WCUWAS CONSTRucMDINACCOPMANCE WrH 111ANCAC WELL
ONSTRUCTiCSTANDARD* ANDTHATAOOPYOFTills
a. TOTAL. DEPTH: 30 0 FEET
j azaAll, -A
1011 $!0'
b. DOES WELL REPLACE EXISTING WELL? YES NO k I 51GNgTU OF CERTIFIED WELL O RACTOR DATE
c. WATER LEVEL Belo % Top of Casing- N/A STEPHEN SLOAN
(, ;e '-' If Alcove Top of (;wng) I PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality wfthln 30 days, Attn: Information Mgt,
1617 Mall Service Center - Raleigh, NC 27699.161' Phone No. (Sig) 733-7013 ext 659.
FWM OW-1D
RW. 7=
OCT-15-2007 00!:56PM From: 704872024P ID:1Xjl,4CKt_EE I*U L)l1f W Pave:009 R=100%

1, WELL CONTRACTOR:
1. DN REsiDENTIAL WELL CONSTRCC nON RECORD
North Carolina Departrncnt of Environment and Natural Resources- Divisior. of Water Quality
VVELL CONTRACTOR CERTIFICATION # 2854 _
— I
d. TOP OF CASING IS N/A FT. Above Land Surface' i
STEPMEN St OAN f 'Top of casing termetatea attor below land .suce rfamay reoulre
a —n—Ca In accor7ance With 15A NCAC 2C 0+18
Well Contractor (Individual) NaMs
GEOLOGIC EXPLORATION, INC
Wei Cor*war Company Name
STREET ADDRESS 176 COMMERCE BLVD
STATESVILLE NC ZEC25
City or Town State Zip Code,
7( ()4 )- 972-76S6
Area coda- Phone number
2. WELL INFORMATION:
afTE WELL 10 4110f sWicatda) PT-8
STATE WELL PERMITt(tf applicable)
OWQ or OTHER PERMIT s(N applicable)
WELL USE (Check Appfc4tte 800 Mon.toring G Munldpal/PvtAC E
IndustriallComm"al ❑ AgrcuMural 0 RAtoveryInjlectlon D
IrngationCl Other p Qlst use) I'JJFCTION
DATE DRILLED 09/27/07 _
TIME COMPLETED AM ^ PM O
3. WELL LOCATION:
r,rry ASHLBORO COUNTY RANDOLPH
SIS WEST BALCOUR AVENUE
(SV"! Name. Numbers, Community. SubdMslon, Lot No.. Parcel. Zip co")
70POGRAPHIC / LAND SETTING'
C]Slope ZiVake) 9 Fla; O Ridge D Other
wreck approonatA box)
LATITUDE Mny be in dcgrm
�- - minutes, secorlCa or
LONGITUDE in a dectmat fonnuL
Latitude/longitude source: :DGPS ❑Topographic map
(jo=8tlon of web must be shown on a USOS topo reap and
attached to this fort If not using CPS)
4. FACILITY -is me gem o of the tueuwea Wilm. &,e well 1s Ixated
FACILITY ID #(f appAcable) -
NAMF OF FACILITY KAYSER-ROTH
STREET ADDRESS Sib WEST BALFOUR AVENUE
ASHEBORO NC
Cdy or Town Stele Zip Code
CONTACT PERSON LAVAL CHOINIEHL
MAILING ADDRESS 515 WEST BALFOUR AVENUE
ASHEBORO NC
City or Town State Zip Code
336 672-1000
A-ee code- Phona number -
1 S. WELL DETAILS:
A. TOTAL DEPTH: 22.0 FEF-
b. COES WELT REPLACE EXISTING WELL? YES NO In
c. WATER LEVEL 9elow Top of Casing: NIA -_ _FT
Use !f Above Top of Casing) - —
e. YIELD (gpm) N/A
METHOD OF TES? NIA
f. DISINFECTION: Type NIA
Amount NIA
g. WATER ZONES (depth)
From To
From
To
vm i0
Fryr
To
From To
From
To
S. CASING:
Thickness/
Depth
Diameter
Weight Material
From ro-- - - Ft'--_ __ _
._.- -—
From To Ft.
_
From To Ft.
7. GROUT: Depth
Material
Melhod
From To
Ft.
From To_
Ft.
From To
Ft.
8, 3CREEN: Depth
Dlametar
Slot Slze Metorlal
Fran To
Ft. in
In -
From To
Ft.ir
_ In
From To
Ft. In
In,
S. SAND/GRAVFL PACK.
Depth
Size
Matefol
From To
FI,
Fran To
Ft.
_
From 7o
Ft
10. DRILLING LOG
From To Formation Description
0.0 22.0 QIR C:T FUSH ECUIPMFNT
I
11. REMARKS -
INJECTION PO!NT 780.5 GALLONS OF WATER INJECTED.
I
I DO W
M ..REBY CER'7FY THAT THIS HLL WAS CONSr1tuCIEp MACCOROANCF MI1TN
A3NAT
LLCON3'RUC!10N STANDARDS. ANO TtAT A COPY OF iF15eEE PROViD '!0 7T1 ELL OWNER
10/15/07
E OF CERTIFIEC WEL CONTRACTOR DATE
STEPHEN S:.OP?:
PRINTED NAME OF PERSON CONS I RUCTING THE WELL
SUbmit the original to the Division of Water Quality within 30 days. Attn: Information Mgt, Form r-,W-1t
1617 Mall Sarvlce Center- Ratelgh, NC 27699-1617 Phone No. [phone] ext 588. Rev. 7105
OCT 15-2007 02: 56PM I0: DUNS k�LEE APiG bUNHGM Pa jr : 00

NON RESIDENTIAL WELL CONSTRUCTION RECORD
North Caroline Deparmunt o"1 nvinmroent and Nanua; Resources- Dnision of Water Quality
WELL CONTRACTOR CERTIFICATION 0 2564
1. WELL CONTRACTOR:
STFPHEN SLOAN
Well Contractor (IndnAdual) Name
GEOLOGIC EXPLORATION, INC.
'Nell Contractor Canpeny Name
STREET ADDRESS '76 COMMERCE BLJD
STATESVILLE NC 20625
City or Town 51ete Zip Code
704 - 872-7686
Area code Phone number
2 WELL INFORMATION:
SITE WtLL 10 iA(it appllcabie)_PT-9
S: ATL WELL FERMITI(,f applicable _
DWO or OTHLR PERMI F 11(if applicable)
WELL USE (Check Applicable Box) Monitoring ❑ MunicipaltPublic
IndustrWCommercial F] Agriculture) C3 Recovery ❑ Injection C
In-iga"mr_ Other, (list Use) INJECTION
DATE DRILLED cx126107
TIME COMPLETED
3. WELL LOCATION:
AML7 rmn
,ITY. ASHESORO COUNTY RANDOLPH
�151VL'bT BALFOUR AVENUE
(Sleet Nam", Numbers, Commurriy, SubdIvlelor. Lct No., Parcel, Zip ode)
TOPOGRAPHIC I LAND SETTING
C ;lope LIValley 9tFlat a Rioge L Otter __
(check sprr+uwiats box)
LATITUDE stay tx in degrees.
- - minutes, ►econds or
LONGITUDE , in o decimal format
Latitude/longitude source: oGPS Topographic map
(roeahon of we!! must I" shown on a OSGS hopo reap and
aitached to Mis form if not usiry riFS)
4. FACILITY is iM game of in* "imoee wnaw vie well if ixaied
FACILI IY 10 *(if applicable)
NAME OF FACILITY KAYSER-ROTH
S i REET ADDRESS 515 WEST BALFOUR AVENUE
ASHE60RC NC
City err Town State lip Code
CONTACT PERSON LAVAL CHOINIERE
MAILING ADDRESS 515 WEST BALFOUR AVENUE
ASHEBORO NC
City of Town State Z p Code
33� 672-1000
Area code - Phone number
5. WELL DETAILS:
a. TOTAL DEPTH:_ 30.0 FEE'
! b. r,OES WLLL REPLACE EXISTING WELL? YES ❑ NO F
i c. WATER LEVEL BdrAw Top of Casing.
,Uae '4' if Atsove TOP Or Casng)
d. TOP OF GA.SING IS NIA FT. Above Land Surface'
'T op a* casing terminated aVor below lend surface may require
a variance In accordance with 15A NCAC 2C 011 C.
e. YIELD (Spml wA METHOD OF TFST NIA
f. DISINFECTION: Type NIA Amount N!A
9. WATER ZONES (depth).
From To From To
From ToiFrom To
From To Fran_ — I o�
6. CASING: Th{Ckneii/
Depth Diameter WW9hl Materiel
From To FL
From, Tc Ft.
Fro% _ Tc FLU_
7. GROUT- Depth Metartal MW%od
From To FL
From Tc__ FL
From To
E. SCREEN Depth ^;arnr;er SIC: Size Metorial
mm TG _ Ft-
From. To Ft. in _ m
From___ _ To__Ft. In.
9. SANWGRAVEL PACK:
Depth Size Material
From To Ft.
From To FL
FrCm___rTo Ft.
10. DRILLINC LOG
From Tu Formation Oeacriptlon
0.0 3C 0 DIRECT PUSH EQUIo'aENT
11. REMARKS:
INJECTION POINT 750 0 GALLONS OF WATFR INJECTED.
100 HEREBY CEIR "THAT THUS WELL WAS CONSTRUCTED INACGOROANCE WnH
r 6A NC.AC WELL CONSTM41 IN STANDARDS. AND THAT A COPY aF TH3
REC0g6 BEEN/��'�'Y THE LlOWN6R,
1a1sro?
SIGNATUFW OF CERTIFIED Wal;CONTRACTOR DATE
STEPIFFN SLOAN
PRINTED NAME OF PERSON CONSTRUCTtNG THE WELL
Submit the original to the Division of Wager Quality within 30 days. Attn: Information Mgt.,
1617 Mall Service Canter- Raleigh, NC 27699•11617 Phone No. (V9) 733-7016 ext 568.
OCT-15-2007 02:55PM From: 7048720248 1. Dui � - L r(r�l <Hi.!
Form GW-tb
Rev. 7105
Pase:005 R=100—

ew .�
I 1. WELL CONTRACTOR:
NONRESIDENTIAL WELL, CONsTxt cTlON RECORD
Nor h Carolina Depal ritent a F.nv mnmcnt and Natural Resmircec- Division of Watcr Quality'
WELL CONTRACTOR CERTIFICATION # 2351
STEPHFN SLOAN
Well Contractor (IndMduai) Name
GEOLOGIC EXPLORATION, IN --
Wei Contractor Company Narne
STREET ADDRESS ',76 COMMFRCE BLVD
STATESVI_LF NC 28625
- - City or Town State 71p Code -
LL(±_� $72-7686 _
Area code- Pt" number
2. VVELL INFORMATION:
SITE WELL 10 *if appllctbie)_ PT 10
STATE WELL PERMIT*(ff sADIIcable)
DWO or OTHER PFRMIT CIF apPlrC2bte)
WELL USE (Check APPUCahle Box) MCNtoring L7 MunldpaWvolic r]
Indu6tnallCor-merc!alrr__ Agncuttural0 RecoveryF? InleCtlonC
ImVation.- Other :n (llst use) INJECTION
DATE DRILLED 0912M7
TIMF COMPLETED AM ❑ PM O
3. WELL LOCATION:
:,iTy ASHEBORO COUNTY RANOOLPH
5 5 WEST BAL;OVR AVENUE
t3trw NnmO, Nunbers. Community SubeWsion. Lot No.. Parcel, Zip Code'
TOPOGRAPHIC / LAND SETTING,
, Siopa -,VWI y g Flat L: Ridge L Other
(Cmt : appropriate box)
LATITUDE _ May be it degees.
minutes, sccands or
LONGITUDE __- _ _ in a decimel tonnai
Latitude/longitude <ource: DGPS pTopographic map
(lp^ation of wetj must be $moan on a USGS topo rtap and
afte Chad to this form it not vs+n4 SPS)
4. FACILITY is oar -..eme or the t.,eineex wi-m ell well Is 1J ea
FACILITY ID #(1 apPdcable) _
NAME OF FACItJTY KAYSER-BOTH
STRFFT ADDRESS 515 WEST SALFOUR AVFNUE
ASHEBORO INC
City or Town State Zip Code
CONE AC' PERSON I_AVAL CHOINIERE
MAILING ADDRESS 515 WEST BALFOUR AVENUE
ASHEBORO NC
City or Town SU40 Zip Coda
331 _j 672-1�000
Area code - Phone number
5. WELL DETAILS:
& TOTAL DEPTH: 30.0 FEET
ib. COES WELL REPLACE' EXISTING WELL? YES C NO E
r.. WATER I. FVEL Bauw Top of Casing: NIA �7.
If Atarve Top of Casing)
i
d, TOP OF CASING IS N/A
FT. Above Land SurfaC9'
-Top of casing tarmoated at/or below land surface may require
a variance in accordance with I SA NCAC 2C .011 b.
AL YIELD igpm), NIA ,
METHOD OF TEST N/A _
f, DISINFECTION: Type NIA
Amount NIA i
g. WATER ZONES !depth).
From To
From -0
From To--
From To_,
From To
From_ Tc
6. CASING:
Trjz�knes&
Depth Diarreter Weighl Mdte'ial
From
To Ft.^,
From
To _ Ft.
From
To Ft.
7. GROUT:
Deptt, Material mmhod
From To
Ft,,
From To
Ft,
From To
rt___
6. SCREEN: Depth
Diamete,
Slot Size Materte
From To
Ft._
From 70__-
_ f"t_
_ _ tn, in,
FronTo_
Ft
In. 94
S. SAND/GRAVEL PACK:
Depth
see Ms"
FrOM ro
Ft.
From To
Ft,
F«xn To
Ft.
10. DRILLING LOG
From To
Formation Description
0.0 30 0 J
D1F
CT eU2j_j 11PM NT
11. REMARKS:
INJECTION JOINT $02.0 GALLONS OF WATER INJECTEr)
i DO HERE8Y CERTIFY'*HATTMIS WELL WAS CONbTRUCTED IN ACCORCANCE VW H
11A N AC .Wes= CD! MIJit10N STANDARDS, AND rAAT A COPY OF THIS
RECORD we Ov10 T}1E L_ YN�Era.
101� S/O'
SIGNATURE OF CERTIFIED WELL CONTRACTOR DAT L
s,sP.�*r SLOAN
PRINTED NAME OF PLRSUN CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn: Information Mgt.,
1617 Mail Service Center — Raleigh, NC 27699.1617 Phone No. [phone] ext 668,
Form GW-IL
Rev. 7/05
OCT-I-:- 2007 OL:S_FM From: 70487L`:-1-�; ID:DUNCKLEE AND DUNHAM Paae:0011 R=luu*•

j
WE�I L ABANDONNIEL T RECURD
North Carolina Dtspanment of Environment and Natural Resourccs-Division of Water. Quality
WELL CONTRACTOR CERTIFICATION # 2854
t: WELLCOVTRACTOR:
` STEPHEN SLOAN _
well Conuactor(Individa.4 Name
GEOLOGIC EXPLORATION, INC..
..Well Connector Comm Nune
STREET ADDRP3S 176 COMMERCE BLVD.
STATESVILLE NC 28625
City. or Town state Zip Code
872-7686
Area code •'Phone number
2: WELL INFORMATION:
SITE WELL 10 W (if avplicsbie) P,T-1
STATE WELL PERMIT is (if applicable)
COUNTY WELL PERMIT #,(if applicable)
DWQ or OTHER MMIT # (if applicable) -
WELL USE, (Check applicable use): ❑ Monitoring ❑ Rcsideatlal
lj I► -unitipal/Poblic ❑ IndwtAWCommeretai ❑ Agricultural
0 Rttovery 0'Weetl0ll ❑ Irrigation.
d Other (list use) _
3. WELL LOCATION:
COUNTY RANDOLPH QUADRANGLE NAME
NEAREST TOWN: ASHEBORO
515 WEST BALFOUR AVENUE
(Soom%osd Name, Namber; Cestmuniiy, Subdivision I.ot Pre.. Pared. Zi Code)
TOPOGROMIC / LAND SETTING:
Q slope p Vallgy []Fiat 0 Ridge p other
(Check appropriate selling)
LATIT1DE c*nd .
_ inlnutOs. aecortdsa in a
LONGN UDE d5cim11 foanat
Ltatitude/loiiattude sourte: Q GPS ❑Topoersphic m®p
(Lotwor aftell moat be lhmm on a MOS tope map and
artached to *2 form (f not rising GPS,)
Aa. FACILITY- The roam of the buaness whore ft well it touted, Cocnptcm 4A i nd4b.
(Ift resideodel'MIL RIdp 4®; complete 4b, well a„mer.Womwtion only.)
FACILITY Ile #(if applicable)
NAME OF EACiln-yKAYSER-ROTH'
STREET ADDRESS, 515 WEST SALFOURAVENUE
ASHEBORO' NC
City or Tom State. Zip Code
db CONTACT PERSOMWEML OWNER,
NAME LAVAL CHOINIERE
STREI ADDRESS515MSTBALPMRAVENUEASHEBORO.NC
& WELLDETAILS:
a.TotalDepih: 30.0 ft. Diametcrin.
b. Watcr Level (Below MeasudAg Point): tt
Messuting point is -R above land surface.
6. CASING: Length Diameter
a Casing Depth (iftmawn): MIA ft
ft in.
' I]` h Casing Removed: ft in,
7. DISINPMION: N/A
(Amount of 650/6-75% calcium hypochlorila used)
S. SEALING MATERIAL:
Ccmcnl " lb. Cement_- lb.
Water gal. Water" gal.
�OL411ii4
Benronit` lb.
Type: m,Sluny ❑P611ets
Wstcr gal.
other
Type material PORTLAND BENTONITE SLURRY
Amount 0.0,GALLONS
9. EXPLAIN METHOD OF EMPLACEMENT OF MATERIAL:
AA PORTI AND 13FHMNITF SI 11RRY
INJECTION BORING
10. WELL DIAGRAM - Draw a detailed sketch of the well on the back of this
form showing total depth; depth -arid diameter of screens (if any) remaining
in the wall gravel interval. intwvata of caring perfdtutioas, and depths and
types of fill materials used.
11. DATE WELLABANIIoNED 9/24/07
I DO IIERMY CERTIFY THAT THIS WELL WAS ABANDONFA IN ACCORDANCE
WITH I M NCAC ZC. WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF
Tt t13 REiC RD MAS BEEN PROV mED TO THE W= OWNER.
yd L 10/15/07
SIGNATEIRWOFCERTIFIED WELL CONTRACTM- DATE
' SIONATtMF QV PRIVATE WELL.OWNER ABANDONING THE WELL DATE
(Tito private well owi ner nuu bean indivw" who a6i edons histher,asidcarial well
in s:cardasee with ISA NCAG2C .0113.)
STEPHEN .SLOAN
PRIMPED NAME OR PERSON AHANDONINO TitB WELL
Submit a copy: to the•owaer'and lka original to the Divisiou or Wawithin ter Quatity 30 days,
Attn: Inrormallon Management,1617 liiptl Servim Center -Raleigh, NC 27699-1617: Phone No. (M9) 733-701S eat S69.
Form GW•30
Rev. S/06
OCT-15-2007 02:58PM From: 70.48720248 ID:DUNCKLEE RND DUNi-lRM Paiie:018 R=100%

WELL ARANDONXEN1 RFC BU
North Grohs& Deporbaent of Fcivironmcnt and Natual Resourcts- Division of Water Qualit)
WELL CON RACTORCERTIFICAMN iy2864
1, VAU1 CON CRACTOR:
STEPHEN $LOAN
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC.
Well Contractor Company Name
sTRFEy ADURpss 176 COMMERCE BLVD.
STATESVILLE NC 28625
City or Town State Z. p Code
f 704 . 612-76N
Area code - Phone number
i 2. WELL INFORMATION'.
STTT WELL ID u (if applicable) PT-2
STATE WELL PFRNM * (if appiica5le)
•. COUNTY WELL PERMIT # (if sPP)icablci
DWQ or OTHER PERMIT d (if appiicahle)
WELL USE (Chock applicable use) ❑Monitoring ❑ RcOdential
I] MuoielpNRublle ❑ Indriorlal/Cominercial C Agricultural
❑ Recovery 10 Injection ❑ Irritation
❑ Other (list use)
3, WELL LOCATION:
COUNTY RANDOLPH QUADRANGLE NAME
NEAREST Towel ASHEBORO
515 WEST BALFOUR AVENUE
(StreevRoW Ntme, Number, Cworninuty. Subdivision Loot No., Paired, TAP Code)
TOPOGRAPHIC / LAND SETTINO'
❑ 5:ope ❑ Vail y ❑ Flat ] Ridge 0 Othcr
(Check appropriate setting)
tinny tir in dcgrtoe.
LATITUDE _ wintlea. seconds. ur ,n a
dccowl format
LONGITUDE
latitadelbngttade source: ❑ GPS ❑ Topographic map
7,ocarroe ofi+ell mrur be Shown on a USGS tope may and
attached to rhiS form tine! wring CPS.,'
4i FACILITY- The tu+— oi'me btutnets. here the wet is located Conipkte 4a andtb.
(if. -wentaal well, slap 4a, complete ab. wcU r+. -ferxtadon only )
FACILITY ID N(if applicable) _ _ _
NAME OF FACILrrY KAYSER-BOTH
STREET ADDRESS 515 WEST BALFOUR AVENUE
ASHEBORO NC
City or Town Sou -----ZipCode
4b. CONTAC,-r PEASONAVELL OWNER:
NAME LAVA'_ CHOINIERE
STREET ADDRESS 519 V*ST SAccwR AVENUE ASMEBORC. NC
6. WELLDETAILS•
&, Total Dcpth: !� ft. Diameter:— —in
b Waw Level (Be!ow.Measuring Point) ft.
Measuring point is ft above land surface.
6, CASING:
a Casing Depth (ii known): NA 1t
b. Casing Removed, Rw—ft
7. DlsraEcriom NIA
(Amount of 65t/a-75% calcium hypochlarite used)
L SEALING MATERIAL.
Diameter
Pleat C what SArr LzmrzL
Cement if, R,
Water— yal tcat;r ea
Ben ignite
Brnionite Ib
Type: 0 Slum- Opellm
Water gal
Other
Type material PORTLAND BENTONITE SLURRY
Amnrtnr 6.0 GALLONS
in.
in
9. EXPLAIN METHOD OF EMPLACTMEN'T OF MATERIAL:
vIA PORT AND BENTONIT RR
INJECTION BORING
10. WELL DIAGRAM Draw a detailed Skwh of the well on the back of thu
form shooing Jowl depth, depth and dnmete' of screens (tf any) remaining
rn tl,, we1L gravel interval, tntcnals of casing per6rattons, and depths and
types of fi:1 materials teed.
11, DATE WELLABANDONEI) 9/25/07_-
I DO HERESY CERTIFY THAT THIS WELL WAS ABANDONED LV ACCORDAN I
WITH 15A NCAC X. WELL CONSTRUCTION STANDARDS, AND TFIAT A ctii,Y r lF
TM MC HAS BLEN PRO IDt D OK"DER
10/15/07
StZ'NATVRE FCYIt71FIEDWLLLCOPITRACeOIi DArE
SIGN4T'I:RE OF PRIVATE WELLOWNEat ABANDONING THE WELL DATE
(The pr vale wall ormcr mum !>e an mdividua: w'ho &CtaSZasliY tbaadorn h atdaer ntider tial well
in ace)rdanee w,rh 15A NCAC 2C 010.)
STFPHEN SLOAN
PLANTED NAME OF PERSON ABANDONING THE WELL
Submit a copy to the owner and tke original to tht Division of Water Quality within 30 dayt-
Attn: Informatlom Manatttlltat, 1617 Mail Servkc Center - Rakigh, NC 27699-1617, Phonc No. (919)733 i015 tilt 569.
Fats GW-30
Rev 5/06
OCT-15-2007 02:57FI i = 4=, - . ICJ:DUt4CK.LFE Af•ID DUNHAM Page:016 P=10 t'.

4648720248 P.14
MLL ABA DQNMENT RECURn
North Carolina Departrncni of Environment and Nataral Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION #2854
1. WELL CONTRACTOR:
STEPHEN SLOAN
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC.
Well Contractor Cornparly None
STRM ADDRESS 176 COMMERCE BLVD.
STATESVILLF NC 28625
Ciry or Town Suite Zip Code
C704� _ 672-76B6
Area code - Phone number
2. WELL INFORMATION:
SITE WELL ID 41 (if applicablc) PT-3
STATE 1IoTLL PER�IIT 0 (if applicable)
COUNTY WELL PERMrI k (if appi"ble)
DWQ or OTHER PERMIT tl (if applicable)
WELL USE ,'Check- applicable use) ❑ Monitoring ❑ Residential
❑ Nfunlopat/Publlc ❑ IndostrlallCommetclal ❑ Agricultural
❑ Recovery YjZ Injection ❑ Irrigation
C Other (list us^ t
3 WELL LOCATION:
CntiNi 7 RANDOLPH QUADRANGLE NAME
' EAUST TOWN: ASHLBORO
515 WEST BALFOUR AVENUE
(Saroe✓Row "._rumba, Gwnmwttry, Su"Vision. Lot No, vorwi, Zip code)
TOPOGRAPHIC i LAND SETTING
❑ Slope C Vrlley ❑ Flat ❑ Ridge ❑ Other_
(Check appropriate setting)
;-ATI TUDF MaY ba n degree..
-- �- - -- nunaics. ?Coond,. or ai a
dectm-I fonrat
LDNGIT.;DE � __
Lotituddlaagkudesourcc: C]GPS ❑Topographic map
/Lox000n of weff murt be shown on a USGS tope mop and
mvached to this form if Gar iueig GPSJ
4a. FACILITY- The n.ma ePdfe busmasi .hare t9e wen is located. Comnlau: as and4b,
(Ifs rasideai well, %LV 4 a: wpry eoe 4b, wch 9- inrbmlahm c-ly. )
FACILITY ID #(if appliable)
NAME OF FACILITY KAYSER-ROTH
STREi 1 ADDRESS 515 WEST BALFOUR AVENUE
ASHEBORO NC
Ciry or To%n Stele zip Cade
4b. CONTACT PERSONMFLL OWNER
NAME LAVAL CHOINIERE
STREET ADDRESS 615 OZOT 9ALFOM AYCKC. ASttEBtMO, KC
6. WELLDETAILS:
a, ToUl Depth. 3C.0 f2 Diameter'
b. Water Level (Below Measuring Point) ll
Measuring Doictis ft abovc land surface.
6. CASING: I cnsth Diameter
a Casing Depth (if known): N/A ft in
b. Casing Rcnoved: N_.11 n
7. DISINFECTION: N/A
(Amount of 05105% calcium hypochionte used)
8 SEALING MATERLkL.
oat C'rmrnt G.nd r "rirel
Cemcn -- Ib. Corn n1
vtstcr_ — —�- gal WEIMt
g o-11rig
Benlonite lb.
Type: Z Slurry ❑Policts
u✓atcr _- dal.
Qther
Typo material PORTLAND BENTONITE SLURRY
Amount 6.0 GALLONS
9. EXPLAIN METHOD OF EMPLACEMFN'T OF MATERIAL.
VIA PORTLAND BENTONLT - S! 1RRY
INJECTION BORING
IQ WELL DIAGRAM, Draw a detailed aCtch of die well on the back of this
form showing twl depth, depth and diameter of xr"ms (tf aM) remaining
in the Walt, gavel interval, intervsk ofeating perforatior% and depW and
typos off it mettruds w6d,
11. DATE WELL ABANDONED 9/27107
I DO HEPMY CERTIFY THAT THIS WELL WAS A&ANDONED IN ACCORDANCE
Wrni 15A WAC ZC, WELL CONSTRUCTION STANDARAS, AND THAT A COPY OF
Gilts ( HAS BEX-N PROVIDED TO THE WFLL OWNER.
..� 10/15/07
SI . 1 OF C6R7rrtE0 WELL C NTRAC It7il DATE
SIO—IW�OFPRft'4't'Lr'YF'ELLOW1vtRAliANQQ+vevG'[8RR•lll.t, OATS
(rho p*att wall ownet least be an indvtdt* w%* Mwaillr abandons &Aor tw4prVei t wa
in mcGfdiiioca -6 IAA NCAC 2C .0113,1
STEPHEN SLOAN
PRVnTD NAM1 OFPERSON AD&NDIINING THE WILL
Submk a copy to the o.. oer and tie ariglnal to the 1)K1141t of Wanes' Quatity within 30 days. Form OW 30
Atf s: lorormatioD Management, 1617 Mail SeMice Center - "Iaigh, NC 21699-161', Phone Rav_'i x
OC7 15-2Gxt7 02:57PM From: 7048720248 ID:DUVCKLEE AW Da4-IAI'1 Pacte:014 R=10 '.

