WI0400470_DEEMED FILES_20171017

D~ w:L-O!.fOOff-70
INJECTION EVENT RECORD
North Carolina Department of Environment and Natural Resources -Division of Water Resources
Permit Number lJ I O Cf Ot> 'f 1 o
1. Permit Information
RECEIVED/NCDE DJ DwR:;re ?any wells abandoned during this injection
~es D No
---A~G-=C_D_d_.____O_CT_I 7 201 ~
Permittee
Water Quality Re ! ic nal
Operations Se c ic n
If yes, please provide th.e following information:
Number of Monitoring Wells _____ _ ----------------Fa c ili t v Name
tf:01·~ ek,.'1 £1. ~.nSfu.-S&.fi~
Facility Address I /\( C..
2. · Injection Contractor Information
0. £>(< 7'-1vL (L c.
Injectfuucontractor / Company Name
Street Address 2 () O y?"1-e::L f),-
e(;.. r ~ l{e,,
C ity State Zip Code
c1!1J l 1<( o,q..0
Area code -Phone number
J. Well Information
Number of wells used for injection _~/., __ _
Well names ~PT 1,. -Hfl8 I f>P1 J. -A$c.
W~ere any new wells installed during this injection
ev t?
Yes O No
If yes , please provide the following information:
Number of Monitoring Wells _____ _
Number oflnjection Wells ____ 'k,~---
Type of Well Installed (Check appliciyrie type):
D Bored D Drilled [3'Direct-Push
D Hand-Augured D Other (specify) __ _
Please include a copy of the GW-1 form for each
well installed.
4.
Number of Injection Wells ____ V ___ _
Please include a copy of the GW-30for each well
abandoned.
lnjectant Information
HcFS fl AE>e-
Injectant Type
Concentration ..s'~ Jac/J;J
If the injectant is ffyed please indi~a;e the source
dilution fluid. ofr~,. i-' litvk.r
Total Volume Injected:..__ __ ....,2_......,,$'L....:O:....;O:..._ __
Volume Injected per well'--_/'----.L').._=---.l~"'--'"'Q'--_
5. Injection History
Injection date(s)_.f-+c;/2---'----'/ (~------i9L1-/:-='l4JL...././;-'---'--1
Injection number (e.g. 3 of 5)_~/'---------'l}~
1
L,,,..'--_
Is this the last injection at this site?
D Yes D No
I DO HEREBY CERTIFY THAT ALL THE
INFORMATION ON THIS FORM IS CORRECT TO
THE BEST OF MY KNOWLEDGE AND THAT THE
INJECTION WAS PERFORMED WITHIN THE
STANDARDS LAID OUT IN THE PERMIT.
~~ L 1t)J z!t 1
s10NATOF71cTioN CONTRACTOR ' DAitE
PRINT NAME OF PERSON PERFORMING THE INJECTION
Submit the original of this form to the Division of Water Resources within 30 days of injection.
Attn: me Program, 1636 Mail Service Center, Raleigh, NC 27699-1636, Phone No. 919-807-6464
Form UIC-IER
Rev. 8/5/2013
Volume Volume
Number Number per per Sodium
Depth of2 ft of ABC ABC HFCS HFCS ZVI Location Interval Guar Bicar
Point (ft) Intervals Pushes (lbs) (gal) (lbs) (gal) (lbs) (gal) (gal) (lbs) (lb) Mix
120 water,
1-HFCS 37-57 10 3 0 0 2150 192 0 1250 125 0 so 24.1 gal ABC or
19.2 HFCS, SO
lbs sodium
1-ABC 36-56 10 3 2150 248.5 0 0 0 1250 125 0 so bicarb
c? P,r+•ty.4 !r1 1 T C/ 970
INJECTION EVENT RECORD
North Carolina Department of Environment and Natural Resources — Division of Water Resources
Permit Number JJ I 0 41- a Cc-7D
1
1. Permit Information
Al C
Permittee
RECEIVED/NCDEC
riLi 1 7 2017
Water Quality Reg'
Operations Sectic
Facility Name
10 l d yrr,1 c] LI. $ E41,
Facility Address
2. Injection Contractor Information
Injection Contractor! Company Name
Street Address 20 r, Q t o Qr
City State Zip Code
(9►7 ) 6r11-'
Area code— Phone number
3. WeIt Information
Number of wells used for injection
Well names
i'35.r�
�
Were any new wells installed during this injection
event?
❑ Yes VNO
If yes, please provide the following information:
Number of Monitoring Wells
Number of Injection Wells
Type of Well Installed (Check applicable type):
❑ Bored ❑ Drilled ❑ Direct -Push
❑ Hand -Augured ❑ Other (specify)
Please include a copy of the GW--1 form for each
well installed.
Fri
Were any wells abandoned during this injection
wooevent?
❑ Yes 'No
If yes, please provide the following information:
Number of Monitoring Wells
Number of Injection Wells
Please include a copy of the GDP-30 for each well
abandoned.
4:—Injectanthrformatian— ---
Injectant Type
Concentration
46 I
If the injectant is diluted please indicate the ource
dilution fluid. try z.(rc.rt;11c..
Total Volume Injected
/c 527
Volume Injected per well ; $�
5. Injection History
Injection date(s)
-
Injection number (e.g.3 of 5) / o f
Is this the Iasi injection at this site?
❑ Yes ❑ No
I DO HEREBY CERTIFY THAT ALL THE
INFORMATION ON TINS FORM IS CORRECT TO
THE BEST OF MY KNOWLEDGE AND THAT THE
INJECTION WAS PERFORMED WITHIN THE
D OUT IN THE PERMIT.
/b/zE i7
DA
7,) f { 1 L j ck AA ?-4
PRINT NAME OF PERSON PERFORMING THE INJECTION
Submit the original of this form to the Division of Water Resources within 30 days of injection.
Attn: UIC Program, 1636 Mail Service Center, Raleigh, NC 27699-1636, Phone No. 919-807-6464
Form UIC-IER
Rev. 8l512413

Volume Volume
Number Number per per Sodium
Depth of 2 ft of ABC ABC HFCS HFCS ZVI Location Interval Guar Bicar
Point (ft} Intervals Pushes (lbs) (gal) (lbs) (gal) (lbs) (gal) (gal) (lbs) (lb) Mix
Mix all in
1-Well-60-90 0 0 3100 276.8 0 1850 1850 0 100 pillow tank or
HFCS batches in poly
tank
Mix all in
1-Well-60-90 3100 358.4 0 0 0 1850 1850 0 100 pillow tank or
ABC batches in poly
tank
Df_.e4t 'Al 7_c'q-6 940
INJECTION EVENT RECORD
North Carolina Department of Environment and Natural Resources — Division of Water Resources
Permit Number
1. Permit Information
Permittee
RECE VEOINCDE
46C6 QC1J7 201
Water Quality Re'
Operations Sec
Facility Name
q-OI cI,,07 S. �i,�is, c� /c
Facility Address
2. Injection Contractor Information
Re e L. c-
Injection Contractor / Company Name
Street Address 2 o a
Cc. e arc
City t State
(dttq) giS' (rife)
Area code — Phone number
3, Well Information
Number of wells used for injection
Well names
2 T) 3
Zip Code
►7
PPT . — 17
Were any new wells installed during this injection
cv t?
[Yes ❑ No
If yes, please provide the following information:
Number of Monitoring Wells C -
Number of Injection Wells / 1
Type of Well Installed (Check appIlble type):
❑ Bored ❑ Drilled Direct -Push
❑ Hand -Augured ❑ Other (specify)
Please include a copy of the GW-1 form for each
well installed.
Were any wells abandoned during this injection
Ln Yes
.I
ti
rI
❑ No
If yes, please provide the following information:
Number of Monitoring Wells ----
Number of injection Wells
F1
Please include a copy of the GW-30 for each well
abandoned.
4. Injeetant Information
Injectant Type
Concentration
If the injectant is diluted please indicate the source
dilution fluid. lido-p, -ti A 1i'J
Total Volume Injected STD
Volume Injected per well likiet : Set CAr I,
5. Injection History
Injection date(s)
Injection number (e.g. 3 of 5)
Is this the last injection at this site?
❑ Yes ❑ No
I DO HEREBY CERTIFY THAT ALL THE
INFORMATION ON THIS FORM IS CORRECT TO
THE BEST OF MY KNOWLEDGE AND THAT THE
INJECTION WAS PERFORMED WITHIN THE
STANDS ID O IN THE PERMIT,
/0/ /7
SIGNATURE OF INJECTION CONTRACTOR E
lfrow
PRINT NAME OF PERSON PERFORMING THE INJECTION
Submit the original of this form to the Division of Water Resources within 30 days of injection.
Attn: UIC Program, 1636 Mail Service Center, Raleigh, NC 27699-1636, Phone No. 919-807-6464
Form UIC-IER
Rev. 8/5/2013

Volume Volume
Number Number Total Total per per Sodium
Depth of 2 ft of ABC ABC ZVI Location Interval Guar Bicar
Point (ft) Intervals Pushes (lbs) (gal) (lbs) (gal) (gal) (lbs) (lb)
1 22-34 6 2 339.96 56.66
2 22-34 6 2 339.96 56.66
3 25-33 4 1 226.64 56.66
4 23-43 10 3 566.6 56.66
5 23-47 12 3 679.92 56.66
6 26-42 8 2 453.28 56.66
7 40-48 4 " 1 226.64 56.66
8 22-46 12 3 679.92 56.66
9 25-49 12 3 6850 792 3750 679.92 56.66 300 750
10 26-42 8 2 453.28 56.66
11 30-46 8 2 453.28 56.66
12 22-46 12 3 679.92 56 .66
13 24-44 10 3 566.6 56.66
14 35-55 10 3 566.6 56.66
15 23-47 12 3 679.92 56.66
16 25-45 10 3 566.6 56.66
17 35-47 6 2 339.96 56.66
INJECTION EVENT RECORD
North Carolina Department of Environment and N turaI Resources — Division of Water Resources
Permit Number Lai T { (&o 0 ici S
1. Permit Information
Permittee
RECEIVED/NCOE
OCT 17 20'
7
Water Quality R+,}i
Operations Sec -
Facility Name
9-13/ c42-a 6SV • h;,slii--.(546"4.
Facility Address 7
2, Injection Contractor Information
£Q2 ��a L[, c.
Injection Contractor / Company Name
Street Address ?PO c;G ale.- Pr`
City r State Zip Code
(fit ) 'fa
Area code — Phone number
3. Well information
Number of wells used for injection
Well names
1'MU - 2 S,Z
Were any new wells installed during this injection
event?
❑ Yeso
If yes, please provide the following information:
Number of Monitoring Wells
Number of Injection Wells
Type of Well Installed (Check applicable type):
❑ Bored ❑ Drilled ❑ Direct -Push
❑ Hand -Augured ❑ Other (specify)
Please include a copy of the GW-1 form for each
well installed.
tl
oWkWere any wells abandoned during this injection
event?
❑ Yes �No
anal If yes, please provide the following information:
1n
Number of Monitoring Wells
Number of Injection Wells
Please include a copy of the GW-30 for each well
abandoned.
4. Injectant Information
#.114 r&G1as4• .C"
Inject. t Typ
Concentration
C9eA 4 44e 1
If the injectant is dilut d lease indicate t e source
dilution fluid. lif., {jrrr
Total Volume Injected
/ $S6
Volume Injected per well 1' 3b
5. Injection History
Injection date(s)
vie -
Injection number (e.g. 3 of 5)
Is this the last injection at this site?
❑ Yes ❑ No
of
I DO HEREBY CERTIFY THAT ALL THE
INFORMATION ON THIS FORM I5 CORRECT TO
THE BEST OF MY KNOWLEDGE AND THAT THE
INJECTION WAS PERFORMED WITHIN THE
STANDARDS LAI ) OUT IN THE PERMIT.
SIGNAT 1F INJECTION CONTRACTORZeLAI DA E
rj /#,-f j L., FlG -A.4 A r1
PithNAME OF PERSON PERFORMING THE INiECTION
Submit the original of this form to the Division of Water Resources within 30 days of injection.
Attn: UIC Program, 1636 Mail Service Center, Raleigh, NC 27699-1636, Phone No. 919-807-6464
Form 1. 1C-IER
Rev. 8/5/2013

Volume Volume
Number Number per per Sodium
Depth of 2 ft of ABC ABC HFCS HFCS ZVI Location Interval Guar Bicar
Point (ft) Intervals Pushes (lbs} (gal) (lbs) (gal) (lbs) (gal) (gal) (lbs) (lb) Mix
Mix all in
1-Well-60-90 0 0 3100 276.8 0 1850 1850 0 100 pillow tank or
HFCS batches in poly
tank
Mix all in
1-Well-60-90 3100 358.4 0 0 0 1850 1850 0 100 pillow tank or
ABC batches in poly
tank
Permit r!.umber
Program Category'
Deemed Ground Water
Permit Type
WI0400470
Injection Deemed In-situ Groundwater Remediation Well
Primary Reviewer
shristi.shrestha
Coastal SWRule
Permitted Flow
Facility
Facility Name_
Former Salem Uniform Site
Location Address
4015 N Cherry St
Winston Salem
Owner
Owner Name
Cintas Corporation
Dates/Events
NC
Orig Issue
7/27/2017
App Received
7/25/2017
Reg ulated Activities
Groundwater remediation
Outfall
Waterbody Name
27105
Draft Initiated
Scheduled
Issuance Public Notice
Central Files: APS SWP
7/27/2017
Permit Tracking Slip
Status
Active
Version
1.00
Project Type
New Project
Permit Classification
Individual
Permit Contact Affiliation
Major/Minor
Minor
Facility Contact Affiliation
Lisa Autrey
27 Whitney Dr
Milford
Owner Type
Non-Government
Owner Affiliation
Lisa Autrey
27 Whitney Dr
Milford
Region
Winston-Salem
County
Forsyth
OH 45150
OH 45150
Issue
7/27/2017
Effective
7/27/2017
Expiration
Requested /Received Events
Streamlndex Number Current Class Subbasin
Shrestha, Shristi R
From:
Sent:
To:
Cc:
Subject:
Shrestha, Shristi R
Thursday, July 27, 20172:53 PM
'Gonzalez, Amanda'
'Allen, Matthew'; Knight, Sherri
RE: WI0400470 NOi Former Salem Uniform Site RE: Notification of Intent to
Construct or Operate Injection Wells
Thank you for submitting the Notice of Intent to Construct or Operate Injection Wells {NOi) for the above referenced
site.
Please remember to submit the following regarding this injection activity:
1) Well Construction Records (GW-1) and Abandonment Records (GW-30) when completed. Please provide copies of
the GW-1s and GW-30s if not already submitted (ori ginals go the address printed on the form). NOTE: Direct push or
Geoprobe wells are considered wells and require construction (GW-1) and abandonment forms (GW-30). If well
construction/abandonment information is the same for the wells, only one form needs to be completed-just indicate
total number of injection points in the Comments/Remarks section of form. These forms can be found on our website
at
http ://de g.nc.gov/about/divisions/water-resources /water-resources-p ermits /wastewater-branch /g round-water-
p rotection /ground-water-re portin g-forms
2) Injection Event Records {IER). All injections, including air and passive systems require an IER. The IER can be
modified for air sparge wells (e.g., air flow 'continuous' for date or rate of injection, etc.).
You can scan and send these forms directly to me at Shristi.shrestha @ncdenr.gov or via regular mail to address
below. When submitting the above forms, you will need to enter the nine-digit alpha-numeric number on the form
(i.e., WI0XXXXXX) that has been assigned to the injection activity at this site. This notification has been given the
deemed permit number WI0400470. This number is also referenced in the subject line of this email. You may if you
wish, scan and send back as attachments in re p ly to this email, as it will already have the assigned deemed permit
number in the subject line.
Shristi
Shristi R. Shrestha
Hydrogeologist
Water Quality Regional Operations Section
Animal Feeding Operations & Groundwater Protection Branch
North Carolina Department of Environmental Quality
919 807-6406 office
shristi.shrestha @ncdenr.gov
512N. Salisbury Street
1636 Mail Service Center
Raleigh, NC 27699 1636
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Gonzalez, Amanda [mailto:Amanda.Gonzalez @aecom.com)
Sent: Monday, July 24, 2017 12 :40 PM
To: Shrestha, Shristi R <shrist i.shrestha @ncdenr.gov>; Rogers, Michael <michael.rogers @ncdenr.gov>
Cc: Allen, Matthew <Matthew:Allen @aecom.com>
Subject: RE: Notification of Intent to Construct or Operate Injection Wells
Hi Shristi,
I will send out a copy to the address below, today. Thanks.
Thanks,
Amanda Gonzalez
Engineer II
Amanda.gonzalez @aecom .com
Office : 919 -461-1431
Cell : 954-608-6513
1600 Perimeter Park Drive
Raleigh, North Carolina 27560
From: Shrestha, Shristi R [mailto :shristi.shrestha @ncdenr.g ov]
Sent: Monday, July 24, 2017 12 :38 PM
To: Rogers, Michael; Gonzalez, Amanda
Cc: Allen, Matthew
Subject: RE: Notification of Intent to Construct or Operate Injection Wells
Amanda,
Please send me a hard copy for our records at the address below.
Thanks,
Shristi
Shrlstl R. Shrestha
Hydrogeologist
Water Quality Regional Operations Section
Animal Feeding Operations & Groundwater Protection Branch
North Carolina Department of Environmental Quality
919 807-6406 office
shristi .shrestha @ ncdenr.gov
512N. Salisbury Street
1636 Mail Service Center
Raleigh, NC 27699 1636
Email correspondence to and from this address js subject to the
North Carolina Public Records Law and may be dfsclo.sed to third parties.
From: Rogers, Michael
Sent: Monday, July 24, 2017 12 :16 PM
To: Gonzalez, Amanda <Amanda .Gonzalez @aecom.com>
Cc: Allen, Matthew <Matthew.Allen @aecom.com>; Shrestha, Shristi R <shristi.shre stha @n cdenr.gov>
Subject: RE: Notification of Intent to Construct or Operate Injection Wells
Moving forward, please send these to Shristi. Thanks.
From: Gonzalez, Amanda [mailto:Amanda.Gonzalez @aecom.com]
Sent: Monday, July 24, 2017 11:24 AM
To: Rogers, Michael <michael.rogers @ncdenr.gov>
Cc: Allen, Matthew <Matthew.Allen @aecom.com>
Subject: Notification of Intent to Construct or Operate Injection Wells
Hi Mike,
Please see attached notification of intent to construct or operate injection wells at the Former Salem Uniform Services
Facility located in Winston-Salem, North Carolina.
Thank you,
Amanda Gonzalez
Engineer II
Amanda.gonzalez @aecom.com
Office: 919-461-1431
Cell: 954-608-6513
1600 Perimeter Park Drive
Raleigh, North Carolina 27560
Shrestha, Shristi R
From:
Sent:
To:
Subject:
Attachments:
Please find the attached NOi.
Shristi
Shristi R. Shrestha
Hydrogeologist
Shrestha, Shristi R
Thursday, July 27, 2017 2:15 PM
Knight, Sherri
WI0400470 NOI Former Salem Uniform Site
UIC Notification 7 _24_17.pdf
Water Quality Regional Operations Section
Animal Feeding Operations & Groundwater Protection Branch
North Carolina Department of Environmental Quality
919 807-6406 office
shristi.shrestha @ ncdenr.gov
512N. Salisbury Street
1636 Mail Service Center
Raleigh, NC 27699 1636
Email corr13cpondence tc and from this address is subject to the
North Carolina P· blic f7et::ords !_aw an1 may be disclosed to third parti0 s.
AS'COM Imagine it.
Delivered .
Ms. Shristi Shrestha
North Carolina Department of Environmental Quality
Division of Water Resources, Groundwater Protection Section
Underground Injection Control Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
AECOM
1600 Perimeter Park
Morrisville, NC 27560
USA
T : 919.461.1100
F: 919 .464.1415
aecom.com
July 24, 2017
Subject: Notification of Intent to Construct or Operate Injection Wells
Former Salem Uniform Services Facility (Cintas Corporation)
4015 North Cherry Street, Winston-Salem, Forsyth County, North Carolina
#NONCD0002438
Dear Ms. Shrestha,
AECOM Technical Services of North Carolina, Inc. (AECOM), on behalf of Cintas Corporation, is
submitting the attached Notification of Intent to Construct or Operate Injection Wells for proposed injection
activities at the former Salem Uniform Services facility located in Winston-Salem, North Carolina (North
Carolina Department of Environmental Quality Site ID # NONCD0002438). These injections are being
conducted in accordance with the Remedial Action Plan previously submitted by AECOM for the
referenced site.
Please contact Matthew Allen at [phone] if you have any questions.
Sincerely yours,
Amanda Gonzales
Project Engineer
Matthew Allen, PG
Project Manager
Attachments: Division of Water Resources/Underground Injection Control/In Situ Remediation Notification
Enhanced Reductive Dechlorination Injection Pilot Study Work Plan
JUL Z 5 2017
,:,,.,.. Water Quality
·•"'IIIOnal Operations Section
Division of Water Resources/Underground Injection Control/In Situ Remediation
Notification
North Carolina Department of Environmental Quality-Division of Water Resources
NOTIFICATION OF INTENT (NOi) TO CONSTRUCT OR OPERATE INJECTION WELLS
The following are ''permitted by rule" and do not require an individual permit when constructed in accordance
with the rules of ISA NCAC 02C .0200. This form shall be submitted at least 2 WEEKS prior to injection.
AQUIFER TEST WELLS O SA NCAC 02c .0220 )
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITU REMEDIATION (1 5A NCAC 02c .0225 ) or TRACER WELLS O SA NCAC 02c .0229 ):
1) Passive In jection Systems -In-well delivery systems to diffuse injectants into the subsurface. Examples include
ORC socks, iSOC systems, and other gas infusion methods.
2) Small-Scale In jection O perations -Injection wells located within a land surface area not to exceed I 0,000
square feet for the purpose of soil or groundwater remediation or tracer tests. An individual permit shall be required
for test or treatment areas exceeding 10,000 square feet.
3) Pilot Tests -Preliminary studies conducted for the purpose of evaluating the technical feasibility of a
remediation strategy in order to develop a full scale remediation plan for future implementation, and where the
surface area of the injection zone wells are located within an area that does not exceed five percent of the land
surface above the known extent of groundwater contamination. An individual permit shall be required to conduct
more than one pilot test on any separate groundwater contaminant plume.
4) Air Injection Wells -Used to inject ambient air to enhance in-situ treatment of soil or groundwater.
Print Clearly or Type Information. Illegible Submittals Will Be Returned As Incomplete.
DATE: -"-'Ju=ly--=-24-'----' 2017 __ PERMIT NO. WI. D 4-0 0 4-1() (to be filled in by DWR)
A. WELL TYPE TO BE CONSTRUCTED OR OPERATED
(1)
(2)
(3)
(4)
(5)
(6)
___ .Air Injection Well ...................................... Complete sections B through F, K, N
____ Aquifer Test Well ....................................... Complete sections B through F, K, N
___ Passive Injection System ............................... Complete sections B through F, H-N
___ Small-Scale Injection Operation ...................... Complete sections B through N
~X~ ___ Pilot Test ................................................. Complete sections B through N
___ Tracer Injection Well ................................... Complete sections B through N
B. STATUS OF WELL OWNER: Business/Organization
C. WELL OWNER(S) -State name of Business/Agency, and Name and Title of person delegated authority to
sign on behalf of the business or agency:
Name(s): Cintas Corp oration. Lisa Autre y (Chemical/Environmental En!!ineer)
Mailing Address: 27 Whitney Drive
City: Milford State: OH
Day Tele No.: 513-965-4964
EMAIL Address: autrey l ,cintas.com
Deemed Permitted GW Remediation NOi Rev. 3-1-2016
Zip Code: 45150 County:_C=le=rm=o=n=t ____ _
Cell No.: __________ _
Fax No.: ---=8=6=6----=8-'-44..,_--"--9=60=-4=-----
Page I
D. PROPERTY OWNER(S) (if different than well owner)
Name and Title: ___ K=e1"""·th=K.,,o""o"'k""ene.e__ _____________________ _
Company Name --~K=&~V~·--=L=L=C"'------------------------
Mailing Address: ----=2=27..:........:.W"--'.'""5'-th_,S=tr=e=e=t ""'#"""1 ____________ _
City: Winston-Salem State: NC Zip Code: _27~1_0_1 ______ County: Fors vth
Day Tele No.: ___________ _ Cell No.: 336-407-8226
EMAIL Address: ___ kr=k=o~o=ke=n=-(@---=tr=ia~d=.rr~.c~o=m~---Fax No.: ___________ _
E. PROJECT CONTACT (Typically Environmental Engineering Firm)
Name and Title: Matthew Allen {Pro ject Manager)
Company Name AECOM Technical Services of North Carolina
Mailing Address: 1600 Perimeter Park Drive. Suite 400 Morrisville. NC 27560
City: Morrisville State: NC Zip Code: 27560 County:_W_ak_e ___ _
Day Tele No.: 919-461-1434 Cell No.: 919-500-9716
EMAIL Address: [e-mail] Fax No.: 919-461-1415
F. PHYSICAL LOCATION OF WELL SITE
(1) Facility Name & Address: Former Salem Uniform Site . 4015 N. Che rrv Street
City: Winston-Salem County: Fors yth Zip Code: --=27'-'1~0~5 -
(2) Geographic Coordinates: Latitude**: 6G_0 Jlf ' 12.." or _0 • _______ _
Longitude**: S__o O 2ft.._' J!i' or _0 • ______ _
Northing, Easting: 872746.00 . 1626889.72
Reference Datum: NAD 83 State Plane North Carolina Ft
Accuracy: ___ +_/_-_l_c_m ___ _
Method of Collection:. _ _,S~i""'te'---'S""ur=-.:.v-=-ey.,__ ____________ _
* *FOR AIR INJECTION AND AQUIFER TEST WELLS ONLY: A FACILITY SITE MAP WITH PROPERTY
BOUNDARIES MAY BE SUBMITTED IN LIEU OF GEOGRAPHIC COORDINATES.
G. TREATMENT AREA
Land surface area of contaminant plume:~l =.2~7~0~.4~3~0 ______ square feet
Land surface area ofinj. well network: __ =15~·~90~0~ ___ square feet~ 10,000 ft2 for small-scale injections)
Percent of contaminant plume area to be treated: 1.25 (must be::: 5% of plume for pilot test injections)
H. INJECTION ZONE MAPS -Attach the following to the notification.
(1) Contaminant plume map(s) with isoconcentration lines that show the horizontal extent of the
contaminant plume in soil and groundwater, existing and proposed monitoring wells, and existing and
proposed injection wells; and
(2) Cross-section(s) to the known or projected depth of contamination that show the horizontal and
vertical extent of the contaminant plume in soil and groundwater, changes in lithology, existing and
proposed monitoring wells, and existing and proposed injection wells.
Deemed Permitted GW Remediation NOi Rev. 3-1-2016 Page2
(3) Potentiometric surface map(s) indicating the rate and direction of groundwater movement, plus
existing and proposed wells.
Deemed Permitted GW Remediation NOi Rev. 3-1-2016 Page 3
I. DESCRIPTION OF PROPOSED INJECTION ACTMTIES -Provide a brief narrative regarding the
purpose, scope, and goals of the proposed injection activity. This should include the rate, volume, and
duration of injection over time.
Please see attached Enhanced Reductive Dechlorination Injection Pilot Studv Work Plan (AECOM. 2017 ).
J. APPROVED INJECT ANTS -Provide a MSDS for each injectant. Attach additional sheets if necessary.
NOTE: Only injectants approved by the NC Division of Public Health, Department of Health and Human
Services can be injected. Approved ir/jectants can be found online at htt p://de g.nc.gov/about/divisions/water-
resources/water-resources-permits/wastewater-branch/!ITound-water-protection/!!round-water-a pp roved-in jectants.
All other substances must be reviewed by the DHHS prior to use. Contact the UIC Program for more info
(919-807-6496).
Source Area (15 DPT points)
Injectant: __ ..... AB.=.C;:::+...:....::::®'---------------------------
Volume ofinjectant: U p to 700 gallons Anaerobic Biochem (ABC) [Specific gravi t -1.35 ) and up
to 4.000 pounds Zero Valent Iron (ZVI)
Concentration at point of injection: ~ 0.83 pounds per gallons ABC and ~0.42 pounds per gallon ZVI
Percent if in a mixture with other injectants: ~ 10 percent (by wei ght ) ABC and ~5 percent (by weight )
ZVI
Injectant: ---=S=od=i:.:um=-=B:..:.ic=ar=b=on=a=t=e _______________________ _
Volume of injectant: --~~1~.9_0_0_l_b _____________ _
Concentration at point of injection: ---~=0=.2=2:....ip~o::..:un=d""s-"p=e"-r ""g=al=lo=n=s=od=i:.:u""m=b...,ic=a=-'rb"--'o"-'n""a:,:,:te,,__ ____ _
Percent if in a mixture with other injectants: __ ....:3"-"'p""er:..:::cc:ce=nt=-b=y.......,_w:....:e:..:.ieh=t'----------
Injectant: KB-1 ® or KB-1 Plus®
Volume of injectant: 12 Liters
Concentration at point of injection: lQ/\ 11 cells per liter
Percent if in a mixture with other injectants: -----~lO~0~o/c~o _____________ _
Onsite Barrier DPT (2 DPT points)
Injectant: Hi gh Fructose Corn Svru p {CornSweet® Hi gh Fructose 42 )
Volume ofinjectant: u p to 800 gallons [s pecific gravi tv -1.35]
Concentration at point of injection: ~ 3 .33 pounds per gallon HFCS
Percent if in a mixture with other injectants: ___ ~_4:....:0""'p""e=r~ce=n=t~b"'"y~w~e""il!=h=t _______ _
Deemed Permitted GW Remediation NOi Rev. 3-1-2016 Page4
Injectant: ___ S_od_i~u_m_B_ic_ar_b_on_a_t_e _______________________ _
Volume of injectant: --~"""'2~20~0~lb'----------------
Concentration at point of injection: ~0.89 pounds per gallon sodium bicarbonate
Percent if in a mixture with other injectants: ----'1'-'1'--'p""'e=r=ce=n=t~b'-'y_w~e=i g=h=t _______ _
lnjectant: KB-1 ® or KB-1 Plus®
Volume of injectant: __ 12_L_it~e_rs ________________________ _
Concentration at point of injection: --~IO'--A"""l'--1'--c~e~ll"""s~p"""'e'--r _li~te~r ___________ _
Percent if in a mixture with other injectants: ______ l~0~0~¾~o _____________ _
Onsite Barrier Permanent Wells (2 permanent wells)
Injectant: Hi gh Fructose Com S yrup (ComSweet® Hil!:h Fructose 42)
Volume ofinjectant: U p to 2 .000 gallons [s pecific gJ avity -1.35 ]
Concentration at point of injection: ~3 .33 pounds per gallon HFCS
Percent if in a mixture with other injectants: ~40 percent by weight
Injectant: Sodium Bicarbonate
Volume of injectant: __ U"-'p~to~3a....a•=-30=-0~lb~------------
Concentration at point of injection: ~0.89 pounds per gallon sodium bicarbonate
Percent if in a mixture with other injectants: ---~"""l'-'1'--p=e=r~c=en=t~bc...y~w~e=ig=h=t _______ _
Injectant: --"""KB~-~1~®'--o=r~KB=--'-l'""'P"-'l=u=s®=----------------------
Volume ofinjectant: 12 Liters
Concentration at point of injection: ----"-IO"'"A"""l'-'1'-c=e=l=ls'""'p"'e=r-"l=it=er'-------------
Percent if in a mixture with other injectants: ______ l_0_0_¾_o _____________ _
K. WELL CONSTRUCTION DATA
(1) Number of injection wells: U p to 31 * Proposed __ ~0 ___ Existing (provide GW-1 s)
*19 DPT injection wells are planned and described below and in the attachments. Additional DPT points
would be advanced if necessary to minimize daylighting or more generally to improve injectant distribution.
(2) For Proposed wells or Existing wells not having GW-ls, provide well construction details for each
injection well in a diagram or table format. A single diagram or line in a table can be used for
multiple wells with the same construction details. Well construction details shall include the
following (indicate if construction is proposed or as-built):
(a) Well type as permanent, Geoprobe/DPT, or subsurface distribution infiltration gallery
(b) Depth below land surface of casing, each grout type and depth, screen, and sand pack
(c) Well contractor name and certification number -SAEDACCO, Inc. Certification #3351
L. SCHEDULES -Briefly describe the schedule for well construction and injection activities.
Deemed Permitted GW Remediation NOi Rev. 3-1-2016 Page 5
In iection and monitorin g wells will be constructed after the submittal of the notification to allow for NCDE O
review. The in jection wells and new and existin g monitorin g wells will be sam pled for baseline conditions
a pproximatelv one (1 ) week after construction com pletion. In jection activities will be initiated after analytical
data are received within a pproximatel y three (3 ) weeks of the baseline sam plin g. Initial injection activities
will involve the a pp lication of an ABC+/sodium bicarbonate solution and a HFCS/sodium bicarbonate
solution. If monitorin g data sugg est that a pp ro priate dechlorinating bacteria are not bein g established, then
additional in iections will be performed to bioaugment with KB-I®. a pro prietary
dechlorinatin g culture.
M. MONITORING PLAN -Describe below or in separate attachment a monitoring plan to be used to determine
if violations of groundwater quality standards specified in Subcha pter 02L result from the injection activity.
Groundwater chemis try in the iniection area , includin g pH. conductivity, oxidation reduction potential. and
dissolved ox gen will be monitored on a re g11 lar basis before , durinir, and after the in jection event(s).
Groundwater will also be monitored for volatile ornanic com pounds (VOCs). total or ganic carbon
{TOC), electron acce ptors/degradation products . microbial assav/functional e enes and metabolic acids. Due
to potential redox and pH chan ges . RCRA metals will also be monitored in select wells before and after
injections. See Enhanced Reductive Dechlorination Injection Pilot Studv Work plan Table 8 for the detailed
monitoring plan.
N. SIGNATURE OF APPLICANT AND PROPERTY OWNER
APPLICANT: "I hereby certify, under penalty of law, that I am familiar with the information submitted in
this document and all attachments thereto and that, based on my inquiry of those individuals immediately
responsible for obtaining said information, I believe that the information is true, accurate and complete. I am
aware that there are significant penalties, including the possibility of fines and imprisonment, for submitting
false information. I agree to construct, operate, maintain, repair, and if applicable, abandon the injection well
and all related appurtenances in accordance with the I 5A NCAC 02C 0200 Rules ."
C?i~ ~14J: i .. Lisa Autrey Chemical/Environmental En gineer
Signature of Applicant Print or Type Full Name and Title
PROPERTY OWNER (if the pro pe rt is not owned by the permit a pp licant):
"As owner of the property on which the injection well(s) are to be constructed and operated, I hereby consent
to allow the applicant to construct each injection well as outlined in this application and agree that it shall be
the responsibility of the applicant to ensure that the injection well(s) conform to the Well Construction
Standards (1 5A NCAC 02C .0200)."
"Owner" means any person who holds the fee or other property rights in the well being constructed. A
well is real property and its construction on land shall be deemed to vest ownership in the land owner, in
the absence of contrary agreement in writing.
Deemed Pennitted GW Remediation NOi Rev. 3-1-2016 Page 6
Jul 1,8 17,p 1:24p
p.2
"Owner" means any person who holds the fee or other property rights in the well being construed. A
well is real property and its construction on land shall be deer nedi vest ownership in the d owner, in
the absence of contrary a_grement in writing_ f r( �
g--,/e47(:to, � qr ►1{ ;, r• F,- /'i '
Si¢tiafttty• of PApetry Owner [if rffe;r+ent from applicant) ''i P rinl or Type Full Name
*An access agreement between the applicant and property owner may be submitted in lieu of a slgrrnture on this form_
Submit the completed until-mation package to:
DWR — UIC Program
1636 Mail Service Center
Raleigh, NC 27699.1536
Telephone: (919) SO7-464
Decmod rvmii#kd OW Remediation NOI Rev. 3-)-2016 Page 7

