HomeMy WebLinkAboutMO-88768_91562_CA_IAR_20180713_Initial Assessment ReportHighlands
Environmental
Solutions, Inc. 8410-D Falls ofNeuse Road; Raleigh, NC 27615
Phone: 919-848-3155 / Fax: 919-848-4265 / www. highlandsenvironmental. com
July 13, 2018
Mr. Ed Leach
NCDEQ — UST Section
Mooresville Regional Office
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Subject: Submittal of Initial Assessment Report
BEST Logistics Group — Diesel Fuel Release
1-85 Northbound at Exit 58; Concord, NC
Project #429003
Dear Mr. Leach,
On behalf of BEST Logistics Group, please find enclosed an original copy of our Initial Assessment
Report for a diesel fuel release incident that occurred at 1-85 Northbound at exit 58; Concord, North
Carolina. The release occurred as a result of a motor vehicle accident. Additional environmental
assessment activities will not be required beyond the excavation of the impacted area, as groundwater
was not encountered.
If there are any questions regarding this correspondence, or the project in general, please contact me or
Joe Beaman at (919) 848-3155.
Sincerely,
Hig lands ironmental Solutions, Inc.
B reaeri k
Senior En ironmental Scientist
Enclosure
cc: Stephanie Laughrun, PHR, SHRM-CP — BEST Logistics Group
File
Initial Assessment Report
A. Site Investigation
1. Site Identification
Date of Report: July 13. 2018
Facility #: None Incident Number: NA Site Rank: NA
Site Name: 1-85 North Bound ia) Exit 58 Diesel Release
Site Street Address: 1-85 North Bound Ca) Exit 58
City/Town: Concord Zip Code: 27310 County: Cabarrus
Description of Geographical Data Point (e.g., dispenser): Road side
Location Method (GPS, Topographical Map, Other): Topographical map
Latitude: 34.9445097 N Longitude: - 80.612187W
2. Information about Contacts Associated with the Release
AST Owner: BEST Logistics Group Contact: Ms. Stephanie Laughrun
Address: P.O. Box 336 Kemersville, NC, 27285 Phone: 800-849-1818
AST Operator:
Address:
Phone:
Other Person Responsible for Release:
Address: Phone:
Contractor: First Call Environmental, LLC
Address: PO Box 6035. Ashland, VA 23005 Phone: 800-646-1290
Consultant: Highlands Environmental Solutions, Inc.
Address: 8410-D Falls of Neuse Road, Raleigh, NC 27615 Phone: 919-848-3155
Analytical Laboratory: SGS Accutest
Address: 4405 Vineland Road, Suite C-15. Orlando, FL 32811 Phone: 407-425-6700
3. Information about the Release
Date of Release: April 25. 2018
Estimated Quantity of the Release: Approximately 50 gallons
Cause of the Release: Saddle tank rupture from accident
Source of Release (e.g., AST, piping, etc.): Vehicle saddle fuel tank
Sizes and contents of AST System from which the release occurred: 100-gallon diesel fuel AST
4. Certification
I, Joe Beaman, P.G.. RSM, a Licensed Geologist for Highlands Environmental Solutions, Inc., do certify
that the information contained in this report is correct and accurate to the best of my knowledge.
Highlands Environmental Solutions. Inc. is licensed to practice Geology in North Carolina. The
certificanumber tion
of the company i.�C-%N
1311 l -%� highlands
ivironmental
Solutions, Inc.
July 13, 2018
Initial Assessment Report —Fuel Release; Concord, Cabarrus County, NC Page 2
B. Background and Initial Response Activities
The subject site is located at Exit 58 off 1-85 northbound, in Concord, North Carolina. The approximate
location of the site is graphically presented on Figure 1 (included in Appendix A), and is situated at
approximate coordinates 34.9445097 N and-80.612187 W. A map of the area is included as Figure 2.
