MO-9412_40858_CA_SCH_20181204

Geological Resources, inc.
December 04, 2018
Mr. Jack Stutts
NCDEQ-UST Section
Raleigh Regional Office
Compliance Inspector
1646 Mail Service Center
Raleigh, NC 27699-1646
Re: Site Check Report
Sysco Charlotte, LLC
4500 Corporate Drive NW
Concord, Cabarrus County, North Carolina
Facility ID NO: 0-035443
Incident Number: Pending
GRI Project No: 4958
Dear Mr. Stutts,
Please find enclosed the referenced report with CD for the above mentioned site.
If you have any questions, please contact Corey Buchanan at 704-845-4010.
Sincerely,
Geological Resources, Inc.
ri F �i
Leslie Maxtone-Graham
Administrative Assistant
Enclosure
Cc: Mr. Josh Callahan; Sysco Charlotte, LLC, file
3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G Winterville, North Carolina 28590
Phone [phone] • [phone] 9 Fax [phone]

SITE CHECK REPORT
SYSCO CHARLOTTE, LLC.
4500 CORPORATE DRIVE NW
CONCORD, CABARRUS COUNTY
NORTH CAROLINA
FACILITY ID NUMBER: 0-035443
INCIDENT NUMBER: PENDING
GRI PROJECT NUMBER: 4958
Prepared for:
Sysco Corporation, LLC.
4500 Corporate Drive NW
Concord, NC 28027
Prepared by:
Geological Resources, Inc
3502 Hayes Road
Monroe, North Carolina 28110
November 15, 2018
Corey N. Buchanan, P.G.
Project Manager

SITE IDENTIFICATION
1. Site Identification:
• Date of Report: November 15, 2018
• Facility ID No. 0-035443 UST Incident Number: Pending
• Site Street Address: 4500 Corporate Drive NW
• City: Concord State: North Carolina Zip Code: 28027 County: Cabarrus
• Description of Geographic Data Point: Calculated from the center of the property
• Location Method: Topographical Map
• Latitude: 35.423278° N Longitude: 80.651474° W
2. Information about Contacts Associated with the Leaking UST System
• UST Owner/Operator: Sysco Charlotte, LLC.
Address: 4500 Corporate Drive NW
Concord, North Carolina 28027
Tel: [phone]
• Property Owner: Sysco Charlotte, LLC.
Address: 4500 Corporate Drive NW
• Concord, North Carolina 28027
Tel: [phone]
• Consultant/Contractor: Geological Resources, Inc.
Address: 3502 Hayes Road
Monroe, NC 28110
Tel: [phone]
• Analytical Laboratory: SGS North America, Inc.
Address: 4405 Vineland Road, Suite C-15
Orlando, Florida 32811
State Certification No. 573
Tel: [phone]
3. Information about Release
Date Discovered:
• Estimated Quantity of Release:
• Cause of Release:
• Source of Release:
4. UST Size and contents:
A reportable release was confirmed following receipt of
analytical results on November 9, 2018.
Unknown
Leaking Sump at the Dispenser # 1/2
UST System
One (1) 20,000-gallon diesel UST is in use at the site.
1

Certification:
I, John M. Brown, a Professional Geologist for 1
contained in this report is correct and accurate to
Geological Resources, Inc. is licensed to practice ge
numbers of the corporation are C-127 and C-2727,
EXECUTIVE SUMMARY
Inc., do certify that the information
!� I W104
to'� ,e.E)J
g 1013
d - .
®/rr h�ininna`` .� si
) aAf erl�k4i� �i'ng in North Carolina. The certification
The Sysco Charlotte, LLC. site is located at 4500 Corporate Drive in Concord, Cabarrus County, North
Carolina. The property operates as a warehouse and food distribution facility and a tractor trailer fleet terminal.
The site is covered by warehouse buildings, concrete, asphalt and grass. There is currently one 20,000-gallon
diesel UST in use at the site with one associated dispenser and two satellite dispensers.
On February 7, 2018, during a compliance inspection, the dispenser # 1/2 sump and the STP sump for the
20,000-gallon diesel UST were found to be defective. The non -passing sumps were repaired. Once repaired,
the sumps were tested and the results were forwarded on to the North Carolina Department of Environmental
Quality (NCDEQ). A site check was required according to the NCDEQ.
On November 1, 2018, GRI conducted a site check in the vinicity of the dispenser # 1/2 sump and the STP
sump for the 20,000-gallon diesel UST. Three soil borings (SB-1 to SB-3) were advanced approximately 3
feet below ground surface (bgs) immediately adjacent to the non -passing sumps associated with the dispenser #
1/2 and the 20,000-gallon diesel UST. Soil samples were collected at 3 feet (SB-1 (3') to SB-3 (3')). Upon
receipt of the laboratory analytical results on November 9, 2018,.a reportable petroleum release was confirmed
at the site. A contaminant concentration that exceeded the Regulatory Action Level (RAL) for TPH-DRO was
reported in the soil sample collected from SB-2 adjacent to the sump at dispenser # 1/2 at the subject site. In
addition, detectable contaminant concentrations that did not exceed the RAL for TPH-DRO were reported in
SB-1 and SB-3.
Based on this information, GRI recommends that a Limited Site Assessment be conducted at the site to
determine if ground water has been affected.
ii

TABLE OF CONTENTS
A. SITE HISTORY AND CHARACTERIZATION........................................................... I
B. SITE CHECK PROCEDURES....................................................................................... I
C. SITE INVESTIGATION..................................................................................................2
D. SUMMARY AND CONCLUSIONS............................................................................... 2
E. LIMITATIONS................................................................................................................. 3
FIGURES
Figure 1: Site Location Map
Figure 2: Site Map
Figure 3: Soil Sample Location Map
TABLES
Table 1: UST Owner/Operator Information
Table 2: UST System Information
Table 3: Summary of Soil Sample Analytical Results
APPENDICES
Appendix A: 24-Hour Release and UST Leak Reporting Form (UST-61)
Appendix B: Subsurface Logs
Appendix C: Laboratory Analytical Report — Soil Samples
ill