Tables
Table 1
PropoHd Injection and Monitoring Well Construction Details
Former Salem Uniform Facility
4015 N. Charry Street. Winston Salem, Ne>rth Care>lina
IP-4
IP-S NE
IP -6 NE
IP-7 NE ,. .. Prot,osed NE
IP-9 Propo~d NE
IP-10 Pro()Osed NE
IP-11 Proposed NE
IP-12 NE
IP-13 NE
IP-14 NE
IMS NE
IP-UI NE
IP-17 NE
IP-1B NE
IP..151 PropOSl!d NE
Proposed NE
Propos•d NE Injection -Perm1nent
Proposed NE Monitorin -Permanent
Pro osed NE Monltorin1-Permanent
Proposed NE Monitorin1-Permanent
Proposed NE Mon ltorfn1-Permanent
Proposl!'d NE Monitorin -Permanent
Pro osed NE Monitoring-Perma nent
Proposed NE Monitorin -Permanent
Prop0sed Monitoring -Pem,anent
Monitorin1:-Permanent
Monltorfn -Pum1nent
Monltorln -Permanent
Monltorin -Permanent
Mof'lltr.r1n _..m,u1u11 .....
ARH -Air Rotary/Air Hunmer
MR -MudRotaiv
IP-lnJedion Po fnt
IW-lnjectlonWell
DPT-Direct Pu 1h TiRthnolo&Y
HSA-HollowSternAue:M
NE -Not Establishe d
ft bgs -feet below 1round surface
NA-Not Appl!cablll!
ftmsl-feietmunsealevel
ft bgs -feet bltow 1raund surface
Tobi wd depths for proposedwels are Hllmated and iubjed to chan1e durfn1: lnstll latfon.
NA DPT l .S 23-43
NA DPT 1.S NE 23-47 47
NA DPT ,.s NE 26-42 42
NA DPT 1.S NE 40-48 48
NA DPT 1,5 NE 22-46 46
NA DPT 1.5 NE 25-49 49
NA DPT 1,5 NE 26-42 42
NA DPT 1.5 NE 30-46 46
NA DPT 1,5 NE 22-46 46
NA DPT 1.5 NE 24-44 44
NA DPT 1.5 NE 35-55 ss
NA DPT 1.5 NE 23--47 47
NA DPT 1.5 NE 25-45 45
NA DPT 1.5 NE 35-47 47
NA DPT l .S NE 37-57 57
NA DPT 1.5 NE 36-56 56
PVC Sonic NE 60-90 go
PVC Sonic NE 60.,Q go
PVC Sonic NE 25-45 45
PVC Sonic NE 65-75 75
PVC Sonic NE 40-50 50
PVC Sonic NE 25-45 45
PVC Sonic NE 60-,0 "' PVC Sonic NE 25-4S 45
PVC Sonic NE 60-,0 go
PVC Sonic NE 60-90 ,0
SS C.sin&/SS Krten HSA 970.60 20-30 30
PVC+SS caslnl/55 scr11n HSA/MR 971.17 70-80 80
SSCasfni/SS5creen HAS 976.81 32-42 42
SSCaslni/SSscreen HSA/ARH 976.49 67-71 77
P'w'C•~Ullin 11:J'IRW HSA sn.14 lB-28 28
PVL ... "M a■lnlf)..'i WHno HSA/ARH 971.42 70-80 80
Figures
Material Safety Data Sheets
r Material Safely Data Sheet
I. U.S. Department of Labor
May be used to comply with OSHA's Hazard
Communication Standard, 29 CFR 1910 1200.
Standard must be consulted for specific
requirements.
I Occupational Safely and Health Administration
(Non -Mandatory Form)
Form Approved
i OMB No. 1218.0072
IDENTITY' (as Used on Labe! and List)
ABC (Anaerobic BioChem)
renTiu na.•ea•;.:^:.., t:, ,'evuw- ,=�-•.rs7.s::ra:.. ,.rn, • ..... ..,.. -a::..--. ...
Section!
i .x-u._�e_:: rtr :s:c:�- ---�r•_'. .•�- -. -w •-... •r
Manufacturer's name
REDOX TECH, LLC
, Note: Blank spaces are not permitted. If any item is
not
applicable or no information is available, the
space
rraust be marked to indicate tha[.
_._.. ..R!E:^.n. .:... n`::.. . ._-...x-....:, a..�-: G.:-:. :-.,.:x :.:-,'r...
...-..-..,...--:�, ..._, -:-:---:• -' r.: -'=r' •tz.m'r.••�,-, ..�. :n-`..:-•_^.
Emergency Telephone Number 919-67R-0140
Address (Number, Street, City, State and
ZIP Code)
Telephone Number for Information
919-678.0140
200 Quade Dr, Cary NC 27513
Date Prepared
January 2011
Signature of Preparer (optional)
Section Il—Hazardous Ingredientsildentity Information
ar—
Hazardous Components (Spent c Chem,ca! Iden!ity, Cnmmon
Hametsy]
f
OSHA PEL I ACGIH TLV
di reran is
1 Recommended
% • bona]
Mixture of :
Lactate salts NA NA
(0 to 60%)
Lactic acid esters NA NA
(0to98.5%)_
Phosphate buffer NA NA
(0to0.1%)
Ferrous Iron NA NA
(0 to 0.1%)
Fatty Acids NA NA
s0 to 5%)
Propane-1,2,3-trio) NA NA
(0 to 99%)
Section ill—Physical/Chemical Characteristics
Boiling Point
r
1>100C
Specific Gravity (k20 . r 1
1.12-1.15
Vapor Pressure (min Hg)
Lactic acid esters
2.7 mbar. 20
oc
pH
6.0 to 8.0
Vapor Density (AIR = 1)
Lactic acid esters
3.8
Evaporation Rate (Butyl
Acetate = 1)
T No information
Solubility in Water Fully soluble and miscible
Appearance and Odor Light, yellow to colorless li uid slight to mild. characteristic odor
Section IV --Fire and Explosion Hazard Data
Flash Point (Method Used)
Lactic acid esters: 61 °C (ISO 2719. closed
cup)
Flammable
Limits
Lactic acid
esters:
LEL
1 5% (100 °C)
UEL
11.4% (100 °C)

Extin~uishing _Media ___ Water_spray, carbon _dioxide,ftry eo::.cw..;..;d;..:e..c.:r'..;.A..c..F-'-F_F.,_, i_o_am __________ ---i
, Special Fire Fighting Procedures
\ Standard procedures for chemical fires r---·· . ···--------·--------··-------i Unusual Fire and Explosion Hazards
1 ·· ""ftiermaTcfecomposition "can release irritat-in_g_g_a-se_s_a_n_d_v_ap_o_r_s-=--=--=--=------------------i
1 (Reproduce locally)
' : OSHA 17 4 Sept. 1985 I _____________________________________________ ------·--__________________________ __.
" " .,11
Section V-Reac!lvtty Data
Stability Unstable Conditions to Avoid
Stable X Temperatures above 61 °c. Will hydrolyze
\!}_ P..r.!lsence of wat~J~~~ and bases
Incompatibility (Materials to Avoid) Strong oxidants
Hazardous Decomposition or Byproducts no known
Hazardous May Occur Conditions to Avoid Polymerization .
Will Not Occur X
Section VI-Health Hazard Data
Route(s) of Entry Inhalation? Yes, j Skin? Yes I Ingestion? Yes
esters onl)'
Health Hazards (Acute and Chronic) Acid esters: Risk of irritation to eyes. Irritating to respiratory
svstem. May deqrease
skin.
----,·· __ ,.. ____
Carcinogenicity i NTP? No l lARC Monographs? I OSHA Regulated? None I
No No
Signs and Symptoms of Exposure Red irritated skin. May cause light-headedness when used in
ooorlv ventilated area without _proeer vap_or .mask •.
Medical Condllions
Generally Aggravated by Exposure Persons suscept!'?le or sensitive to E!:i8 and res~iratoiy irritation
Emergency and First Aid Procedures Inhalation: Move to fresh air; Skin: Wash skin immediately
with water. Eves: Flush with
water for at least 15 minutes consult ohvsician; I noes ti on: 9.t!D.~.Y!'~.t~~~D.~~~~~.\!.t~.£hys icia n.
Section VII-Precautions for Safe Handlln a and Use
Use safety 9Lasses and latex or nitrile gloves. Wo!k in wel l ventilated area.
Waste Disposal Method ABC can be disposed as waste water or landfilled when in compliance with
local regulations
Precautions to Be Taken in Handling and Storing May be F lammable -Do not store near ignition
• sourses or at elevated temper!3tures.
Avoid long storage times, will break down to innocuous Rroducts
!~~her P~~~~~~~: .• ~~_ar PPE when handli"!g and keep cont~iners ti~,!!tl)' closed when stored.
t •.<t".:•--~V✓;-~,_._,,,-.~.,_,.,. ... '"'f~-.,._-r ,;,,-; ._.,,.,,. · ~-,-_y_-.,-<,:..I , ·•!•' · :-.·e-. -•-.-.:· . ·:-.. .:~~ ,•, ! 1 •"
Section VII-Control Measures -~-wr,u::uur_....,~,._.,...s.,n,~,•. •.,-~A.'-'l.c,r:.<.:~~r u ,.,_,.r.R1,,,,1·1,.~,---.. .s •. ,,1•w•1u,i,,··,.':. •f~-"-'lUl r::~:~~::~~ ~;~clion /Specify Type J If v,aWaUoo ;,adeq"'te o, lo coofioed space, "'" ,e,p;,ato,
Ventilati l Local ExhauS t Acid esters have low vapor Special Ensure fumes can not reach
on i pressure (2.7 mbar at 20 °C) Standard HVAC ignition source
1---····-·-·-j · ~;~~~~~~~fir~Zn~~~a~~oor o,-stand fans Other
I.-····--····-·""·-·--·---·--······--··. . .......... ··--······-··-··--···-·-· ............ --
J Protective Gloves PVA, nitrile or latex I Other Protective 'ctothing or Equipment _: _ __:_:..__ ______________ 1
\ Work/Hygienic Practices Do not eat, drink or smoke while handling. Remove/wash contaminated
\ clothing before reuse. ___________________ _
I :ye Pr?tection Safety_g,!asses with side shields
MATERIAL SAFETY DATA SHEET
Peerless Metai Powders & Abrasives
12.4 South Military
Detroit Michigan 48209
Phone# ( 313) 841-5400
SECTION I IDENTIFICATION
ProducrNa111e: Cast Iron Aggregate
CAS No. 65.99 7-19-S
C!lemical Family: Metals
Formula: N/ A
Date: : December 6, 2011
SECTION II INGREDIENTS AND RECOMMENDED OCCUPATIONAL EXPOSURE LIMITS
Material
Iron
Carbon
Manganese
Silicon
Chromium
CASNo.
1309~37-1
1440-44-0
7439-96-S
7440-21-3
7440-47-3
SECTION III PHYSICALDATA
Weight%
90+
<4.00 ..
<0.60
~2.00
c::0:20
ACGIH TL V Mg/cum
5
3.5
5
10
0.,5
• C means ceiiing limit.
These are limits which shall not be exceeded.
Melting Point
Base Melt -2750 degrees F
Density
6.7 gm/cc
Appearance and Odor
grey _particles -no odor
SECTION IV FIREANDEXPLOSIONHAZARDDATA
Airborne· finely dispersed. dust may ignite. .
Extinguishing Media
Dry chemjpal, . .dry sand, graphite to smother fire
SECTION V REACTIVE DATA
Spedal'Fire Fighting Procedures:
Use water only in mist/ fog dry application to
avoid ·spreading powder or accumulated . dust.
Use self-container breathing apparatus
and protective clothing.
Stable under nonnal conditions of storage and transport .. Will reactwith strong oxidizers.
SECTION VI HEALTH HAZARD DATA
No potential health hazards
Other than those I isted are known
Effect Of Overexposure
Inhalation -bronchitis, siderosis
Eyes Contact -mechanical irritation
Emerge~cy and First Aid Procedures
hihalation -Remove to fresh air
Major Exposure Hazard
Eye Contact-Irrigate eyes to remove dust particles
X Inhalation, Skin Contact
X Eyes Contact, Indigestion
MATERIAL SAFETY DATA SHEET
Peerless Metal Powders & Abrasives
124 South Military
Detroit Mh:bigan:482O9
Phone# ( 313 ) 841•5400
SECTION VII ·SPILL OR LEAK PROCECURES
A void generation of airborne dust during clean-up process
Dispose of i i1 accordance with local, state and federal regulations
SECTION .VIII SPECIAL PROTECTION INFORMATION
As needed, use approved dust respirator and approved safety goggles ( OSHA 29 CFR 1910.94 ~-
Do not use contact lenses. Ventilation recommended, ·
SECTION IX SPECIAL PRECAUTIONS
Keep closed CQntainers.
Do not store near strong oxidize~.
Use good housekeeping procedures to a,void creating dust.
The infonnation contained herein has been complied from, sources, considered reliable-and accur~te to the best of our
knowledge and belief, but is not guaranteed to be so. It relates only fo the product listed and does not relate to use of the
product in combination "'ith any other material of materials or in a particular processes. Since th·e use of the MSDS
information, the conditions of use of our prodµct and the environmerit in which that .product is placed are not within the
control of Peerless Metal Powders and Abrasives, it is the user's obligation and duty to determine the conditions of safest
use of the prodtielS used as well as the manner in which these-products may be affected by the environment in which they
may be used.
We urge you to review each MSDS to ensure that your' uses of the product take into account the current infonnation
available on its potential hazards. It is your responsibility to convey this informati?n to your employees, ~ustomers or any
one who may be exposed to this product. Please check your files and discard any previous v~rsions as may be applicable.
If you have any questions or require additional copies, please contact our sales depart~enL
ADM
Material Safety Data Sheet
Preparation Date 07-Jul-2009
Revision Date: 03-Dec-2010
Revision Number 1
1. PRODUCT AND COMPANY IDENTIFICATION
Product Name; CornSweet® High Fructose 42
Product Code: 010042
Use of the Substance 1 Preparation:
Food Ingredient
Emergency response telephone number:
Chemtrec 1-800-424-9300 (GCN 1635)
Contact Manufacturer:
Archer Daniels Midland Company
4666 Faries Parkway
Decatur, IL 62526, USA
Telephone Number 217 424-5200
2. HAZARDS IDENTIFICATION
Emergency Overview
The product contains no substances which at their given concentration, are considered to be hazardous to health
Appearance
Clear Colorless
Physical State
Liquid
Odor
Odorless
Potential Health Effects
Principle Routes of Exposure
Acute Effects
Eyes
Skin
Inhalation
ingestion
Chronic Effects
Aggravated Medical Conditions
Potential Environmental Effects
Toxicological information
None reasonably foreseeable.
Contact with eyes may cause irritation.
Health injuries are not known or expected under normal use.
Health injuries are not known or expected under normal use.
health injuries are not known or expected under normal use.
No information available.
No information available.
See Section 12 for additional ecological information.
See Section 11 for additional toxicological information.
North America Page 1 16

Revision Date; 03-Dec-2010
010042 -
CornSweet® high Fructose 42
L
3. COMPOSITION/INFORMATION ON INGREDIENTS
Chemical Family
Non -hazardous Components
Carbohydrate
Chemical Name
CAS -No
Weight %
North American Hazard
Indicator
Glucose liquid
50-99-7
52
-
Fructose
57-48-7
42
-
Higher Saccharides
not determined
6
-
Eye Contact
Skin Contact
Inhalation
Ingestion
Notes to Physician
4. FIRST AID MEASURES
Rinse thoroughly with plenty of water, also under the eyelids.
Rinse with water.
No information available.
Clean mouth with water and afterwards drink plenty of water.
Treat symptomatically
5. FIRE -FIGHTING MEASURES
Flammable Properties
Suitable Extinguishing Media
Unsuitable Extinguishing Media
Hazardous Combustion Products
Explosion Data
Sensitivity to mechanical impact
Sensitivity to static discharge
Specific Hazards Arising from the
Chemical
Protective Equipment and
Precautions for Firefighters
NFPA
Health 0
Flammability 1
Not applicable,
Use extinguishing measures that are appropriate to local circumstances and the surrounding
environment.
No information available.
No information available
No information available.
No information available.
None known
As in any fire, wear self-contained breathing apparatus pressure -demand, MSHA/NIOSH
(approved or equivalent) and full protective gear.
Stability and Reactivity 0
Physical hazard -
6. ACCIDENTAL RELEASE MEASURES
Personal Precautions
Environmental Precautions
Methods for Clean-up
Not relevant for the product itself.
Prevent further leakage or spillage if safe to do so
Dam up. Soak up with inert absorbent material.
North America Page 216

Revision Date: 03-Dec-2010
7. HANDLING AND STORAGE
010042-
CornSweet® High Fructose 42
Handling
Storage
Handle in accordance with good industrial hygiene and safety practice.
High Fructose Corn Syrups should be stored in stainless steel or FDA approved lined mild
steel tanks which are equipped with ultraviolet sterile conditioning systems.
8. EXPOSURE CONTROLS / PERSONAL PROTECTION
Exposure Limits
This product is not known to contain any hazardous materials with occupational exposure limits established by the region specific
regulatory bodies.
Engineering Measures
Personal Protective Equipment
Eye/face Protection.
No special technical protective measures required.
Safety glasses with side-shields .
Long sleeved clothing Skin and Body Protection
Respiratory Protection No personal respiratory protective equipment normally required .
General Hygiene Considerations Handle in accordance with good industrial hygiene and safety practice
Appearance
Physical State
Flash Point
Boiling point
Flammability Limits in Air
pH
Water Solubility
Vapor Density
Chemical Stability
Conditions to Avoid
Incompatible Materials
9. PHYSICAL AND CHEMICAL PROPERTIES
Clear Colorless Odor
Liquid Odor Threshold
Not applicable Autoignition Temperature
11 o·c , 230°F Melting/Freezing Point
No information available Explosion Limits
3.5 Vapor Pressure
Completely soluble Evaporation Rate
No information available Specific Gravity
1 O. STABILITY AND REACTIVITY
Stable .
None known .
Hazardous Decomposition Products
Possibility of Hazardous Reactions
No materials to be especially mentioned .
None under normal use.
None under normal processing .
11. TOXICOLOGICAL INFORMATION
Acute Toxici ty
Product Information
LD50 Oral: No information available
LD50 Dermal: No information available
LC50 Inhalation: No informat ion available
North America Page 3 /6
Odorless
No information available
No information available
No information available
No information available
No information available
No information available
1.35 (H2O = 1)
Revision Date: 03-Dec-201 O
Toxicology data for the components
Chronic Effects
Carcinogenicity
11. TOXICOLOGICAL INFORMATION
There are no known carcinogenic chemicals in this product.
OSHA: (Occupational Safety & Health Administration)
Not Listed
ACGIH: (American Conference of Governmental Industrial Hygienists)
Not Listed
NTP: (National Toxicity Program)
Not Listed
Mexico: (Official Mexican Norm NOM-010-STPS-1999)
Not Listed
IARC: (International Agency for Research on Cancer)
Not Listed
010042-
CornSweet® High Fructose 42
Irritation
Sensitization
Mutagenic
Effects
No information available .
No information available .
No information available .
Corrosivity No information ava ilable.
Neurological Effects No information available .
Reproductive Effects No information available .
Developmental No information available .
Effects
Target Organ Effects No information available .
12. ECOLOGICAL INFORMATION
Ecotoxicity
Contains no substances known to be hazardous to the environment. Contains no substances known to be not degradable in waste
water treatment plants.
Persistence/Degradability
Bioaccumulation/ Accumulation
Mobility
Readily biodegradable .
Not applicable.
Soluble in water.
13. DISPOSAL CONSIDERATIONS
Whenever possible, as rules and regulations allow, please recycle or manage materials to minimize waste.
Waste Disposal Methods
Contaminated Packaging
North America
Solutions with low pH-value should be neutralized before discharge . Dispose of in compliance
with the laws and regulations pertaining to this product in your jurisdiction .
Empty containers should be decontaminated and taken for local recycling , recovery or waste
disposal
Page 4/ 6
Revision Date: 03-Dec-2010 010042 -
CornSweet® High Fructose 42
14. TRANSPORT INFORMATION
Domestic transport regulations kUSA)
DOT Not regulated
Domestic transport regulations (Canada)
TDG Not regulated
Domestic transport regulations (Mexico)
MEX Not regulated
International transport regulations
ICAO Not regulated
IATA Not regulated
lMDGIIMO Not regulated
L
15. REGULATORY INFORMATION
International Inventories
The components of this producf are reported in the following inventories:
Chemical Narne
TSCA
DSL
NDSL
EINECS
ELINCS
AICS
ENCS
ISHL
CHINA
PICCS
_
KECL
NZLOC
Fructose
Yes
Yes
No
Yea
200-333-3
No
Yes
Yes
15)-47
Yes
Yes
Yes
KE-17262
Yes
Glucose liquid
Yes
Yes
No
Yes
200.075-1
No
Yes
Yes
t8 -46
Yes
Yes
Yes
KE-17727
Yes
Higher Saccharides
rot
determined
Not
determined
not
determined
not
determined
not
determined
not
determined
not
determined
not
determined
not
determined
not
determined
not
determined
Legend
TSCA - Toxic Substances Control Act, Section 8(b) inventory (USA). DSL - Domestic Substance List (Canada), NDSL - Non Domestic
Substances List (Canada). EINECS - European Inventory of Existing Commercial Chemical Substances (EU). ELINCS - European list
of Notified Chemical Substances (EU). AICS - Australian Inventory of Chemical Substances (Australia). ENCS - Existing and New
Chemical Substances (Japan)_ ISHL - industrial Health and Safety Law (Japan). CHINA - Chinese Inventory of Existing Chemical
Substances (China). PICCS - Inventory of Chemicals and Chemical Substances (Philippines). KECL - Korean Existing and Evaluated
Chemical Substances (Korea). NZLoC - New Zealand Inventory of Chemicals (New Zealand).
USA
Federal Regulations
Ozone Depleting Substances:
No Class 1 or Class II material is known to be used in the manufacture of, or contained in, this product.
SARA 313
Section 313 of Title III of the Superfund Amendments and Reauthorization Act of 1986 (SARA). This product is not known to contain
any chemicals which are subject to the reporting requirements of the Act or regulations contained in 40 CFR 372,
SARA 3111312 Hazardous Categorization
Acute Health Hazard No
Chronic Health Hazard No
Fire Hazard No
Sudden Release of Pressure Hazard No
Reactive Hazard No
North America Page 516

