WI0300440_Application_20210610

NC Department of Environmental Quality — Division of Water Resources (DWR)
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 15A NCAC 02C.0200 (NOTE: This form must be received at least 14 DAYS 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 Injection Systems - In -well delivery systems to diffuse injectants into the subsurface. Examples include
ORC socks, iSOC systems, and other gas infusion methods (Note: Injection Event Records (IER) do not need to be
submitted for replacement of each sock used in ORC systems).
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 is 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.
5) In -Situ Thermal Wells (IST) — Used to `heat' contaminated groundwater to enhance remediation
Print Clearly or Type Information. Illegible Submittals Will Be Returned as Incomplete.
DATE: June 1 , 20 21
PERMIT NO. WI0300440 (to be filled in by DWR)
NOTE- If this NOI is being submitted as notification of a modification of a previously issued NOI for this site (e.g.,
different injection wells, plume, additives, etc.) and still meets the deemed permitted by rule criteria, provide the
previously assigned permit tracking number and any needed relevant information to assess and approve injection:
A.
B.
Permit No. WI
Issued Date:
WELL TYPE TO BE CONSTRUCTED OR OPERATED
(1) Air Injection Well Complete sections B through F, J, M
(2) Aquifer Test Well .Complete sections B through F, J, M
(3) Passive Injection System Complete sections B through F, H-M
(4) Small -Scale Injection Operation Complete sections B through M
(5) X Pilot Test Complete sections B through M
(6) In -Situ Thermal (IST) Well Complete all sections except K
STATUS OF WELL OWNER: Business/Organization
Deemed Permitted GW Remediation NOI Rev. 2-14-2020
Page 1

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): Bottling Group, LLC, CIO David Patrick, Legal Senior Director
Mailing Address: 1111 Westchester Ave
City: White Plains State: NY_ Zip Code: 10604 County: Westchester
Day Tele No.: 914-767-7107 Cell No.: 914-260-3605
EMAIL Address: [e-mail] Fax No.:
D. PROPERTY OWNER(S) (if different than well owner/applicant)
Name and Title: Mr. Niles Miller, Pastor
Company Name New Holy Temple Church
Mailing Address: PO Box 976
City: Gastonia State: NC_ Zip Code: 28053 County: Gaston
Day Tele No.: 704-853-0670 Cell No.: 704-923-3032
EMAIL Address: Fax No.:
E. PROJECT CONTACT (Typically Environmental Consulting/Engineering Firm)
Name and Title: Erin Greene, Project Manager
Company Name ATC Associates of North Carolina, P.C.
Mailing Address: 7606 Whitehall Executive Center Drive, Suite 800
City: Charlotte State: NC Zip Code: 28273 County: Mecklenburg
Day Tele No.: 704-529-3200 Cell No.: 704-817-0896
EMAIL Address: [e-mail] Fax No.: 704-529-3272
F. PHYSICAL LOCATION OF WELL SITE
(1) Facility Name & Address: Former Pepsi Bottling Facility
1462 West Airline Ave
City: Gastonia County: Gaston Zip Code: 28052
(2) Geographic Coordinates: Latitude**: 0 " or 35.263083°N
Longitude**: 0" or 81.208098° W
Reference Datum: NA Accuracy: NA
Method of Collection: Google Earth
**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: 2,400 square feet
Land surface area of inj. well network: square feet (< 10,000 ft2 for small-scale injections)
Percent of contaminant plume area to be treated: 5% (must be < 5% of plume for pilot test injections)
Deemed Permitted GW Remediation NOI Rev. 2-14-2020 Page 2

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.
(3) Potentiometric surface map(s) indicating the rate and direction of groundwater movement, plus existing
and proposed wells.
DESCRIPTION OF PROPOSED INJECTION ACTIVITIES AT THE SITE — Provide a brief narrative
regarding the cause of the contamination, and purpose, scope, goals of the proposed injection activity:
ATC will supervise the injection of Enviro-BAC (a proprietary bacterial blend) in monitoring wells MW-1R,
MW-5, and MW-7R, by Progress Environmental Group, Inc. (Progress), to promote accelerated petroleum
compound biodegradation and reduce compound concentrations to below the North Carolina Groundwater
Quality Gross Contamination Levels (GCLs). For each well, three kilograms of Enviro-BAC will be prepared in
a concentrated powder form, mixed with a sucrose additive and approximately 30 -35 gallons of fresh water,
pumped under pressure into each well. This solution will deliver a unique blend of non-pathogenic, non -
genetically modified microbial organisms to facilitate the bioremediation in groundwater.
J. WELL CONSTRUCTION DATA
(1) No. of injection wells: Proposed 3 Existing (provide NC Well
Construction Record (GW-1) for each well)
(2) Appx. injection depths (BLS): 30-45 ft
(3)
For Proposed wells or Existing wells not having GW-1 s, 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
K. INJECTION SUMMARY
NOTE: Only injectants approved by the epidemiology section of the NC Division of Public Health, Department
of Health and Human Services can be injected. Approved injectants can be found online at
http://deq.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 DHHSprior to use.
Contact the UIC Program for more info if you wish to get approval for a different additive. However, please
note it may take 3 months or longer.
Injectant:EnviroBAC mixture and sucrose Total Amt. to be injected (gal)/event: 9 Kg
Injectant: Total Amt. to be injected (gal)/event:
Injectant: Total Amt. to be injected (gal)/event:
Deemed Permitted GW Remediation NOI Rev. 2-14-2020 Page 3

Amt. Water to be injected (gal/event): l 65 gal
Total Amt. to be injected (gal/event): 165 gal
No. of separate injection events: UNK Est. 'Total Amt. to be injected (gal): UNK
Source of Water (if applicable): Municipal water from Mecklenburg County
L. MONITORING PLAN — Describe below or in separate attachment a monitoring plan to be used to determine
if violations of groundwater quality standards specified in Subchapter 02L result from the injection activity.
Approximately 45 days after the injection event, ATC will perform a limited groundwater sampling event of
monitoring wells MW-IR, MW-5, MW-7R, MW-14R. and MW-2l, and analyze for volatile organic compounds
by EPA Method 6200B. ATC will also measure and record the field parameters.
M. SIGNATURE OF APPLICANT AND PROPERTY OWNER
Well 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, 1 believe that the information is true, accurate and
complete. I am aware that there are significant penalties, including the possibility of fines and imprisonment,
forubmitting false information. 1 agree to construct, operate, maintain, repair, and if applicable, abandon the
inj ion well and all relate = _ .. iurtenances in accordance with the 15A NCAC 02C 0200 Rules."
Signature of Applicant
David H. Patrick; Legal Senior Director
Print or Type Full Name and Title
Property Owner (if the property is not owned by the Well Owner/Applicant):
"As owner of the property on which the injection well(s) are to he 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 he the
responsibility of the applicant to ensure that the injection well(s) conform to the Well Construction Standards
(15A 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 writin
Signat'ure* of Property Owner (if different from applicant) Print or Type Full Name and Tide
*An access agreement between the applicant and property owner may be submitted in lieu of a signature on this form.
Please send 1 (one) hard color copy of this NOI along with a copy on an attached CI) or Flash Drive at least
two (2) weeks prior to injection to:
DWR — UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone: [phone]
Deemed Permitted GW Remediation NO! Rev. 2-14-2020 Page 4