A. SITE HISTORY AND CHARACTERIZATION
1. UST Owner and Operator Information:
In accordance with the Site Check Report guidelines, the underground storage tank (UST) owner and
operator information has been summarized in the attached Table 1.
2. UST System Information:
In accordance with the Site Check Report guidelines, the UST system information has been summarized in the
attached Table 2. There is currently one 20,000-gallon diesel UST in use at the site with two associated
dispensers and two satellite dispensers.
3. Non -UST Information:
There are currently no above ground petroleum storage tanks (ASTs) and no known ASTs formerly at the
site.
4. Comprehensive Description of the Release:
On February 7, 2018, during a compliance inspection, the dispenser # 1/2 sump and the Submersible Turbine
Pump (STP) sump for the 20,000-gallon diesel UST were found to be defective. The non -passing sumps were
repaired. Once repaired, the sumps were tested and the results were forwarded on to the North Carolina
Department of Environmental Quality (NCDEQ). A site check was required according to the NCDEQ. On
November 1, 2018, three soil borings (SB-1 to SB-3) were advanced approximately 3 feet below ground
surface (bgs) immediately adjacent to the non -passing sumps associated with the dispenser # 1/2 and the
20,000-gallon diesel UST; soil samples were collected at 3 feet (SB-1 (3') to SB-3 (3')). Upon receipt of the
laboratory analytical results on November 9, 2018, a reportable petroleum release was confirmed at the site. A
copy of the 24-Hour Release and UST Leak Reporting Form (UST-61)has been included as Appendix A.
5. Description of the Site Characteristics:
The Sysco Charlotte, Inc. site is located at 4500 Corporate Drive in Concord, Cabarrus County, North
Carolina. The property operates as a warehouse and food distribution facility and a tractor trailer fleet terminal.
The site is covered by warehouse buildings, concrete, asphalt and grass. One 20,000-gallon diesel UST is
currently in use at the site with one associated dispenser and two satellite dispensers (Figure 1). The
surrounding properties are commercial and residential. A Site Map has been included as Figure 2.
B. SITE CHECK PROCEDURES
1. Results of Tank and Line Tightness Testing:
On February 7, 2018, during a compliance inspection, the dispenser # 1/2 sump and the STP sump for the
20,000-gallon diesel UST were found to be defective. The non -passing sumps were repaired. Once repaired,
1

the sumps were tested and the results were forwarded on to the North Carolina Department of Environmental
Quality (NCDEQ).
2. Summary of Site Check Procedure:
GRI performed a site check on November 1, 2018, that included the collection of three soil samples adjacent to
the dispenser # 1/2 sump and the STP sump associated with the 20,000-gallon diesel UST. Soil borings (SB-1
through SB-3) were advanced adjacent to the dispenser # 1/2 sump and the STP sump associated with the
20,000-gallon diesel UST to a depth of approximately 3 feet bgs and soil samples (SB-1 (3') to SB-3 (3')) were
collected from the boring using a hand auger. Soil boring logs are provided as Appendix B.
3. Soil Excavation Activities:
No soil excavation activities were conducted.
C. SITE INVESTIGATION
1. Field Screening:
Soil samples (SB-1 (3') to SB-3 (3')) were collected on November 1, 2018, and were not screened with a photo
ionization detector (PID) for volatile organic compounds (VOCs).
2. Soil Sampling Information:
Soil samples (SB-1 (3') to SB-3 (3')) were collected on November 1, 2018, and were submitted for laboratory
analyses of total petroleum hydrocarbons (TPH) gasoline -range organics (GRO) by EPA Method 8015C and
TPH diesel -range organics (DRO) by EPA Method 8015C/3546. A contaminant concentration that exceeded
the Regulatory Action Level (RAL) for TPH-DRO was reported in the soil sample collected from SB-2
adjacent to the sump at dispenser # 1/2 at the subject site. In addition, detectable contaminant concentrations
that did not exceed the RAL for TPH-DRO were reported in SB-1 and SB-3. A soil sample location map is
presented as Figure 3. A summary of soil sample analytical results is presented in Table 3. The laboratory
analytical report is provided as Appendix C.
3. Ground Water and Surface Water Sampling Information:
Ground water and surface water samples were not collected as part of the site check.
4. Quality -Control Measures:
Clean, disposable nitrile gloves were used for the collection of the soil sample. The samples were collected
in laboratory supplied containers and shipped to the laboratory in a cooler following proper chain -of -custody
procedures. A laboratory supplied trip blank was not included in the sample cooler.
D. SUMMARY AND CONCLUSIONS
The site is commercial and surrounding properties are commercial and residential.
2

• On February 7, 2018, during a compliance inspection, the dispenser # 1/2 sump and the STP sump for
the 20,000-gallon diesel UST were found to be defective. The non -passing sumps were repaired.
Once repaired, the sumps were tested and the results were forwarded on to the North Carolina
Department of Environmental Quality (NCDEQ).
• A Site Check was conducted on November 1, 2018, to determine if a petroleum release had occurred.
• A contaminant concentration that exceeded the RAL for TPH-DRO was reported in the soil sample
collected from SB-2 at the sump at dispenser # 1/2 at the site. In addition, detectable contaminant
concentrations that did not exceed the RAL for TPH-DRO were reported in SB-1 and SB-3.
• Based on this information, GRI recommends that a Limited Site Assessment (LSA) be conducted at
the site to determine if ground water has been affected.
E. LIMITATIONS
This report has been prepared for the exclusive use of Sysco Charlotte, Inc. for the specific application to the
referenced site in Cabarrus County, North Carolina. The assessment was conducted based on the scope of
work and level of effort specified by the NCDEQ and with resources adequate only for that scope of work.
Our findings have been developed in accordance with generally accepted standards of geology and
hydrogeology practices in the State of North Carolina, available information, and our professional judgment.
No other warranty is expressed or implied.
The data that are presented in this report are indicative of conditions that existed at the precise locations
sampled and at the time the samples were collected. In addition, the data obtained from samples would be
interpreted as being meaningful with respect to parameters indicated in the laboratory report. No additional
information can logically be inferred from these data.
3

