MO-9475_40916_CA_SCH_20190624_Site Check Report

Geological Resources, Inc.
June 24, 2019
Ms. Trudy Beverly
NCDEQ-UST Section
Mooresville Regional Office
610 East Center Ave.
Mooresville, NC 28115
Re: Site Check Report
MKDK Food Mart
2500 South Main Street
Kannapolis, Cabarrus County
Facility ID Number: 00-0-0000007646
Incident Number: Pending
GRI Project No: 4760
Dear Ms. Beverly,
Please find enclosed the referenced report for the above mentioned site.
If you have any questions, please contact Corey Buchanan at 704-845-4010.
Sincerely,
Geological Resources, Inc.
Leslie Maxtone-Graham
Administrative Assistant
Enclosure
Cc: Mr. Alkpeshkumar Patel; Ganapati, Inc., file
3502 Hayes Road • Monroe, North Carolina 28110
113 Vilest Firetower Road, Suite G • Winterville, North Carolina 28590
Phone [phone] [phone] • Fax [phone]

0
Geological Resources, Inc.
Site Check Report
MKDK Food Mart
2500 South Main Street
Kannapolis, Cabarrus County
North Carolina
Facility ID Number: 00-0-0000007646
Incident Number: Pending
GRI Project Number: 4760
Prepared for:
Ganapati, Inc.
2500 South Main Street
Kannapolis, North Carolina 28081
June 24, 2019
Gft", Fl. %A�P�w"
Corey N. Buchanan, P.G.
Project Manager
3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G • Winterville, North Carolina 28590
Phone [phone] • [phone] • Fax [phone]

EXECUTIVE SUMMARY
The MKDK Food Mart site is located at 2500 South Main Street in Kannapolis, Cabarrus County, North
Carolina. The property operates as a petroleum retail facility and convenience store. The site is covered
by concrete, asphalt and grass. There are two 8,000-gallon gasoline, one 8,000-gallon kerosene and one
8,000-gallon diesel USTs currently in use at the site with six associated dispenser islands.
On February 13, 2019, during annual compliance testing activities, non -passing spill buckets were
reported for the 8,000-gallon regular gasoline and the 8,000-gallon kerosene USTs. Therefore a site check
was required by the NCDEQ. As of the date of this report repairs to the spill buckets reportedly have not
been completed.
On June 4, 2019, GRI conducted a site check in the area of the 8,000-gallon regular gasoline and the 8,000
kerosene UST spill buckets. Two soil borings (SB-1 and SB-2) were advanced to approximately 2.5 feet bgs
in the middle of each tank, adjacent to the non -passing spill buckets. The RALs as well as the soil to water
MCCs were below the concentrations of TPH-GRO, TPH-DRO, benzene, toluene, ethylbenzene and/or
xylenes reported in the soil samples SB-1(2.5') and SB-2(2.5).
Ground water sampling was not completed as part of the site check activities because the soil borings
were installed in native soils and immediately adjacent to both spill buckets.
Based on this information, GRI recommends conducting a Limited Site Assessment to identify if ground
water contamination is present and to establish the risk ranking of the site.
Prepared by: Geological Resources, Inc. Site Check Report
Prepared on: June 24, 201940 MKDK Food Mart
Project Manager: Corey N. Buchanan, P.G. Geo. .ine..0 ,i- GRI Project No. 4760

SITE INFORMATION
1. Site Identification
MKDK Food Mart (Facility ID 00-0-0000007646)
Incident Number Pending— Risk Ranking Undetermined
-Location of Source Area: 2500 South Main Street
Kannapolis, NC 27533
Cabarrus County
35.4596620°N, 80.6197980°W (Topographical Map)
2. Information about Contacts Associated with the Leaking UST System
UST/AST Owner
Ganapti, Inc. (Table 1)
2500 South Main Street
Kannapolis, NC 28081
[e-mail]
910-813-7199
UST/AST Operator
Ganapti, Inc.
2500 South Main Street
Kannapolis, NC 28081
[e-mail]
910-813-7199
3. Information about Release
Property Owner
Ganapti, Inc.
2500 South Main Street
Kannapolis, NC 28081
[e-mail]
910-813-7199
Property Occupant
Ganapti, Inc.
2500 South Main Street
Kannapolis, NC 28081
m [e-mail]
910-813-7199
Consultant/Contractor
Geological Resources, Inc.
3502 Hayes Road
Monroe, NC 28110
[e-mail]
704-845-4010
Analytical Laboratory
SGS North America, Inc.
4405 Vineland Road, Suite C-15
Orlando, FL 32811
State Certification No. 573
407-425-6700
Release was discovered on June 12, 2019
An unknown amount of product was released from the leaking UST System via non -passing spill buckets
Two 8,000-gallon gasoline, one 8,000-gallon kerosene and one 8,000-gallon diesel LISTS are in use at the
site
Certification:
I, Randy A. Smith, a Licensed Geol focal Resources, Inc., do certify that the information
contained in this report is correfOjiest of my knowledge.
w
W�015r�'O'
SEAL v
12ti2
Geological Resources, Inc. is lice n°° 40A& cs�'�Qe°`geology and engineering in North Carolina. The
certification numbers of the corporation 3re°t127 and C-2727, respectively.
Prepared by: Geological Resources, Inc. /� Site Check Report
Prepared on: June 24, 2019 V MKDK Food Mart
Project Manager: Corey N. Buchanan, P.G. „� GRI Project No. 4760

TABLE OF CONTENTS
A. SITE HISTORY AND CHARACTERIZATION........................................................................1
B. SITE CHECK PROCEDURES..............................................................................................2
C. SITE INVESTIGATION......................................................................................................2
D. SUMMARY AND CONCLUSIONS.....................................................................................3
E. LIMITATIONS..................................................................................................................3
FIGURES
Figure 1: Site Location Map
Figure 2: Site Map
Figure 3: Soil Quality 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
Prepared by: Geological Resources, Inc. Site Check Report
Prepared on: June 24, 201940 MKDK Food Mart
Project Manager: Corey N. Buchanan, P.G. GQ,,.*.iReSO.—,i- GRI Project No. 4760

