WI0400603_UIC NOI 7-18-2023_20230714

4 2023
NC DEQ,
NC Department of Environmental Q�wion 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 ISA NCAC 02C.0200 (NOTE: This form must be received at least 14 DAYS prior to iniection1
AQUIFER TEST WELLS Its.► E Cl2fs.02201
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITU REMEDIATION I15A N!LAC: 02C 022sf or TRACER WELLS (f5A 1vt AC �2e .02241:
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.
07/18 23 W10400603
DATE: , ZO PERMIT NO. (to be filled in by DWR)
NOTE- If this NOI is being submitted as notification of 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:
Permit No. WI WI0400603 Issued Date: 07/18/2023
A. 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) Pilot Test ................................................. Complete sections B through M
(6) Tracer Injection Well..... .............................. Complete sections B through M
(7) In -Situ Thermal (1ST) Well ........................... Complete sections B through M
B. STATUS OF WELL OWNER: Choose an item.
Deemed Permitted G W Remediation NO[ Rev. 2-17-2020 Page I

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): W. Scott Snow. PEfRJ Reynolds Tobacco Company
Mailing Address:
401 N Main Street
City: Winston, -Salem
State: NC__, Zip Code.27101 County: Forsyth
Day Tele No.:
336-741-2236 Cell No.:
EMAIL Address:
snoww2oRJRT.com Fax No.:
D. PROPERTY OWNER(S) (if different than well ownerfapplicant)
Name and Title:
Jill Peters?Wake Health cro WFIO Holdinlas _
Company Name
WHO Holdines
Mailing Address:
575 N Patterson Ave. Suite 550 _
City: Winston-Salem
State: _NC Zip Code:27101 County: Forsyth
Day Tele No.:
336-713-7154 Cell No.:
EMAIL Address:
[e-mail] Fax No.:
E. PROJECT CONTACT
(Typically Environmental ConsultingiEngineering Firm)
Name and Title:
Michael Burns
Company Name
Kleinfelder, Inc.
Mailing Address:
3200 Gateway Centre Blvd, Suite 100
City: Morrisville
State NC_ Zip Code:27560 County: Wake
Day Tele No.: 919-397-3734 Ce11 No.:
EMAIL Address:
mburns(a)kteinfelder.com Fax No.:
F. PHYSICAL LOCATION OF WELL SITE
(1) Facility Name & Address: Wake Health Parking Lot, 0 N Research Park►nyCity: Winston-Salem
County: Forsyth Zip Code: 27101.
(2) Geographic Coordinates: Latitude" : " or 360.102016
Longitude": °_F "or 8V.237557
Reference Datum: GoogleEarth Pro Accuracy: —23m
Method of Collection: GoogleEarth Pro
"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: 15,000 (7GCL) square feet
Land surface area of inj. well network: 1,100 square feet (. 10,000 ft2 for small-scale injections)
Percent of contaminant plume area to be treated: (must be < 5% of plume for pilot test injections)
Deemed Permitted GW Remediation NOI Rev 2-17-2020 Put 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 -sections) 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.
1. 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:
The site previously utilized seven (7) underground storage tanks (US'I's): three (3) USTs in the western portion
of the site including two (2) — 12,000-gallon diesel (TK-91015 and TK-91016) and one (1) -- 12,000-gallon
gasoline (TK-91017); three (3) USTs in the eastern portion of the site including one (1) — 4,000-gallon motor oil
(TK-91019), one (1) — 2,500-gallon used oil (TK-91019), and one (1) _ 550-gallon antifreeze (TK-91020); and,
one (1) 550-gallon skimmed oil UST (TK-91021) in the southern portion of the site.
On May 27, 2009, the UST systems were removed. A release from the northern diesel dispenser was apparent
from the closure samples. Soil beneath the dispenser was excavated to a depth of 12 feet. Soil encountered within
the excavation appeared to be impacted by a previous release ofgasoline, presumably from the USTs in operation
prior to July 1986. An exploratory excavation to a depth of 19 feet revealed apparent higher concentrations of
volatile vapors.
Free product had been detected within monitoring well MW-1 and free product recovery was conducted. Free
product has not been detected since at least 2014. The source of the free product was believed to be the previous
tank system. Petroleum constituents have historically been detected in MW-1 and FW-1 above the Gross
Contaminant Levels (GCLs).
The goal of the injection is to evaluate the effectiveness of the small-scale injection of BOS200 to reduce benzene
concentrations in the area of monitoring well MW-1. The injection event will consist of I 1 injection points up -
gradient and around monitoring well M W-1 in the 20 feet to 28 feet interval with a total of 1,650 gallons of the
BOS200 mixture.
WELL CONSTRUCTION DATA
(1) No. of injection wells: 1 I Proposed Existing (provide NC Well
Construction Record (G W-1) for each well)
(2) Appx. injection depths (BLS):.__ 20 feet to 28 feet
(3) For Proposed wells or Existing wells not having GW-Is, 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, Geoprobei'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
Deemed Permitted GW Remediation NO[ Rev 2-17-2020 Page 3