FIGURES

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1550
!park,
7
D _
•I
100re
u
@M,
ti� '•'V�1 �� III,•+• �'�++' � � ��^ :..• �.- .�{- _
j f'r +4 ,�,%;``. , • ' Tar G'm
,1
�, 1 �� ✓� n iTw4> k Hill CI,
01
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Declination '
Figure 1
Site Location Map
4500 Corporate Drive NW SCALE 1:24000
4500 Corporate Drive NW, Concord, Cabarrus County, 0 1000 2000 3000 4000 5000
NC
Incident No. N/A FEET
MN 7.81° W GRI Project No. 4958
Date: 11/13/18 Location: 035.4232780' N 080.6514740' W
Scale: 1 inch = 2,000 ft.
Copyright (C) 2009 MyTopo

LEGEND
• • — • • — • • — SUBJECT PROPERTY BOUNDARY LINE
ADJACENT PROPERTY BOUNDARY LINE
-------------UNDERGROUND STORAGE TANK
O FILL PORT
Note:
1. This Site Mop is based on data from the Caborrus
County GIS of NC.
2. This site was not professionally surveyed, site features
and utilities ore approximate.
:ASPHAL T-
Parking
Lot
�ASPHAL T1
Cd�Idl�lltl��I:T1��.9:J
Sysco Food Services of
Charlotte LLC
------ ------ ......
( ASPHAL T�
�grass1
Retention .�•''••
Pond
�ASPHAL T-
Sysco Food Services of ,I'''••'•
Charlotte LLC .�'
� • High way 49
Satellite 20K—Gallon ,�' Truck &
ispensers o Diesel UST •�,.�• Trailer Rpr
.000.
gros� •'000• dpbl
pffor e
,, ♦{e
'' Services
•�5
�000
• ��•'�• Technicon Ac ustics R
C—gras
S1TE MAP
0 100 200 400
4500 Corporate Drive NW 4500 Corporate Drive NW
Incident No. N/A Concord, Cabarrus County,
( IN FEET) GRI Project No. 4958 NC
Geoiogicol Resources, Inc. 1 inch = 200 ft Date: 1111JI18 I Drown by. DTH I Figure: 2

LEGEND
------------------ UNDERGROUND STORAGE TANK
O FILL PORT
f SOIL SAMPLE L OCA T/ON
(::A SPHA L T
Satellite
Dispensers
�ASPHAL T
Gallon
UST
�ASPHAL T
0 15 30 60 SOIL SAMPLE L OCA T/ON MAP
4500 Corporate Drive NW 4500 Corporate Drive NW
Incident No. N/A Concord, Cabarrus County,
( IN FEET) GRI Project No. 4958 NC
Geological Resources, Inc. 1 inch = 3O ft Dote: 11/13/18 Drown by. DTH I Figure: 3

TABLES

TABLE 1
UST OWNER/OPERATOR INFORMATION
SYSCO CHARLOTTE, LLC.
INICDENT NO. PENDING
UST ID Number
1
Facility ID Number
0-035443
Name of Owner or Operator
Dates of Ownership / Operation
Owner or Operator?
Sysco Charlotte, LLC.
01/26/2009 - Current
Owner/Operator
Address
Telephone Number
4500 Corporate Drive NW, Concord, North Carolina 28027
704-723-6067
UST ID Number
1
Facility ID Number
0-035443
Name of Owner or Operator
Dates of Ownership / Operation
Owner or Operator?
Sysco Food SRVS of Charlotte, LLC.
03/01/1997 - 01/26/2009
Owner/Operator
Name of Owner or Operator
Telephone Number
4500 Corporate Drive NW, Concord, North Carolina 28027
704-723-6067
Page 1 of 1

TABLE 2
UST SYSTEM INFORMATION
SYSCI CHARLOTTE, LLC.
INCIDENT NO. PENDING
Date: 11/09/18
Facility ID #: 0-035443
Was Release
UST
Current
Description of
Status
Associated
or Most
Previous
Capacity
Date
Construction
Tank
Associated
with UST
ID
of
Recent
Contents
(gallons)
Installed
Details
Dimensions
Product Piping
System?
No.
UST
Contents
(Yes / No)
Single Wall
Double Wall
1
Diesel
NA
20,000
03/01/1997
10' 5" x 31'
Current
Yes
Fiberglass
Enviro Flex
Page 1 of 1

TABLE 3
SUMMARY OF SOIL SAMPLE ANALYTICAL RESULTS
SYSCO CHARLOTTE, LLC.
INCIDENT NO. PENDING
Date: 11/09/18 Facility ID #: 0-035443
Analytical Method 4
5030 / 8015D
3550 / 8015C
a
'S
e�
L7
A
RAL (mg/kg)
50
100
SB-1 (3')
11/01/18
3
UST Basin
<4.2
17.3
SB-2 (3')
11/01/18
3
Dispenser Island
# 1/2
<3.4
2,920
SB-3 (3')
11/01/18
3
<3.6
37.0
Notes:
• Results reported in mg/kg (milligrams per kilograms)
• ft-BGS: feet below ground surface.
• RAL: Regulatory Action Level.
• < : Less than the method detection limit specified in the laboratory report
• Concentrations in bold face type exceeded RAL.
Page 1 of 1

APPENDICES

APPENDIX A
24-Hour Release and UST Leak Reporting Form (UST-61)