WELL ABDONMENT RECORD
Notch Carolina Depertlncril of Environtneat and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTtFICATiOI% 0 2854
1. WELL CONTRACTOR:
STEPHEN SLOAN
Well Contractor (bdividival) Name
GEOLOGIC EXPLORATION, INC.
Well Contra= Company dame
STREETADDRFSS 176 COMMERCE BLVD.
STATESVILLE NC 28625
City or Town 5wte Zip Code
7( 0 . 672-71586
Area code - Phone nvmber
2. WELL INFIDILMATION:
STTE WELL ID 0 (if applicable) PT-5
STATE WELL PERMIT a (if applicable)
COUNTY WELL PERMIT M (if applicable)
DW Q or OTHER PERMIT N (if appl:cabk)—
WELL USE (Chockapplio" tue) ❑ Monitor-- [Z 8aidedadol
❑ MtnNdpaWaMk ❑ IlatduatriavCommercisl ❑ Agtr CEMWal
❑ RecoVety m IajeM10111 ❑ Irrigation
❑ Odta (list use)
3. WELL LOCATION:
COL'N"t Y AAMDOLPf QUADRANGLE ?FAME
NEARFSTTOWN ASHEBORO _
515 WEST BALFOUR AVENUE
(StraVRood N me N..:ibec Communit), Subdivision. Lot No. Paces, Zip Code)
TOPOGRAPHIC / LAND SETTING:
O slope o Vibe, ❑ Futt ❑ Rtdgc ❑ Other_ -
(Check appropriate Setting)
i`1ay to in de¢rca
L.ATTTUDIE _ rmmil s, wcxnds, or in a
deainnl formate t
LONC?MJDE
Latitudc9oagillude source•• ❑ G?S CITopographle map
(Location of wg1l MWI be rhoWr, orl a USGS ropo map and
artocW to tius form (from UAMg GPS-)
IL FACMIYY• ,he none afihc busine" where the well ,< io:ated 'ompicte 4a m6lb.
(Ifa residential well, skip 3a compime 4b, well ancr infurtrelion only )
PACILITI' ID MOf applicable; _
NAME OF FACIrrY KAYSE R-ROTH
STREET ADDRESS 515 WEST SALFOUR AVENUE
A.SHF.BORO NC
City or Town suit. 7tp Cb k
4b. CONTACT PERSON/WELL OWNER:
i NAME LAVAL CHOINIFRE
STREET ADDRFSS 5,5 VEST ILFOUR AVENUE A'HCOOR0. NC
6, WELL DiTAILS:
a. Tt w Depth : 30. 0 tl DI"Mer U1
b. Witter Level (Below Mcasunng Point), fL
mopcuring polm is R. above land surface.
E CASING'
Length Dimmer
a Casing Depth ()f known) NiA f) in.
b Casing Removed. NTA- R in
7. DISINFECTION: N/A
'Amount of 65%.75% celCturt) h�pochlcriw uv-d)
8 SEALLNG MATERIAL:
ale of ("mom Sand (-rm►wt
Cemem - lb. [absent— lb.
water" gal. Wawr-,—_ _Sal.
sedlonite
Bentonim Ill.
Type 21SILrfy ❑Pellets
water_ Cal.
Other
Type material PORTLAND BENTONiTE SLURRY
Amount 6.0 GALLONS
9, EXPLAIN METHOD OF EMPI4,CENIENT OF r1ATERIAL:
_W P 2RTI-ANVJffbTON 1E %l U_RRY--
INJECTION BORING
10. WELL DIAGRAM, Draw a detailed sketch of the well on the bark of this
form showing total depth. depth and diameter of screens (if any) temauttng
in the well, gravel interval, intervals of casing perforariols, and depths and
types of fill matcrials &ed
11. DATT WELL ABANDONED 9/27/07
100 HEREBY CbXTIFY TF1AT THIS WELL WAS ABA,NDONIM N ACCORDANCE
WITH 15A NCAC 2C, WELL CONSTRUCTION STANDARDS, ANP THAT A COPY Of
Ttt1S RFC tlk' BEEN PRO�'I. Tjl� OWNER
�,��jJ �+�(/ 10/15/07
$1 'NATURE PCLRTIM0 WELLCONTMICTORD+►TE
SIGNATURE OF PRIVATE WCLL OW49R AnANDONI)NO TN!' WELL DATE
(,Ile PriVaiewall owns mmut be art individual who pjjgpaµXabWdom hniber residential vcl!
le accordance wiuh 15A vCAC 217,0111)
STEPHEN SLOAN _-
TRINTRD NAME OF PERSON ABANDONING TNT, WELL
Submil a copy to the owner and the original to the Dh isioa of Water Quality Within 310 dayc. Fcnn GW -30
Attu: tnformatioa ManageneaL 1617 Aims Servkc (:cater - Raleigh, NC 276"-1617, Phone No- [phone] ext 5611. kry 54b
OCT-15-2007 02: 56PM From: 704872W48 ID: DUHCKLEE AND DUNHAr-1 F :, _,.- : t l : F-1-111:1.111.

. %ILL ABANDONMENT RECORD
Nortli Carolina Department of Envirowricat and Natural Rnources- Diviiion of Water Quality
WELL CONTRACTOR CERTIFICATION # 2854
I. WILL CONTRACTOR!
STEPHEN SLOAN
Weil Cmulcror (Mividual) Name
GEOLOGIC EXPLORATION, INC
Well Centro rw Company Name
STREET ADDRESS 176 COMMERCE BLVD.
STATESVILLE NC 28626
City or Town State 7_•p Code
872-7636
Area code - Phone number
L WELL INFORMATION:
SITE WELL ID a (if applicable) PT-6
STATE WELL PEILMIT a (if applicable)__.
COUNTY WELL PERMIT #
DWQ or OTHER PERMIT Is (if appiicable _
WELL USE (Check applicable use) n Monitoring L: Re-lidcnttal
❑ MankipatiPub)ic ❑ Industrial/Commercial 0 .ARrlcukural
❑ Recovery Z Injection 7 Irrigation
❑ Other (list use)
I 1 WELL LOCATION:
CUu N IY FtANDOLPH QUADRANGLE NAME
NEAREST TOWN' ASHEBORO
515 WEST BALFOUR AVENUE
i (Samar/Aasd Nam Number, Ctraaaaiity, Subdivision Lot No.. PF x,. Gp Code)
iTOPOGRAPHIC i LAND SFT-rNG
[7 Slope I] Valley ❑ Flat ❑ Ridge [I Other
(Check appropriate setting) ---
LATITUDE May be in degree:,
I — -- minces, seconds. cr in v
LONGITUDE dmtnmai femrt —
Latiadollongitudesource: [DGPS ❑ToPOgraphicinarp
Loratior. of well m ksr be shown on a USGS topo map and
1 attached to thus jonn f f nne using GPS.)
4a FACILITY. The name of nr business wham sic Wcl: it load. Colt pkm 4a aid4b.
(lf a rmcideanal we0. sap 4a: corny;w 4b, well aww ,nformtimn aoty.)
FACILITY ID N(if applieabla)
NAM, E Of FACILITY KAYSER- ROTH
STREET ADDRESS 515 WEST BALFOUR AVENUE
ASHEBORO NC
City or Town State Zip Code
' 4b. CONTACT PERSON/WELL OWNER:
NAME LAVAL CHOINIERE
STREET ADDRESS $18 WEST SALFOtAA AVE►aJE A$rifHORC. NC
6. WELLDIRTARS. j
a Total DoptF: 30.0 ft_ DAmeter in
b. Water l evcl (iie;ow M. cwurtAg Point) ft
McLsuring point is ft oboe lard surface
6. CASING:
Length Diameter
a. Casing Depth (if knoµm).
NIA ft in
b Casi.ig Rr-moved
`
ww-- it 7.
7 DISINMECTION: N/A
i
;Amoiird of65%-75%ca lv'n
li jT<x ilorlte usM)
9 SE..ALLNG MATERIAL:
Csreeot
Nrad
Cement lb
Cand ('cmrn:
Cement--
Wwr -- gal
Elgatonite
A'ater
Rcntontte Ib
fvpe QISIUm' L TICllcts
Wlttcr P1
Cher
Type rnutati:i PORTLAND BENTONITE SLURRY
Amount 6.D GALLONS
9. EXPLAIN METHOD OF EMPLACEMENT OF MATERIAL.
VIA-P-QR,IANIRENTONITE GLIIRRRY �.
INJECTION BORING
10. WELL DIAGRAM: Draw a detailed sketch of the %ell on the back of this
form showing total death. depth itnd diameter of Screeds (if any) remaining
in the well gra%:i intcnal, intervals of casuig perforations, and depths and
types of fill mstonurc used.
11. DATE WELL ABANDONED 9127107_. _
i t)o MRF6Y ChkTlrY TTAAT THIS WE" WAS ASANDONM 114 ACCORDANCE
WITH 13A NCAC ZC, WELL CONSTRUCTION STANDARDS. AND TttAT .A COPY Or
TIM R HAS REIN PROVIDED TO THE NR,It OWNER.
O&OL-e -00 10/1907
SIVATCItE cKK1rIPI6YWUA.COhMaACT'ft DATt
SIGI tLlkEOFPIUVATCWRL.LON MERAII,IL'MONMTWIWELL DATE
(The privets well o.ner rsaae bow iadvidua! who pcnambabseidoi IIIOw nsmirmid Men
in ttocardanea With 13A NCAC 2C .0I t 3, )
ST'EPHEN SLOAN
PRINTED NANI OF PERSON AIANOONING THE WELL
Submit s copy to rbc owner and the origfnai to the Divisiots of Water Qsshity vi,016 30 daPa.
Attn: lnrrinnatioc ,Mansigmemt. 1617 Had $mice Center-Rsfielgh, NC 276"-161T, PAooe No. (4I9)133.70lS c=t 5"
Fo-in GW -r
Rey 5.',16
OCT-15-2007 02:56pm From: ?048-(-2W40 ID:DUNCKLEE AND DuNHAM Pane:(I10 R-zI0C)'•

f et40 r GYJL40 t' . lab
nIL ABA M RkI, M_
Nvorth Carolina Depattinfti of EnvironmentCand Ntlmral Resources- Division of Wacer Quality
�-= WELL UUN IXAi: tU [ 1Ct llflirF
L WELL CONTRACTOR-
• � ,&ELPHEN SLOAN
well Contactor (Individual) Name
GEOLOGIC EXPLORATION, INC.
Well Contractor CompanyNeme
, STRP.E1' ADDMS 178-COMMERCE BLVD.
STATESVILLE, NC 26625
City cr Town - State` Zip Code
7� 04 _ , _ 872a686
Area code - Pbose number
?.WELL INFORMATION:
SITE WELL-IDfI (if pMlieeble) PT-7
STATE WELL PERMIT N (if applicable)
COUNTY WELL PERMIT 0 (ifepplicable)
DWQ or. t TOM PERMIT :10 (if .applimlik)
WELL (1SL (Check sppliceble use): ❑ Monitoring ❑ Resldentisl
Q MnnicipaMbne 0 Industrial/COrnmercial (j AQri ttlitiral
E7 Recovery 0 Irjecflon ❑ Irrlgortion
❑Other (list we)
3. WELL LOCATION:
COUNTS! RANDOLPH QUADRANGLE NAME
11EAREST TOWN:, ASHEBORO
515 WEST BALFOUR AVENUE'
(SveeVRoed Muse, N.&&, C=M-itY, Subdiviaioq Lot No.. Poroei. /r'p Gotle)
TOPOGRAPHIC / LAND SErrJNG:
EO Slope E] vs,lay O Flat �:Riage p oilier
(Check.approptWe scuing)
May be in degrees;
LAUDS _ tnjwxes. semid3. or in a
decimll foarzt
LONGITUDE
LailtadtUneltudegouree: OPP$- OTopogrephiemap
(Locallon of wtll mug be shown op, a 11$GS rope map and
otfacised to rhisform ifnat usmg (74)
4i. FACILITY- The neme of tiro bye wbm the wc1 is located. Co*cm 4a andCb.
(Ifa rejW=0d well, a tip 4a; c doplete ab, well-cant-ititomndan only.)
FACILITY ID 9(if applitabla)
NAME 01F FAcn tr:YKAYSEr% ROTH
5TRE-F ADDRESS 516 WEST BALFOUR AVENUE
ASHEBORO NC
City or Town Sete Zip Coda
ab. coNTAce PCRWN/WELL OWNER:
NAMS L•AVAL CHOiNIERE
STREET ADDRESS 546 WEST SALFOUR AVENUE "HEBORC, NC
TION
6 WFLL DETAILS.
6. Totbl Depth: 30.0 R: Diameter. 'in.
b. Water Lcvcl (Below MtasWing POiot): R
'Measuring point is, ft above land surface.
6 CASV;G: LCngw ' Diameter
e. Cesing Depth (if known): N/A R in.
b. Casing Removed: �A . - ft in.
7. DLSLNFE(:fION: N/A
(Amountof65%-75%calciwn hypochlorithwed)
S SEALING MATERIAL -
Content "'
lb:
Cement—
l.b.
�►'ettir--
i�Ht4DtIg
gal.
Vt'ater"
gsl.
Bonttjn 0 lb.
Type: ZSltnry OPellets
Waterer gal.
ther-
7ypematecial,-PCRTLAND BENTONrrE SLURRY
Amount` 6.0 GALLONS
9. EXPLAIN METHOD OF EMPLACEMENT OF MATERIAL:
t/I® QOR7 AND BENT�pjIT S 11RRY
INJECTION BORING
10. "WELL DIAditAM: Draw a dotailed.aketch of thewell on the back of this
form showing towl depot, depth➢nd,diameterof screcns:(if any) remaining
in the wok -g cal interval, intervals oftasing perforations, and depths and
Wprspf Gll. matcrials.uscd.
11: DATE WELL ABANDONED 9f27f07
I -DO HERUY CPRTIFY THAT THIS WVJ- WAS ABAXI)ONED fN A000RDA14CH
wrrH ISA NCAC 2C. WELL CONSIRUCTIO14 STANDARDS. A.HD THAT A COPY OF
rMS I the
X;AA-09
S SEENPROVIDED TOTHE WELL.OWNER. -& , , 10/15/07
SIGNATURE FCERTIFIEDWELL CONTRACfOR DATE
SIGMA•1'IIREOFPRIVATEWELL OWNER ARANDONING' HZt iELL DATE
(nftc ptiwta watt owner-Tm= bean icdividud -ett
in owordance with 15A NCAC 2C-,0 t 13.).
STEPHEN SLOAN _
PRINTED NAME OF PERSON ABANDONING THE WEU
Submit a copy to the owner turd at original to the Division of WaterQna11ty wlthib 30 days.
Attn:.rnfnratatlot► Managamtmt,1617-Mott Service Center —Raleigh, NC 27699.1617. Phone NQ- (919) 733-"015 czt S68.
Form GW 30
Rev. 5/06
❑CT-11-3-2007 02:56PM From: 7048720248 ID:DUNCKLEE AND DUNHAM Page:00e R=100%

vv LjL A aA,DinoMEvT CORD
North Carolina Department of Envircrunent and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION #2854
L•WELL- CONTRACTOR:
.STEPHEN.SLOAN
Well Contactor (Individual) Name
GEOLOGIC EXPLORATION, INC:
Well Contactor Company Name
STREET ADDRESs 176 COMMERCE BLVD.
STATESVILLE NC 28625
City or Town, Staid Zip Code
7L_04_-) - 872-7686
Areacode.- Phone number
2. WELL INFORMATION:
SITE WELL ID N (if ajp))cable)'PT-8
STATE WELL PERMIT 10 (if applicable)
COUNTY WELL PERMIT d (if applicable)
DWQ or OTHER PERMIT # (if npphmblc)
WELL USE (Check applicable use): C) Maaitoring [ Residential
❑ MuaIcIWUPublie• ❑ .Industrlal/Cooumerdal ❑ +grriculwtel .
❑ Recovery- .0 IIUP*Iion. O brig;clan
0 Ocher Gist use)
3. WELL LOCATION:
COUNTY � DOLPN QUADRANGLG.NAME
NEAREST ToWN: ASHEBORO
515 WEST BALFOUR AVENUE
(8hrea .d Nurse -Numbs , COMMM ry, Subdivision, Lot No.. Parcel, tip Cade)
TOPOGRAPHIC f LAND SETT imo;
❑ Slob El VeJley. ❑ Flat El RidV❑ Other
(Check.approprimte k0ng)
n de3reez.
LATnuDE. atvyiaarcam, he iseom
— tnds..ar in a
• dcoiinl'Conrsr•
LONOMME _
Latitudeflongltodcsotirce: OGPS ❑Top*"fiicmnp
(Lacatiort of Weil nrvsi 8e shown art,a flSGStgpo ►trap gad
attached to thisform (flips wring GAS)
4t1. FACILITY- Tho.nmttanetlte btuinasf where rho wall is (anted Comple[c 4.1 md4b.,
(tf■ resikatisi viaU, Wp 4a: conpiaw 4b, well awnerinfomadon Cifly,)
FACILITY M NO applicable)
NAME of PAP= K YSER-ROTH
STREET ADDRESS 515 WEST BALFOUR AVENUE
ASHEBORO NC
City or Tom side Zip Code
4b: cONTACT PERSONIWELL OWNER,
NAME LAVAL CHOINIERE- -
STREE"f ADDRESS 41SYMST SAL FOUR AVENUEASHERRO; NO
G. WELL DETAIL&
a Total Depth: 22.0 ft D:alneter• is
b, Water Level (Below Measuring Point): it
Measuring point is ft above land surface.
6. CASING:
Length Diameter
a. Casing Depth (if kno%,m): N/A k W.
b. Casing Removed: — ft in.
7 DISINFECTION: NIA
(Amount of65°h675%calcium hypoehlorite used)
S. SEALING MATERIAL:
Cement tb. Cement— lb.
Water— gal. Water -- gal.
BenC ";te
Bentoni[e lb.
Type_-® Slurry !]Pellets
Water gal.
Other
Type asterism PORTLAND BENTONITE SLURRY
Amount 5.0 GALLONS
k, EXPLAIN METHOD OF EMPLACEMENT OF MATERIAL:
SlIAPORTUANQR NTO ITF`GlIJRRY
INJECTION BORING
Io., WEI:L DIAGRAM: Draw a detailed sketch of thewell on the back of this
form shmAins total depth, depth and diameter of saceas (if arty) remaining
in the w. 1, Sravcl interval, inwxvgs of caging perforations, and depths and
types of Fitt materials used.
IL DATE WELL ABANDONED, W27l07
i DO HEREBY CERTiFv Tt;ATTtim WELL \VAS ApANDON® TN ACCORDANCE
WITH 14A NCAC ZC, WELL CONSTitUCTION STANDAP03, AND THAT A COPY OF
THIS R RD'HAS nCEN PROVIDED TO THE WEU OWNER.
-+
1 Oil 5/07
SIGNA'a UM OFCERTIFIED WELL CQWRACrOR DATE
SIGMTUR90FPRiVATF WELL O% R USANDONINGTHE WELL DATE
(Ths private wall evs=must bon it 6vklual tvim8 well
itt araor&= with 1 SA hrAC 3C ,0113.)
STEPHEN SLOAN
rlii TW.NAA1E fi>;'t' PMON ADA WNINGTHE WELL.
Submit a eopy to the owner and the ortgtnsl t0 the DtvislOn of <e4ttew Qttal(ty within 30 drys-
Attn: Information bfnn490lnent, 161fi MaII Service Center - RstefRh, NC 276S9-t6t7, 1?6oaa No. ('219) Y33-FQIS est 5G@.
OCT-15-2007 02:55PM Front: 704W20249 ID:DLN0(LEE A. DUNHAPI
Form GW-30
Rev 5RI6
Page:006 R=10x:

WELL AMNDQhMNj RECORD
,Sotth Carolina Depatut=t of En'%ironimeri and Islorural Rtsources- Division of Water Qualitg
WELL CONTRACTOR CERTIFICATION #i2854
I. WLLL CONTRACTOR:
STEPHEN SLOAN
Wcit Conub;wr 0ndnndval) Name
GEOLOGIC EXPLORATION, INC
well Cwmw-mr Canparn *Mine
STREET ADDRESS 176 COMMERCE BLVD.
STATESV9ILLE NC 28625
Coy or Tos►tt State Lp C'Wc
r 704� . 872-7688
Atei Code - PhON nVitber
L WELL MOR-MATION:
SITE WELL ID M (if applir b4e)PT-9
STATE WELL PEkWr fr (if nppliCebic)�
COUNTY WELL PERMIT 9 (if ap&sbk;
DWQ or OWNER PERMIT # (if applin!>W___-
WEI.I, i1SE (Check applicable use): D Monitoring O ResideatMl
n MunicipaVPubfic Q IndnsttiAlComrncrcifll G AgMultural
Q Recovery Z Injection ❑ 1"ation
p 0ter (list use)
3. WELL LOCATION:
COUNTY RANDOLPH QUADRANGLE NAME
NEAREST-rowN: ASHEBORO
j 515 WEST BALFOUR AVENUE
I (Sartt,Poad Nam. Nurnbrr. Coui:mwrvb, 9ubdnision. Lot No., Pw—1 Z p Code)
TOPOGRAPHIC / LAND SETTING:
L I,S,opc ❑ Valley []Flat Z)fudge ❑ Other_
(Check aptimprure Seeing)
May be in depteos.
LATRUDE _ rt nurec deco+&:. or in a
decimal firmer
LONGITUDL
LAthudooaettade source; ❑ GPS ❑ Topographic map
%Ltcartor of 1vill roust be ;hown on a USGS torso map and
` attached to thin fora rJ'ttot using GPS.)
4n. FACILITY -.,te name of er business rbore me weC is notated. Couip1cre 4a and4b.
` (Ifs rea der tW well, skip 4a, complete 4b. we11 owner-forntlLion Cr 1y )
F ,I CILITY ID N f appl icable )
NAME OF FACILITY KAYSER-BOTH
STREET ADDUS5 515 WEST BALFOUR AVENUE
ASHEBORO NC
Goy or Town Sate Zip Code
4b CONTACT PERSON/WELL OWNER:
NAME LAVAL CHO_INIERE_
STREET ADDRESS III ISEST BALFOUR A✓ENV6 AStaEW", NC
t
lx WELL DETAILS:
a. Total Depth: 12 () ft. Dameter. in.
b. Water Ix-d (Below Measuring Point). h,
Measuring pant is fi abort land surface
6. CASLNG:
Length Diameter
a. Casing Depth (if known)' WA ft. in.
b Ca -
siag Removed R n Nt.
7 DISINFECTIo'.ti: N/A
(.Amount of65%45% calcium hypochlo-ite used)
IL SEALING MATERIAL,
Cement - lb Cement-- Ib,
w'atel -- w'atrr — pl.
B"toaitt
Bentnrntz- Ib
Typc: Z Slurry OPclicts
Water 01
he
Typr mntCrial PORTLAND 3ENTONITE SLURRY
Amount 6.0 GALLONS
9. EXPL;U METHOD OF EMPLACEMENT OF MATERIAL:
_A DBTLA D BENIONIT1`.SLU£lY,-_-- - ----
INJECTION BORING
f0. WELL DL4GRAM Draw 0 detailod sktWh of the well on Cho back of this
furor showing total depth, depth and diameur of screens (if toy) temot=4
in the well, gravel interval, intervals of casing perforarions, and depth% and
typeS of rl!l motef1ftiS sed
It- DATE WELL ABANDONED 9/28107
I Do HEREBY CERTIFY THAT THIS WELL WAS .4BANDONED IN ACCORDANCE
wrnl NSA NCAC 2C, WELL CONSTRI:MN STANDARDS. AND THAT A C_VpV nr
THIS ' ORD H.'ts BEEN PROVIDED TO THE WEU OWNER 10/15/07
SIGNATu OFCF.RT(FIED'All LLCONTRACTOR DATE
SIGNATURE OF PRIVATE WELL OWNER ARANDONIM THE WELL DAYL
Min pnvRw wail owner met be au atdmrmua: wko ffmw )h obauions hidhar residetaiat war
in secordar.ee wnh 15A KCAC:C of I3 )
STEPHEN SLOAN
PRIMPED "LAME OF PERSON ABANDONING TIN{ WELL
Submh a copy to the owner sad the orrgidal to 1be Drvi%10n of Water Qna)ih withla 30 days. farm Ow 3D
Attn• Infbrmatlon Maatgtroent, 16I' .Nall Servitt Center - Maleiyh, NC 27699.1617, Phone No. (919) 733-701S ext 5611. Rev. SM6
T - it - `C'L1 i I.��: CCF.,...' nn:: I'1�= i�1�•i; t
-- ID:CUNCKLEE AND DUNHHM Pa9e:004 R=iQF-i'c

A
(15
3RrK
WELL ARAINDOM REW D
Ire . North Carolina Departl=t of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICA110N #2854
L, WELL CONTRACrOIt:
STEPHEN SLOAN
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC.
Well Contactot Company Name
STREET ADDRESS '176 COMMERCE BLVD.
STATESVILLE NC 18625
City or Town State Zip Code
7c 04 ). 872-7686
Area code -:Rhone number
1. WELL INFORMATIO1V:
SITE WELL 'ID a (if applicable) PT-10.
STATE WELL PSRI►ffr # (ifappjicabis)
•COU`TY WELL PERMIT 0 (if applicable)
nWQ or OT]E R PERMIT 6 (if applicable)
WELL USE (Check applicable use): ❑ Monitoring [1 Residential
d Manicipv'"9ht a [M _Ldtlatrlal/Commerctal ❑ ARricalturol
❑ Recovery 0 IojegNon L7 IrAgation
[,] Ofier (list usej
a. WELL LOCATION:
COUNTY AANDOLPH QUADRANGLE NAME
.NEARFSTTOWN.- ASHE130_RO
'515 WEST BALFOUR AVENUE
(Saccag" Nam Nwnbei. Cortmanity; Subdivision Lat No., Ptnel, Zip Coda)
TOPOGRAPHIC / LAND SETTING:
❑ Slope (] Verney, ❑ Fit ❑ Ridge 0 Other
(Check appropTiam setting)
May be in degrees,
LATTrUDE _ mi,nmcs,-t ccoada, cr.in a
decimal fonnai
LONGITUDE ^,
Latitudtliongitude so0rw. O GIPS ❑ Topoprophic map
aocallon ojwell mnl? be shown on a 03GS topo map tied
artached to this fbrm tjnot icr(ng CPS.),
Alt. FACILITY- The nazz of0w busineas where die well i0ozated. Complete der and4b.
Off, tesidaAW well; skip 40; campltto 4b, well owns mfunn3tion only.)
FACILITY ID fi(if applicable)
NAME.OF FACIL KAYSER'ROTH
STUPT'ADDRESS 515 WEST BALFOUR AVENUE
ASHEBORO NC
City or To%% State Zip We.
ill. CONTACT PERSONWELL OWNER:
" NAME L'AVAL CHOINIERE
STREET ADDRESS 5t8VVEsrBALFoORAVENUE,S►tEeCRO. NC
1\
6. WELL DETAILS:
a. Total Depth: 30•0 'it Dismeter:-in.
b. Water Lewd (Below M=ufing Pcint): tL
Measuring point is R abova land surface, .
6. CASING: Length Diameter
a. Casing Depth (if Icnowny NIA R. in.
b. Casing Removed: IL in.
7. DISINFEc-nom N/A
(Amount of6SW75% calcium hypochiorim used)
& SEALING MATERIAL:
Cement `
lb.
Cement-'
lb.
Water'-
gal,
Water
gal-
Bmtonite lb.
Type:.0 slu" OPellets
Water gal.
2thm
Type material PORTLAND BENTONiTE SLURRY
Amount 6 0 GALLONS
9, EXPLAIN ME'II10D OF.EMIPLACEMEriT OF .MATERLAL.
VIA pnRThANQ Rr-NTO1 ,l I IRRY .
INJECTION BORING
10. WFLL DIAGRAM: Draw a detailed sketch of the well on the bacic of this
form shoving total depth, depth and diameter of screens (if tiny) Mmaining
in the well, gavel interval, intamals of casing porford6ons, and depths and
typi's of fill materials aced.
I L DATE WELL. ABANDONED 9/2=7
1 DO EiEkSBY CERTIFV TKAT THIS WUL WAS ABANDONED IN ACCORDANCE
WMI ISA NCAC ZC, WEsZI. WNSIRUCTION SMANDARDS, AND THAT A COPY OF
T4tlS SD HA.%9EFN R ViDEU TO THE WELL OWNER.
7(' 10115/07
ytGNATURt; OFCERTIFLBD WELL CONTRACTOR, DATE
WRATI S OPIP -ATE WELL OWNER MANW41NG TKE WELL DATE
(The Ddvm well owner must be on tadividw1 who ,ngpSyabandor>9 {tiyher r xidendnl wan
m ncratdarta Milk I SA NCAC k .0111)
STEPHEN SLOAN
PRLINTED NA1HE OF P. ZMN ABANDONING VIS WELL
Submit tea copy.to the owner and the original to the Dlvaion of Water Qnitilty within 30 days..
Attn: Inrormalloa MaaagMeut,'1617 Mail Smite Center -Raleigh, ITC 27699-16t7, Phone No. [phone] eat S6&
FWU QW-30
Rev. StD6
XT-15-2007 02:550M From: 704872024ER ID.DUNCKLEE AND DUNHAM
Page:: 2 R=100%,

uk- I - 1.z)—expa c L,-> -,:Ld
!411< LWaLUNU LU
7048720248 P.01
FACSIMILE TRAN.SM.ITTAL,SHEET
-70: FROM.,
clitis Foy Ter&
CO.MPAN'V:
DuikMw Dunh=, 10/15/07
FAX rumam. TOTAJ.'NO. OP PAGES iNri,-Ul)lNb COVER;
Olm%9899 19
P146NEINUM6EPL
Kayser Roth vOlogsl
Lj:'ksE REPLY [3.pjTl-."L R-ECYCLr-
[1,URr,EN-r [3-FOR-PEVI W 0
176 rommi-mira Bivr)is*rA,rrsvlj,'I.r,. N.C.. 28625
PHONIK 704--87 2-7686[800-732-HR51
FAX [phone]
OCT-15-2007 02:54PM From: 704E3720248 ID-OUNCKLEE- AND DUNHAH 'Pasc:001 R=100%

I
®
aceMalyfica�
Pace Analytical Services, Inc.
2225 Riverside Dr.
Pace Analytical Services, Inc.
9806 Kincey Ave. Suite 100
www.pacelabs.com
Asheville, NC 28804
Huntersville, NC 28078
[phone]
[phone]
October 24, 2007
Mr. Chris Fay
Duncklee & Dunham
.,
P.O. Box 33366
Raleigh, NC 27636.
RE: Project: KR-ASHEBORO 02600
Pace Project No.: 925471
Dear Mr. Fay:
Enclosed are the analytical results for sample(s) received by the laboratory on October 10, 2007.
The results relate only to the samples included -in this report. Results reported herein.conform to the.
most current NELAC standards, where applicable, unless otherwise narrated in the body of the
report.
Inorganic Wet Chemistry and' Metals -analyses were performed at -our Pace Asheville laboratory and
Organic testing was performed at our Pace Huntersville laboratory unless otherwise footnoted. All
Microbiological analyses were performed of the laboratory where the samples were received.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Kevin Herring
[e-mail]
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
'1ir1�P
Page 1 of 21