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 are two 8,000-gallon gasoline, one 8,000-gallon kerosene and one 8,000-
gallon diesel USTs currently in use at the site with six associated dispenser islands. Based on site
observations, the contents of one of the gasoline USTs has been changed to diesel. The dispensers are
located in front of the store building. There are approximately 100 feet of product piping from the
tanks to the dispenser islands. A copy of the NCDEQ Registered Tank Report is shown below:
NCDEQ Registered Tank Report
Facility Id 00-0-0000007646
Facility Name MKDK FOOD MART
Address 1 2500 SOUTH MAIN STREET
City KANNAPOLIS State NC
County Caharrus Zip 28081
Longitude-80.620106 Latitude 35.45971
Tank Information
Tank Owner I GANAPATI INC
Address 250C SOUTH MAIN STREET
City KANNAPOLIS
State NC Zip 28081
Tank Id Product Name Capacity Installation Date Perm Close Date Tank construction Piping Construction Overl'ill Protection Spill Protection Tank Status
1 Gasoline, Gas Mix
8000
4/25/1970
Single Wall Steel
Other
Ball Float Valve
Catchment Basin
Current
2 Gasoline, Gas Mix
8000
4/25/1970
Single Wall Steel
Other
Ball Float Valve
Catchment Basin
Current
3 Gasoline, Gas Mix
8000
4/25/1970
Single Wall Steel
Other
Ball Float Valve
Catchment Basin
Current
4 Kerosene, Kero Mix
8000
4/25/197D
Single Wall Steel
Other
Ball Float Valve
Catchment Basin
Current
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:
Annual compliance testing was completed on February 13, 2019. Based on the testing, non -passing
hydrostatic results were reported for the 8,000-gallon regular gasoline and the 8,000-gallon kerosene UST
spill buckets. As of the date of this report, repairs to the spill buckets reportedly have not been completed.
A site check was required according to the North Carolina Department of Environmental Quality (NCDEQ).
On June 4, 2019, two soil borings (SB-1 and SB-2) were advanced approximately 2.5 feet below ground
surface (bgs) in the middle of each tank, adjacent to the non -passing spill buckets. Upon receipt of the
laboratory analytical results on June 12, 2019, a release was confirmed at the site. A copy of the UST-61
Form has been included as Appendix A. The applicable standards were below the contaminant
concentrations reported in soil samples SB-1(2.5') and SB-2(2.5').
Prepared by: Geological Resources, Inc. Site Check Report
Prepared on: June 24, 201940 MKDK Food Mart
Project Manager: Corey N. Buchanan, P.G. Geo. .ine..0 ,i- GRI Project No. 4760
1

5. Description of the Site Characteristics:
The MKDK Food Mart site is located at 2500 South Main Street in Kannapolis, Cabarrus County, North
Carolina. (Figure 1). The property operates as a petroleum retail facility and convenience store. The site
is covered by concrete asphalt and grass. There are one two 8,000-gallon gasoline, one 8,000-gallon
kerosene and one 8,000-gallon diesel USTs currently in use atthe site with six associated dispenser islands.
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 13, 2019, two non -passing UST spill buckets were reported at the site. As of the date of this
report repairs to the non -passing spill buckets reportedly have not been completed.
2. Summary of Site Check Procedure:
GRI performed a site check on June 4, 2019, that included the collection of two soil samples at the spill
buckets associated with the 8,000-gallon regular gasoline and the 8,000-gallon kerosene USTs. The soil
borings were advanced adjacent to the spill buckets to depths of approximately 2.5 feet bgs and soil
samples SB-1(2.5') and SB-2(2.5') were collected from the borings. 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(2.5') and SB-2(2.5') collected on June 4, 2019, were screened with a photo ionization
detector (PID) for volatile organic compounds (VOCs). Soil samples collected from SB-1 and SB-2 had VOC
readings of 384 parts per millions (ppm) and 2,199 ppm, respectively.
2. Soil Sampling Information:
Soil samples SB-1(2.5') and SB-2(2.5') were collected on June 4, 2019, and submitted for laboratory
analyses of total petroleum hydrocarbons (TPH) gasoline -range organics (GRO) by EPA Method 8015D and
BTEX by EPA Method 8260B. In addition, SB-2(2.5') was also submitted for laboratory analyses of TPH-
diesel range organics (DRO) by EPA Method 8015C. The regulatory action levels (RALs) as well as the soil
to water maximum contaminant concentrations (MCCs) were below the concentrations of TPH-GRO, TPH-
DRO, benzene, toluene, ethylbenzene and/or xylenes reported in the soil samples SB-1(2.5') and SB-
2(2.5'). A soil quality 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. A summary of the soil
sampling data from the June 2019 Site Check activities is show below:
Prepared by: Geological Resources, Inc. ��
Prepared on: June 24, 2019
Project Manager: Corey N. Buchanan, P.G. Geo. .ine..0 ,i-
Site Check Report
MKDK Food Mart
GRI Project No. 4760
2

s
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41
T
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G1 H
i
3
S
X
H
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y
m
L
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�
0
W
H
RAL(mg/kg)
50
100
NE
NE
NE
NE
Soil to Water MCC (mg/kg)
NE
NE
0.0056
4.3
4.9
4.6
Residential SCLs (mg/kg)
NE
NE
18
1,200
1,560
3,129
SB-1 (2.5)
2.5
2,590
327
7.40
196
81.3
641
SB-2 (2.5)
2.5
124
298
1.59
0.745 J
<0.074
3.52
3. Ground Water and Surface Water Sampling Information:
A ground water sample was not required because the soil borings were installed in native soils
immediately adjacent to the spill buckets. Two test wells were observed at the site during site check
activities. The well adjacent to the UST vent lines was gauged and found to be 16 feet deep and had
less than two inches of water in well.
4. Quality -Control Measures:
Clean, disposable nitrile gloves were used for the collection of the soil samples. The samples were
collected in laboratory supplied containers and shipped to the laboratory in a cooler following proper
chain -of -custody procedures.
D. SUMMARY AND CONCLUSIONS
• The site operates as an active petroleum retail facility and convenience store. The site currently
has two 8,000-gallon gasoline, one 8,000-kerosene and one 8,000-gallon diesel USTs in use. The
site is commercial and surrounding properties are commercial and residential.
• On January 13, 2019, non -passing hydrostatic results were reported for the 8,000-gallon gasoline
and the 8,000-gallon kerosene USTs spill buckets. Repairs to the non -passing spill buckets
reportedly not been completed.
• A Site Check was conducted on June 4, 2019, to determine if a petroleum release had occurred.
• Two soil borings (SB-1 and SB-2) were advanced to approximately 2.5 feet bgs in the middle of
each tank, adjacent to the non -passing spill buckets and soil samples were collected.
• The RALs as well as the soil to water MCCs were below the concentrations of TPH-GRO, TPH-DRO,
benzene, toluene, ethylbenzene and/or xylenes reported in the soil samples SB-1(2.5') and SB-
2(2.5').
• Based on this information, GRI recommends conducting a Limited Site Assessment to identify if
ground water contamination is present and to determine the risk ranking of the site.
E. LIMITATIONS
This report has been prepared for the exclusive use of Ganapati, 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
Prepared by: Geological Resources, Inc. Site Check Report
Prepared on: June 24, 201940 MKDK Food Mart
Project Manager: Corey N. Buchanan, P.G. Geo. .ine..0 ,i- GRI Project No. 4760