UST-61
24-Hour Release and UST Leak Reporting Form.
For Releases This form should be completed and submitted to the UST Section's regional office following a known or suspected release from
an underground storage tank (UST) system. This form is required to be submitted within 24 hours of discovery of a known or
in NC suspected release
(DWM USE ONLY)
Suspected Contamination? (Y/N) N
Facility ID Number 0-035443
Incident # Risk (H,I,L,U)
Confirmed GW Contamination? (Y/N) N
Date Leak Discovered
Received On Received By
Confirmed Soil Contamination ?(Y/N) Y
Comm/Non-Commercial?
Reported by (circle one): Phone, Fax or Report
Samples Taken?(Y/N) fir
Reg/Non-regulated? Reg
Region
Free Product? (Y/N) ___N_ If Yes, State Greatest
Thickness NA
INCIDENT DESCRIPTION
Incident Name:
S sco Charlotte LLC.
Address: 4500 Corporate Drive NW
County: Cabarrus
City/Town: Concord
Zip Code: 28027
Regional Office (circle one): Asheville, Mooresville, Fayetteville,
Raleigh, Washington, Wilmington, Winston-Salem
Latitude (decimal degrees): 35.423278 N Longitude (decimal degrees) : 80.651474 W
Obtained by:
GPS
Briefly describe suspected or confirmed release: (including but not limited to: nature of release, date of release, amount
of release, amount of free product present and recovery efforts, initial responses conducted, impacts to receptors
❑ Topographic map
❑ GIS Address matching
Other
❑ Unknown
During a Site Check on November 1, 2018, soil samples were collected from
soil borings at the dispenser # 1/2 sump and STP sump for the 20,000- allon
diesel UST. Laboratory analytical results received on November 9, 2018
confirmed a reportable release at the dispenser # 1/2 sump.
Describe location:
HOW RELEASE WAS DISCOVERED (Release code)
(Check one)
❑ Release Detection Equipment or Methods ❑ Visual/Odor ❑ Groundwater Contamination
❑ During UST Closure/Removal ❑ Water in Tank ❑ Surface Water Contamination
❑ Property Transfer ❑ Water Supply Well Contamination Other (specify) Site Check
SOURCE OF CONTAMINATION
Source of Release Cause of Release Type of Release Product Type Released
(Check one to indicate primary (Check one to indicate primary (Check one) (Check one to indicate primary product type
source) cause) released)
❑ Tank Spill Petroleum A Gasoline/ Diesel/ ❑ Diesel/Veg. Oil
Kerosene Blend
❑ Piping ❑Overfill ❑Non -Petroleum ❑
❑
Heating Oil Vegetable Oil 100%
Dispenser ❑ Corrosion ❑ Both ❑ Other Petroleum ❑ El 0 — E20
❑ Submersible Turbine Pump ❑ Physical or Mechanical Products
❑ E21 E84
—
Damage Location ❑ Metals
❑ Delivery Problem ❑ E85 E99
❑
coOther Inorganics —
❑ Install Problem (Chekne )
❑
Other ❑ Other ❑ Other Organics ❑ Ethanol 100%
� Facility
❑ Unknown
❑ Unknown ❑ Residence ❑ E01 — E09
Definitions presented on reverse I Definitions presented on reverse I ❑ Other
Ownership
1. Municipal 2. Military 3. Unknown 4. Private 5. Federal 6. County 7. State
Operation Type
1. Public Service 2. Agricultural 3. Residential 4. Education/Relig. 5. Industrial 6. Commercial 7. Mining
UST Form 61 (02/08) Page 1 of 2

IMPACT ON DRINKING WATER SUPPLIES
Water Supply Wells Affected? 1. Yes
2. No 3. Unknown
Number of Water Supply Wells Affected
Water Supply Wells Contaminated: (Include Users Names, Addresses and Phone Numbers. Attach additional sheet if necessary)
1.
2.
3.
UST SYSTEM OWNER
UST Owner/Company
S sco Charlotte, LLC.
Point of Contact
Address
Josh Callahan
4500 Corporate Drive NW
City
State
Zip Code
Telephone Number
Concord
NC
28027
704-723-6067
UST SYSTEM OPERATOR
UST Operator/Company
Address
S sco Charlotte LLC.
4500 Corporate Drive NW
City
State
Zip Code
Telephone Number
Concord
NC
28027
704-723-6067
LANDOWNER AT LOCATION OF UST INCIDENT
Landowner
Address
Sysco Charlotte, LLC.
4500 Corporate Drive NW
City
State
Zip Code
Telephone Number
Concord
NC
28027
704-723-6067
Draw Sketch of Area (showing two major road intersections) or Attach Map
Person Reporting Incident Coiey N. BUcahan Agent
Company Geological Resources Inc.
Telephone Number 704-845-4010
Title P.G., Project Manager
Address3502 Hayes Road, Monroe, NC 28110
Date 11/9/18
UST Form 61 (02/08)
Page 2 of 2
Definitions of Sources
Tank: means the tank that stores the product and is part of the underground storage tank system
Piping: means the piping and connectors running from the tank or submersible turbine pump to the dispenser or other end -use equipment (Vent, vapor recovery, or fill
lines are excluded.)
Dispenser: includes the dispenser and the equipment used to connect the dispenser to the piping (e.g., a release from a suction pump or from components located above
the shear valve)
Submersible Turbine Pump (STP) Area includes the submersible turbine pump head (typically located in the tank sump), the line leak detector, and the piping that
connects the submersible turbine pump to the tank
Delivery Problem: identifies releases that occurred during product delivery to the tank. (Typical causes associated with this source are spills and overfills.)
Other: serves as the option to use when the release source is known but does not fit into one of the preceding categories (e.g., for releases from vent lines, vapor
recovery lines, and fill lines)
Unknown: identifies releases for which the source has not been determined
Definitions of Causes
Spill: use this cause when a spill occurs (e.g., when the delivery hose is disconnected from the tank fill pipe or when the nozzle is removed from the dispenser)
Overfill: use when an overfill occurs (e.g., overfills may occur from the fill pipe at the tank or when the nozzle fails to shut off at the dispenser)
Physical or Mechanical Damage: use for all types of physical or mechanical damage, except corrosion (e.g., puncture of tank or piping, loose fittings, broken
components, and components that have changed dimension)
Corrosion: use when a metal tank, piping, or other component has a release due to corrosion (e.g., for steel, corrosion takes the form of rust)
Installation Problem: use when the problem is determined to have occurred specifically because the UST system was not installed properly
Other: use this option when the cause is known but does not fit into one of the preceding categories (e.g., putting regulated substances into monitoring wells)
Unknown: use when the cause has not been determined

APPENDIX B
Subsurface Logs

Geological Resources, Inc. Phone: [phone]
3502 Hayes Road Fax: [phone]
Monroe, NC 28110
SUBSURFACE LOG
Project Sysco Charlotte, Inc.
Address 4500 Corporate Drive, Concord, NC 28027
Boring Number SB-1 Date Drilled 11/01/18
Sample Method Grab Drilling Method Hand Auger
Completion Details Completed to 3'; abandoned with soil cuttings and capped with cement
Driller Geological Resources, Inc. (GRI) Log By Scott Ball, GRI
Lab
Sample
OVA
Depth
Sample
Interval(ft)
ppm
LITHOLOGY
0 - 8" Asphalt
0
8" - 1' Gravel
1' - 2' Pea gravel
2
2'- 3' Brown clay
SB-1 (3')
3
NA
Total depth = 3'
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34
36
38
40