UNDEVELOPED /I
GRASS
®o
O**Zs
•
•
MW-20 / t` \
MW-12
GRASS /// NS/
/ NS
i GR9AVEL
\ /,
kkFS
MW-7R
7,410
12,600
1,630
8,850
13,900
325
658
947
1,540
345
MW-5
19.8
RAS
37.2
35.8
140
832
52.0
32.7
36.7
78.8
5.4
\4'O
q0
GRASS
FORMER
OFFICE & MANUFACTURING
MW-1R
9,310
29,100
1,360
17,500
725
134
1,430
262
2,960
562
MW-5
41,
MW-17R
NS
/
MW-15 /
NS
RESIDENTIAL
MW-1 8
NS
i
•i
i
•
MW-14R
NS 0
1.,4 NE
MW-16
NS 0
& REHOUSE
GRASS
ASPHALT
GRASS
MW-19
0 NS
ASPHALT
GRASS
ASPHALT
GRASS
GRASS
Legend
Property Line
Adjacent Property Line
Right —of —Way
Fence Line
Former UST System
Existing Monitoring Well
Not Sampled
CoC
2L
GCL
Benzene
1
5,000
Toluene
600
260,000
Ethyl benzene
600
84,500
Total Xylenes
500
85,500
MTBE
20
20,000
DIPE
70
70,000
NAP
6
6,000
1,2-DCA
0.4
400
1,2,4-T M B
400
28,500
EDB
0.02
50
General Notes:
Map adapted from Gaston County GIS & Excel
figure dated 1/21/14
Structure locations are approximate
UST — Underground Storage Tank
All concentrations measured in
micrograms per liter (ug/L)
Constituent concentrations are based
on samples collected 01/29/2021
Data in bold exceeds 2L, highlight exceeds GCL
BDL — Below Laboratory Dtection Limits
ND — Non —Detect
GCLs — Gross Contamination Levels
NF — Not Found
ATC
7606 Whitehall Executive Center Drive, Suite B00
Charlotte, North Carolina 28273
Phone: [phone] Fax: [phone]
PROJECT:
(Former) Pepsi Facility
1462 West Airline Avenue
Gastonia, Gaston County, NC
TITLE:
Groundwater Analytical Results Map
CLIENT:
Bottling Group, LLC
GRAPHIC SCALE:
30 15 0 15 30
COMPUTER CADFILE
DRAWN BY:
DESIGN BY:
CHECKED BY:
APPROVED BY:
LB
TWG
MDS
MDS
SCALE:
DATE:
JOB NO.:
FIGURE NO.:
1" = 30'
02/24/2021
199PEP2101
4

Progress *ow -
ENVIRONMENTAL
April 14, 2021
Ms. Erin Greene
ATC
7606 Whitehall Executive Center Drive, Suite 800
Charlotte, North Carolina 28273
Subject:
Proposal for Environmental Services
Pepsi Site
1462 West Airline Avenue
Gastonia, Gaston County, North Carolina
NCDEQ Incident No. 8105
Progress Proposal No. P1021025
Dear Ms. Greene:
In response to your request, Progress Environmental Group, Inc. (Progress) is pleased to provide
you with the following proposal to perform environmental services at the above -referenced site.
It is our understanding that based on the current groundwater concentrations in the source area,
monitoring wells (MW-1R, MW-5, and MW-7R), it is desired that the dissolved -phase
groundwater concentrations be reduced so that the site can achieve regulatory closure.
Progress will implement a groundwater injection event at the site. Progress proposes to inject
Enviro-BAC, a proprietary microbial blend, into the groundwater to further reduce the dissolved -
phase groundwater contaminant concentrations. Please note, prior to injection activities
occurring at the site, it will be required to submit a Groundwater Injection Permit to the Division
of Water Resources. Progress understands that the injection permit process will be handled by
ATC personnel. Enviro-BAC has been approved for injection into the groundwater in North
Carolina by the Division of Water Resources. Following approval of the injection permit,
Progress will inject three kilograms of Enviro-BAC into monitoring wells MW-1R, MW-5, and
MW-7R. The Enviro-BAC will be blended on -site in a clean, dedicated vessel (i.e. plastic tote or
55-gallon drum). Progress proposes to inject the bacterial product to the desired depth (i.e. mid
point of the water column in the monitoring well) using tremie pipe and liquid pump. Following
appropriate mixing in the field, the liquid bacterial product will be pumped under pressure into
the aquifer. Progress anticipates mixing the three kilograms of Enviro-BAC with 30 to 55 gallons
of fresh water.
The estimated cost for injection of the Enviro-BAC will be as follows:
9 Kgs of powder Enviro-BACTM @ $650/Kg $ 5,850.00
North Carolina Sales Tax 7.00% $ 409.50
Supervision of injection activities (one day) and equipment $ 1,700.00
Mobilization and per diem $ 220.00
Total: $ 8,179.50
P.O. Box 5884 • Winston-Salem, North Carolina 27113-5884
Office 336.722.9999 • Fax [phone]

Proposal for Environmental Services
Pepsi Site
1462 West Airline Avenue
Gastonia, Gaston County, North Carolina
Progress Proposal No. P1021025
Please note, because the bioremedial product is a proprietary blend of microbes and is
manufactured on an as needed basis, there is an approximate two week lead time for delivery of
the product. Therefore, Progress anticipates being able to implement the remedial efforts within
approximately three weeks of receipt of the signed authorization.
Progress is pleased to submit this proposal for your review. If you have any questions concerning
this or other environmental matters, please do not hesitate to contact the undersigned at (336)
722-9999. To authorize us to proceed with this work please sign in the space provided and return
to Progress.
Sincerely,
PROGRESS ENVIRONMENTAL GROUP, INC.
Jeffrey A. Ballsieper, L.G.
Director of Environmental Services
PROGRESS ENVIRONMENTAL GROUP, INC. CLIENT
Signed
Jeffrey A. Ballsieper
Signed
Erin E. Greene, Project Manager
Print Name and Title Print Name and Title
4/14/21
6/1/21
Date Date
Attachment: Figure 1 Proposed Injection Plan