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.
Prepared by: Geological Resources, Inc. ��
Prepared on: June 24, 2019
Project Manager: Corey N. Buchanan, P.G. Geo. .ine..—,i-
Site Check Report
MKDK Food Mart
GRI Project No. 4760
4

FIGURES

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Figure 1::
Site Location
MKDK Food Mart SCALE 1:24000
2500 South Main Street, Kannapolis, Cabarrus County, 0 1000 2000 3000 4000 5000
NC
Incident No. N/A FEET
MN 7.83' W GRI Project No.4760
Date: 06/02/19 Location: 035.4596620' N 080.6197980' W
Scale: 1 inch = 2,000 ft.
Copyright (C) 2009 MyTopo

LEGEND
UNDERGROUND NATURAL GAS LINE
ss
UNDERGROUND STORM SEWER LINE
— w w —
UNDERGROUND WATER LINE
E
OVERHEAD ELECTRIC LINE
— — — — — — — — — UNDERGROUND STORAGE TANK
0
FILL PORT
FUEL DISPENSER
•
VAPOR PORT
VENT
VENT LINES FOR UST
Q
TYPE II MONITORING WELL
Note:
1. This Site Map is based on data from the Cabarrus
County GIS of NC.
2. This site was not professionally surveyed, site features
and utilities are approximate.
c
m
'7::!'GRASS�,
c
m
m
8K—Gallon
m
Diesel UST
I £
8K—Gallon
Premium UST ASPHALT
m
P--
CONCRETE
E
" W
W
I
_---i
0
m
L° - --,
r--
OD
cn
1.0
UnknownQ
m E z
•0 _
8K—Gallon
E
m
Regular UST
8K—Gallon
ASPHALT
s
Kerosene UST Unknown
m
Q
Cp Kerosene
I £
MKDK
FOOD MART
M I "
7FOODMART
m
ml
ss
I s
�GRAS�
m I ci
E
SITE MAP
0 15 30 60
MKDK Food Mart 2500 South Main Street
Incident No. N/A Kannapolis, Cabarrus County,
( IN FEET) GRI Project No. 4760 NC
Geological Resources, Inc. 1 inch = 30 ft Date: 06/16/19 Drawn by. DTH I Figure: 2

LEGEND
UNDERGROUND NATURAL GAS LINE
ss
UNDERGROUND STORM SEWER LINE
— w w —
UNDERGROUND WATER LINE
E
OVERHEAD ELECTRIC LINE
— — — — — — — — — UNDERGROUND STORAGE TANK
0
FILL PORT
FUEL DISPENSER
•
VAPOR PORT
VENT
VENT LINES FOR UST
TYPE II MONITORING WELL
f
SOIL SAMPLE LOCATION
5030/
3550/
Analytical Method 4
EPA Method 8260B
8015D
8015C
x
N
QJ
N
W
cu
y
W
C
a
v
w v
'_
(D
x
5-
b
a�i
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U
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o
111
m
i—
t
o
RAL(mg/kg)
50
100
NE
NE
NE
NE
Soil to Water MCC (mg/kg)
NE
NE
0.0056
4.3
4.9
4.6
Residential SCLs (mg/kg)
NE
NE
18
1,200
1,560
3,129
SB-1 (2.5')
06/04/19
2.S
2,590
327
7.40
196
81.3
641
SB-2(2.5')
06/04/19
2.5
124
298
1.59
0.745J
<0.074
3.52
c
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'7::!'GRASS�,
I
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ri I
I � �
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m I ci
I £
ASPHALT
m
CONCRETE
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1 0
r
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1 0
_ —
I I "(n
SB-1(2.5)
m E
SB-2(2.5)
�ASPHALT�
I s
Unknown
m
Kerosene
I £
MKDK
FOOD MART
m I "
I <
MKDK
`'
FOOD MART
mI
ss
I E
GRASS
I m
m£
0 15 30 60 SOIL QUALITY MAP (06/04/19)
MKDK Food Mart 2500 South Main Street
Incident No. N/A Kannapolis, Cabarrus County,
( IN FEET) GRI Project No. 4760 NC
Geo%g/co/ Resources, Inc. 1 inch = 30 ft Date: 06/16/19 Drawn by. DTH I Figure: 3

TABLES

TABLE 1
UST OWNER/OPERATOR INFORMATION
MKDK FOOD MART (INCIDENT NO. PENDING)
UST ID Number
1-4
Facility ID Number
00-0-0000007646
Name of Owner or Operator
Dates of Ownership / Operation
Owner or Operator?
Ganapati, Inc.
12/18/2014 - Current
Owner/Operator
Address
Telephone Number
2500 South Main Street, Kannoplis, North Carolina 28081
1-910-813-7199
UST ID Number
1-4
Facility ID Number
00-0-0000007646
Name of Owner or Operator
Dates of Ownership / Operation
Owner or Operator?
R.L. Jordan Oil Company of North Carolina, Inc.
06/08/2005 - 12/18/2014
Owner/Operator
Address
Telephone Number
675 Gossett Road, Spartanburg, SC 29307
1-864-579-4121
UST ID Number
1-4
Facility ID Number
00-0-0000007646
Name of Owner or Operator
Dates of Ownership / Operation
Owner or Operator?
Unknown
04/25/1970 - 06/08/2005
Owner/Operator
Address
Telephone Number
Unknown
Unknown
Page 1 of 1

TABLE 2
LIST SYSTEM INFORMATION
MKDK FOOD MART (INCIDENT NO. PENDING)
Date: 06 17 19
Facility ID #: 0-007646
Description of
Was Release
LIST
Current
Associated
Status
Associated
ID
or Most
Previous
Capacity
Date
Construction
Tank
Product Piping
of
with UST
No.
Recent
Contents
(gallons)
Installed
Details
Dimensions
and
UST
T
System.
Contents
Pumps
(Yes / No)
1
Diesel
Gasoline
8,000
4/25/1970
Single Wall Steel
8' x 21.3'
Steel
Current
No
2
Gasoline
NA
8,000
4/25/1970
Single Wall Steel
8' x 21.3'
Steel
Current
No
3
Gasoline
NA
8,000
4/25/1970
Single Wall Steel
8' x 21.3'
Steel
Current
Yes
4
Kerosene
NA
8,000
4/25/1970
Single Wall Steel
8' x 21.3'
Steel
Current
Yes
Page 1 of 1