K. INJECTION SUMMARY
NOTE: Onl} iniectants aroved by the ePidetniologn,.section of the NC Division ojPublic Health. Denartmen!
of Health and Human Services can be infected approved iniectants can be found online at
hti :t ,nc.&2vaabouttdivisions/water-resources.fwater-resources-permtt5twastewater-branchtground-water-
ttroteclion� gamut-d--w- er-approved-injectants. All other substances must be reviewed by the DHHS{.srior to use.
Co►>tact the UIC Program for more into if you wish to get approval for a di(jerent additive. However, please
note it may take 3 months or longer. If no iniectants are to be used use N/A.
Injectant: ROS200
Total Amt. to be injected (gal)/event: 1,650
Injectant:
Total Amt. to be injected (gal)/event:
Injectant:
Total Amt. to be injected (gal)/event:
Injectant:
Total Amt. to be injected (gal)/event:
Injectant:
Total Amt. to be injected (gal)/event:
Total Amt. to be injected (gallevent):
- 1,650
No. of separate injection events: I
Total Amt. to be injected (gal): 1,650
Source of Water (if applicable):
Municipal
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.
See attached iniection plan
M. SIGNATURE OF APPLICANT AND PROPERTY OWNER
Well OwnerrAppticant: "l hereby certt)�-, under penalty of law, that 1 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 submttttng false information, 1 agree to construct, operate, maintain, repair, and if applicable, abandon the
injection well and all related appurtenances in accordance with the 1 SA NCAC 02C 0200 Rules. "
W. Scott Snow, Sr. Environmental Manager
Signature of Applicant Print or Type Full Name and Title
Property Owner (if the property is not owned by the Well OwnerlApplicantl:
"As owner of the property on which the injection well(s) are to be constructed and operated, ! 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
((�A.R'r ' OZ('.0200) "
Deemed Permitted GW Remediation NQt Rev 2.17-2020 Pag¢ 4

"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.
and Title
ThisI o m.
Please send 1 (one) hard color copy of this NOI along with a copy on an attached CD 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 NOl Rev. 2-17-2020 plat 5

(OKLEINrELDER
Bright People. Right Solutions.
April 25, 2022
Kleinfelder File No. RAL22R139543
Mr. Max Hopkins
RJ Reynolds Tobacco Company
Environmental, Health, and Safety
401 North Main Street
Winston-Salem, NC 27101
SUBJECT: Work Plan for In -Situ Chemical Injection Pilot Testing
RJRT Former Downtown Trucking Facility
699 North Research Parkway, Winston-Salem, NC
Groundwater Incident No. 21334
Kleinfelder Project No. 20224711.001A
Dear Mr. Hopkins:
On behalf of RJ Reynolds Tobacco Company (RJRT), Kleinfelder has developed this Work Plan
for In -Situ Chemical Injection Pilot Testing at the RJRT Former Downtown Trucking Facility
located at 699 North Research Parkway, Winston-Salem, NC (herein referred to as the "site").
This Work Plan describes the In -Situ Chemical Injection Pilot Testing (injection pilot test), safety,
monitoring, and reporting activities necessary to remediate petroleum impacted groundwater. The
objective of the injection pilot test is to reduce residual dissolved phase petroleum constituents
currently observed in groundwater at the site to concentrations below the gross contaminant
levels (GCLs).
SITE BACKGROUND AND REGULATORY STATUS
Site Description
The approximately 12.7-acre subject site is located at 699 North Research Parkway (formerly
Linden Street) in Winston-Salem, Forsyth County, North Carolina (Figure 1). According to
information available by the Winston-Salem Tax Assessor, the site is comprised of one (1) parcel
of land identified by Parcel ID Number (PIN): 6835-48-5445. The parcel (6835-48-5445) has a
listed owner of WFIQ Holdings, Inc.
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KLEINFELDER 3200 Gateway Centre Blvd. Suite 100, Morrisville, NC 27560 p 1919.755.5011