Proposal for Environmental Services
Pepsi Site
1462 West Airline Avenue
Gastonia, Gaston County, North Carolina
Progress Proposal No. P1021025
TERMS AND CONDITIONS
1. OFFER. This Proposal constitutes an offer by Progress Environmental Group, Inc., (Progress) to perform the
services for the Client in accordance with these terms and conditions. The Proposal, including these terms and
conditions, and all other documents incorporated by reference, shall, when accepted by the Client, constitute the
entire agreement of the parties.
2. AUTHORIZATION AND ACCESS. The Client shall provide Progress with all the necessary access to the
area(s) in which the work is to be performed or from which samples to be tested are to be obtained. The Client
warrants that it has obtained (or will obtain prior to performance of the services) all necessary permits, licenses,
consents, and authorizations required in connection with the performance of services as outlined in the Proposal.
3. UTILITIES. In the execution of its work, Progress will take all reasonable precautions to avoid damage or injury
to subterranean structures or utilities. The Client agrees to hold Progress harmless for any damages to
subterranean structures which were not called to Progress's attention and correctly shown on the plans furnished.
4. WARRANTIES. Progress will perform the services in a competent, professional manner in accordance with the
customary standards of performance of the industry. Progress does not represent or warrant to the Client that the
services and/or reports delivered hereunder will achieve any results for the Client other than as expressly set forth
in the Proposal. Client recognizes that subsurface conditions may vary from those encountered at the location
where borings, surveys, or explorations are made by Progress and that the data interpretations and
recommendations of Progress's personnel are based solely on the information available to them. If equipment is
supplied as part of this contract, client agrees that Progress will not be liable for any claims due to defective
equipment manufacturing.
5. RELATIONSHIP OF THE PARTIES. In performing the services, Progress shall be acting in the capacity of an
independent contractor to the Client, and nothing herein shall be deemed to create a partnership, agency, joint
venture, or any other relationship between the parties.
6. LIMITATION OF LIABILITY. The Client agrees to limit Progress's liability to the Client and all construction
contractors and subcontractors on the project arising from professional acts, errors, or omissions such that the total
aggregate liability of Progress to all those named shall not exceed $50,000 or Progress's total fee for the services
rendered on this project, whichever is greater.
7. INDEMNIFICATION. The Client will defend, indemnify, and hold Progress harmless from and against any and
all liability, losses, claims, costs, and expenses incurred by or asserted against Progress as a result of or in
connection with any consents and authorizations to be obtained by the Client pursuant to Section 2 above, and any
negligent act of the Client.
8. FORCE MAJEURE. Neither party shall be liable to the other party hereto for its failure or delay in performing
its obligations hereunder due to any contingency beyond such party's reasonable control, including, without
limitation, acts of God; floods; wars; acts of war; sabotage; accidents; labor disputes or shortages; governmental
laws; ordinances; rules and regulations (whether valid or invalid, and including, without limitation, priorities,
requisitions, allocations, and price adjustment restrictions); inability to obtain power, material, equipment, or
transportation; and any other similar or dissimilar contingency.
9. CHANGE ORDERS. The Client may, upon written notice to Progress, request Progress to make changes in the
scope of the services. Progress shall thereupon use its best efforts to make such changes provided that if any
requested changes cause an increase in the cost or time required of Progress's performance, the Client shall
execute an agreement, in form and substance, satisfactory to Progress providing for an equitable adjustment in the
compensation payable for the services and the time for their performance and delivery.
10. COMPENSATION. The Client will pay Progress for the services in the amounts and at the times and in the
manner set forth in the Proposal.
11. PAYMENT TERMS. Progress expects prompt payment for its services. Toward that end, payment terms are as
follows: Net 14 days. An interest charge of 1.5% per month will be applied to all balances over 30 days old.
12. NOTICES. Any notice required or permitted to be given hereunder shall be deemed to have been duly given if
delivered by hand or sent by registered or certified mail, return receipt requested, and addressed: if to Progress, at
Progress Environmental Group, Inc., P.O. Box 5884, Winston-Salem, North Carolina, 27113; if to the Client, at
the address shown on the front hereof, or to such other address(es) which the parties may respectively designate to
one another in accordance herewith. Notices shall be deemed to have been given on the date of mailing or hand
delivery. The post office receipt showing the date of mailing shall be "prime facie" evidence thereof.
13. GOVERNING LAW. The agreement between the parties and their rights and obligation thereunder shall be
governed by and construed in accordance with laws of the State of North Carolina.

FORMER
OMCE & IIAHUFAC JFING
M W-13
NS
MW-14R
MW-5
81.9
205
83.2
414
1,160
50.3
<2.3
MW-14R
e ASPHALT
U APPROXIMATE INJECTION POINT MONITORING WELL LOCATION
0 ANTICIPATED RADIUS OF INFLUENCE (10 FOOT)
SOURCE: ATC
M W-1 R
9,680
24,100
1,360
12,300
1,770
343
305*
MW-17R
M W-15
NS
MW7R
7,180
11,500
1,300
7,830
11,700
866
M W-18
GRASS
40'
GRAPHIC SCALE
1" =40'
80'
DRAWN
JSL
DATE
APRIL 2021
CHECKED
JAB
DALE
APRIL 2021
SCALE
SHOWN
PROJECT
FILE NAME
Figure 1.SKF
Progress 11141.►
ENVIRONMENTAL GROUP, INC.
P.O. Box 5884
WINSTON-SALEM, NORTH CAROLINA27113
PHONE [phone] FAX [phone]
FIGURE 1
PROPOSED INJECTION PLAN
PEPSI SITE
1462 WEST AIRLINE AVENUE
GASTONIA, NORTH CAROLINA