TABLE 3
SUMMARY OF SOIL SAMPLE ANALYTICAL RESULTS
MKDK FOOD MART (INCIDENT NO. PENDING)
Date: 06 17 19
Facility ID #: 0-007646
5030/
3550/
Analytical Method 4
EPA Method 8260B
8015D
8015C
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a,
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U >
co
oc
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as
GJ
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0
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41 EE
++
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f0
-
m
H
>`
s
ca
41
�
v
Q
WLA
H
RAL (mg/kg)
50
100
NE
NE
NE
NE
Soil to Water MCC (mg/kg)
NE
NE
0.0056
4.3
4.9
4.6
Residential SCLs (mg/kg)
NE
NE
18
1,200
1,560
3,129
S13-1 (2.5')
06/04/19
2.5
2,590
327
7.40
196
81.3
641
SB-2 (2.5')
06/04/19
2.5
124
298
1.59
0.745 J
<0.074
3.52
Notes:
• Results reported in mg/kg (milligrams per kilograms)
• ft-BGS: feet below ground surface.
• RAL: Regulatory Action Level.
• MCCs: Maximum Contaminant Concentrations (soils).
• SCLs: Soil Cleanup Levels.
• < : Less than the method detection limit specified in the laboratory report
• Concentrations in bold face type indicate the RALs or soil -to -water MCCs were
below the reported concentrations.
• Concentrations in italic type indicate the residential SCLs were below the reported concentrations.
• NE: Not Established
• NR: Not Requested.
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)
Facility ID Number
Incident # Risk (H,I,L,U)
Confirmed GW Contamination? (Y/N)
Date Leak Discovered
Received On Received By
Confirmed Soil Contamination ?(Y/N)
Comm/Non-Commercial?
Reported by (circle one): Phone, Fax or Report
Samples Taken?(Y/N)
Reg/Non-regulated?
Region
Free Product? (Y/N) If Yes, State Greatest
Thickness
INCIDENT DESCRIPTION
Incident Name:
Address:
County:
Regional Office (circle one): Asheville, Mooresville, Fayetteville,
City/Town:
Zip Code:
Raleigh, Washington, Wilmington, Winston-Salem
Latitude (decimal degrees):
Longitude (decimal degrees) :
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
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)
SOURCE OF CONTAMINATION
Source of Release
Cause of Release Type of Release Product Type Released
(Check primary source)
(Check primary cause) (Check one) (Check primary product type released)
❑ Tank
❑ Spill ❑ Petroleum ❑ Gasoline/ Diesel/ ❑ Diesel/Veg. Oil
❑ Piping
❑ Overfill ❑ Non -Petroleum Kerosene Blend
❑ Dispenser
❑Heating Oil ❑ Vegetable Oil 100%
Corrosion Both
❑❑
❑ Other Petroleum ❑ E10 - E20
❑ Submersible Turbine Pump
❑Physical/Mechanical
❑ Delivery Problem
Location Products
Damage ❑ E21 - E84
(Check one) Metals
❑
❑ Install Problem ❑ E85 - E99
❑ Spill Bucket
❑ Other Inorganics
❑ Other [-]Facility ❑Ethanol 100%
❑ Other
❑ Other Organics
❑ Unknown ❑Residence ❑ E01 - E09
❑ Unknown
❑Other
Definitions presented on reverse
Definitions presented on reverse
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 (02/19) 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:
1.
2.
3.
(Include Users Names, Addresses and Phone Numbers. Attach additional sheet if necessary)
UST Owner/Company
UST SYSTEM OWNER
Point of Contact
Address
City
State
Zip Code
Telephone Number
UST SYSTEM OPERATOR
UST Operator/Company
Address
City
State
Zip Code
Telephone Number
LANDOWNER AT LOCATION OF UST INCIDENT
Landowner
Address
City
State
Zip Code
Telephone Number
Draw Sketch of Area (showing two major road intersections) or Attach Map
Person Reporting Incident
Company
Telephone Number
Title
Address
Date
UST Form 61 (02/19)
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 MKDK Food Mart
Address 2500 South Main Street, Kannapolis, Cabarrus County, NC, 28081
Boring Number S13-1 Date Drilled 06/04/19
Sample Method Grab Drilling Method Hand Auger
Completion Details Completed to 2.5; abandoned with soil cuttings subsequent to sampling
Driller Sam Bowers, GRI Log By Corey N. Buchanan, GRI
Lab
Sample
PID
Depth
Sample
Interval(ft)
ppm
LITHOLOGY
0
0' - 2.5' Gray silt and gravel, strong odors 0' - 2.5'
2
SB-1(2.5')
2.5'
384
Total depth = 2.5'
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 MKDK Food Mart
Address 2500 South Main Street, Kannapolis, Cabarrus County, NC, 28081
Boring Number S13-2 Date Drilled 06/04/19
Sample Method Grab Drilling Method Hand Auger
Completion Details Completed to 2.5; abandoned with soil cuttings subsequent to sampling
Driller Sam Bowers, GRI Log By Corey N. Buchanan, GRI
Lab
Sample
PID
Depth
Sample
Interval(ft)
ppm
LITHOLOGY
0
0' - 1' Gray silt and gravel, strong odors 0'- 2.5'
1' - 2.5' Red clay
2
SB-2(2.5')
2.5'
384
Total depth = 2.5'
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34
36
38
40

Appendix C
Laboratory Analytical Report

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.)
MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
4760
SGS Job Number: FA64792
Sampling Date: 06/04/19
Report to:
GRI (Geological Resources Inc.)
cnb@geologicalresourcesinc. com
ATTN: Corey Buchanan
Total number of pages in report: 30
A� Fp
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.
SGS North America Inc. • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: [phone] • fax: [phone]
SGS is the sole authority for authorizing edits or modifications to this document. Please share your ideas about
Unauthorized modification of this report is strictly prohibited. how we can serve you better at:
Review standard terms at: http://www.sgs.com/en/terms-and-conditions [e-mail]
1 of 30
FA64792

r�;i
June 12, 2019
Mr. Corey Buchanan
GRI
3502 Hayes Rd
Monroe, NC 28110
RE: SGS North America Inc. - Orlando job FA64792 Reissue
Dear Mr. Buchanan,
The final report for job number FA64792 has been edited to reflect requested corrections.
These edits have been incorporated into the revised report.
The sample IDS have been revised.
SGS North America Inc. - Orlando apologies for any inconvenience this may have caused.
Please feel free to contact us if we can be of further assistance.
Sincerely,
SGS North America Inc. - Orlando
Florida ♦ 4405 Vineland Road ♦ Suite C-15 ♦ Orlando, FL 32811 ♦ tel: [phone] ♦ fax: [phone]
6 2 of 30
FA64792