'www.pacdabs.wm
Project: KR-ASHEBORO 02600
Pace Project No.: 925471
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
CERTIFICATIONS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Charlotte Certification IDS
Florida/NELAP Certification Number: E87627
North Carolina Field Services Certification Number: 5342
Kansas Certification Number: E-10364
South Carolina Certification Number: 990060001
Louisiana/LELAP Certification Number: 04034
South Carolina Bioassay Certification Number: 990060003
North Carolina Drinking Water Certification Number: 37706
Tennessee Certification Number: 04010
North Carolina Wastewater Certification Number: 12
Virginia Certification Number: 00213
Asheville Certification IDS
Flodda/NELAP-Certification Number: E87648
Pennsylvania Certification Number: 68-03578
Louisiana/LELAP Certification Number: 03095
South Carolina Certification Number: 990300001
New Jersey Certification Number: NC011
South Carolina Bioassay Certification Number: 990300002
North Carolina Drinking Water Certification Number: 37712
Tennessee Certification Number: 2980
North Carolina Wastewater Certification Number: 40
Virginia Certification Number: 00072
North Carolina Bioassay Certification Number: 9
Eden Certification IDS
North. Carolina Drinking Water Certification Number: 37738 North Carolina Wastewater Certification Number: 633
Virginia Drinking Water Certification Number: 00424
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
CCpgO'
4LLY�Ji
9
Page 2 of 21
j

506M Xical
www.pacelabacom
Project: KR-ASHEBORO 02600 .
Pace Project No.: 925471
i
- Method: EPA 200.7
Description: 200.7 MET ICP, 3030C
Client: Duncklee & Dunham
Date: October 24, 2007
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
PROJECT NARRATIVE
General information:
11 samples were analyzed for EPA 200.7.. All samples were received in acceptable, condition with any exceptions noted below.
i
Hold Time:
The samples were analyzed within the method required hold times with any exceptions noted below.
I
Sample Preparation:
— The samples were prepared in accordance with SM 3030C with any exceptions noted below.
Initial Calibrations (including MS Time as applicable):
All criteria were within method requirements with any exceptions noted below.
Continuing Calibration:
All criteria were within method requirements with an exceptions noted below.
_ q Y
Method Blank:
All analytes were below the report limit in the method blank with any exceptions noted below.
Laboratory Cohtrol Spike:
All laboratory control spike compounds were within QC limits with any exceptions noted below.
Matrix Spikes:
All percent recoveries and relative percent differences (RPDs) were within acceptance criteria with any exceptions noted below.
Duplicate Sample:
- All duplicate sample results were within method acceptance criteria with any exceptions noted below.
Additional Comments:
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
\N •CCpq
Pace Analytical Services, Inc.
9806 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Page 3 of 21

ac>eAnaJcal,
wirw.pacelsbsa�m
Project: KR-ASHEBORO 02600
Pace Project No.: 925471
Method:- EPA 8260
Description: 8260 MSV Low Level
Client: Duncklee & Dunham
Date: October 24, 2007
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
PROJECT NARRATIVE
General information:
11 samples were analyzed for EPA 8260. All samples were received in acceptable condition with any exceptions noted below.
Hold Time: .
The samples were analyzed within the method required hold times with any exceptions noted below.
Initial Calibrations (including MS Tune as applicable):
All criteria were within method requirements with any exceptions noted below. .
Continuing Calibration:
All criteria were within method requirements with any exceptions noted below.
Internal Standards:
All internal standards were within QC limits with any exceptions noted below.
Surrogates:
All surrogates were within QC limits with any exceptions noted below.
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Method Blank:
All analytes were below the report limit in the method blank with any exceptions noted below.
Laboratory Control Spike:
All laboratory control spike compounds were within QC limits. with any exceptions noted below.
Matrix Spikes:
All percent recoveries and relative percent differences (RPDs) were within acceptance criteria with any exceptions. noted below.
Duplicate Sample:
All duplicate sample results were within method acceptance criteria with any exceptions noted below.
Additional Comments:
REPORT OF LABORATORY ANALYSIS Page 4 of 21
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
n

_ aceMalXica!
wmpacelabs.com
Project: KR-ASHEBORO 02600
Pace Project No.: 925471
Method: SM 4500-CI-E
Description: 4500 Chloride
Client: Duncklee & Dunham
Date: October 24, 2007
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
PROJECT NARRATIVE
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
General Information:
11 samples were analyzed for SM 4500-CI-E. All samples were received in acceptable condition with any exceptions noted below.
Hold Time:
The samples were analyzed within the method required hold times with any exceptions noted below.
Initial Calibrations (including MS Tune as applicable):
All criteria were within method requirements with any exceptions noted below.
Continuing Calibration: -
All criteria were within method, requirements with any exceptions noted below.
Method Blank:
All analytes were below the report limit in the method blank with any exceptions noted below.
Laboratory Control Spike:
All laboratory control spike compounds were within QC limits with any exceptions noted below.
Matrix Spikes:
All percent recoveries and relative percent differences (RPDs) were within acceptance criteria with any exceptions noted below.
Duplicate Sample:
All duplicate sample results were within method acceptance criteria with any exceptions noted -below.
Additional Comments:
This data package has been reviewed for quality and completeness and is, approved for release.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 5 of 21

aciEAnalytical
—..Pacefabs —
I
Project: KR-ASHEBORO 02600
Pace Project No.:.. 925471,
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
I
Pace Analytical Services, Inc.
9600 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: DW-1 _
Lab ID: 925471001 Collected:
10/09/07 13:45
Received:: 10/10/07 16:05 Matrix: Water .
Parameters
Results Units Report Limit
DF
Prepared
Analyzed CAS No. ' Qual
200.7 MET ICP, 3030C
Analytical Method: EPA 200.7 Preparation Method: SM
3030C
Chromium
9.4 ug/L
5.0
1
10/11/0714:45
10/13/0719:26 7440-47-3
Manganese
379 ug/L
5.0
1
10111107.14:45
16/13/07 19:26 7439-96-5
8260 MSV Low Level
Analytical Method: EPA 8260
Chloroform
6.1 ug/L
5.0
5
10/12/07 20:15 67-66-3
cis-1,2-Dichloroethene
ND ug/L.
5.0
5
10112/0720:15 156-59-2
trans-1,2-Dichloroethene
ND ug/L
5.0
5
10/12/07 20:15 156-60-5
Tetrachloroethene
729 ug/L
5.0
5
10/12/07 20:15 127-18-4
Trichloroethene-
24.6 ug/L
5.0,
_ 5 .
10/12/07 20:15 79=01-6
Vinyl.chloride
ND ug/L
5.0
5
10/12/07 20:15 75-01-4
4-Bromofluorobenzene (S)
98 %
87-109
5
10/12/07 20:15 460-00-4
Dibromofluoromethane (S)
96 %
85-115
5
10/12/07 20:15 1868-53-7
1,2-Dichloroethane-d4 (S)
103 %
79-120
5
10/12/07 20:15 17060-07-0
Toluene-d8 (S)
• 104 %
70-120
5
10/12/07 20:15 2037-26-5
4500 Chloride
Analytical Method: SM 4500-CI-E
Chloride
23.2 mg/L
5.0
1
10/16/07 10:54 16887-00-6
i
Date: 10/24/2007 04:49 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 6 of 21

aceAnalyical
WWW..pacelahscan
Pace Analytical Services, Inc. Pace Analytical Services, Inc.
2225 Riverside Dr. 9800 Kincey Ave. Suite 100
Asheville, NC 28804 Huntersville, NC 28078
[phone] [phone]
ANALYTICAL RESULTS
Project: KR-ASHEBORO 02600
Pace Project No.: 925471
i
_ Sample: DW-2
Lab ID: 925471002 Collected:
10/09/07 13:20
. Received: 10/10/07 16:05 Matrix: Water
_ Parameters
Results Units Report Limit
DF
Prepared
Analyzed
CAS No. Qual
200.7 MET ICP, 3030C
Analytical Method: EPA 200.7 Preparation Method: SM
3030C
Chromium
6.3 ug/L
5.0
1
10/11/0714:45
10/13/0719:29
7440-47-3
Manganese
34.4 ug/L
5.0
1
10/11/0714:45
10/13/0719:29
7439-96-5
8260 MSV Low Level
Analytical Method: EPA 8260
Chloroform
25.2 ug/L
5.0
5
10/12/07 20:42
67-66-3
cis-1,2-Dichloroethene
ND ug/L
5.0
5
10/12/07 20:42
156-59-2
trans-1,2-Dichloroethene
ND ug/L
5.0
5
10/12/07 20:42
156-60-5 .
Tetrachloroethene
883 ug/L
5.0
5
10/12/07 20:42.
127-18-4
_ Trichloroethene
6.6 ug/L
5.0
5
10/12/07 20:42
79-01-6
Vinyl chloride
ND ug/L
5.0
5
10/12/07 20:42
75-01-4
4-Bromofluorobenzene (S)
96 %
87-109
5
16/12/07 20:42
460-00-4
Dibromofluoromethane (S)
105 %
85-1.15
5
10/12/07 20:42
1868-53-7
1,2-Dichloroethane-d4 (S)
104 %
79-120
5
10/12/07 20:42
17060-07-0
Toluene-d8 (S)
101 %
70-120
5
10/12/07 20:42
2037-26-5
4500 Chloride
Analytical Method: SM 4500-CI-E
Chloride
120 mg/L
25.0
5
10/16/07 11:16
16887-00-6
Date: 10/24/2007 04:49 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
f1`p,4 H ♦Cooq
l`'rl.i
l
Page 7 of 21

Pace Analytical Services, Inc. Pace Analytical Services, Inc.
INC,m+,lifta l 2225 Riverside Dr. 9800 Kincey Ave. Suite 100
www.pacabbscom Asheville, NC 28804 Huntersville, NC 28078
ANALYTICAL RESULTS
Project: KR-ASHEBORO 02600
Pace Project No.: 925471
[phone] [phone]
Sample: DW-3
Parameters
Lab ID: 926471003 Collected: 10/09/07 11:25
Results Units Report Limit DF
Received: 10/10/07 16:05 Matrix: Water
Prepared Analyzed CAS No. Qual
200.7 MET ICP, 3030C
Analytical Method: EPA 200.7 Preparation Method: SM
3030C
Chromium
ND ug/L
5.0
1
10/11/0714:45
10113/0719:22
7446-47-3
Manganese
ND ug/L
5.0
1
10/11/0714:45
10/13/0719:22
7439-96-5
8260 MSV Low Level
Analytical Method: EPA 8260
Chloroform
33.3 ug/L
1.0
1
10/12/07 17:51
67-66-3
cis-1,2-Dichloroethene
ND ug/L
1.0
1
10/12/07 17:51
156-59-2
trans-1,2-Dichloroethene
ND ug/L
1.0
1
10/12/07 17:51
156-60-5
Tetrachloroethene
126 ug/L
-1.0
1
10/12/07 17:51
127-18-4
Trichloroethene
28.9 ug/L
1.0
1
10/12/07 17:51
79-01-6
Vinyl chloride
ND ug/L
1.0
1
10/12/07 17:51
75-01-4
4-Bromofluorobenzene (S)
99 %
87-109
1
10/12/07 17:51
460-00-4
Dibromofluoromethane (S)
102 %
85-115
1
10/12/07 17:51
1868-53-7
1,2-Dichloroethane-d4 (S)
104 %
79-120
1
10/12/07 17:51
17060-07-0
Toluene-d8 (S)
101 %
70-120
1
10/12/07 17:51
2037-26-5
4500 Chloride
Analytical Method: SM 4500-CI-E
Chloride
70.1 mg/L
10.0
2
10/16/07 11.05
16887-00-6
Date: 10/24/2007 04:49 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
CCOgO'
)� n
�i
Page 8 of 21 -

aceAnaixical®
www.pacdabs.00m
Project: KR-ASHEBORO 02600
Pace Project No.: 925471
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Sample: DW-4
Lab ID: 925471004 Collected:
10/09/07 12:10
Received: 10/10/07 16:05 Matrix: Water
Parameters
Results Units Report Limit
DF
Prepared
Analyzed
CAS No. Qua[
_J 200.7 MET ICP, 3030C
Analytical Method: EPA 200.7 Preparation Method: SM
3030C
Chromium
7.9 ug/L
5.0
1
10/11/0714:45
10/13/0719:32
7440-47-3
Manganese
436 ug/L
5.0
1
10/11/0714:45
10/13/0719:32
7439-96-5
8260 MSV Low Level
Analytical Method: EPA 8260
Chloroform
9.0 ug/L
1.0
1
10/12/07 18:15
67-66-3-
cis-1,2-Dichloroethene
ND ug/L
1.0
1
10/12/07 18:15
156-59-'2
trans-1,2-Dichloroethene
ND ug/L
1.0
1
10/12/07 18:15
156-60-5
Tetrachloroethene
1.1 ug/L
1.0
1
10/12/07 18:15
127-18-4
- Trichloroethene
X3 ug/L .
1.0
1
10/12/07 18:15
79-01-6
Vinyl chloride
ND ug/L
1.0
1
10/12/07 18:15
75-01-4
4-Bromofluorobenzene (S)
102 %
87-109
1
10/12/07 18:15
460-00-4
Dibromofluoromethane�(S)
100 %
85-115
1
10/12/07 18:15
1868-53-7-
1,2-Dichloroethane-d4 (S) .
104 %
79-120
1
10/12/07 18:15
17060-07-0
Toluene-d8 (S)
100 %
70-120
1
10/12/07 18:15
2037-26-5
4500 Chloride
Analytical Method: SM 4500-CI-E
Chloride
27.6 mg/L
5.0
1
10/16/0710:54
16887-00-6
Date: 10/24/2007 04:49 PM REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 9 of 21

aceAna0cal
WWWpacelabs com
Project: KR-ASHEBORO 02600
Pace Project No.: 925471
Sample: DW-5.
Parameters
200.7 MET ICP, 3030C
Chromium
Manganese
8260 MSV Low Level
Chloroform
cis-1,2-Dichloroethene
trans-1,2-Dichloroethene
Tetrachloroethene
Trichloroethene
Vinyl chloride
4-Bromofluorobenzene (S)
Dibromofluoromethane (S)
1,2-Dichloroethane-d4 (S)
Toluene-d8 (S)
4500 Chloride
Chloride
Date: 10/24/2007 04:49 PM
Ji
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services; Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Lab ID: 925471005 Collected:
10/09/07 09:50-
Received: 10/10/07 16:05 Matrix: Water
Results Units Report Limit
DF
Prepared
Analyzed
CAS No. Qual
Analytical Method: EPA 200.7 Preparation Method: SM
3030C
ND ug/L -
5.0
1
10/11/0714:45
10/13/0719:05
7440-47-3
ND ug/L
5.0
1
10/11/0714:45
10/13/0719:05
7439-96-5
Analytical Method: EPA 8260
15.0 ug/L
1.0
1
10/12/07 18:38
67-66-3
ND ug/L
1.0
.1
10/12/0718:38
156-59-2
ND ug/L
1.0
1
10/12/07 18:38
156-60-5
1127-18-4
2.8 ug/L
1.0
1
10/12/07 18:38
4.0 ug/L
1.0
1
10/12/07 18:38
79=01-6
ND ug/L _
1.0
1
10/12/07 18:38
75-01-4
98 -%
87-109
1 _
10/12/07 18:38
460-00-4
101 %
85-115
1
10/12/07 18:38
1868-53-7
106 %
79-120
1
10/12/07 18:38
17060-07-0
101 %
70-120-
1
10112/0718:38
2037-26-5
Analytical Method: SM 4500-CI-E
42.3 mg/L
15.0
3
10/16/07 11:14
16.887-00-6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
.ti N ACCC,. -
0
Az
Page 10 of 21
I

Pace Analytical Services, Inc. Pace Analytical Services, Inc.
/Jn �+g/®
— aceIV IayicaI
2225 Riverside Dr.
9800 Kincey Ave. SuRe 100
www.pecabbs.com
Asheville, NC 28804
Huntersville, NC 28078
[phone]
[phone]
ANALYTICAL RESULTS
Project:. KR-ASHEBORO 02600
Pace Project No.: 925471
- Sample: MW-3
Lab ID: 925471006 Collected`.,
10/09/07 14:40
Received: 10/10/07 16:05 Matrix: Water
Parameters
i
Results, Units Report Limit
DF
Prepared Analyzed
CAS No: Qual
200.7 MET ICP, 3030C
Analytical Method: EPA 260.7 Preparation Method: SM
3030C
Chromium
ND ug/L
5.0
1
-10111/0714:45 10113/0719:36
7440-47-3,
Manganese
'ND ug/L
-5.0
.1
16/11/0714:45 10/13/0719:36
7439-96-5
- 8260 MSV Low Level
Analytical Method: EPA 8260
- Chloroform
' 5.1 ug/L
5.0
5
10/12/67 21:08
67-66-3
cis-1,2-Dichloroethene
ND ug/L
5.0
5
10/12/07 21:08.
156-59-2
trans-1,2-Dichloroethene
ND ug/L
&0
5
10/12/07 21:08
156-60-5
Tetrachloroethene
456 u'g/L _
5.0
5
10/12/07 21:08
127-18-4 .
- Trichloroethene
960 ug/L
5.10
5
10/12/07 21:08
79-01-6
Vinyl chloride
ND ug/L
5.0'
5
10/12/07 21:08
75-01-4
4-Bromofluorobenzene (S)
97 %
87-109
5
10/12/07 21:08
460-00-4
Dibromofluoromethane (S)
101 %
85-115
-5.
10/12/07 21:08
.1868-53-7
-, 1,2-Dichloroethane-d4(S)
104 %
79-120-.
.5
10/1210721:08
17060-07-0
Toluene-d8 (S)
100 %
70-120
-5
10/12/07 21:08
2037-26-5
I
4500 Chloride
Analytical Method: SM 4500-CI-E
Chloride
22.9 mg/L
5.0
1
10/16/07 10:54
16887-00-6
i
Date: 10/24/2007 04:49 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
4) N ACCo',
f1!r1�c
Page 11 of 21

aC A17alAcal�
w�vpaceTahs.�m
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
. [phone]
ANALYTICAL RESULTS,
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone] .
I I
Project: KR-ASHEBORO 02600
Pace Project No.: 925471
Sample: MW-6B
Lab ID: 925471007 Collected:
10/09/07 12:35
Received: 10/10/07 16:05 Matrix: Water
Parameters
Results Units Report Limit
DF
Prepared
Analyzed CAS No. Qua[
200.7 MET ICP, 3030C
Analytical Method: EPA 200.7 Preparation Method: SM
3030C
Chromium
ND ug/L
5.0
1
10/11/0714:45
10/13/07 19:39 7440-47-3
Manganese
173 ug/L
5.0
1
10/11/07 14:45
10/13/07 19:39 7439-96-5
8260 MSV Low Level
Analytical Method: EPA 8260
Chloroform
ND ug/L
1.0
1
10/12/07 19:02 67-66-3
cis-1,2-Dichloroethene
ND ug/L
1.0
1
10/12/07 19:02 156-59-2
trans-1,2-Dichloroethene
ND ug/L
1.0
1
10/12/07 19:02 156-60-5
Tetrachloroethene
ND ug/L
1.0
1
10/12/07 19:02 ' 127-18-4
Trichloroethene
ND ug/L
1.0_
1
10/1210719:02 79-01-6
Vinyl chloride
ND ug/L
1.0
1
10/12/07 19:02 75-01-4
4-Bromofluorobenzene (S)
99 %
87-109
1
10/12/07,19:02 460-00-4
Dibromofluoromethane (S)
105 %
85-115
1
10/12/07 19:02 1868-53-7
1,2-Dichloroethane-d4 (S)
108 %
79-120
1
10/12/07 19:02 17060-07-0
Toluene -dB (S)
103 %
70-120
1
10/12/07 19:02 2037-26-5
4500 Chloride
Analytical Method: SM 4600-CI-E
Chloride
92.6 mg/L
15.0.
3
10/16/07 11:17 16887-00-6
Date: 10/24/2007 04:49 PM
REPORT OF LABORATORY ANALYSIS Page 12 of 21
This report shall not be reproduced, except in full, -
without the written consent of Pace Analytical Services, Inc..
u LJ1l�i�lli

acemal'V,,'tical
WW..pacekbs.c=
Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
2225 Riverside Dr.
9800 Kincey Ave. Suite 100
Asheville, NC 28804
Huntersville, NC 28078
[phone]
[phone]
ANALYTICAL RESULTS
Project: KR-ASHEBORO 02600
Pace Project No.: 925471
Sample: MW-8
Lab ID: 925471008 Collected:
10/09/07 15`20
, Received: 10/10/07 16:05 Matrix: Water
Parameters
i
Results Units Report Limit
DF
Prepared
Analyzed
CAS No. Qual
200.7 MET ICP, 3030C
Analytical Method: EPA 200.7 Preparatiori Method: SM
3030C
Chromium
7.3 ug/L
5.0
1
10/11/0714:45
10113/0719:42
7440-47-3
Manganese
905 ug/L
5.0
1
10/11/0714:45
10/13/0719:42
7439-96-5
8260 MSV Low Level
Analytical Method: EPA 8260
Chloroform
ND ug/L
1.0
1
10/12/07 19:25
67-66-3
cis-1,2--Dichloroethene
ND ug/L'
1.0
1
10/12/07 19:25
156-59 2
trans-1,2-Dichloroethene
ND ug/L
1.0
1
-10/12/07 19:25
156-60-5
Tetrachloroethene
128 ug/L
1.0
1
10/12/07 19:25
127-18-4
- Trichooroethene
ND ug/L
1.0
1
10/12/07 19:25
79-01-6
Vinyl chloride
ND ug/L
1.0
1
10/12/07 19:25
75-01-4
4-13romofluorobenzene (S)
99 %
87-109
1
10/12/07 19:25
460-00-4
Dibromofluoromethane (S)
100 %
85-115
1
10/12/07 19:25
1868-53-7
1,2-DichloroethaneA4 (S)
165 %
79-120
1 .
10/12/07 19:25
17060-07-0
Toluene-d8 (S)
101 %
70-120
1
10/12/07 19:25
2037-26-5
4500 Chloride
Analytical Method: SM 4500-CI-E
Chloride
465 mg/L
75.0
15
10/16/07 11:32
16887-00-6
I
. Da
te: 10/24/2007 04:49 PM Page 13 of 21
REPORT OF LABORATORY ANALYSIS 9
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
-
I l q+

k
WMV.Pawabs wm
Project:. KR-ASHEBORO 02600
Pace. Project No.: 925471
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave, Suite 100
Huntersville, NC 28078
[phone]
Sample: MW-13
Lab ID: 925471009 Collected:
10/09/07.10:25
Received: 10/10/07 16:05 Matrix: Water
Parameters
Results Units Report Limit
DF
Prepared
Analyzed
CAS No. Qual
200.7 MET ICP, 3030C
Analytical Method: EPA 200.7 Preparation Method: SM
3030C
Chromium
ND ug/L
5.0
1
10/11/0714:45
10/13/0719:12
7440-47-3
Manganese
161 ug/L
5.0
1
10/11/0714:45
10/13/0719:12
7439-96-5
8260 MSV Low Level
Analytical Method: EPA 8260
Chloroform
8.3 ug/L
1.0
1
10/12/07 1.9:49
67-66-3
cis-1,2-Dichloroethene
ND ug/L
1.0
1
10/12/07 19:49
156-59-2
trans-1,2-Dichloroethene
ND ug/L
1.0
1
10/12/07 19:49
156-60-5
Tetrachloroethene
14.7 ug/L
1.0
1
10/12/07 19:49
127-18-4
Trichloroethene
ND ug/L
1.0
1
10/12/07 19:49
79-01-6
Vinyl chloride
ND ug/L
1.0
1
10/12/07 19:49
75-01-4
4-Bromofluorobenzene (S)
97 %
87-109
1
10/12/07 19:49
460-00-4
Dibromofluoromethane (S)
98 %
85-115
1
10/12/07 19:49
1868-53-7
1,2-Dichloroethane-d4 (S)
107 %
797120
1
10/12/07 19:49
17060-07-0
Toluene-d8 (S)
101 %
70-120
1
10/12/07 19:49
2037-26-5
4500 Chloride
Analytical Method: SM 4500-CI-E
Chloride
5.0 mg/L
5.0
1
10/16/07 10:56
16887-00-6
Date: 10/24/2007 04:49 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
ACCoA,
C
� s
0
Page 14 of 21

/j n / ® Pace Analytical Services, Inc. Pace Analytical Services, Inc.
ace�V laixica!_ 2225 Riverside Dr. 9800 Kincey Ave. Suite 100
wravpacelabs.com Asheville, NC 28804 Huntersville, NC 28078
(828)254'-7176 [phone]
ANALYTICAL RESULTS
Project: KR-ASHEBORO 02600
Pace Project No.: 925471
Sample: MW-17
Lab ID: 925471010 Collected:
10/09/0716:00
. Received: 10/10/07 16:05 Matrix: Water
Parameters
Results Units Report Limit
DF
Prepared
Analyzed
CAS No. Qual
200.7 MET ICP, 3030C
Analytical Method: EPA 200.7 Preparation Method: SM
3030C
Chromium
16.2 ug/L
5.0
1
10/11/07 14:45
10/1310719:46
7440-47-3
Manganese
818 ug/L
5.0
.1
10/11/0714:45
10/13/0719:46
7439-96-5
8260 MSV Low Level
Analytical Method: EPA 8260
Chloroform r
ND ug/L
10.0
10
10/13/07 08:05
67-66-3
c7is-1,2-Dichloroethene
ND ug/L
10.0
10
10/13/07 08:05
156-59-2
trans-1,2-Dichloroethene
ND ug/L
10.0
10
10/13/07 08:05
156-60-5
Tetrachloroethene
2350 ug/L
50.0
50
10/15/07 17:27
127-18-4
Trichloroethene
ND ug/L
50.0
50
10/15/0717:27
79-01-6
Vinyl chloride
ND ug/L
10.0
10
10/13/07 08:05
75-01-4
4-Bromofluorobenzene (S)
98 %
87-109
-10
10/13/07 08:05
460-00-4
Dibromofluoromethane (S)
97 %
85-115
10
10/13/07 08:05
1868-53-7
1,2-Dichloroethane-d4 (S)
101 %
79-120
10
10/13/07 08:05
17060-07-0
Toluene-d8 (S)
101 %
70-120
. 10
10/13/07 08:05
2037-26-5
4500 Chloride
Analytical Method: SM 4500-CI-E
Chloride
7.8 mg/L
5.0
1
10/16/0710:56
16887-00-6
Date: 10/24/2007 04:49 PM
f
REPORT OF LABORATORY ANALYSIS Page 15 of 21
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
N AECpq'
l
of

Pace Analytical Services, Inc.
cie Anali�jn�el 2225 Riverside xmrpacaWbs.Wrrr Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: KR-ASHEBORO 02600
Pace Project No.: 925471
Sample: MW-21
Lab ID. 925471011 Collected:
10/09/07 09:10
Received: 10/10/07 16:05 Matrix:Water r
Parameters
Results Units Report Limit
P
DF
Prepared
Analyzed
CAS No. Qua[
200.7 MET ICP, 3030C
Analytical Method: EPA200.1 Preparation Method: SM
3030C
Chromium
ND u /L
9
5.0
1
10/11/0714:45
10113/0718:58
7440-47-3
Manganese se �
9
54.9 u /L
9
5.0
1
10/ 11/0714:45
10/13/0718:58
7439-96-5
8260 MSV Low Level
Analytical Method: EPA 8260
-
Chloroform
ND ug/L
1.0
1
10/13/07 02:48
67-66-3
cis-1,2-Dichloroethene
ND ug/L
1.0
1
10/13/07 02:48
156-59=2 .
trans-1,2-Dichloroethene
ND ug/L
1.0
1
10/13/07 02:48
156-60-5
Tetrachloroethene
9.7 ug/L
1.0
1
10/13/07 02:48
127-1874
Trichloroethene
ND ug/L
1.0
1
10/13/07 02:48
79-01-6
Vinyl chloride
ND ug/L.-
1.0
11
10/13/07 02:48
75-01-4
4-Bromofluorobenzene (S)
101 %
87-109
1-
10/13/07 02:48
460-00-4
Dibromofluoromethane (S)
100 %
85-115
1
10/13/07 02:48
1868-53-7
1,2-Dichloroethane-d4 (S)
98 %
79-120
1
10/13/07 02:48
17060-07-0
Toluene-d8 (S)
102 %
70-120
1
10/13/07 02:48
2037-26-5
4500 Chloride
Analytical Method: SM 4500=CI-E .
Chloride
11.4 mg/L
5.0
1
10/16/07 10:56
16.887-00-6
r
Date: 10/24/2007 04:49 PM REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Cq ,.
c
�I
Page 16 of 21
j I