Revision Date: 03-Dec-2010
Clean Air Act, Section 112 Hazardous Air Pollutants (HAPs) (see 40 CFR 61)
This product is not known to contain any HAPS.
State Regulations
California Proposition 65
010042-
CornSweet® High Fructose 42
Proposition 65 chemicals are not expected to be found in this product above those naturally present in their agricultural source .
Proposition 65 exempts naturally occurring listed chemicals from an obligation to label.
State Right-to-Know
No k b" nown components su 1Iect to "Rig t-o-now' legislation in the ollowing States: . h T K
Chemical Name Weight% Illinois Massachusetts New Jersey Pennsylvania Rhode Island
Fructose 42 No No No No No
Glucose liquid 52 No No No No No
Hioher Saccharides 6 No No No No No
Canada
WHMIS Product Classification
Exempt: Food Product per Hazardous Products Act Part II Controlled Products Section 12.
WHMIS Ingredient Disclosure List IDL
No known component is listed on the WHMIS ingredients disclosure list.
(NPRI) Canadian National Pollutant Release Inventory
No known component is listed on NPRI.
This product has been classified in accordance with the hazard criteria of the Controlled Products Regulations (CPR) and the
SOS contains all the information required by the CPR.
Mexico
Mexico -Grade
Prepared By
Preparation Date
Revision Date:
Revision Summary
No information available.
16. OTHER INFORMATION
ADM Corn Processing
07-Jul-2009
03-Dec-2010
This data sheet contains changes from the previous version in section(s) 3, 15. This version
replaces all previous versions .
The information provided on this (M)SDS is correct to the best of our knowledge, information and belief at the date of its
publlcatlon. The information given is designed only as a guide for safe handling, use, processing, storage, transportation,
disposal and release and is not to be considered as a warranty or quality specification. The information relates only to the
specific material designated and may not be valid for such material used in combination with any other material or in any
process, unless specified in the text.
End of (M)SDS
North America Page 6 / 6
SIGMA-ALDRICH
1. PRODUCT AND COMPANY IDENTIFICATION
Product name
Product Number
Brand
Company
Telephone
Fax
Emergency Phone #
Sodium bicarbonate
S6014
Sigma-Aldrich
Sigma-Aldrich
3050 Spruce Street
SAINT LOUIS MO 63103
USA
[phone]
[phone]
[phone]
2. COMPOSITION/INFORMATION ON INGREDIENTS
Synonyms Natron
Sodium hydrogen carbonate
Formula
Molecular Weight
CAS-No.
NaHCO3
84.01 g/mol
I EC-No.
Sodium hydro gencarbonate
144-55-8 I 205-633-8
3. HAZARDS IDENTIFICATION
Emergency Overview
OSHA Hazards
No OSHA Hazards
HMIS Classification
Health Hazard: 1
Flammability: 0
Physical hazards: 0
NFPA Rating
Health Hazard: 0
Fire : 0
Reactivity Hazard: 0
I Index-No.
I -
Material Safety Data Sheet
Version 3.0
Revision Date 06/26/2007
Print Date 08/31/2009
I Concentration [% 1
I -
Potential Health Effects
Inhalation
Skin
May be harmful if inhaled. May cause respiratory tract irritation.
May be harmful if absorbed through skin. May cause skin irritation.
Sigma-Aldrich -S6014
Sigma-Aldrich Corporation
www.sigma-aldrich.com Page 1 of 5
Eyes
Ingestion
4. FIRST AID MEASURES
If inhaled
May cause eye irritation .
May be harmful if swallowed .
If breathed in, move person into fresh air. If not breathing give artificial respiration
In case of skin contact
Wash off with soap and plenty of water.
In case of eye contact
Flush eyes with water as a precaution.
If swallowed
Never give anything by mouth to an unconscious person. Rinse mouth with water.
5. FIRE-FIGHTING MEASURES
Flammable properties
Flash point no data available
Ignition temperature no data available
Suitable extinguishing media
Use extinguishing measures that are appropriate to local circumstances and the surrounding environment.
Special protective equipment for fire-fighters
Wear self contained breathing apparatus for fire fighting if necessary.
Further Information
The product itself does not burn.
6. ACCIDENTAL RELEASE MEASURES
Personal precautions
Avoid dust formation.
Environmental precautions
Do not let product enter drains.
Methods for cleaning up
Sweep up and shovel. Keep in suitable, closed containers for disposal.
7. HANDLING AND STORAGE
Handling
Provide appropriate exhaust ventilation at places where dust is formed.
Storage
Keep container tightly closed in a dry and well-ventilated place.
8. EXPOSURE CONTROLS / PERSONAL PROTECTION
Contains no substances with occupational exposure limit values.
Personal protective equipment
Respiratory protection
Respiratory protection is not required. Where protection from nuisance levels of dusts are desired, use type N95
(US) or type P1 (EN 143) dust masks. Use respirators and components tested and approved under appropriate
government standards such as NIOSH (US) or CEN (EU).
Hand protection
For prolonged or repeated contact use protective gloves.
Sigma-Aldrich -S6014
Sigma-Aldrich Corporation
www.sigma-aldrich .com Page 2 of 5
Eye protection
Safety glasses
Hygiene measures
General industrial hygiene practice.
9. PHYSICAL AND CHEMICAL PROPERTIES
Appearance
Form solid
Colour no data available
Safety data
pH no data available
Melting point 300 °C (572 °F)
Boiling point no data available
Flash point no data available
Ignition temperature no data available
Lower explosion limit no data available
Upper explosion limit no data available
Density 2.160 g/cm3
Water solubility no data available
10. STABILITY AND REACTIVITY
Storage stability
Stable under recommended storage conditions.
Conditions to avoid
Avoid moisture.
Materials to avoid
Strong acids, Strong oxidizing agents
Hazardous decomposition products
Hazardous decomposition products formed under fire conditions.
Carbon oxides, Sodium oxides
11. TOXICOLOGICAL INFORMATION
Acute toxicity
LD50 Oral -rat -4,220 mg/kg
Irritation and corrosion
Skin -Human -Mild skin irritation - 3 d
Eyes -rabbit -Mild eye irritation -30 s
Sensitisation
no data available
Chronic exposure
no data available
Sigma-Aldrich· S6014 Sigma-Aldrich Corporation
www .sigma-aldrich.com Page 3 of 5
Signs and Symptoms of Exposure
Exposure to large amounts can cause:, Gastrointestinal disturbance, Heavy or prolonged skin exposure may result in
the absorption of harmful amounts of material.
Potential Health Effects
Inhalation
Skin
Eyes
Ingestion
May be harmful if inhaled . May cause respiratory tract irritation.
May be harmful if absorbed through skin. May cause skin irritation.
May cause eye irritation.
May be harmful if swallowed.
12. ECOLOGICAL INFORMATION
Elimination information (persistence and degradability)
no data available
Ecotoxicity effects
no data available
Further information on ecology
no data available
13. DISPOSAL CONSIDERATIONS
Product
Observe all federal, state, and local environmental regulations.
Contaminated packaging
Dispose of as unused product.
14. TRANSPORT INFORMATION
DOT (US)
Not dangerous goods
IMDG
Not dangerous goods
IATA
Not dangerous goods
15. REGULATORY INFORMATION
OSHA Hazards
No OSHA Hazards
TSCA Status
On TSCA Inventory
DSL Status
All components of this product are on the Canadian DSL list.
SARA 302 Components
SARA 302: No chemicals in this material are subject to the reporting requirements of SARA Title Ill , Section 302 .
SARA 313 Components
SARA 313 : This material does not contain any chemical components with known CAS numbers that exceed the
threshold (De Minimis) reporting levels established by SARA Title Ill, Section 313.
SARA 311/312 Hazards
Acute Health Hazard
Sigma-Aldrich -S6014 Sigma-Aldrich Corporation
www.sigma-aldrich.com Page4 of 5
Massachusetts Right To Know Components
No Components Listed
Pennsylvania Right To Know Components
Sodium hydrogencarbonate
New Jersey Right To Know Components
Sodium hydrogencarbonate
California Prop. 65 Components
GAS-No.
144-55-8
GAS-No .
144-55-8
Revision Date
Revision Date
This product does not contain any chemicals known to State of California to cause cancer, birth, or any other
reproductive defects.
16. OTHER INFORMATION
Further information
Copyright 2007 Sigma-Aldrich Co. License granted to make unlimited paper copies for internal use only., The above
information is believed to be correct but does not purport to be all inclusive and shall be used only as a guide. The
information in this document is based on the present state of our knowledge and is applicable to the product with
regard to appropriate safety precautions. It does not represent any guarantee of the properties of the product. Sigma-
Aldrich Co., shall not be held liable for any damage resulting from handling or from contact with the above product.
See reverse side of invoice or packing slip for additional terms and conditions of sale.
Sigma-Aldrich -S6014 Sigma-Aldrich Corporation
www.sigma-aldrich .com Page 5 of 5
REM
life k rovrry fi R1Anplierwrg
130 Research Lane, Suite 2 Guelph•Ontaria • N1G 5G3 • Canada • Tel: [phone] ► Fax: [phone]
KB-! Dechiorinator Material Safety Data Sheet
Section 1: Material Identification
Trade Name: KB-1°Dechiorinator
Chemical Family: bacterial mixture
Chemical name: No WC name for mixture is known to exist
ManufacturerlSupplier: SiREM
130 Research Lane, Suite 2,
Guelph, Ontario,
Canada N 1 G 5G3
For Information call: 519-822-226511-866-251-1747
Emergency Number: 519-822-2265
Description: Microbial inocuium (non-pathogenic. non -hazardous)
Trade Name: KB -le Dechiorinator
Product Use: Bioremediation of contaminated groundwater.
Date Prepared: 2 February 2005
Section 2: Composition. Information on Ingredients
KB-1 6 Dechiorinator is a microbial culture grown in an aqueous dilute mineral salt solution media
containing no hazardous ingredients.
The microbial composition of KB-1 Dechiorinator (as determined by phylogenetic analysis) is
listed in Table 1. Identification of organisms was obtained by matching 16S rRNA gene sequence
of organisms in KB-16' Dechiorinator to other known organisms. The characteristics of related
organisms can be used to identify potential or likely characteristics of organisms in KB-1`!'
Dechiorinator.
Table 1. Genus' identified in KB-1® Dechiorinator Microbial lnoculum
Genus
❑ehalococcaides sp.
Geobacter sp.
Methanomethylovorans sp.
Section 3: Hazards Identification:
A review of the available data does not indicate any known health effects related to normal use of
this product.
Section 4: First Aid Measures:
Avoid direct contact with skin and eyes. !n any case of any exposure which elicits a response, a
physician should be consulted immediately

,,;::REM '---.;, ii t!Oftryl~
130 Research Lane, Suite 2 Guelph•Ontario • N1G 5G3 •Canada• Tel: [phone] • Fax: [phone]
Eye Contact: Flush eyes with water for at least 15 minutes, occasionally lift upper and lower
eyelids, if undue irritation or redness occurs seek medical attention.
Skin Contact: Remove contaminated clothing and wash skin thoroughly with water and
antibacterial soap. Seek medical attention if irritation develops or open wounds are present.
Ingestion: Do not induce vomiting, drink several cups of water, seek medical attention.
Inhalation: Remove to fresh air. If not breathing give artificial respiration. In case of labored
breathing give oxygen. Call a physician.
Section 5 -Fire Fighting Measures:
Non-flammable
Flash Point: not applicable
Upper flammable limit: not applicable
Lower flammable limit: not applicable
Section 6 -Accidental Release Procedures
Spilled KB-1® Dechlorinator should be soaked up with sorbant and saturated with a 10%
bleach solution (prepared by making a one in ten dilution of diluted standard bleach
[normally sold at a strength of 5.25% sodium hypochlorite] to disinfect affected surfaces.
Sorbant should be double bagged and disposed of as indicated in section 12. After
removal of sorbant, area should be washed with 10% bleach solution to disinfect. If liquid
from the culture vessel is present on the fittings, non-designated tubing or exterior of the
stainless steel pressure vessel liquid should be wiped off and the area washed with 10%
bleach solution.
Section 7 -Handling and Storage
KB-1® Dechlorinator is shipped in stainless steel pressure vessels and connected to
injection lines and inert gas is used to pressurize the vessel to displace the contents. KB-
1 Dechlorinator should be handled with care to avoid any spillage. Vessels are shipped
with 1 pound per square Inch (psi) pressure; valves should not be opened until
connections to appropriate lines for subsurface injection are in place.
Storage Requirements: Avoid exposing stainless steel pressure vessels to undue
temperature extremes (i.e., temperatures less than 0°C or greater than 30°C may result
in harm to the microbial cultures and damage to the vessels). All valves should be in the
closed position when the vessel is not pressurized to prevent the escape of gases and to
maintain anaerobic conditions in the vessel. Avoid exposure of the culture to air as the
presence of oxygen will kill dechlorinating microorganisms .
Section 8 -Exposure Controls/Personal Protection
Personal protective equipment:
Skin: Protective gloves (latex, vinyl or nitrile) should be worn.
Eye Protection: Wear appropriate protective eyeglasses or goggles when opening
pressure vessels valves or when pressurizing vessels to inject contents into the
subsurface.
Respiratory: No respiratory protection is required.
Engineering Controls: Good general room ventilation is expected to be adequate.
REM
iltr Nctovery & Aliaayemen!
130 Research Lane, Suite 2 Guelph•pntarin • NIG 5G3 • Canada • Tel: [phone] • Fax: [phone]
Section 9: Physical and Chemical Properties:
Physical State: liquid
Odour: skunky odour
Appearance: dark grey, slightly turbid liquid under anaerobic conditions, pink if exposed
to air (oxygen).
Specific gravity: not determined
Vapor pressure: not applicable
Vapor density: not applicable
Evaporation rate: not determined
Boiling point: -100° C
Freezing point/melting point: — 0°C
pH: 6.5-7.5
Solubility: fully soluble in water
Section 10 — Stability and Reactivity Data
Stable and non -reactive.
Maintain under anaerobic conditions to preserve product integrity,
Materiats to avoid: none known
Section 11 - Toxicological Information
Potential for Pathogenicity:
KB-1® Dechlorinator has tested negative (i.e., the organisms are not present) for a variety of
pathogenic organisms listed in Table 2. While there is no evidence that virulent pathogenic
organisms are present in KB-1i31 Dechlorinator, there is potential that certain organisms in KB-11'
Dechlorinator may have the potential to act as opportunistic (mild) pathogens, particularly in
individuals with open wounds and/or compromised immune systems. For this reason standard
hygienic procedures such as hand washing after use should be observed.
Table 2, Results of Human Pathogen Screening of KB-11 Dechlorinator
Organism
Disease(s) Caused
Test result
Salmonella sp.
Typhoid lever, gastroententis
Not Detected
Listeria monocytogenes
Listerioses
Not Detected
Vibrio sp.,
Cholera, gastroenteritis
Not Detected
Campylobacter sp.,
Bacterial diarrhea
Not Detected
Clostridia sp.,
Food poisoning, Botulism, tetanus, gas gangrene
Not Detected
Bacillus anfhracis
Anthrax
Not Detected
Pseudomonas aeruginosa
Wound infection
Not Detected
Yersinia sp.,
Bubonic Plague, intestinal infection
Not Detected
Yeast and Mold
Candidiasis, Yeast infection etc.
Not Detected
Fecal conforms
Indicator organisms for many human pathogens diarrhea,
urinary tract infections
Not Detected
Enterococci
Various opportunistic infections
Not Detected

"ITEM
Tile Aemrery 9 Nanagrrarri
130 Research lane, Suite 2 Guelph•Ontario + N1G 5G3 • Canada • Tel: [phone] • Fax: [phone]
Section 12. Disposal Considerations
Material must be disinfected or sterilized prior to disposal. Consult local regulations prior to
disposal.
Section 13 —Transport Information
Non -hazardous, non-pathogenic microbial inoculum — Biosafety Risk Group 1
Chemicals, Not Otherwise Indexed (NOI), Non -hazardous
Not subject to TDG or DOT guidelines.
Disclaimer:
The information provided on the MSDS sheet is based on current data and represents
our opinion based on the current standard of practice as to the proper use and handling
of this product under normal, reasonably foreseeable conditions.
Last revised: 24 June 2008

Enhanced Reductive Dechlorination Injection Pilot Study Work Plan
A ~co1u tmagine it
~ ~n Oe-lrvcred.
Enhanced Reductive Dechlorination
Injection Pilot Study Work Plan
Former Salem Uniform
4015 North Cherry Street
Winston-Salem, North Carolina
60544093
July 2017
Cintas Corporation
Milford , OH
Enhanced Reductive Dechlorinatian Injection 6(15441193
Pilot Study Work Plan
Quality information
Prepared by
A.mihda Gor alez
Environmental Engineer
Prepared for
Cintas Corporation
Milford, Ohio
Prepared by:
AECOM
1600 Perimeter Park, Suite 400
Morrisville, North Carolina 27560
USA
aecom.com
Copyright © 2017 by AECOM
Prepared by Reviewed by
Matt Alien, PG
Project Manager
Chr)2.4,garaffafe
istoph rownfield
Senior Engineer, PE
All rights reserved. No part of this copyrighted work may be reproduced, distributed. or transmitted in any form or by
any means without the prior written permission of AECOM.
Prepared €or. Cintas Goporattan, Milfprd, Ohio
AECOM