Geological Resources, Inc. Phone: [phone]
3502 Hayes Road Fax: [phone]
Monroe, NC 28110
SUBSURFACE LOG
Project Sysco Charlotte, Inc.
Address 4500 Corporate Drive, Concord, NC 28027
Boring Number SB-2 Date Drilled 11/01/18
Sample Method Grab Drilling Method Hand Auger
Completion Details Completed to 3'; abandoned with soil cuttings and capped with cement
Driller Geological Resources, Inc. (GRI) Log By Scott Ball, GRI
Lab
Sample
OVA
Depth
Sample
Interval(ft)
ppm
LITHOLOGY
0 - 5" Concrete
0
5" - 1.5' Pea gravel
1.5' - 3' Brown clay
2
SB-2 (3')
3
NA
Total depth = 3'
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34
36
38
40

Geological Resources, Inc. Phone: [phone]
3502 Hayes Road Fax: [phone]
Monroe, NC 28110
SUBSURFACE LOG
Project Sysco Charlotte, Inc.
Address 4500 Corporate Drive, Concord, NC 28027
Boring Number SB-3 Date Drilled 11/01/18
Sample Method Grab Drilling Method Hand Auger
Completion Details Completed to 3'; abandoned with soil cuttings and capped with cement
Driller Geological Resources, Inc. (GRI) Log By Scott Ball, GRI
Lab
Sample
OVA
Depth
Sample
Interval(ft)
ppm
LITHOLOGY
0 - 6" Concrete
0
6" - 1.5' Pea gravel
1.5' - 3' Brown clay
2
SB-3 (3')
3
NA
Total depth = 3'
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34
36
38
40

APPENDIX C
Laboratory Analytical Report — Soil Samples

ffm
Orlando, FL
The results set forth herein are provided by SGS North America Inc. a-Hl ydcopy 2. 0
Automated Report
Technical Report for
GRI (Geological Resources Inc.)
4500 Corporate Dr, Concord, NC
4958
SGS Job Number: FA59049
Sampling Date: 11/01/18
Report to:
GRI
3502 Hayes Rd
Monroe, NC 28110
c. com; carriekennedy@ggologicalresourcesinc. com;
com; nml@geologicalres urcesinc. com;
ATTN: Scott Ball
Total number of pages in report: 22
A
Test results contained within this data package meet the requirements Caitlin Brice, M. S.
of the National Environmental Laboratory Accreditation Program General Manager
and/or state specific certification programs as applicable.
Client Service contact: Muna Mohammed 407-425-6700
Certifications: FL(E83510), LA(03051), KS(E-10327), IL(200063), NC(573), NJ(FL002), NY(12022), SC(96038001)
DoD ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68-03573), VA(460177),
AK, AR, IA, KY, MA, MS, ND, NH, NV, OK, OR, UT, WA, WV
This report shall not be reproduced, except in its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
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1 of 22
FA59049

Sections:
Table of Contents
-1-
Section1: Sample Summary...................................................................................................
3
Section2: Summary of Hits....................................................................................................
4
Section3: Sample Results........................................................................................................
5
3.1: FA59049-1: SB-1 (3')....................................................................................................
6
3.2: FA59049-2: SB-2 (3')....................................................................................................
8
3.3: FA59049-3: SB-3 (3')....................................................................................................
10
Section4: Misc. Forms............................................................................................................
12
4.1: Chain of Custody...........................................................................................................
13
Section 5: GC Volatiles - QC Data Summaries.....................................................................
15
5.1: Method Blank Summary................................................................................................
16
5.2: Blank Spike Summary...................................................................................................
17
5.3: Matrix Spike/Matrix Spike Duplicate Summary...........................................................
18
Section 6: GC/LC Semi-volatiles - QC Data Summaries.....................................................
19
6.1: Method Blank Summary................................................................................................
20
6.2: Blank Spike Summary...................................................................................................
21
6.3: Matrix Spike/Matrix Spike Duplicate Summary...........................................................
22
W,

SGS North America Inc.
Sample Summary
GRI (Geological Resources Inc.)
4500 Corporate Dr, Concord, NC
Project No: 4958
Job No: FA59049
Sample Collected Matrix Client
Number Date Time By Received Code Type Sample I D
FA59049-1 11/01/18 15:35 SB 11/03/18 SO Soil SB-1 (Y)
FA59049-2
11/01/18
15:42 SB
11/03/18
SO
Soil
S13-2 (Y)
FA59049-3
11/01/18
16:07 SB
11/03/18
SO
Soil
S13-3 (Y)
Soil samples reported on a dry weight basis unless otherwise indicated on result page.
6 3 of 22
FA59049

Summary of Hits
Job Number:
FA59049
Account:
GRI (Geological Resources Inc.)
Project:
4500 Corporate Dr, Concord, NC
Collected:
11/01/18
Lab Sample I D Client Sample I D Result/
Analyte Qual RL MDL Units Method
FA59049-1 SB-1 (3)
TPH (C 10-C28) a 17.3 11
FA59049-2 SB-2 (3)
TPH (C 10-C28) 2920 27C
FA59049-3 SB-3 (3)
TPH (C 10-C28) a 37.0 5.6
(a) Petroleum hydrocarbon pattern extends beyond C28.
5.6 mg/kg SW846 8015C
130 mg/kg SW846 8015C
2.8 mg/kg SW846 8015C
Page l of l
6 4 of 22
FA59049

i
SG$
Orlando, FL im
Section 3
Sample Results
Report of Analysis
6 5 of 22
FA59049