/jn / ® Pace Analytical Services, Inc. Pace Analytical Services, Inc.
acemalyticat 2225 Riverside Dr. 9800 Kincey Ave: Suite 100
wwypacebyy c Asheville, NC 28804 Huntersville, NC 28078
[phone] [phone]
QUALITY CONTROL DATA
Project: KR-ASHEBORO 02600
Pace Project No.: 925471
QC Batch: MPRP/1280 Analysis Method:. EPA 200.7
QC Batch Method: SM 3030C Analysis Description: 200.7 MET 3030C
Associated Lab Samples: 925471001,925471002, 925471003, 925471004, 925471005, 925471006, 925471007, 925471008, 925471009,
925471010,925471011
METHOD BLANK: 26471
Associated Lab. Samples: 925471001925471002, 925471003, 92547.1004, 925471005, 925471006, 925471007, 925471008, 925471009,
925471010:925471011
Blank Reporting
Parameter Units Result Limit Qualifiers
Chromium ug/L. ND 5.0
Manganese ug/L ND 5.0
LABORATORY CONTROL SAMPLE:
26472
Spike . LCS
LCS.
% Rec
Parameter
Units
Conc. Result
% Rec
Limits
Qualifiers
Chromium
ug/L
500 555
111
85-115
Manganese
ug/L
500 554.
111
85-115
MATRIX SPIKE SAMPLE:
26473 -
925471011 Spike
MS -
MS
% Rec.
Parameter
Units
Result Conc.
Result
% Rec
Limits Qualifiers
Chromium
ug/L
ND .500
551
110
70-130
Manganese
ug/L
54.9 500
596
108
70-130
SAMPLE DUPLICATE: 26474
925471005 Dup ..
Parameter
Units
Result Result
RPD
Qualifiers
Chromium
ug/L
ND 1.7J
21
Manganese
ug/L
ND 4.7J
3
Date: 10/24/2007 04:49 PM
REPORT OF LABORATORY ANALYSIS
Page 17 of 21
This report shall not. be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
-
j c

lace el c �
uww.pacelabs.�m
Project: KR-ASHEBORO 02600
Pace Project No.: 925471,
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
QUALITY CONTROL DATA
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QC Batch: MSV/1520 Analysis Method: EPA 8260
QC Batch Method: EPA 8260 Analysis Description: 8260 MSV Low Level
Associated Lab Samples: 925471001, 925471002, 925471003, 925471004, 925471005, 925471006, 925471007, 925471008, 925471009
METHOD BLANK: 27150
Associated Lab Samples:
925471001, 925471002, 925471003, 925471004, 9254,71005, 925471006, 925471007, 925471008, 925471009
Blank
Reporting
Parameter
Units
Result
Limit Qualifiers
- Chloroform
ug/L
ND
1.0
cis-1,2-Dichloroethene
ug/L
ND
1.0
Tetrachloroethene
ug/L
ND
1.0
trans-1,2-Dichloroethene
ug/L
ND
1.0
Trichloroethene
ug/L
ND
1.0
Vinyl chloride
ug/L
ND
1.0
1,2-Dichloroethane-d4 (S)
%
103
79-120
4-Bromofluorobenzene (S)
%
100
87-109
Dibromofluoromethane (S)
%
98
85-115
Toluene-d8 (S)
%
101
70-120
LABORATORY CONTROL SAMPLE:
Parameter
27151
Units
Spike
Conc.
LCS
Result
LCS
% Rec
% Rec
Limits Qualifiers
Chloroform
ug/L
50
54.7
109
77-129
cis-1,2-Dichloroethene
ug/L
50
57.8
116
76-133
Tetrachloroethene
ug/L
50
60.7
121
78-128
trans-1,2-Dichloroethene
ug/L
50
59.4
119
78-134
Trichloroethene
ug/L
50
59.9
120
79-127
Vinyl chloride
ug/L
50
61.5
123
67-143
1,2-Dichloroethane-d4 (S)
%
84
79-120
4-Bromofluorobenzene (S)
%
106
87-109
Dibromofluoromethane (S)
%
96
85-115
Toluene-d8 (S)
%
101
70-120
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 27159
MS
925471005 Spike
Parameter
Units Result ' Conc.
Trichloroethene
ug/L 4.0 50
1,2-Dichloroethane-d4 (S)
%
_ 4-Bromofluorobenzene (S)
%
Dibromofluoromethane (S)
%
Toluene-d8 (S)
%
Date: 10/24/2007 04:49 PM
27160
MSD
Spike MS
MSD MS
MSD
% Rec
Conc. Result
Result % Rec
% Rec
Limits RPD
50 63.3
- 63.9 119
120
73-131 .8
101
100
79-120
100
98
87-109
98
94
85-115
100
102
70-120
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
� N •cccq��
`iJ11iW�lJz
Qual
Page 18 of 21

MAnalytical
wmpacefabsc=
I
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
QUALITY CONTROL DATA
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078.
[phone]
Project: KR-ASHEBORO 02600
Pace Project No.: 925471
I
QC Batch: MSV/1523
Analysis Method: EPA 8260
QC Batch Method: EPA 8260
Analysis Description`. - 8260 MSV Low Level
Associated Lab Samples: 925471010, 925471011
METHOD BLANK: 27247
— Associated Lab Samples: 925471010, 925471011
'
Blank
Reporting '
- Parameter
Units
Result
Limit Qualifiers.
Chloroform
ug/L
NO
1.0
cis-1,2-Dichloroethene
ug/L
NO
1.6
Tetrachloroethene
ug/L
ND
1.0
trans-1,2-Dichloroethene
ug/L
ND
1.0
Trichloroethene
ug/L
ND
1.0
Vinyl chloride
ug/L
ND.
1.0-
1,2-Dichloroethane-d4 (S)
%
102
79-120
4-Bromofluorobenzene (S)
%
100,
87-109.
Dibromofluoromethane (S)
%
101
85-115
Toluene-d8 (S)
%
`
106
70-120
I i
- LABORATORY CONTROL SAMPLE:
27248
Spike -
LCS LCS
% Rec
Parameter
Units
Conc.
Result % Rec
Limits Qualifiers
Chloroform
ug/L
50
52.9
106
77-129
cis-1,2-Dichloroethene
ug/L
50
57.1
114
76-133
Tetrachloroethene
ug/L
50
60.3
121
78-128
trans-1,2-Dichloroethene
ug/L
50
58.0
116
78-134
Trichloroethene
ug/L
50
60.1
121
79-127
Vinyl chloride
ug/L
50
59.6
119
67-143
1,2-Dichloroethane-d4 (S) - -
%
81
79=120
4-Bromofluorobenzene (S)
% -
107
87-109
Dibromofluoromethane (S)
%
96
85-115
Toluene-d8 (S)
%
102
70-120
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: . 27262
21263
MS..
MSD ..
926543002 Spike
Spike- MS
MSD MS
MSD
% Rec
Parameter
Units Result Conc.
Conc. Result
Result % Rec
% Rec
Limits RPD Qual
Trichloroethene
ug/L ND 50
50 57.6
57.6 115
115
73-131 .07
1,2-Dichloroethane-d4 (S)
%
100
99
79-120 -
4-Bromofluorobenzene (S)
%
99
101
87-109
Dibromofluoromethane (S)
%
91
96
85-115
Toluene-d8 (S)
%
100
100
70-120 .
Date: 10/24/2007 04:49 PM
REPORT OF LABORATORY ANALYSIS
This report shall not. be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
lO CCpq'
o
�i
1
Page 19 of 21

i
aceAnalocal
www..pacdabs.com
Project: KR-ASHEBORO 02600
Pace Project No.: 925471
I
Pace Analytical Services, Inc. Pace Analytical Services, Inc.
2225 Riverside Dr. 9800 KinceyAve. Suite 100
Asheville, NC 28804 Huntersville, NC 28078
[phone] [phone]
QUALITY CONTROL DATA
QC Batch: WETA/1384
Analysis Method:. SM 4500-CI-E
QC Batch Method: SM 4500-CI-E
Analysis Description: 4500 Chloride
Associated Lab Samples:
925471001, 925471002, 925471003, 925471004, 925471005, 925471006, 925471007, 925471008, 925471009,
925471010,925471011
METHOD BLANK: 28311
Associated Lab Samples:
925471001, 925471002, 925471003, 925471004, 925471005, 925471006, 925471007, 925471008, 925471009,
925471010,925471011
Blank Reporting
Parameter
Units
Result Limit Qualifiers
Chloride
mg/L
ND 5.0
LABORATORY CONTROL SAMPLE: 28312
Spike LCS LCS % Rec
Parameter
Units
Conc. Result % Rec Limits Qualifiers
Chloride
mg/L
20 21.1 105 90-110
MATRIX SPIKE SAMPLE:
28313
925471001 Spike MS MS % Rec
Parameter
- I Units
Result Conc. Result % Rec Limits Qualifiers
Chloride
mg/L
23.2 20 41.0 89 75-125
SAMPLE DUPLICATE: 28314
925471002 Dup
Parameter Units Result. Result RPD Qualifiers
Chloride mg/L 120 121 A
Date: 10/24/2007 04:49 PM REPORT OF LABORATORY ANALYSIS Page 20 of 21
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
ojjj)N ACCOR'
ui

Q n ® Pace Analytical Services, Inc. Pace Analytical Services, Inc.
aceAnalXical 2225 Riverside Dr. 9800 KinceyAve. Suite 100
i—..pacelabapun Asheville, NC 28804 Huntersville, NC 28078
_ J [phone] [phone]
QUALIFIERS
Project: KR-ASHEBORO 02600
Pace Project No.: 926471
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied.to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture.content.
ND - Not Detected at or above adjusted reporting limit.
J - Estimated concentration above the adjusted, method detection limit and below the adjusted reporting limit. -
MDL- Adjusted. Method Detection Limit.
S -Surrogate .
1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference -
NC - Not Calculable. -
_ Pace Analytical is NELAP accredited. Contact your Pace PM for the current list of accredited analytes.
Date:10/2412007 04:49 PM REPORT OF LABORATORY ANALYSIS Page 21 of 21
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..

�aceAnal ical
rnlahe
CHAIN -OF -CUSTODY / Analytical Request Document
The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately.
Section A Section B Section C
Required Client Information: Required Project Information: Invoice Information:
C any: Report To: �� Attention:
NI �
Page: of
1139655
Address.
Copy To:
Company Name:
REGULATORY AGENCY
eJt L Z G3�
Address:
r NPDES V, GROUND WATER (— DRINKING WATER
(µ UST (` RCRA ("" OTHER
E it To:
Purchase Order No.:
Pace quote
Reference:
on
Project Name:
`LM,�J
Pace Protect ..
Manager.
Site Location
STATE.
Re ted Due DatelT
Project Number:t)%./� O
`4
Paoe Profile fk -�
Retjuested
Analysis
Filtered
(YM)
�+
—
Section D Matrix Codes
Required client Information MATRIX I CODE
Drinking Water DW
Water WT
Waste Water WIN
PfOdUCt P
SAMPLE ID o iusond oL
Wipe WP
(A-M S / E Air AR
Sample IDS MUST BE UNIQUE Tissue TS
Other OT
s
m
—
m
W
p
O
c?
X
o
U
1j
m
11
W
a
W
a-
ra
COLLECTED
zO
U
j
8
¢
a
w
t-
W
a
Q)
Z
Z
U.
O
I
Preservatives
..r
_
COMPOSITE
START
COMPOSITE
ENDIGRAB
at
Z
a
c
rp
H
_`
0
z
_
U
=
to
z
z
o
t
N
�+►
d
rn
y
ys
)tt)
J
z
d
C
V
v
l'�Ity'v7111 1`�11
ce Project No./ Lab I.D.
DATE
TIME
DATE
TIME
1
pW - I
o
SI
lzr
i
ky
a
LY-
2
%'�
is
s
1
?
k
1446
X
7
M t.37G6
8
M La —
ZO
!
s
1r"r1 W -1
ZS
31
N
10
rvi1,J -1?
IWO
I!Akx
X
�
11
X
-V
1
12
ADDITIONAL COMMENTS
U UISHED Y 7 FFILIkT10N'
DATE
TDAE
A
EPTED 7 AFFI TtON'
A
TIME
SAMPLE CONDITIONS
It NE
*0
14
WO
L �('�'
1.14 �KAh` J Z+ �' L1vL�•i �/t 0 ®RIGINAL
Gn1d,,i� it C66 oiLr e1
SAMPI EIS FE AND SIGNATURE.V
o
0
—
o
U
w
n
W
PRINT Name of SAMPLER: `5 -
SIGNATURE of SAMPLER
DATE Signed
MMIDDNY): ��
r� } oort t Note: By siaaing this fonn you are accepting Paos's NET 30 day oavmerd terns and agreeing to lata chames of 1.6%oer month fo oims not paid within 361fays. F-ALL-Q-020rev.07, 15-May-2007

aceAnaljftal
wmpacelabscom
I
November 01, 2007
_. Mr. Chris Fay
Duncklee & Dunham
P.O.. Box 33366
j Raleigh, NC 27636
Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
2225 Riverside Dr.
9806 Kincey Ave. Suite 100
Asheville, NC 28804
Huntersville, NC 28078
[phone]
[phone]
RE: Project: KR-ASHEBORO' 02600
Pace Project No.: 926534..
I
Dear Mr. Fay:
Enclosed are the analytical results for sample(s) received by the laboratory on October 25, 2007.
The results relate only to the samples included in this report: Results reported herein conform to the
most current NELAC standards, where applicable, unless otherwise narrated in the body of the
report.
- Inorganic Wet Chemistry and Metals analyses were performed at our Pace Asheville laboratory,and
Organic testing was performed at our Pace Huntersville laboratory unless otherwise footnoted. All
Microbiological analyses were performed of the laboratory where.the samples were received.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Kevin Herring
[e-mail]
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This -report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
4 p ACCQgQ' _ .
i
Page 1. of 10

Pace Analytical Services, Inc. Pace Analytical Services, Inc.
�JI+e��l/}!
2225 Riverside Dr. 9800 KinceyAve. Suite 100
Divyab�s
Asheville, NC 28804 Huntersville, NC 28078
[phone] [phone]
CERTIFICATIONS
Project: KR-ASHEBORO 02600
Pace Project No.: 926534
-
Charlotte Certification IDS
Florida/NELAP Certification Number: E87627
North Carolina Field Services Certification Number: 5342
Kansas Certification Number: E-10364
South Carolina Certification Number: 990060001
Louisiana/LELAP Certification Number: 04034
South Carolina Bioassay Certification Number: 990060003
North:Carolina Drinking Water Certification Number: 37706 '
Tennessee Certification Number: 04010
North Carolina Wastewater Certification Number: 12
Virginia Certification Number: 00213
Asheville Certification IDS
Florida/NELAP Certification Number: E87648
Pennsylvania Certification Number: 68-03578
Louisiana/LELAP Certification Number: 03095
South Carolina Certification Number: 99030001
New Jersey Certification Number: NC011
South Carolina Bioassay Certification Number: 99030002
North Carolina Drinking Water Certification Number: 37712
Tennessee Certification Number: 2980
North Carolina Wastewater Certification Number: 40
Virginia Certification Number: 00072
North Carolina Bioassay Certification Number: 9
Eden Certification IDS
North. Carolina Drinking Water Certification Number: 37738
North Carolina Wastewater Certification Number: 633
Virginia Drinking Water Certification Number: 00424
I i
I
REPORT OF LABORATORY ANALYSIS Page 2 of 10
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. .
1 a
Az

MAnalylicN
wxwpacelabscom
Project: KR-ASHEBORO 02600
Pace Project No.: . 926534
Pace Analytical Services, Inc.
Pace Analytical Services, Inc.-
2225 Riverside Dr.
9800 Kincey Ave. Suite 100
Asheville, NC 28804
Huntersville, NC 28078
[phone]
[phone]
PROJECT NARRATIVE
Method: EPA 8260
Description: 8260 MSV Low Level
Client: Duncklee & Dunham
Date: November 01, 2007
General Information:
4 samples were analyzed for EPA 8260. All samples were received in acceptable condition with any exceptions noted below.
Hold Time:
The samples were analyzed within the method required hold times with any exceptions noted below.
Initial Calibrations (including MS Tune as applicable): .
All criteria were within method requirements with any exceptions noted below.
Continuing Calibration:
All criteria were within method requirements with any exceptions noted below. .
Internal Standards:
All internal standards were within QC limits.with any exceptions noted below.
Surrogates:
All surrogates were within QC limits with any exceptions noted below.
Method Blank:
All analytes were below the :report limit in the method blank with any exceptions noted below.
Laboratory Control Spike:
All laboratory control spike compounds were within QC limits with any exceptions noted below.
Matrix Spikes:
All percent recoveries and relative percent differences (RPDs) were within acceptance criteria with any exceptions noted below.
Duplicate Sample:
All duplicate sample results were within method acceptance criteria with any exceptions noted below.
Additional Comments:
This data package has been reviewed for quality and completeness and is approved for release.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
o .eaa;
Page 3 of 10

Pace Analytical Services, Inc. Pace Analytical Services, Inc.
a
2225 Riverside Dr. 9800 Kincey Ave. Suite 100
wwwpaceiabs�m
Asheville, NC 28804 Huntersville, NC 28078
[phone] [phone] i
ANALYTICAL RESULTS
t
Project: KR-ASHEBORO 02600 .
Pace Project No.: 926534
Sample: MW-22
Lab ID: 926534001 Collected: 10/24/07 11:00
. Received: 10/25/07 15:03 Matrix: Water
Parameters
Results
Units Report Limit
DF
Prepared Analyzed CAS No. Qual
8260 MSV Low Level
Analytical Method:
EPA 8260
Chloroform
ND ug/L
1.0
1
10/27/07 02:04 67-66-3
cis-1,2-Dichloroethene
ND ug/L
1.0
1
10/27/07 02:04 156-59-2
trans-1,2-Dichloroethene
ND ug/L
1.0
1
10/27/07 02:04 156-60-5
Tetrachloroethene
ND ug/L
1.0
1
10/27/07 02:04 127-18-4
Trichloroethene
ND ug/L
1.0
1
10/27/07 02:04, 79-01-6
Vinyl chloride
ND ug/L
1.0
1
10/27/07 02:04 75-01-4
4-Bromofluorobenzene (S)
97 %
87-109
1
10/27/07 02:04 460-00-4
Dibromofluoromethane (S)
106 %
85-115
1
10/27/07 02:04 1868-53-7
1,2-Dichloroethane-d4 (S)
99 %
79-120
1
10/27/07 02:04 17060-07-0
Toluene-d8 (S)
108 %
70-120
1
10/27/07 02:04 2037-26-5
r
Date:11/01/2007 02:58 PM REPORT OF LABORATORY ANALYSIS Page 4 of 10
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
CCCgC^ _ i
�l�JflB��lJz i
I

4 /�,, t ®
[�Ce/`U aixica!
Pace Analytical Services, Inc. Pace Analytical Services, Inc.
2225 Riverside Dr. 9806 Kincey Ave. Suite 100
wwwwaoelaftcom
Asheville, NC 28804
Huntersville, NC 28078
J(828)254-7176
[phone]
-
ANALYTICAL RESULTS
Project: KR-ASHEBORO 02600
Pace Project No.: 926534
- Sample: MW-20
Lab ID: 926534002 Collected: 10/24/07 11:19
Received: 10/26/07 15:03 Matrix: Water
Parameters
Results Units
Report Limit
DF
Prepared Analyzed
CAS No. Qual
8260 MSV Low Level
Analytical Method: EPA 8260
Chloroform
3.9 ug/L
to
1
10/27/07 04:10
67-66-3
cis-1,2-Dichloroethene
ND ug/L
1.0
1
10/27/07 04:10
156-59-2.
trans-1,2-Dichloroethene
ND ug/L
1.-0
1
10/27J07 04:10
156-60-5
Tetrachloraethene
ND ug/L
1.0
1
10/27/07 04:10
127-18-4
Ticchloroethene
ND ug/.L
1.0
1
10/27/07 04:10
79-01-6
Yinyl chloride
ND ug/L
1.0
1
10/27/07 04:10
75701-4
4-BPomofluorobenzene (S)
89 % •
87-109
-.1
10/27/07 04:10
460-00-4
Dibromofluoromethane (S)
110 %
85-115
1
10/27/07"04:10
1868-53-7
1,2-Dichloroethane-d4 (8)
116 %
79-120
1
10/27/07 04:10
17060-07-0,
Toluene-d8 (S)
99 %
70-120
1
10/27/07 04:10
2037-26-5
ate:11/01/2007 2 o .56 PM
REPORT OF LABORATORY ANALYSIS
Page 5 of 10
This report shall not be reproduced, except in full,
without the written consent of Pace Arialytical Services, Inc..
u a.accoq`
p.
�i

Pace Analytical Services, Inc. Pace Analytical Services, Inc.
®
rip jJn�),j/►�j
2225 Riverside Dr. 9800 Kincey Ave. Suite 100 .
iilVl�l'{
Asheville, NC 28804 Huntersville, NC 28078
[phone] [phone]
ANALYTICAL RESULTS
Project: KR-ASHEBORO 02600
Pace Project No.: 926534
Sample: MW-1
Lab ID: 926534003. Collected: 10/24/07 11:30.
Received:. 10/25/67 15:03 Matrix: Water
Parameters
Results Units
Report Limit
DF
Prepared Analyzed CAS No. Qual
8260 MSV Low Level
Analytical Method: EPA 8260
Chloroform
3.5 ug/L
1.0
1
10/27/07 04:34 67-66-3
cis-1,2-Dichloroethene
ND ug/L.
1.0
1
10/27/07 04:34 156-59-2
trans-1,2-Dichloroethene
ND ug/L
1.0
1
10/27/07 04:34 156-60-5
Tetrachloroetliene
ND ug/L
1.0
1
10/27/07 04:34 127-18-4
Trichloroethene
ND ug/L
1.0
1
10/27/07 04:34 79-01-6
Vinyl chloride
ND ug/L
1.0.
1
10/27/07 04:34 75-01-4
4-Bromotluorobenzene (S)
91 %
87-109
1
10/27/07 04:34 460-00-4
Dibromofluoromethane (S)
110 %
85-115
1
10/27/07 04:34 1868-53-7
1,2-Dichloroethene-d4 (S)
116 %
79-120
1
10/27/07 04:34 1.7060-07-0
Toluene -dB (S)
100 %
70-120
1
10/27/07 04:34 2037-26-5
Date: 11/01/2007 02:58 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
- C gACOOq'
)� bo
vi

- aceAnalylical
www.pacelabs.com
I ,
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Project: KR-ASHEBORO 02600
Pace Project No.: 926534
Sample: MW-11
Lab ID:.926534004 Collected: 10/24/07 11:45
Received: 10125/07 15:03 Matrix: Water
Parameters
Results Units '
Report Limit
DF
Prepared Analyzed
CAS No. Qual .
8260 MSV Low Level
Analytical Method: EPA 8260
Chloroform
ND ug/L
1.0
1
10/27/07 04:58
67-66-3
cis-1,2-Dichloroethene
ND ug/L
1.0
1
10/27/07 04:58
156-59-2
trans-1,2-Dichloroethene
ND ug/L
1.0
1
10/27/07 04:58
156-60-5
Tetrachloroethene
ND ug/L
1.0
1
10/27/07 04:58
127-18-4
Trichloroethene
ND ug/L
1:0
1
10/27/07 04:58
79-01-6
Vinyl chloride
ND ug/L
1.0
1
10/27/07 04:58
75-01-4
4-Bromofluorobenzene (S)
90 %
87-109
1
10/27/07 04:58
460-00-4
Dibromofluoromethane (S)
111 %
85-115 _
1
10/27/07 04:58
1868-53-7
1,2-Dichloroethane-d4 (S)
115 %
79-120
1
10/27/07 04:58
17060-07-0
Toluene-d8 (S)
100 %
70-120
1
10/27/07 04:58
i
2037-26-5
Date: 11/01/2007 02:58 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
ti0 GCaq+
0
Page 7 of 10

Pace Analytical Services, Inc. Pace Analytical Services; Inc.
+�n� 2225 Riverside Dr. 9800 KinceyAve. Suite 100
itii �r1riDlhS�� Asheville, NC 28804 Huntersville, NC 28078
wwwtpeml
[phone] [phone]
QUALITY CONTROL DATA
Project: KR-ASHEBORO 02600
Pace Project No.: 926534
QC Batch: MSV/1634 Analysis Method: EPA 8260
QC Batch Method: EPA 8260 Analysis Description: 8260 MSV Low Level
Associated Lab Samples: 926534001
METHOD BLANK: .32828
Associated Lab Samples:
926534001
Blank
Reporting
Parameter
Units
Result
Limit
Qualifiers
Chloroform
ug/L
ND
1.0
cis-1,2-Dichloroethene
ug/L
ND
1.0
Tetrachloroethene
ug/L
ND
1.0
trans-1,2-Dichloroethene
ug/L
ND
1.0
Trichloroethene
ug/L
ND
1.0
-
Vinyl chloride " :
ug/L
ND
1.0
1,2-Dichloroethane-d4 (S)
%
99
79-120
4-Bromofluorobenzene (S)
%
99
87-109
Dibromofluoromethane (S)
%
102
85-115
Toluene-d8 (S)
%
98
70-120
LABORATORY CONTROL SAMPLE: 32829
Spike
LCS
.
LCS
% Rec
Parameter
Units
Cone.
Result
% Rec
Limits
Qualifiers
Chloroform
ug/L
50
52.9
106
77-129
cis-1,2-Dichloroethene
ug/L
50
52.7
105
76-133
Tetrachloroethene
ug/L
50
57.2
114
78-128
trans-1,2-Dichloroethene
ug/L
50
50.6.
101
78-134
Trichloroethene
ug/L
50
53.9
108
79-127
Vinyl chloride
ug/L
50
. .
53.9
108
67-1143
1,2-Dichloroethane-d4 (8)
%
102
79-120
4-Bromofluorobenzene (S)
%
105
87-109
Dibromofluoromethane (S)
%
97
85-115
Toluene-d8 (S)
%
99
70-120
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 32866.
32867,
MS
MSD
926534001
Spike
Spike
MS
MSD
MS MSD.
% Rec
Parameter --
Units Result
Cone.
Cone.
Result
Result
% Rec % Rec
Limits RPD" Qual
Trichloroethene
ug/L ND
56
56
53.4
53.0
107
106
73-131 .6
1,2=Dichloroethane-d4 (S)
%
-
94
102
79-120
4-Bromofluorobenzene(S)
%
99
99
87-109
Dibromofluoromethane (S)
%
100
105
85-115
Toluene-d8 (S)
%
97
95
70-120
Date:11/01/2007 02:58 PM REPORT OF LABORATORY ANALYSIS Page 8 of 10
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
E4 G-.
j cc
. uLLJ�tltli -

i
®
Q /I �
-- aCoMal i /+a'
Pace Analytical Services, Inc.
2225 Riverside Dr.
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
swwpac&bs:com
Asheville, NC 28804.
Huntersville, NC 28078)
l JI
[phone]
[phone]
QUALITY CONTROL DATA
Project:. KR-ASHEBORO 02600
Pace Project No.: 926534
QC Batch: MSV/1639
Analysis Method: EPA 8260
QC Batch Method: EPA 8260 .
Analysis Description:. 8260 MSV Low Level
Associated Lab Samples: 926534002, 926534003, 926534004
METHOD BLANK: 33070
Associated Lab Samples: 926534002, 926534003, 926534004 .
Blank
Reporting
Parameter
Units
Result '
Limit Qualifiers
Chloroform
ug/L-
ND
1.0
cis-1,2-Dichloroethene
ug/L
ND
1.0
Tetrachloroethene
ug/L
ND
1.0
trans-1,2-Dichloroethene
ug/L
ND
1.0
Trichloroethene
ug/L-
-ND
1.0
Vinyl chloride
ug/L
ND.
1.0
1,2-Dichloroethane-d4 (S)
%
114
79-120
4-Bromofluorobenzene (S)
%
91
87-109-
Dibromofluoromethane (S)
%
107
85-115
Toluene -dB (S)
%
100
70-120
LABORATORY CONTROL SAMPLE:
33071
Spike
LCS
LCS
% Rec
- ' Parameter
Units
Conc.
Result
% Rec -
Limits Qualifiers
'Chloroform
ug/L
50
46.3
93
77-129
cis-1,2-Dichloroethene
ug/L
60
51.0
102
76-133
Tetrachloroethene
ug/L
50
54.3
109
78-128
trans-1,2-Dichloroethene
ug/L
50
60.3
121
78-134
Trichloroethene _
ug/L
50
49.8
100
79-127
Vinyl chloride
ug/L
50
55.6
111
67-143
1,2-Dichloroethane-d4 (S)
% .
117
79-120
4-Bromofluorobenzene (S)
%
92
87-109
Dibromofluoromethane (S)
%
106
85-115
Toluene-d8 (S)
% -
101
70-120
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 33085
33086
MS
MSD
__.
926237010
Spike
Spike
MS' .
MSD
MS MSD
% Rec
Parameter
Units Result
Conc.
Conc.
Result
Result
% Rec % Rec
Limits RPD Qual
Trichloroethene
ug/L ND
50
50
58.2
56.5
116 113
73-131 3
1,2-Dichloroethane-d4 (S)
%
114 114
79-120
4-Bromofluorobenzene (S)
%
105 107
87-109
Dibromofluoromethane (S)
%
96 95
85-115
Toluene-d8 (S)
%
97 96
70-120
I I
1
Date: 11/01/2007 02:58 PM
I�
�I
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, ex6ept in full,
without the written consent of Pace Analytical Services, Inc..
G NNCCpq,
�\
oz
Page 9 of 10
F.

a Pace Analytical Services, Inc. Pace Analytical Services, Inc.
CG dn+��U}I/+ 2225 Riverside Dr. 9800 Kincey Ave. Suite 100
WAWPW&bbswm Asheville, NC 28804 Huntersville, NC 28078
[phone] [phone]
i 1
QUALIFIER$
Project: KR-ASHEBORO 02600
Pace Project No.: 926534
l
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture content.
ND - Not Detected at or above adjusted reporting limit.
J - Estimated concentration above the adjusted method detection limit_ and below the adjusted reporting limit.
MDL-Adjusted Method Detection Limit.
S - Surrogate
1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
Pace Analytical is NELAP accredited. Contact your Pace PM for the current.list of accredited analytes.
Date: 11/61/2007 02:58 PM REPORT OF LABORATORY ANALYSIS Page 10 of 10
This report shall not be reproduced, except in full, J
without the written consent of Pace Analytical Services, Inc..
CCOgq�
�LLL q♦.lJz

r.
PaceAnalytical
www.pacolobs.com
CHAIN -OF -CUSTODY / Analytical Request Document
The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately.
Section A Section B Section C
Pago: of j
Required Client Information: Required Project Information: Invoice Information:
Qa Pany: f Report To: Attention:
q raw (� r
1 3 1^a `Z Ii�
1
dross; — —,
J!Tn r,) v j
Copy To: , J
Company Name:
REGULATORY AGENCY
� � r � ,> � r `_ �� � �7 -� (,� j'a
Address:
I NPDES , � GROUND WATER (- DRINKING WATER
r UST RCRA r OTHER
Emaifl To: I 1
Purchase Order No.:
Pam Duoto
Roference:
P One:
F�7k; ^�
Project Name: l (\,
Pam Protect
SIIE Location
ware:
Raquestod Due DatofTAT:
Project Number
Paea ProfJe a: �
_
Requested
Analysis
Filtered
(YIN)
Section D Matrix Codes
a
x
RequlrodCnonllMomiouon,
COLLECTED
Preservatives
3--
Drinking
Ddning etor D'N
ca
z
O
Wetor WT
Water UWO
COMPOSITE
OMPOSITE
ENDIGRAB
J
ProductWaste
Soillsolid SL
p
�y
SAMPLE ID Oil OL
U
X
Po (A-Z, 0.01,-) AirR
Sampb IDs MUST BE UNIQUE TlssuO TS
®
O
j
G.
=
¢
CD
F
O
�
U
Other OT
U
h
oa) r
at
�•l�( i 1
g
a
U
yOaO_2�y.0
`
v
r
aO
c
Z
U
a
'R
m&
Q
DATE
TIME
DATE
•TIME
'H
n
�
3
T
2
Z
Z
O
y
.��
tz
Pace Project No,/ Lab I.U.
1
n'� \...) - Z'�.
�.r-r•
{�,
I c/ u
t I ,c) .
3
-
X
X
1 -,.l t f ��l � j . �l �?
-
9
A
7
l3
9
10
11
12
A0DITJ0)1AL COMMENTS
RELINQWSHEO
BYA;_FIUATION
DATE
TIME
ACCEPTED BY I AFFILIATION
DATE
TIME
SAMPLE CONDITIONS
i• _ �) _ _
SAMPLER NAME AND SIGNATURE
v
o ^
d
%�' I 3
•a
.gz�
y U E
PRINT Name of SAMPLER: (` `. _, �,
_
t 5 Tl (: , ( r , 1^
�/
DATE Signed
Y
V
•
SIGNATURE of SAMPLER:" C. t
(MMIDDIYY): ' 1� - - 'J -';
m
m
`� 'knP afard acre: By sg" Ills farm you a% acceptag Paris IMT 31) dar PWWM tarrrts and oweeine 10 tale charges of 1.6% Per month for any invokes not Paid within 30 days. F-ALL: 0-020rev.07, 15-May-2007