Enhanced Reductive Dechlorination Injection
Pilot Study Work Plan
Table of Contents
60544093
1. Introduction ......................................................................................................................................................... 1
1.1 Site History .............................................................................................................................................. 1
1.2 Site Geology and Hydrogeology .............................................................................................................. 1
1.3 Groundwater Conditions .......................................................................................................................... 2
1.4 Pilot Study Enhanced Reductive Dechlorination Implementation Scope and Objectives ........................ 2
2 . Pilot Study Enhanced Reductive Dechlorination Implementation Procedures .................................................... 3
2 .1 Underground Injection Control Permitting ................................................................................................ 3
2.2 Injection Well and Monitoring Well lnstallation ......................................................................................... 3
2.3 Injection lmplementation .......................................................................................................................... 4
2.3.1 Soil Vapor Extraction System Operation .................................................................................................. 4
2.3.2 Source Area ABC+® and Sodium Bicarbonate lnjections ........................................................................ 4
2.3.3 Onsite Barrier HFCS and Sodium Bicarbonate lnjections ........................................................................ 4
2.3.4 Bioaugmentation ...................................................................................................................................... 5
2.4 Injection Performance Groundwater Monitoring ...................................................................................... 5
2 .5 Reporting ................................................................................................................................................. 5
3. References ......................................................................................................................................................... 5
Appendix
Appendix A. Material Safety Data Sheets
Tables
Table 1.
Table 2.
Table 3.
Table 4.
Table 5.
Table 6.
Table 7.
Table 8 .
Figures
Figure 1.
Figure 2.
Figure 3.
Figure 4.
Figure 5.
Figure 6.
Figure 7 .
Monitoring Well Construction Details
Groundwater Level Gauging and Elevation Data
Field Indicator Parameters
Summary of Organic Analytical Results
DPT Groundwater Investigation Analytical Results -June 2017
Proposed Injection and Monitoring Well Construction Details
Summary of Proposed Injection Quantities
Full Scale Enhanced Reductive Dechlorination Implementation Schedule
Site Plan
Groundwater Potentiometric Map: Saprolite Unit Shallow Wells -May 2017
Groundwater Potentiometric Map: Transitional Unit Intermediate Wells -May 2017
PCE lsoconcentrations in Groundwater with Proposed Injection and Monitoring Well Locations:
Saprolite Unit Shallow Wells
PCE lsoconcentrations in Groundwater with Proposed Injection and Monitoring Well Locations:
Transitional Unit Intermediate Wells
Cross Section Location Map
Cross Section Location A-/\ with Proposed Injection Locations
Prepared for: Cintas Corporation, Milford, Ohio AECOM
Enhanced Reductive Dechlorination Injection
Pilot Study Work Plan
Acronyms
ABC®
ABC®+
AECOM
amsl
bgs
DHC
DPT
DWM
DWQ
ERO
HFCS
IHSB
mg/L
NCDENR
NCDEQ
PCE
PVC
PWR
RAP
RJRT
Site
SVE
UIC
voe
ZVI
µg/L
Anaerobic BioChem
Anaerobic BioChem Plus
AECOM Technical Services of North Carolina, Inc.
above mean sea level
below ground surface
Deha/ococcoides ethenogenes bacteria
direct-push technology
Division of Waste Management
Divison of Water Quality
enhanced reductive dechlorination
high fructose corn syrup
Inactive Hazardous Sites Branch
milligrams per liter
North Carolina Department of Environment and Natural Resources
North Carolina Department of Environmental Quality
tetrachloroethene
polyvinyl chloride
partially weathered rock
Remedial Action Plan
R.J. Reynolds Tobacco Company
former Salem Uniform facility
Soil vapor extraction
Underground Injection Control
volatile organic compound
zero valent iron
micrograms per liter
Prepared for: Cintas Corporation, Milford , Ohio
60544093
AECOM
iii
Enhanced Reductive Dechlorination Injection
PIiot Study Work Plan
1. Introduction
60544093
AECOM Technical Services of North Carolina, Inc. (AECOM), on behalf of Cintas Corporation (Cintas), developed
this work plan to implement an enhanced reductive dechlorination (ERD) injection pilot study at the former Salem
Uniform facility (the Facility/Site) located at 4015 North Cherry Street in Winston-Salem, North Carolina. The Site is
located at the southeast intersection of North Cherry Street and Polo Street in Winston-Salem, Forsyth County, North
Carolina. Figure 1 illustrates the Site plan.
1.1 Site History
Salem Uniform Services previously operated an industrial uniform cleaning and laundry service at the Site from 1967
to 1983. In 1983, Cintas purchased the assets of Salem Uniform (which ceased to exist as a business entity) and
Cintas continued operating a uniform laundering and services facility at the Site until 1986. Both Salem Uniform
Services and Cintas were lease tenants at the Site; neither firm owned the Site property during their operations there.
Other tenants have leased the Site property since 1986, including a restaurant equipment dealer, a lumber company,
a used car sales and repair dealership, and most recently the fertilizer manufacturing company Winston Weaver, Inc.
(ENSR, 2006). A detailed summary of historical ownership and operations at the Site property were described
previously in the Comprehensive Site Assessment Report and the Remedial Investigation Report.
The Site property is currently owned by K&V, LLC. The property was most recently used to store pallets of bagged
fertilizer and related lawn care products produced and packaged by Weaver at its nearby fertilizer manufacturing
plant. Beginning in December 2009, Weaver ceased bringing new packaged fertilizer to the on-site building for
storage, and by June 2010 the majority of the building had been emptied of the remaining fertilizer inventory. The
facility building was demolished in December 2014 and the property is currently for sale. It is anticipated that the
property will remain vacant in the near term. There are no immediate plans to redevelop the Site in the near future,
but the site is in the North Carolina Brownfields Redevelopment programs and is for sale so there is potential for
redevelopment.
Figure 1 shows the K&V, LLC property boundary, the locations of groundwater monitoring wells, locations of former
infrastructure, current and historical site features and adjacent properties. The closest residential-zoned property
borders the K&V, LLC property to the south (i.e., hydraulically downgradient).
Historical site assessments not related to underground storage tanks were performed under the regulatory
management and direction of the North Carolina Department of Environment and Natural Resources (NCDENR -
now the North Carolina Department of Environmental Quality [NCDEQ]) Division of Water Quality (DWQ) Aquifer
Protection Section until mid-2007, after which site investigation activities were performed under the NCDENR Division
of Waste Management (DWM) Inactive Hazardous Sites Branch (IHSB) oversight. NCDENR DWM notified Cintas of
this site transfer in a letter dated April 26, 2007. On July 24, 2007, Cintas submitted a Voluntary Cleanup Checklist to
NCDENR DWM to determine the Site's eligibility and potential management status within the IHSB regulatory
program. Between 2007 and 2017, a transition period between formal oversight by DWQ and DWM occurred where
Cintas voluntarily continued with environmental investigation and removal/remediation activities in cooperation with
the IHSB. The activities included vapor intrusion sampling, additional source zone delineation, routine groundwater
monitoring, a source removal excavation, a soil vapor extraction (SVE) pilot test, and operation of an interim-measure
SVE system.
1.2 Site Geology and Hydrogeology
The Site is located in the Piedmont physiographic province. In general, subsurface soils consist of silty clay residuum
overlying clayey sand and silt saprolite, which coarsens with depth. The saprolite originates from the underlying
gneissic and schistose bedrock and typically contains relict structures and fabric derived from the parent rock from
which it was weathered. The saprolite generally grades into partially weathered rock (PWR) with depth. PWR often
exhibits the same properties as deeper saprolitic soils, but with higher occurrence of rock and rock fragments.
Typically in the Piedmont of North Carolina, the saprolite serves as an unconfined storage aquifer that transmits water
Prepared for: Cintas Corporation, Milford, Ohio AECOM
1
Enhanced Reductive Dechlorination Injection
Pilot Study Work Plan
60544093
downward (generally) to the lower semi-confined PWR unit and fractured confined metacrystalline bedrock aquifer
unit (Daniel and Payne, 1990).
Depth to competent bedrock is approximately 90 feet below ground surface (bgs) at on-site bedrock monitoring well
MW-6(d1) and increases downgradient to approximately 120 feet bgs at off-site monitoring well MW-9(i) located just
north of the R.J. Reynolds Tobacco Company (RJRT) property. Depth to competent bedrock decreases rapidly toward
the RJRT southwestern property boundary with bedrock approximately 23 feet bgs at MW-15(i). Southwest of the
intersection of North Cherry Street and Reynolds Boulevard, bedrock outcrops can be observed in Silas Creek.
On-site groundwater (within the K&V, LLC property boundary) is encountered at depths ranging from 18 to 34 feet
bgs and the water table surface is found primarily in the saprolite hydrostratigraphic unit. The depth to groundwater in
off-site areas ranges from 11-48 feet bgs .
Shallow and intermediate unit groundwater potentiometric maps for the facility during May 2017 are presented on
Figures 2 and 3. Potentiometric data indicate that shallow groundwater in the saprolitic hydrostratigraphic unit flows
towards the south-southeast. Potentiometric data indicate that groundwater flow in the transitional PWR aquifer is
predominately towards the south , with a slight flow component toward the southwest. Groundwater flow patterns
indicate that groundwater in both hydrostratigraphic units flows toward and discharges into the closest surface water
body to the Site; an unnamed tributary of Silas Creek . This tributary appears to have its headwaters along Polo Road
northeast and east of the Site, and it flows as a wet weather ditch and ephemeral stream through the wooded,
commercial Beroth Oil Company property east of the Site. South of Mccanless Street the tributary has more
perennial characteristics beginning at a distance of approximately 130 feet from the southeast corner of the Site. A
portion of this stream runs through a concrete surface channel on residential properties and is then routed through
subsurface culvert pipes where it turns east to pass beneath May Street. Downstream of May Street, the unnamed
stream has open flow through the residential neighborhood south of the Site, where it then flows through a buried
culvert pipe under the RJRT manufacturing and packaging facility.
1.3 Groundwater Conditions
Tables 1 through 4 include a summary of historical site monitoring well construction information, groundwater
elevation data, water quality parameters and detected volatile organic compounds (VOCs) of concern . Groundwater
data indicate that chlorinated VOCs are present in both shallow, intermediate and deep (bedrock) groundwater and
these impacts have migrated off-site following groundwater flow to the south of the Site . Although the horizontal
extent of the groundwater plume in PWR is comparatively large, it is relatively well-defined to the extent practicable .
A groundwater investigation in the source area was performed in June 2017. A total of 65 samples were collected
from 27 boring locations throughout the saprolite unit of the aquifer. Results are provided in Table 5 . Figures 4 and 5
depict tetrachloroethene (PCE) isoconcentration contours in plan view within the saprolite and intermediate units of
the aquifer and Figures 6 and 7 are hydrogeologic cross-sections that illustrate the interpreted water table
equipotential lines and PCE isoconcentrations at the Site with depth. The extent of the source area, where PCE
concentrations in groundwater exceed 10,000 milligrams per liter (mg/L) increased from historical estimations and
daughter products trichloroethene, cis-1,2-dichloroethene, and vinyl chloride were observed across the Site.
1.4 Pilot Study Enhanced Reductive Dechlorination Implementation
Scope and Objectives
This work plan summarizes the design basis and procedures for execution, monitoring, and reporting for the pilot
study. The following sections provide a detailed summary of the following tasks:
-Underground Injection Control (UIC) Permitting
-Injection Well and Monitoring Well Installation
-Injection Implementation
-Injection Performance Groundwater Monitoring
-Reporting
Prepared for: Cintas Corporation, Milford, Ohio AECOM
2
Enhanced Reductive Dechlorination Injection
Pilot St udy Work Plan
60 544093
The objective of the ERD injection pilot study is to enhance reduction of chlorinated VOC concentrations in
groundwater at the Site. To achieve this objective a dilute solution of Anaerobic BioChem (ABC®), Zero Valent Iron
(ZVI), and sodium bicarbonate will be injected via 17 direct-push technology (DPT) locations within the source area.
Additionally, a dilute solution of high fructose corn syrup (HFCS) and sodium bicarbonate will be injected into two
DPT locations and two proposed intermediate (PWR) injection wells just downgradient of the source area, at an on-
site barrier. Specific details regarding the injection approach and methodology are outlined below.
2. Pilot Study Enhanced Reductive Dechlorination
Implementation Procedures
The following sections provide a summary of the permitting, well installation, injection procedures, monitoring, and
reporting for the ERD injection pilot study.
2.1 Underground Injection Control Permitting
AECOM will complete a UIC notification and submit it to the NCDEQ Division of Water Resources prior to
commencing injection activit ies. AECOM will submit required documentation to obtain UIC authorization for the pilot
study injection in accordance with Title 15A North Carolina Administrative Code , Subchapter 02C Section .0225.
The ERD injection pilot study will be initiated after the UIC authorization is received and the public comment period
for the Remedial Action Plan (RAP), submitted in July 2017 has ended. Injection activities will likely be performed in
early fall 2017 and are anticipated to be completed over a period of one month.
2.2 Injection Well and Monitoring Well Installation
An ERD injection pilot study will be performed to evaluate material distribution in the subsurface and to confirm
appropriate loading rates. The ERD pilot study injection will be performed generally in the area of the groundwater
plume with concentrations in excess of 10,000 mg/L to reduce source area mass . The pilot study will include
injections via DPT in the source area and injections via two DPT locations and two permanent wells , IW-1 and IW-2
(proposed), immediately downgradient of the source area near the MW-6 well cluster and to the east.
A total of 17 temporary DPT injection points (IP-1 through IP-17) will be pushed to total depths ranging from
approximately 33 to 55 feet bgs . DPT refusal depths were assumed based on previous site drilling experience and
may be modified according to field conditions. The DPT injections will be performed as top-down, if possible, to
optimize injection distribution. After DPT injection locations have been completed, the DPT borings will be abandoned
using bentonite or cement grout. Injection DPT locations are shown on Figures 4 through 7 and well construction
details are provided in Table 6 . Proposed injection intervals, provided in Table 6, were selected to target areas where
PCE concentrations exceed 10,000 micrograms per liter (µg/L) in groundwater.
The two permanent injection wells (IW-1 and IW-2) will be installed in accordance with the on-site injection barrier, as
proposed in the RAP, and will be constructed to support additional, future injections, The wells will be spaced
approximately 100 feet apart and will be constructed of schedule 40 polyvinyl chloride (PVC) with 30-foot wire-
wrapped well screens. To evaluate the relationship between injection rate and well diameter, the IW-1 well will be
constructed with 4-inch diameter PVC and the IW-2 well will be constructed with 2-inch diameter PVC. These wells
will be used to conduct the pilot study and will also be used during future full-scale implementation, as applicable.
Proposed injection locations are shown on Figures 4 through 7 and well construction details are provided in Table 6 .
To evaluate injection performance , four shallow (saprolite) and four deep (PWR) performance monitoring wells
(PMW-1s/i, PMW-2s/i, PMW-3s/i , PMW-4i, and MW-6(s)2) will be installed at similar depths and screened intervals
as the injection points/wells in the source area and directly downgradient of the source area . Shallow saprolite
monitoring wells will be completed as 2-inch PVC with 20 feet of 0 .010-inch screen . Intermediate PWR wells
monitoring wells will be completed as 2-inch PVC with 10 feet of 0.010-inch screen. Monitoring well locations are
shown on Figures 4 and 5 and well construction details are provided in Table 6 .
Prepared for: Cintas Corporation, Milford, Ohio AECOM
3
Enhanced Reductive Dechlorination Injection
Pilot Study Work Plan
60544093
Solid and liquid investigative derived waste will be placed in drums, tested, and properly manifested and transported
off site for disposal.
2.3 Injection Implementation
The following sections present the injectant design and injection approaches .
2.3.1 Soil Vapor Extraction System Operation
The SVE system, which is currently operated on site as an interim remedial measure, will remain operational
throughout the injection period . The bottom of the SVE gravel pit is estimated to be approximately15 feet above the
water table . Mounded groundwater associated with ERD injections is not anticipated to interfere with SVE operations .
2.3.2 Source Area Anaerobic Biochem Plus and Sodium Bicarbonate Injections
A dilute ABC®, ZVI , and sodium bicarbonate solution will be injected into a treatment area (approximately 7,500
square feet) located in the source area, coincident with the upgradient portion of the 10,000 µg/L PCE groundwater
contour. Proposed direct-push injection locations are shown on Figure 4. Injections will be administered by DPT into
the shallow aquifer generally targeting a 20-foot interval between elevation 950 and 930 feet above mean sea level
(amsl) (-20-40 feet bgs). The proposed injection interval for each point is provided in Table 6. It is proposed that
8,500 gallons of a dilute ABC®/ZVl/sodium bicarbonate solution be injected into the source area . The total injection
volume assumes a radius of influence of 11 .0 feet and a pore volume replacement of 20 percent of total pore volume .
Approximately 7,100 pounds of ABC® (in situ dose of 20 grams per liter [g/L]), 3,550 pounds of ZVI (in situ dose of 10
g/L), and 1,900 pounds of sodium bicarbonate (in situ dose of 5.35 g/L) will be injected. Injection make-up water will
be derived from off-site sources.
ABC® will be injected to create anaerobic conditions and provide an electron donor for dehalorespiring bacteria. ZVI
will be injected concurrently to rapidly reduce chlorinated solvents upon contact through abiotic processes . Sodium
bicarbonate is added to buffer the groundwater pH which is naturally low and also buffer groundwater from production
of metabolic acids from biodegradation of the ABC®.
The injection amendments will be mixed aboveground in a batch process prior to subsurface delivery. The actual
methodology will depend on the capabilities of the selected injection subcontractor. Once mixed, this solution will be
injected into 17 direct-push locations at multiple depth intervals. The solution will be injected using a pneumatic
double diaphragm pump. A summary of injectant quantities is provided in Table 6. Materials safety data sheets for
Anaerobic Biochem Plus (ABC®+) and sodium bicarbonate are included as Appendix A.
2.3.3 On-site Barrier High Fructose Corn Syrup and Sodium Bicarbonate Injections
A dilute HFCS and sodium bicarbonate solution will be injected into two permanent injection wells (proposed) located
south of the source area, near the MW-6 well cluster (IW-1) and the eastern property boundary (IW-2) (Figure 5).
Injections into the permanent wells will target a 30-foot interval in the PWR aquifer generally between elevation 910
and 880 feet amsl (-60-90 feet bgs). A proposed injection volume of 1,850 gallons per well is estimated . The total
injection volume assumes a radius of influence of 12 .5 feet and a pore volume replacement of 5 percent of total pore
volume. Approximately 12,400 pounds of HFCS (in situ dose of 20 g/L) and 3,300 pounds of sodium bicarbonate (in
situ dose of 5.35 g/L) will be injected into the wells .
Two additional injections will be administered, by DPT, in the shallow (saprolite) aquifer, just upgradient of the two
permanent injection wells (Figure 4). Injections will target a 20-foot interval generally between elevation 945 and 925
feet amsl (-35-55 feet bgs). A proposed injection volume of 1,250 gallons per well is estimated. The total injection
volume assumes a radius of influence of 12.5 feet and a pore volume replacement of 5 percent of total pore volume .
Approximately 8,300 pounds of HFCS (in situ dose of 20 g/L) and 2,200 pounds of sodium bicarbonate (in situ dose
of 5 .35 g/L) will be injected into the wells. Injection make-up water will be derived from off-site sources.
Prepared for: Cintas Corporation, Milford, Ohio AECOM
4
Enhanced Reductive Dechlorination Injection
Pilot Study Work Plan
60544093
HFCS will be injected to create anaerobic conditions and provide an electron donor for dehalorespiring bacteria.
Sodium bicarbonate will be injected to buffer the groundwater pH which is naturally low and also buffer groundwater
from production of metabolic acids from biodegradation of the HFCS .
The injection amendments will be mixed aboveground in a batch process prior to subsurface delivery. The actual
methodology will depend on the capabilities of the selected injection subcontractor. Once mixed, this solution will be
injected into the locations at multiple depth intervals. The solution will be injected using a pneumatic double
diaphragm pump. A summary of injectant quantities is provided in Table 7. Materials safety data sheets for HFCS and
sodium bicarbonate are included as Appendix A.
Assuming an injection rate of 1 gallon per minute per poinVwell and a 10-hour field day, the injection pilot study
(source area and on-site barrier injections) is anticipated to take 25 field days to complete. The injection rate is
assumed based on injections performed at similar sites.
2.3.4 Bioaugmentation
If performance monitoring results indicate that an adequate population of dehalorespiring bacteria is not present in
groundwater a separate bioaugmentation injection event may be performed. The bioaugmentation culture would
contain an enriched dechlorinating culture, including Dehalococcoides ethenogenes bacteria (DHC), capable of
complete dechlorination of PCE and its daughter products. Groundwater data at the Site indicates that native
dechlorinating cultures, especially DHC, were limited in some aquifer zones. Therefore, bioaugmentation may be
used to enhance the natural population of dechlorinating microbes in the ERO treatment areas, if required. The type
of bioaugmentation culture used will be based on observed groundwater pH data. If groundwater pH stabilizes above
6.3 a bioaugmentation culture KB-1® is proposed and if pH stabilizes between 5.8 and 6.3, a low pH bioaugmentation
culture, KB-1® Plus is proposed. Bioaugmentation injections would most likely be performed via DPT; however,
permanent injection wells proposed in downgradient areas may also be used. The number of points required to
administer the bioaugmentation culture will be determined based on the results of the initial substrate injections. Up
to12 liters of bioaugmentation culture is proposed in each of the injection areas (source, DPT on-site barrier and
permanent injection on-site barrier).
2.4 Injection Performance Groundwater Monitoring
Prior to injection, existing and new injection and monitoring wells will be purged and sampled to establish baseline
conditions. The sampling parameters to be analyzed during the baseline sampling event and post-injection sampling
will follow the tentative schedule/parameter list presented in Table 7. Sampling frequency and parameters may be
modified during the injection performance monitoring, based on interpretation of the results.
2.5 Reporting
In accordance with UIC procedures, an injection event record (Form UIC-IER) will be submitted to NCDEQ within 30
days of completion of the injection activities. Following completion of the performance monitoring period, AECOM will
prepare an injection report which summarizes the injection activities and associated results. The report will include
data tables, graphs, and figures, as applicable.
3. References
AECOM, 2017. Remedial Action Plan, Former Salem Uniform Services Facility. AECOM North Carolina, Inc. July
2017.
Daniel, Charles and R.A. Payne, 1990 . Hydrogeologic Unit Map of the Piedmont and Blue Ridge Provinces of North
Carolina. United State Geological Survey, Water-Resources Investigations Report 90-4035 .
ENSR, 2006. Comprehensive Site Assessment Report-Former Salem Uniform Services Facility. June 28, 2006.
Prepared for: Cintas Corporation, Milford, Ohio AECOM
5
Enhanced Reductive Dechlorination Injection
Pilot Study Work Plan
Tables
Prepared for: Cini.is Corporation, Milford. Ohio
60544093
AECOM
Table 1
Monitoring Well Construction Details
Cintas -Fonner Salem Uniform Services Facility (K&V, LLC Property)
Winston-Salem, North Carolina
WELL CONSTRUCTION DETAILS
Top of Casing Ground
Well Number Date Installed Well Construction Drilling Method MP Elevation Elevation
(ft, msl) {ft.ms!)
2 m Sch40 PVC
12/5107 2 in SS Casing/SS screen HSA 970.60 971 .50
MW-1(I) 12/19/03 2 in PVC+SS caslng/SS screen HSAIMR 971.17 971.46
MW-2 11/26/02 2 in Sch 40 PVC HSA 979.91 960,39
MW-31s) 12/16103 2in Sch40 PVC HSA 979.17 979.62
MW-3(i) 12/17/03 2 in Sch 40 PVC HSA/ARH 978.91 979 .22
MW-4(s) 12/16/03 2 in Sch 40 PVC HSA 986.01 986,36
MW-4(I) 12/22/03 2 in PVC+SS casing/SS screen HSA/MR 986,32 986.48
MW-5(s) 12/16103 2 in Sch 40 PVC HSA 966,42 964.26
MW-5(i) 12/23103 2 in PVC casing/SS screen HSA/ARH 965_61 963.08
MW~(s) 10/1/04 2 in PVC+SS casing/SS screen HSA 972_14 968 ,70
MW~(i) 12/29/03 2 in PVC+SS casing/SS screen HSA/ARH 971.42 968 .39
MW-6(d1) 12/19/03-1/19/05 6 in PVC OC/2 In SS screen & riser;\A HSA/ARH 971.77 967.75
MW-7(s) 12/16/03 2 in Sch 40 PVC HSA 958.79 956,09
MW-8(i) 10/4/2004 2 in PVC casing/SS screen ARH/MR 957.80 954.00
MW-9(i} 9/28-29/04 2 in PVC casing/SS screen HSA/ARH/MR 954-41 954.40
MW-10(i) 9/28/04 2 in PVC casing/SS saeen HSA 961-60 961 ,80
MW-10(d1) 9/27-10/5/04 6in PVCOC;'le HSA/ARH 961-63 961.50
MW-11(s) 09/10109 2 in Sch 40 PVC HSA 985-10 985,30
MW-12(s) 2/20113 2" SS Casing I SS screen HSA 976,81 973.77
MW-12(i) 2/19/13 2" 5S Casing I SS screen HSA/ARH 976.49 973.52
MW-13(i) 7/18113 2" Sch 40 PVC HSA 948.60 949.10
MW-13(d) 7119113 6" PVC OC I 2" PVC screen & riser HSA/ARH 948_90 949.20
MW-14(I) 7/18113 2' Sch 40 PVC HSA 935,10 935_30
MW-15(i) 7118113 2' Sch 40 PVC HSA/ARH 910.90 911.10
MW-16(i) B/21/13 2" Sch 40 PVC Roto-Sonic 964.60 964,80
MW-16(d) 8/22/13 6" PVC OC / 2" PVC screen & riser Roto-Sonlc 964.50 964.80
Natu:
Well ~ Outer Outer Screened Casing Casing Casing Interval Stickup , Depth Depth tft, bgs)
(ft, ags} f (ft, bgs} (ft,msl}
~ ~
-0.90 NA NA 20-30
-0.29 NA NA 70-80
-0.48 NA NA 30-40
-0 ,45 NA NA 32-42
-0.31 NA NA 75-85
-0.35 NA NA 40-50
-0.16 NA NA 70-80
2_15 NA NA 18-28
2_53 NA NA 5!}.69
3-44 NA NA 18-28
3.03 NA NA 70-80
4.02 93,0 874.75 106-121"'
2,70 NA NA 15-25
3.80 NA NA 79-89
0.01 NA NA 112-122
0.00 NA NA 52~2
0 ,13 69.0 892,50 69-17218
-0.20 NA NA 45-55
3.04 NA NA 32-42
2.97 NA NA 67-77
-0,30 NA NA 55-65
-0.30 119.0 830,20 135-145
-0 ,20 NA NA 27-37
-0,20 NA NA 12-22
-0,20 NA NA 60-70
-0,30 97.0 867.8 110-120
\A MW-6(d1}was temporarilt conswcted M ~ bor9hol• 9' rock from 93-122.5 It. bg1 for Wtial aampllng ovents. Vffl oompleled with SCl'IHlnS & Inner CQtog IO depth of 121 fl. «1 t-19-05. Weft fMI' ~ ls top of Inner r SS ca,ln,
\8 Wei MW-10(d1) la OO l'\IIIUdl!d as open borehole In ,odt from 69-tn feel. bg~. Well MP eleval'on is hii;heal point on lop ofoul0tPVC casing , aft.ercomple!ion ., tush mouo\m11hole and pa,
\C Well M\'V-9(i) waa HI In an aqulfet mne of attemiitlng parla~ywea\hefed roi;k 1md more compelenl rodf.. The In terface cfconQI\UOUr. competent r1Xk may net have been encounlered above 122 n. deplh .
• Well MW-1(s}R ii a replacamant well for MW•1 {a), which waa de stroyed In Oclcber 2005.
Abbreviations: Aquifer Unit Codes:
fl=feel SS=1tatnleHaleel sSAP = 15hano.,.,. saprolit1
MP= measuring poinl PVC•Poly11lnyl chlorfdt dSA.P = deep SMproliltt
NA=nolappliceble HSA,. Hallow stem auger T(PWR) = lransilicmil :r.cn e (partially weathered rock·
bg& • below ground aurfaca ARH • Air Ratary/Alr Hammer BR= bedrock
ag1 = above ground &Url.1ee MR =Mud Rclary sBR = &hallow competent bedrocli:
msl = mean sea level OC = OUier Casng iBR = irltermed ia le depth competent bedtoclc
AECOM
AQUIFER DATA
Total Well Total Well Aquifer Unit Depth to Top of Bedrock
Depth Depth Monitored {see Top of Elevation
(ft, bgs} (ft,msl) code) Bedroc~ (ft) trt,msl)
29 o I 94 2_53 I I NA I
30.0 941.50 sSAP NA
60.0 891-46 T(PWR) NA I <891 ,46
40.0 940_39 sSN'/dSAf' NA
42.0 937,62 sSAP/dSAf' NA
85.0 894.22 T(PWR) 85,00 I 894,22
50,0 936.36 dSAP NA
80.0 906,48 T(PWR) NA
28,0 936.26 sSAP NA
69.0 894_08 dSAPfT(PWR) NA Il <894.08
28,0 940.70 sSAP NA
60,0 888,39 T(PWR) NA
121.0 846.75 sBR 91.00 I 876.75
25,0 931.09 sSAP NA
89.0 865,00 T(PWR)/sBR 87.00 867,00
122.0 832.40 TIPWR~sBR"' 120_00 834.40
62-0 899.60 T(PWR) 62_00 899.80
172_0 789.50 sBR/iBr 62.00 899,50
55.0 930_30 dSAP NA
42_0 931.77 dSAP NA
77.0 896.52 PWR NA
65,0 884.10 dSAP
115.00 II 834.10
145_0 804.20 BR
37,0 898 _30 dSAP NA
22_0 889_10 PWR 23.00 I 888.10
70.0 894_80 dSAP/PWR I 92.00 872.80
120.0 844_80 BR
Table 2
Groundwater Level Gauging and Elevation Data
Cintas -Former Salem Uniform Services Facility (K&V, LLC Property)
Winston-Salem, North Carolina
I Initial Well MP I Fmal Well MP I I Depth to Water Well Number Elevation (ft msl) El e vation (ft msl) Date {ft bmp)18
12/29/2003 18_ 10
1/12/2004 16.41
10/20/2004 17.45
12/11/2007 19.47
1/26/2009 20.62
MW-1(i)* 971 .17 971 .17 6/21/2010 18.16
12/5/2011 21 .05
9/9/2013 19.85
5/18/2015 20.72
4/28/2016 19.94
5/2/2017 21 .33
6/27/2002 19.58
MW-1(s)* 971.20 971 .20 12/29/2003 16.65
1/12/2004 16.65
10/20/2004 17.75
12/11/2007 19.60
1/26/2009 20.59
6/21/2010 17.60
MW-1(s)R 970.60 970 .60 12/5/2011 20.74
09/09/13 19.21
5/18/2015 20.30
4/28/2016 20.06
5/2/2017 21.50
11/26/2002 28 .14
12/29/2003 NM
1/12/2004 25.11
10/20/2004 26.22
12/11/2007 28.52
MW-2 979.91 979.91 1/26/2009 29.67
6/21/2010 26.57
12/5/2011 29.80
09/09/13 28.15
5/18/2015 29.35
4/28/2016 28.23
5/2/2017 30.01
12/29/2003 22.55
1/12/2004 23.35
10/20/2004 25.85
12/12/2007 27.34
1/26/2009 28.47
MW-3(i) 978.91 978.91 6/21/2010 25.17
12/5/2011 28.78
09/09/13 27.07
5/18/2015 28.21
4/28/2016 26.94
5/2/2017 28.50
12/29/2003 25.41
1/12/2004 24.44
10/20/2004 25.34
12/11/2007 28.16
1/26/2009 29.40
MW-3(s) 979.17 979.17 6/21/2010 26.03
12/5/2011 29.71
09/09/13 27.97
5/18/2015 29 .12
4/28/2016 27.85
5/2/2017 29.50
AECOM
I Groundwater
Elevation (ft msl)10
953_07
954.76
953.72
951 .70
950 .55
953.01
950.12
951 .32
950.45
951 .23
949.84
951 .61
954.54
954.54
953.44
951 .00
950 .01
953 .00
949.86
951 .39
950 .30
950 .54
949 .10
951 .77
NM
954.80
953.69
951.39
950 .24
953.34
950.11
951 .76
950 .56
951.68
949.90
956 .36
955.56
953 .06
951.57
950 .44
953.74
950.13
951 .84
950 .70
951.97
950.41
953.76
954 .73
953.83
951 .01
949.77
953.14
949.46
951 .20
950 .05
951 .32
949.67
Page 1 of 4
Table 2
Groundwater Level Gauging and Elevation Data
Cintas -Former Salem Uniform Services Facility (K&V, LLC Property)
Winston-Salem, North Carolina
Well Number I Initial Well MP I Fmal Well MP I I Depth to Water
Elevation (ft msl) Elevation (ft msl) Date (ft bmp)'8
12/29/2003 30 _51
1/12/2004 30.53
10/20/2004 31.42
12/12/2007 33.65
1/26/2009 35.22
MW-4(i) 986.32 986.32 6/21/2010 32.15
12/5/2011 35 .27
09/09/13 34.05
5/18/2015 35.00
4/28/2016 33.65
5/2/2017 35 .20
12/29/2003 30.36
1/12/2004 30.27
10/20/2004 30.67
12/12/2007 33.26
1/26/2009 34.90
MW-4 (s) 986.01 986.01 6/21/2010 32.48
12/5/2011 34.93
09/09/13 33.72
5/18/2015 34.65
4/28/2016 33.31
5/2/2017 35.01
12/29/2003 13 .30
1/12/2004 13 .41
10/20/2004 14 .66
12/11/2007 17.80
1/26/2009 17.73
MW-5(i) 965.61 965.61 6/21/2010 15.58
12/5/2011 18.35
09/09/13 17.45
5/18/2015 17.70
4/28/2016 16 .32
5/2/2017 17.00
12/29/20 03 13.89
1/12/2004 13.61
10/20/2004 15.80
12/11/2007 18 .13
1/26/2009 17 .96
MW-5(s) 966.42 966.42 6/21/2010 15.91
12/5/2011 18.71
09/09/13 17.80
5/18/2015 17.90
4/28/2016 16.53
5/2/2017 17.29
12/29 /2003 47.60
1/12/2004 28.34
10/20/2004 16.30
12/12/2007 11.10
1/26/2009 46.66
MW-6(d1) \A 968.71 971 .77 6/21/2010 52.85
12/5/2011 65.84
09/09/13 74.04
5/18/2015 73.29
4/28/2016 72.34
5/2/2017 74.71
AECOM
I Groundwater
Elevation (ft msl)18
955.81
955.79
954.90
952.67
951.10
954.17
951 .05
952.27
951 .32
952 .67
951 .12
955.65
955.74
955 .34
952 .75
951 .11
953.53
951 .08
952.29
951.36
952.70
951 .00
952.31
952.20
950 .95
947.81
947.88
950 .03
947.26
948.1 6
947.91
949 .29
948 .61
952.53
952.81
950.62
948.29
948.46
950.51
947.71
948.62
948.52
949 .89
949.13
921 .11
940.37
952.41
957.61
925.11
918 .92
905 .93
897.73
898.48
899.43
897.06
Page 2 of4
Table 2
Groundwater Level Gauging and Elevation Data
Cintas -Former Salem Uniform Services Facility (K&V, LLC Property)
Winston-Salem, North Carolina
Well Number I Initial Well MP I FmalWellMP I I Depth to Water I Groundwater
Elevation (ft msl) Elevation (ft msl) Date (ft bmp)18 Elevation (ft msl)18
12/2 9/2003 13.14 958.28
1/12/2004 12.27 959.15
10/20/2004 19.50 951 .92
12/12/2007 22.29 949.13
1/26/2009 22.62 948.80
MW-6(i) 97 1.42 971 .42 6/21/2010 20.13 951 .29
12/5/2011 23 .14 948.28
09/09/13 21.94 949.48
5/18/2015 22.55 948.87
4/28/2016 21.30 950.12
5/2/2017 22 .53 948.89
10/20/2004 19 .72 952.42
12/12/2007 22 .43 949 .71
1/26/2009 22.81 949.33
6/21/2010 20.19 951 .95
MW-6(s) 972.14 972.14 12/5/2011 23.23 948.91
09/09/13 22.02 950.12
5/18/2015 22.70 949.44
4 /28/2016 21 .51 950 .63
5/2/2017 22.60 949.54
12129/2003 12.0 5 946 .74
1/12/2004 11 .50 947.29
10/20/2004 13.07 945.72
12/12/2007 16.32 942.47
1/26/2009 15 .33 943.46
MW-7(s) 958.79 958.79 6/21/2010 13.70 945.09
12/5/2011 15.64 943.15
09/09/13 15.54 943.25
5/18/2015 15.70 943.09
4/28/2016 14.26 944.53
5/2/2 017 14.00 944.79
10/20/2004 11 .60 946.20
12/12/2007 15 .07 942 .73
1/26/2009 14.12 943 .68
6/21/2010 12.36 945.44
MW-8(i) 957.80 957.80 12/5/2011 14 .71 943.09
09/09/13 14.24 943.56
5/18/2015 14 .30 943 .50
4/28/2016 12.78 945.02
5/2/2017 12.90 944.90
10/20/2004 28.45 925.96
12/12/2007 30.96 923.45
1/26/2009 29.76 924.65
6/21/2010 Not Gauged
MW-9(i) 954 .41 954.41 12/5/2011 Not Gauged
9/9/2013 Not Gauged
5/18/2015 Not Gauged
4/28/2016 28.44 925.97
5/2/2017 Not Gauged
10/20/2004 163.00 800 .30
12/12/2007 43.92 919.38
1/26/2009 44.62 917.01
6/21/2010 43.90 917.73
MW-10 (d1) \A 963.30 961.63 12/5/2011 44.65 916.98
9/9/2013 44.59 917.04
5/18/2015 44.45 917.18
4/28/2016 44.84 916.79
5/2/2017 44.80 916.83
AECOM Page 3 of4
Table 2
Groundwater Level Gauging and Elevation Data
Cintas -Former Salem Uniform Services Facility (K&V, LLC Property)
Winston-Salem, North Carolina
I Initial Well MP Well Number Elevation (ft msl)
MW-10(i) 961.80
MW-11(s) 985.10
MW-12(s) NA
MW-12(i) NA
MW-13(i) NA
MW-13(d) NA
MW-14(i) NA
MW-15(i) NA
MW-16(i) NA
MW-16(d) NA
Notes:
MP -measuring point
ft msl -feet relative to mean sea level
fl bmp -feet below measuring point
NM -not measured
I Final Well MP I I Elevation (ft msl) Date
10/20/2004
12/12/2007
1/26/2009
6/21/2010
961.80 12/5/2011
09/09/13
5/18/2015
4/28/2016
5/2/2017
9/24/200 9
6/21/2010
12/5/2011
985.10 09/09/13
5/18/2015
4/28/2016
5/2/2017
09/09/13
976.81
5/18/2015
4/28/2016
512/20 17
09/09/13
976.49 5/1 8120 15
4/28/2016
5/2/2017
09/09/13
948.80 5/18/2015
4/28/2016
5/2/2017
09/09/13
948.90 5/18/2015
4/28/2016
5/2/2017
09/09/13
935.10 5/18/2015
4/28/2016
5/2/2017
09/09/13
910.90 05/18/15
4/28/2016
5/2/2017
09 /09/13
964.60 5/18/2015
_4/28/2016
5/2/2017
09/09/13
964 .50 5/18/2015
4/28/2016
5/2/2017
\A MP elevations on wells MW-6(d1) and MW-10 (d1) were modified on 1-19-05; cornactad MP elevation is shown.
Depth to Water
(ft bmp)18
46.04
47.74
48.25
45.83
48.50
48.56
48.45
47.58
48.33
32.78
30.85
33.60
32.40
33.51
32.03
33.75
26.1 0
26.80
25.69
27.00
25.75
26.45
25.23
26.71
28.64
29.37
28.02
29.70
29.42
30.20
29.20
30 .01
18.52
18.32
17.80
28.72
11.20
10.90
10.90
10.40
20.12
20.80
19.22
20.12
19.15
19.60
17.96
19.20
I Groundwater
Elevation (ft msl)18
915.76
914.06
913.55
915 .97
913.30
913.24
913.35
914.22
913.47
952 .32
954.25
951 .50
952.70
951.59
953.07
951.35
950 .71
950 .01
951 .12
949.81
950 .74
950 .04
95 1.26
94 9 .78
920.16
919.43
920.78
919.10
919.48
918.70
919 .70
918.89
916.58
916 .78
917.30
906.38
899.70
900.00
900 .00
900.50
944 .48
943.80
945.38
944.48
945 .35
944.90
946.54
945 .30
\BWater level elevations (2002 through 10/20/2004) are shown for water level measurements referenced from "Initial Well MP Elevation ". Water levels collected after 1-19-05
use "Final Well MP Elevatlon 11 column values as reference.
• Well MW-1(s)R is a replacement well for MW-1(s), which was destroyed in October 2005 .
Well elevation surveys conducted by RLS surveying (January 2004, October 2004 and February 2008)
AECOM Page 4 of4
Table 3
Groundwater Field Parameters
Cintas -Former Salem Uniform Services Facility (K&V, LLC Property)
Winston-Salem, North Carolina
Well Numbe, I I Tempe,atu,e I I Specmc I O I d I Date pH ISSO ve
Conductance O ( IL) (OC) (µSiem) xygen mg
01/13/04 17 .51 6.41 148 4.82
12/11/07 18 .08 6 .91 113 2.48
01/26/09 16.24 6 .53 90 2.92
06/22/10 22.09 6 .57 107 3.12
MW-1(i)* 12/07/11 16.87 6.42 89 3.42
09/10/13 38.00 6 .57 106 2 .08
05/19/15 22.57 6 .38 78 4 .24
05/04/16 17.21 5 .79 597 2.72
05/02/17 19 .10 6.22 45 .8 2 .64
MW-1(s)* 05/12/03 19 .01 4 .79 36 0.00
01/13/04 19 .10 4 .36 48 1.01
12/11/07 19.48 6.20 172 2 .99
01/27/09 14.77 6 .04 160 2.07
06122/10 17.41 3 .88 226 1.24
MW-1(s)R 12/06/11 16.97 6 .01 231 0.62
09/10/13 18.1 6 .2 218 0 .1
05/19/15 19.1 4 .75 123 0.69
05/04/16 18 .91 6 .64 329 0.18
05/02/17 18 .00 6 .08 65 .6 0 .95
01 /13/04 18.57 4 .06 30 3.00
12/11 /07 17 .19 4 .09 30 5.13
01/27 /09 20 .21 5.41 30 6.40
06/22/10 19.36 4.2 1 36 5.27
MW-2 12/06/11 17.57 4 .14 34 4.32
09/10/13 17.90 4 .75 65 5.73
05/19/15 17.85 4 .82 75 6.39
04/29/16 19.30 3 .83 86 7.50
05/03/17 17 .80 4 .59 107 .7 3.48
01 /12/04 19 .39 6.43 86 6 .64
12/12/07 19 .24 6 .27 40 3.74
01/26/09 16 .93 6.06 30 6.40
06/21/10 18 .21 5 .75 36 6.40
MW-3(i) 12/07/11 17 .69 5 .81 36 6.48
09/10/13 20 .90 6 .35 33 6 .30
05/19/15 18.43 5 .78 34 6 .98
04/28/16 19.31 5 .50 34 7.70
05/03/17 17.50 5 .97 30 .7 3.75
AECOM
Oxidation-
Reduction
Potential (mV)
135.2
61 .0
189.2
116.8
45.4
186.4
44.9
130.3
106 .0
177.0
247 .5
19 .8
169.3
212.0
75.9
71.8
81.4
18.4
71 .9
367 .5
195.0
287.9
202.5
141.9
330.9
61.3
377.3
189.5
153 .7
95.0
179 .8
155 .5
115.6
214.7
34.8
197.5
126.0
Page 1 of 5
Table 3
Groundwater Field Parameters
Cintas -Former Salem Uniform Services Facility (K&V, LLC Property)
Winston-Salem, North Carolina
Well Numbe, I I Tempmturn I I Spocmc I Dissolved I Date pH Conductance O ( /L) (OC) (µSiem) xygen mg
01/12/04 19.71 4 .59 56 5.79
12/11/07 18 .31 4 .39 87 6 .95
01/26/09 18.42 4 .70 114 4.64
06/22/10 19 .95 4.46 107 5 .46
MW-3(s) 12/07/11 18 .45 4.48 123 4 .86
09/10/13 20.00 4 .75 106 4.86
05/19/15 No Sample Collected
04/28/16 18.90 4 .54 142 6.43
05/03/17 17 .50 4.57 143.9 4.00
01/13/04 19.12 6.06 173 1.51
12/12/07 18.84 6 .27 106 4 .07
01/26/09 17.49 6.48 111 3.09
06/22/10 20 .16 4.47 113 0 .57
MW-4(i) 12/06/11 17 .52 6 .04 93 1.63
09/10/13 25.00 6 .52 178 0.90
05/19/15 26.61 5.41 66 2 .84
04/29/16 18 .79 5.52 69 5 .33
05/03/17 20 .80 5 .74 69 .9 0.99
01/13/04 19.10 4 .64 13 4.12
12/12/07 18.25 4 .37 20 4 .93
01/26/09 17 .67 4.61 18 1.50
06/22/10 18.71 4 .36 19 1.77
MW-4(s) 12/06/11 18 .09 4 .33 20 0.96
09/10/13 21 .00 4 .92 21 0.92
05/19/15 18.44 4 .36 21 1.03
04/29/16 19 .89 4 .27 17 3.17
05/03/17 18.40 3 .94 15.9 1.62
01/12/04 16.18 4.46 51 3 .28
12/11/07 15.74 4 .77 70 3.80
01/27/09 11.55 3.20 71 6.19
06/23/10 15.73 4.64 75 3.90
MW-5(i) 12/06/11 15.87 4 .74 83 2.46
09/10/13 18.30 4 .87 85 2 .42
05/18/15 18.44 5.68 102 2 .71
04/28/16 16.39 5 .56 93 2 .13
05/02/17 15 .80 4.47 106.7 2 .65
AECOM
Oxidation-
Reduction
Potential (mV)
359.9
185.3
245.4
194 .5
140.2
321.3
231 .6
185.9
116.2
96.8
154.2
162.0
79.6
178.0
22.7
201.4
151 .7
322.7
226.4
254.5
127.6
81.7
215.9
14.9
312 .0
212.7
348.3
168.9
265.2
171 .3
101 .9
244.2
49.1
-0.8
215 .1
Page 2of 5
Table 3
Groundwater Field Parameters
Cintas -Former Salem Uniform Services Facility (K&V, LLC Property)
Winston-Salem, North Carolina
Well Numbe, I I Tempmturn I I Spedfic I Dissolved I Date pH Conductance O ( /L) (OC) (µSiem) xygen mg
01/12/04 15.9 1 5.11 78 6 .19
12/11/07 15.97 4.89 138 6.75
01/27/09 13.26 6 .25 110 7.09
06/23/10 16.41 6.41 180 4.33
MW-5(s) 12/06/11 15 .65 4 .99 149 4.32
09/10/13 19.30 5.67 212 4.19
05/18/15 20 .99 6.13 143 4 .97
04/28/16 17 .23 6.20 123 4 .82
05/02/17 16.60 5.69 120.4 4 .53
01/13/04 16.43 11.67 97 4 7.46
12/12/07 12.95 12.77 2 ,385 1.40
01/27/09 13.18 12 .78 1,929 1.84
06/23/10 19 .09 10 .60 1,687 0.20
MW-6(d1) 12/07/11 16.28 12 .09 1,652 0.28
09/10/13 22 .60 11.69 1,356 7.43
05/19/15 No Field Parameters Collected
05/04/16 24.06 11 .64 1,325 7.15
05/03/17 17.90 11.33 1,189 0.85
01/13/04 16.41 6 .14 55 4 .98
12/12/07 15 .75 6 .29 42 8.89
01/27/09 15.86 8.39 28 8.69
06/23/10 16.81 6 .28 34 5.93
MW-6(i) 12/07/11 16.01 7.44 35 6.09
09/10/13 17 .60 6 .05 36 7.45
05/19/15 18 .85 5.41 33 5.18
05/04/16 18.56 5.64 36 5.10
05/03/17 16.30 7.06 41 .0 3.02
10/20/04 16.42 5 .53 72 4 .93
12/12/07 16.68 4 .34 62 1.85
01/26/09 13 .83 4.55 63 4.62
06/23/10 14.80 4.16 65 3.72
MW-6(s) 12/07/11 15.39 5.07 44 1.74
09/10/13 18 .70 4.48 59 2.32
05/19/15 18 .18 4 .25 53 2 .20
05/04/16 17.47 4.35 70 1.47
05/03/17 16.60 4 .32 47.2 2.12
01/12104 16 .26 4 .64 50 1.58
12/12/07 16.28 5 .02 67 1.48
01/27/09 13 .62 4.85 62 3.09
06/23/10 15.50 4 .55 66 1.01
MW-7(s) 12/06/11 15.66 4 .90 57 1.16
09/11/13 17 .10 5 .30 57 1.45
05/18/15 23.08 5 .50 61 2 .11
04/28/16 15.18 4 .95 55 2 .21
05/02/17 24 .70 4.80 46 .6 0.93
AECOM
Oxidation-
Reduction
Potential (mV)
314.1
152.8
195.4
315.2
97.8
276.9
39.6
2.5
141.0
-40.1
-135.7
-86.1
232 .0
10.7
-37.9
25.5
95 .6
-57 .5
116.0
211.1
492.9
105.5
272 .2
55.4
146.8
193.9
188.5
108.4
359.2
218.8
114.0
386 .0
51 .0
177.7
231.0
374 .1
84.3
197.6
224.0
81.6
313.4
-9.8
271 .8
126 .1
Page 3 of 5
Table 3
Groundwater Field Parameters
Cintas -Former Salem Uniform Services Facility (K&V, LLC Property)
Winston-Salem, North Carolina
Well N,mbc, I I Tempe,at,rn I I Specmc I o· I d I Date pH 1550 ve
Conductance O ( /L) (OC) (µSiem) xygen mg
10/20/04 16.65 6.33 14 9 4.81
12/12/07 15 .75 4 .99 75 0.42
01/27/09 14.19 5.42 61 1.60
06/23/10 15.54 5.70 80 0.85
MW-8(i) 12/06/11 15.35 5 .02 71 0.49
09/11/13 18.00 6.42 38 5.45
05/18/15 25.51 6.60 79 4.88
04/28/16 16.19 4 .83 70 0.91
05/02/17 18.80 5.94 72.5 1.93
10/20/04 16.33 NM 158 2 .65
12/12/07 15.26 5.71 98 6 .73
01/26/09 No Sample Collected
06/23/10 No Sample Collected
MW-9(i) 12/06/11 No Sample Collected
09/11/13 No Sample Collected
05/19/15 No Sample Collected
04/29/16 17.30 5.50 93 2.16
05/03/17 No Sample Collected
10i20/04 15.59 11.49 711 6.17
12/12/07 15.90 10 .09 193 4.26
01/26/09 15.09 11 .86 347 0.79
06/21/10 16.69 9.92 449 0.43
MW-10(d1) 12/07/11 15 .73 11.20 504 0.30
09/11/13 19.80 11 .38 346 0.33
05/19/15 18.71 10.20 183 5.96
04/28/16 17.77 10.71 347 0.49
05/02/17 22.80 11 .05 283.2 1.65
10/20/04 16.21 7.29 108 4 .96
12/12/07 15.64 6 .15 121 5.02
01/26/09 15.61 6.54 116 3.90
06/22/10 17 .27 6.49 116 4 .34
MW-10(i) 12/07/11 16 .53 6 .46 115 4 .24
09/11/13 19 .80 6 .84 NM 4 .05
05/19/15 19.09 6 .80 109 4.56
04/28/16 17.18 6.40 109 4.56
05/02/17 16.40 6.97 103.3 2.30
09/24 /09 19.31 5 .24 3 3 5.5 9
06/22/10 19.48 4 .99 34 5.80
12/06/11 18.24 4.79 129 6 .98
MW-11(5) 09/10/13 24 .90 5 .11 82 4 .36
05/19/15 19.49 4.92 117 6 .28
04/29/16 18 .86 4 .61 60 8.56
05/03/17 17.80 4 .93 85 .5 4 .05
AECOM
Oxidation-
Reduction
Potential (mV)
155 .1
100.1
200.6
326.3
53.9
190.0
44.8
243.6
123.1
107 .4
109.1
177.1
-26.7
-33.5
31 .7
167.4
15.0
-48.7
26.6
100.6
29.7
242.7
105.4
196.3
103.3
85 .9
203.1
27.8
79.8
130.6
NM
160.6
115.9
311.6
72.3
318.0
177.6
Page 4 of 5
Table 3
Groundwater Field Parameters
Cintas -Former Salem Uniform Services Facility (K&V, LLC Property)
Winston-Salem, North Carolina
Well Numbe, I
MW-12(s)
MW-12(i)
MW-13(i)
MW-13(d)
MW-14(i )
MW-15(i)
MW-16(i)
MW-16(d)
Notes:
'C = degrees Celcius
mV = millivolts
Date
02/27/13
09/11/13
05/19/15
04/28/16
05/03/17
02 /27/13
09/11/13
05/19/15
04/29/16
05/03/17
09/11/13
05/18/15
04/28/16
05/03/17
09/11/13
05/18/15
04/28/16
05/03/17
09/11/13
05/18/15
04/28/16
05/02/17
09/10/13
05/18/15
04/28/16
05/02/17
09/10/13
05/18/15
04/28/16
05/02/17
09/10/13
05/18/15
04/28/16
05/02/17
µSiem = microSiemens per centimeter
mg/L = milligrams per liter
NM = Not measured
I Temperatu,e I
(OC) pH
17.43 4 .99
19.10 4.83
20.10 4.45
18.87 4.35
17.80 4.60
17.21 7.41
20.30 6.32
20.26 5.76
17.40 5.46
17.60 5.39
21.30 5.91
25.51 6.77
17.85 6.10
17.40 5.60
18.70 6.89
25.04 6.93
20.31 6.92
18.00 6.79
20.00 5.27
18.50 6.49
17.63 6.85
16.22 6.53
17.20 6.00
18.40 6.59
18.75 6.68
16.57 6.10
17.10 5.77
19.30 11.59
21 .78 10.86
18 .84 10.01
16.80 10 .10
I Speo;f;c I o· I d I 1550 ve
Conductance O ( /L)
(µSiem) xygen mg
118 3.82
121 5.78
117 5.27
99 5.80
92.2 3.63
207 1.64
84 2.79
38 9.18
42 5.31
27.3 2.62
59 5.17
184 1.51
57 3.69
60.1 2.90
201 0.57
269 1.18
236 2.24
231.5 0.60
65 4.18
No Sample Collected
No Sample Collected
No Sample Collected
100 3.68
96 4.17
119 3.18
85.3 2.95
97 3.60
71 4.25
60 4.74
53.3 2.97
1,070 3 .14
570 0.67
412 0.53
307.9 0.41
• Well MW-1(s)R is a replacement well for MW-1 (s), which was destroyed in October 2005.
A ECOM
Oxidation-
Reduction
Potential (mV)
67.8
211.9
47.8
314.0
185.1
-45.3
186.4
82.4
170.6
158.9
195.2
8.7
12.3
150.0
85.4
-6.6
12.7
130.8
262.0
193.0
38.8
-2.0
104.7
-0.2
8.9
237.3
138.5
-138.9
-3.2
-15 .5
-6.6
Page 5 of 5
Table 4
Historical Groundwater Sampling Results • VoiaUWe Organic Compounds
Cintas - Former Salem Uniform Services Facility (K&V, LLC Property)
Winston-Salem, North Carolina
Weil10
15A NCAC 2L Sae
Date Collected
nd5rd {uy1LI
.. �..
V olaIIie
orga rµc Compounds tug/14
20
<5
O-
XVLENE
ACETONE
6004
BENZENE
1
CHLOPDFOR
rR
70
DCM
5
D/CHLORCDIFLU
OROMETHANE
1040
15
1'2
DICHLOR
()ETHANEDCE
0,4
•5
C15.1,2•
70
OPE
70
�5
MEK
4000
•in
NPTH
5
45
1,1,1,2- 1'2'4 145P-
PCE TCE TRIMETHYL9
PCA ENIENf XYLENE
NS
<5
0.7
e75
3
<5
400
• <5
509'
<'n
son"
<S
MW-1{Ij
012111/2007
<25
<1
<1
<2,0
4.2 .J
<1
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41
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5/4/2016
11.3
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NA
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112
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410
441
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NA
5/2/2017
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1/12/2004
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11,550
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420
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420
<100
<20
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4,930
202
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420
6122/2010
4500
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<20
<20
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<20
420
<20
22400
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12/512011
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an
BD
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1,346
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7 NA
5/2/2017
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41
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641
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753
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1/27/2099
<125
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410.0
<5
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<5
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<25
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766
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0/22/2010
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46
610
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12/6/2011
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NA .
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5/3/2017
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AECtU1
pages of