SGS North America Inc.
Report of Analysis
Client Sample ID: SB-1 (Y)
Lab Sample I D: FA59049-1 Date Sampled: 11/01/18
Matrix: SO - Soil Date Received: 11/03/18
Method: SW846 8015C Percent Solids 89.3
Project: 4500 Corporate Dr, Concord, NC
Page 1 of 1 j
File I D DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 UV084329.D 1 11/06/18 16:36 SH n/a n/a GUV4425
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 3.59 g 5.0 ml 100 ul
Run #2
CAS No.
Compound
TPH-GRO (C6-C 10)
CAS No.
Surrogate Recoveries
460-00-4
4-Bromofluorobenzene
98-08-8
aaa-Trifluorotoluene
Result
RL M DL Units Q
ND
8.4 4.2 mg/kg
Run#1
Run#2 Limits
97%
56-149%
95%
66-132%
ND
= Not detected MDL = Method Detection Limit
J =
Indicates an estimated value
RL
= Reporting Limit
B =
Indicates analyte found in associated method blank
E =
Indicates value exceeds calibration range
N
= Indicates presumptive evidence of a compound
6 6 of 22
FA59049

SGS North America Inc.
Report of Analysis
Client Sample ID: SB-1 (Y)
Lab Sample I D: FA59049-1 Date Sampled: 11/01/18
Matrix: SO - Soil Date Received: 11/03/18
Method: SW846 8015C SW846 3546 Percent Solids 89.3
Project: 4500 Corporate Dr, Concord, NC
Page 1 of 1 j
File I D DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 JJ021799.1) 2 11/08/18 15:58 SJL 11/06/18 09:40 OP72513 GJJ891
Run #2
Initial Weight Final Volume
Run #1 20.1 g 1.0 ml
Run #2
CAS No. Compound
Result
TPH (C10-C28) a
17.3
CAS No. Surrogate Recoveries
Run# 1
84-15-1 o-Terphenyl
87%
(a) Petroleum hydrocarbon pattern extends beyond C28.
RL M DL Units Q
11 5.6 mg/kg
Run#2 Limits
56-122%
ND
= Not detected MDL = Method Detection Limit
J =
Indicates an estimated value
RL
= Reporting Limit
B =
Indicates analyte found in associated method blank
E =
Indicates value exceeds calibration range
N
= Indicates presumptive evidence of a compound
�1%6 7 of 22
FA59049

SGS North America Inc.
Report of Analysis
Client Sample I D: SB-2 (31)
Lab Sample I D: FA59049-2 Date Sampled: 11/01/18
Matrix: SO - Soil Date Received: 11/03/18
Method: SW846 8015C Percent Solids 90.5
Prcj ect: 4500 Corporate Dr, Concord, NC
Page 1 of 1 N
File I D DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 UV084330.D 1 11/06/18 17:05 SH n/a n/a GUV4425
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 4.43 g 5.0 ml 100 ul
Run #2
CAS No.
Compound
TPH-GRO (C6-C 10)
CAS No.
Surrogate Recoveries
460-00-4
4-Bromofluorobenzene
98-08-8
aaa-Trifluorotoluene
Result
RL M DL Units Q
N D
6.8 3.4 mg/kg
Run#1
Run#2 Limits
97%
56-149%
95%
66-132%
ND
= Not detected MDL = Method Detection Limit
J =
Indicates an estimated value
RL
= Reporting Limit
B =
Indicates analyte found in associated method blank
E =
Indicates value exceeds calibration range
N
= Indicates presumptive evidence of a compound
� 8 of 22
FA59049

SGS North America Inc.
Report of Analysis
Client Sample I D: SB-2 (31)
Lab Sample I D: FA59049-2 Date Sampled: 11/01/18
Matrix: SO - Soil Date Received: 11/03/18
Method: SW846 8015C SW846 3546 Percent Solids 90.5
Prcj ect: 4500 Corporate Dr, Concord, NC
Page 1 of 1 N
File I D DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 JJ021800.D 50 11/08/18 16:27 SJL 11/06/18 09:40 OP72513 GJJ891
Run #2
Initial Weight Final Volume
Run #1 20.5 g 1.0 ml
Run #2
CAS No. Compound
Result
RL M DL Units Q
TPH (C10-C28)
2920
270 130 mg/kg
CAS No. Surrogate Recoveries
Run# 1
Run# 2 Limits
84-15-1 o-Terphenyl
0% a
56-122%
(a) Outside control limits due to dilution.
ND
= Not detected MDL = Method Detection Limit
J =
Indicates an estimated value
RL
= Reporting Limit
B =
Indicates analyte found in associated method blank
E =
Indicates value exceeds calibration range
N
= Indicates presumptive evidence of a compound
6 9 of 22
FA59049

SGS North America Inc.
Report of Analysis
Page 1 of 1 w
Client Sample ID:
SB-3 (Y)
Lab Sample I D:
FA59049-3 Date Sampled: 11/01/18
Matrix:
SO - Soil Date Received: 11/03/18
Method:
SW846 8015C Percent Solids 89.1
Project:
4500 Corporate Dr, Concord, NC
File I D DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 UV084331.D 1 11/06/18 17:34 SH n/a n/a GUV4425
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 4.25 g 5.0 ml 100 ul
Run #2
CAS No.
Compound
TPH-GRO (C6-C 10)
CAS No.
Surrogate Recoveries
460-00-4
4-Bromofluorobenzene
98-08-8
aaa-Trifluorotoluene
Result
RL M DL Units Q
N D
7.2 3.6 mg/kg
Run#1
Run#2 Limits
103%
56-149%
99%
66-132%
ND
= Not detected MDL = Method Detection Limit
J =
Indicates an estimated value
RL
= Reporting Limit
B =
Indicates analyte found in associated method blank
E =
Indicates value exceeds calibration range
N
= Indicates presumptive evidence of a compound
�1%6 10 of 22
FA59049