OCT-29-2001 11:48 GEOLOGIC EXPLORATION
704 872 0248 P.03/03
North Carolina -Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27E99-1636 - Phone [phone]
WELL CONSTRUCTION RECORD WELL CONTRACTOR: GEOLOGIC EXPLORATION. INC.
WELL CONTRACTOR CERTIFICATION At: 2346
STATE WELL CONSTRUCTION PERMIT ft:
1. WELL USE (Check Applicable Box): Residential ❑ Municipal 0 Industrial 0 Agricultural 0 Monitoring Ey
Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: GASTONIA County; GASTON
14 2AIRLINE RD.
(Road mane end Numbers. Community. or Subdivision and Let No.)
3. OWNER PEPSI COLA BOTTLING CO.. INC.
Address P.O. BOX 241167
(Street or Route No.)
CHARLOTTE NC 28224
City or Time State Zip Code
4. DATE DRILLED 9-21-01
5. TOTAL DEPTH 46.0 FEET Ft
6. CUTTINGS COLLECTED YES 0 NO El
7. DOES WELL REPLACE EXISTING WELL? YES 0
8. STATIC WATER LEVEL Below top of Casing:
NO Ca
FT.
(Uso'i it Above Tap of Casing)
9. TOP OF CASIING IS 0.0 FT. Above Land Surface
Top it easing bnninatod ailor below land surface required a variance in auor-
daMe *iT.t5A NCAL 20.011a
10. YIELD.(gmp): NIA METHOD OF TEST N/A
11 WATER ZONES (depth): N/A
12. CHLORINATION: Type NIA Amount N/A
13. CASING
Depth
From 0.0 To 26.0
From To
From To
14. GROUT:
Depth
From o.o To 22.0
From To Ft.
15. SCREEN:
Wall Thickness
Diameter Or WeighVFt.
Ft. 2:NCH SCH40
Ft.
Ft.
Material
PVC
Material Method
Ft. Portland Bentonite Sluny
Depth Diameter Slot Size Material
From 25.0 'To 46.0 Ft. -2.0 in. .010 in. PVC
From • To Ft. in. in.
From To Ft. in. in.
16. SAND/GRAVEL PACK
' Depth Size Material
From 24.0 TO 46.0 Ft, 20-40 FINE SILICA SAND
From To Ft.
DRILLING LOG
From' To
DO 5.0
DEPTH
Formation Description
DRDYM SUM wTN COMMA
5.0 10.0 RED Cur
10.0 25.0
BRVMN WIRY CLAY
25.0 46.0 Tau Sate Car
Ir additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
17. REMARKS: . MW-tR BENTONITE SEAL FROM 22.0T024.0 FEET.
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL CONSTRUCTIONS
STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
FOR OFFICE USE ONLY
Quad No:
Serial No,
SIGNATURE OF PERSON CONSTRUIRTING THE WELL DATE
Sob rid original an OLisien et Water 0u day. G,uwitebr Salon 'rein 30 dap
CW-1 REV. 12m9
TOTAL P.03

NCA7H CARCL'VA CE'AFFrtn V7 a:r nn 1.,•••• G"i.U.'YCWATZ �„r•;CN
CIVIS:CN CF UNIFICN-ENfAL MANA E- Melt, PHCNE 13 t917'-'.-V-C
P.O. sax 2•ee7- ,iALSCO N•
Cued. No._, Serial No. _
Lat. long. �^
Minor Basin
WELL CONSTRUCTION RECORD
,MC Ca±J BTOt•
^ Tr, 003
DRILLING CONTRACTOR re
DRILLER REGISTRATION NUMBei
1. WELL LCCATICN: (Show sketdn of the location below)
Pepsi Cola ••Bott'_1:g Ccr..anv_ , Inc.
Nearest.,Gwl n siL��.- ve. ctsr.cm.a. ,
(Road. C ?DSiryuc.La got, 1 i ng Lanny, Inc.
. OWNER
AGGRESS 2820 could �ul�n�rri
C'larlcrte i.SVe-t iitrta
State Zio WCe
. or Town rYtni tn 7-9-92.-
usz of WELL -r-Y--�--
4G C'„fT;7NGS COLLECTS-0 EYes ❑No
ES ',VEI T RE?L;CE EXISTING WELL? sf as
RXNo
3. DATE DRILLED
4. TOTAL DEPTH
E. DO
6. STATIC WATER LEVEL:
TCP OF CASING IS
7. YIELD (q:m):
8. WATER ZONES (deotn):
9. CHLORINATION: Type
10. CASING:
From
Frain
From
11. GROUT:
Flom .
From
12. SCREEN:
Frain
From
Frain
12. GRAVEL PAC%:
0
0
20
28209
30.34 ❑ a:cve TCP OF CASING,
0.5 ow
FT.] LAND SURFACE
below
METr?CO CF TEST
Deotn
To
To -
To
Oeom
To -
_To_
-d
at
FL
Wad Thickness Material
Diameter or WetgnuFL
c ti 0 vt7r
18 tt++and MPlraenmie
FL
Depth
To
To
To
FL
Diameter
45 FL 2
Depth
From 18 To
From To _
14. REMAAKS: 1 WITH IS NCAC 2C. WELL CC?l'. nl'G
10C HEREBY CERTIFY THAT THIS ',YELL 'HAS CONSTRUCTED ;N ACCCAWANCE `
THAT A CO?Y CF THIS RECORD HASiBE'"1 PFC}1100 'r'C TrE W -" C''HNEa. /0 -1 _ S
STANOAADS. ANC . Tr �^'�' OA i c
SIGNATLAE CF CCNTRACTCR CR AGENT to well 5uamit anginal to 0;vision of Enytronmental Managementc=
and CY
Ft.
FL
Basin Cads
Reece( =It G'V-1 -•.,
STATE WEL CCNS�gUN0186
PERMIT NUMBER:
Crunty. f'a
Deotn
From To
0-15
15-30
30-35
DRILLING LCG
Fonzadan Cesci:4an
e.a a7 r 1 av -ni c_
Lt Brn-Tl'i cil+.r n1 a.r�•.
Rwl Brn cl a 7Pv ci l t
- Rea -BM clay, Itt1.C.T
If additional :dace is needed use back of form.
nn ern
(Show dtrecdon and distance from at;east two State Rc
or otner mao reference paints)
See Figure 2
45
Ft.
Ft.
Slat size Material
n 0.010'u+.
in.
n
SL-e Material
0.010 Quartz
cw.l Revised 6/28