Table4
Historical Groundwater Sampling Results -Volatile Organic Compounds
Cintas -Former Salem Uniform Services Facility (K&V, LLC Property)
Winston-Salem, North Carolina
Well ID II Date Collected
15A NCAC 2L Standard (ug/L)
MW-3(s)
MW-4(i)
MW-4(s)
MW-5(i)
MW-5(s)
AECOM
DO
009
010
11217/2011
9/10/2013
5/1B/2015
4/2B/2016
5/312017
1/1312004
12/1212007
1/26/2009
6122/2010
1216/2011
9/10/2013
5119/2015
412912016
51312017
1113/2004
12/1212007
1/26/2009
6/22/2010
12/6/2011
9/1012013
5/1912015
4129/2016
513/2017
111212004
12111/2007
1/2712009
6/23/2010
12/612011
9/1012013
5/1BI2015
4/28/2016
5/2/2017
1112/2004
12111/2007
1/27/2009
6/2312010
12/612011
9/1012013
5/18/2015
4/2B/2016
5/212017
ACETONE BENZENE
6000 1
<25 <1
<25 <1 E
<25 <1
<25 <1
<25.0 <1 .0
<25.0 <1 .0
<50 <1.00
<50 J3 J4 <1
<10 <5
<25 <1
<25 <1
<25 <1
<25 <1
<25.0 <1.0
<25.0 <1.0
<50 <1.00
<50 J3 J4 <1
<10 <5
<25 <1
<25 <1
<25 <1
<25 <1
<25.0 <1.0
<25.0 <1.0
<50 <1.00
<50 J3 J4 <1
<10 <5
<25 <1
<25 <1
<25 <1
<25 <1
<25.0 <1 .0
<25.0 <1.0
<50 <1.00
<50 J3 J4 <1
<10 <5
<25 <1
<25 <1
<25 <1
<25 <1
<25.0 <1.0
<25.0 <1.0
<50 <1.00
<50 J3 J4 <1
CHLOROFOR DCM M
70 5
<1 -
<1 <2.0
<1 <2.0
<1 <2.0
<1.0 <2.0
<1.0 <2.0
<5.00 NA
<5 <5
<5
<1 ·-
<1 <2.0
<1 <2.0
<1 <2.0
<1.0 <2.0
0.95J <2.0
0.633 NA
0,342 J <5
<5 -
<1 <2.0
<1 <2.0
<1 <2.0
<1 <2.0
<1.0 <2.0
<1.0 <2.0
<5.00 NA
<5 <5
<5
1.2 <2.0
1.7 <2.0
1.5 <2.0
1.6 <2.0
1.5 <2.0
1.7 <2.0
1.28 NA
1.03J <5
<5 -
<1 <2.0
<1 <2.0
<1 <2.0
<1 <2.0
<1.0 <2.0
1.7 <2.0
<5.00 NA
<5 <5
Volatile Organic Compounds (ug/L)
DICHLOROOIFLU 1,2 -CIS-1 ,2· DICHLOR DIPE MEK OROMETHANE OETHANE DCE
1000 0.4 70 70 4000
<1 <1 <1 <1 <5
<1 <1 <1 <1 <5
<1 <1 <1 <1 <5
<1 <1 <1 <1 <5
<1.0 <1.0 <1.0 <1.0 <5.0
<1.0 <1.0 <1.0 <1.0 <5.0
<5.00 <1.00 <1.00 <1.00 <10.0
<5 <1 <1 <1 <10J4
<5 <5 <5 <5 10
3.0 <1 <1 <1 <5
3.4 <1 <1 <1 <5
1.0 <1 <1 <1 <5
3.0 <1 <1 <1 <5
1.3 <1.0 <1.0 <1.0 <5.0
7.2 1.7 <1.0 1.5 <5.0
<5.00 <1.00 <1.00 1.41 <10.0
4J 1.06 <1 0.95 J <10J4
<5 <5 <5 <5 <10
<1 <1 <1 <1 <5
<1 <1 <1 <1 <5
<1 <1 <1 <1 <5
<1 <1 <1 <1 <5
<1.0 <1.0 <1.0 D.24J <5.0
<1.0 <1.0 <1.0 0.17J <5.0
<5.00 <1.00 <1.00 <1.00 <10.0
<5 <1 <1 <1 <10J4
<5 u <5 <5 <10
<1 3.3 <1 <1 <5
<1 4.5 <1 <1 <5
<1 4.1 <1 <1 <5
<1 3.7 <1 <1 <5
<1.0 <1.0 <1.0 0.14J <5.0
<1.0 a.a <1.0 <1.0 <5.0
<5.00 3.11 <1 .00 <1.00 <10.0
<5 2.&4 <1 <1 <10J4
<5 <5 <5 <5 <10
<1 <1 <1 <1 <5
<1 <1 <1 <1 <5
<1 <1 <1 <1 <5
<1 <1 <1 <1 <5
<1.0 <1.0 <1.0 <1.0 <5.0
<1.0 <1.0 <1.0 <1.0 <5.0
<5.00 <1.00 <1.00 <1.00 <10.0
<5 itiii3 J <1 <1 -<10J•
1,1,1 ,2-1,2 .4-M&P· 0-MTBE NPTH PCE TCE TRIMETHYLB PCA ENZENE XYLENE XYLENE
20 6 NS 0.7 3 400 soo' soo'
<1 <1 <1 <1 <1 <1 <2 co
<1 <1 <1 <1 <1 <1 <2 <1
<1 <1 <1 <1 <1 -<2 <1
<1 <1 <1 <1 <1 -<2 <1
<1 .0 <1.0 <1.0 <1.0 <1.0 -<2.0 <1.0
0.35 <1.0 <1.0 0.64 <1.0 <1.0 <2.0 <1.0
<1.00 <5.00 <1.00 <1.00 <1.00 <1.00 NA NA
0.597 J <5 <1 <1 <1 <1 --
<5 <5 <5 ·e <5 <5 <10 <5
<1 <1 <1 au <1 <1 <2 <1
<1 <1 <1 37.1 <1 <1 <2 <1
<1 <1 <1 ••• <1 -<2 <1
<1 <1 <1 &7.1 <1 -<2 <1
<1.0 <1.0 <1.0 12 <1.0 <2.0 <1.0
0.84J <1.0 <1.0 7:U 0.69J <1.0 <2.0 <1.0
0.824 <5.00 <1.00 u .o 0.647 <1.00 NA NA
0.567 J <5 <1 70.0 0.459 J <1 --
<5 <5 <5 11 <5 <5 <10 <5
<1 <1 <1 31.1 <1 <1 <2 <1
5.2 <1 <1 &Z.Z <1 <1 <2 <1
<1 <1 <1 34.2 <1 -<2 <1
<1 <1 <1 zu <1 -<2 <1
<1.0 <1.0 <1.0 3&.2 <1.0 --<2.0 <1.0
<1.0 <1.0 <1.0 138 <1.0 <1.0 <2.0 <1.0
<1.00 <5.00 <1.00 37.1 <1.00 <1.00 NA NA
<1 <5 <1 ..... <1 <1 -· -
<5 <5 <5 1.3 <5 <5 <10 <5
1.9 <1 <1 4.2 <1 <1 <2 <1
2.4 <1 <1 1.4 <1 <1 <2 <1
2 <1 <1 1.Z <1 .. <2 <1
2.5 <1 <1 3.1 <1 -<2 <1
2.3 <1.0 <1.0 4.7 0.71J --<2.0 <1.0
2.3 <1.0 <1.0 3.7 0.8 <1.0 <2.0 <1.0
2.32 <5.00 <1.00 3.77 0.679 <1.00 NA NA
1.85 <5 <1 3.26 0.473 J <1 ..
<5 <5 <5 <5 <5 <5 <10 <5
<1 <1 <1 <1 <1 <1 <2 <1
<1 <1 <1 <1 <1 <1 <2 <1
<1 <1 <1 <1 <1 -<2 <1
<1 <1 <1 <1 <1 -<2 <1
<1.0 <1.0 <1.0 <1.0 <1.0 -<2.0 <1.0
2.3 <1.0 <1.0 <1.0 <1.0 <1.0 <2.0 <1.0
3.45 <5.00 <1.00 o.•·· <1.00 <1.00 NA NA
5.54 <5 <1 1.13 _ <1 <1
Page 2 of5
Table 4
Historical Groundwater Sampling Results -Volatile Organic Compounds
Cintas - Former Salem Uniform Services Facility (K&V, LLG Property)
Winston-Salem, North Carolina
Well ID
15A NCAC 2L Standard
Dale C0Dect�d
V Millie 0rge Mr Compounds
I uglL
4000
<10
0-
%YLENE
ACETONE
BL•NZENE
1
45
CHLOROFOR
r'R
DCM
5
DECHLORODIFLI!
DRpME7HANE
1000
10
'2
DICHR
LCI
OETHANE
0.4
•-
CM-
0CE
70
•5
DIPS
70
<5
MTEIE
20
NPTN
6
t5
1,1,1,E
PCA
N5
-"5
PCE
0.7
51,9110
7CE
3
92
1MAP-
TRIMEThETHYLB %VLENE
ENZENE
I.ugit)
r•1 .:.�.+
E000
<l0
'0
<5
400
500'
'0
500'
•5
MA442011
120;212007
•25110
<100
.100
.2U0
.100
.100
.100
.106
<500
e100
<100
14,400
226 -11
at00
<,100
•1041
1127r2009
<2500
4100
•101'
<200
.100
<100
•000
<100
c500
<100
<100
e100
L1a300
- 130
<100
.2o0
e100
9/23r2010
-500
<20
<20
•40 0
•20
•20
<20
<20
<100
<20
.20
e20
9,129
24.1
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<20
+2/712011
- 1250
<50
cw
1120
450
.50
450
e50
250
<50
450
-<50
9150
.50
--
<100
<50
510/2013
<1. T,50
•500
.50. a
,sai
4560 T
r50.0
.50.0
•500
<250
<50.0
<50.0
<50.0
7,080
1'ft
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<1SK1
c500
0/19201(5
•312
<r25
r 4125
+250
<1i'.
e125
<125
.12.5
<625
<12_5
<725
<12.5
252
10.8J
<125
<25.0
•175
5/472016
52.8
0.499
<5.00
NA
<5.00
41 00
4.10
<100
1.00
<1.00
<5.00
<1.00
1,490
83.9
<7.00
NA
NA
5/312017 °
44.4 J.13 J4
0.694 J
45
<5
<5
<1
5.5
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4.83 J J4
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<5
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<5
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L <5 _
5.9
KM*
7W1
<5
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<5
1211212007
<2500
r'<5,
<100
{<1)
<100
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13.51
<100
(<1r
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11.41
<1011
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<500
1051
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<100
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<100
l2i
11400
(19,2001
.100
r40.51
<100
(.1)
4200
r<2J
4100
1<11
1r2112003
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1c1001
<1[11I
1<100/
400
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(<100/
r100[<100y
<100
r<1009
500
('5001
<100
1<1001
<100
1<1001
<100
I<1001
43,400
I4600131
<100
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<100 (S100j
<200
1<200]
<100
<100.
6123/2010
<5250
<250
<250
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<250
<250
<280
<k50
<1250
<250-
<250
<250
20,700
<250
-
05110
<250
12/772011
<25 1
<1
<1
1.0J
41
<1
<1
<1
<5
<1
<1
<1
111
<1
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<1
9/10/2013
c25.0
<1 n
0.70J
<2.0
11.2
<1.0
1.4
<1.0
45.0
<1.0
<1.0
2.7
28 S00
36.4
-
<2.0
0.112.1
5/1012015
412500
4500
<500
<1000
<500
<500
<500
<500
<2500
<500
<500
<500
24600 _
<500
<500
<1000
<500
5412015
.250
45.00
<25,0
NA
11.5
<5.00
2.31
<5.00
<50.0
.5.00
<25,0
.5.00
17.500
U
<5.00
NA
NA
5r312017
c12500 J3 J4
<25000
• 1.15000
<125000
<125000
<25000
<25000
<25000
<250000 J d
<25000
<125000
.25000 1
17,000
.25000
<25000
-
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MW-8(s)
�102012004
14
e5
r <5
<5
_
e5
11
<5
<10
<5
<5
<5
/Id
T,4
<5
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12/122007
.25
<1
<1
'2.0
c1
r1
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c5
<1
<1
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15.9
<1
<1
Q
<1
1/2772000
<25
<0
41
42-0
r1
<1
<1
<1
<5
<1
<1
41
Li
<1
<1
<2
<1
6123/2010
<25
<1
<1
4.0
<1
<1
<1
<1
<5
el
<1
<1
<1
41
-
<2 _
<1
1217/2011
Q5
<1
<1
.2.0
<1
<'1
<1
<1
<5
<1
<1
<1
<1
<1
-
r2
r1
9Y1012013
<26.0
<1.0
41.0
<20
<1.0
<1.0
e1.0
<1.0
.5.0
<1.0
<1.0
<1.0
LJ6 -.
<7.0
-
<2.0
.1.0
5/10(2015
<25.0 (<25.0)
<1.0 (<1.0)
<1.0 (<7.0)
<2.0 (<20)
<1.0 (<1.0)
ell) (<1.0)
<1.0 (<1.0)
.1.0 (.1.0)
<5.0 (.5.0)
(e1.01
1<7.01
<1.0 (.1.'0),
:113,11
<1.0 (<1,0)
.1.0 (41.0)
Q,0 (.2,0)
S<1.0)
574/2019
.50 (.50)
e1.00
(<1.00)
<5.00 (<5J70)
NA
e5.00 (.5.00)
S1'OQ
(<1.00)
<1.00
e7.�
(1.00}
<10.0 (<10A]
<1'w
(<1.00)
``5.�
(�5.OQ1
<1,00
<1.OQ1
_
0.077
�C.878
<1,p0
<t.00}
<1.00 I<1.00)
..
NA
NA
LJ312017
<50 J8 J4
<1
<5
<5
<5
41
e1
<1
<10 J4
<7
es
e1
•
<1
<1
-
-
MW-7(a)
111212004
<10
<5
.5
-
<5
e5
45
<5
<10
4.5
<5
<5
<5
<5
<5
<ID
<5
1211212007
<25
<1
<1
<2.0
41
<1
<1
<1
e5
<1
<1
<1
<i
<1
<1
<2
<1
//2712009
425
<1
<1
42.0
<1
<1
<1
<1
<3
41
41
<1
<1
<1
<1
<2
<1
525/2010
<25
<1
.1
<2.0
<1
<1
<1
<1
<5
<1
<1
41
<1
<1
-
<2
<1
121612011
<25
<1
K1
<2.0
et
<1
41
<1
<5
<1
<1
<1
<1
<1
-
<2
<1
9/11/2013
<25.0
<1.0
<1.0
<20
<1.0
.1.0
<1.0
<1,0
<5.0
<1,0
e1.0
<1.0
0.50J
<1.0
-
<20
<1.0
515i2015
<25.6 (<25,0)
<1.0 (<1.0)
41.0 (e1.0)
<2.0 (.2.0)
<1.0 {41.0)
41A (<1.0)
<1.0 (e1,0)
<.1.111(41.0)
<6.0 (<5.0)
(<1,01
i<1.01
<1.0 (<1.0)
Sei VAR
.1.0(.1.61
<1.0 (<1.0)
.2.0(.2.0)
1<1.05
e50 (<50)
<100
1.100!
<5.00 (C500)
NA
5A0{5.0
<1J10
r<1.00!
[e1.00
<1.001
<T.QO
1<100r<10.0
[<10.0'
<1.OQ
S<.001
.:5.00
(6.00j
<T.00 ]
(<i_00<1.001
i<1.00
<T.00
I<100
<1.01.00]
NA4/28/2016
NA
5121017
<50 JB J4
<1
•'(
45
<6
41
<1
<1
<10 J4
<1
e5
41
e1
<1
<t
-
-
AECOM
P.w1a5