r 10HR
Bright Pwpie. Right Solutiom
The site was the former location of the downtown trucking facility for RJRT. The site is generally
flat and is currently occupied by paved asphalt parking lot surrounded by maintained grass right-
of-way and landscaped areas. A east -west oriented strip of maintained grass area mostly
separates the southern and northern portions of the site. The western adjoining property, which
contains off -site groundwater monitoring wells, is also occupied by paved asphalt parking lots,
beyond which a north -south oriented railroad easement is apparent.
The site is bound to the east by John Gold Memorial Expressway and its southbound on -ramp, to
the north by Martin Luther King Jr. Drive, to the west by North Research Parkway, and to the
south by East 5ch Steet.
Based on a review of available historical aerial imagery, the site was previously occupied by five
(5) commercial canopy structures used for truck storage from at least 1993 to 2010. The structures
were apparently demolished between 2010 and 2012. Based on property tax records, the site
was converted to paved asphalt parking lots between 2014 and 2017.
Regulatory Status
The site previously utilized seven (7) underground storage tanks (USTs): three (3) USTs in the
western portion of the site including two (2) — 12,000-gallon diesel (TK-91015 and TK-91016) and
one (1) — 12,000-gallon gasoline (TK-91017); three (3) USTs in the eastern portion of the site
including one (1) — 4,000-gallon motor oil (TK-91018), one (1) — 2,500-gallon used oil (TK-91019),
and one (1) — 550-gallon antifreeze (TK-91020); and, one (1) 550-gallon skimmed oil UST (TK-
91021) in the southern portion of the site.
On May 27, 2009, the UST systems were removed. A release from the northern diesel dispenser
was apparent from the closure samples. Soil beneath the dispenser was excavated to a depth of
12 feet. Soil encountered within the excavation appeared to be impacted by a previous release of
gasoline, presumably from the USTs in operation prior to July 1986. An exploratory excavation to
a depth of 19 feet revealed apparent higher concentrations of volatile vapors.
Free product had been detected within monitoring well MW-1 and free product recovery was
conducted. Free product has not been detected since at least 2014. The source of the free product
was believed to be the previous tank system. A monitoring well location/site map is provided as
Figure 2. Petroleum constituents have historically been detected in MW-1 and FW-1 above the
Gross Contaminant Levels (GCLs).
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KLE/NFELOER
Hrtghtpeeple. fthr-wUrb-
In June 2015, Kleinfelder submitted a Corrective Action Plan (CAP) proposing monitored natural
attenuation as the best option to remediate the petroleum impacted groundwater.
Between the July 2016 and July 2021 groundwater sampling events, benzene concentrations
have been detected above the GCL within monitoring well MW-1 during all events except in 2016.
Benzene concentrations within monitoring well FW-1 were above the GCL in 2016, 2017 and
2018, but have been below the GCL in 2019, 2020 and 2021. Ethylene dibromide (EDB) has
been detected at concentrations that exceed the GCL within monitoring well MW-1.
A November 2021 email from NCDEQ includes a request for developing an active remedial
strategy.
Area Land Use
Many of the properties in the vicinity of the site are parking lots and commercial development to
the west, north, and south with a mixture of commercial and residential properties to the east.
Site Utilities
Subsurface utility conduits are located on and adjacent to the site along North Research Parkway.
According to information obtained from the City of Winston-Salem, the area is serviced by the
municipal water and sewer system. Overhead utilities consist of power lines with some local
underground power lines. Based on previous assessments and research, underground utilities
are buried above the seasonal high-water table and are not a migration pathway for groundwater.
Please refer to Figure 3 for a depiction of site and adjacent utilities.
ENVIRONMENTAL SETTING
Risk Classification
The site has a risk classification of Intermediate due to the presence of concentrations in excess
of the GCLs. The risk classification can be lowered to Low when concentrations no longer exceed
the GCLs. Once the site's risk classification is Low, then the incident can be closed by filing a
Notice of Residual Petroleum.
Geology
The site is located in the Piedmont physiographic province of North Carolina. The site is mapped
in a northern extension of the Charlotte Belt between the contacts with the Milton Belt and Carolina
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(KL INFEE-LOHR
BrightPeopfe. Rrght Soh th—
Slate Belt. Rock in the area has been classified as biotite gneiss and schist. Bedrock has been
encountered as part of the subsurface investigation activities conducted at the site at 80 ft-below
the ground surface (bgs).
Hydrogeology
According to historical groundwater level measurements, the apparent groundwater flow direction
at the site was to the southwest. Groundwater levels in the area of monitoring well MW-1 have
historically been measured at between 20-ft to 22.5-ft below the top of casing (TOC).
Groundwater levels measured on the western side of North Research Parkway around monitoring
wells FW-1, FW-2 and FW-3 have historically been between 14-ft to 17.5-ft below TOC.
Potential Sensitive Receptors
According to information obtained from the City of Winston-Salem, there are no private or public
water supply wells within 1,500 feet of the site. There is a piped stream (Linden Branch) located
about 400 feet downgradient of monitoring well MW-1. The location of Linden Branch is provided
on Figure 3. The injection event is to be performed at a sufficient distance and depth to not pose
a threat to the piped stream. As mentioned, the stream is fully enclosed and is only exposed about
2,000 feet south of the site. There are no known basements in the vicinity of the injection pilot test
area. The area in the vicinity of the injection pilot test area is primarily paved with the closest
structure being over 700 feet to the west.
REMEDIAL ALTERNATIVES EVALUATED
In addition to chemical injection, other remedial alternatives evaluated included air sparging, multi-
phase extraction (MPE), and passive in situ chemical oxidation. Air sparging was not selected
due to the limited space on -site and the potential damage to existing infrastructure. MPE was not
selected due to the low aquifer recovery rates and limited radius of influence. The passive in situ
chemical oxidation which would consist of deploying oxygen release compound (ORCO) socks
into monitoring well MW-1 was evaluated. Deploying ORCO socks in monitoring well MW-1 was
not selected due to the suspected limited radius of influence.
INJECTION WORK PLAN
Based on information collected during site groundwater monitoring events since CAP
implementation, it is apparent that monitored natural attenuation has been effective in reducing
concentrations of dissolved -phase hydrocarbons within the groundwater in the area of FW-1 but
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LK E/NFELOER
Bright People. Right SoWiom
has been less effective in the area of MW-1. Concentrations of benzene and ethylene dibromide
or 1,2-dibromoethane (EDB) above the GCLs continue to be detected within monitoring well MW-
1, however analysis of for EDB has not been conducted since 2017. The approximate extent of
benzene concentrations that exceed the benzene GCL is depicted on Figure 4.
The target/proposed injection area covers approximately 1,100 square feet (ft2). The proposed
injection area is shown on Figure 5. It is assumed that the impact extends up to eight (8) feet
vertically into the apparent water table, i.e., from approximately 20 to 28-ft below ground surface
(bgs), encompassing a total volume of approximately 326 cubic yards (yds3). Please refer to
Table 1 for site groundwater monitoring data.
Kleinfelder plans to inject BOS 2000, a reagent manufactured by Remediation Products, Inc.
(RPI) and installed by AST Environmental, Inc. (AST), to remediate saturated zone soils and
groundwater within the area of monitoring well MW-1. According to the manufacturer, BOS 2000
is a Trap & TreatO in situ remediation technology specifically designed to degrade petroleum
hydrocarbons. BOS 2000 is a complete system effecting accelerated biodegradation of various
organic compounds on an activated carbon platform that includes micro and macro nutrients, time
release terminal electron acceptors, and a blend of facultative organisms designed to flourish
within the aerobic to anaerobic conditions present in the pore structure of the carbon. The BOS
2000 bacteria will remain active as long as there are hydrocarbons and terminal electron
acceptors (sulfate) available. A material safety data sheet (MSDS) for BOS 2000 is provided in
Appendix A.
Prior to the injection pilot test, AST will perform a remedial design characterization (RDC) that will
be used to prepare a high -resolution conceptual site model (CSM). The CSM will help refine the
injection process.
Kleinfelder has successfully implemented a similar remedial strategy for NCDEQ groundwater
incident 36955 in the Mooresville Region. The project site for groundwater incident 36955 had
similar geologic, hydrogeologic, and concentrations as the subject site.
Chemical Dosage
RPI/AST calculated the estimated contaminant mass within the target area to predict the dosage
of BOS 2000 required for a pilot -scale study of the degradation rate of the petroleum
hydrocarbons. Based on these calculations, approximately 6,600 pounds of BOS 2000
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r 0EW
,\ Bright penph. Righ, Salulia
(Appendix B) are proposed for the injection pilot test. The BOS 2000, supplemental bacteria,
and additional additives (gypsum, magnesium sulfate, food grade starch, and yeast extract) will
be mixed with 1,650 gallons of water. The list and quantity of additional additives are included in
Appendix B. Note that the refined CSM will help to adjust the dosage as needed.
Injection Permitting
The target/proposed injection pilot test scope of work is proposed to be conducted as a pilot -scale
study which will only require submittal of a notification form to the NCDEQ Underground Injection
Control (UIC) Program. BOS 2000 is on the list of approved injectants.
Chemical Injections
Kleinfelder plans to inject BOS 2000 within the target/proposed area using GeoprobeO drilling
techniques. The target/proposed area map is provided on Figure 5. Based on the observed
subsurface conditions; injection points will be placed at a triangular pattern with a separation
distance of 10 feet. A total of 11 injections points will be used to address the target area (MW-1).
The proposed injection area is shown on Figure 5. BOS 2000 slurry will be applied to the
subsurface directly through the Geoprobe0 tools. Injection pressures and injection flow rates will
be dictated by the geology and thus determined during field application activities. The field
selected injection rate will be selected to prevent excessive mounding of the water table and
lateral spread of the plume. Upon completion of the injection, the boreholes will be grouted to
within one foot of surface grade and capped with clean fill. If a boring is located in an area where
the existing surface is asphalt or concrete then approximately one foot of concrete will be utilized
to complete borehole closure to surface grade.
Remediation Waste
Remediation waste is not anticipated to be generated during this work; however, if any wastes
are generated, they will be containerized, handled and disposed of in accordance with all
applicable state and federal regulations.
HEALTH AND SAFETY
Work performed at this site will be completed in substantial compliance with Occupational Safety
and Health Administration (OSHA) regulations under 29 CFR 1910.120. A site -specific Health
and Safety Plan (HASP) will be prepared prior to beginning any of the baseline monitoring or
injection activities. Kleinfelder will amend the HASP as necessary to address the BOS 2000
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l KLE/NFELVER
Brlghr People. Right Saluriam
related hazards. This HASP will be on site during all field activities described herein, and will be
monitored and updated as observations and/or data encountered deem necessary. Additional
activities to ensure the health and safety of employees, the general public, and the environment
are outlined below.
Site Control
The site is an active parking lot for the commercial businesses in the area. Access to the injection
area will be restricted to authorized personnel during the injections by the use of cone barriers
and flagging. All personnel will enter and exit the area through specific work zones.
Prior to the start of work, a safety officer will establish specific work zones to reduce the transport
and exposure of contaminants at the site. The following work zones will be established.
• Exclusion Zone: The Exclusion Zone is an area centered on (at least a 20-foot radius,
if possible) the point of activity. All personnel in the exclusion zone will be required to
wear the level of personal protective equipment (PPE) specified by the site safety
officer. Entry and exit to the exclusion zone will be regulated and will be permitted only
in a pre -specified area.
• Support Zone: The Support Zone is established in a clean or non -contaminated area
away from (and upwind when possible) from the Exclusion Zone. This area will contain
support facilities and areas for potable water, first aid, and eating and changing.
Normal work clothes are permitted in this area.
Safety Meetings
Prior to the start of work each day, the site safety officer will instruct field personnel and others
that will be on site during the injections of the following:
• The anticipated scope of work.
• Location of nearest medical facility.
• Review of the site -specific HASP.
• Review the Job Loss Analysis (JLA) for each task.
• Review known potential hazards with the work/chemicals.
Safety meetings will also be conducted to address site -specific potential hazards prior to the start
of work on a daily basis.
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LK E/NFELOER
Bright People Right Solutions.
Material Handling and Spill Control
A chemical measuring and mixing area will be set-up adjacent to the drilling/injection location.
The area will be lined with six (6) mil polyethylene sheeting to prevent unintended discharge to
the ground surface and bermed at the edges to contain chemicals. Dilute BOS 2000 slurry is
relatively harmless, thus adverse chemical reactions are not anticipated. During application, the
water quality and headspace of proximal observation wells will be monitored for adverse changes
such as excessive heat or vapor -phase VOC generation, and large fluctuations in groundwater
pH. If adverse effects such as surface breakout(s) are observed, then the injections will be
terminated and the observation wells will continue to be monitored to verify that the effects have
diminished. If the effects do not subside in a reasonable time frame, then clean water will be
flushed through the injectors in order to dilute the chemicals in the subsurface. If adverse effects
are observed following the application, then the frequency of vapor and groundwater monitoring
will be increased to further assess the condition.
MONITORING PROGRAM
The objectives of the monitoring program are to demonstrate that the pilot study is protective of
human health, safety, and the environment and to assess the effectiveness of the chemical
injections. The program will consist of groundwater and soil vapor monitoring before, during, and
after the injection activities to achieve these objectives.
Baseline Monitoring
Within one (1) month prior to the injections, vapor and groundwater monitoring of selected wells
and sewer manholes will be conducted. Monitoring well MW-4 will serve as the up -gradient
control. Wells MW-1, FW-1, FW-2, and FW-3 will be used to assess the treatment area and
downgradient. The monitoring well locations are provided on Figure 2.
The well headspace at monitoring wells MW-1, FW-1, FW-2 and FW-3 will be monitored for
oxygen (02), total volatile organic vapors (TVOVs) using a photo -ionization detector (PID), lower
explosive limit (LEL), and carbon dioxide (CO2). Sewer manholes will be screened with a PID to
evaluate for the presence of TVOVs above background levels. The sewer manhole locations are
provided on Figure 3. The background levels will be determined prior to the injection activities.
Groundwater monitoring of wells MW-1, MW-4, FW-1, FW-2, and FW-3 will be measured for depth
to water, dissolved oxygen (D02), oxidation-reduction potential (ORP), pH, conductivity, and
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KLE/MFELOER
Bright People. Right Solutions.
temperature. Groundwater samples will be collected from monitoring wells and submitted for
laboratory analysis of VOCs in accordance with EPA Method 6200B with EDB, as well as nitrite,
nitrate, and sulfate by EPA Method 300.
Injection Monitoring
Injection pressures and flow rates will be actively monitored at each injection location. During the
injection activities, vapor and groundwater at monitoring wells MW-1, MW-4, FW-1, FW-2, and
FW-3 will be monitored periodically. The well headspace vapor will be monitored for 02, TVOVs,
LEL, and CO2. The monitoring wells will be monitored for depth to water, DO, ORP, pH,
conductivity, and temperature during low flow purging.
Post -Injection Monitoring
Following the chemical injections, groundwater at monitoring wells MW-1, MW-4, FW-1, FW-2,
and FW-3 will monitored within 90 days following the injections and semi-annually thereafter for
the remainder of the year after the remediation event. The well headspace vapor will be monitored
for 02, TVOVs, LEL, and CO2. The wells will be monitored for depth to water, DO, ORP, pH,
conductivity, temperature, and turbidity during low flow purging. Kleinfelder will observe the
groundwater being purged to evaluate whether the activated carbon has made the well unusable
due to high turbidity levels. The groundwater samples from these monitoring wells will also be
analyzed for VOCs and EDB in accordance with EPA Method 620013, as well as nitrite, nitrate
and sulfate by EPA Method 300.
REPORTING
The effectiveness of the injection pilot test will be based on groundwater data. Following the initial
injection, Kleinfelder will resample the monitoring wells within 90 days. The injection pilot test
results, and the groundwater data will be provided in a monitoring report. Generally, decreases in
primary indicators such as VOCs and EDB as well as nitrite, nitrate, and sulfate levels will indicate
that the injections were effective. The following the initial monitoring results will be presented and
evaluated in the subsequent groundwater monitoring reports will be submitted to the NCDEQ on
a semi-annual schedule.
20224711.001A I RAL22R139543 Page 9 of 11 April 25, 2022
© 2022 Kleinfelder www.kleinfelder.com