NON ONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 4155
1. WELL CONTRACTOR:
David Brown
Well Contractor (Individual) Name
Environmental Drilling & Probing Services, LLC (EDPS)
Well Contractor Company Name
STREET ADDRESS 17538 Greenhill Road
Charlotte
NC 28278
City or Ton State Zip Code
( 704 } 607-7529
Area code. Phone number
2. WELL INFORMATION:
SITE WELL ID #(if applicable)
STATE WELL PERMIT#fdapplicable)
DWQ or OTHER PERMIT #(it applicable)
WELL USE (Check Applicable Box) Monitoring f Municipal/Public ❑
Industrial/Commercial ❑ Agricultural ❑ Recovery ❑ Injection ❑
Irrigation❑ Other ❑ (list use)
DATE DRILLED 8/21/13
TIME COMPLETED AM ❑ PM D
3. WELL LOCATION:
CITY: Gastonia COUNTY Gaston
MW-7R
1462 West Airline Drive, Gastonia, NC
(Street Name, Numbers, Community, Subdieision, Lot No., Parcel, Zip Code)
TOPOGRAPHIC / LAND SETTING:
❑SIope ❑Valley E3Ftat ID Ridge ❑ Other
(check appropriate box)
LATITUDE 3
LONGITUDE
May be in degrees,
minntrs, seconds or
in a decimal format
Latitude/longitude source: DGPS ❑Topographic map
(location of we9 must be shown on a USGS topo map end
attached to this form if not using GPS)
4. FACILITY- is the name of Iho business where the well is Io .nod.
FACILITY ID *(if applicable)
NAME OF FACILITY Former Pepsi Gastonia
STREET ADDRESS 1462 West Airline Drive
Gastonia NC
City or Town State Zip Code
CONTACT PERSON
MAILING ADDRESS
City or Town State Zip Code
Area code- Phone number
5. WELL DETAILS:
a. TOTAL DEPTH: 45 ft.
b. DOES WELL REPLACE EXISTING WELL? YES vg NO ❑
e. WATER LEVEL Below Top of Casing: FT.
(Use'+' if Above Top of Casing)
d. TOP OF CASING IS FT. Above Land Surface"
'Top of casing terminated at/or below land surface may require
• a variance in accordance with 15A NCAC 2C .0118.
e. YIELD (gpm): METHOD OF TEST
f. DISINFECTION: Type Amount
g. WATER ZONES (depth):
From To From To
From To From To
Frain To Fran To
6. CASING: Thickness/
Depth Diameter W g�l� t eja1
From 20 To 0 Ft
From To Ft
From To Ft
7. GROUT: Depth Material
From 18 To 16 Ft. Bentonite
From 16 To�� Ft Grout
From To Ft
Method
Tremie
Tremle
8. SCREEN: Depth Diameter Slot Size Material
From 45 To 20 Ft. 2 In. 0.01 in. PVC
From To Ft. in. in.
From To Ft in. in.
9. SAND/GRAVEL PACK:
Depth Size Material
Fran 45 To 18 Ft. #2,med Sand
Fran To Ft
From To Ft.
10. DRILLING LOG
From To Formation Description
11. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL CONSTRU TIDN STA DARDS, AND THAT A COPY OF THIS
RECORD HAS BEP D O T LL OWNER.
9/10/13
SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
Iavid- v{'o Lilo
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn: information Mgt,
1617 Mail Service Center-- Raleigh, NC 27699-1617 Phone No. [phone] ext 568.
Form GW-lb
Rev. 7/05

BIO-CAT
Microbials
Safety Data Sheet
Form: Powder (SZE)
Section 1: Identification
Product Identifier: EnviroBac
Other Identifier: NONE
Recommended Use: See Product Literature
Supplier Information: 689 Canterbury Rd
Shakopee, MN 55379
(p)952-445-4251 (f) 952-445-7233
[e-mail]
434-589-4777 8am - 4pm EST
Emergency Phone:
Section 2: Hazard Identification
Hazard Classification:
Eye Damage/Irritation Category 2B
Skin Corrosion/Irritation Category 2
Signal Word: Warning
Hazard Statements:
H315
H 320
Pictogram(s):
Precautionary Statement(s):
P264 Wash face and hands thoroughly after handling.
P280 Wear protective gloves/protective clothing/eye protection/face protection.
Response Statement(s):
P302/352 IF ON SKIN: Wash with plenty of water.
P305/351/338 IF IN EYES: Rinse cautiously with water for several minutes. Remove contact
lenses, if present and easy to do. Continue rinsing. Immediately call a poison center/doctor.
P308/31 1 IF exposed or concerned: call a poison center/doctor.
P332/313 If irritation occurs: get medical advice/attention.
P337/313 If eye irritation persists: get medical advice/attention.
P362/364 Take off contaminated clothing and wash it before reuse.
Hazards Not Otherwise Categorized:
Moderate Respiratory Irritant
Causes skin irritation.
Causes eye irritation.
Section 3: Composition/ Information on Ingredients
Name:
Name:
Name:
Inhalation:
Proprietary bacterial blend
Maltodextrin
Sodium chloride
CAS Number: N/A
CAS Number: 9050-36-3
CAS Number: 7647-14-5
%by weight: 3.5-6%
%by weight: 2-3.5%
% by weight: Remainder %
Section 4: First -Aid Measures
If inhaled remove from contaminated area to fresh air. Report the situation. Seek
medical attention if allergic response is exhibited.
Page 1 of 3

BIO-CAT
Microbials
Eye Contact:
Skin Contact:
Ingestion:
In case of contact with eyes, flush eyes with low pressure water for at least 15 minutes.
If irritation develops, seek medical attention.
In case of contact with skin, wash skin with soap and cold water. Remove
contaminated clothing and wash.
If swallowed, rinse mouth and throat thoroughly with tap water. Drink water.
Section 5: Fire -Fighting Measures
Suitable Extinguishing Media:
Non -Suitable Extinguishing Media:
Specific Exposure Hazards:
Protective Equipment:
Standard procedure for chemical fires. Foam. Water.
None
None
No special requirements
Section 6: Accidental Release Measures
Personal precautions,
Emergency Procedures:
Containment methods:
Cleanup Procedures:
Use only with adequate ventilation/personal protection. Avoid breathing
dust or spray mist. Avoid formation of dust and aerosols. (See section 8).
Prevent further leakage or spillage if safe to do so.
Contain and remove spilled product by mechanical means or with a
vacuum cleaner equipped with a high efficiency filter. Avoid formation
of aerosol.
Section 7: Handling and Storage
Safe Handling:
Storage:
Never handle powder without appropriate personal protective
equipment in accordance with Section 8. Avoid formation of dust.
Avoid splashing and high pressure washing. Ensure good ventilation of
the room when handling this product.
Keep container tightly closed in a cool, dry, well ventilated place.
Section 8: Exposure Controls/Personal Protection
Appropriate engineering controls: Adequate ventilation required for dusty conditions
Eye/face protection:
Skin protection:
Respiratory Protection:
Wear protective glasses or eye shield
Impermeable gloves recommended
Use NIOSH approved respiratory protection such as full face mask
Section 9: Physical and Chemical Properties
Appearance:
Odor:
Odor Threshold:
pH:
Melting point/freezing point:
Initial boiling point and boiling range:
Flash point:
Evaporation rate:
Flammability (solid, gas):
Light to dark tan colored powder
Characteristic fermentation odor
Not available
Not available
Not available
Not available
Not available
Not available
Not available
Upper/lower flammability or explosive limits: Not available
Vapor Pressure:
Vapor Density:
Relative Density:
Solubility:
Partition coefficient: n-octonol/water:
Auto -ignition temperature:
Decomposition temperature:
Viscosity:
Not available
Not available
Not available
Soluble
Not available
Not available
Not available
Not available
Page 2 of 3