Table4
Historical Groundwater Sampling Results -Volatile Organic Compounds
Cintas -Former Salem Uniform Services Facility (K&V, LLC Property)
Winston-Salem, North Carolina
II Date Collected Well ID CHLOROFDR ACETONE BENZENE M DCM
SA NCAC 2L Standard (ug/L} 6000 1 70 5
1 10120/200-4 1 <!l I
12/12/2007 <25 '8.1(11.2) <1 <2.0
1/2712009 <25 41.0 <1 <2.0
MW~(i) 6/23/2010 <25 u.o <1 <2.0
12/612011 <25 41'.D <1 <2.0
9/11/2013 <25.0 <1.0 <1 .0 <2.0
5/18/2015 18.B <1.0 <1.0 <2.0
4/28/2016 <50 1.17 <5.00 NA
5/212017 <50 J3 J4 <1 <5 <5
10/20/2004 <10 <5 4.1Jl4.2JJ -
12/12/2007 <25 <1 <1 <2.0
1/2612009
MW-9(1) 6/21/2010
112/6/2011
9111/2013
5/19/2015
4129/2016 <50 <1 .00 0,830 NA
10/20/2004 19 <5 <5 -
12/12/2007 <25 <1 <1 <2.0
1/26/2009 <25 <1 <1 <2.0
6121/2010 <25 <1 <1 <2.0
MW-10(d1) 112/7/2011 <25 <1 <1 <2.0
9/1112013 <25.0 <1.0 <1.0 <2.0
5119/2015 <25.0 <1.0 <1 .0 <2.0
4128/2016 <50 <1 .00 <5.00 NA
512/2017 <50 J3 J4 <1 <5 <5
10/20/2004 <10 <5 <5 --
12/12/2007 <25 <1 <1 <2.0
1/2612009 <25 <1 <1 <2.0
6122/2010 <25 <1 <1 <2.0
MW-10(1) 12/712011 <25 <1 <1 <2.0
9/1112013 <25.0 <1.0 <1.0 <2.0
5/19/2015 <25.0 <1.0 <1 .0 <4.0
4/2812016 <50 <1 00 <5.00 NA
5/2/2017 <50 J3 J4 <1 <5 <5
9124/2009 <250 <10 <10 ..
6/2212010 <125 (<250 ) <5 (<1 0 ) 15.3 (11.2) <10.0
12/612011 <250 1<125 1 <10 (<5) <10 1<5) 1UJ
MW-11(s) 9/10/2013 <125 <5.0 5.1 20.t
5/1912015 <125 <5.0 Z.4J 11.1
412912016 <50 <1.00 4.17 NA
51312017 <50 J3 J4 <1 2.4ZJ <5
9/1112013 <5000 <200 <200 <400
MW-12(s) 5/1912015 <12500 <500 <500 1110
14128/2016 <50 1.A2 4.27 NA
51312017 <25000 J3 J4 <500 <2 500 <2500
AECOM
DICHLORODIFLU 1,2 -
OROMETHANE DICHLOR
OETHANE
1000 0.4
1 u 1
<1 1,lft.41
<1 1.7
<1 10.4
<1 • <1.0 <1.0
<1.0 <1 .0
<5.00 ,.11
<5 <1
<5 2.5J {2.6J )
<1 <1
<5,00 0.40-t
<5 <5
<1 <1
<1 <1
<1 <1
<1 <1
<1.0 <1.0
<1.0 <1 .0
<5.00 <1.00
<5 <1
<5 <5
<1 <1
<1 <1
<1 <1
<1 <1
<1.0 <1.0
<1 .0 <1 .0
<5.00 <1 .00
<5 <1
<10 <10
20.8(14.6) <5 (<10)
<101<5) <10 1<5)
1.8J UJ
<5,0 <5.0
1.16 <1.00
0.628 J <1
<200 <200
<500 <500
<5.00 <1.00
<2500 <500
Volatile Organic Compounds (ug/L)
CIS-1,2-1,1,1,2-1,2,4-M&P-0-
DCE DIPE MEK MTBE NPTH PCA PCE TCE TRIMETHYLB XYLENE XYLENE ENZENE
70 70 4000 20 6 NS 0.7 3 400 soo' 5004
1 ,.1~ 1 4 I q 1 4 1 I -:.10 I •s I
<1 5.8 (61 <5 <1 1.6(1.71 <1 eo.1112.11 11.1(12.7) 6,3(7.21 7.5(8.1) 3.5 (3.8)
<1 4.4 <5 <1 5.2 <1 87.4 12-4 <1 8.1 3.7
1 4.5 <5 <1 1.8 <1 83.1 1U --8.1 3.5
<1 4.3 <5 <1 1.2 <1 ._, .. ... 6.2 Z.7
<1.0 1.4 <5.0 <1.0 <1.0 <1.0 1.1 0.47J -<2.0 <1 .0
<1.0 1.9 <5_Q 0.24 <1 .0 <1.0 3.1 <1.0 <1.0 <2.0 <1.0
0.368 1.67 <1 0 0 1.05 <5.00 <1.00 3U 6-41 0.568 NA NA
<1 1.13 <1 0 J4 <1 <5 <1 ?ff <1 <1 ..
<5 <5 <1 0 <5 <5 <5 170 {1601 <5 <5 <10 1 <5
<1 1-1 <5 <1 <1 <1 163 2.2 <1 <2 I <1
No Sample Collected
No Sample Collected
No Samele Collected
No Sample Collected
No Sample Collected
4.36 0,618 <10.0 0.883 <5 .00 <1.00 441 1.70 <1.00 NA NA
<5 <5 <10 <5 <5 <5 <5 <5 <5 <10 <5
<1 <1 <5 <1 <1 <1 u <1 <1 <2 <1
<1 <1 <5 <1 <1 <1 <1 <1 <1 <2 <1
<1 <1 <5 <1 <1 <1 ..... <1 -<2 <1
<1 <1 <5 <1 <1 <1 20.7 <1 -<2 <1
<1.0 <1.0 <5.0 <1.0 <1 .0 <1.0 13.4 <1.0 -<2.0 <1.0
<1.0 <1.0 <5.0 <1.0 <1 .0 <1.0 3.1 <1.0 <1.0 <2.0 <1.0
<1.00 <1.00 <10.0 <1.00 <5.00 <1.00 11.0 <1.00 <1.00 NA NA
<1 <1 <10 J4 <1 <5 <1 14.4 <1 <1 .. -
<5 <5 <10 <5 <5 <5 <5 <5 <5 <10 <5
<1 <1 <5 <1 <1 <1 7.5 <1 <1 <2 <1
<1 <1 <5 <1 <1 <1 21 <1 <1 <2 <1
<1 <1 <5 <1 <1 <1 <1 <1 -<2 <1
<1 <1 <5 <1 <1 <1 <1 <1 -<2 <1
<1.0 <1.0 <5.0 <1.0 <1 .0 <1.0 <1.0 <1.0 -<2.0 <1.0
<1.0 <1.0 <5.0 <1.0 <1.0 <1.0 0.48 <1.0 <1.0 <2.0 <1.0
<1.00 <1.00 <10.0 <1.00 <5.00 <1.00 <1.00 <1.00 <1.00 NA NA
<1 <1 <10J4 <1 <5 <1 <1 <1 <1 --
<10 <10 <50 <10 <10 <10 709 11.1 --<20 <10
133 (<10l <5 f <1 0 I <25 (<50l <5 f<10l <5 1<10! <5 t<10l 93018201 83.1118.51 --"101<201 <5 (<;10
<10 (<5) <10 1<5) <SO (<251 <10 (<5) <10 (<5) <10 (<5 ) 8°'18°') 13.4114.1) .. <20 (<10) <1 0(<5
2.SJ <5.0 <25.0 <5.0 <5.0 <5.0 117 11,1 -<10.0 <5.0
2.1J <5.0 <25.0 <5.0 <5.0 <5.0 390 7.0 <5.0 <10.0 <50
1.53 <1.00 <10.0 <1.00 <5.00 <1.00 311 B.74 <1 .00 NA NA
0.71 J <1 <10 J4 <1 <5 <1 iN I.JI <1 .. -
,.uo <200 <1000 <200 <1.5 <200 --.. <4 00 <200
3130 <500 <2500 <500 <500 <500 14800 '811 <500 <1000 <500
3:IAO <1.00 <\0.0 <1 .00 1.28 6.82 41500 142 0.41 NA NA
2.4ZO <500 <5000J4 <500 <2500 <500 42100 128 <500 .. -
Page4of5
Table d
Historical Groundwater Sampling Results - Volatile Organic Compounds
Clntas - Former Salem Uniform Services Facility (K&V, LLC Property)
Winston-Salem, North Carolina
Well rIJ
MV�'T2{ll
note Collected
�+, I'_;1:•+.
vvletne
Oryant
mp 6unds I u0111
0-
re -Lem
ACETONE
BENZENE
CHLOROFOR DICHLORODIFLU 12Ci5-I,..
M IDCM ❑RONIETHANE DIGHLQR pCE
01PE
Mel MTBE NPTH
1,1.1,2- 1'2,4- fillip.
ACE TCE TRIM RCA E;THYLB
%>'LENE
EH2ENE
0090
1
70
li:
5 1000
6T9 9.4
0,4
-100
70
70
<1:171
400<
<50.0
2n
=I00
6
-.1011
NS
s10.0
0.7
3
133
400 500"
- cj(IA
500"
cIA. 0
-•'.,
.. 1o
ILE
2090
s'r912015
456
<10.A
2.9
'.4u
<10n
•100
14.9
.100
<500
<10.0
.10.0
<10.0
i010
S0J
_ <10.0 420.0
410.0
4r233r2016
<50
.1 .00
2.43
NA
11.E
c1 00
13.6
-,, al
<100
<1.00
<5.00
<1.00
771
i,i6
<1.00 NA
NA
513r2017
<9313 J4
41
1.72 J
Y
45
13.3
41
.20
<1
<10 J4
<1
<5
<1
443
<20
<1 -
-
MW1?lli]
F
11
091113
-
''
<1.0
0.29
<2.0
<1.0
'�_
<1.0
1.4
<5.0
4.44.1
<1.0
<1_Q
301
<1.0
- 42.0
<1A
05r10r15
c250
•10
0.34J
<20
<1,0
0.04
<1.0
1.2
<5.0
<1.0
<1.0
<1.0
101
1.5
41,0 42.0
41-0
A 124/2016
456
r1 A0
0.441
NA
<5.00
10117i. -.
<1,00
1.52
410,0
<1.00
<5.00
<1.00
1II
1.70
41.00
NA
NA
5r.r2017
s511
<1
0-375J
<5
c5
8u41i4
0,210J
1
<10
<1
<5
<1
041
1.76
<1
a2
<1
MW-S31[{}
09r11r13
..
<7.0
0.53J
<2.0
41.0
0.23J
1.6
0,76J
<5.0
0.44J
41.6
<1.0
3111
4.70
-
<2.0
<1.0
05110115
.250
e1.0
0,63J
42.0
<1,0
0.33J
2
0.52J
<5.0
0,63J
<1,0
<1.0
212
4.2
41.0
<20
-.1.0
42812015
•50
.100
0.620
NA
<500
0.362
2,57
0.2.56
<105
0,607
<5.00
<1.00
431
5.21
<1.00
NA
NA
50,312017
•.5U
.l
0.52J
<5
<5
<1
2.1]
0,4112
<10
0.644J
<5
cl
123
A.05
<1
<2
<I
RAW-14(i)
nisi-uf3
<25.0
s f ❑ `
.1.0
1.1J
<f.0
s1-0
<1.0
<1,0
0,]*J
<1-0
_
<1.0
' <1.0 1
c1-0
a1.0
<1.0
<2.0
<1.0
05i18715
No Sample Collected
4129/2016
_
No Sample Carnets[ d
MW-15[i]
09/10713
<.25,0
<1,0
<1.0<2-0
<1.0r
<1.0
<1.0
<1.0
-5.0
<1.0
<1.0
<1_0 <
1.7
<1-4
<1-0
<2.0
<1.0
05/18/15
<25-0
<1.0
<1A
<20
<1,0
<1.0
<1.0
<1,0
<5.0
.1.0
<1.0
<1.0
2.2
<1.0
<1.0
<2.0
<1.0
4125/2016
<50
<1.00
<5.00
NA
<5.00
0.00
<1.00
<1.010
<10.0
<1.00
<5.00
<1.00
212
<1.00
<1.00
NA
NA
512/2017
<50
<1
<5
<5
<5
<1
<1
<1
<10
<1
<5
<1
413
41
<7
42
41
fylW-1S[i]
09F10013
<5000
• 00
•200
aid
<200
<200
<200
<200
r1001)
<200
<200
_
c200
20000
.200
.200
saint
V00
05(19115
<5000
.200
«'00
646
<200
<200
.200
.200
<1000
.200
.200
<200
_ nano
<200
<200
-400
<Roe
4(20/2016
<sc
Gil
0.967
NA
623
421
29.0
.1.00
<10.0
<1.00
<5.00
].
0
woo
1
<i-00
NA
NA
b(712017 a
<50 J3.14
al0.516
J
<5
CM.1.-
aiH
27.2
<1
<10 J4
c1
c5
1.77 W
20.300
874
<1
-
-
M1RW-16[d}
08/10/13
Q5-0
.1.0
22.6
w
11
<1.0
-
0.50
<1.0
<5.0
<1.0
<1.0
<1.0
11
7_2
-
.2 0
<1.0
05118115
<25.0
<1.0
SA
•417
41,0
41,0
2.3
<1,0
<5.0
<4.0
<1.0
<1,0
in12.ti
c7,0
c4.0
<1 -0
4RBr2018
27.a
<1.04
236
NA
<5.00
ciAO
200c1,00
<10.0
<T_00
<5.00
<1.00
63.0
5.12 -r
<1.00
NA
NA
5/213017
14.6 J J4
<I
i-Sa J
<5
<5
c1
206
c1
<tQ
<1
c5
<1
4
c1-
Nueef-
Ruf,lL'..wrled in nsacqrsros Pee Yler1.91 e1a.N•12- dHda=siayuorornohtl.o
VOCs a•alytod by Modwd 6160, esc<pt as. y3 - He ufa,d,W eflaeefno4ln 1`A!CAC 1L
O:0 I'. < mpin lath shown w parennsnsc HA= No{ mutant
' Gne•cows. ...pies tn.' [MSS evenu SW, n14.411ee1 / &seamata ono T. hooey, PA
' Saih4Ass 0- dxre ova nls worn ansiSed for V0C4 by Method 62100 amend, WOWS A61 ma
• 17Ys same 0' usaafled eikyleewne{31 I101.}. tate&xNenco (33 n014. and 1,7,1414<9 0or o.. {age ug(L
11,e 15A 1.4114C 171 9mu•dw.t=1MAMBA lamantel'Ylmru, WW1 ndudee Ih. nan<r uba•,.r.. end+, I1.ners ter tru,n.
' 1h1a armpb atua con ai s% 1,1.4 0oroailenn (121 s 1 and Vero-1,3 l4Nm[wMn. {1.00 ew14
- This es<0 also nu<lefnee 1.I-Wallace/ene I1-LSup1L4, trans-12-d<Aeoroe@ane 0.2e Ppl_1. t I<'.b m:ene {1-e4 V3 u911. 1.1,114klyemsiSsne 110 4 VI ugtj, alp Iduene 11.14 upi
1 • Ealinaled en.enu ay.n ahnwn selw0Nl6 method 0&<tIen Raft and 6el0w edhrrtad reWAln0 Writ For 6fsl.dd 67110
J1-Sonopab rec=nnVy Sots haws been exceeded; seines an swivels. open, C<Ird Snits
J3 =The auaclaled halm ❑t wan euff0h Inc enfhlshed 0.re4H <27.r < range Nr press.
II =The wodelad tMi'0 0r; 4444 ,101e th..dae115h0d araDJ control ro.4p 5 acnwror
the elbmui Nanderdef6k0M war ommery duo 1p sample mitts Nlerferenoe, 15. allwydeaf eewuns wen ee alfew N1fi.
•- = IM Peis swine/is nr nen anal yree fd *A e<a{geand
Field = rammed med d0kcma
511eded • ee4116•xmd ep 14411 sithnescendf ti. 15ANC44 218tanoaro
REC041
A641eylap0ns:
i•CE • flb•ehlfxsll<n.
11 - lndbvu9anr
w 1,2.nGE - ci-1-244k1.01oodwno
1,1,12-PCA= 1,1,124.aaely.eMmaae
OPE = DWe0. 5y1 char
DVS = DM7{erwso o'.
ME1(.2.h,dsnone
1111)E = nxd yl ieta•euyl d1 <
NPTH = Na0d0alns
Sage Sot 6

Table 5
APT Groundwater Investigation Analytical Results - June 2017
Cintas - Former Salem Uniform Services Facility (K&V, LLC Property)
Winston-Salem, North Carolina
rww1 .e
n...4iv
ril
d.•sf eT_Bev
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CWne 75
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grr3,1 n5.4T
wwi,-ii t01o'tilnetr
.an,
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ry71 ap e n d
57:W7i 1i- 61'vwa4 n
. 111 --
rew•rsr me a.II
lip b p4p6e•��'lopo' ; �7p
Cw-ri ..s 6W 400 �-6 :i'e _4 •' lil
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•1,,J1carx4d11
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▪ w_I
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c
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tip,J
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4
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i^S
1,•J
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UM
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.11
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.�•
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UrJ� 4.33
111114
4114..10.1
•1
1
n
.1
n
,
•, •, _ -4 A - •7

Table 5
DPT Groundwater Investigation Analytical Results • June 2017
CintaS - Former Salem Uniform Services Facility (K&V, LLC Property}
Winston-Salem, North Carolina
... rw .....r•••.t^. ®,
gRior Mslam_____ � �'1
msim:cffs al
�ii71�^E... IIE IC-MI1 e� x--��e n�u:•
4a7 DM i''..
�aaaa�aaar �a.aaaaaa�l�rri u�:...ter Saar
W•+rr•wwirt.mr.r•rr
4ECca1
HIEMENtriMiliMilFAMM
•
rc.pYWw
1 s ZLIMM/Mlik_1��1 ..=M11
pia tiM==I MRCI=MM NM -J
i3kiMM__1 f 1�1• d<f_.Lf
Rn/! LM r-6
�.1 a a

Table 6
Proposed Injection and Monitoring Well Construction Deane
Former Salem Uniform Facility
4015 N. Cherry Street, Winston Salem, North Carolina
, ?il IL
..-. 5datsa
III5IalI _..9Ir-
...
r
.... I. -. .•...'Clan"
.?e111r c1a11 h+91-+an
Will rr,..l..vle,r
1'rl,Pes1
TLC Elerss5on
rn -ryl'
So..reihnle;hor 1i . I 'Neal WO Os pie
I 1N]• rII r.•,15,
Il -1
Plopas5rl
NE
1rlfectJ5I i Temporary
rin
UP
1 5
NE
2..74 34
IP-2
Proposed
NE
InJedlon- Temporary
NA
OPT
1.5
NE
2234
34
IP-3
Proposed
NE
Injection - Temporary
NA
OPT
1.5
NE
25-33
33
IA-4
Proposed
NE
Injecuse- Temporary
NA
DPT
1.5
NE
23-43
43
IP-5
Propoaad
NE
Injection -Temporary
NA
DPT
1.5
NE
27-47
47
IP-8
Proeo9ed
NE
Injection - Temporary
NA
OPT
1.5
NE
29-42
42
IP-7
Proposed
NE
Injection - Temporary
NA
OPT
1.5
NE
40-48
48
IP-8
Proposed
NE
Injection -Temporary
NA
DPT
1.5
NE
22-48
45
1P-9
Proposed
NE
..
Injection-Tern4t,rary
NA
DPT
1,5
T
NE
75-49
49 ,
IP-10
Proposed
NE
lnjectIon- Temporary
NA
©PT
1.5
NE
28-42
42
IP-11
Proposed
NE
Injection-Temfierary
NA
DPT
1,5
NE
50.48
46
IP-12
Proposed
NE
Injection - Temporary
NA
DPT
1,5
NE
22-48
40
1P-13
Proposed
NE
Injection - TemL•arery
NA
OPT
1,5
NE
24-44
44
IP-14
Proposed
NE
Injection - Temporary
NA
DAT
1.5
NE
35- 5
55
1P-15
Proposed
NE
Injection - try. orary
NA
DPT
1.5
NE
23-47
47
1P-16
Proposed
NE
injectian- Temporary
NA
OPT
1.5
NE
25-45
45
1P-17
Proposed
NE
]njectfan- Temporary
NA
DPT
1.5
ref
35-47
47
IP-18
Proposed
NE
injection - Temporary
NA
DPT
1.5
NE
37-57
57
1P-19
Proposed
NE
iryerlinn- Temporary
NA
OPT
1.5
NE
+e-56
58
iW-1
Proposed
NE
-
Injection - Permanent
PVC
Sonic
4
we
53-90
50
IW-2
Proposed
NE
Inieetien- Permanent
PVC
Sonic
2
NE
50-90
BO
PMW-109
Proposed
NE
Mamlarnto- Penn eineri
PVC
Sonic
2
NE
25-45
45
PMW-1(1,
Proposed
NE
meNtoring- Pennanenl
PVC
Sonic -
2 _
NE
65-75
75
MW-Bia12
Proposed
NE
Monitoring - Permanent
PVC
Sonic
2
NE
40-50
50
PMW-2(4)
Proposed
NE
Monilaring - Penn anent
PVC
Sonic
2
-.
NE
25-45
45
PMW-2(!)
Proposed
NE
Monitoring - Permanent
PVC
Sonic
2
NE
90_90
90
PMW-71a1
Proposed
NE
Monitoring -Permanent
PVC
Sonic
2
NE
25-45
45
PMW-3(I)
Proposed
NE
Monllof rig - Permanent
PVC
Sonic
2
NE
80.90
BO
PMW-4(0
Proposed
NE
Mom/ming - Permanent
PVC
Sonic
2
r NE
80-90
50
MW-19R
EftS1ing
12,6r2007
Mnnirormy - Permanent
SS CasinOSS screen
HSA
2
9 rl3.60
20-30
30
MW-1(5
Esietini
12119I2003
Monitoring - Permanent
PVC+SS casing/SS screen
HSAIMR
2
971.17
70-50
90
MW-12t1)
w
EA BEng
2l2012013
Manilanny-Permanent
SS Casing/SS screen
HAS
2
076.81
32-42
42
MW-120)
Eastirlg
2119/2013
Monitoring- Permanent
SS Casing/SS screen
HSAIARN
2
97549
47-77
77
MW-5{aj
Existing
10/112014
Mamrnring- Permanent
PVC+SScaainglSSscreen
HSA
2
87214
9.28
26
MW80)
Eating
12/29/2003
Monitoring - Permanent
PVC+SS casliva1SS screen
HSAIARH
2
97142
70488
80
Males
ARH -,4r RMfrylk1 Hamner
MR - Flea Ropes
IP -injector Pdn4
ivy •hjldion WMI
[Pr _ [Iraq Push ieehneleKa•
M$A-Mo'dow SWm Aup '
he -Net EtpCYMa tl
a bpi- Het below glnund surkrce
NA -Net Aprdlu.eb
rtrnV-fret roam . aIa
It km-faeticlew grovn9 see.
Terri wet ,tepee fir prep..' idle are Isl.rmzged andfuhierr in Purge =M4,nIWe]nn.
AECOI,I

Table T
Summary of Proposed Injection Quantities
Former Salem Uniform Facility
4015 N. Cherry Street, Winston Salem, North Carolina
AREA
Source Area
TOTAL INJECTION
INJECTION VOLUME PER
ABCO ZVI HFCS BICARBONATE VOLUME NO. INJECTION FOOT
(LB) (LB) (LB) (LB} (GAL) PTSIWELLS {GAL)
7,100
3,550
0
1,900
5,500
17
28
Downgradient Barrier Pilot DPT
injection Points
0
0
8,300
2,200
2,500
2
63
Downgradient Barrier Pilot
Injection Wells
0
0
12.400
3.300
3,700
2
62
AEC OM

Table 8
Proposed Pilot Study Performance Monitoring Plan
Former Salem Uniform Facility
4015 N, Cherry Street, Winston Salem, North Carolina
Field IOC VOC EA MA Microbial
Month 1
Feld TOC VOC EA MA Microbial
Month 2
Field TOC VOC EA MA Microbial
Month 3
Field TOC VOC EA MA
MEDI
o11W-1 sR
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
MW-1 iii
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
MW-12(sl
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
MW-126i
1
1
1
1
1
1
t
1
1
1
1
1
1
1
1
1
1
MW-6(el
r
1
1
1
1
1
r
1
1
1
1
1
1
1
1
1
1
MW-6i
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
MW-16i
1
-
MW-3(s)
1
.'
MW-10;si
1
MW-10ri,
1
MW-51si
1
MW5[i!
--
—
_
.—
1- -
--
--
-
-
-
r.
PTO led Pilot Tast Monilorinu Wells
PMW-10l
1
1
1
i
f 1
1
1
1
1
1
1
1
1
1
1
1
PMW-1ji)
1
1_
1
1
1
1
1
1
1
1
1
1
1
1
1
1
MW-6s2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
PMW-2(s)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
PMW-2j11
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
PMW-2(s)
1
1
i
1
1
1
1
1
1
1
1
1
1
1
1
PMW-3{i)
1
1
1
1
1
1
1
1
1
1
1
1
1
i
PMW-4ri,
T
1
1
1
1
1
1
1
1
1
1
1
1
1
Proposed PWR Infection Welts
Iw-1
IW-2
t
t t 1
1 I 1 1 1
1
1
1
1
i
t 1
1 1
1
T
1
t
1
1 t 1
1 1
Not.
FM-41 a Flee Portent.. - r1TW, DO, et{. pRP,i..rQeralen, mne�NHy
TUC = TOW Oryanle C4tb o [EPA d1 L11
voc FJeedi n�+ C ianele er (EPA e� 26
h M1epr.d97on monrbaag, 1OC (..YA i1Sti, fora won (VA 110111}, mrsgdrmee cel-A ddlrl}•
hrf4ue rto. {EPA tt1el, dInolve4 minima. (EPA 8010•.u11lde IEPA Z71 2}.aubcn dledna (MO3 EPA 91161. hyMm9.MAM200AI^)•.1Mn. WOO EPA 3 1r1}- nthe.0.1CD
EPA Mtg. mein.. IMOD EPA3810j, .1ro11Nry {AM 2926}• eNoddc (EPA 301.43
b14 Mepbnllc AW. ANZ3D. (!C¢1c Kid, propbdb add, bVA.0 atld, ern* add, lee.G acid. n{ W...re MO. F.p ,1n.ok add, M.Yi110ic KH, iirpal[mk a itl
MkN,dr = f omion10•' atett rp. A.M Donnicbocler sp. clod Cana. DNA bvrA R.tlgrL +a. kaA R.OYotase. VI. Chloride Redk.0
DHC = Dehdecacedde. se.
OHS.aldtefabae w.
PM1Y- Proponio monitoring well
rw- moron w d
DTW -aepet m weer
00-demote. Wryv1
CRP - Oripalnn Rndumm Peteneel
EPA-Eenee.r.renrol Protedam Agency
hga- below qma nd ti-rfece
Tie proposed mmlrceng xMoenne Is subject Id cimnga. Addrdo.le end/or deleIon. to Ihe peopnsed moorlOdng plan oto s�rpM
AECOM
Page1 M2

Table 8
Proposed Pilot Study Performance Monitoring Plan
Former Salem kinlrprin Facility
4 D1 5 N. Cherry Street, Winston Salem, North Carolina
Monitoring Program
Ea Iating Mnnnwing Walls
Field TOC VOC EA MA Microbial
Month 9
Field TOC VOC EA MA Microbial
Field TOC VOC EA MA Microbial
MV: 1sti
1
1
1
1
1
_
1_
1
1
1
1
1
1
1
1
MW-1SII
1
1
1
1
1
1
1
1
1
1
1
1
1
1
MW-12
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
MW-12fll
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
TAW-6 eI
1
1
1
1
1
1
1
1
1
1
1
1
1
1
MW-61
1
1
1
1
1
1
1
1
1_
1
1
1
1
1
1
MW-16i
1
MW-3(si
MW-1prs)
_
_
MW-101i1
MW-5rs:
MW-5,iI
Proposed Pilot Test Montoring Weds
PMW-1(si
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
PMW-1 di
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
MW-632
1
1
1
1
1
1
1
1
1
1
1
1
1
1
PMW-2(s)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
PMW-2(i)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
PMW3(s)
1
1
1_
1
1
1
1
1
1
1
1
1
1
1
PMW-3(I)
1
1
1
1
1
1
1
1
1
1
1
1
PMW-4I11
1
1
1
1
1
1
1
1
1
1
1
1
Proposed PWR Injection Wells
IW-1
1
1
1
1
1
1
1
1
7
1
t
1
1
1
1-
1
IW-2
1
1
1
1
1
1.1
1
1
1
1 1
1
1
r 1
1
Flea = Enid Permneeen-DM. DO, pH, ORP. temeernse. e:
TOC . Tgtl Drank Ceryn {EPA 115.1)
Vnt: • VokeneOrgank Cortmpwnds (EPAl28De}
to = tMoiton AneePtnrstt$g.aS1ee Mreeue WPM ICr T0nn0: r
/emus Inn( EPA 6015), dbacieral mennerfe>r[EPA 901p1, ILA
EPA Mini, methane WOO EPA 3e101, alioSIM4y tSM 1337i, eh
/,W• aleteCdk Ag1IAMT9Q{enenc ayd, proyynk Odd. Ctutyr
M6io011= Dehslowccddes sp. And Oehelol,soll,r y , and Con
OHC = DeneYleocsnkes sp.
OKR • Oennessmer sp.
UMW PrOgend MerNPrsg Wei
1W-Inledlon We
A1W-depth to,rater
ORP -Onclagon Reduction Piste Mtn
EPA- Enrsomwnspt Nntoetkn Agency
Op%•WOW ground peace
'Ric proposed monitoring edmrdole le ',Mimi to change. PdorJo
AECOM