KLE/NFELOER
Bight PWPfa Right S.IWI-..
COST ESTIMATE
The cost to complete the injection pilot test are listed below.
NAME
Materials
COST ESTIMATE
$53,000
Installation
$13,000
RDC
$7,000
Private Utility Locate
$800
Professional Services
$25,000
Monitoring Events x 2
$13,200
Total Estimated Cost
$112,000
LIMITATIONS
Kleinfelder's work has been performed in a manner consistent with that level of care and skill
ordinarily exercised by other members of its profession practicing in the same locality, under
similar conditions and at the date the services are provided. Kleinfelder's conclusions, opinions
and recommendations have been based on a limited number of observations and data. It is
possible that conditions could vary between or beyond the data evaluated. Kleinfelder makes no
guarantee or warranty, express or implied, regarding the services, communication (oral or
written), report, opinion, or instrument of service provided.
The information included on graphic representations in the report has been compiled from a
variety of sources and is subject to change without notice. Kleinfelder makes no representations
or warranties, express or implied, as to accuracy, completeness, timeliness, or rights to the use
of such information. These documents are not intended for use as a land survey product, nor are
they designed or intended as a construction design document. The use or misuse of the
information contained on these graphic representations is at the sole risk of the party using or
misusing the information.
20224711.001A I RAL22R139543 Page 10 of 11 April 25, 2022
© 2022 Kleinfelder vmv.kleinfelder.com