BIO-CAT
Microbials
Section 10: Stability and Reactivity
Reactivity:
Chemical Stability:
Hazardous reactions:
Not available
Stable under normal storage conditions
Not available
Conditions to avoid: Not available
Incompatible materials: Not available
Hazardous Decomposition Products: Not available
Section 11: Toxicological Information
Routes of Exposure:
Symptoms:
Immediate:
Delayed:
Acute toxicity:
Eye Irritation:
Skin Irritation:
Respiratory Irritation:
Sensitization towards product:
Germ cell mutagenicity:
Reproductive toxicity:
Carcinogenicity:
Eye contact, skin contact, ingestion, inhalation
May cause irritation to the eyes, skin, mucus membranes, and the
upper respiratory tract
Not available
Not available
May cause minor irritation
May cause minor irritation
May cause minor irritation
There is no evidence of sensitizing potential
Not available
Not expected to produce reproductive toxicity
Not classified as a carcinogen by IARC, OSHA, or NTP
Section 12: Ecological Information
Ecotoxicity:
Persistence and degradability:
Bioaccumulative potential:
Mobility in soil:
Other adverse effects:
Not available
Product is readily biodegradable
Not available
Not available
Not available
Section 13: Disposal Considerations
No special disposal method required, except that in accordance to all applicable federal, state, and
local regulations.
Section 14: Transport Information
Harmonized Tariff Code:
UN Number:
UN Proper Shipping Name:
Transportation Hazard Class:
Packing Group:
Transport Environmental Hazard:
Transport Special Precautions:
MARPOL:
3002.90.10 (for Microbials)
Not classified
Not classified
Not classified
Not classified
Not classified
Not classified
Not classified
L
Section 15: Regulatory Information
All components of this product are listed or exempt from listing on the TSCA Inventory.
Section 16: Other Information
Revision History: Effective Date: 04/25/17
Supersedes: First Issue
GHS 2015 FORMAT
The information contained in this Safety Data Sheet, as of the issue date, is believed to be true and correct. However, the
accuracy or completeness of this information and any recommendations or suggestions are made without warranty or
guarantee. Since the conditions of use are beyond the control of the company, it is the responsibility of the user to determine
the conditions of safe use of this product. The information does not represent analytical specifications. END OF SDS
Page 3 of 3

Safety Data Sheet
All White Granulated Sugars
Revision Date 12/22/2016 Version 1.0
1
-SR
La R L' U P
Io n
�U.��LP4 S1)�pR� Lrr
Domino Foods, Inc.
According To Federal Register / Vol. 77, No. 58 / Monday, March 26, 2012 / Rules and Regulations and According t the Hazardous Products Regulation (February 11, 2015)
SECTION 1: IDENTIFICATION
1.1. Product Identifier
Product Form: Substance
Product Name(s): Domino® Extra Fine Granulated, Fruit Granulated, Bakers Special Granulated, Standard Granulated, Medium
Granulated, Medium Fine Granulated, LCMT Granulated Sugar, Sanding No. 2, Superfine, Bottlers' Granulated Sugar, Canners' Extra
Fine Granulated and Con AA Sugar; C&H® Con A Sugar, Con AA Sugar, Coarse Sanding Sugar, Special Sanding Sugar, Con Sanding
Sugar, Special Coarse Sugar, Manufacturers Sugar, Special Grain Sugar, Extra Fine Granulated Sugar, Gel/Fruit Granulated Sugar,
Bottlers Extra Fine Granulated Sugar, Cube Sugar, and Bakers Special Sugar and 35/50 Granulated Sugar; USP/NF and EP grade of
any preceding product.
CAS No: 57-50-1
1.2. Intended Use of the Product
Sweetener
1.3. Name, Address, and Telephone of the Responsible Party
Company
American Sugar Refining Inc.
1 Federal Street
Yonkers, NY 10705
914-963-2400
1.4. Emergency Telephone Number
Emergency Number : 914-963-2400
SECTION 2: HAZARDS IDENTIFICATION
2.1. Classification of the Substance or Mixture
GHS-US/CA Classification
Comb. Dust
2.2. Label Elements
GHS-US/CA Labeling
Signal Word (GHS-US/CA) : Warning
Hazard Statements (GHS-US/CA) : May form combustible dust concentrations in air.
Supplemental Information : Keep away from heat, hot surfaces, sparks, open flames and other ignition sources. No
smoking. Proper grounding procedures to avoid static electricity should be followed.
Avoid generating dust. Prevent dust accumulation (to minimize explosion hazard).
2.3. Other Hazards
Exposure may aggravate pre-existing eye, skin, or respiratory conditions.
2.4. Unknown Acute Toxicity (GHS-US/CA)
No data available
SECTION 3: COMPOSITION/INFORMATION ON INGREDIENTS
3.1.
Name
CAS No
Substance
: Extra Fine Granulated Sugar
: 57-50-1
Name
Product Identifier
% *
Sucrose
(CAS No) 57-50-1
100
3.2. Mixture
Not applicable
*Percentages are listed in weight by weight percentage (w/w%) for liquid and solid ingredients. Gas ingredients are listed in volume
by volume percentage (v/v%).
SECTION 4: FIRST AID MEASURES
4.1. Description of First -aid Measures
1/6