Enhanced Reductive Dec hlorin a lion Injection
Filo! Study Work Plan
Figures
Prepared far. Cintas Corporation, Milford, Ohio
60544093
AECOM
Enhanced Reductive Dechlorination Injection
Pilot Study Work Plan
Appendix A
Material Safety Data Sheets
Prepared for: Cintas Corporation, Milford, Ohio
60544093
AECOM
f ~!f:~~~:.!~r~~:~~~~;~rl*~~!~;:~=~1:i,~•~::,,,AdmTOiMratto, ----·;
Standard must be consulted for specific :
1
• Form Approved
re uirements. , 0MB No. 1218-0072
IDENTITY (as Used on Label and List) -I Note: Blank spaces are not permitted. If any item is
· ABC (Anaerobic BioChem) : not
i_ applicable or no information is available, the
i ~~e ·
h[. """'"''""'"""''""·'--'"'-"''' ,,·,n·:u·•"""" ''""""·' ... , '· -~····' ...... ,. ·.:""-"'"""' ,·.c,;·,.·., t,,,c .. -,.:c.cc,.".:~P~~:£fl .mr,ir/s,.~~--~f?/DJ/!F.itt'!-.-!'1f!.!·--..,,_ ... _ ·;r. ,_a,,o·,:, ... ·,:,;•_,.)
.'.1~.~-~ ••. }~~~;.
1~~.-.···-•. ·. ~~-------~---.. ·----~---.--•. •-c __ -__ I ..... ~"' --~~ ..,., -'-•· • ,,,.. ~ ,,_., .. • -~.:;.-· . .:4, .. ,-~.,..... .., ...... , .... ---:.-~···-~-..•. , .... ,.-.,-1-·n-•,.·--,·•1 ., ~ .• ,..,,, .. ·t_.-.. ;•·;•-•..>,·-· '''';!!(::," ::•;.:--:~·,.; ........ , ~-
\ Manufacturer's ri·ame --. . .. . , . . ....
. . Emergency Teiephcine Number
----~ -·-· .... .....
919-678-0140
REDOX TECH , LLC
Address (Number, Street, City, State and Telephone Number for Information
ZIP Code) 919-678-0140
200 Quade Dr, Cary NC 27513 Date Prepared Janua_r)' 2011
Signature of Preparer (optional)
Section fl-Hazardous Ingredients/Identity Information
Hazardous 1;omp0nenls (::ipecmc c;hem,cal Iaenlily, c.;ommon I Name rsu OSHA PEL I ACGIHTLV I 6'ilier1im\is"1 Recommended ~ (0et1ona1L_J
Mixture of:
Lactate salts NA NA
(0 to 60%)
Lactic acid esters NA NA
(0 to 98.5%)
Phosphate buffer NA NA
(0 to 0.1%)
Ferrous Iron NA NA
(0 lo 0.1%)
Fatty Acids NA NA
(Oto 5%)
Propane-1,2,3-triol NA NA
CO to 99%)
" Section 111-Physlcal/Chemlcal Characteristics
Boiling Point Speclnc Gravity (H20 = 1)
> 100 C 1.12 • 1.15
Vapor Pressure (mm Hg) 2.7 mbar. 20 pH 6.0 to 8.0
Lactic acid esters OC
Vapor Density {AIR = 1) 3.8 Evaporation Rate (Butyl No information
Lactic acid esters Acetate::: 1)
Solubility in Water Fullv soluble and miscible ...
Appearance and Odor Li oQ!_Y~!lg,1:'tJg, __ c,~(~El~s-~)iSt\J_!~J ... ~!!ght to mild, characteris~c odor
Section IV-Fire and Ex plosion Hazard Data --""l""_..._,..._..,.,~,m
Flash Point (Method Used) Flammable LEL UEL
Lactic acid esters: 61 °c (ISO 2719, closed Limits 1.5% (100 °q 11.4% (100 °C) cup) Lactic acid
esters:
~xtinguishing Media ____ Water _spray,_ carbon dio,dde,§ry r,o_w_d_e __ r, __ A_F_F_F __ , i_o_am _________ ___
Special Fire Fighting Procedures
i Standard procedures for chemical fires ! Unusual Fire and Explosion Hazards
L""""fhefmaTd~ccimijosiiioii ··~~-!~~~J~rit!!!~,.,..\n-_g--9.-a-se_s_a_n-d,...v-~-_o-..r-s --------------1
i (Reproduce locally)
l OSHA 17 4 Sept. 1985
!. _____________________________________ ----·---·-··-------,.,.--------------------~
" " .,i,
Section V-Reactlvlty Data
Stability Unstable Conditions to Avoid
Stable X Temperatures above 61 °c. Will hydrolyze
_in_ presence of water, acids and bases
Incompatibility (Materials to Avoid) Strong oxidants
Hazardous Decomposition or Byproducts no known
Hazardous May Occur Conditions to Avoid Polymerization
Will Not Occur X
Section VI-Health Hazard Data
Route(s) of Entry Inhalation? Yes, I Skin? Yes ( Ingestion? Yes
esters only
Health Hazards (Acute and Chronic) Acid esters: Risk of irritation to eyes. Irritating to respiratory
sy stem. Ma y degrease
skin.
Carcinogenicity None l NTP? No I IARC Monographs? I OSHA Regulated? I I No No
Signs and Symptoms of Exposure Red Irritated skin. May cause light-headedness when used in
poorly ventilated area withou!..eroeer vapor mask •.
Medical Conditions
Ganerallv Aggravated by Exposure Persons susceo!!'?_le or sensitive to eye and reseiratory irritation ·-
Emergency and First Aid Procedures Inhalation: Move to fresh air; Skin: Wash skin immediately
with water. Eyes: Flush with
water for at least 15 minutes consult oh vsician: ln aestion: !?,,~!!!t~!!J~~l'D.~r.£.!?!:!~..\!..t~.J?JlYsician.
Section VII-Precautions for Safe Handllna and Use
Use safetv glasses and latex or nitrile 9.loves. Work in well ventilated area.
Waste Disposal Method ABC can be disposed as waste water or landfilled when in compliance with
local re aulatlons
Precautions to Be Taken in Handling and Storing May be F lammable • Do not store near ignition
-~ ~~~~~~~no~ ::0~~~:S!~::,rn:r~r~:~~:sdown to innocuous ·•roducts ·
r Other Precautions . Wea, pPE when handHng,nd ,!, conta~ghtl)( clo,ed whon stored.
~S~ction vii=t"ontrol Mei~res "~ . . . ' .. . .. ,,,,.,.,., ..
..,. . .,...,~~•uuur_~,.,.,..,.,.~, .. , ..... .t·-.---~.,.,~~/ 1u•.,,-.,..,,,.., .• .,.~--.,, __ ,., . .,,~•><:,,·. ·· .• i--...-,uu
Respiratory Protection (Specify Type) If ventilation inadequate or in confined space, use respirator
withfilter(DIN _141) ---·-·-···-· ··-···· ·-·-······ ·····----------Ventilati ! Local Exhaust Acid esters have low vapor l Special Ensure fumes can not reach
on I pressure (2.7 mbar at 20 °C) Standard HVAC ignition source
r-------··-·--;--~;~~i:~id~fir~
1
Zna:,:r~~oor or .stand fans Other
... •-••-•-••r .. _,,_,.,_, __ , . .,._. __ ,....,.,.-.--,,•-•-••• •• ••-••••••••••-•• ••--••-••-•---•••,..•-~ •• •'••., .,,.., __
Protective Gloves PVA, nitrile or latex I Eye Pr~tection ~afety _ _glasses with side shields ,.:._::,!..!!...:.:.:,::.::.::;...:;;..;;;.;.;;.:.;...-,---..L....---
Other Protective Clothing or Equipment
1-------~--·-· .. ···••···· .. ··____::::.___..:__:~------------------,
Work/Hygienic Practices Do not eat, drlnk or smoke while handling. Remove/wash contaminated
l clothing before reuse.
MATERIAL SAFETY DATA SHEET
Peerless Meta/Powders & Abrasives
124 South Military
DetroitMichigan 48209
Phone# ( 313) 841-5400
SECTION I IDENTIFICATION
ProductNa1ne: Cast Iron Aggregate
CAS No. 6599 7-19-5
Chemical Family: Metals
Formula: NIA
Date: : December 6, 2011
SECTION II INGREDIENTS AND RECOMMENDED OCCUPATIONAL EXPOSURE LIMITS
Material
Iron
Carbon
Manganese
Silicon
Chromium
CASNo.
1309~37-1
7440-44-0
7439-96-5
7440-21-3
7440-47-3
SECTION Ill PHYSICAL DATA
Weight%
90+
<4,00 ·.
<0.60
:~2.00
<0.20
ACGIH TIN Mg/cum
5
3.5
5
10
0.,5
"' C means ceiiing limit
These are limits which shall not be exceeded.
Melting Point
Base Me·lt-2750 degrees F
Density
6.7 gm/cc
Appearance and Odor
grey .Particles -no odor
SECTION IV FIRE AND EXPLOSION HAZARD DATA
Airborne finely dispersed . dust may ignite ..
Extinguishing Media
Dry chemical, dry sand, graphite to smother fire
SECTION V REACTIVE DATA
SpecialFire Fighting Procedures:
Use water only in mist /fog dry application to
avoid ·spreading powder or accumulated . dust.
Use self-container breathing apparatus
and protective clothing.
Stable under nonnal conditions ofstorage and transport .. Will react with strong oxidizers.
SECTION Vi HEALTH HAZARD DATA
No potentiai health hazards
Other than those listed are known
Effect Of Overexposure
Inhalation -bronchitis, siderosis
Eyes Contact -mechanical irritation
Emerge~cy and First Aid Procedures
Inhalation-Remove to·fresh air
Major Exposure Hazard
Eye Contact-Irrigate eyes to remove dust particles
X Inhalation, Skin Contact
X Eyes Contact, Indigestion
MATERIAL SAFETY DATA SHEET
Peerless Metal Powders & Abrasives
124 South Military
Detroit Michigan 48209
Phone# ( 313 ) 841-5400
SECTION VIl ·SPILL OR LEAK PROCECURES
A void generation ofairborne dust during c.lean-up process
Dispose· of in accordance with local, state and federal regulations
SECTION 'VIII SPECIAL PROTECTION INFORMATION
As needed, use approved dust respirator and approved safety goggles ( OSHA 29 CFR I 910.94 l.
Do not use contact lenses. Ventilation recommended. ·
SECTION IX SPECIAL PRECAUTIONS
I<.eep closed CQntainers.
Do not store near strong oxidizer$.
Use good housekeeping procedures to avoid creating dust.
The information contained herein has been complied fro~ sources, considered rcliable,and accur~te to the best of our
knowledge and belief, but is not guaranteed to be so. It relates only ·to the product listed and does not relate to use of the
product in combinatlon with any otlier material of marerials or in a particular processes. Since the use of the MSDS
information, the conditions of use of our prodµct and the environment in which that ,product is placed are not within the
control of Peerless Metal Powders and Abrasives, it is the user's obligation and duty to determine the conditions of safest
use of the products used as welt as the manner in which these·products may be affected by the environment in which they
may be used.
We urge you to review each MSDS to ei,sure that your uses of the product take into account the current information
available on its potential hazards. It is your responsibility to convey this informati~n to your employees, <:ustomers or any
one who may be exposed to this product. Please check your files•and discard any previous versions as may be applicable.
If you have any questions or require additional copies, please contact our sales department.
ADM
Material Safety Data Sheet
NFPA
WHMIS
Personal Protective Equipment
fOrgi
Trans •ortS mho!
Preparation Date 07-Jul-2009
Revision Date: 03-Dec-2010
Revision Number 1
1. PRODUCT AND COMPANY IDENTIFICATION
Product Name:
CornSweet® High Fructose 42
Product Code: 010042
Use of the Substance 1 Preparation:
Food ingredient
Emergency response telephone number:
Chemtrec 1-800-424-9300 (CCN 1635)
Contact Manufacturer:
Archer Daniels Midland Company
4656 Fades Parkway
Decatur, IL 62526, USA
Telephone Number: 217 424-5200
2. HAZARDS IDENTIFICATION
Emergency Overview
The product contains no substances which at their given concentration, are considered to be hazardous to health
Appearance
Clear Colorless
Physical State
Liquid
Odor
Odorless
Potential Health Effects
Principle Routes of Exposure
Acute Effects
Eyes
Skin
Inhalation
Ingestion
Chronic Effects
Aggravated Medical Conditions
Potential Environmental Effects
Toxicological information
None reasonably foreseeable.
Contact with eyes may cause irritation.
Health injuries are not known or expected under normal use.
Health injuries are not known or expected under normal use.
Health injuries are not known or expected under normal use.
No information available.
No information available.
See Section 12 for additional ecological information.
See Section 11 for additional toxicological information,
North America Page 1 / 6

Revision Date: CM-Dec-2010
010042 -
CornSweetHigh Fructose 42
3. COMPOSITION/INFORMATION ON INGREDIENTS
Chemical Family
Non -hazardous Components
Carbohydrate
Chemical Name
CAS -No
Weight %
North American Hazard
Indicator
Glucose liquid
50-99-7
52
-
Fructose
57-48-7
42
-
Higher Saccharides
not determined
6
-
4. FIRST AID MEASURES
Eye Contact
Skin Contact
Inhalation
Ingestion
Notes to Physician
Rinse thoroughly with plenty of water, also under the eyelids.
Rinse with water.
No information available.
Clean mouth with water and afterwards drink plenty of water.
Treat symptomatically
S. FIRE -FIGHTING MEASURES
Flammable Properties
Suitable Extinguishing Media
Unsuitable Extinguishing Media
Hazardous Combustion Products
Explosion Data
Sensitivity to mechanical Impact
Sensitivity to static discharge
Not applicable.
Use extinguishing measures that are appropriate to local circumstances and the surrounding
environment.
No information available.
No information available
No information available.
No information available,
Specific Hazards Arising from the None known
Chemical
Protective Equipment and As in any fire, wear self-contained breathing apparatus pressure -demand, MSHAINIOSH
Precautions for Firefighters (approved or equivalent) and full protective gear.
NFPA
Health 0 Stability and Reactivity 0
Flammability 1 Physical hazard -
S. ACCIDENTAL RELEASE MEASURES
Personal Precautions
Environmental Precautions
Methods for Clean-up
Not relevant for the product itself.
Prevent further leakage or spillage if safe to do so
Dam up. Soak up with inert absorbent material.
North America Page 2 t 6

Revision Date: 03-Dec-20 10
7. HANDLING AND STORAGE
010042-
CornSweet® High Fructose 42
Handling
Storage
Handle in accordance with good industrial hygiene and safety practice .
High Fructose Corn Syrups should be stored in stainless steel or FDA approved lined mild
steel tanks which are equipped with ultraviolet sterile conditioning systems.
8. EXPOSURE CONTROLS / PERSONAL PROTECTION
Ex osure Limits
This product is not known to contain any hazardous materials with occupational exposure limits established by the region specific
regulatory bodies .
Engineering Measures
Personal Protective Equipment
Eye/face Protection.
No special technical protective measures required .
Safety glasses with side-shields.
Long sleeved clothing Skin and Body Protection
Respiratory Protection No personal respiratory protective equipment normally required.
General Hygiene Considerations Handle in accordance with good industrial hygiene and safety practice
Appearance
Physical State
Flash Point
Boiling point
Flammability Limits in Air
pH
Water Solubility
Vapor Density
Chemical Stability
Conditions to Avoid
Incompatible Materials
9. PHYSICAL AND CHEMICAL PROPERTIES
Clear Colorless Odor
Liquid Odor Threshold
Not applicable Autoignition Temperature
11 o·c 1230°F Melting/Freezing Point
No information available Explosion Limits
3.5 Vapor Pressure
Completely soluble Evaporation Rate
No information available Specific Gravity
10. STABILITY AND REACTIVITY
Stable.
None known.
Hazardous Decomposition Products
Possibility of Hazardous Reactions
No materials to be especially mentioned .
None under normal use.
None under normal processing.
11. TOXICOLOGICAL INFORMATION
Acute Toxici ty
Product Information
LD50 Oral: No information available
LD50 Dermal: No information available
LC50 Inhalation: No information ava ilable
North America Page 3 / 6
Odorless
No information available
No information available
No information available
No information available
No information available
No information available
1.35 (H20 = 1)
Revision Date: 03-Dec-2010
Toxicology data for the components
Chronic Effects
Carcinogenicity
11. TOXICOLOGICAL INFORMATION
There are no known carcinogenic chemicals in this product.
OSHA: (Occupational Safety & Health Administration)
Not Listed
ACGIH: (American Conference of Governmental Industrial Hygienists)
Not Listed
NTP: (National Toxicity Program)
Not Listed
Mexico: (Official Mexican Norm NOM-010-STPS-1999)
Not Listed
IARC: (International Agency for Research on Cancer)
Not Listed
010042-
CornSweet® High Fructose 42
Irritation No information available .
Sensitization No information available .
Mutagenic No information available.
Effects
Corrosivity No information available.
Neurological Effects No information available .
Reproductive Effects No information available.
Developmental No information available.
Effects
Target Organ Effects No information available .
12. ECOLOGICAL INFORMATION
Ecotoxicity
Contains no substances known to be hazardous to the environment. Contains no substances known to be not degradable in waste
water treatment plants.
Perslstence/Degradability
Bioaccumulation/ Accumulation
Mobility
Readily biodegradable.
Not applicable.
Soluble in water.
13. DISPOSAL CONSIDERATIONS
Whenever possible, as rules and regulations allow, please recycle or manage materials to minimize waste.
Waste Disposal Methods
Contaminated Packaging
North America
Solutions with low pH-value should be neutralized before discharge. Dispose of in compliance
with the laws and regulations pertaining to this product in your jurisdiction.
Empty containers should be decontaminated and taken for local recycling, recovery or waste
disposal
Page 4/ 6
Revision Date: 03-Dec-2010 010042 -
CornSweet® High Fructose 42
14, TRANSPORT INFORMATION
Domestic transport regulations (USA)
DOT Not regulated
Domestic transport regulations (Canada)
TDG Not regulated
Domestic transport regulations _Mexico)
MEX Not regulated
International transport regulations
ICAO Not regulated
IATA Not regulated
IMDGIIMO Not regulated
15. REGULATORY INFORMATION
International Inventories
The comr+onents of this product are resorted in the following inventories:
Chemical Name
TSCA
DSL
NDSL
EINECS'
ELINCS
A1CS
ENCS
ISHL
CHINA
PICCS
KECL
NZLoC
Fructose
Yes
Yes
No
Yes
200-333-3
No
Yes
Yes
8y-47
Yes
Yes
Yes
KE-17262
Yes
Glucose liquid
Yes
Yes
No
Yes
240-075-1
No
Yes
Yes
;8 r-46
Yes
Yes
Yes
KE•17727
Yes
Higher Saccharides
not
determined
Not
determined
not
determined
not
determined
not
determined
not
determined
not
determined
not
determined .
not
determined
not
determined
not
determined
Legend
TSCA - Toxic Substances Control Act, Section 6(b) Inventory (USA). DSL - Domestic Substance List (Canada). NDSL - Non Domestic
Substances List (Canada). EINECS - European Inventory of Existing Commercial Chemical Substances (EU). ELINCS - European List
of Notified Chemical Substances (Ell). AICS - Australian Inventory of Chemical Substances (Australia). ENCS - Existing and New
Chemical Substances (Japan). ISHL - Industrial Health and Safety Law (Japan). CHINA - Chinese Inventory of Existing Chemical
Substances (China). PICCS - Inventory of Chemicals and Chemical Substances (Philippines). KECL - Korean Existing and Evaluated
Chemical Substances (Korea). NZLaC - New Zealand Inventory of Chemicals (New Zealand).
USA
Federal Regulations
Ozone Depleting Substances:
No Class I or Class II material is known to be used in the manufacture of, or contained in, this product.
SARA 313
Section 313 of Title III of the Superfund Amendments and Reauthorization Act of 1986 (SARA). This product is not known to contain
any chemicals which are subject to the reporting requirements of the Act or regulations contained in 40 CFR 372.
SARA 3111312 Hazardous Categorization
Acute Health Hazard No
Chronic Health Hazard No
Fire Hazard No
Sudden Release of Pressure Hazard No
Reactive Hazard No
North America Page 516

Revision Date: 03-Dec-2010
Clean Air Act, Section 112 Hazardous Air Pollutants (HAPs) (see 40 CFR 61)
This product is not known to contain any HAPS .
State Regulations
California Proposition 65
010042 -
CornSweet® High Fructose 42
Proposition 65 chemicals are not expected to be found in this product above those naturally present in their agricultural source.
Proposition 65 exempts naturally occurring listed chemicals from an obligation to label.
State Right-to-Know
No k b" nown components su >iect to "R1qI t-To-Know" leqislat1on in the ol owinq States: . h f I
Chemical Name Weight% Illinois Massachusetts New Jersey Pennsylvania Rhode Island
Fructose 42 No No No No No
Glucose liauid 52 No No No No No
Higher Saccharides 6 No No No No No
Canada
WHMIS Product Classification
Exempt: Food Product per Hazardous Products Act Part II Controlled Products Section 12 .
WHMIS Ingredient Disclosure List IDL
No known component is listed on the WHMIS ingredients disclosure list.
(NPRI) Canadian National Pollutant Release Inventory
No known component is listed on NPRI.
This product has been classified in accordance with the hazard criteria of the Controlled Products Regulations (CPR) and the
SDS contains all the information required by the CPR.
Mexico
Mexico -Grade
Prepared By
Preparation Date
Revision Date:
Revision Summary
No information available.
16. OTHER INFORMATION
ADM Corn Processing
07-Jul-2009
03-Dec-2010
This data sheet contains changes from the previous version in section(s) 3, 15. This version
replaces all previous versions .
The information provided on this (M)SDS is correct to the best of our knowledge, information and belief at the date of its
publication. The information given is designed only as a guide for safe handling, use, processing, storage, transportation,
disposal and release and Is not to be considered as a warranty or quality specification. The information relates only to the
specific material designated and may not be valid for such material used in combination with any other material or in any
process, unless specified in the text.
End of (M)SDS
North America Page 6 / 6
SIGMA-ALDRICH
1. PRODUCT AND COMPANY IDENTIFICATION
Product name
Product Number
Brand
Company
Telephone
Fax
Emergency Phone #
Sodium bicarbonate
S6014
Sigma-Aid rich
Sigma-Aldrich
3050 Spruce Street
SAINT LOUIS MO 63103
USA
[phone]
[phone]
[phone]
2. COMPOSITION/INFORMATION ON INGREDIENTS
Synonyms Natron
Sodium hydrogen carbonate
Formula
Molecular Weight
CAS-No.
NaHCO3
84.01 g/mol
I EC-No.
Sodium hvdroQencarbonate
144-55-8 I 205-633-8
3. HAZARDS IDENTIFICATION
Emergency Overview
OSHA Hazards
No OSHA Hazards
HMIS Classification
Health Hazard : 1
Flammability: 0
Physical hazards : 0
NFPA Rating
Health Hazard: 0
Fire : 0
Reactivity Hazard : 0
I Index-No.
I -
Material Safety Data Sheet
Version 3.0
Revision Date 06/26/2007
Print Date 08/31/2009
I Concentration -[% 1
I -
Potential Health Effects
Inhalation
Skin
May be harmful if inhaled . May cause respiratory tract irritation.
May be harmful if absorbed through skin. May cause skin irritation .
Sigma-Aldrich -S6014 Sigma-Aldrich Corporation
www.sigma-aldrich .com Page 1 of 5
Eyes
Ingestion
4. FIRST AID MEASURES
If inhaled
May cause eye irritation.
May be harmful if swallowed.
If breathed in, move person into fresh air. If not breathing give artificial respiration
In case of skin contact
Wash off with soap and plenty of water.
In case of eye contact
Flush eyes with water as a precaution.
If swallowed
Never give anything by mouth to an unconscious person. Rinse mouth with water.
5. FIRE-FIGHTING MEASURES
Flammable properties
Flash point no data available
Ignition temperature no data available
Suitable extinguishing media
Use extinguishing measures that are appropriate to local circumstances and the surrounding environment.
Special protective equipment for fire-fighters
Wear self contained breathing apparatus for fire fighting if necessary.
Further information
The product itself does not burn.
6. ACCIDENTAL RELEASE MEASURES
Personal precautions
Avoid dust formation.
Environmental precautions
Do not let product enter drains.
Methods for cleaning up
Sweep up and shovel. Keep in suitable, closed containers for disposal.
7. HANDLING AND STORAGE
Handling
Provide appropriate exhaust ventilation at places where dust is formed.
Storage
Keep container tightly closed in a dry and well-ventilated place.
8. EXPOSURE CONTROLS / PERSONAL PROTECTION
Contains no substances with occupational exposure limit values.
Personal protective equipment
Respiratory protection
Respiratory protection is not required. Where protection from nuisance levels of dusts are desired, use type N95
(US) or type P1 (EN 143) dust masks. Use respirators and components tested and approved under appropriate
government standards such as NIOSH (US) or CEN (EU).
Hand protection
For prolonged or repeated contact use protective gloves.
Sigma-Aldrich· S6014 Sigma-Aldrich Corporation
www.sigma-aldrich.com Page 2 of 5
Eye protection
Safety glasses
Hygiene measures
General industrial hygiene practice.
9. PHYSICAL AND CHEMICAL PROPERTIES
Appearance
Form solid
Colour no data available
Safety data
pH no data available
Melting point 300 °C (572 °F)
Boiling point no data available
Flash point no data available
Ignition temperature no data available
Lower explosion limit no data available
Upper explosion limit no data available
Density 2.160 g/cm3
Water solubility no data available
10. STABILITY AND REACTIVITY
Storage stability
Stable under recommended storage conditions.
Conditions to avoid
Avoid moisture.
Materials to avoid
Strong acids, Strong oxidizing agents
Hazardous decomposition products
Hazardous decomposition products formed under fire conditions.
Carbon oxides, Sodium oxides
11. TOXICOLOGICAL INFORMATION
Acute toxicity
LD50 Oral -rat -4,220 mg/kg
Irritation and corrosion
Skin -Human -Mild skin irritation -3 d
Eyes -rabbit -Mild eye irritation -30 s
Sensitisation
no data available
Chronic exposure
no data available
Sigma-Aldrich -S6014 Sigma-Aldrich Corporation
www.sigma-aldrich .com Page 3 of 5
Signs and Symptoms of Exposure
Exposure to large amounts can cause:, Gastrointestinal disturbance, Heavy or prolonged skin exposure may result in
the absorption of harmful amounts of material.
Potential Health Effects
Inhalation
Skin
Eyes
Ingestion
May be harmful if inhaled. May cause respiratory tract irritation.
May be harmful if absorbed through skin. May cause skin irritation.
May cause eye irritation.
May be harmful if swallowed.
12. ECOLOGICAL INFORMATION
Elimination information (persistence and degradability)
no data available
Ecotoxicity effects
no data available
Further information on ecology
no data available
13. DISPOSAL CONSIDERATIONS
Product
Observe all federal, state, and local environmental regulations.
Contaminated packaging
Dispose of as unused product.
14. TRANSPORT INFORMATION
DOT (US)
Not dangerous goods
IMDG
Not dangerous goods
IATA
Not dangerous goods
15. REGULATORY INFORMATION
OSHA Hazards
No OSHA Hazards
TSCA Status
On TSCA Inventory
DSL Status
All components of this product are on the Canadian DSL list.
SARA 302 Components
SARA 302: No chemicals in this material are subject to the reporting requirements of SARA Title Ill, Section 302.
SARA 313 Components
SARA 313: This material does not contain any chemical components with known CAS numbers that exceed the
threshold (De Minimis) reporting levels established by SARA Title 111, Section 313.
SARA 311/312 Hazards
Acute Health Hazard
Sigma-Aldrich -S6014 Sigma-Aldrich Corporation
www.sigma-aldrich.com Page 4 of 5
Massachusetts Right To Know Components
No Components Listed
Pennsylvania Right To Know Components
Sodium hydrogencarbonate
New Jersey Right To Know Components
Sodium hydrogencarbonate
California Prop. 65 Components
CAS-No.
144-55-8
CAS-No .
144-55-8
Revision Date
Revision Date
This product does not contain any chemicals known to State of California to cause cancer, birth, or any other
reproductive defects.
16. OTHER INFORMATION
Further information
Copyright 2007 Sigma-Aldrich Co. License granted to make unlimited paper copies for internal use only., The above
information is believed to be correct but does not purport to be all inclusive and shall be used only as a guide. The
information in this document is based on the present state of our knowledge and is applicable to the product with
regard to appropriate safety precautions. It does not represent any guarantee of the properties of the product. Sigma-
Aldrich Co., shall not be held liable for any damage resulting from handling or from contact with the above product.
See reverse side of invoice or packing slip for additional terms and conditions of sale.
Sigma-Aldrich -S6014 Sigma-Aldrich Corporation
www.sigma-aldrich .com Page 5 of 5
CiiREM
-Sits Ikons,'
130 Research Lane, Suite 2 Guelph•Ontario • N1G 5G3 • Canada • Tel: [phone] • Fax: [phone]
Dechlorinator Material Safety Data Sheet
Section t: Material Identification
Trade Name: KB-1°Dechlorinator
Chemical Family: bacterial mixture
Chemical name: No ItJC name for mixture is known to exist
Manufacturer/Supplier: SiREM
130 Research Lane, Suite 2.
Guelph, Ontario,
Canada N1G 5G3
For Information call: 519-822-2265 / 1-866-251-1747
Emergency Number: 519-822-2265
Description: Microbial inoculum (non-pathogenic, non -hazardous)
Trade Name: Dechlorinator
Product Use: Biaremediation of contaminated groundwater
Date Prepared: 2 February 2005
Section 2: Composition, Information on Ingredients
KB-1e 'Dechlorinator is a microbial culture grown in an aqueous dilute mineral salt solution media
containing no hazardous ingredients.
The microbial composition of KB-1t' Dechlorinator (as determined by phylogenetic analysis) Is
fisted in Table 1. Identification of organisms was obtained by matching 16S rRNA gene sequence
of organisms in KB-1e Dechlorinator to other known organisms_ The characteristics of related
organisms can be used to identify potential or likely characteristics of organisms in KB-e
Dechlorinator.
Table 1. Genus' identified in KB-18 Dechlorinator Microbial lnoculum
Genus
Dehalococcoldes sp.
Geobacter sp.
Methanomethylovorans sp.
Section 3: Hazards Identification:
A review of the available data does not indicate any known health effects related to normal use of
this product
Section4: First Aid Measures:
Avoid direct contact with skin and eyes. In any case of any exposure which elicits a response, a
physician should be consulted immediately.

(iR EM
She Mowry agadmitvom
130 Research Lane, Suite 2 Guelph+Ontario • N1 G 5G3 • Canada • Tel: [phone] • Fax: [phone]
Eye Contact: Flush eyes with water for at least 15 minutes, occasionally lift upper and lower
eyelids, if undue irritation or redness occurs seek medical attention.
Skin Contact: Remove contaminated clothing and wash skin thoroughly with water and
antibacterial soap. Seek medical attention if irritation develops or open wounds are present.
Ingestion: Do not induce vomiting, drink several cups of water, seek medical attention.
Inhalation: Remove to fresh air. If not breathing give artificial respiration. In case of labored
breathing give oxygen. Call a physician.
Section 5 - Fire Fighting Measures:
Non-flammable
Flash Point: not applicable
Upper flammable limit: not applicable
Lower flammable limit: not applicable
Section 6 —Accidental Release Procedures
Spilled KB 1c' Dechlorinator should be soaked up with sorbant and saturated with a 10%
bleach solution (prepared by making a one in ten dilution of diluted standard bleach
[normally sold at a strength of 5.25% sodium hypochlorite] to disinfect affected surfaces.
Sorbant should be double bagged and disposed of as indicated in section 12. After
removal of sorbant, area should be washed with 10% bleach solution to disinfect. If liquid
from the culture vessel is present on the fittings, non -designated tubing or exterior of the
stainless steel pressure vessel liquid should be wiped off and the area washed with 10°I°
bleach solution.
Section 7 - Handling and Storage
KB-1 Dechlorinator is shipped in stainless steel pressure vessels and connected to
injection lines and inert gas is used to pressurize the vessel to displace the contents. KB-
Dechlorinator should be handled with care to avoid any spillage. Vessels are shipped
with 1 pound per square inch (psi) pressure; valves should not be opened until
connections to appropriate lines for subsurface injection are in place.
Storage Requirements: Avoid exposing stainless steel pressure vessels to undue
temperature extremes (i.e., temperatures less than 0°C or greater than 30°C may result
in harm to the microbial cultures and damage to the vessels). All valves should be in the
closed position when the vessel is not pressurized to prevent the escape of gases and to
maintain anaerobic conditions in the vessel. Avoid exposure of the culture to air as the
presence of oxygen will kill dechlorinating microorganisms.
Section 8 - Exposure Controls/Personal Protection
Personal protective equipment:
Skin: Protective gloves (latex, vinyl or nitrite) should be worn.
Eye Protection: Wear appropriate protective eyeglasses or goggles when opening
pressure vessels vanes or when pressurizing vessels to inject contents into the
subsurface.
Respiratory: No respiratory protection is required.
Engineering Controls: Good general room ventilation is expected to be adequate.