r L ER
\` Blight People. Right S.IWA S
CLOSING
Should you have any questions, please do not hesitate to contact the undersigned at (919) 755-
5011.
,Illuli
Sincerely,
KLEINFELDER
SEA
' i'
e'•�'9 COL
.q
klllllHl
l
Michael J Burns, PG
Environmental Program Manager
Brett Miller, PG
Program Manager
MJB/BM:asp
Attachments: Table 1 — Summary of Groundwater Analytical Data
Figure 1 — Location and Vicinity Map
Figure 2 — Site Map
Figure 3 — Sewer and Drainage Lines
Figure 4 — Benzene Isoconcentration Map
Figure 5 — Proposed Injection and RDC Areas Map
Appendix A — MSDS for Bos200@
Appendix B — Work Sheet
20224711.001A I RAL22R139543 Page 11 of 11
© 2022 Kleinfelder
April 25, 2022
www.kleinfelder.com

KLE/NFELOER
&fight P-ple Mght S.I t—
TABLE
20224711.001A I RAL22R139543 April 25, 2022
© 2022 Kleinfelder www.kleinfelder.com

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APPENDIX A
MSDS FOR BOS2000
20224711.001A I RAL22R139543 April 25, 2022
© 2022 Kleinfelder www.kleinfelder.com