DUNCKLEE
& DUNHAM
ENVIRONMENTAL CONSULTANTS
511 KEISLER DRIVE - SUITE 102
CARY, NORTH CAROLINA 27518
OFFICE: (919) 858 - 9898
FACSIMILE: (9191 858 - 9899
DATE:
JOB NO.
PROJECT
`1 *
a 7-60U
NAME: k
LOCATION:
PRESENT
N
AT SITE: G�f re vcr
WEATHER:
TEMPERATURE `
�p~
�ca�
&TDAE:
ARRIVAL. AM
DEPARTURE ANI
TIME PM
TIME PM
THE FOLLOWING WAS NOTED:
10: �5 -'� e.��lay��� >v�i�-r' cor►�+�.cr-�11z�
I O : 30'� G col 0.,� _ o/�S 1 � t► � S L CJ C�
p TU
cu.Gc.c.55 1_�S�GZ -Pb 1�►: s?Lu�+_�} crnrq c�
.�+a.S G.��� ..�_ ko �.¢.� vcrl..-•�SSIv� .Ee c.� u.�t. �S=brL>t�a,rt.r�.,c_�lon
COPIES TO IE P
Page 1 of SIGNED
MAILING ADDRESS - POST OFFICE Box 33366 RALEIGH, NORTH CAROLINA 27636
3'3 -:�-1 � �ro

1500
MISS
DUNCKLEE
&DUNHAM
ENVIRONMENTAL CONSULTANTS
511 KEISLER DRIVE - SURE 102
CARY. NORTHCAROLINA 27519
OFFICE: (919)859- 9898
FACSIMILE: (919) 958 - 9899
DAIV:
JOB NO.
PROJECT
01 Vu4
OLGW
NAME:
LOC4TION:%
PRESENT
AT SITE:
WEATHER:
TEMPERATURE
& TIME:
ARRIVAL AM
DEPARTURE AM
TIME Pm
TIMIE Pm
THE FOLLOWING WAS NOTED:
IS- iuvs djQ, - to , ntXfL A JU - Iq
I Fo ' e.1-A� - - A a & Elko elsot
V12 0
71
dolt y
COPIES TO
Page I— of
40MUF
- ---------
UnMR-olm
. ........ .
MAILING ADDRESS - POST OFFICE Box 3336o RALLIGH, NORTH CAROLINA 27636

DUNCKLEE
& DUNHAM
ENVIRONMENTAL CONSULTANTS
511 KEISLER DRIVE - SUITE 102
CARY, NORTH CAROLINA 27518
OFFICE: (919) 858 - 9998
FACSIMILE (919) 858 - 9999
DA
E
JOB NO
PROJECT
J'C7
O OCR
NAME: K 2 J\4-jo -&D
L AA I ll,)N
PRESENT / Gv¢-
!`
AT SITE: C. FP oS�
WEATHER
TEMPERATURE
's
GActs lL
& TINE: 0--lp ♦ cop
ARRIVAL AM
DEPARTURE 4�1
TIME cn PM
TIME
THE FOLLOWING WAS NOTED:
o �► , —
�40ia -y
zo' •, ..?, v— j crytl �r �..,4L 1..-
rzav
_ -�. _ — l - - r ►� psi d-o 2 s-A to ps
COPEES TO FI REP
Page 3 of SIGNED
MAILING ADDRESS - POST OFFICE BOX 33366 - RALE1611, NOR I H CARO LINA 27636

DUNCKLEE
& DUNHAM
ENVIRONMENTAL CONSULTANTS
511 KEISLER DRIVE - SUFTE 102
CARY, NORTH CAROLINA 27518
OFFICE (919) 858 - 9898
FACSOWLE: (919)858 -9899
DATE:
JOB NO.
PROJECT
Ci 1-45 10-7
0 2-&CX2)
NAME:
L UU-T-10N—
A
PRESENT
AT SITE:
WEATHER:
TEMPERATURE
I
& TIME:
ARRIVAL AM
DEPARTURE AM
TRAE I'm
TIME PM
THE FOLLOWING WAS NOTED:
L-1 -Inc- 7-
f
c—
C% A.til .-c e c,CL I fftn4g, 5 tj l i ^:X
v
AMC.), , c- ;—Cle I* post � v 13 ig VL L IF-
r,
o Lq 0
WE
COPIES TO
Page 4 of.
W. vv-�-
FIELORT
SIGNED
MAILING ADDRESS - POSI OFFICE Box 33366 - RALElUfi,,,UR'FHCARULINA-'7o36

DUNCKLEE
& DUNHAM
ENVIRONMENTAL CONSULTANTS
511 KEISLER DRIVE - SUITE 102
CARY, NORTH CAROLINA 27518
OFFICE: (919) 858 - 9898
FACSDAILE: (919) 858 - 9899
DAT
JOB NO.
PROJECT
V ,f` NAME: n lAn S n..t�
LOCATION:-
PRESENT
AT SITE:
WEATHER:
TEMPERATURE
& TIME:
ARRIVAL AM
DEPARTURE AM
TIME PM
TIME PM
THE FOLLOWING WAS NOTED:
,M v-\ "3 -p"Ty 3 I t S ^ny- g D -T o—
v- "j - r -1 V Ty 2 G, Z 8 r`^ a- 7 1-11 .2
113 � -"' Dc��,�Zc� � 5'4 • Z7_� �un� I.. � � S
-ft -, - L 0�j —n. -- Q&' I. -
0
COPIES TO
Page 5 of SIGNED.
MAILING ADDRESS - POST OFFICE BOX 33366 - RALEIGH, NUR IH CAROLINA 27636

j�"'+� DUNCKLEE
��/► & nuNH.vM
ENVIRONMENTAL CONSULTANTS
511 KEISLER DRIVE - SUITE 102
CARY• NORTHCAROLINA 27518
OFFICE: (919) 858 - 9898
FACSIMILE: (919) 858 - 9899
DATE
JOB NO.
PROJECT �)
2
O I co O
NAME:
LOCATION: t
PRESENT
AT SITE:
WEATHER:
TEMPERATURE
& TIME:
ARRIVAL AM
DEPARTURE ANI
TIME PM
TIME PM
THE FOLLOWING WAS NOTED:
o — T'/ , � s - -,4 7 J (
'�,, , sJ
K -+ -1 -
...........
ro co�a�.
ti..pJ
1,10-1 -- a -.v Ir% &0.l 1 ,-,- 0 'LUJO JS 1
fnanJIB.I1.._tl,ll.�w.n..�.......... _.....
-J 3 �! . -3 - ---- ._---.. --_. - -- -
�.��_1�r"• VO�(J.�•^..• 1
It 2-
1 j icw/-A- 1
COPIES TO FI RET
PageC/, of SIGNED
MAILING ADDRESS - POST OFFICE BOX 33366 - KALEIGH. NUK fit CAROLINA 27636

DUNCKLEE
& DUNHAM
ENVIRONMENTAL CONSULTANTS
511 KEISLER DRIVE - SUITE 102
CARY. NORTH CAROLINA 27518
OFFICE: (9191859 - 9899
FACSMLE: (919) 858 - 9899
DATE:
JOB NO.
PROJECT
NAME:
LOCATION:
PRESENT
AT SITE:
WEATHER:
TEMPERATURE
& TIME:
ARRIVAL AM
DEPARTURE AM
TIME PM
TIME PM
COPIES TO
Page of
SIGNED
4-Mu-3
FIELD REPORT
MAILINt; ADDRLSS - POS I' OFFICE BOX 33366 - RALLIGH, NOR Ili CAROLINA 27636

]:::DUNCKLEE
)-- & DUNHAM
ENVIRONMENTAL CONSULTANTS
511 KEISLER DRIVE - SUITE 102
CARY. NORTH CAROLINA 27518
OFFICE. (919) 858 - 9999
FACSIMILE: (919) 858 - 9899
DATE: !,
—1 23 I'7
JOB NO.
cX-3
PROJECT
NAME:
LOCATION:
PRESENT
AT SITE:
WEATHER:
TEMPERATURE
do TIME:
ARRIVAL AM
DEPARTURE AM
TIME PM
TIME PM
THE FOLLOWING WAS NOTED;
Mk)
r
!'
rAki- L 5 y. $ _ ��z_ z It, c _._____.__._._____....__.____._.....
...._._____
mw__------
`
FIEL
Page of SIGNED
RT
MAILINti ADDRESS - POST OFFICE Box 33366 -- KALEIUH, NORTH LAKULINA -? 703b

DUNCKLEE
& DUNHAM
ENVIRONMENTAL CONSULTANTS
511 KEISLER DRIVE - SUITE 102
CARY, NORTH CAROLINA 27518
OFFICE- (919) 858 - 9899
FACSIMILE (919) 858 - 9899
DATE:
JOB NO.
PROJECT
61/) 7
NAME:
LOCATION:
PRESENT
AT SITE: cee
WEATHER:
TEMPERATURE
& TIME:
ARRIVAL AM
DEPARTURE AM
TIME PM
TIME PM
THE FOLLOWING WAS NOTED:
►�aJ-Q
,W b `L4
plc -
- --_� �o
COPIES TO FIELD REPORT
Paze
m
SIGNED
MAILING ADDRESS - POST OFFICE BOX 33366 - RALEIGH, NORTH CAROLINA 27636

-' DUNCKLEE
- & DUNHAM
LETTER OF TRANSMITTAL
To: NC..Division of Water Quality-UIC
Attn: Peter Pozzo
From: Christopher Fay
Date: October 16, 2007
ENVIRONMENTAL CONSULTANTS
511 KEISLER DRIVE - SURE 102
CARY; NORIHCAROLINA 27518
OFFICE: (919) 858 - 9898
FACSIMILE: (919) 858 - 9899
The following document'is attached:
( ) Draft Letter /.Report (X) Final Letter / Report
( } Laboratory Report ( } Certification -Forms
( ): Contract ot-Change:Ordet' ( ) Other:
For the following action:
( ) For Your Review / Information
(X) A§Nou Requested
( ) For Your Signature & Return
Other
N
Comments:` Attached is the Injection. Event Record for permit number W10400033. In addition, the GW-
1 b and GW=30 forms are included: For any additional information in regards the injection event please
contact Christopher Fay -at (919) 85$-9898. Thank you.
cc; Laval Choiniere
MAILING ADDRESS- - POST OFFICE Box 3j366 - KALE IGH;.NCIRTH CAROLINA 27636

MJECUON EVENT RECOM
North Carolina DeparlOoaentaf Ea*onment and Nadia! Resomm — Division -of Water Quality
)Pwm*,Nuxnbff (4
KO-4-S-9di:
Perini
Fedlity Nam
n-L-31
Facility A&Wss
Irde&ion Contractor 4compan y amc
S,ftaetAd&QSS
OtY. State 25p�Code
Area code.— ftone n=ba
3. Wefl Wormadon
Number of wells used for injection
Well namea?+.
were any new wells installed during this injecdon
.event?
Yes 0. No
If yes, picaseprovide thefollowing infomation:
Number of Nection Wells
Typeofwell 1wtaffed (Check apNicable B4W)',
❑ Q..Bated
Hand -Augured 0. Other (specify)
please, include two copies of tht GW-Iblbr-each
well installed
Were any iwasaWddoned &&g- ibis' i
avow_
P, Yes
I yes, please provide tbP,'f0J1oWfiW. W0=fiaW
Nuftber Of M(WtxftWe9S nio tJ'Q L-..—
Nw*q of Injecticm:WOM 9,
Mease include two Woes of *6 6*-30 bdueAch.
weD Wjdn&m&
-4. 18jettimUmformObn
Iuje
00 -0
If ftJ1de#E1bt is dilutW Please CM, ft source
'dilution fluid. N
Total VcdumP14=tcd,
Vqbim6 Xijectbd pO-Wetl VZ cl,.
,:S. 10jewon M"00
Is. ftbisfhe last injection at ths'.site7
Yes No -
I DO HEREBY CERTIFY THAT, ALL THE
:INFORMATION. ON TFIIS FORM IS` � CORRECT TO
'TW BEST OF W
_XN0V#%WW AM TIJAT nffi
N=nON WAS E" * P RMID, WrrEN TJAF
STANDARDSI" OUrIN TH-EIPERAff.
OF
Submit -ft-ori&d,of Us f(jmto be Division of Water Qaauty within 30 days of injection.
Attu: UIC Progrzo, 1636 Mail Service Center; Mei9b. NC 27099-1636, Phone No.. 919-733-3221
OCT-08-2007 09:24AM From: 7048720248 ID:DUNCKLEE AND DUNHAM
POM tnc"4ER
. Rev- 11106.
TOTAL P,.02
'Pase'0_02' R=97k'

OCT-15-2007' 15:22 AIR DRILLING CO
7646720248 P.01
EC3l. 0C%ll14= .
E PL.C>F ^ r 1400bi
FACSIMILE TRANSMITTAL -SHEET
T_ O: `FROM:
Chns.Fay Tezd
COMPANY: OATS.:
Dunckke & Dunham 10/15/07
FA]I NUDIBER TOTAL NO. OF PAGES INCLUUING COVER:
0M.858-9899 19
PHONE NUM88R: CMDEWS R1ilFfAENCU NUhMM-
ltfi , YOUR RliFERENCH NUMUPT,
lr,ayse= Roth wed Iogs,
❑ WLGENT 0 FOR AEVik;ycr O l'i17A$F, C0Ub,fvN t' O P1:L Sfi.R IDLY E7 PI,FtnSi? RECYCLE
1.76; C,Ohlhlis:RCG HIND/STATESNII.I.P. N.C. 28.625
PFIO.Nb 704-877-7686/800-752-8855
—� l+eeA 7o'd=872-e2�8
OCT-15-22007 02.54PH . Fromi 7048720248 M:DLHCKLEE AND ®wFm Pase:001 R=100

La- 1-1-- t& tFa'i HIN i;RILLINU UU
Ifi5' fGrS -
NON RESIDENTIAL WELL CONSTRUCTION RECORD
NoTth Czm irsa Dcpwimert of En%ironmeu: and Natural Resources- Divmion of Water Quai:h
WELL CON —TRACTOR !CMIFIC.
1. WELL ataerTRACTCR:
STEPHEN SLOAN
Web Corrirscror (h@00ual) 'Jame
GEOLOGIC EXPLORATION INC.
Vllell Contradar Canpa ny Narne
STREET ADDRESS 176 COMMERCE BLVD
STATESVILLE INC 26625
Cray or Town State Zip CW0
i 704 ?_ 872-7686
Area oWtl Phone number
2. WELL INFORMATION:
SITE WE_L 10 ttoa?pinabe) FT-1
.STATE WELL PERMITWIi appllaebh)
DWQ or OTHER PERMIT *(d apphcablo)
WELL USE Check Applicable 80%) MOrN Mng G MuniClpaVPubiic IJ
iridustrwVr,omrnercial L, Agrlt-ultural ❑ Recadery■ Injection
Irrigations Ct W N (tst ut:e) INJECTICN
DATE DRILLED 0%2 M7
TIME CompLETED AM ] °M ❑
3. WELL LOCATION:
CITY: ASHEBORO COUNTY RANDOLPH
S' S WEST BALFOUR AVENJE
;Street Name, Numbers, Cnmmurrit , SubdMdion Lot No,, Parcel. Zip C0e81
TOPOGRAPHIC I LAND SETTING:
❑S10pe ^Valey 4ZF1at ORldge O Olher _
(tnedt appropriate bo*
LATITUDE May be in degroes.
minutes, seconds at
LONGITUDE _ in s decimal format
Latitude/longitudesource., OGPS CTopographic map
(locatron of wet mue be S/)own on a USGS topo -nap and
attached to this form. Gnat using GPS)
1. FACILITY. s rie none o+tne tvio-95,; -hem to well is located.
FACILITY ID t{ f applicable)
NAME OF FACILITY KAYSER-ROTH
STREET ADDRESS 515 WEST BALFCUR AdENUE
ASHESORO 4C
City or Town State Zip Code
,'ONTACT PERSON LAVAL CHOINIERE
MAILING ADDRESS 515 WEST BALFOUR AVF-NUE
ASHEBORO Nis,
City or Town State Zip Code
33{ 6 ). $72-1000
Area code , Phone number
S. WELL DETAILS:
it. TOTAL DEPTH:_50 0 FEET
b. DOES WELL REPLACE EXISTING WELL? ` FS C ND L
c. WATER LEVEL Below Top of Cueing' NIA r-F
tUse "+- If Above Top of Caslrtg)
MON #! 2854
d, TOP OF CASING IS l"dA
FT. Above Land Swlace'
`-op of Cas+-ig terminated odor below lend surface may require
a var4rice m acmcance with 15A NCAC 20 .0118.
p, YiELD (9pm), NA
IMETHot) Of TEST N''A _--
f. DISINFECTION: Type NVA
-Amount NIA
a. WATER ZONES (depth),
From To
from To
Fran To—
From To
From To
From To
$ CASING:
TNckness/
Ceptth
Diameter Weighl Metwiai
from To Ft.
_
From To Ft.
�
From To Ft.
7. GROt17: Depth
Material Method
Frain To _
FL
From To
Ft.
From To
Ft.
8, SCREEN: Depth
Diameter
Slot Sire Material
Fran To
FL k1-
o.
From To
Ft. in.
In.
Frnm o T
R. In.
In.
9. SAND/GRAVEL- PACK:
Depth
Size
Materiel
Frtan To
Ft.
From To
FL
Frorn TO
Ft._
10. DRILLING LOG
From To Fo'rriation Description
0.0 30,0 DIR, CT PUSH EQIJLPMENT
11, REMARKS:
IN,IEC90N POINT 755.0 GALLONS OF WATER INJECTED
CO HEREBY CERTIFY THAT TMS WELL WAS CONSMICT801N ACCaRDANCE WITH
1 SA NCAC 2 W ELL CONSTRICTION STANDARD5. AND T%A7 A COPY OF TMS
RECORD E@NP/ vIC'E HOWNER.
1 10115!0?
SIGNATUR F CERTIFIED WELL CONTRACTOR CATE
STEPHEN S:.OAN
PRINTED NAME OF PERSON CONSTRUCTING THE WEL:
Submit the original to the Division of Water Quality within 30 days. Attn: Information Mgt.,
1617 Man Service Center - Raleigh, NC 27619-1617 Phone No, [phone] ext 566.
Form GW-lb
Rev. 7105
TCTaL P.19
011-T-15-2007 02:58PM From: 704872024B ID:DUNCKLEE AND DUNHAM Pa9e:019 R=97%

fit, I —1 J—GYJYJ ! 1 J - eD H t N LRK 1 LL 1 NU l_IJ
7048720248 P.17
1. WELL CONTRACTOR:
1' ONRESIDENT,IAL WELL CONSTRUCTION RECORD
North Carolina Depanment of T:nvironmcnt and Natural Resources- Division of Weer Quality
WELL CONTRACTOR CERTIFICATION # 2854
STEPHENSLOAN'
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, iNC.
Well Contractor Company Name
STREET ADDRESS 176 COMMERCE BLVD
STATESVILLE NC 28625
City or Town State Zip Code
7D( 4 1.872-7686
Area code- Phone number
2. WELL INFORMATION:
SITE 'WLLL ID #(ir applioabte) PT
STATE WELL PERMIT*(dapplicable)_
DWQ or OTHER PERMIT #(if applicab{e)
WELL USE (Check Applicable Box) Monitoring n Municipal/Public .❑
Iri,du0 ial/Commercal ❑ Agricultural ❑ Recovery Irl*Vion O
Irrigation❑ Other Q (Hat use) (NJECTION
DATE DRILLED 09/28/07
TIME COMPLETED AM= PM
3, WELL LOCATION:
CITY ASHEBORO COUNTY RANDOLPH
51S WEST BALFOUR AVENUE
(Strool Name, NumWrs. Community, "euvieldn, Lct No. Parcel, Zip Code;
TOPOGRAPHIC / LAND SETTING:
C)Slope=`Jauey MFIat CRidge ❑ Other
(che(* approorletm box)
LATITUDE May be m degrees,
minutes, seconds or
LONGITUDE _ _ _ in a decimal formic
Latitude/longitude source: ❑GPS CTopographic map
(location of wall must be shown on a USGS topo map and
attached to this lbrm ifnof using GPS)
4. FACILITY. ie the name or ne wainn. whefe the Well is io zmd-
FACILITY ID #(I applicable)_
NAME OF FACILITY KAYSER-ROTH
STREET ADDRESS 516 WEST BALFOUR AVENUE
ASHEBORO NC
Gty or Town State Zip Cate
CONTACT PERSON LAVAL CHOINIERE
MAILING ADDRESS 516 WEST BALFOUR AVENGE
ASHEBORO NC
Cty or Town State Zip Code
33E 672-1000
Area code- Phone number
5, WELL DETAILS:
a. TOTAL DFPTH: 30.0 FEET
b. DOE$ WELL REPLACE EXISTING WELL? YES -- NO M
in. WATER LEVEL 8010W I op of CURV: WA FT.
((}so "+- If About Top of Ching)
d. TOP OF CASING IS N/A FT. Above Land Surface'
'Top of casing term•nated actor below land surface may require
a Varian^e In accordance with 15A NCAC 2C .0118
f. YIELD (gpm) NIA METHOD OF TEST NIA
f. DISINFECTION: Typo N/A Amount WA
g. WATER ZONES (depth)
From
To
From
To
From
To
From
To
From
To
From
To
S. CASING:
Thickness/
Depth
Diameter
Weight Matolal
From To Ft --
From To Ft.
From To Ft.
7. GROUT: Depth Material Method i
From To Ft.
From TO Ft.
From To Ft.
8. SCREEN: Depth Diameter Slot Sire Malarial
From To
Ft.
In. In,
From To
Ft.
in, in.
from To
Ft`in.
in.
S. SAND/GRAVEL PACK:
Depth
Size Material
Fran To
Ft.
From To
Ft.
Fran To
Ft
10. DRILLING LOG
From To
Forrnabon Description
0.0 30.0
DIRECT
PUSH EQUIPMENT
11. REMARKS:
INJECTION POINT 407 S GALLONS OF WATER INJECTED.
t DO HEREBY CERTIFY THAT THI$ WELL WAS CONSTRMIED IN ACCORDANCE WrTM
ISA NCAC . YVELL CONSTR ZVN STANDARDS, AND TMT A COPY OF THS
RE((:URO BEEN OVIDFB TWE OWNCR
f
i Q'1$J07
SIGNATIJRIIE OF CERTIFIED WE' CTOR DATE
S'rEPK=- SLOAN
PRINTED NAME OF PERSON CONSTRUICT►NG THE WELL
Submit the original to the Division of Water Qualily within 30 days. Aft; kntotmation Mgt,
1617 Mail Service Center- Raleigh, NG 17699-11617 Phone No. (919) TU4016 ext 541.
iprin GW-tb
Rev, 7W
O[_T-15-2007 02:57PM From: 7048720248 ID-.DINCKLEE AND DLNHAM Patae:017 R=100

UL.I—Ia—.'YJCIf IZ-e4 Him LAWILL.114U %_U
r V-40 r GkJe_40 r- , j
1- WELL CONTRACTOR:
NoNREsi N m wELI. coNsTRCCTJ0N RECORD
\ ortb Ctuo(bw Deparbwmt of Ea%itomxnt and Natural Resourve Drhsim of W aier Quality
WELL CONTRACTOR CERTIFICATION M -St
STENEN $$LOAN
WN Co *o= (Ut&*Wai) Name
GEOLOGIC EXPLORATION, INC.
Wei Ctl Valor Cornpeny Name
STREET ADDRESS 1Te COMMERCE BLVD
STATESVILLE INC 2B625
City or Town SWINE Zip Lode
7� 04 }- 872-7556
Area code- Phone murnbar
2. VVELL INFORMATION:
BETE `HELL 1D *t 0 eoriliC&t4e) FIT-3
STATE WELT_ PERMITyt(4 appicaNe)
DWQ or OTi-iER PERMIT #(if wpicable)
WELL USE {Check Appl,cab)e Box) Monitoring C Munirtpai(Publlc =
IndustrialrCommardal,: , Agriculiund C) Recovery-_ In)oc;on O
Irrigatlonp OthW C (list use) INJECTION
DATE DRILLED 09/27IC7
TIME COMPLETLU AMC PM ".
3. WELL LOCATION:
CITY ASHEBORO COUNTY RANDOLPH
$1. WEST BAL=OUR AVENUE
(Street Name, Numbr". Commu1.. SuWrotbr, Lot No. FarCel, Zip Code
TOPooRAPHIC / LAND SETTING:
0 Slate ❑ Valley E! Flat C Ridge C Other ___
(Check appropriate box)
LATITUDE May be in dogsts.
minutes, xconds or
LONGITUDE — _ in a decimal ronnut
lAtitude/longitude source: pGPS QT0po9Mh1c map
(tocanon owed must be shown or a USGS topo mop and
attached to this form it not using GPS)
4. FACILITY % o e game e! tine hs+r w +mete ttw Mali +s 1-194.
FACILITY ID *(L;f applicable)
NAME OF FACILITY KAYSER-ROTH
STREET ADDRESS 515 WEST BALFOUR AVENUE
ASHEBORC INC
City or Town Stuto Zip Code
CONTACT PERSON LAVAL CHOINIERE
MAILING ADDRESS 515 WEST SALFOUR AVENLr
ASHEBORO NC
City or Town Stele Zip Code
33( 1.672-1000
Area code - Phone nurAbOr
S. WELL DETAILS:
a. TOTAL DEPTH: 3G 0 FEE'
b. DOES WELL REPLACE EXISTING WELL? YES C NO Sl
c. WATER LEVEL Beim Too of (.;aSin9 -N:A FT.
(Use if Above Tip 0 Casing)
L
d. TOP OF CASING IS N/A FT, Above Land Surface'
-Top of using tents nated al/or below land surface may require
a %ananre in accordance with 15A NCAC 2C.0118.
a YIELD Igpmr NIA —METHOD
OF TEST NIA �
f. DISINFECTION: Typo NIA
Amount N/A
g. WATER ZONES Idepth):
From To
From
To
From To
Frtxn
To 1
from Tq
Frorn
Tc-_
s. CASING:
Thickness,/
Cepth
Diameter
Weight t late at
'rot l To ri
— - I
From To— Ft.
_
=tom To_ Ft
_
Z GROUT Depth
Matadi
kle,norl
From To Ft.
From To FL
From Tc FL
_.
8. SCREEN: Depth Diameter
Slot Size Materlai
Fr(Yn To Ft. In. In. _
From To Ft. In, In.
Fran To_ Ft. In. in
9. SAND/GRAVEL PACK:
Depth Sae Material
From TO Ft
Fran To Ft
Fran To Ft
10. DRILLING LOG
From To Formation Deecrlpfion
0,0 300 Wif',EQT PUSH EQUIEMEN i
11. REMARKS:
INJECTION POINT 450,0 GALLONS OF WATER INJECTED,
IDo HMO Y CERTIFY THAT THIS WELL WAS WNSTNUCTlID IN ACCORDANCE W01
iillWAP 1C.WE:.COKSTRUCTIONSTANDARDS.AND TINTACOPY OF" 1
NCCVIIAS aI PR TO `WELL OWWR
1 W &07
SiGNATIfRE OF CERTIFIED WELL CONTRACTOR DATE
S^_BPHEN SLOAN
PRINTED NAME OF PERSON CONSTRUCTING THE WELL J
Submit the original to the Division of Water Quality within 30 days. Attn: Information Mgt.,
1617 Mail Service Center — Raleigh, NC 27699-161 T Phone No. [phone] ext 568.
Form GW-1b
Rev. 7105
Ft o m : 1048720248 I D : DUNCKLEE AND DIJNHAM P a a e : 015 P =1 t= 0