(iREM
siteAecvverr l l4eiPgsenr
130 Research Lane, Suite 2 Guelph+Ontario • N1 G 5G3 • Canada • Tet: [phone] • Fax: [phone]
Section 9: Physical and Chemical Properties:
Physical State: liquid
Odour: skunky odour
Appearance: dark grey, slightly turbid liquid under anaerobic conditions, pink if exposed
to air (oxygen).
Specific gravity: not determined
Vapor pressure: not applicable
Vapor density: not applicable
Evaporation rate: not determined
Bolting point --100' C
Freezing point/melting point: — 0°C
pH: 6.5-7.5
Solubility: fully soluble in water
Section 10 — Stability and Reactivity Data
Stable and non -reactive.
Maintain under anaerobic conditions to preserve product integrity.
Materials to avoid: none known
Section 11 - Toxicological Information
Potential for Pathogenicity:
KB -le Dechlorinator has tested negative (i.e., the organisms are not present) for a variety of
pathogenic organisms listed in Table 2. While there is no evidence that virulent pathogenic
organisms are present in KB-1'' Dechlorinator, there is potential that certain organisms in KB -IF'
Dechlorinator may have the potential to act as opportunistic (mild) pathogens, particularly in
individuals with open wounds and/or compromised immune systems. For this reason standard
hygienic procedures such as hand washing after use should be observed.
Table 2, Results of Human Pathogen Screening of I{B-1e' Dechlorinator
Organism
Disease(s) Caused
Test result
Salmonella sp.
Typhoid fever, gastroenteritis
Not Detected
Listeria monocytogenes
Listerioses
Not Detected
Vibno sp.,
Cholera, gastroenteritis
Not Detected
Campylobacler sp.,
Bacterial diarrhea
Not Detected
Clostridia sp.,
Food poisoning, Botulism, tetanus, gas gangrene
Not Detected
Bacillus anthracis
Anthrax
Not Detected
Pseudomonas aeruginosa
Wound infection
Not Detected
Yersinia sp..
Bubonic Plague, irrtestinal infection
Not Detected
Yeast and Mold
Candidiasis, Yeast infection etc.
Not Detected
Fecal coliforms
Indicator organisms for many human pathogens diarrhea,
urinary tract infections
Not Detected
Enterococci
Various opportunistic infections
Not Detected

REM
Sire I.taverysiLeriagernes
130 Research Lane, Suite 2 Gueiph•Ontano • NIG 5G3 • Canada • Tel: [phone] • Fax: [phone]
Section 12. Disposal Considerations
Material must be disinfected or sterilized prior to disposal. Consult local regulations prior to
disposal_
Section 13 — Transport Information
Non -hazardous, non-pathogenic microbial inoculum — Biosafety Risk Group 1
Chemicals, Not Otherwise Indexed (NO1), Non -hazardous
Not subject to TOG or DOT guidelines.
Disclaimer:
The information provided on the MSDS sheet is based on current data and represents
our opinion based on the current standard of practice as to the proper use and handling
of this product under normal, reasonably foreseeable conditions.
Last revised: 24 June 2008

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AECOM
1600 Perimeter Park
Morrisville, NC 27560
USA
T : 919 .461 .1100
F: 919 .461.1415
aecom .com
Xerox Color 570
Banner Sheet
User Name:
amanda.gonzalez
Dale & Time: 07/24/2017 12:40 PM
amanda. gonzalez
Job Name : UIC Notification 7_24_17.pdf
Start Page
AECOMimagine it. AECOM
DBfivered. 1600 Perimeter Park
Morrisville, NC 27560
USA
T; 919.461.1100
F. 919.464.1416
aecorn.com
July 24, 2017
Mr. Mike Rogers
North Carolina Department of Environmental Quality
Division of Water Resources, Groundwater Protection Section
Underground Injection Control Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
Subject: Notification of Intent to Construct or Operate Injection Wells
Former Salem Uniform Services Facility (Cintas Corporation)
4015 North Cherry Street, Winston-Salem, Forsyth County, North Carolina
#NONCD0002438
RECEDINCCEQ/O Wry
JUL 2 4 2017
Wale'
Repkone, nl,arat+or,a Sa.a:wy
Dear Mr. Rogers,
AECOM Technical Services of North Carolina, Inc. (AECOM), on behalf of Cintes Corporation, is
submitting the attached Notification of Intent to Construct or Operate Injection Wells for proposed injection
activities at the former Salem Uniform Services facility located in Winston-Salem, North Carolina (North
Carolina Department of Environmental Quality Site ID # NONCD0002438). These injections are being
conducted in accordance with the Remedial Action Plan previously submitted by AECOM for the
referenced site.
Please contact Matthew Allen at [phone] if you have any questions.
Sincerely yours,
Amanda Gonzales Matthew Allen. PG
Project Engineer
Project Manager
Attachments: Division of Water Resources/Underground Injection Control/in Situ Remediation Notification
Enhanced Reductive Dechlorination Injection Pilot Study Work Plan

Division of Water Resources/Underground Injection Control/In Situ Remediation
Notification
North Carolina Department of Environmental Quality-Division of Water Resources
NOTIFICATION OF INTENT (NOi) TO CONSTRUCT OR OPERA TE INJECTION WELLS
The following are ''permitted by rule" and do not require an individual permit when constructed in accordance
with the rules of 15A NCAC 02C .0200. This form shall be submitted at least 2 WEEKS prior to injection.
AQUIFER TEST WELLS (15A NCAC 02c .0220)
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITU REMEDIATION (15A NCAC 02C .0225) or TRACER WELLS (15A NCAC 02c .0229):
1) Passive Iniection Svstems -In-well delivery systems to diffuse injectants into the subsurface. Examples include
ORC socks, iSOC systems, and other gas infusion methods.
2) Small-Scale Injection Operations -Injection wells located within a land surface area not to exceed 10,000
square feet for the purpose of soil or groundwater remediation or tracer tests. An individual permit shall be required
for test or treatment areas exceeding 10,000 square feet.
3) Pilot Tests -Preliminary studies conducted for the purpose of evaluating the technical feasibility of a
remediation strategy in order to develop a full scale remediation plan for future implementation, and where the
surface area of the injection zone wells are located within an area that does not exceed five percent of the land
surface above the known extent of groundwater contamination. An individual permit shall be required to conduct
more than one pilot test on any separate groundwater contaminant plume.
4) Air Iniection Wells -Used to inject ambient air to enhance in-situ treatment of soil or groundwater.
Print Clearly or Type Information. Illegible Submittals Will Be Returned As Incomplete.
DATE: ~Ju=l---=24~--~ 2017 PERMIT NO. ________ (to be filled in by DWR)
A. WELL TYPE TO BE CONSTRUCTED OR OPERATED
(1)
(2)
(3)
(4)
(5)
(6)
-----'Air Injection Well ...................................... Complete sections B through F, K, N
___ Aquifer Test Well ....................................... Complete sections B through F, K, N
___ Passive Injection System ............................... Complete sections B through F, H-N
___ Small-Scale Injection Operation ...................... Complete sections B through N
.:..:X=---__ P.ilot Test.. ............................................... Complete sections B through N
___ Tracer Injection Well ................................... Complete sections B through N
B. STATUS OF WELL OWNER: Business/Organization
C. WELL OWNER(S) -State name of Business/Agency, and Name and Title of person delegated authority to
sign on behalf of the business or agency:
Name(s): Cintas Corporation. Lisa Autre (Chemical/Environmental Ene.ineer}
Mailing Address: 27 Whitne, Drive
City: Milford State: OH Zip Code:_4~5~1~5~0 ___ County: Clermont
Day Tele No.: 513-965-4964 Cell No.: __________ _
EMAIL Address: autre l W: cintas.com Fax No.: ---"8'"""6.,._6--"'-8_,_44.,_-=96=0:...:.4 ___ _
Deemed Permitted GW Remediation NOi Rev. 3-1-2016 Page 1
D. PROPERTY OWNER(S) (if different than well owner)
Name and Title: --~K""---ei=th"'-"-'K=o=o=k=en'-'------------------------
Company Name --~K~&~V~·~L=L~C'------------------------
Mailing Address: --~2=2~7_W~. -'-51_11 ~S~tr~e~et~. ~#~! _____________ _
City: Winston-Salem State: NC Zip Code: _27_1_0~1 ______ County: Fors th
Day Tele No.: ____________ _ Cell No.: ---=3=3=6---'4'""'0-'--7--=8=2=26"'-----
EMAIL Address: __ ~k=r=k=o=ok=e=n=@c;..it=r=ia=d=.r-'-r.=c=om==-----Fax No.: ___________ _
E. PROJECT CONTACT (Typically Environmental Engineering Firm)
Name and Title: Matthew Allen (Project Manager )
Company Name AECOM Technical Services of North Carolina
Mailing Address: 1600 Perimeter Park Drive. Suite 400 Morrisville . NC 27560
City: Morrisville State: NC Zip Code: 27560 County:~W~ak=e'-----
Day Tele No.: 919-461-1434 Cell No.: 919-500-9716
EMAIL Address: matthew.allenr@ aecom.com Fax No.: 919-461-1415
F. PHYSICAL LOCATION OF WELL SITE
(]) Facility Name & Address: Former Salem Uniform Site . 4015 N. Che r-rv Street
City: Winston-Salem County: Fors th Zip Code: -~2=-7'----"1-=0=---5 _
(2) Geographic Coordinates: Latitude**: 0 "or 0
Longitude**: 0 "or 0
Northing, Easting: 872746.00. 1626889 .72
Reference Datum: NAD 83 State Plane North Carolina Ft
Accuracy: ___ +~/_-~1-c.,_,_m'----
Method of Collection:_~S~i=te~S~u=rv~e\..__· _____________ _
**FOR AIR INJECTION AND AQUIFER TEST WELLS ONLY : A FACILITY SITE MAP WITH PROPERTY
BOUNDARIES MAY BE SUBMITTED IN LIEU OF GEOGRAPHIC COORDINATES.
G. TREATMENT AREA
Land surface area of contaminant plume:___,l..,,,.2=7e..>0:..:..4..:.a3'-'0'--------'square feet
Land surface area of inj. well network:. __ =15~·~90=0~ ___ square feet (S I 0,000 ft2 for small-scale injections)
Percent of contaminant plume area to be treated: 1.25 (must be~ 5% of plume for pilot test injections)
H. INJECTION ZONE MAPS -Attach the following to the notification.
(1) Contaminant plume map(s) with isoconcentration lines that show the horizontal extent of the
contaminant plume in soil and groundwater, existing and proposed monitoring wells, and existing and
proposed injection wells; and
(2) Cross-section(s) to the known or projected depth of contamination that show the horizontal and
vertical extent of the contaminant plume in soil and groundwater, changes in lithology, existing and
proposed monitoring wells, and existing and proposed injection wells.
Deemed Pennitted GW Remediation NOi Rev. 3-1-2016 Page 2
(3) Potentiometric surface map(s) indicating the rate and direction of groundwater movement, plus
existing and proposed wells.
Deemed Permitted GW Remediation NOI Rev. 3-1-2016 Page 3
I. DESCRIPTION OF PROPOSED INJECTION ACTIVITIES -Provide a brief narrative regarding the
purpose, scope, and goals of the proposed injection activity. This should include the rate, volume, and
duration of injection over time.
Please see attached Enhanced Reductive Dechlorination Injection Pilot Stud Work Plan (AECOM . 2017 ).
J. APPROVED INJECTANTS -Provide a MSDS for each injectant. Attach additional sheets if necessary.
NOTE: Only injectants approved by the NC Division of Public Heallh, Department of Health and Human
Services can be injected. Approved injectants can be found online at http://deg.nc.gov/about/divisions /water-
resources/water-resources-permits/wastewater-branch/ground-water-protection/ground-water-approved-injectants.
All other substances must be reviewed by the DHHS prior to use. Contact the UIC Program for more info
(919-807-6496).
Source Area (15 DPT points)
Injectant: ABC+®
Volume ofinjectant: Up to 700 gallons Anaerobic Biochem (ABC) [Specific gravi ty -1.35] and up
to 4 ,000 pounds Zero Valent Iron (ZVI)
Concentration at point of injection: ~ 0.83 pounds per e:allons ABC and ~0.42 pounds per gallon ZVI
Percent if in a mixture with other injectants: ~ 10 percent (b, wei ght) ABC and ~5 percent (b y wei e:ht)
ZVI
Injectant: Sodium Bicarbonate
Volume of injectant: --~~1,_,_.~90""'0"--'-"lb'----------------
Concentration at point of injection : ---~◊-"-'·=2=2...,p=o=u=n=d=s _,,,p=er,.___...gal=lo=n-=-=so=d=i=um:..:.:....b=i=c=ar,...,,b=o=n=a=te'-------
Percent if in a mixture with other injectants: ---=3'-"-pe=r-=c=en=t'""b=-'--'-'w-=e-=--ig='h=t ________ _
lnjectant: KB-1® or KB-I Plus®
Volume of injectant: 12 Liters
Concentration at point of injection: --~10"-/\-'1'"""'1'-c=e=ll=s...,p ... e"'-r..,_1i=te=r'--__________ _
Percent if in a mixture with other injectants: ______ 1"""0"'""'0~¾-=o _____________ _
Onsite Barrier DPT (2 DPT points)
Injectant: ___ Ha...:..:.;ig,""•h.:...,:_F"--'ru=c=to=s=e'---C=o=r'-'-n'""S=v-'-'r"""u"'p""'(-=C=o=m.:.:.S=w-'--'-"'e=et=®"--"-H=i=gh:..:....::..F..,_ru=c=t=o=se~42=-).__ ________ _
Volume of injectant: --'u,.,_.p:,.._=to'-"-80"'"0~g=al=lo=n=s"--'-"[s;.i=p=ec=i=fi=c....:g,..,_r=av-'-'i,.,.l\-'----1 -----'1""".3""5""],..._ ___________ _
Concentration at point of injection: ~3.33 pounds per gallon HFCS
Percent if in a mixture with other injectants: ___ ~_4"""0'""'p"'e=r=ce=n=t'-'b'""'\_• w~e=ig=h=t ______ _
Deemed Pennitted GW Remediation NOi Rev . 3-1-2016 Page4
Injectant: Sodium Bicarbonate
Volume of injectant: __ ~_2~·=20~0~1b~--------------
Concentration at point of injection: ~.89 pounds per e.allon sodium bicarbonate
Percent if in a mixture with other injectants: ___ l_l ..... p.,_e~r~c~en=t ..... b~) ..... 1 w~e .... ig=h~t _______ _
Injectant: KB-1® or KB-1 Plus®
Volume of injectant: 12 Liters
Concentration at point of injection: --~1 0~A-'l~l_c~e=ll=s--+p~e~r~li~te~r ___________ _
Percent if in a mixture with other injectants : ______ 1::....:0:....:0:....:o/c-=-o _____________ _
Onsite Barrier Permanent Wells (2 permanent wells)
Injectant: High Fructose Com Svru p (ComSweet® Hi gh Fructose 42 )
Volume ofinjectant: U p to 2 .000 gallons (s pecific gravit y -1.35 ]
Concentration at point of injection: ~3.33 pounds per ga llon HFCS
Percent ifin a mixture with other injectants: ___ ~_4~0 ..... o ..... e=r~ce=n=t-'b-v_w~e=ig=h~t ______ _
Injectant: ---'S=-o=d=i=u=m"'-B=ic=a=rb=-o=n=a=t-=-e _______________________ _
Volume of injectant: U p to 3.300 lb
Concentration at point of injection: ~0.89 pounds per gallon sodium bicarbonate
Percent ifin a mixture with other injectants: ---~--'1,....,l'-<pr:-ce=r--"'c=en=t,....,be...v'-w-'-'-"e-=-ig"'"h=t --------
Injectant: --~KB~-~1~® ..... o=r~K=B~-l~P~l=u~s®~---------------------
Volume of injectant: -~12~L=it=e=rs~------------------------
Concentration at point of injection: ___ 1::....;0::;_A_.1.,.1--'c=e=ll=s....,p=e~r =li=te._.r ___________ _
Percent if in a mixture with other injectants: ------'l""'0""'0""'o/c-=-o _____________ _
K. WELL CONSTRUCTION DATA
(I) Number of injection wells: U p to 31 * Proposed 0 Existing (provide GW-ls)
* 19 DPT injection wells are planned and described below and in the attachments. Additional DPT points
would be advanced if necessary to minimize daylighting or more generally to improve injectant distribution.
(2) For Proposed wells or Existing wells not having GW-ls, provide well construction details for each
injection well in a diagram or table format. A single diagram or line in a -table can be used for
multiple wells with the same construction details. Well construction details shall include the
following (indicate if construction is proposed or as-built):
(a) Well type as permanent, Geoprobe/DPT, or subsurface distribution infiltration gallery
(b) Depth below land surface of casing, each grout type and depth, screen, and sand pack
(c) Well contractor name and certification number -SAEDACCO, Inc. Certification #3351
L. SCHEDULES -Briefly describe the schedule for well construction and injection activities.
Deemed Permitted GW Remediation NOi Rev. 3-1-2016 Page 5
co
sTs
a
l Lr
North Cherry Street
MW-80)
fa MW-7(s)
f1
•
MR-6id11-
is
11
May Street
1. This figure is for conceptual purposes only. Proposed features are subject to change-
2. Injections are expected to be completed in a phased approach,
3- This site plan was constructed from surveys by Slate Surveying Co.. PA (October
21103 ) and Regional Land Surveyors, Inc- [ Januar 2004, October 2004, February 2008,
October 2008. March 2013. and September 2013) . Locations of roads and property lines
were dlgibzed dam property deed maps and aerial photos obtained from the Forsyth
County, NC Tax Office and from the NC Deparlment of Transportation- This survey does
not represent an accurate boundary survey and should not be used for such purposes,
MW-3(s)
,aI_r —Nom
•
PNW-tali
80
G0
•
•
GW-f0 3W-14
• •—
• PMW1(6}
oasis
G-18 GW*
PMNI-1 )
P
W-17
GW-t6
■
GW-t2
•
G
GW417
GW-11 •
• GA (•••
—
MW-5(s)
Sapprolite
Unit
0
Proposed Injection Area
(Appox 15,900 sq.fl. )
mows immi
MW-17 (s).
F.xinar Satem
Lmforrrr Bnitoing
w GW-us
___T—
• t i<•1
11:•I • W -23
•
G 02 GW.?1
- M\A<-12(il
BMW 12(s)
•_n1
80
SCALE IN FEET 1" = 80'
Ll
WTS -
GW-;ta G
Gravel R°36-
•
•
•
•
Legend
■
MW-4(s)
-
Boundary of K & V, LLC Property
(Former Salem Uniform }
Fomler Salem Uniform Building
Fence (Approx. Location)
Perennial Stream
Intermittent Stream
Wet Weather Drainage Ditch
Culverted Perennial Stream (Double)
Culverted Perennial Stream (Single)
Storm Sewer/ Reinforced Concrete Pipe ( RCP
Edge of Wooded Area
Power Pole
Intermediate (Transitional f PWR Zone) Monitoring Well
Deep ( Bedrock Zone) Monitoring Well
Shallow ( Saprolite Zone) Monitoring Well
OPT Groundwater Sample Location (June, 2017)
PCE Concentration a 10,000 pglL
PCE Concentration 100 to 10,000 pgfL
PCE Concentration 1 to <100 pg/L
2L Standard Exceedance Area
North Cherry Street
Proposed ERD Injection Location ( OPT )
e PMW-i(s) Proposed Saprolite Performance
Monitoring Well
PMW-20) Proposed Intermediate Performance
Monitoring Well
Abbreviations
NS Not Sampled
PCE Perchloroethene ( Tetrachloroelhene )
pg/L micrograms per liter
PWR Partially Weathered Rock
OPT Partially Weathered Rock
ISCO Insitu Chemical 0xldation
Note
1. Well MW-1(s) was destroyed in
October 2005 during Brownfields
Program site work, and could
not be located. A replacement
weft, MW-1(s)R, was installed by
Cintas in December 2007.
LL
CD
tO
v 0
t`
a
.. aJ N
CO
ant
C G
C
° TO
G t)
CE
3
0 0
i C fl.
0. CO
ito
0 V
C
0
Om
0
z
ff
tJ C]
Y N 0
1 m
EIS as
m
w
m
a 5
++ _c
1L LL d
iIJ z
0 _ to
W (U
Date: 2017-07-18
Project No.: 60527399

1
6
3
eo
PWR/Shallow
Bedrock Unit
s
i
Er-1 n Q. �rf
1
1
7
r
i
Was:
1. This figure is for conceptual purposes only. Proposed features are subject to change.
2. Injections are expected to be completed in a phased approach.
3- This site plan w re constructed From surveys by State Surveying Ca., PA ( October
2003) and Regional Land Surveyors. Inc, (Januar 2004, October 2904, February 2008,
October 2008, March 2913. and September 2013) . Locations of roads and property lines
were digitized from property deed maps and aerial photos obtained from the Forsyth
County, NC Tax Office and from the NC Department afTransportation. This survey does
not represent an accurate boundary survey and should not be used for such purposes.
J
l
May Street
to M W-7 (s)
MW-8(i)
LI1
MW-6(s)2
MW-6(s)
MW-6(d1)
80 0 80
SCALE IN FEET 1"
■
\PMW-4 (i) 1W-2
PMW-3sli
PMW-1(s)
p (I)
PMW-2s/i
•
MW-5
MW-11(s)
MVO!-10)—
i
MW1 -EF-
L`1L_
- MW-5(s)
Legend
✓ .Q.1
5,16/ -=fall )
MW-4(s)
1
0 IW-7
e PMW-1(s)
• PMW-2(i)
Former Salem
Uniform Building
MW-12(i)
M W-1 2(s)
Gravet Road
■
1
11
Boundary of K & V, LLC Property
{ Former Salem Uniform )
Former Salem Uniform Building
Fence { Approx. Location j
Perennial Stream
Intermittent Stream
Wet Weather Drainage Ditch
Culverted Perennial Stream ( Double )
Cuhrerted Perennial Stream ( Single )
Sloan Sewer / Reinforced Concrete Pipe ( RCP )
Edge of Wooded Area
Power Pole
intermediate ( Transitional / PWR Zone) Monitoring
Deep ( Bedrock Zone) Monitoring Well
Shallow ( Saprolite Zone) Monitoring Well
PCE Concentration > 10,000 NgIL
PCE Concentration 100 to 10,000 IJg/L
PCE Concentration 1 to a 100 NgIL
2L Standard Exceedance Area
Proposed ERD Injection Location ( Permanent )
MW-4(s)
Abbreviations
NS
PCE
pg(L
PWR
DPT
ISCo
Not Sampled
Perchloroethene ( Tetrachloroethene ]
micrograms per liter
Partially Weathered Rock
Partially Weathered Rack
Insitu Chemical Oxidation
Note
Well 1, Well MW1(s) was destroyed in
October 2006 during Brownfelds
Program site work, and could
not be located. A replacement
well, MW-1(s)R, was installed by
Cintas in December 2007.
2. Proposed ERD injection locations
are permanent injection wells and
will target the PWR zone between
elevation 910 and 880 ft (-60-90 ft bgs).
Proposed Saprolile Performance Monitoring Well
Proposed Intermediate Performance Monitoring Well
PCE Isoconcentrations in Groundwater With Proposed
C
v
0
J
Q7
0
-a
en
c
o-
0
u
4015 North Cherry Street, Winston-Salem, NC
N
0
Project No.: 60527399 Date: 2017-07-18

m
5
ci] ci 0
[EJI
L
North Cherry Street
MW-16(d)
1
MW-7(s)
n
I
1
MV:- 1s1d`
M W-6(s)
MW-5(a 1)
N
May Street
Notes:
1- This figure is for conceptual purposes only. Proposed features are subject to change.
2. Injections are expected to be completed in a phased approach.
3. This site plan was constructed from surveys by Slate Surveying Co.. PA (0etober
2003) and Regional Land Surveyors, Inc. (Januar 2004. October 2004. February 2008.
October 2008, March 2013, and September 2013) . Locations or roads and property lines
were digitized from property deed maps and aerial photos obtained from the Forsyth
County, NC Tax °tr+cc and !lawn the NC Department of Transportation. This survey does
not represent an accurate boundary survey and should not be used for such purposes.
PMW-2 sf
f
fi
• MW-3(s)
GW-20
•
•
IP- a
rr 1;5
GW-14 GW-14MOOP
PW.1(e)
PMW-1(1▪ ) I .1'■
Proposed Injection Area
(Appox. 15,900 sq.ft.)
sepo
•,
MW-11(s)ie
Former Salem
Unirrrm Building
! G W-05
�w 17
GW-10
•
PMW- ssi
GW-12
•
!
61 GW123
Uun2 •
GW-21
awto.
`: -12(s)
Gw-0 }
GNO Is -
• GW-06
1Z5ameme rlllllll� f
MW-5(S)
Sapprolite
Unit
80
80
SCALE IN FEET 1" x S0'
22 4—
1
— -\
jC1ff —A
GW-24 GW-25
1
x:
li
"Gravel Rosy ■toes
1�f
-o
0
a
Legend
MW-4(s)
North Cherry Street
MP
Boundary of K & V, LLC Property
( Farmer Salem Uniform )
— — — — — Former Salem Uniform Building
—■ x — Fence (Approx. Location )
Perennial Stream
Intermittent Stream
Wel Weather Drainage Ditch
Cuiverted Perennial Stream ( Double )
Culverted Perennial Stream { Single )
Storm Sewerl Reinforced Concrete Pipe ( RCP )
Edge of Wooded Area
▪ Power Pole
Intermediate ( Transitional !PWR Zone) Monitoring Well
• MW-6(d1) Deep ( Bedrock Zone) Monitoring Wen
• MW-A(s) Shallow ( Saprolite Zone) Monitoring Well
GW-01 DPT Groundwater Sample Location (June, 2017)
PCE Concentration 10,000 pgfL
PCE Concentration 100 to 10,000 pglL
PCE Concentration 1 to < 100 pg&L
2L Standard Exceedance Area
Proposed ERD Injection Location ( OPT )
m PMW-1(s) Proposed Saprolite Performance
Monitoring Well
e PMW-2(i) Proposed Intermediate Performance
Monitoring Well
Abbreviations
NS Not Sampled
PCE Perchloroethene (Tetrachloroelhene )
pg/L micrograms per liter
PWR Partially Weathered Rock
DPT Partially Weathered Rock
ISCO insitu Chemical Oxidation
Note
1, Well MW-1(s) was destroyed in
October 2005 during Brownfieids
Program site work, and could
not be located- A replacement
well, MW-1(s)R, was installed by
Cintas in December 2007.
UIC Notification
Cintas: Former Salem Uniform Services
d
a)
LL
4015 North Cherry Street, Winston-Salem, NC
Project No.: 60527399 Date: 2017-07-18

fl1
a
PWR/Shallow
Bedrock Unit
x =J
7.°23
North Cherry Street
r
MW-1s(ti--
n�n
Notes-
1. This figure is for conceptual purposes only. Proposed features are subject to tango.
2. Injections are expected to be completed in a phased approach.
3. This site plan was constne4ed from surveys by Slate Surveying Co.. PA (October
2003) and Regional Land Surveyors. Inc. (Januar 2004. October 2004. February 2000,
October 2000, March 2013, and September 2013) . Locations of roads and property lines
were digitized from property deed maps and aerial photos obtained from the Forsyth
County, NC Tax Office and from the NC Department of Transportation. This survey does
not represent an accurate boundary survey and should not be used for such purposes.
MWi1,5(d)
f MW-7(s)
MW-8(i)
May Street
80 0
•
MW-2(i)
Z MW-3(s)
MW-6(s)2;
MW-6(s)
MW-6(d1)
N
f!1
N
\PMW4(i)
PMW-3s/i
80
SCALE IN FEET 1-=80'
PMW-1(s)
P MW-1(i)
IW-1
IW-2
MW-5(s) -
MW-5(i) -
•- -Legend
2q,
Rep
11111111111
Former Salem
Uniform Building
MW-12(i)
MW-12(s)
Gravel Road
O
E _!
0 tW-1
m Prow-1(s)
m PMw-2(i)
•
Boundary of K & V, LLC Property
( Former Salem Uniform )
Former Salem Uniform Building
Fence (Approx. Location )
Perennial Stream
Intermittent Stream
Wet Weather Drainage Ditch
Culverted Perennial Stream ( Double )
Culverted Perennial Stream ( Single )
Storm Sewer 1 Reinforced Concrete Pipe ( RCP )
Edge of Wooded Area
Power Pole
Intermediate ( Transitional 1 PWR Zone) Monitoring Weil
Deep ( Bedrock Zone) Monitoring Well
Shallow ( Saprolite Zone ) Monitoring Weil
PCE Concentration > 10,000 pg(L
PCE Concentration 100 to 10,000 ug/L
PCE Concentration 1 to c 100 ug/L
21- Standard Exceedance Area
Proposed ERD Injection Location ( Permanent )
Proposed Saprolite Performance Monitoring Well
Proposed Intermediate Performance Monitoring Well
M W-4(i
a
o.
MW-4(s)
Abbreviations
NS
Not Sampled
PCE Perchloroethene ( Tetrachloroethene )
pg1L
PWR
OPT
ISCO
micrograms per Itter
Partially Weathered Rock
Partially Weathered Rock
insitu Chemical Oxidation
Note
1. Well MW-1(s) was destroyed in
October 2005 during Brownfields
Program site work, and could
not be located. A replacement
well, MW-1(s)R, was installed by
Cintas in December 2007.
2. Proposed ERD injection locations
are permanent injection wells and
will target the PWR zone between
elevation 910 and 880 ft (-60-90 ft bgs).
Cintas: Former Salem Uniform Services
0
0
J
O
vs
N
4
0.
(3�
4015 North Cherry Street, Winston-Salem, NC
N