SGS North America Inc.
Report of Analysis
Page 1 of 1 w
Client Sample ID:
SB-3 (Y)
Lab Sample I D:
FA59049-3 Date Sampled: 11/01/18
Matrix:
SO - Soil Date Received: 11/03/18
Method:
SW846 8015C SW846 3546 Percent Solids 89.1
Project:
4500 Corporate Dr, Concord, NC
File I D DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 JJ021801.D 1 11/08/18 16:55 SJL 11/06/18 09:40 OP72513 GJJ891
Run #2
Initial Weight Final Volume
Run #1 20.0 g 1.0 ml
Run #2
CAS No. Compound
Result
TPH (C10-C28) a
37.0
CAS No. Surrogate Recoveries
Run# 1
84-15-1 o-Terphenyl
97%
(a) Petroleum hydrocarbon pattern extends beyond C28.
RL M DL Units Q
5.6 2.8 mg/kg
Run#2 Limits
56-122%
ND
= Not detected MDL = Method Detection Limit
J =
Indicates an estimated value
RL
= Reporting Limit
B =
Indicates analyte found in associated method blank
E =
Indicates value exceeds calibration range
N
= Indicates presumptive evidence of a compound
�1%6 11 of 22
FA59049

SGS
Orlando, FL
Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
i
Section 4
� 12 of 22
FA59049

SGS Accutest Southeast f
�A,,,.
��
����iiI� UTEST JO.: PAG I OF G/
a�li IR nr°r�i o�-G�r Chain of Custody
-........-I-------
TEL [phone] FAX: [phone]
m1l.ram
SGS ACCUtest Quote #
SKIFF #
Client / Reporting Information Project Information
- 'Ana tical Information
-
Matrix Codes
Companye a
GZOL "JPL 1 1 '/ c,gs m e s
Project ame:
t7 Q1U,! r` — R1 Gti
U
c�ff
Q
Q
- nn Ing
Water
GW -Ground
Water
WW-Water
SW -Surface
SO - Sail
SL- Sludge
OI-Oil
LIQ - Other Liquid
AtR -Air
SOL - Other Sol id
Address:„y ?�
S.,,0a_ rP,�' i3
street,
�.Sor� C; ARal .; P;el u wile
City: state: Zip: r� i
nJk@t f�:�'. < G'L�
.4 y a H
Y �IyVL KIJ /VL
Project Co��gg': Email:
5ir(SMcit�� ✓ aF�+G+s�Ql4X NL'-rkh
pro',
qqO!
Phone #:
L-4
Fax #
Sampler(s) Nye(s) ri )
Sam ter 1: ���✓ / A' � am ler 2:
Client Purchase Order #
SGS
ACCUIeSI
Sam le #
Field D / POlnt O1 COectlOn
COLLEOTION
FOR
-ON
GATE
TIME
SAMPLED
eY:
MATRIX
TOTALp¢
OF
eOTTLEb
_
O 3 a
LAB USE ONLY
J ` -1
► l j
1<353F
Sr
7- 7
a
S
Se
2
_Turnaround Time Business days)
Deta
Deliverable
Information
Comments
/
Remarks
10 y (Business) Approved By: 1 Data:
7 Day
5 Day
3 Day RUSH
2 Day RUSH
1 Day RUSH
Other
Rush T/A Data Available VIA Email or Lablink
COMMERCIAL "A" (RESULT
SItO(@�L(, (T _ r
COMMERCIAL "B" (RESULTN6F96J)1 j t
�REDT1 (Efteexc Q li^(_°N y
DH
FULLT1(EPA LEVEL ��.�, INC`i�i��
VEDD'S
Sample Custody must be
documented below each time samples
thane possession, including
courier delivery.
)�Rei�f uisha b Samp rlAfflllation
r
Date Time:
i�jJ�lj)
ReCalve��ddyyB1y/Affillation
Relin wished By/Affiliatlon
3
Date Time.
' 1
ece ed-Byl Iliatl
4
Relinquished by/Affiliation
5
D Time:
Received By Affiliation
6
Relinquished ylAMiliatlon
7
Date Time:
Received By l tion
a
Lab Use Only : Cooler Temperature (a) Celsius (corrected): 1.0 hlto'//www sas comlenitermsand-conditions
SGS COC Florida new art 5 2 17 rev 042417 SI
Effective Date 042412017
FA59049: Chain of Custody
Page 1 of 2
6 13 of 22
FA59049

SGS Sample Receipt Summary
Job Number: FA59049 Client: GEOLOGICAL RESOURCES INC Project: 4500 CORPORATE DRIVE NW
Date / Time Received: 11/3/2018 9:30:00 AM Delivery Method: FED EX Airbill Vs: 1015907060310003281100808776153275
Therm ID: IR 1; Therm CF:
-0.2; # of Coolers: 1
Cooler Temps (Raw Measured) °C: Cooler 1: (1.2);
Cooler Temps (Corrected) °C: Cooler 1: (1.0);
Cooler Information Y or N
Sample Information
Y or
N
N/A
1. Custody Seals Present ❑d ❑
1. Sample labels present on bottles
❑,/
❑
2. Custody Seals Intact W ❑
2. Samples preserved properly
W
❑
3. Temp criteria achieved ❑d ❑
3. Sufficient volume/containers recvd for analysis:
❑d
❑
4. Cooler temp verification IR Gun
4. Condition of sample
Intact
5. Cooler media Ice(Bag)
5. Sample recvd within HT
❑d
❑
6. Dates/Times/IDs on COC match Sample Label
❑d
❑
Trip Blank Information Y or N N/A
7. VOCs have headspace
❑
❑
0
1. Trip Blank present / cooler ❑ ❑d ❑
8. Bottles received for unspecified tests
❑
❑�
2. Trip Blank listed on COC ❑ W ❑
9. Compositing instructions clear
❑
❑
❑d
W or S N/A
10. Voa Soil Kits/Jars received past 48hrs?
El
El
❑J
11. % Solids Jar received?
❑
❑
6e
3. Type Of TB Received ❑ ❑ ❑,/
12. Residual Chlorine Present?
❑
❑
❑,/
Misc. Information
Number of Encores: 25-Gram 5-Gram
Number of 5035 Field Kits: 3 Number of Lab Filtered Metals:
Test Strip Lot #s: pH 0-3 230315
pH 10-12 219813A Other: (Specify)
Residual Chlorine Test Strip Lot #:
Comments
Rev. Date OS/24/17 Technician: TRINITYM Date: 11/3/2018 9:30:00 AM Reviewer: Date:
Rev. D
FA59049: Chain of Custody
Page 2 of 2
A
0
6 14 of 22
FA59049

i
SG$f
Orlando, FL
Section 5
GC Volatiles
QC Data Summaries
Includes the following where applicable:
• Method Blank Summaries
• Blank Spike Summaries
• Matrix Spike and Duplicate Summaries
6 15 of 22
FA59049