Safety Data Sheet
All White Granulated Sugars
Revision Date 12/22/2016 Version 1.0
General: Never give anything by mouth to an unconscious person. If you feel unwell, seek medical advice (show the label where
possible).
Inhalation: Using proper respiratory protection, immediately move the exposed person to fresh air. Obtain medical attention if
breathing difficulty persists.
Skin Contact: Rinse immediately with plenty of water for 5 minutes. Obtain medical attention if irritation develops or persists.
Eye Contact: Rinse cautiously with water for at least 5 minutes. Remove contact lenses, if present and easy to do. Continue rinsing.
Obtain medical attention if redness, pain, or irritation occurs.
Ingestion: Rinse mouth. Do not induce vomiting. Get medical advice and attention if you feel unwell.
4.2. Most Important Symptoms and Effects Both Acute and Delayed
General: Not expected to present a significant hazard under anticipated conditions of normal use. Prolonged contact with large
amounts of dust may cause mechanical irritation.
Inhalation: Dust may be harmful or cause irritation.
Skin Contact: Prolonged exposure may cause skin irritation.
Eye Contact: May cause slight irritation to eyes.
Ingestion: Ingestion is not likely to be harmful or have adverse effects.
Chronic Symptoms: Repeated or prolonged contact with skin may cause dermatitis.
4.3. Indication of Any Immediate Medical Attention and Special Treatment Needed
If exposed or concerned, get medical advice and attention. If medical advice is needed, have product container or label at hand.
SECTION 5: FIRE -FIGHTING MEASURES
5.1. Extinguishing Media
Suitable Extinguishing Media: Use extinguishing media appropriate for surrounding fire.
Unsuitable Extinguishing Media: Do not use a heavy water stream. Use of heavy stream of water may spread fire.
5.2. Special Hazards Arising From the Substance or Mixture
Fire Hazard: Combustible Dust.
Explosion Hazard: Dust explosion hazard in air.
Reactivity: Hazardous reactions will not occur under normal conditions.
5.3. Advice for Firefighters
Precautionary Measures Fire: Exercise caution when fighting any chemical fire.
Firefighting Instructions: Use water spray or fog for cooling exposed containers.
Protection During Firefighting: Do not enter fire area without proper protective equipment, including respiratory protection.
Hazardous Combustion Products: Thermal decomposition generates: Carbon oxides (CO, CO2).
Other Information: Risk of dust explosion.
Reference to Other Sections
Refer to Section 9 for flammability properties.
SECTION 6: ACCIDENTAL RELEASE MEASURES
6.1. Personal Precautions, Protective Equipment and Emergency Procedures
General Measures: Avoid prolonged contact with eyes, skin and clothing. Avoid generating dust. Avoid breathing dust. Remove
ignition sources. Keep away from heat, hot surfaces, sparks, open flames, and other ignition sources. No smoking.
6.1.1. For Non -Emergency Personnel
Protective Equipment: Use appropriate personal protective equipment (PPE).
Emergency Procedures: Evacuate unnecessary personnel.
6.1.2. For Emergency Personnel
Protective Equipment: Equip cleanup crew with proper protection.
Emergency Procedures: Upon arrival at the scene, a first responder is expected to recognize the presence of dangerous goods,
protect oneself and the public, secure the area, and call for the assistance of trained personnel as soon as conditions permit.
Ventilate area.
6.2. Environmental Precautions
Prevent entry to sewers and public waters.
6.3. Methods and Materials for Containment and Cleaning Up
For Containment: Contain solid spills with appropriate barriers and prevent migration and entry into sewers or streams. Avoid
generation of dust during clean-up of spills.
2/6

Safety Data Sheet
All White Granulated Sugars
Revision Date 12/22/2016 Version 1.0
Methods for Cleaning Up: Clean up spills immediately and dispose of waste safely. Vacuum clean-up is preferred. If sweeping is
required use a dust suppressant. Use explosion proof vacuum during cleanup, with appropriate filter. Do not mix with other
materials. Use only non -sparking tools. Contact competent authorities after a spill.
6.4. Reference to Other Sections
See Section 8 for exposure controls and personal protection and Section 13 for disposal considerations.
SECTION 7: HANDLING AND STORAGE
7.1. Precautions for Safe Handling
Additional Hazards When Processed: Accumulation and dispersion of dust with an ignition source can cause a combustible dust
explosion. Keep dust levels to a minimum and follow applicable regulations.
Precautions for Safe Handling: Wash hands and other exposed areas with mild soap and water before eating, drinking or smoking
and when leaving work. Avoid prolonged contact with eyes, skin and clothing. Avoid creating or spreading dust. Avoid breathing
dust. Keep away from heat, sparks, open flames, hot surfaces. — No smoking.
Hygiene Measures: Handle in accordance with good industrial hygiene and safety procedures.
7.2. Conditions for Safe Storage, Including Any Incompatibilities
Technical Measures: Comply with applicable regulations. Avoid creating or spreading dust. Use explosion -proof electrical,
ventilating, lighting equipment. Proper grounding procedures to avoid static electricity should be followed.
Storage Conditions: Keep container closed when not in use. Store in a dry, cool place. Keep/Store away from direct sunlight,
extremely high or low temperatures and incompatible materials.
Incompatible Materials: Strong acids, strong bases, strong oxidizers. Sulfuric acid. Nitric acid.
7.3. Specific End Use(s)
Sweetener
SECTION 8: EXPOSURE CONTROLS/PERSONAL PROTECTION
8.1. Control Parameters
For substances listed in section 3 that are not listed here, there are no established Exposure limits from the manufacturer, supplier,
importer, or the appropriate advisory agency including: ACGIH (TLV), AIHA (WEEL), NIOSH (REL), OSHA (PEL), Canadian provincial
governments, or the Mexican government.
Sucrose (57-50-1)
Mexico
OEL TWA (mg/m3)
10 mg/m3
Mexico
OEL STEL (mg/m3)
20 mg/m3
USA ACGIH
ACGIH TWA (mg/m3)
10 mg/m3
USA ACGIH
ACGIH chemical category
Not Classifiable as a Human Carcinogen
USA OSHA
OSHA PEL (TWA) (mg/m3)
15 mg/m3 (total dust)
5 mg/m3 (respirable fraction)
USA NIOSH
NIOSH REL (TWA) (mg/m3)
10 mg/m3 (total dust)
5 mg/m3 (respirable dust)
Alberta
OEL TWA (mg/m3)
10 mg/m3
British Columbia
OEL TWA (mg/m3)
10 mg/m3 (total dust)
3 mg/m3 (respirable fraction)
Manitoba
OEL TWA (mg/m3)
10 mg/m3
New Brunswick
OEL TWA (mg/m3)
10 mg/m3
Newfoundland & Labrador
OEL TWA (mg/m3)
10 mg/m3
Nova Scotia
OEL TWA (mg/m3)
10 mg/m3
Nunavut
OEL STEL (mg/m3)
20 mg/m3
Nunavut
OEL TWA (mg/m3)
10 mg/m3
Northwest Territories
OEL STEL (mg/m3)
20 mg/m3
Northwest Territories
OEL TWA (mg/m3)
10 mg/m3
Ontario
OEL TWA (mg/m3)
10 mg/m3
Prince Edward Island
OEL TWA (mg/m3)
10 mg/m3
Quebec
VEMP (mg/m3)
10 mg/m3
Saskatchewan
OEL STEL (mg/m3)
20 mg/m3
Saskatchewan
OEL TWA (mg/m3)
10 mg/m3
3/6