Sections:
Table of Contents
-1-
Section1: Sample Summary...................................................................................................
4
Section2: Summary of Hits....................................................................................................
5
Section 3: Sample Results........................................................................................................
6
3.1: FA64792-1: SB-1 (2.5').................................................................................................
7
3.2: FA64792-2: SB-2 (2.5').................................................................................................
10
Section4: Misc. Forms............................................................................................................
13
4.1: Chain of Custody...........................................................................................................
14
Section 5: MS Volatiles - QC Data Summaries.....................................................................
16
5.1: Method Blank Summary................................................................................................
17
5.2: Blank Spike Summary...................................................................................................
19
5.3: Blank Spike/Blank Spike Duplicate Summary..............................................................
20
5A Matrix Spike/Matrix Spike Duplicate Summary...........................................................
21
Section 6: GC Volatiles - QC Data Summaries.....................................................................
23
6.1: Method Blank Summary................................................................................................
24
6.2: Blank Spike Summary...................................................................................................
25
6.3: Matrix Spike/Matrix Spike Duplicate Summary...........................................................
26
Section 7: GC/LC Semi-volatiles - QC Data Summaries.....................................................
27
7.1: Method Blank Summary................................................................................................
28
7.2: Blank Spike Summary...................................................................................................
29
7.3: Matrix Spike/Matrix Spike Duplicate Summary...........................................................
30
W,

SGS North America Inc.
Sample Summary
GRI (Geological Resources Inc.)
Job No: FA64792
MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
Project No: 4760
Sample Collected Matrix Client
Number Date Time By Received Code Type Sample I D
FA64792-1 06/04/19 10:53 CB 06/05/19 SO Soil S13-1 (2.5')
FA64792-2 06/04/ 19 11:02 CB 06/05/ 19 SO Soil S13-2 (2.5' )
Soil samples reported on a dry weight basis unless otherwise indicated on result page.
6 4 of 30
FA64792

Summary of Hits
Job Number:
FA64792
Account:
GRI (Geological Resources Inc.)
Prcj ect:
MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
Col I ected:
06/04/ 19
Lab Sample I D Client Sample I D Result/
Analyte Qual RL MDL Units Method
FA64792-1 SB-1 (2.6)
Benzene
7.40
2.7
0.65
mg/kg
SW846 8260B
Toluene
196
110
53
mg/kg
SW846 8260B
Ethylbenzene
81.3
2.7
0.53
mg/kg
SW846 8260B
Xylene (total)
641
80
11
mg/kg
SW846 8260B
TPH-GRO (C6-C10) a
2590
520
260
mg/kg
SW846 8015C
TPH (C10-C28)
327
28
14
mg/kg
SW846 8015C
FA64792-2 SB-2 (2.6)
Benzene
1.59
0.37
0.090
mg/kg
SW846 8260B
Toluene
0.745 J
1.5
0.74
mg/kg
SW846 8260B
Xylene (total)
3.52
1.1
0.16
mg/kg
SW846 8260B
TPH-GRO (C6-C10)
124
31
15
mg/kg
SW846 8015C
TPH (C10-C28) b
298
33
17
mg/kg
SW846 8015C
(a) Pre -weighed vials were altered in the field; sample weights
are estimated.
(b) Petroleum hydrocarbon pattern extends beyond C28.
Page l of l
6 5 of 30
FA64792

FM
Orlando, FL
Sample Results
Report of Analysis
i
==MAO Section 3
6 6 of 30
FA64792

SGS North America Inc.
Report of Analysis
Page 1 of 1 j
Client Sample ID:
SB-1 (2.5')
Lab Sample I D:
FA64792-1 Date Sampled: 06/04/19
Matrix:
SO - Soil Date Received: 06/05/19
Method:
SW846 8260B Percent Solids: 91.2
Proj ect:
MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
File I D
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
Run #1 F0090035.13
1
06/05/19 19:45
SP
n/a
n/a
VF3143
Run #2 F0090053.13
1
06/06/19 14:01
SP
n/a
n/a
VF3144
Initial Weight Final Volume Methanol Aliquot
Run # 1 5.64 g 5.0 ml 10.0 ul
Run #2 5.64 g 5.0 ml 1.0 ul
Purgeable Aromatics
CAS No.
Compound
71-43-2
Benzene
108-88-3
Toluene
100-41-4
Ethylbenzene
1330-20-7
Xylene (total)
CAS No.
Surrogate Recoveries
1868-53-7
Dibromofluoromethane
17060-07-0
1,2-Dichloroethane-D4
2037-26-5
Toluene-138
460-00-4
4-Bromofluorobenzene
(a) Result is from Run# 2
Result
RL
M DL
Units Q
7.40
2.7
0.65
mg/kg
196 a
110
53
mg/kg
81.3
2.7
0.53
mg/kg
641 a
80
11
mg/kg
Run#1 Run#2 Limits
100%
105%
75-124%
110%
111%
72-135%
97%
92%
75-126%
101%
96%
71-133%
ND = Not detected MDL = Method Detection Limit
RL = Reporting Limit
E = Indicates value exceeds calibration range
J = Indicates an estimated value
B = Indicates analyte found in associated method blank
N = Indicates presumptive evidence of a compound
6 7 of 30
FA64792

SGS North America Inc.
Report of Analysis
Client Sample ID: SB-1 (2.5')
Lab Sample I D: FA64792-1 Date Sampled: 06/04/19
Matrix: SO - Soil Date Received: 06/05/19
Method: SW846 8015C Percent Solids: 91.2
Proj ect: MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
Page 1 of 1 j
File I D DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 a UV086167.D 1 06/06/19 12:46 JG n/a n/a GUV4529
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 5.76 g 5.0 ml 1.0 ul
Run #2
CAS No.
Compound
Result
RL M DL Units Q
TPH-GRO (C6-C 10)
2590
520 260 mg/kg
CAS No.
Surrogate Recoveries
Run# 1
Run# 2 Limits
460-00-4
4-Bromofluorobenzene
98%
56-149%
98-08-8
aaa-Trifluorotoluene
93%
66-132%
(a) Pre -weighed vials were altered in the
field; sample weights are estimated.
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 8 of 30
FA64792

SGS North America Inc.
Report of Analysis
Client Sample ID: SB-1 (2.5')
Lab Sample I D: FA64792-1 Date Sampled: 06/04/19
Matrix: SO - Soil Date Received: 06/05/19
Method: SW846 8015C SW846 3546 Percent Solids: 91.2
Proj ect: MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
Page 1 of 1 j
File I D DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 WW20556.1) 5 06/06/19 20:23 NJ 06/06/19 11:30 OP75351 GWW855
Run #2
Initial Weight Final Volume
Run#1 19.9g 1.0m1
Run #2
CAS No. Compound Result RL MDL Units Q
TPH (Cl0-C28) 327 28 14 mg/kg
CAS No. Surrogate Recoveries Run# 1 Run# 2 Limits
84-15-1 o-Terphenyl 65% 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
6 9 of 30
FA64792