.ice}
ICaIgOf1Cat`b0i'1®
TRAP & TREAT® BOS 2008
Safety Data Sheet
SECTION 1: Identification of the Substance/Mixture and of the Company/Undertaking
1.1. Product identifier
Product name TRAP & TREAT® BOS 2000
Product form Mixture
Product code 13967
Other means of identification Activated carbon; Steam activated carbon
1.2. Relevant identified uses of the substance or mixture and uses advised against
Use of the substance/mixture : Adsorbent
1.3. Details of the supplier of the safety data sheet
Calgon Carbon Corporation
P.O. Box 717
Pittsburgh, PA 15230
412-787-6700
1.4. Emergency telephone number
Emergency number - CHEMTREC (24 HRS): 1-800-424-9300
SECTION 2: Hazards Identification
2.1. Classification of the substance or mixture
Issued:05/28/2020
Supersedes: 06/05/2015
Version: 2.0
GHS-US classification
Combustible Dust
Not classified as a simple asphyxiant. Product does not displace oxygen in the ambient atmosphere, but slowly adsorbs oxygen from a confined
space when wet. Under conditions of anticipated and recommended use, product does not pose an asphyxiation hazard.
2.2. Label elements
GHS-US labeling
Signal word (GHS-US) Warning
Hazard statements (GHS-US) May form combustible dust concentrations in air
2.3. Other hazards
Other hazards not contributing to the Wet activated carbon can deplete oxygen from air in enclosed spaces. If use in an enclosed
classification space is required, procedures for work in an oxygen deficient environment should be followed.
2.4. Unknown acute toxicity (GHS-US)
No data available
SECTION 3: Composition/Information on Ingredients
3.1. Substance
Not applicable
3.2. Mixture
Name
Product identifier
%
Activated carbon _
Gypsum (Hydrated calcium sulfate)
(CAS No) 7440-44-0
z 80
(CAS No) 13397-24-5
< 20
SECTION 4: First Aid Measures
4.1. Description of first aid measures
First -aid measures general
If exposed or concerned, get medical attention/advice. Show this safety data sheet to the
doctor in attendance. Wash contaminated clothing before re -use. Never give anything to an
unconscious person.
First -aid measures after inhalation
IF INHALED: Remove to fresh air and keep at rest in a position comfortable for breathing.
First -aid measures after skin contact
IF ON SKIN (or clothing): Remove affected clothing and wash all exposed skin with water for at
least 15 minutes.
First -aid measures after eye contact
IF IN EYES: Immediately flush with plenty of water for at least 15 minutes. Remove contact
lenses if present and easy to do so. Continue rinsing.
First -aid measures after ingestion
IF SWALLOWED: Rinse mouth thoroughly. Do not induce vomiting without advice from poison
control center or medical professional. Get medical attention if you feel unwell.
05/28/2020 TRAP & TREAT® BOS 2000 For Internal Use Only: PR#85 Page 1 of 7
OSHA SDS Product Code: 13967

TRAP & TREAT® BOS 2008
Product Code: 13967
Safety Data Sheet
4.2. Most important symptoms and effects, both acute and delayed
Symptoms/injuries after inhalation Not expected to present a significant hazard under anticipated conditions of normal use. Dust
may cause irritation respiratory system.
Symptoms/injuries after skin contact Dust may cause irritation.
Symptoms/injuries after eye contact Dust may cause irriation and redness.
Symptoms/injuries after ingestion Not expected to present a significant hazard under anticipated conditions of normal use.
4.3. Indication of any immediate medical attention and special treatment needed
No additional information available.
SECTION 5: Firefighting Measures
5.1. Extinguishing media
Suitable extinguishing media Water spray. Carbon dioxide. Dry chemical. Foam. Sand.
Unsuitable extinguishing media None known.
5.2. Special hazards arising from the substance or mixture
Fire hazard Dust maybe combustible under specific conditions. Maybe ignited by heat, sparks or flames.
Explosion hazard Dust may form explosive mixture in air.
Reactivity No dangerous reactions known under normal conditions of use. Carbon oxides, ammonia, or
toxic halide fumes may be emitted upon combustion of the material.
5.3. Advice for firefighters
Firefighting instructions Wear NIOSH-approved self-contained breathing apparatus suitable for the surrounding fire.
Use water spray or fog for cooling exposed containers. Evacuate area.
SECTION 6: Accidental Release Measures
6.1. Personal precautions, protective equipment and emergency procedures
General measures Evacuate area. Keep upwind. Ventilate area. Spill should be handled by trained clean-up crews
properly equipped with respiratory equipment and full chemical protective gear (see Section 8).
6.1.1. For non -emergency personnel
No additional information available.
6.1.2. For emergency responders
No additional information available.
6.2. Environmental precautions
Prevent entry to sewers and public waters. Avoid release to the environment. Product is not soluble but can cause particulate emission if
discharged into waterways. Dike all entrances to sewers and drains to avoid introducing material to waterways. Notify authorities if product enters
sewers or public waters.
6.3. Methods and material for containment and cleaning up
For containment Sweep or shovel spills into appropriate container for disposal. Minimize generation of dust.
Methods for cleaning up Sweep or shovel spills into appropriate container for disposal. Minimize generation of dust.
Dispose of material in compliance with local, state, and federal regulations.
6.4. Reference to other sections
No additional information available
SECTION 7: Handling and Storage
7.1. Precautions for safe handling
Precautions for safe handling Avoid dust formation. Avoid contact with skin, eyes and clothing. Do not handle until all safety
precautions have been read and understood. Wash hands and other exposed areas with mild
soap and water before eating, drinking or smoking and when leaving work. Keep away from
sources of ignition - No smoking.
7.2. Conditions for safe storage, including any incompatibilities
Storage conditions Keep container tightly closed in a cool, dry, and well -ventilated place. Keep away from ignition
sources.
SECTION 8: Exposure Controls/Personal Protection
8.1. Control parameters
Activated carbon (7440-44-0)'
OSHA PEL (TWA) (mg/m3)
<_ 5 (Respirable Fraction)
5 15 (Total Dust)
05/28/2020 TRAP & TREAT® BOS 2000 For Internal Use Only: PR#85 2/7
OSHA SDS Product Code: 13967