1`11M 1A[1LL 1rNU k-U
r YJ040 r � .__ ­-- r . l
NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolma Departmcnt of Envirmrient and natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION 4 2054
1. WELL CONTRACTOR:
STFPHENSLOAN
Wei Corltrador (Individual) Name
GEOLOGIC EXPLORATION. INC.
Wall Contractor Company Name
STREET ADDRESS 176 COMMERCE BLVD
$TATESVILL5 NC 28825
Cily or Tcwn State Zip Code
t 704 872-7686
Area code- Phone number
2. WELL INFORMATION:
SITE 'WELL ID a(d i4*1 cable) FIT-5
STATE WELL PERMITS(Itappitcable)
DWQ or OTHER PERMIT IM(if applicable)
WELL USE (Check Applicable Box; Monitoring � Municipal/Publlc
IndusthallCorrmercial E. Agricultural(] RecowryD in,ec6on CI
Irrigation❑ Other C (fiSt use) INJECTION
DATE DRILLED 06121/07
TIME COMPLETED_ AM _, PM ❑
3. WELL LOCATION:
CITY ASHESCRO COUNTY RANDOLPH
S1S'NEST SAL'OUR AVENUE
(Str" Name, Numbers. Community, .jw"Maion. Lot No., Parcel, Zip Ccdej
70POGRAPHIC / LAND SETTING:
❑Slope Walley Qfiat `Ridge ❑ Other
(Check eppropnab box)
LATITUDE May he in degrees.
minutca, .=hods or
LONGITUDE _ in a da:imal format
Latitude/longitude source: oGPS ❑Topographic map
(location or well must be shown on e USGS topo map and
attached t0 this form if not Using SIPS)
4. FACILITY. to Iw name or lame twirwcs wham Iw weil is iwAtso
FACILITY 10 *(If applic.9W)
NAME: Of FACILITY KAYSER-ROTH
STREET ADDRESS 515 WEST 9ALFOJR AVENUE
ASHE80RC NC
City or Town State - Zip Code
CONTACT PERSON LAVAL CHOINIERE
MAILING ADDRESS 515 WEST BALFOUR AVENUE
ASHEBORO NC
City or Town State Zip Code
336 )- 872-1000
Area coos - Phone number
6. WELL DETAILS!
a. TOTAL DEPTH; 300 FEET
b. DOES WELL REPLACE EXISTING WELL? YES C NO K
C. WATER LEVEL below Top W Casing: NIA
(Use '+' if .AtQw Top of Casing)
d. TOP OF CASMlG IS NiA FT, Above Land Surface'
*Top of casing term nated Alter Below land surtaw may require
a ve,tanze in accordance with 15A NCAC 2C 0118.
a. YIELD (gpm): NA _ METHOD OF TEST NIA
t. DISINFECTION: Type NIA Amount N/A
g. WATER ZONES ideplh): 1
From To _ From _ To I
From Tp From "o
From To From TC i 6. CASING: ThicknesV
Cepth Diameter Weight Material
From To Ft. _
From To FL _
From To Ft. _
7. GROUT: Depth MaterIS Method
From To
FL_
_ _
Fran To
Ft.
From To
Ft.
A. SCREEN: Depth
Diameter
Sint Size Malarial
From To
FL
am. in
From To
rt.—in
in
From To
Ft.
In. in
S. SANDIGRAVEL PACK:
Depth
Size Materiel
Fran To
FL
From To
Ft.
___
Fran To
FL
10. DRILLING LOG
From To
Formation Descnption
0.030.0
DIRECT
PUSH EQUIPMENT
11. REMARKS:
INJECTION POINT 750.0 GALLONS OF WATER INJECTED.
I DO HERMY CEIITVY "T Thy WELL WAS C0NSTR1JC%0 It ACOCROAKE mM-H
1 SA NC C, W E-L CONSTRX797N STANDARDS. AND Ti"T A COPY Of TM
ReCORI&S BEEqPO LL OWaL'R.
m 1 d15fD?
SIGNATUIlk OF CERTIFIED WELL ZONTRACTOR DATE
STEPHEV SLOAN
PRIMED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 34 days. Attn: Information MgL,
1617 Mall Service Center — Raleigh, NC 27699-1617 Phone No. [phone] eat $0-
Farts QW-1 b
Rev. 7M5
OCT-15-2007 02:57FIl From: 7048720242 ID:DUNCKLEE AND DIL144A1 Pa9e:013 R=100%

UI I—1 •—c Jr 1:"4�4 HIN WILLIM.3 l.0
064t5i'4M248 F.11
1, WELL CONTRACTOR:
STEPHEN SLOAN
NDNR L wTeu, CONSrRV"_0.4 RECORD
North CuDims Dcpxunent of Envi oritnent mid Natur8i Resources- Division of WSW Quai+ry
%%LL CONTRACTOR CERTIFICATION # 2854
, VAll Controor (Iww4i'al) Name
GEOLOGIC EXPLORATICN.:NC.
Wei Ct>n0actot Company Name
STREET ADDRESS 176 COMMERCE 13LVD
STATESVUE NC 26s25
City cr TaYn State Zip C )de
7�_l- B72-7$86
Area Code- Poona number
2, WELL INFORMATIOW
SITE WELL ID tYN applicable) PT-8
STATE WELL PERMITOMapiI
DWQ or OTHER PERMIT Ir{d applicable)
WELL USE (Check Applicable Bop Monitoring G MuniciAaVPublic C
IndUstriaVCornm9rclal C AgIlCUR al ❑ Recovery =] irjection ❑
Irngat•on❑ Other [I (fist Use) INJECTION
DATE DRILLED �9/27l07
TIME COMPLETED AM Z] PM
3. WELL LOCATION:
CITY. ASHEBORO COUNTY RANDOLPH
$IS WEST BALFOUR AVENUE
(Street Name Numbers, Community. Subdivision, Let No, Parcel, Zix Code)
TOPOGRAPHIC / LAND SETTING:
❑ Slope C Vdit 9 plat C R119e ❑ Other
icheClc nPPr�pnttA bo7c)
LATITUDE May be m dq, rxs,
rninuTes, seconds or
LONGITUDE , ` in a decimal format
Lativadeliongitude source: ❑ GPS C Topographic map
(1ocWc l of wed must IM Shown On a USGS tope meP end
e"Ched to this form if not using GPS!
4. FACILITY �s "w rams of one to —iii when, vw Kdi 4 iocaiod.
FACILITY ID P;if applicaWe)
NAME OF FACILITY KAYSER-RO-,H
STREET ADDRESS 615 WEST BALFOUR AVENUE
ASHEBORO NC
City a Town State Zip Code
CONTACT PERSON LAVAL CHOINIERE
MAILING ADDRESS 615 WEST BALFOUR AVENUE
ASHEBORO NC
City or Town State Zip Cade
33� g ), 672-1OM
Area code - Phone nurtlbAr
S. WELL DETAILS:
a. TOTAL DEPTH: 30'0 FEE-
b. DOF-S WELL REPLACE EXISTING WELL? YES ❑ NO or'
c. WATER LEVEL Lielav Top Pf Casing: N'A FT.
(Use "*-if Above Top of Casing)
d TOP OF CASING IS N. A FT, Above Land 300ece'
'Top of coring terrnnated atlo- below land Surface may require
e variance in accordance with 15A NCAC 2: 0118,
9. YiELD (gpm). N1A METHOD OF TEST N/A
f. DISINFECTION: Type NIA Amount NIA
g, WATER ZONES (depth)
From
TO
Fram
To
F-om
Tc
Fran
To
From
To
Fran
To
B. CASING:
Thictmessl
Depth
Diameter
Weight Material
From
To
Ft.
From
To
Ft.
From
To
Ft.
7. GROUT:
Depth
Materiel
Method
From
To_
Ft.
Fmm
To
Ft.
From
To
Ft,
B. $GREEN:
Depth
Diameter SIDI Size Material
From
To
Ft- In. In.
From
To
Ft, In, f in.
From
To
Ft. in In.
9. SAND/GRAVEL PACK:
Dentn Size Material
Frori To Ft
From To F:,
From- _'—To Ft.__.. _
10. DRILLING LOG
From To Formation Description
0.0 30.0 DIRECT PUSH ELIUIPMEN7
11, REMARKS:
INJECTION POINT 751.0 GALLONS Oa WATER INJECTED.
100 HERE8YCERTFV TNGT TH5 WELL WAS CONVRJCTED N ACCORDANCE "AT'
15A NCAC WEL_ CONSTRUCTION STAKC"-,RDS AND THATA COP' OF THLS
RECORD EE N41ROvID TH6 OWNER.
dor-
Sir
1a16rc7
SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
STEPHEN SLOAN
PRINTED NAME OF PERSON CONSTRJCTING THE WELL
Submit the original to the Division of Water Quallity within 30 days, Attn: Information Met,
1617 Mall Service Centtsr - Raleigh, NC 27690-1617 Phone No. [phone] ext 668-
Form Gw-lb
Rev. 7105
OCT-15-2007 02:56Ph1 From: 704e720246 1D:DIJNCKLEE AND DUNHAM Pase:011 P=100'.

-i'-' H1K L"1LLlNU t_I_r
u4b r'��>�4ti t-', t_ty
I. WELL CONTRACTOR:
NON RESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Dntsior. of Water Quality
WELL CONTRACTOR CERTIFICATION # 2854
STEPHEN SLOAN
Well Cattractor (1-dhAoual) Nome
GEOLOQIC EXPLORATION, INC.
Well Contractor Company Name
STREET ADDRESS 176 COMMERCE BLVD
STA7i:SVIL.LE NC 28825
City or Town State Zip Code
( 704 . 872-7686
Area code- Phone rx,mber
2. WELL INFORMATION:
SITE WEL I ID 0f opoicable) PT-7
STATF WF-L PERMITtlf(if eppllcabh)
OWQ or OTHER PERMIT •(If appliUble)
WELL USE (Check Appllca& Box) Monitoring ❑ Municipal/Public 0
Induatna!/Commercial C AgrlcWtural ❑ Recovery [I Injection r_
Imgetion�j] Other 0 Ins, use) INJECTION
DATE DRILLED 09/27/07
TIME. COMPLETED AM:) PM Ct
J. WELL LOCATION:
CITY ASHESORLJ COUNTY RANOOLPH
$15 WEST BAL=OUR AVENUE
(Str«t Nome. Numbm. Community Subdivision, Lot No., Parcel, Zip Cooe
''OPOGRAPHIC I I AND SETTING:
O S4e O VaNey a Flat L; R1dye 0 Other
(Or'w% appropriate bo).)
LATITUDE May be in degrees,
— minutes. Seconds or
LONGITUDE _ in a dwrnsl format
IA&Ldeflongitude source: ❑GPS pTopographic map
(,bcetw of wall must ve shown on a USGS topo crap and
atrech9d to this form I not using 3P51
d. FACILI1Y. is the name a the twsirws where vne wall . ixwea
FACILITY 10 f(f applioabla)_
NAME OF FACILITY KAYSER-ROTH
STREET ADDRESS 515 WEST BALFOJR AVENUE
ASHEBORO NC-
City or Town State Zip Code
CONTACT PERSON LAVAL CHOINIERE
MAILING ADDRESS 515 WEST BALFOUR AVENL E
ASHEBORO NO
City or Tawn Slate 7 p Code
336 �. 572-1000
Area care - Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 30 0 FEET
b. DOES WELL REPLACE EXISTING WELL? YES C NO g)
c. WATER LEVEL Belvw Top of Cwng WA
;uaeit Aco,*7op of Casngj
d. TOP OF CASING IS NIA
FT. Above Land St0are'
'Top of casing termnatec altor below land surftce may iequIra
( a variance rn accorJanre Mir 15A NCAC 2C ,0116.
li e. YIELD igpm). N/A
METHOD OF TEST N/A
f. DISINFECTION: Type NIA
Amount N/A
g. WATER ZONES (depth):
From To
From I o
' From To
I —
From TO
From To
From_To
6. CASING:
Thlcknesa/
Depth
Diameter Weight Mate-lal
From To Ft.
--
From To Ft._
From To Ft.
7. GROUT: Depth
Material MethoO
From
To
Ft. _
From
To
Ft. _
From
To
Ft.
8. SCREEN:
Depth
Diameter Slot Size Material
From
To
Ft m in.
From
To—
FL in. in.
fro-,
To
Ft. In. in.
9. SANDIGRAVEL PACK:
Dcpth Size Material
From! To_ — Ft.
Fran To Ft. _
From TO Ft.
10. DRILLING LOG
From To
0.0 30.0
Forrnawr, Oescnptior
Pk_I EC1 EQUIPMENT
11. REMARKS:
INJECTION POINT 550.0 GALLONS OF WATER INJECTED
100 MGAGIY CERTOY THAT T'l15 WGU WAS CONSTRJCM N ACOI*bANCE WOW
$A NCAc WELL OONBT UCTIO v STANDA", AND TMAT A COPY OF THIS
aEGO a OEEN R TAG LL CwK(t.
f� 10n M7
SIGNATU OF CERTIFIED WELL -CONTRACTOR DATE
STBPIRIM SLOAN
PRINTED MAW OF PERSON CONSTRUCTING THE WELL
Suhmit the original to the Division of Water Quality within 30 days, Attn: liftmaation 1119L.
1611 Mail Service Center— Raleigh, NC 27699-1617 Phone No. (919) 733-T01S vtt 66&.
FWM QW-1b
RW 7M5
IJCT-15-2007 02:5EPM Prom: 7048720246 ID:DINCKLEE PM DuNHAm Paee:12119 R=100%

H l K !1K 1 LL 1 NIJ CG
i wv I cUc-w I ...
Noar RESIDE:NTUL FELL CONSTRUCTION RECORA
N01h Carotin- Depanmcni of ttrvironment and Natural RcsDLmes- Div*sx. of WA:er Quality
�4 y
WELL CONTRACTOR CERTIFICATION # 29$4
1, WELL CONTRACTOR d. TOP OF CASING IS NIA F7 . AboR Land Surface'
STLFHEN St OAN 'Tcp o1 rasln9 terrnitated aVa below lam SuAace rney rbqutre
I a cane»ce In accor7anca with, 15A NCA(; 2C.0118.
1e11 Contractor t4-)dlwCuat! Narlme
GEOLOG'C EXF LOR_AT10N, WO
Wetl Contractor Company Name
STREET ADDRESS 176 COMMERCE 9LV0
S I ATFSVILLE NC 26e25
City or Town State zip Coda
7r 09 .872-7686
Area code. Phow nurnber
2. WELL INFORMATION:
SITE WELL 1016f apol�CadA) PT-8
STATE WELL NER.MIT*(11 zWfir aI*i
DWQ or 07HER PERMIT xlif applicagle)
WELL USE (CheckApplcablo Bind MontoringC MlrnrJpayPVWicC
IndustrialiCommemal0 Agr=cultur210 Recovery:: Ir II0n0
Itollation❑ Other C (ilst use) INJECTION
DATE DRILLED 09/27/07
TIME COMPLETED AM n PM 0
3. WELL LOCATION:
CITY ASHEBORO COUNTY RANDOLPH
515 WEST BALcOUR AVENUE
(SYeet Name, Numbers. COmmunfty, SuWmsinn, Lc4 N0. Fared, Zip COO&:
-OPOGRAPHIC I LAND SETTING:
❑ Sloce -- Valle) @ Fiat p Ridge ❑ Other
(check approomate btnt)
LATITUDE May be it degrees.
— minutes, soormes or
LONGITUDE J in a decimal format
Latitude/longitudesource: 3GPS []Topographic map
(k,: ion of w64 must be shown on a iISGS ropo map and
attached to this form Nnot using GPS)
4. FACILITY.!, the mine of ow tuelnisa wham see —It is b-awd
FACILITY ID #(Y applicable)
NAME OF FACIUTY I{AYSER-BOTH
STREET ADDRESS 515 WEST BALFOUR AVENUE
ASHEBORO No
City or Town Stets Zip Code
CONTACT PERSON IAVAL CHOINIERE
MAILING ADDRESS 515 WrST BALFOUR AVENUE
ASHEBORO NC
City or Town State 71n Cole
336 �, 672-10M
A�ea code - Phone number
S. WELL DETAILS:
a. TOTAL DEPTH: 210 FEET
b. C4ES WEL I REPLACE EXISTING WELL? YES D NO M
c. WATER LEVEL 6etor Top of Casing: NIA FT
,Use ! Above 70P Of CISSng)
�._.— _
e. YIELD (gpm) NIA METHOD OF TEST NiA
f. DISINfECTION: Typg NIA Amount N;A
g. WATER ZONES (depth)'
From -0
From To
From To
S. CASING:
Depth
From
TO Ff.
�J
FrOM
To— Ft _
From
To Ft
7. GROUT:
Depth
From
To
From
To
From—
To
Thickness/
)iametOr
Weight Material
Malarial Method
From To
Ft.
_
From To
Ft.
From To
Ft.
8. SCREEN: Depth
Diameter
Skit $12e Material
From To
Ft. in.
ln.
From To
FL In.
In
From —To
Ft. In.
In.
11. SANDIGRAVEL PACK:
cepth
Stze
Material
From To FI.
Fran To Ft.
Frmt TO Ft
10. DRILLING LOG
From To Formation DescriPtlor
0.0 22.0 C IFZFCT FAH EQUIPMENT
11. REMARKS:
INJECTION PoiNT 760.5 GALLONS OF WATER INJECTED,
I oo HE!geey cERTtfY TiAT rHi,- W ELL WAS CONSTRUCTED IN ACCORDANCE WI-"
t6A NGa C. Wrh .L CONSTRUCTION STANDARDS, AND T Wr A COPY OF YNIS
PGCOF n eis6 PRG%' TO 111 ELL OWNER
1N1S/07
Sf NAT E OF CERTIF D UCTW OATS
STEPHEN SLOAN
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn: information Mgt.,
1617 Mall ServiCe Center— Raleigh, NC 27699-1617 Phone No. (919) 733-70'16 ext 568,
Form GW-1b
Rev. 7105
OCT 15-2007 02:56PM From: 7048720248 ID:DLINCKLEE AI%4D DUNHAhI Pa0e:007 R=100'-

1, - 1 �L L) , l i �,f PI L M UMj L.L 11 VU I..LJ
r U-40 r GVJGVO r- . U-
1 L ON &SIDENTIAL WELL CONSTRUCTION RECO"
North Carolina Departrnrnt o` Environment and hatum Rcsource9- Divicion of Water Quality
WELL CONTRACTOR CERTIFICATION # 2854
1, WELL CONTRACTOR:
STEPHEN SLOAN
Well Contractor (lndhAdual) N9m0
GEOLOGIC EXPLORATION, INC.
\Neil Contractor Company Name
STREET AUQRESS '76 COMMERCE 6Ld1)
i STATESVILLE NC 28625
City or Town State Zip Code
7( D4 1_ 872.7666
Area code- Phone number
2 WELL INFORMATION:
SITE WELL ID fA(it opptlwbb) PT-9
STATE WELL PERMITft(,t applicable),
DWQ or OTHER PERMIT *(If applicable)
WELL USE (Check Appbc le Box) Monitoring ❑ Municipal/Public
IndustrialtComnwrial ❑ Agricultural a Recooery ❑ In)ectwn C
IrngMWr Other ❑ (list use) _INJECTION
DATE DRILLED DW26/07
TIME COMPLETED AM,] PM
3. WELL LOCATION:
CITY, ASHEBORO COUNTY RANDOLPH
515 WLS 1 BALFOUR AVENUE
(Sheet Name, Numbsra. COmmuncy, UbdMoion. Lct No,, Parcel, Zip Code;
TOPOGRAPHIC I LANb SETTING-
L-ISlope 0 Valley E Flat ❑ Ridge C Other
(chsok aprroodate box)
LA' ITUDE May he ir. degrees,
- - - minutes, seconde or
_ONOITUDF in a dermal format
Latitude;longitude source: GGPS ❑Topographic map
kx,wion of waft must os shown on a USGS tcloo nap and
Attached to this form d not usrtp GvS)
4. FACILITY is ft ,.me of use tmirem wtrora the well is lxeted
FACILITY ID #(if applicable)
NAME OF FACILITY KAYSER-ROTH
S' REET ADDRFSS 515 WEST BALFOJR AVENUE
ASHEBORO NC
City or Town State Zip Code
i CONTACT PERSON LAVALCHOINIERE
MAILING AUDRESS 515 WEST BALFOUR AVENLE
ASHEBORO NC
City or Town State Z p Code
i336 , 672-1000
Area code - Phone number
5. WELL DETAILS:
a. TOTAL DEPTH:_ 30.0 FEE-
b. DOES WELL REPLACE EXISTING WELL? YES NO IC
c. WATER LEVEL Below Top of Casing. NIA "T.
(Use '+' If Above TOP Ot Caging)
d. TOP OF CASING IS NSA
FT Abode Land Surface'
'Top of casing terminated atlor below lend surface may require
a variance In accordance with 15A NCAC 2C .0116,
e. YIELD (Spin) WA
METHOD OF TEST NIA
f. DISINFECTION: Type N/A
Amount NA
S. WATER ZONES (depth):
From To
From To
From To
From To
From To
From To
6. CASING:
Thickness/
Depth
Diameter Weight Matenel
From
To
Ft.
From
~ To
Ft.
_ i
From
To
Ft._
7. GROUT
Depth
Material
Method
From
To
Ft.
From
To
Fl._
From
To
Ft.
a. SCREEN:
Depth
Diameter
Slot Size Material
Frain
To
rt _ in,
it
Frorn
To
Ft. in
in.
From ._
_ To
FL in,
In.
I
9. SANDIGRAVEL PACK:
Deiah
S'e
Material
From
To
Ft
� I
From
To
Fl.
i
From
To
Ft.
10. DRILLING LOG
From To Formation Description
0.0 30.0 DIRECT PUSIJ =OUIPMENT
4
11. RMARKII:
INJECTION POINT 750 0 GALLONS OF WATER INJECTED.
100 mE11ED+ CERTIFY T1MT TMS WELL WAS COf9IRIC11D IN ACC RDANCE +MIN
t riA W-ACIA WGLL CONSTRUC11DN STANDAM& AND TOWT A COPY OF TNS
ItGCORp tiSEN'� ,THE OWNgt,
latsro�
SIGNATUAIF OF CERTIFIED WELL CONTRACTOR DATE
STSPHEN SLOAN
PRINTED NAME OF PERSON CONSTRUGTMO TH WLaLL
Submit the original to the Division of Water Quality wthln 30 days. Attn: Infornatinn Mat.,
1617 Mail Service Center- Raleigh, NC 27690•1617 Phone No. [phone] e1R 56fl.
' -=-- V',7 02:55PM From: 7048720248 ID:DUNCKLEE AND DUNHAM
form GW-1b
Rev. 7M5
Page:005 R=100:

UL, I —1 a —zoo r 1 a• GG H I M UR 1" 1 i vU t_u
NON RESIDENTIAL WELL CONSTRL.0 RON RECORD
North Carolms Depa tmmt of Fnvironmcnt and Narirr2l Reaourcec- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2354
1, VALL OONTRACTOR.
2TEPHEN SLOAN
Well Centraator (individual) Name
GEOLOGIC EXPLORATION, INS
Wets Contractor Company Name
STREET ADDRESS 176 COMMERCE 6LVID
STATESVt_LE INC 28625
City or loan State Zip Code
704 ), 672-7686
Arse code- Phone number
2. WELL INFID"ATION:
SITE WELL 10 *if applicable) PT-10
STATE WELL PERMIT*(if applicable)
DWQ or OTHEI~ PERMIT *(If aMICeole)_
WELL t1SE (Check Appi"bie Box) MoNtoring ❑ MunlcipaVPvbtic C
Indi%triaYCommeroal r_, Agricultural L] Recovery C7 III"- On C
ImgaW::: Other 71 gist use) INJECTION
DATE DRILLED O8t28N7
TIME COMPLETED-
3. WELL LOCATION:
CITY ASHEBORO,_
AMC] PMC:
COUNTY RANDOLPH
515 WEST BALFOUR. AVENUE
iStreet Name, Numbers, Community. Subdimeian- Lot No.. Parcel, Zip Code;
TOPOGRAPHIC / LAND SETTING:
[]$We C Valley I] Fiat C Ridge j Other
(Check approDrlate box)
LATITUDE _ May be ir. de�ees,
minutes. Seconds or
LONGITUDE — _ in a dKinutl format
LatitudeJlongiCade source: rDGPS C)Topographic map
(b^ation of wen must be shown on a uSGS (opc nap and
anaCtlad to this form if n c r using 3PS)
4. FACILITY is" game of No tusimess wI— rA welt Ixw-ed.
FACILITY ID i(r applicable)
NAME OF FACILI Y KA`fSER-ROTH
STRFFT ADDRESS 516 WEST BALFOUR AVENUE
i ASHEBORO NC
City or Town State Zip Code
lCONTACT PERSON LAVAL CHOINIERE
MAILING ADDRESS 515 WEST BALFOUR AVENUE
1 ASHEBORO NG
1 City a Town State Zip Code
336 672-IOCO
Area code - Phone number
S. WELL DETAILS:
A. TOTAL DEPTH: 30 0 FEET
b. GOES WELL REPLACE EXISTING WELL7 YES G NO E
,:- WATER L FVEL Below Top of Casing: NIA =T,
(Use -+" If Above Top of Casing)
L
d. TOP OF CASING IS NIA
FT. Above Lend Surface'
•-rop of casing terminated evor below land surface may requin)
a variance in accordance will) I6A NCAC 2C .011 B.
0. YIELD (Spin). N/A
METHOD OF TEST.NILA
t, OISiNFECTION: Type N/A
Amount NIA
g. WATERZONES (depth):
From To
From To
From To
From To
From To
From To
6, CASING:
Thickness/
Depth
Dlarreter Weighl Metaial
From To Ft.
From To_ Ft._
F ror+ To _ F Lam_
T. GROUT: Depth
Material Method
From To Ft,
From To Ft -
From From To Ft.
B. SCRIKEW. Depth Diameter Slot Size Metarusl
From To Ft. in. in.
From To Ft in. in. !_,
Fro-n— TO Ft, in, in.
S. SANDiGRAVEL PACK:
Depth Size Matmriai
From To Ft
Fran To Ft. _--
From To Ft.
10. ORILLING LOG
From To Formation Description
0_0 300 Q.1-BEnT P.WSJ E:CIUIPMEN7
11. REMARKS:
INJECTION aOINT $02.0 GALLONS OF WATER INJECTED.
i oo HEREBY CER-my "HAT TKLI WELL WAS CONSTRUC-ED IN ACCORDANCE 'Nr-
t5A ANCAC WEl.: COfISTRUCTKMI 5TANDARDS. AND THAT A L:OP`r Of THIS
RECORD BEEN OEIi VOft��1THi L_ O'NNER.
1a15107
51GNATU OF CERTIFIED V�'ELL CONTRACTOR DATE
STEPFEN SLOAN
PRINTED NAME OF PERSON CON$TRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn: Information Mgt.,
16W Mail Service Center— Ralelgh, NC 27699.1617 Phone No. [phone] ext 568.
Form GW-1 b
Rev. 7/05
Cli- T -15 - 2007 02 : 55PM From : 7048720248 10: DUt4CKLEE AND DUPIHAM Page : 007 P = I I_ O %

1-1•HIM UMILL1NYU l.0
WELL SAINDONNIEN_T RECORD
North Caroline Department of Envimruncnt and Nabiral Resources - Division of Water Quality
WELL CONTRACTOR CERTIFICATION it 2854
I. WELLCONI'RACTOR: 6. wELLDETAILS:
STEPHEN SLOAN a.TotalDepth-. 3C.0
ft Diamettx in i
Nell Contractor (Individual) Name b. Watcr Level (Below Measuring Point): ft
GEOLOGIC EXPLORATION, INC. I Measuring point is fl. above land surface.
Wdl Contractor Compare Name
$TREET ADDRESS 176 COMMERCE BLVD.
STATESVILLE NC 28625
iCity or Town State Z:p Code
L704 ) - 872-7686
j Area code - Phone number
2. WELL LYFORr1.ATION:
SITE WELL ID (if applicable) PT -I
STATE WELL PERMIT is (if applicable),
COUNTY WELL PERMIT # (if applicable
DWQ or OTRFR PERMIT o (if applicable)-_
WLLL USE (Check applicable use): ❑ Monitoring ❑ Residentlal
Q lleaeeipabPubiic ❑ Indus"t/Commerelal ❑ Agricultural
Recovtr , JZ Injlxtlon ❑ Irrigation
❑Oth (list use)
3. WELL LOCATION:
CQUNTY RANOOLPH, QUADRANGLE NAME
NEAREST TOWN: ASHEBORO
515 WEST BALFOUR AVENUE
iSvoecRoad Niame, Number, Camtnlnin, Subdvisioik Loi t:o.. Tercel Lp Co&I
T0POGRaPl1IC : LAND SE fTING,
II S.ope ❑ Vxlley ❑ Flat ❑ Ridge 0 ether
,,Check appropriate satnng)
May be in clegrcm
LATITUDE minu Qs, attends, a n a
LONG1711DE decuwl lbrrnat
Latltude/ongkodeeaurte: ❑GPS OTopecraphic map
(Location ofwell must bt ?hewn on a USGS eopo mpp and
artoched to this form if trot using GPS)
4a. FACILITI'- The mama of the bus.ness where Lx w at: a touted. Completc 4.) and4b.
(lfa reslcantias wtit, skip 4a: cerrlprtte 4b well mvntr inforrronon cnly )
FACILITY ID N(if applicable)
NAME uF FACILITY KAYSER-ROTH
STREET ADDRESS 515 WEST BALFOUR AVENUE
ASHEBORO NC
City ar Town Smote Zip Code
4b- CONTACT PERSON/WELL OWNER'
NAME LAVAL CHOINIERE
STREET ADDRESS 119 NEST AALPOLAR AVENUE MHE00RO, NC
6. C.ASLyG:
Length Diameter
a Casing Depth (irknown) NIA ft in.
b Casizg Removcd. MTIA— R in
7. DISINFECTION: N/A
iAmomL of 65V✓ 75% calcium hypochlorite used)
& SEALING MATERIAL'
Neal ('Prr.rol Salad r-rw,rM
Ccmcw " 1b. Cement" lb
Water -- sal watergal
1kntonite
Bentonlre lb.
T}pc:OSltury [;Pellets
Warcr gl
(0er
Type material PCRTLAND BEN-ONITE SLURRY
Arriowa 6.0 GALLONS
9- EXPLAIN METHOD OF EMPLACENIENT OF MATERIAL:
—VJA POF 1 AN 1[ E3ENI0ALIE-S!1RRY
INJECTION BORING
10. WELL DIAGR.kM Draw a detailed sketch of the well on the back sf this
form sho Ainb total depth, depth and diameter of streets (if any) tvmatnutg
in the well Usvcl interval. intervals of casing pcirlbrahoas, and depttu and
types of MI materials used.
11, DATE WELL ABANDONED 9/24107
I DO HEMBY CERTIFY THAT THIS WEU WAS ABA\MNED CV ACCORDANCE
WITH I5A NCAC 2C. WELL CONSIRUCTION STAND.SJUX, AND THAT A COPY OF
TittS :t6C RD K-%S/BM PPROOV OW n THE WU.L OWNER.
Irra"� " -�_ 10/16/07
SIGNAT[ F CI?RTIFIISD WELL COSTRAt<TOR DATE
SICNATLIMOF ATB Waa.LOWN911t AMANDO..MNG THE: WRLL DATX
(Tkw l mate -W over ana bean m*v;dr: who pcnnoanx ibandans N01--deattal well
in w4aadatet with I SA NCAC :C .0113.)
STEPHEN SLOAN
PRIIYM NAM& Op PKRSO" ANANDVNLNG Tttll W ttLL
Su bmit a copy to the owntr and At oriemal to t►e Dh ume of Warier Quality wkhlo 30 drys.
Alin: Info rinatIon -Managemetst, 1617 k"ll Service Center—1laktlt, tdC 27ti99.1617. ?boae Na (!19) 733-7015 cat SA.
Form CW-30
Rev. S.'A
[If_T-1-�-2007 02:58PM From: 7048720248 ID:DUNCKLEE AN[) DL1f*Igj Paee:018 R=100%