Safety Data Sheet
All White Granulated Sugars
Revision Date 12/22/2016 Version 1.0
Yukon
OEL STEL (mg/m3)
20 mg/m3
Yukon
OEL TWA (mg/m3)
30 mppcf
10 mg/m3
8.2. Exposure Controls
Appropriate Engineering Controls: Emergency eye wash fountain capability should be available in the immediate vicinity of any
potential exposure. Ensure adequate ventilation, especially in confined areas. Ensure all national/local regulations are observed.
Proper grounding procedures to avoid static electricity should be followed. Use explosion -proof equipment. Use local exhaust or
general dilution ventilation or other suppression methods to maintain dust levels below exposure limits. Power equipment should
be equipped with proper dust collection devices. It is recommended that all dust control equipment such as local exhaust ventilation
and material transport systems involved in handling of this product contain explosion relief vents or an explosion suppression
system or an oxygen -deficient environment.
Personal Protective Equipment: Gloves. Protective clothing. Protective goggles. Insufficient ventilation: wear respiratory protection.
0
Materials for Protective Clothing: Chemically resistant materials and fabrics.
Hand Protection: Wear protective gloves.
Eye Protection: Chemical safety goggles.
Skin and Body Protection: Wear suitable protective clothing.
Respiratory Protection: If exposure limits are exceeded or irritation is experienced, approved respiratory protection should be worn.
In case of inadequate ventilation, oxygen deficient atmosphere, or where exposure levels are not known wear approved respiratory
protection.
Other Information: When using, do not eat, drink or smoke
SECTION 9: PHYSICAL AND CHEMICAL PROPERTIES
9.1. Information on Basic Physical and Chemical Properties
Physical State
Appearance
Odor
Odor Threshold
pH
Evaporation Rate
Melting Point
Freezing Point
Boiling Point
Flash Point
Auto -ignition Temperature
Decomposition Temperature
Flammability (solid, gas)
Lower Flammable Limit
Upper Flammable Limit
Vapor Pressure
Relative Vapor Density at 20°C
Relative Density
Specific Gravity
Solubility
Partition Coefficient: N-Octanol/Water
Viscosity
: Solid
Dry powder, granules
Not available
Not available
Not available
Not available
Not available
Not available
Not available
Not available
Not available
Not available
Not available
Not available
Not available
Not available
Not available
Not available
Not available
Not available
Not available
Not available
SECTION 10: STABILITY AND REACTIVITY
10.1. Reactivity: Hazardous reactions will not occur under normal conditions.
4/6

Safety Data Sheet
All White Granulated Sugars
Revision Date 12/22/2016 Version 1.0
10.2. Chemical Stability: Stable under recommended handling and storage conditions (see section 7).
10.3. Possibility of Hazardous Reactions: Hazardous polymerization will not occur.
10.4. Conditions to Avoid: Direct sunlight, extremely high or low temperatures, and incompatible materials. Sparks, heat, open
flame and other sources of ignition. Dust accumulation (to minimize explosion hazard).
10.5. Incompatible Materials: Strong acids, strong bases, strong oxidizers. Sulfuric acid. Nitric acid.
10.6. Hazardous Decomposition Products: None known.
SECTION 11: TOXICOLOGICAL INFORMATION
11.1. Information on Toxicological Effects - Product
Acute Toxicity (Oral): Not classified
Acute Toxicity (Dermal): Not classified
Acute Toxicity (Inhalation): Not classified
LD50 and LC50 Data: Not available
Skin Corrosion/Irritation: Not classified
Eye Damage/Irritation: Not classified
Respiratory or Skin Sensitization: Not classified
Germ Cell Mutagenicity: Not classified
Carcinogenicity: Not classified
Specific Target Organ Toxicity (Repeated Exposure): Not classified
Reproductive Toxicity: Not classified
Specific Target Organ Toxicity (Single Exposure): Not classified
Aspiration Hazard: Not classified
Symptoms/Injuries After Inhalation: Dust may be harmful or cause irritation.
Symptoms/Injuries After Skin Contact: Prolonged exposure may cause skin irritation.
Symptoms/Injuries After Eye Contact: May cause slight irritation to eyes.
Symptoms/Injuries After Ingestion: Ingestion is not likely to be harmful or have adverse effects.
Chronic Symptoms: Repeated or prolonged contact with skin may cause dermatitis.
11.2. Information on Toxicological Effects - Ingredient(s)
LD50 and LC50 Data:
Sucrose (57-50-1)
LD50 Oral Rat
29700 mg/kg
SECTION 12: ECOLOGICAL INFORMATION
12.1. Toxicity
Ecology - General: Not classified.
12.2. Persistence and Degradability
Extra Fine Granulated Sugar (57-50-1)
Persistence and Degradability
Not established.
12.3. Bioaccumulative Potential
Extra Fine Granulated Sugar (57-50-1)
Bioaccumulative Potential
Not established.
12.4. Mobility in Soil Not available
12.5. Other Adverse Effects
Other Information: Avoid release to the environment.
SECTION 13: DISPOSAL CONSIDERATIONS
13.1. Waste treatment methods
Waste Disposal Recommendations: Dispose of contents/container in accordance with local, regional, provincial, territorial, national,
and international regulations
Additional Information: Container may remain hazardous when empty. Continue to observe all precautions.
Ecology - Waste Materials: Avoid release to the environment.
5/6

Safety Data Sheet
All White Granulated Sugars
Revision Date 12/22/2016 Version 1.0
SECTION 14: TRANSPORT INFORMATION
The shipping description(s) stated herein were prepared in accordance with certain assumptions at the time the SDS was authored,
and can vary based on a number of variables that may or may not have been known at the time the SDS was issued.
14.1. In Accordance with DOT Not regulated for transport
14.2. In Accordance with IMDG Not regulated for transport
14.3. In Accordance with IATA Not regulated for transport
14.4. In Accordance with TDG Not regulated for transport
SECTION 15: REGULATORY INFORMATION
15.1. US Federal Regulations
Extra Fine Granulated Sugar (57-50-1)
SARA Section 311/312 Hazard Classes
Fire hazard
Sudden release of pressure hazard
Sucrose (57-50-1)
Listed on the United States TSCA (Toxic Substances Control Act) inventory
15.2. US State Regulations
Sucrose (57-50-1)
U.S. - Massachusetts - Right To Know List
U.S. - Pennsylvania - RTK (Right to Know) List
15.3. Canadian Regulations
Sucrose (57-50-1)
Listed on the Canadian DSL (Domestic Substances List)
SECTION 16: OTHER INFORMATION, INCLUDING DATE OF PREPARATION OR LAST REVISION
Revision Date
Other Information
: 12/22/2016
: This document has been prepared in accordance with the SDS requirements of the OSHA
Hazard Communication Standard 29 CFR 1910.1200 and Canada's Hazardous Products
Regulations (HPR).
This information is based on our current knowledge and is intended to describe the product for the purposes of health, safety and
environmental requirements only. It should not therefore be construed as guaranteeing any specific property of the product.
NA GHS SDS 2015 (US, Can, Mex)
6/6