Method Blank Summary
Job Number: FA59049
Account: GRINCC GRI (Geological Resources Inc.)
Proj ect: 4500 Corporate Dr, Concord, NC
Page 1 of 1
Sample
FilelD
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
GUV4425-MB
UV084324.D
1
11/06/18
SH
n/a
n/a
GUV4425
The QC reported here applies to the following samples:
FA59049-1, FA59049-2, FA59049-3
CAS No. Compound Result RL
TPH-GRO (C6-C10) ND 5.0
Method: SW846 8015C
M DL Units Q
2.5 mg/kg
CAS No.
Su r r ogat e Recover i es
Limits
460-00-4
4-Bromofluorobenzene
94%
56-149%
98-08-8
aaa-Trifluorotoluene
96%
66-132%
6 16 of 22
FA59049

Blank Spike Summary
Job Number: FA59049
Account: GRINCC GRI (Geological Resources Inc.)
Proj ect: 4500 Corporate Dr, Concord, NC
Page 1 of 1
Sample
FilelD
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
GUV4425-BS
UV084323.1)
1
11/06/18
SH
n/a
n/a
GUV4425
The QC reported here applies to the following samples:
FA59049-1, FA59049-2, FA59049-3
CAS No. Compound
TPH-GRO (C6-CIO)
CAS No.
Surrogate Recoveries
460-00-4
4-Bromofluorobenzene
98-08-8
aaa-Trifluorotoluene
* = Outside of Control Limits.
Spike BSP BSP
mg/kg mg/kg % Limits
20 22.0 110 74-128
BSP Limits
106% 56-149%
112% 66-132%
Method: SW846 8015C
6 17 of 22
FA59049

Matrix Spike/Matrix Spike Duplicate Summary Page I of
Job Number: FA59049
Account: GRINCC GRI (Geological Resources Inc.)
Proj ect: 4500 Corporate Dr, Concord, NC
Sample
FilelD DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
FA59049-1MS
UV084336.1) 1
11/06/18
SH
n/a
n/a
GUV4425
FA59049-1MSD
UV084337.1) 1
11/06/18
SH
n/a
n/a
GUV4425
FA59049-1
UV084329.1) 1
11/06/18
SH
n/a
n/a
GUV4425
The QC reported here applies to the following samples: Method: SW846 8015C
FA59049-1, FA59049-2, FA59049-3
FA59049-1 Spike MS MS Spike MSD MSD Limits
CAS No. Compound mg/kg Q mg/kg mg/kg % mg/kg mg/kg % RPD Rec/RPD
TPH-GRO (C6-C10) ND 33.6 35.1 104 33.6 35.9 107 2 74-128/17
CAS No.
Sur r ogat e Recover i es
MS
MSD
FA59049-1
Limits
460-00-4
4-Bromofluorobenzene
107%
107%
97%
56-149%
98-08-8
aaa-Trifluorotoluene
112%
112%
95%
66-132%
* = Outside of Control Limits.
6 18 of 22
FA59049

i
SG$
Orlando, FL am
Section 6
GC/LC Semi-volatiles
QC Data Summaries
Includes the following where applicable:
• Method Blank Summaries
• Blank Spike Summaries
• Matrix Spike and Duplicate Summaries
0
6 19 of 22
FA59049

Method Blank Summary
Job Number: FA59049
Account: GRINCC GRI (Geological Resources Inc.)
Proj ect: 4500 Corporate Dr, Concord, NC
Page 1 of 1
Sample
FilelD
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
OP72513-MB
JJ021767.D
1
11/07/18
SJL
11/06/18
OP72513
GJJ890
The QC reported here applies to the following samples: Method: SW846 8015C
FA59049-1, FA59049-2, FA59049-3
CAS No. Compound
TPH (C10-C28)
CAS No. Surrogate Recoveries
84-15-1 o-Terphenyl
Result RL M DL Units Q
ND 5.0 2.5 mg/kg
Limits
81% 56-122%
6 20 of 22
FA59049

Blank Spike Summary
Job Number: FA59049
Account: GRINCC GRI (Geological Resources Inc.)
Proj ect: 4500 Corporate Dr, Concord, NC
Page 1 of 1
Sample
FilelD
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
OP72513-BS
JJ021766.D
1
11/07/18
SJL
11/06/18
OP72513
GJJ890
The QC reported here applies to the following samples: Method: SW846 8015C
FA59049-1, FA59049-2, FA59049-3
Spike BSP BSP
CAS No. Compound
mg/kg mg/kg % Limits
TPH (C10-C28)
50 41.1 82 62-116
CAS No. Su r r ogat e Recover i es
BSP Limits
84-15-1 o-Terphenyl
80% 56-122%
* = Outside of Control Limits.
6 21 of 22
FA59049

Matrix Spike/Matrix Spike Duplicate Summary Page I of
Job Number: FA59049
Account: GRINCC GRI (Geological Resources Inc.)
Proj ect: 4500 Corporate Dr, Concord, NC
Sample
FilelD
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
OP72513-MS
JJ021771.D
1
11/07/18
SJL
11/06/18
OP72513
GJJ890
OP72513-MSD
JJ021772.D
1
11/07/18
SJL
11/06/18
OP72513
GJJ890
FA59049-3
JJ021801.13
1
11/08/18
SJL
11/06/18
OP72513
GJJ891
The QC reported her eappliestothefolIowing samples:
Method: SW846 8015C s
FA59049-1, FA59049-2, FA59049-3
FA59049-3
Spike MS MS
Spike
MSD MSD Limits
CAS No. Compound mg/kg Q
mg/kg mg/kg %
mg/kg
mg/kg % RPD Rec/RPD
TPH (C10-C28) 37.0
55.8 81.9 80
56.1
114 137* 33 62-116/35
CAS No. Sur r ogat e Recover i es MS
MSD FA59049-3
Limits
84-15-1 o-Terphenyl 85%
94% 97%
56-122%
* = Outside of Control Limits.
6 22 of 22
FA59049