Uk- I -15-eM( 15 • GJ H 1 K UK I LL 1 IVl] LU ! W46 f GU' a 4t3 r- . 115
'►'ELL ABANDONXENT RECM
North Carolina Department cf Fry irvntwnt and Natural RC-wetroeS- Di.;sson of Wamr Quality
WELL CONTRACTOR CERTIFICATION # 2854
1, WV 1. CONTR.ACT01L-
STEPHEN SLOAN _
Well Contt.aor (In rMI.M11) Ntrme
GEOLOGIC EXPLORATION, INC.
Well Contnaor Compmiy Name
STRUT ADDRESS 176 COMMERCE BLVD.
STATESVILLE NC 28625
City or Town Sam Zp Code
7t 04 ) . 812-76M
Area code - Phone number
2. WELL INF 1MMATION:
Srn WELL ID # (if appl)rabla) PT-2
STATE WELL PERMIT * (if applira§le)
COUNTY WELL PERMIT # (if applicablei
DWQ or OTHER PE301111' b (if applicableI
WELL USE (.Checkapplicable use) ❑ Monitorint ❑ Residential
❑ SluoiNmVPublic ❑ Irvdostrlaf/Commereial ❑ 4LEriculturttl
❑ Recovery Le In)ectiou n Irrigation
❑ Other (list use)
3- WELL LOCATION:
cowry RANDOLPH QUADRANGLE NAME
rbARM Tow'` ASHEBORO
515 WEST BALFOUR AVENUE
(Streev-RoW Name. Number, Cosrsnanity, Subdivision bw No,, Parcel, Zp Codr)
TOPOGRAPHIC / LAND S£TTAfG
C S:ope ❑ Valley []Flu ❑ Ridge ❑ Other
(Check appmpria'te setting)
M.y be in degir Po,
LATITUDE _ nriattea, seconds, ar in a
dsxtmal Format
LONGTtUDE _
Latitude,flongitude source: ❑ G?S ❑ Topographic map
(Locahor. ojwell most be shown on a USG-5 topic may and
mrached ro rAts form rf not wring GPS)
4a. FACILITY- The rumor of6e business where dta wet: is 1—Wil Ccrnplece as rtd4b
(Its ,essdenrtal well, acip 4a. cornp'.era 4b. well awmer mfo,tnanon only )
FACILITY TD #(if appliabic) _ _
NAME OF FACI11TY KAYSER-ROTH
STREET ADDRESS 515 WEST BALFOUR AVENUE
ASHEBORO NC
City or Town Stitt _ 7.:; ,dc
4b. CONTACT PERSONIWELL OWNER:
NAME LAVAL CHOINIERE
STREET ADDRESS 51e JvEST BALFOUR A'dENUE A3HEe04C. NC
6. WELL DETAILS'
a. Tout Depth: 30-0 ft. Diameter— in.
b. Water Leval (Be.'ow Meastuing Point) ft
Memunng point is it above land surface.
6. CASING: Ltngth Diamow
a Casing Depth (if knowm) N/A ft in.
b. Casing Removed, �' fL in
7. DISINFECTION; NIA
(Amount of 65%--75% calcitmr hypochlaito used)
S. SEALING MATERIAL:
Near emm C-sLCtlIsfult
Cement " lb. Cement" III
W-11e, -- gal. Water gal.
Beatoltlle
Bcntonitt lb.
fypt QiSl�try ❑PellM
uatc: gal
Q her
Type natcrta PORTLAND BENTONITE SLURRY
.Amnuat 6.0 GALLONS
9, EXPLAIN METHOD OF EMPLACEMENT OF MATERIAL:
VIA pQi3�ND AENTQ,(�,_; I t �j�„
INJECTION BORING
10. WELL DIAGILA-M Draw a detailed sketch of the well on the back of tht:
form shoµtng total depth, depth and diameter of screens (if any) remaining
in the well, gravel interval. Intmals of casing pertarauons, and depths and
types of fi'1 matcnals used.
11. DATE WELL, A3ANDONED 9/25t07
I DO itFrtehY CER77ti THAT THIS WELL WAS ABANDONED LN ACCOPMA-NCE
WITH 15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY CIF
THIS AEC HAS AEEN PRO IDBD OWN£R.
10/15/07
51G'sATLlRs. FCYRTIFiED1a'lLLCO\TRACTOR DATE
SIG ATUnk OP PRTVATL WELL OWNER ABANpONIHG TRIO WELL DATE
(The pvate well o mcr Aria bean adrvrdua. who hiM)r reecdencial well
in accrrdami w,th 1 SA NCAC X 0113.)
STEPHEN SLOAN
rRI1TEi►,NAMa OP PERSON ARA%DONING THE WELL
Submit a copy to the owner and the original to the Division of Water Qunlit} within 30 day+. Fare Ow'-30
Alin' IDlormatloR Managet, 161' >1eil Service Center -Raleigh, CSC 27694-1617, Phonc 10 (919),733-7015 ett AMA. Rev iV
OCT-15-2007. 02:57PM From: 7048720248 ITD:DUNCKLEE AND DUNHAM Pa9e:016 R=100%

7048720248 P.14
WELL ABANDONMENT RECQRD
North Carolina Deparamni of Lnvironmeat and Nataral Resources- Division of Waw Quality
WELL CONTRACTOR CERTIFICATION #2854
1. WELL CO`TRACTOR:
STEPHEN SLOAN
Well Contra= (Individual) Name
GEOLOGIC EXPLORATION, INC.
Well Convector Company Name
sTREET ADDRESS 176 COMMERCE BLVD.
STATESVILLF NC 28625
Clq' or lown State Zip Code
(704 ) _ 672-76116
it Area code - Phoae number
2. WELL INFORMATION:
SITE WELL ID ss (it applicable) PT-3
ST-TE WELL PERMIT a (if appiichble)
I C OUN TY WELL PERMIT N (il'applicabie)
DWQ or OTHER PERMIT # (if applicable)
WE LL USE (Check applicable use). ❑ Monitoring (~ Resideat4l
❑ Munlcip*0011c ❑ lndaatrlal/Commerclal ❑ agricultural
Cl Remrry JZ lajeclien p Irritation
❑ Other (list usel
3_ WELL LOCATION:
COON; t RANDOLPH QUADRANGLE NAME
NjrAREST TOWN: ASHEBORO
515 WEST BALFOUR AVENUE
(SurevRoad Vamr, dumber, Conrtwuury. Sub6.ix on let �'o., Pcrccl, 2.p Code)
TOPOGRAPHIC/ LAND SETTING
❑ Siope C Volley ❑ Flat ❑ Ridgc ❑ Other
(Check appropriate setting)
i
Mali to degneca.
i.ATI i UDF _ rmnu m scoonds, a m a
� dec�mel fonrat
� LLj';GfTiiDF
Latitudvlongitude source: []CPS ❑ Topograpbie map
(Lo,000r nfwell must be shown on a USGS topo map 34d
atta 1w.i io tkte form if w wing GPS/
da. FACILITY- ;he -m* of the busnass -'hare roc wen u )otued ComplrW as ond4b.
(lf■ residential we11, skip ia, compete 4b, well owner idfanit ation cnty )
FACILITY ID a(if appli:able)
NAME OF FACIl irY KAYSER-ROTH
STILEE- ADDRESS 515 WEST BALFOUR AVENUE
ASHEBORO NC
Clty or Town State zip Code
ab. CONTACI' PERSON (WELL OWNER --
NAME LAVAL CHOINIERE _
STREET ADDRESS 515 WEST &J LFol1R k4NUE ASHEBORC MC
6. WELL DETAILS:
a Total Dcpth: 3C.0 ft. Diameter in
b. Watcr Level (Be oM Mcasunog Point) it
Mcuutind point is ft. above land surface
i. CASING:
Length Dtamrtet
a Ca4tng Der& (if known) WA tt III
b Cash R=o,ezl _ :n
% DISINTECTION, N/A
!Amount of 654;.7$%calcium hypochlonte used)
8 SEALING MATERIAL:
Camcn: lb Ccmcnt-- lb.
Water gal Water
Eklitonitt
Bonlonite Iti
Type. Zslum ❑Pellets
,'later
Other
Type matcrial PORTLAND BENTONITE SLURPY
Amount 6.0 GALLONS
9. EXPLAIN METHOD OF EMPLACEMEYT OF MATERIAL.
VIA PORTLA_ND_SENTONITE SLURRY
INJECTION BORING
10. WELL DIAGRAM: Draw it detailed sketch of the well on the back of thi:
form shorting total dcpth, depth and diameter of ycrrens (if anyl remaining
in the wail, gavel interval, m tcrv2ls of easing pertorattons..,wd depdts and
hX.s of l;.l mattrlals-*d.
11, DATE WELL ABANDONED 9127/07
I DO Hh1knY CERTIFY THAT THU WELL WAS ABANDONED IN ACCORDANCE
WITH IBA NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF
TtUs HAS BUN PROVID11D TO THE WFIX OWNER
Ad ,..42AS11 & : 10/15/07
SfdWU40F CERTIFIED WLLL CONTRACTOR DATE
SIG— OFPRtVA LL Ow`tLR ABAwotit vc THE P'bLL DATE
(The private well owner rauat ba an individual w%o Swza&albtabnrdom hi&her oeatdeneal well
in aaadorc -6 ISA NCAC 2C 0111,1
STEPHEN SLOAN
PRIIYI'ED NAME OF PLRSSON ABANDONING THE WitLL
Sabmlt a copy to the wryer and the original to the DR'tttlon of Water Q-I* ait►is 30 days. Fern CiW-30
Attn: Inrormatbn M1tmtRemeat, 1617 -fad Servke Ceutrr - Relent, NC 2769 -161?, boat No. (9191?33 "0IS cat 568. Rev. VM
ur_ T-15-200T 02: 57PM From: 7048720248 ID: DLWKLEE PW EXN+M Pa 9e : 014 R=100'.

H 1 M LT 1 t_I_ I NU iu P.
MILL ABANDONMENT RECORD
North Cam iim Departincnl of-Enviromrient and )ti atura: Rese-Lrces- Division of W'atct Quality
WELL CONTRACTOR CERTIFICATION # 2854
1. WILLCONT"Cr
STEPHEN SLOAN
Well Contractor (Ysdividual) Vttme
GEOLOGIC EXPLORATION, INC.
Well Contractor Company Name
STU.STADDRESS 176 COMMERCE BLVD.
STATESVILLE NC 28625
City or Town State Zip Code
7t 04 1. 672-7686
Area code - Phone nUMba
s. WELL INFORMATION:
SITE AELL ID N (if applicable) PT-5
STATE WELL PERMIT a (if applicable) _
COUNTY WELL PERMIT # (if applicable)
DW O or OTFffR PERMIT r (if applicable)
WELL LISE (Chock applicable We): 11 Monitoring Rc,identill
❑ MunidpaVPabllc ❑ IndustrlatiComaierelal ❑ Agrkulturtll
[} Recovery 2Injection ❑ Irrigation
❑ Other (Jst use)
3. WELL LOCATION:
COUNTY RANDOLPH QUADRANGLE NAMI=_
NEAREST TOWN: ASHEBORO _
515 WEST BALFOUR AVENUE
(5ceavttmd Nwm,,quntbar. Com—.t), Subdrosim Lot No- Psce11 Zip Code)
TOPOGRAPHIC I LAND SETTING
C'1 Slope I] Valley ❑ Flat ❑ Ridge ❑ Other
(Check appropriate seeing)
May be 1n degrees
LATTTUDE num Ate, sec guts. er in e
decimal Ibrmat
LONGITUDE
Latitud0ongttude source: :I GPS a Topographic snap
(LOcatiOM ojwrlf MWI be shover, 0n a USGS 10p0 reap and
atrached to thus form (f not using GPS-)
41. FACILITY• Zto note of die business where the Nell is brated. C.gWlete 4a and4b.
(If a residaerial Nell, skip 4c compote 46, well Dwner inforrcabon only)
FACILITY ID 0(if applicable;. —
NAMF, OF FACILITY KAYSER-ROTH
STREET ADDRESS 515 WEST BALFOUR AVENUE _
ASHEBORO NC
4IIV or Town State Zip Code
4b. CONTACT PERSON/4FELL OWNER:
NAME LAVAL CHOINIERE
STREET ADDRiSS 5isyE6T FOURAVENUE ASHE20RO, NG
6. WELLDETAILS:
a-T.WNpth: 30.0 fL Diameter in
b Water Lcvel (13eiow Measuring Point). ft
Measuring point is fl, above land surface.
6, CASING -
Length Diameter
a Casing Depth 0. kno%m). NIA fl in
b. Casing Rcno�.-ed: —WT— ft in
7, DISINFEC'TION! NIA
,Amount of 655,6.75% calcium hypoehlotite used)
S. SEALING MATERIAL:
N" 1 f pment SLIIdErMeAt
Cemen: -' h C=ment-- lb.
Venter -- gal. Warcr�_.._.� gal.
m lte
3entonirc lb.
Type: 0 Slurry ❑Pellets
Water_ gal.
Qffier
Typc materitl PORTLAND BrENTONITE SLURRY
Amount 6.0 GALLONS
9. EXPLAIN METHOD OF ENVLACEXENT OF MATERIAL:
1LJA PORTLAND B TONITEaLI RRY —
INJECTION BORING
10. WELL D14GRANI Draw a deviled sketch of the well on the back of this
foam showing total depth. depth and diameter of screens (if any) remaining
in the wel., gravel interval, intervals of casing perforations, and depths and
types of till mwrials ,acd
11. HATE WELL ABANDONED 9/27107
I DO HEREBY CaTIFY THA r THIS WELL WAS ABANDONED N ACCORDANCE
WITH 15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY Of
T1I1S RECW 11.19 BEEN PROVIDEWER ON.
���•" ?��7 10/15/07
bIGNATL'RF. F CERTIFTED WELL CONTRACTOR DATE
SIGNATURE OFPRI VATE WELL OK'NE R A BANUONING THL+WELL DATE
(ltu private wall owner must be all indi-idod who 29U= llr abandons hivber reaidcnna! "11
in acoordantc wdh 15A NCAC IC .D113.)
STEPHEN SLOAN
PRIN'TF,D NAhIE OF PERSON ARANDONING T141 WELL
Submit a ropy to the owner and the or gInal to the Dh'ision of Water Quality within 30 flays.
Attn: Information MaaaQcmeat, 1617 1<iail $ervkc Center - Ratcigh, NC 276"-1617, Phone No. [phone] ext 5Q.
Form GW-30
Rev. 546
OCT-15-2007 02:56PM From: 7041320"049 ID:DUNCKLEE AND DUNHAM Paee:012 P=130*,

1:�'=-D Hit- Vr-1LLP4U -,-Li
(0410 e Z�Uc-t0 r- . 1
)N LL ABANDONMENT H"ORD
North Carolina Department of Environment and Natural Resourocs- Division of Wafter Quality
WELL CONTRACTOR CERTIFICATION # 2854
I. W ltLL CONTRACTOR:
STEPHEN $LOAN
Well Conatir-w (ind)vidual) Name
GFOLOGIC EXPLORATION, INC.
Well Contractor Company Name
STREET ADDRESS 176 COMMERCE BLVD.
STATESVILLE NC 28626
City or Town State 7ip Code
704 - 872-7686
Area code - Phone number
L WELL INFORMAIION:
SITE WELL ID its (if ippliable) PT -6
SPATE WELL PERMIT # (if applicable)
COUNTY WEI L PERMIT s (if applit:ablei
UWQ or OTHER PERMIT 0 (if spplicablei
WELL USE ,,-'heck applicable usel ❑ Monitoring E Residential
L] MunicipaL^Pabik 7 IndustriallComanerrial D Agrlcultuncl
Ej Remirry Z injection ❑ Irrigation
❑ Oher (list use)
3. WELL LOCATION:
COUNTY RANDCtI-PH QUADRANGLE NAME
NEAREST TOWN: ASHEBORO
515 WEST BALFOUR AVENUE
t
(Sreea'Road tistnt. TutllbH, Caaasnunity. Subdivision. Lot Vo., Parcc:, Lp Cod:)
f TOPOGRAPHIC i LAND SMING:
❑ Slope ❑ Valley d Flat �] Ridge [] Other
(Check appropriate setting)
LATrR;DE May be in degmce '
uiirmci, secaodi, cr in o
decaralicnlm
LONGITUDE —
LatitstdMonglttade source: ❑ GPS []Topographic map
(Locatfor. oftell mwr be shown on a USCS topo map and
aaached to thiaJ6rn ifnat soingGPS.)
41L FACILITY- The tutane of the bur riciA where 6c wcL it Wwcacl- Couipkm ♦a mMb.
(Ifa resideimat well, sap+a: Comp ote Alb. well owaerieranoation oaty.)
FACILITY ID 0(if applicable)
NAME OF EACH ITY KAYSER-ROTH
STREE ADDRESS 515 WEST BALFOUR AVENUE
ASHEBORO NC
utv or 'roKn Suite zip Cods:
4b. CONTACT PERS N WELL OWNER:
iNAME LAVAL CHOINIERE
STRL•ET ADDRESS St4 V%2T BALFOUR AVE4t1E ASKBORC. NC
I _. --
6. WELL DETAILS.
a. Total Deptt : 30.0 ft_ D amctcr. in
b. Water Level (13e:ow tilemunng Point). ft
Mccsuring point is tL above land surface.
6 CASING:
a Citing Depth (if knoµn)
b Cuing R(--moved'
7. pIsv--vE.CTICIN: N/A
Length Diameter
NIA ft in
lwx-1t In.
(Amount of6$0/05%c1letum h)pochlorite used)
& SEALLLNG MATERL&L:
Nest Cement Crnd=_,ey
Cement lb Ccment-- lb
Water" gal Water gait
Iicmtoni.tE
Rcntornte lb
Type: O slurry pPellcts
water ail.
Cher
Type material PGRTLAND 6ENTONITE SLURRY
Amount 6.D GALLONS
9. EXPLAIN METHOD OF EMPLACEMENT OF MATERIAL:
VIA PO RTLA_NDJRENTONIT Sl ! I RY .
INJECTION BORING
10. WELL DIAGRAM: Draw a detailed sketch of the well on the back of this
forstt Showing total depth. depth mid diameter of screens (if any) retnamurg
in the well, gravel intmal, Intervals of casing perforations, and depths and
typm of fr:l rtratettiala aud.
11. DATE WELLADA*IDONAD 9/27(07
100 HE1tFOY CkATIFY THAT THIS WELL WAS ABANDONED IN ACCOPJDANCE
WITH 13A NCAC tC, WELL CONSTRUCTION STANDARDS, AND THAT A CONY Of
Tt•nS I HAS BEEN PROWDFA TO THE WF.LL 0w1ER,
�I1•��7 �j,� ' 0/15/07
SI4 ITURE CttriTIMED WLLL.CONTRAC M DATE
SIGNATURE OF PRIVATE WELL OWNCRAOANDONIM"rTWXW19LL DATE
(7ftc private watt owmer tnw be an wi ividwl who orngadlx abandom to Ow ramike tiad watt
N accxd.ot� with ISA htiAC :C .0113,)
STEPHEN SLOAN
PRINTED NAME OP PTRSON ARANDONING THE t LLL
Submit a Copy to the owner and the original to the DiviSloe of Willer Quality WOMB 30 days. Fom+ GW -30
Attu; Information Management, 16t'. Situ] StniceCenter - Raleigh, NC'27699-1617, P1h0ueNa(919)733-7015suitK6 Rev 5,06
IJI_T-1�-20t�7 02: ?GPM From: 7048720248 ID:DLNCICLEE AND DuNHAM Pace:010 R=100%

__, � a, ,, 1:--_ H 1 tr w I L L I i U W 7048720248 P. 08
3&ELL AHANMONMENT READ
?Forth (Carolina. Department of Environrraertt and Namral Resources- Division of aster Quality
WELL CONTRACTOR CERTMCATION#2854
1. WELL CONTRACTOR:
STEPHEN SLOAN
well Caursetor (hidiviiiyal) Nome
GEOLOGIC EXPLORATION, INC.
Well Cangactor Cottipw %lame
STREET ADDRESS 176 COMMERCE BLVD.
STATESVILLE NC 28625
Cibor Town Sate Zip Code
704 . 872-7686
Area code - Phone mrinba
2. WELL INFORMATION:
SITE WELL ID to (if applicable) PT-7
STATE WELL PERMIT N (if applicable)_
COUNTY WELL PERMIT N (if appl=ble?
DWQ or OTHER PERMIT M (if applicable
WELL USE (Check apphceble use), ❑ MoniwYnit ❑ Reddrntial
0 Municipal/Public (] Industrial/Commercial (j Agricultural
❑ Recovery 0 Iajwion ❑ Irrigatien
D O',hcr (IM lase)
J. WELL LOCATION:
COL7,NTIRANDOL PH QUADRANGLE, NAMME
VEARESTTou?I: ASHEBORO
515 WEST BALFOUR AVENUE
(Scrcv&/Road ,Nunc, 'Number. Community, Subil ulon Lot -'o . Psracl, Z;p Code)
I` TOPOGRAPHiC / LAND SETTING: p 5lope iE] V allc, ❑ Flat _] Ridge Q Other —
(Check appropriate setting)
ecaack.
LATITUDE Y my be to dct
tninuex, �tde. or i�
` LONGITUDE decimal format
Latltudo'iongltudesource: ❑GINS ❑ Topographic map
(Lo:arlor of. cil mast be shcmm on a USGS iopo map and
attached rG rhrs fora+ rf nor vJtng GINS.)
4a. FACILITY The eamc of tx b++,rMj where tMe wet' is ioeued Complete as xWOf
(1f a rosKentW well. skip 4a; camp etc ab wail owner information arty. )
FACILITY 1D N(If applimble)
i NAME of FACILITY KAYSER-ROTH
STFXET ADDRES 3 515 WEST BALFOUR AVENUE
ASHEBORO NC
Cit) or Town S-Ate Zip C--Jc
I ab. CONTACT PERSON/WELL OWNER:
j NAma LAVAL CHOINIERE _
II STftET All DRESS 615 WEST SALFOUR AVENVE AS:IEDORC, NC
L WELL DETAILS:
a Total Depth: 30.0 ft Dwneter in
b. Wale: Lrvcl (Below Mcmunng Porn;). __ ft
Metsuring poem is ft abort IAnd Surface
6. CASING-
Lcngti Diameter
a Casing Depdt (if known) N/A ft in
b Casing Removed- TTA — ft in
7. DISINRBcr10N, N/A
Amount of 65e1 75% calcitim hypochlorite tared)
a SEALING MATERIAL:
Ct:melrl ^ lb. Cement lb.
Water" gal �1'aler " _ gal
Bento"ite
Bentontie lb
Type: 0 Slurry ❑Pellets
W9tef gal.
Other
Type tnxterial PQRTLANO 9ENTONTTF SLURRY
Amount 6.0 GALLONS
9. EXPLAINMETHOD OF ESIPLACENIENT OF MATERIAL:
VIA pORTL AND RENTONITE S) )l RRY _ _
INJECTION BORING
10. w'£LL DIAGRAM'. Draw , detailed sketch of the well on the beck of tho
form showing total dspdt, d.pth and diameter of screens (if any) remsinint
in the well, gmv^z1 interval, intervals of casing perforations, and depms and
typos of tea rnatcriala vud.
it. DATE WELL ABANDONED 9/27f07
I DO HEREBY CERTIFY TKA7 THIS WELL WAS ABANDONED IN ACCORDANCE
WiTH I NCAC 2C. WELL CONSTRUCTION STANDARDS. AND THAT A COPY OF
71R41EKCK,A1SBEEN PROViDED TOO THE WELL OWNER
��+ �rfp44.0 10/15/07
1GNERTrri[D WELL CONTRACTOR DATE
SIGN ATUREOFPRIVATE WELLOWNER A&ANOONiNGTHE WELL DATt
(The pn%ine well owner rout be vn mdn idea: who MaoDiAv abandota 108"1 r ms,dcmi+l well
in iu.7rrien c wtth 15A NCAC 2C .O 111. )
STEPHEN SLOAN
PRINTED NAM% Oi PERSON AnANDONiNG THE WILL
Submit a copy to the owner and the oripmalto tho Division of Wsfer Quality Wlthid 30 days.
Attn. information Managerrent, 161' MigR Sarvioe Coster —Raleigh, NC 27699-t617, Phone No. (919) %33-'015 a:t 568.
Form GW -30
Rev 5/06
01'T-15-2007 02:56PM From: 7048720248 ID:DUNCKLEE AND DUNHAM Page:008=it�I=1'•

I
ate, z acn
cn
ED y M ii o 'o b9 n El
O Ow `a t7 m 'S Ci It
o � C. m a
z
d
0 n
�� ❑ & C
If
Cr
o in a ro
rn
O
Fr
ie
Fr
cm
tl
Zla .Qq . aC n pAf cl
..I , "o ' D c � us m' . d'o p G
j i 97 IA O e+ y ® Tp I ` ln. .O y ^ •�• r�.1
tF
ca
CO
p�tl �
p v O '^
yi �
m O r
� O
Q " � z s
tn
l� r
C
• r
F
c
c

!P-1—ID—tt1C1( 1D•Ga Him u[1L1-Ilmu k-u
( U'io ( GtJC,to r' . U14
: WELL ABANDONMENT RECORD
North Caroloa Drpaztmettt of 1=.n.irvnmet:t anc Natural Resotrces-Division of Water Qualify
WELL CON -TRACTOR CERInFICATION 02854
L WELL CONTRACTOR: I & WELL DETAILS:
it 7omi Dcpthi 30-0 R D:ameter_ In
b Water Level (Dclow Massu ng Point) It
Mewuring point is (t above lame surface
6. CASING: L41190 Diameter
e. Casing Depth (if known): WA fl, in
h Casing Removed A A in
DISLNFFCTION; NIA
(Amount of'65f/o.75% calcium 1%)poch1wiie used)
>R SEALING MATERLAL..
\cat fement Rand Cement
Cement - lb Cement- Ib,
«'ater -- gal Li'atrr - gal.
jigntgrutt
BewniL- lb
7ypc ;1 Slurry F-Pellets
Water ;al
be
Type mite+ial P0RTL4N0BFNTONITE SLURRY
Amvu�r 6.0 GALLONS
9. EXPLAIN METHOD OF EMPLACEhfEAT OF MATERIAL:
VIA pOgrLtaNO SENTONI E Rl 11RRY _
INJECTION BORING
10. WELL DIAGRAM Drua a detailed sketch of the well on the back �wf this
form showing total depth, depth tnd dlame , of screens (if an)) remaining
in the well, gravel inicrval, ,nterrals of Casing perforarionii, and depths and
types of fill motenalseeeo
11. DATE WELL AHA,NiDOYED 9/28107
i DO HEREBY CERTIFY THAT PHIS WELL. WAS ABANDONED IN ACCORDANCE
WITH 15A NCAC ZC. WELL CONSTRUCTION STANDARDS, AND THAT A COPY Or
THIS O,RD HAM BEEN PROVIDED TO ME W EU OWNER
10/15/07
7;f
SIVS—ATUft OFCTATIFIED W`XLL CONTRACTOR DATE
S1GNATLAE OF PRIVATE %TALL OWNER ABANDONING THE WELL D.ATL
(flu pnvate wall owim crust be an rnarhdra. who toct ma r ebandon6 lusnror noidttlttal w 11 1
to ptcordauct wrrh I SA KCAC 2C A113 )
STEPHEN SLOAN
PRINTED NAME OF PERSON ABANDONING THE WELL
STEPHEN SLOAN
Well Cctalowtor (individual) Name
GEOLOGIC EXPLORATION, INC. _
Well Convactor Compmny *lame
STREETADDRESS 176 COMMERCE BLVD.
STATESVILLE NC 28625
City or Town State Zip Codc
704 . 872-7M
Area code • Phtmo number
1. WELL INFORWMATION:
SITE WELL ID N (if applicable) PT-9 _
STATE WELL PEKNHT * (if applicable)
COVfYY WELL PIRMTT a (if app6,ablc; _
DWQ or OTHER PEPUN117 # (if applicable
WELL USE (Check applicable else) 0 M01111lonng lktsidealisl
P� MunicipaUPublic 0 IndmirWCommercial a Agricultural
j Recovery ® IaJectlon ❑ IRlgatiae
Ll Oter (list Use)
3. WELL LOCATION:
COUNTY RANC)OLPH QUADRANGLE NAME
NEAREST TOWN: ASHEBORO
515 WEST BALFOUR AVENUE
(Street -Road game, lwrber. Community. Subdrtiisiort Lot No., Pwcei. Z.p Coat)
TOPOGR.A,PHiC,' LAND SETTING:
0 S.ope t 1 Valley ❑ Flat 7]Ridge U Othtx
(Check appropriate setting)
LATITUDE stay tar indcgtcot.
muturea, wortda. or in a
decimal firrnet
LA�GTIi.iDE
Lstitude1lonartudeseum: ❑GPS ❑Toposcraphkmop
(Location ojwill nuaf be shown on a GSGS t000 mop and
ahached to t/W form dent using (IFS)
41L FACILITY- -1. same of t1w bte+ucaa whm tits weC rs boated Complete 42 and4b.
r If a reatceruW well, skip la, cornp.cm 4b, weil awner infoo. uon cnh )
FACILITY ID tt(ii appFcable)
NAME OF FACILITY KAYSER-BOTH
-TREET ADDRZS� 515 WEST BALFOUR AVENUE
ASHEBORO NC
City or Town Sate 71r t Ddc
4b CONTACT PERSON/%ELL OWNER:
l N,� LAVAL CHOINIERE
STREET ADDRESS 515 vft?ST AALFOl1R AVENV6 AS hEBORO NC
%15mit it eop� to the o.wncr and the original to the Division of Water Quaker wiibin 30 days.
Attn* Information Alacagement. 16I'1 Ylall Spice Center -IUI* t, tiC 110%1617, Phone No. (919)" 33-'01S txt S6H.
Form CM,
Rev. 5%
OCT-15-2007 02:55PM From: 7048720248 !D:DUIJCKLEE AND DUNHPM Paae:004 P=10Fi%