TRAP & TREAT@ BOS 2008
Product Code: 13967
Safety Data Sheet
Gypsum (Hydrated calcium sulfate) (13397-24-5)'
OSHA PEL (TWA) (mg/m3) <_ 5 (Respirable Fraction)
<_ 15 (Total Dust)
"Exposure limits are for inert or nuisance dust. No specific exposure limits have been established for this activated carbon product by OSHA or ACGIH.
8.2. Exposure controls
Appropriate engineering controls Provide adequate general and local exhaust ventilation. Use process enclosures, local exhaust
ventilation, or other engineering controls to control airborne levels below recommended
exposure limits. Use explosion -proof equipment with flammable materials. Ensure adequate
ventilation, especially in confined areas. Wet activated carbon can deplete oxygen from air in
enclosed spaces. If use in an enclosed space is required, procedures for work in an oxygen
deficient environment should be followed.
Personal protective equipment Gloves. Safety glasses. Protective clothing. Insufficient ventilation: wear respiratory protection.
00
(5 00
Hand protection Gloves should be classified under Standard EN 374 or ASTM F1296. Suggested glove
materials are: Neoprene, Nitrile/butadiene rubber, Polyethylene, Ethyl vinyl alcohol laminate,
PVC or vinyl. Suitable gloves for this specific application can be recommended by the glove
supplier.
Eye protection Use eye protection suitable to the environment. Avoid direct contact with eyes.
Skin and body protection Wear long sleeves, and chemically impervious PPE/coveralls to minimize bodily exposure.
Respiratory protection Use NIOSH-approved dust/particulate respirator. Where vapor, mist, or dust exceed PELs or
other applicable OELs, use NIOSH-approved respiratory protective equipment.
SECTION 9: Physical and Chemical Properties
9.1. Information on basic physical and chemical properties
Physical state
Solid
Appearance
Granular, powder, or pelletized substance
Color
Black
Odor
Odorless
Odor threshold
No data available
pH
No data available
Relative evaporation rate (butyl acetate=l)
Not applicable
Melting point
Not applicable
Freezing point
Not applicable
Boiling point
Not applicable
Flash point
No data available
Auto -ignition temperature
> 220 °C
Decomposition temperature
No data available
Flammability (solid, gas)
> 220 °C
Vapor pressure
Not applicable
Relative vapor density at 20 °C
Not applicable
Apparent density
0.4 - 0.8 g/cc
Solubility
Carbon and gypsum are insoluble; fertilizer components are soluble
Log Pow
Not applicable
Log Kew
Not applicable
Viscosity, kinematic
Not applicable
Viscosity, dynamic
Not applicable
Explosive properties
No data available
Oxidizing properties
No data available
Explosive limits
No data available
9.2. Other information
No additional information available.
05/28/2020 TRAP & TREATO BOS 2000 For Internal Use Only: PR#85
OSHA SDS Product Code: 13967
3/7

TRAP & TREAT® BOS 2000
Product Code: 13967
Safety Data Sheet
SECTION 10: Stability and Reactivity
10.1. Reactivity
No dangerous reactions known under normal conditions of use.
10.2. Chemical stability
Stable under use and storage conditions as recommended in section 7
10.3. Possibility of hazardous reactions
None known.
10.4. Conditions to avoid
Avoid dust formation. Heat. Ignition sources. Exposure to high concentrations of organic compounds may cause bed temperature to rise.
10.5. Incompatible materials
Alkali metals. Strong oxidizing agents.
10.6. Hazardous decomposition products
Carbon monoxide (CO), carbon dioxide (COZ). Ammonia. Toxic halide fumes.
SECTION 11: Toxicological Information
11.1. Information on toxicological effects
Acute toxicity
Not classified
Activated carbon (7440-44-0)
LDso oral rat
I > 2000 mg/kg
Skin corrosion/irritation
Not classified
Serious eye damage/irritation
Not classified
Respiratory or skin sensitisation
Not classified
Germ cell mutagenicity
Not classified
Carcinogenicity
Not classified
Silica: crystalline, quartz (14808-60-7)
]ARC group I 1 -Carcinogenic to humans
The International Agency for Research on Cancer (IARC) has classified "silica dust, crystalline, in the form of quartz or cristobalite" as carcinogenic
to humans (group 1). However these warnings refer to crystalline silica dusts and do not apply to solid activated carbon containing crystalline silica
as a naturally occuring, bound impurity. As such, we have not classified this product as a carcinogen in accordance with the US OSHA Hazard
Communication Standard (29 CFR §1910.1200) but recommmend that users avoid inhalation of product in a dust form.
Reproductive toxicity Not classified
Specific target organ toxicity (single exposure) Not classified
Specific target organ toxicity (repeated Not classified
exposure)
Aspiration hazard
Not classified
Symptoms/injuries after inhalation
Not classified
Symptoms/injuries after inhalation
Not expected to present a significant hazard under anticipated conditions of normal use.
Symptoms/injuries after skin contact
Dust may cause irritation of the skin.
Symptoms/injuries after eye contact
Dust may cause irritation and redness.
Symptoms/injuries after ingestion
Not expected to present a significant hazard under anticipated conditions of normal use.
SECTION 12: Ecological information71
12.1. Toxicity
No additional information available.
12.2. Persistence and degradability
No additional information available.
12.3. B]oaccumulative potential
No additional information available.
12.4. Mobility in soil
No additional information available.
12.5. Other adverse effects
No additional information available.
05128/2020 TRAP & TREAT® BOS 2000 For Internal Use Only: PR#85
OSHA SIDS Product Code: 13967
an

TRAP & TREATS BOS 2000
Product Code: 13967
Safety Data Sheet
SECTION 13: Disposal Considerations
13.1. Waste treatment methods
_
Waste treatment and disposal methods
Vacuum or shovel material into a closed container. Dispose in a safe manner in accordance
with local/national regulations. Do not allow the product to be released into the environment.
Additional information
Activated carbon is an adsorbent media; hazard classification is generally determined by the
adsorbate. Consult U.S. EPA guidelines listed in 40 CFR 261.3 for more information on
hazardous waste disposal.
SECTION 14: Transport Information
14.1. In accordance with DOT
Not classified as hazardous for domestic land transport
UN-No.(DOT)
None on finished product
DOT NA no.
None on -finished product
Proper Shipping Name (DOT)
Not regulated
Department of Transportation (DOT) Hazard
None an finished product
Classes
Hazard labels (DOT) None on finished product
Packing group (DOT) None on finished product
DOT Quantity Limitations Passenger aircraft/rail None on finished product
(49 CFR 173.27)
14.2. Transport by sea
Not classified as hazardous for water transport
IMO / IMDG
UN/NA Identification Number : None on finished product
UN- Proper Shipping Name : Not regulated
Transport Hazard Class : None on finished product
14.3. Air transport
Not classified as hazardous for air transport
ICAO / IATA
UN/NA No
: None on finished product
UN- Proper Shipping Name
: Not regulated
Transport Hazard Class
: None on finished product
Packing Group
None on finished product
Marine Pollutant
None on finished product
14.4. Additional information
Other information Under the UN classification for activated carbon, all activated carbons have been identified as a
class 4.2 product. However, this product type or an equivalent has been tested according to
the United Nations Transport of Dangerous Goods test protocol for a "self -heating substance"
(United Nations Transportation of Dangerous Goods, Manual of Tests and Criteria, Part lll, Test
N.4 - Test Method for Self Heating Substances) and it has been specifically determined that
this product type or an equivalent does not meet the definition of a DOT self -heating substance
(class 4.2) or any other hazard class. This information is applicable to the steam activated
carbon product described in this document.
SECTION 15. Regulatory Information
15.1. US Federal regulations
TRAP & TREAT® BOS 2008
All chemical substances in this product are listed as "Active' in the EPA (Environmental Protection Agency) "TSCA Inventory Notification (Active -
Inactive) Requirements Rule' ("the Final Rule') as of February 2019 or are otherwise exempt.
SARA Section 311/312 Hazard Classes Physical hazard - Combustible dust
Cobalt (7440-48-4)*
Listed on the United States TSCA (Toxic Substances Control Act) inventory
Listed on United States SARA Section 313
SARA Section 313 - Emission Reporting 0.1
Present below de mimmis level
15.2. International regulations
No additional information available.
......---.._............._.....---._.........---....... .._........ _.-.._._......
05/28/2020
OSHASIDS
TRAP & TREATS BOS 2008
Product Code: 13967
For Internal Use Only: PR#85
5n