SGS North America Inc.
Report of Analysis
Page 1 of 1 N
Client Sample I D:
SB-2 (2.5')
Lab Sample I D:
FA64792-2 Date Sampled: 06/04/19
Matrix:
SO - Soil Date Received: 06/05/19
Method:
SW846 8260B Percent Solids: 74.7
Proj ect:
MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
File I D DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 F0090036.13 1 06/05/19 20:10 SP n/a n/a VF3143
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 5.86 g 5.0 ml 100 ul
Run #2
Purgeabl e Aromatics
CAS No.
Compound
71-43-2
Benzene
108-88-3
Toluene
100-41-4
Ethylbenzene
1330-20-7
Xylene (total)
CAS No.
Surrogate Recoveries
1868-53-7
Dibromofluoromethane
17060-07-0
1,2-Dichloroethane-D4
2037-26-5
Toluene-138
460-00-4
4-Bromofluorobenzene
Result
RL
M DL Units Q
1.59
0.37
0.090 mg/kg
0.745
1.5
0.74 mg/kg J
ND
0.37
0.074 mg/kg
3.52
1.1
0.16 mg/kg
Run#1
Run#2
Limits
104%
75-124%
106%
72-135%
96%
75-126%
94%
71-133%
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 10 of 30
FA64792

SGS North America Inc.
Report of Analysis
Client Sample ID: SB-2 (2.5')
Lab Sample I D: FA64792-2 Date Sampled: 06/04/19
Matrix: SO - Soil Date Received: 06/05/19
Method: SW846 8015C Percent Solids: 74.7
Proj ect: MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
Page 1 of 1 N
File I D DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 UV086168.1) 1 06/06/19 13:15 JG n/a n/a GUV4529
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 5.63 g 5.0 ml 25.0 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
124
31 15 mg/kg
Run#1
Run#2 Limits
114%
56-149%
97%
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 11 of 30
FA64792

SGS North America Inc.
Report of Analysis
Client Sample I D: SB-2 (2.5')
Lab Sample I D: FA64792-2 Date Sampled: 06/04/19
Matrix: SO - Soil Date Received: 06/05/19
Method: SW846 8015C SW846 3546 Percent Solids: 74.7
Proj ect: MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
Page 1 of 1 N
File I D DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 WW20557.1) 5 06/06/19 20:59 NJ 06/06/19 11:30 OP75351 GWW855
Run #2
Initial Weight Final Volume
Run #1 20.2 g 1.0 M1
Run #2
CAS No. Compound Result
TPH (C10-C28) a 298
CAS No. Surrogate Recoveries Run# 1
84-15-1 o-Terphenyl 72%
(a) Petroleum hydrocarbon pattern extends beyond C28.
RL MDL Units Q
33 17 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 12 of 30
FA64792

i
SGS
f
Orlando, FL AM
Section 4
Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
�I 13 of 30
FA64792

SGS North America Inc - Orlando � �� %q Z
Chain of Custody SGS - ORLANDO JOB # : PAGE I 01,1
TEL [phone] FAX: [phone]
SGS - ORLANDO Quote # SKIFF #
Client I Reporting Information ". ;,, .,.:a•,. Project Information
;„Anal Analytical Information
=--C;
Matrix Codes
Company Name: 1 /
G �TI ' �1..
Project Name:
! '"�
`i
<
r
,U
X
(,�
hJ'
- Drinking
Water
GW -Ground
Water
W W . Water
SW -Surface
Water
SO-Soil
S OISludge
Oil
LIQ -Other Liquid
AIR -Air
SOL Other Solid
Address: yy/ �d
,7? � �
Street �/
`, 506 " � Y✓7 i l � oe1
City: M') — Zip: ,r-1�I�
i., (
I S
Project Co _ el: Ad1 ,� Email:
Cr
Project #
Phone #: J J L 0
Fax #
Samplers) Na e(s) (Printed) p ,.-N, j5 LC- pI CI �-
Sampler 1: am I
Client Purchase Order #
SGS
OdendO
Sam le#
Field ID l Point of Collection
COLLECTION
CONTAINet
NFOReNnON
-
LAB USE ONLY
DATE
SRMPLED
ev:
aaTalx
TOTAL0
OF
eornes
o
a
�i
Q
a k
2 �r
1I
vN3 1
e4
ro
i
Turnaround Time Business da s
w
r >a
wN
Data
Deliverable
Information
a ...
'�
;
ar.:
Comments
/Remarks
; #'» v; "'°
C10.Dayd6uslaess) Approved By: / Date:
7 Day
5 Day
3 Day RUSH
2 Day RUSH
1 Day RUSH
Other
Rush TIA Data Available VIA Email or Lablink
ULy
COMMERCIAL "A" (RESULTS ONLY)
COMMERCIAL "B" (RESULTS PLUS QC)
nREDT1 (EPA LEVEL 3)
❑ FULLTI (EPA LEVEL 4)
'�IDD'S
T:
ax+« - .• rs;g,
..P a must be
documented below each time samples
thane possession, includin
courier dehve
:' ,.-,to- G. �'..t
Relinquished SalerlA filiation
1 LPL
Date Time:
Recely BIA illation
2 I� i(73 ��s�
/Affiliation
Relinquished :�y/Afflllatlon
3
Date Time:
Receive By/A 'liation
aOoa
Re ishad by/Affiliation
5
Date Time:
Received BylAffiliation
6
Relinquished
7
Date Time:
Race ed Sy/Affiliation
8
Lab Use Onl : Cooler Temperature s Celsius (connected): .c n/tar d one
ORLD-SMT-0001-03-FORM-COC (1) Rev 031318
3.5
FA64792: Chain of Custody
Page 1 of 2
6 14 of 30
FA64792

SGS Sample Receipt Summary
Job Number: FA64792
Client: GEOLOGICAL RESOURCES Project: MKDK FOOD MART
Date / Time Received: 6/5/2019 9:00:00
AM
Delivery Method:
FX Airbill Vs: 1001891750610003281100100963772890
Therm ID: IR 1;
Therm CF: 0.4;
# of Coolers: 1
Cooler Temps (Raw Measured)
°C: Cooler 1: (3.1);
Cooler Temps (Corrected)
°C: Cooler 1: (3.5);
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
❑
❑.i
❑
1. Trip Blank present / cooler
❑
❑d ❑
8. Bottles received for unspecified tests
❑
❑d
2. Trip Blank listed on COC
❑
❑d ❑
9. Compositing instructions clear
❑
❑
❑d
W or
S N/A
10. Voa Soil Kits/Jars received past 48hrs?
El
El
❑d
11. % Solids Jar received?
❑
❑
W
3. Type Of TB Received
❑
❑ W
12. Residual Chlorine Present?
❑
❑
❑,/
Misc. Information
Number of Encores: 25-Gram
5-Gram Number of 5035 Field Kits: 2 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: PETERH Date: 6/5/2019 9:00:00 AM Reviewer: Date:
Rev. D
FA64792: Chain of Custody
Page 2 of 2
A
� 15 of 30
FA64792