HIM L<LLLINU l.0
1048720248 P.02
WE_ L A�1D NMENT REQURD
North Carolina Department of Environment and Namrai R,,ources- Division of Writer Quality
WELL CONTP.ACTOR CERTIFICATION # 2854
1. WELL CONTRACTOR:
STEPHEN SLOAN
Well Contractor (Wividual) Name
GEOLOGIC EXPLORATION, INC.
Well Contractor Compatry Name
STREETADDRESS DRESS 176 COMMERCE BLVD.
STATESVILLE NC 28625
Cir/ or Town State Zip Code
7t d4 1. M-7686
Area Code - Phore rturnber
2• WELL INFORMATION:
SITE WELL tD it (if apphcahle} PT-10
STATE WELL PERMIT a ( if applicable) -
COUNTY WELL PERMIT N (if applicable)__
I
OWQ or OTHER PERMIT N (if applicable`
WELL USE (Check appliLable use) ❑ Monitoring C Residential
❑ Munitipal(Public [ Indestrlal/Cottrmtrclal ❑ Agricultural
❑ Petovery Z Injection ❑ Irrigation
❑ 0iher Qdt use)
i !. WELL LOCATION:
rpC -y RANDOLPH QU.kDRANGLF NAME
NLAkBI TOWN ASHEBORO
I 515 WEST BAl FOUR AVENUE
(SeccvRoed \arne, Number. Cotnnnnity, Subdivisioa Lot No., Parecl, Zip Codu)
TOPOGRAPHIC ' LAND SETTING
❑ S ope ❑ VJ1ey ❑ Flat ] Ridge M Oche_
(Check appropriate seuing)
LATITUDE Moy be in dtgrccc,
mrnutes, seconds, n in a
decrmal fonmi
LONGII'UDE
Latitude/longitudesource: LIGPS OTopoerVilicmap
(Lororlor. of well mxrr he zhown on a 6SGS topo map oAd
mrached to tkts fbew iifnot urrng OPS-)
aa. FACILITY- The nmx cf0w b-mnees where =e wcL is Imasd Conmive to and4b,
(Ira reMmul well, sup 4a, cow ppctc 4G, well owner mfomtsUon only.
FACILITY ID Wit applicable)
NAMH OF FACn.ITY5YSER-ROTN
STREET ADDRESS 515 WEST BALFOUR AVENUE
ASHEBORO NC
City or Town Slate Zip Code
4b• CONTACT PERSONIWELL OWNER:
NAME LAVAL CHOINIERE
S''REET ADDRESS S16 REST aAu90VR AVENUE ASttEBCRO. NC
i. WELL DETAILS:
a. Total Depth: 30.0 h. Diameter. in.
b Water Lncl (Below M=swatg Point)' ft.
Measuring pour, i9 tl above land surface.
6. CASING:
Length Diameter
a Casing Depth (if known) NIA ft to
b. Casing Removed IWK-.— R. _ m.
7. DISINFE(-YIoNr N/A
(Amount of 65W 75% calctum hypochiorim used)
S. SEALING MATERIAL:
Cwtont -- lb Cement" lb.
R a! ell pat. Water gal
Bco torsi to
B:nton:te lb
Type: 0 Slurry ❑Pellets
Water gal.
tI
T,pe rrate,I PORTLAND BENTONITE SLURRY
Amount 6.0 GALLONS
9. F,XPLAIN METHOD OF EMPLACEMENT OF MATMAL.
V PQRTLAN_D B NT NIT SJ URRY
INJECTION BORING
I
10. WELL DIAGRA M. Draw a detailed sketch of the well eo the back of this
form showing total depth, depth and diameter of screens (if any) remaining
in the well, gravel interval, :ntervab of casing perforations, and deptas and
hpes of Ertl materials aced.
It. DATE WELL ASANDONED 9/28/07
100 1(EP"Y CERTIFY THAT THIS WELL WAS ABANDONED IN ACCORDANCE
WnN 15A NCAC 2C, WELL CONSTRUCTION STANDARDd, AND THAT A COPY OF
THIS AD HAS BEEN P V(DL'D,TO� OWNER
•��C7/ 10/15/07
%1CNATVREOFCCRT1FMD WELL COMMACTOR G,\TE
alaNAn�oKP> VAT—:CotoOWNIt AJ"N1i6viNGTHLV►]ELL�o+Teti
(The srivw well owear must be an, iodMlual'� atCittialb ahmWona hwhar r m4tnriai w tl
in nccordaltct Mich I SA SCAC IC .0111)
STEPHEN SLOAN
PAINTED NAME OF PERSON ARAN)ONING THE WELL
Submit a copy to the owner sad the Original to tht Division of Wuer Oaftilty witw 30 days. Roca GW-W
Attu: Iararmatlon Management, 1617 Flail Scrvtce Center - Raleigh. NC 27690.1617, Phot a No. (1019) 733-701S tilt M& Rev 5.06
�r_T-15-200- 02:55PM From: 7048720248 ID:DLNCKLEE AND DUNHAM Page:002 P=1lEt'•

DUNCKLEE
& DUNHAM
ENVIRONMENTAL CONSULTANTS
I I KEISLER DRIVE - SUITE 102
CARY, NORTH CAROLINA 27518
OFFICE: (919) 858 - 9898
FACSIMILE: (919) 858 - 9899
DATE: Q
'
JOB NO.
PROJECT
O 07
�DD
NAME: h
LOCATION; iG
PRESENT GF�
AT SITE:
WEATHER:
TEMPERATURE
& TIME:
ARRIVAL AM
DEPARTURE AM
TIME PM
TD64E PM
THE FOLLOWING WAS NOTED:
V, _
-5 S N
,- L
nh l., _, 'Z 4,-
COPIES TO FIELD REPORT
Page of SIGNED
MAILING ADDRESS - POST OEh a Box 333b6 - RAI EKAI, NOR] 11 CAROLINA 27636

-[:>DUNCKLEE
& DUNHAM
ENVIRONMENTAL CONSULTANTS
511 Keisler Drive - Suite 102
Raleigh, North Carolina 27518
Office: [phone]
Facsimile: [phone]
DATE-
JOB NO.:
10 f 9 1,3-1
10
PROJECT & LOCATION:
K X 0,-,, " 0-.-'Lp -
1 0C.
WELL NO. & DEPTH: 310
WATER LEVEL:
mt-3 - -Z-1 uo
zC1 - 0 G,
SCREEN LENGTIL
WELL DIAMETER & CASING TYPE:
PERSONNEL
1;�4-A
EQUIPMENT:
2�� 42ig
TYPIYCIF SAMPLES COLLECTED.
t;-Z_(ZO
, M^
Time pH
Temp
Cond.
ORP DO
Turbkfq Notes
St& Units
OC
-gj&, W mv
13.4 2-1-0
nVL
Sn
N71U
>atcket
e5 j
L
00fl
-7 ci
ib -Z
z>1 9 1
a
co 104- 0 01
21' = 617 m1A 4" = 2470 ml/ft
PAGE OF
GROUND WATTEA. NG LOG
SIGNED(�—

DUNCKLEE
& DUNHAM
ENVIRONMENTAL CONSULTANTS
511 Keisler Drive -Suite 102
Raleigh, North Carolina 27518
Office: [phone]
Facsimile: [phone]
DATE-
B NO.:
0 O
rCC)-Lq.C)5
PROJECT & LOCATION:
Z A
WELL NO. & DEPTH:
WATER LEVEL:
ID -S
28 ,
SCREEN LENGTH:
WELL DIAMETER & CASING TYPE:
9 — 5 C�
PERSONNEL
EQUIP
Mp n C�_%
TYPE OF SAMPLES COLLECTED:
G1.1t rVI1
6
Time pH
Temp
Cond.
ORP
DO
Turbidity
Notes
Oct-va•-
Std. Units I
Ste• $2
°C !
-
tnV
tn�gM
NTU
g�b
9. �-
344
/O
— - -
--
J
f .Z ; 21•S 2t`
4 •S9
o
13
5'So
.•'� 5'
t'1 , o
tro •$• ► t:
o
S• ." 7 N
t . o
t °1.-7 j -z.n t
4 Sr.
a
o
S-'}y
1-7,0
11.3 72..1�'
Sc...,..oL..4:_.
oq�-fin
i
I
0
2" = 617 ml/ft, 4" = 2470 ml/ft GROUND W T SA LING LOG
t0.2" 30.G
PAGE OF SIGNED

DUNCKLEE
& DUNHAM
ENVIRONMENTAL CONSULTANTS
511 Keisler Drive - Suite 102
Raleigh, North Carolina 27518
Office: [phone]
Facsimile: [phone]
DATE-
JOB NO.:
lv
o 7
a
PR CT & LOCATION:
WELL NO & DEPTH:
WATER LEVEL:
r4L..%- rs 40.
1.95
SCREEN LENGTH:
WELL DIAMETER & CASING TYPE:
S--40•
-2." ?VC,
PERSONNEL
EQUIPMENT:
a or,
TYPE OF SAMES COLLECTED:
RZIG
Time pH
Temp
Cond.
ORP
I DO
Turbidity
Notes
Std. Units
°C
mV
NTU I
tooN _S._sz_
C.
Z4t
"i. SO
>qq�
o v1 •Cod! ��7•Z
S.ca
Z��
I -t.OL
>1jq
laic s.c.S
1•"►-4.925Zf_G
87-
>'qjj
3 • S '.
1 (40 .'3
. ` �1
t52 � w•, � �' y
t
�
{
f
1
1
i
i
0 w, L
r" = 617 mUft, 4" = 2470 mVft GROUND W�TE SAMPAANG LOG
PAGE OF SIGNED

-[:>DUNCKLEE
& DUNHAM
ENVIRONMENTAL CONSULTANTS
511 Keisler Drive -Suite 102
Raleigh, North Carolina 27518
Office: [phone]
Facsimile: [phone]
DATE:
JOB NO.:
IU o
O L�Oc7
PROJEtT & OCATION:
A
WELL NO. & DEPTH:
WATER LEVEL:
WELL DIAMETER & CASING TYPE:
SCREEN LENGTH:
PERSONNEL
EQUIPMENT:
TYPE OF SAMPLES COLLECTED:
Time
pH i
Temp
Cond.
ORP
DO
I Turbidity Notes
— — Std. Units °C
b5 X I
�o5y 5.13 Iqg
1 Sao G• >> � ��t.
t t bS G• 11 19 .11
-
i f o C.. 19.5
Ns/cm
597
a77
ILD I j
i
Z'78 -
Z-) S
'ZIS '
mV mg/L
�13
t9 .�
'1„ps- �. 1)
Z046 Sack
Z.Or7 .0 8
20 S . W5
( NTU — — —
3J1-
- — -
L IS
1z� �. �..� — —
1 z
—J V
Z'2 •5
2 I.C. %7 . S w�
_S
1% 2 S
_
*
I
Gt��o •�.
�.
p .Z O
2" = 617 mVft, 4" = 2470 mUft GROUND W KTEI C SAA7NGLOG
PAGE OF SIGNED J

DUNCKLEE
0 & QUNHAM
I 0z "If I luf UUM 0 a V WMIRM-11) It "l a 0
511 Keisler Drive - Suite 102
Raleigh, North Carolina 27518
Office: [phone]
Facsimile: [phone]
DATE-
" No.:
Iv I -i
1 0 -1
MG00
MOJECT if LOCATION-
101Z A svlflbOluw
WELL NO. & DEPTH:
WATER LEVEL:
E> %.3 -11 99
'56 -11
SCREEN LENGTH:
WELL DIAMETER & CASING TYPE:
ge
EQUIPMENT:
TYPE OF SAMPLES COLLECTED:
I
Time pH I Temp Cond.
01;tp DO Turbidity Notes
Std. Units 0C IJS/cm
T�-
11's") Qp- to 190
mV mg/L
N71U
7-1 U
1%
019
"Ll 18
>qii
�j
2A
<; 14
CAO\ 01 0
"14
2" = 617 ml/ft, 4" = 2470 ml/ft
PAGE OF
GROUND W2 TE=ING LOG
SIGNED

DUNCKLEE
& DUNHAM
ENVIRONMENTAL CONSULTANTS
511 Keisler Drive - Suite 102
Raleigh, North Carolina 27518
Office: [phone]
Facsimile: [phone]
DATE-
JOB NO.:
PROJEt7 &LOCATION:
IL� IA
WELL NO. & DEPTH:
mo --Gb 4(,
WATER LEVEL:
. 02
SCREEN LENGTH:
2G -- 4
WELL DIAMETER & CASING TYPE:
PERSONNEL
EQUIPMENT:
TYPE OF SAMPLES COLLECTED:
Time pH
Temp Cond. ORP DO Turbidity Notes
Std. Units
_ S ,
°C PS/cm mV
'21 .9 __� 3_—•; $—�_ Z$$_
/L NTU
G • 4 I 'fig'
C. 5 9g
97.8) > 999-
-- — — _
12z)
S •eb'
19•S- 344
1
S • 0 3 �
(� �
32�3
�
b" .� 8 �
�• q�9 Z.o �
�L�a
a
• 3
Vl• Z
-
321 3Z,o S .-tG
310, 32� • �-L_
'718
2-7 S ,A
�) 5 — —
►al
o
M . 2.
S'.o
t9.1
_�
327 ,� 21 51-S5
i
I
2" = 617 ml/ft, 4" = 2470 ml/fft
I.8 --S' ---)
PAGE OF
GROUND WA SA G LOG
SIGNED

DUNCKLEE
& DUNHAM
ENVIRONMENTAL CONSULTANTS
511 Keisler Drive -Suite 102
Raleigh, North Carolina 27518
Office: [phone]
Facsimile: [phone]
DATE
NO.:
t o 1)
1 ogjc
PROTE OCATION:
2
WELL NO. & DEPTH:
WATER LEVEL:
PQ--L 96
c
SCREEN LENGTH:
WELL DIAMETER & CASING TYPE:
So
PERSONNEL
EQUIPMENT:
M o- sov n
TYPE OF SAMPLES COLLECTED:
Time pH Temp
Cond.
ORP i DO Turbidity Notes
Std. Units
p
I Z5 . S . �i5
04
► Q : � 11
°C
NS/cta
mV mg/L _ NTL?
28 S7. SS
2'? �• AI 13G �_o A
a 9 lei
zg& it �I
_ 13�i i
/,.o y2S
l y3y
1-5c57 .13
J9•o
' 4Y,
. C)
10Zti
J��
�G• IC
,,.�
z
.3t
.4
{
i
S
I
f
�� -•t• o . ors sty • �___ --- _-�-_ �
Co4--- p.o L
- - -
2" = 617 ml/ft, 4" = 2470 mvft GROUND W E SArING LOG
PAGE OF SIGNED

DUNCKLEE
& DUNHAM
ENVIRONMENTAL CONSULTANTS
511 Keisler Drive -Suite 102
Raleigh, North Carolina 27518
Office: [phone]
Facsimile: [phone]
DATE:
JOB NO.:
I o
-u ot
PROJEdT & LOCATION:
^
WELL NO. & DEPTH:
WATER LEVEL:
I) 1, - I
S19 . rc I
SCREEN LENGTH:
WELL DIAMETER & CASING TYPE:
P NNEL
EQUIP
TYPE OF SAMPLES COLLECTED:
-z c v
Time pH
Temp Cond. 0" DO Turbidity Notes
Std. Units
°C Ns/cm mV
m /L NTU
4 • L� 338
14,071 4 � f
• S 1
1q •�G
iSG Zz�
) 33o
Cp 4 c-
1
15%.
zz
1 35
G •-V)
1 Q .y
1(4 21
y
y .38
IG i
a�
9Lj
0
4 .4 C
1"-i i
I y
I
�
-- — —
fo�
2" = 617 tnVft, 4" = 2470 mUft GROUND W ER A�N G LOG
5_o - IS.o
PAGE OF SIGNED

DUNCKLEE
& DUNHAM
ENVIRONMENTAL CONSULTANTS
511 Keisler Drive -Suite 102
Raleigh, North Carolina 27518
Office: [phone]
Facsimile: [phone]
DATE-
JOB NO-:
to 1 y p'�
O -Lr'm
PR CT & LOCATION:
faz 1_10
WELL NO. & DEPTH:
WATER LEVEL:
Mta-3 52
3Z-4S
SCREEN LENGTH:
WELL DIAMETER do CASING TYPE:
z.- S7 2.
RUC.,
Tr', a
o•' - ...
EQU -
r .,.�
SAMPLES COLLECTED:
Time pH Temp Cond. ORP DO Turbidity Notes
Std. Units
'C Ns/cm
mV
NTU
- - - - - -
3 •s ..� - -- -
�•5 �►
1 S'G
13S$
G • 3 Z
G.o
22.. _I z�IC.
Zo• 127
2S '7.43-
z.S9 14 •C
y
11
t
14165
. q I t `
1AZ
U
ZC1-
R . _c
2G N
1
Zco'7
H Z Z5 ,,5 . -Z
i
LCA 6T n
t
18.c I01
2n 5
35
5 7
I lad
I Z71;,
S'.2o
1
(� ya�.� G Ieq t©2.
j 2?�
S•to
IZ$
S.S
A- 0
-4
a
-_
wr
i
c.Oto 0..-+
ND-------
0. 4
2" = 617 ml/ft, 4" = 2470 ml/ft
'I- I - °1.3
PAGE OF
GROUND W SA�!►/IP ING LOG
SIGNED

DUNCKLEE
& DUNHAM
ENVIRONMENTAL CONSULTANTS
511 Keisler Drive - Suite 102
Raleigh, North Carolina 27518
Office: [phone]
Facsimile: [phone]
Time pH Temp Cond. ORP
Std. units °C CIS/cm mV
Iytlg S-,L-9 2) • I ILD 482.
ICJ So 5 .z,Z. 1 q . 9 •12q L-Sc,,
J 4SZ .'L2 18 , s- IZ3 S31
N sy : 5 .10 M-4 108 5 S-)
ISoa 4.91 tg,y G39
o c)• i 9 16,q
I'3fl G 3a
10 J3Z2 G24
Choy
t— _f
d
DATE
t c,
ci
OB NO.:
rO2L OCrD
PROJECT & LOCATION:
I(-iZ
WELL NO. & DEPTH:
rV1 V-3 — S'b
WATER LEVEL:
G
SCREEN LENGTH:
`50 - So
WELL DIAMETER & CASING TYPE:
'z-'' PVC,
PERSONNEL
EQUIPMENT:
TYPE OF SAMPLES COLLECTED:
DO Turbidity Notes
/L NTU
—
2 .0 sl
M
cj
tcti .y2 ,
Z*9
• Va
�T I Q
� •1 s
�`4.4 q
.O 0.1
t•82 ��4q9
4.0
1.44 83-7tztw
9
8rie�l
2" = 617 mVft, 4" = 2470 Inuft GROUND wA S ING LOG
PAGE OF SIGNED

DUNCKLEE
& DUNHAM
ENVIRONMENTAL CONSULTANTS
511 Keisler Drive -Suite 102
Raleigh, North Carolina 27518
Office: [phone]
Facsimile: [phone]
DATE:
JOB NO.:
ZCoe} a
PROJECT A LOCATMN:
IC2
WELL NO. & DEPTH:
WATER LEVEL:
SCREEN LENGTH:
2l-5— N}
WELL DIAMETER & CASING TYPE:
Z" PV
PERSONNEL
EQUIPMENT:
TYPE Of SAMPLES COLLECTED:
Time 1 pH Temp Cond. ORP i DO Turbidity Notes
Std. Units °C
pS/cm
mV
L NTU
162
I
I
I �
�1I0
5
Coit, ti�M.O.Z-2 V%^ C,
2" = 617 ml/ft, 4" = 2470 ml/ft
GROUND WATER SAMPLING LOG
PAGE OF SIGNED

DUNCKLEE
& DUNHAM
ENVIRONMENTAL CONSULTANTS
511 Keisler Drive -Suite 102
Raleigh, North Carolina 27518
Office: [phone]
Facsimile: [phone]
DATE:
JOB NO.:
O -" Oro
PROJECT & LOCATION:
UT, A�1-.4.b1.jo>
WELL NO. & DEPTH:
rYi 1.1- ) 0
WATER LEVEL:
—1. Z.$
SCREEN LENGTH:
fie •.s—-38.5
WELL DIAMETER & CASING TYPE:
z',TuC_
PERSONNEL
EQUIPMENT:
TYPE OF SAMPLES COLLECTED:
Time pH Temp Cond. ORP DO Turbidity Notes
Std. Units
°C
PS/cm
mV /L
NTU
i
I
I
2" = 617 mM 4" = 2470 mV8
GROUND WATER SAMPLING LOG
PAGE OF SIGNED

-'[�DUNCKLEE
& DUNHAM
ENVMON4IENTAL CONSULTANTS
511 KEISLER DRIVE - SUITE 102
CARY, NORTH CAROLINA 27518
OFFICE: (919) 858 - 9898
FACSMLE: (919) 858 - 9899
DA -
JOB NO.
PROJECT
IO " i
Cs ` '�
NAME:
LOCATION:
PRESENT
AT SITE:
WEATHER:
TEMPERATURE
do TIME:
ARRIVAL AM
DEPARTURE AM
TIME PM
TZ E PM
THE FOLLOWING WAS NOTED:
6-
0 —
0 p il t., rStir. �
COPIES TO FIELD REPORT
Page of SIGNED
MAILING ADDRESS -- POSI OFFICE BOX 33366 — RALEIGH, NORTH CAROLINA 27636

FaceAnalytical
www.pacelab3.com
CHAIN -OF -CUSTODY / Analytical Request Document
The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately.
Section A Section B Section C
RQoggnuuirod Client Information: Roqulrod Project Information: Invoice Information:
CI J ©ny. I i �4 \} RoportTo:� `_ ^ t r-1, Attention:
(?��
J
Page: of
113 9 6 5 5
Address:
Copy To:
Company Name:
REGULATORY AGENCY
_-7 �� j
Address:
r NPDES GROUND WATER ;- DRINKING WATER
_
r UST i RCRA j- OTHER
Emmail TO: .-_,j
�Y ,L SrJ n u�.'tl P: \, n� . C u--�
Purchase Order No.:
Pace Quote
Reference:
Phone: Fax: _
Project Name: , l t 11
Pace Project
Manager.
Site Location
STATE]
Reyu ted Due Do,01 A
tl 1cam.
Project Numbenr
Pace Profilo a:KI
Requested
Analysis
Filtered
(Y!N)
Section D MdtrlX Codoe
nogelmacwt Infarmdoon MATRIX l cr r7E
Drinking Water DW
Y/atar WT
Waate.Water WW
Product p
Solysolid SI,
Oil OL
SAMPLE ID
Wipe NIP
(A-Z, 0-0 1:) Air AR
Sample IDs MUST BE UNIQUE Traaue TS'
Other OT
$
r
u,
p
O
V
X
e,
U
w
a
�:
w
COLLECTED
zz
F
o
¢
a
a
�,
Z
z
U
4t
.,,.
Pre aflVes
r$e'N
~
5-
}'
N
N
MIN
STARTCOMPOSITE
srarsr
COMPOSITE
ENarGfiAO
Z
H
c�Z
�
2
2
U�
T
Z
O
Z
m�
m
p
-►
.,
a
i-
T
y
j
cc,
C
L
t
1
y
o
to
Pace Project No./ Lab I.D.
DATE
TIME
DATE
TIME -
b`�-►
nko-IBIS
Yy;
n
��v-11
21U
I
1
3
khYX
e
rnw-r
5z4
!
3
Y>c>
k
-31
1
Y
x.
.i
lo
12
ADDITIOnAL COMMENTS
--
'-/_RELI
QQUISRED Y 1,AFFILIATIDN
DATE
TIME
ti AL`CEPTED B l AFFI ATION
DATE
TIME
SAMPLE CONDITIONS
- - --
i
{
_•vim r j' )
t� t I\
5 d 4- ,-x CA ti-, , z r� I �� n� a- �_� f
'
I ! �� �Y^.1 Y^• i . %t} `.� . )/_ '_ y /,
SAMPLER NAME AND SIGNATURE
v
E
a
o ^
O
o
7
c
m -
E
to
PRINT Name of SAMPLER: I
�. n 5 ,� , ,
siGNATURE of SAMPLER:
i /� ���—�
DATE Signed r f _
(MM/DDlYI): I`.)I , l r)
=(mporferArkdr Ay ugnsg nsa 1.— you are eccer-g Poco'e NET 30 day paynann leroa and agreoftV to taio dwrges of 1.5% per month for any involces not pab vamin 3U days. � F-ALL-U-020rev.07, 15-May-2007

FaceAnal, cal -
CHAIN -OF -CUSTODY / Analytical Request Document
The Chain•Of-Custody is a LEGAL DOCUMENT All relevant fields must be completed accurately.
Pago: of i
Section A Section B Section C
`h{
1 5 6
Required Client Information: Required Project Infnrmatinm - Invoice 'Information
Report To:r"• e Attention:
Cagpany: w
.39,
J
Copy To:
Company Name:
REGULATORY AGENCY
1 I1 ••�� ( �.}/.,
Address:
.j NPDES : GROUND WATER '-' DRINKING WATER
UST RCRA OTHER
Email To: 1
r• i ,
Purchase Order No.:
Pace Quad.
' .
! h
{`• r^CL f h �`...r..r YJ r^+_1 ,�..,`G.twL11+
Releren ca:
PTO �; ]] / - ; f r
1 t'- • : 7 •, .� .s
F� : •-� - �; ; ` t"t 'r
'"'� i ` st x '..) .(; �� }
Project Name:''`` ( \
ll,_ 1 �� l � .,. _,r,..
Pace Project
Manager:
Site Location
STATE:
1
!t
,
Requested Duo DatoITAT' (
Project Number:
Pace Prohin ik
Requested
-
Analysis
Filtorod
(YIN)
Section D Matrix Codes
-
-
y
z
Roquiredr tiluit lniormaiinn - MATRIX I COOS
w Q '
Q,
COLLECTED ", .' ,', '
, . PleS6NaiiVes
S•
r�
—_
Drinking Water DW
V
g
U
11
O
Water WT
waste Water WWoh1POstrE
U
Com
START
COMPOSITE
EtaXGRAR
U`
_
z
Product P
J
Soft/Sold SL
m'
O
N
SAMPLE IDalWP
"
'W
a
8_
(A-2, 0.9 / r) Air AR
p
ad
a
a
a.
M
h
Sample IDs MUST BE UNIQUE Tissue IS-
U
�
� -
-
w
N
,w-
•5+
' Other OT
X
J
J
U
°'
a
.y
O
.�
3
�..r�
r
°
y
O
p
_
s.
g
a
n
. _DATE;
TIME
DATE
TIME
a
to
O
;�
c
�
�
Z
S
U
S
ro
Z
roZ
Z
ii-
O
_
Page Pi'Ojact NO Lab I.D.
t> t! ,,
I I ;,O
v
X
3
r^ L. �.
s
6
-
71
8
-
9
12
ADDITIONAL COMMENTS
RELINO,j�SHEDI3YI�A RLiATION
DATE
TIME
ACCEPTED BY I AFFILIATION
.DATE
TIME.
SAMPLE CONDITIONS
- -
.�/
d/
'
I
L _
SAMPLER NAME AND SIGNATURE
U
o -
y`
PRINT Name of SAMPLER r �r
771
�
.0
U m
E7
DATE Signed
4 ,
SIGNATURE of SAMPLER J ` ". �•-.-.--"`"
(MM/DD/YY): ;
ch
r!i
V 'ImpOnant We, By Signing this form YOU are acceofing Pace's NET 30 day payment Term and ayeeing to I -le chareas of 1.5% per rnonlh Ax atiy invoices not paid Wthin 30 days. � F-ALL-U-IUIIroV, tl r, T. -MAY-Lull r

M W-8
1600
1400
1200
c 1000
0
L
C
a
800
0
.M
600
C
CC
i9
400
200
0
Pilot Study Post Slurry Injection
X
4/15/98 8/28/99 1/9/01 5/24/02 10/6/03 2/17/05 7/2/06
Time in Years
—�- PCE f Mn —X— C1
1400
1200
1000
e
Cq
A
400 U
200
--_- 0
11/14/07

30,000
25,000
20,000
C
LA
C
10,000
w
U
5,000
0
2/9/99
MW-10b
6/23/00 1115101 3/20/03 8/1/04 12/14/05
Time in Years
—*-- PCE -t Mn —X Cl
50
45
40
35
30
25
20
15
10
5
0
4/28/07

MW-17
20,000
18,000
16,000
14,000
C
y
C
12,000
C
a 10,000
0
L
8,000
C
U 6,000
a
4,000
2,000
0
8/28/99 1 /9/01 5/24/02 10/6/03 2/17/05 7/2/06
Time in Years
—� PCE Mn —*— Cl
50
45
40
35
E
C
30 c
0
L
25
u
C
20
b
0
15 U
10
5
0
11 / 14/07

1400
1200
a�
c 1000
N
C
O
t�
c 800
c�
0
U
z 600
_
uJ
U 400
200
0 �--
7/1 /99
DW-1
Pre Injection
7/1/00 7/1/01 7/1/02 7/1/03 7/1/04 7/1/05 7/1/06
Time in Years
�— PCE in Ng/L T Manganese in ug/L —-- Chlorides in mg/L
7/1/07
30
25
rn
20 r-
10 :°
5
0

2000
1800
1600
a
1400
c
a
1200
L
a 1000
0
IM
400
200
0
4/ 15/98
8/28/99 1/9/01 5/24/02 10/6/03 2/17/05 7/2/06
Time in Years
PCE —M— Mn
300
250
200
150
100
1�0
0
1 1 / 14/07