TRAP & TREAT® BOS 2008
Product Code: 13967
Safetv Data Sheet
15.3. US State regulations
California Proposition 65
® WARNING: This product can expose you to chemicals including silica: crystalline, quartz, which are known to the State of
California to cause cancer. For more information go to www.P65Warnings.ca.gov.
Component
Carcinogenicity
Developmental
Reproductive
Reproductive
No significant
Maximum
toxicity
toxicity male
toxicity
risk level (NSRL)
allowable
female
dose level
(MADL)
Silica: crystalline,
X
quartz (14808-60-7)
Titanium dioxide
X
Not available
(13463-67-7)
Cobalt (7440-48-4)
1 X
Component
State or local regulations
Aluminum oxide (1344-28-1)
U.S. - New Jersey - Right to Know Hazardous Substance List
U.S. - Massachusetts - Right To Know List
U.S. - Pennsylvania - RTK (Right to Know) - Environmental Hazard List
Calcium sulfate (7778-18-9)
U.S. - Massachusetts - Right to Know List
U.S. - New Jersey - Right to Know Hazardous Substance List
U.S. - Pennsylvania - RTK (Right to Know) List
Silica: crystalline, quartz (14808-60-7)
U.S. - New Jersey - Right to Know Hazardous Substance List
U.S. - Pennsylvania - RTK (Right to Know) List
U.S. - Massachusetts - Right To Know List
Gypsum (Hydrated calcium sulfate) (13397-24-5)
U.S. - New Jersey - Right to Know Hazardous Substance List
U.S. - Pennsylvania - RTK (Right to Know) List
Ammonium nitrate (6484-52-2)
U.S. - New Jersey - Right to Know Hazardous Substance List
U.S. - Massachusetts - Right To Know List
U.S. - Pennsylvania - RTK (Right to Know) List
Limestone (1317-65-3)
U.S. - Massachusetts - Right To Know List
U.S. - New Jersey - Right to Know Hazardous Substance List
U.S. - Pennsylvania - RTK (Right to Know) List
SECTION 16: Other Information
Indication of changes
Revision 2.0
Revision Date
05/28/2020
Other information
Author: BCS.
For internal use only
PR #85
Prepared according to Federal Register / Vol. 77, No. 58 / Monday, March 26, 2012 / Rules and Regulations
NFPA health hazard 0 - Exposure under fire conditions would offer no hazard
beyond that of ordinary combustible materials.
NFPA fire hazard 1 - Must be preheated before ignition can occur.
NFPA reactivity 0 - Normally stable, even under fire exposure conditions,
and are not reactive with water.
HMIS III Rating
Health 0
Flammability 1
.......__..__...._._................ .._.._._..-._._........... ----.._..._------ -- .._..-.._._.._._..__._........... -.... ..........._.._......_..- ....... .._.-.-._._.--.
05/28/2020 TRAP & TREAT® BOS 2006
OSHA SDS Product Code: 13967
For Internal Use Only: PR#85
6n

TRAP & TREAT® BOS 2000
Product Code: 13967
Safetv Data Sheet
Physical
Personal Protection
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. The information is this document
applies to this specific material as supplied. It may not be valid if product is used in combination with other materials. It is the user's responsibility to
determine the suitability and completeness of this information for their particular use. While the information and recommendations set forth herein
are believed to be accurate as of the date hereof, Calgon Carbon Corporation makes no warranty with respect to the same, and disclaims all liability
for reliance thereon.
05/28/2020 TRAP & TREAT® BOS 2000 For Internal Use Only: PR485 7/7
OSHA SIDS Product Code: 13967

(,--
LK DIER
\_ Brlyht People. Right Solo —
APPENDIX B
WORK SHEET
20224711.001A I RAL22R139543 April 25, 2022
© 2022 Kleinfelder Yrww.kleinfelder.com

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RJ Reynolds Tobacco Company - 0 Research Parkway Winston-Salem, Forsyth County, NC
ection Point #
1
2
3
4
S
6
7
8
9
10
11
Installation Type
Temp
Temp
Temp
Temp
Temp
Temp
Temp
Temp
Temp
Temp
Temp
Well Contractor GEX
Beginning Depth
20
20
20
20
20
20
20
20
20
20
20
End Depth
28
28
28
28
28
28
28
28
28
28
28
Installation Met
DPT
DPT
DPT
DPT
DPT
DPT
DPT
DPT
DPT
DPT
DPT

:hod Screen
No
No
No
No
No
No
No
No
No
No
No