Orlando, FL
MS Volatiles
QC Data Summaries
60
i
Section 5
Includes the following where applicable:
• Method Blank Summaries
• Blank Spike Summaries
• Matrix Spike and Duplicate Summaries
6 16 of 30
FA64792

Method Blank Summary Page 1 of 1
Job Number: FA64792
Account: GRINCC GRI (Geological Resources Inc.)
Prcj ect: MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
Sample
File I D DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
VF3143-MB
F0090024.D 1
06/05/19
SP
n/a
n/a
VF3143
The QC reported here applies to the following samples: Method: SW846 8260B
FA64792-1, FA64792-2
CAS No.
Compound
Result
RL
MDL
Units Q
71-43-2
Benzene
ND
5.0
1.2
ug/kg
100-41-4
Ethylbenzene
ND
5.0
1.0
ug/kg
108-88-3
Toluene
ND
20
10
ug/kg
1330-20-7
Xylene (total)
ND
15
2.1
ug/kg
CAS No. Surrogate Recoveries Limits
1868-53-7
Dibromofluoromethane
103%
75-124%
17060-07-0
1,2-Dichloroethane-D4
106%
72-135%
2037-26-5
Toluene-138
96%
75-126%
460-00-4
4-Bromofluorobenzene
98%
71-133%
6 17 of 30
FA64792

Method Blank Summary Page 1 of I
Job Number: FA64792
Account: GRINCC GRI (Geological Resources Inc.)
Proj ect: MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
Sample
File I D DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
VF3144-MB
F0090052.D 1
06/06/19
SP
n/a
n/a
VF3144
The QC reported here applies to the following samples: Method: SW846 8260B
FA64792-1
CAS No.
Compound
108-88-3
Toluene
1330-20-7
Xylene (total)
CAS No. Surrogate Recoveries
1868-53-7 Dibromofluoromethane
17060-07-0 1,2-Dichloroethane-D4
2037-26-5 Toluene-D8
460-00-4 4-Bromofluorobenzene
Result
RL M DL
Units Q
ND
20 10
ug/kg
ND
15 2.1
ug/kg
Limits
101%
75-124%
106%
72-135%
95%
75-126%
99%
71-133%
6 18 of 30
FA64792

Blank Spike Summary Page 1 of 1
Job Number: FA64792
Account: GRINCC GRI (Geological Resources Inc.)
Prcj ect: MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
Sample
File I D DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
VF3143-BS
F0090023.D 1
06/05/19
SP
n/a
n/a
VF3143
The QC reported here applies to the following samples:
FA64792-1, FA64792-2
Spike
BSP BSP
CAS No.
Compound
ug/kg
ug/kg %
Limits
71-43-2
Benzene
50
53.3 107
76-126
100-41-4
Ethylbenzene
50
52.6 105
77-123
108-88-3
Toluene
50
52.8 106
76-124
1330-20-7
Xylene (total)
150
158 105
80-129
CAS No.
Surrogate Recoveries
BSP
Limits
1868-53-7
Dibromofluoromethane
102%
75-124%
17060-07-0
1,2-Dichloroethane-D4
105%
72-135%
2037-26-5
Toluene-138
97%
75-126%
460-00-4
4-Bromofluorobenzene
98%
71-133%
* = Outside of Control Limits.
Method: SW846 8260B
6 19 of 30
FA64792

Blank Spike/Blank Spike Duplicate Summary Page I of
Job Number: FA64792
Account: GRINCC GRI (Geological Resources Inc.)
Proj ect: MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
Sample
File I D
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
VF3144-BS
F0090050.D
1
06/06/19
SP
n/a
n/a
VF3144
VF3144-BSD
F0090051.1)
1
06/06/19
SP
n/a
n/a
VF3144
The QC reported here applies to the following samples:
Method: SW846 8260B
FA64792-1
Spike
BSP
BSP
BSD
BSD Limits
CAS No. Compound
ug/kg
ug/kg
%
ug/kg
% RPD RedRPD
108-88-3 Toluene
50
51.3
103
50.7
101 1 76-124/30
1330-20-7 Xylene(total)
150
158
105
156
104 1 80-129/30
CAS No.
Surrogate Recoveries
BSP
BSD
Limits
1868-53-7
Dibromofluoromethane
103%
102%
75-124%
17060-07-0
1,2-Dichloroethane-D4
103%
102%
72-135%
2037-26-5
Toluene-D8
94%
95%
75-126%
460-00-4
4-Bromofluorobenzene
100%
99%
71-133%
* = Outside of Control Limits.
6 20 of 30
FA64792

Matrix Spike/Matrix Spike Duplicate Summary Page 1 of 1
Job Number: FA64792
Account: GRINCC GRI (Geological Resources Inc.)
Prcj ect: MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
Sample
File I D DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
FA64794-2MS
F0090041.D 1
06/05/19
SP
n/a
n/a
VF3143
FA64794-2MSD
170090042.1) 1
06/05/19
SP
n/a
n/a
VF3143
FA64794-2
F0090038.D 1
06/05/19
SP
n/a
n/a
VF3143
The QC reported here applies to the following samples:
FA64792-1, FA64792-2
Method: SW846 8260B
FA64794-2
Spike
MS MS
Spike
MSD
MSD
Limits
CAS No.
Compound
ug/kg Q
ug/kg
ug/kg %
ug/kg
ug/kg
%
RPD
Rec/RPD
71-43-2
Benzene
5.6 U
48.9
51.7 106
48.9
50.5
103
2
76-126/26
100-41-4
Ethylbenzene
5.6 U
48.9
48.2 99
48.9
46.3
95
4
77-123/31
108-88-3
Toluene
22 U
48.9
50.1 102
48.9
48.2
99
4
76-124/30
1330-20-7
Xylene (total)
17 U
147
144 98
147
139
95
4
80-129/30
CAS No.
Su r r ogat e Recover i es
MS
MSD
FA64794-2
Limits
1868-53-7
Dibromofluoromethane
89%
90%
92%
75-124%
17060-07-0
1,2-Dichloroethane-D4
102%
100%
108%
72-135%
2037-26-5
Toluene-138
97%
96%
93%
75-126%
460-00-4
4-Bromofluorobenzene
103%
103%
102%
71-133%
* = Outside of Control Limits.
6 21 of 30
FA64792

Matrix Spike/Matrix Spike Duplicate Summary Page I of
Job Number: FA64792
Account: GRINCC GRI (Geological Resources Inc.)
Proj ect: MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
Sample
File I D
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
FA64875-5MS
F0090063.D
1
06/06/19
SP
n/a
n/a
VF3144
FA64875-5MSD
F0090064.1)
1
06/06/19
SP
n/a
n/a
VF3144
FA64875-5
F0090062.1)
1
06/06/19
SP
n/a
n/a
VF3144
The QC reported here applies to the following samples:
Method:
SW846 8260B
FA64792-1
FA64875-5
Spike
MS
MS
Spike
MSD
MSD
Limits
CAS No. Compound
ug/kg Q
ug/kg
ug/kg
%
ug/kg
ug/kg
% RPD
ReclRPD
108-88-3 Toluene
16 U
53.6
56.7
106
54.1
57.3
106 1
76-124/30
1330-20-7 Xylene (total)
12 U
161
167
104
162
168
104 1
80-129/30
CAS No.
Sur r ogat e Recover i es
MS
MSD
FA64875-5
Limits
1868-53-7
Dibromofluoromethane
105%
107%
106%
75-124%
17060-07-0
1,2-Dichloroethane-D4
102%
103%
107%
72-135%
2037-26-5
Toluene-D8
98%
97%
98%
75-126%
460-00-4
4-Bromofluorobenzene
110%
106%
107%
71-133%
* = Outside of Control Limits.
�1%6 22 of 30
FA64792

i
SG$
Orlando, FL MW
Section 6
GC Volatiles
QC Data Summaries
Includes the following where applicable:
• Method Blank Summaries
• Blank Spike Summaries
• Matrix Spike and Duplicate Summaries
0
�I 23 of 30
FA64792

Method Blank Summary Page 1 of 1
Job Number: FA64792
Account: GRINCC GRI (Geological Resources Inc.)
Proj ect: MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
Sample
File I D
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
GUV4529-MB
UV086166.1)
1
06/06/19
JG
n/a
n/a
GUV4529
The QC reported here applies to the following samples:
FA64792-1, FA64792-2
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.
Sur r ogat e Recover i es
Limits
460-00-4
4-Bromofluorobenzene
87%
56-149%
98-08-8
aaa-Trifluorotoluene
89%
66-132%
6 24 of 30
FA64792

Blank Spike Summary Page 1 of 1
Job Number: FA64792
Account: GRINCC GRI (Geological Resources Inc.)
Proj ect: MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
Sample
File I D
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
GUV4529-BS
UV086165.1)
1
06/06/19
JG
n/a
n/a
GUV4529
The QC reported here applies to the following samples: Method: SW846 8015C
FA64792-1, FA64792-2
Spike
BSP BSP
CAS No. Compound
mg/kg
mg/kg % Limits
TPH-GRO (C6-C10)
20
19.6 98 74-128
CAS No. Sur r ogat e Recover i es
BSP
Limits
460-00-4 4-Bromofluorobenzene
92%
56-149%
98-08-8 aaa-Trifluorotoluene
103%
66-132%
* = Outside of Control Limits.
6 25 of 30
FA64792

Matrix Spike/Matrix Spike Duplicate Summary Page 1 of 1
Job Number: FA64792
Account: GRINCC GRI (Geological Resources Inc.)
Proj ect: MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
Sample
File I D
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
FA64652-1MS
UV086175.1)
1
06/06/19
JG
n/a
n/a
GUV4529
FA64652-1MSD
UV086176.13
1
06/06/19
JG
n/a
n/a
GUV4529
FA64652-1
UV086177.13
1
06/06/19
JG
n/a
n/a
GUV4529
The QC reported here applies to the following samples: Method: SW846 8015C
FA64792-1, FA64792-2
FA64652-1 Spike MS MS Spike MSD MSD Limits
CAS No. Compound mg/kg Q mg/kg mg/kg % mg/kg mg/kg % RPD RecIRPD
TPH-GRO (C6-C10) 9.03 J 58.7 52.8 75 58.7 54.5 77 3 74-128/17
CAS No.
Sur r ogat e Recover i es
MS
MSD
FA64652-1
Limits
460-00-4
4-Bromofluorobenzene
94%
97%
97%
56-149%
98-08-8
aaa-Trifluorotoluene
99%
100%
91%
66-132%
* = Outside of Control Limits.
6 26 of 30
FA64792

i
SG$
Orlando, FL me,
Section 7
GC/LC Semi-volatiles
QC Data Summaries
Includes the following where applicable:
• Method Blank Summaries
• Blank Spike Summaries
• Matrix Spike and Duplicate Summaries
6 27 of 30
FA64792

Method Blank Summary Page I of I
Job Number: FA64792
Account: GRINCC GRI (Geological Resources Inc.)
Proj ect: MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
Sample
File I D
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
OP75351-MB
WW20553.D
1
06/06/19
NJ
06/06/19
OP75351
GWW855
The QC reported here applies to the following samples: Method: SW846 8015C
FA64792-1, FA64792-2
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
61% 56-122%
6 28 of 30
FA64792

Blank SpikeSUmmary Page I of
Job Number: FA64792
Account: GRINCC GRI (Geological Resources Inc.)
Proj ect: MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
Sample
File I D
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
OP75351-BS
WW20552.D
1
06/06/19
NJ
06/06/19
OP75351
GWW855
The QC reported here applies to the following samples: Method: SW846 8015C
FA64792-1, FA64792-2
Spike BSP BSP
CAS No. Compound mg/kg mg/kg % Limits
TPH (C10-C28) 50 37.4 75 62-116
CAS No. Sur r ogat e Recover i es BSP Limits
84-15-1 o-Terphenyl 69% 56-122%
* = Outside of Control Limits.
29 of 30
FA64792

Matrix Spike/Matrix Spike Duplicate Summary Page I of
Job Number: FA64792
Account: GRINCC GRI (Geological Resources Inc.)
Proj ect: MKDK Food Mart; 2500 S Main ST, Kannapolis, NC
Sample
File I D
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
OP75351-MS a
WW20563.D
10
06/07/19
NJ
06/06/19
OP75351
GWW855
OP75351-MSD a
WW20564.D
10
06/07/19
NJ
06/06/19
OP75351
GWW855
FA64790-1A a
WW20562.D
10
06/06/19
NJ
06/06/19
OP75351
GWW855
The QC reported here applies tothefollowing samples: Method: SW846 8015C
V
FA64792-1, FA64792-2
FA64790-1A Spike MS MS Spike MSD MSD Limits
CAS No. Compound mg/kg Q mg/kg mg/kg % mg/kg mg/kg % RPD RecIRPD
TPH (C10-C28) 57.4 J 54.9 134 139* 53.8 105 88 24 62-116/35
CAS No. Sur r ogat e Recover i es MS MSD FA64790-1A Limits
84-15-1 o-Terphenyl 0%* b 0%* b 0%* b 56-122%
(a) Dilution required due to matrix interference; extract was viscous.
(b) Outside control limits due to dilution.
* = Outside of Control Limits.
6 30 of 30
FA64792