Based on information provided to Highlands Environmental Solutions, Inc. (HES) personnel by BEST
Logistics Group (BEST), on April 25, 2018 a tractor -trailer (owned and operated by BEST) was travelling
North on 1-85. As the vehicle neared exit 58 the vehicle left the roadway and overturned. During the
overturn, the vehicle fuel tank was ruptured, resulting in the release of approximately 50 gallons of diesel
fuel to an unpaved area..
HES was contracted by BEST Logistics Group to perform initial emergency spill response activities. HES
contacted First Call Environmental, LLC (First Call), and personnel mobilized to the site on April 25, 2018
for emergency response activities. Initial incident response actions included assessing the extent of the
petroleum release, recovery of petroleum product from the roadside. A diagram depicting the impacted
areas is included as Figure 3.
Prior to any on -site remediation activities, HES notified the NC One -Call Center (811) to mark the area for
buried utilities. A site -specific health and safety plan (HASP) was developed by HES for site activities. A
copy of the HASP is included in Appendix B.
C. Free Product Investigation and Recovery
As noted in Section B, the released petroleum product impacted unpaved areas at the incident location,
response personnel mobilized to the site on April 25, 2018, and recovered free product that was present
on the road and shoulder. The free liquid was recovered using sorbent pads, and sorbent boom.
Recovered liquids were containerized in three, 55-gallon drums, which were removed from the site and
transported to American Bio Mass in Walterboro, SC for disposal. Copies of the waste disposal
documents are included in Appendix C.
Plastic sheeting was installed on the release area as a precaution until soil remediation activities could be
completed.
D. Groundwater and Surface Water Investigation
As noted in Section B, the released petroleum product impacted unpaved areas along a roadside
shoulder. The release did not impact nor threaten surface water bodies; therefore, a surface water
investigation was not performed.
Groundwater was not encountered during soil excavation activities. Therefore, a groundwater
investigation was not performed during site activities.
E. Initial Response and Abatement Activities.
Initial response and abatement actions are summarized in Section B, above.
F. Excavation of Petroleum Impacted Soil
HES and First Call personnel were on site to conduct soil excavations activities in the impacted area on
June 13, 2018. Excavation activities were performed during evening hours at the request of the NCDOT.
Selected photographs and response activities are included in Appendix D.
Personnel from First Call utilized a backhoe to excavate the petroleum -impacted soil located in the
impacted area along the roadside. Excavated soil was temporarily stockpiled at the site pending
transport for disposal. After the arrival of a dump truck, the excavated soil was loaded and transported off-
July 13, 2018
Initial Assessment Report —Fuel Release; Concord, Cabarrus County, NC Page 3
site for disposal.
As excavation proceeded, the soils were examined for evidence of petroleum impacts (i.e. staining or
odor). During soil excavation, HES personnel collected random soil samples from the area, and field
screened the samples for organic vapors using a photoionization detector (PID — MiniRae 3000). To field
screen the samples, an aliquot of soil was placed in a clean, labeled, zip -lock bag and allowed to
volatilize. At the end of the volatilization period, the sampling probe for the PID was inserted into the bag
to screen for the presence of organic vapors.
The excavation area measured approximately ten feet wide, one foot deep, and ten feet long.
In total, four post -excavation confirmation samples (S-1 through S-4) were collected from the excavated
area. The location of the excavation and the sample collection locations are depicted in Figure 4. Upon
collection, the samples were placed in labeled, pre -preserved, laboratory -supplied containers, and
maintained on ice pending delivery to the analytical laboratory. These samples were shipped via
overnight courier to SGS Accutest Laboratories (SGS - Certification #573) for laboratory analysis of diesel
range organics (DRO), using Method 3541/8015; and gasoline range organics (GRO), using Method
5035/8015. Sufficient sample volume was also collected and submitted for potential expanded analysis
for volatile organic compounds (VOCs), by Method 8260; and semi -volatile organic compounds (SVOCs),
by Method 8270, if necessary.
In addition to the post -excavation soil samples, HES collected one surface soil sample (DISP) from the
impacted area for laboratory analysis for waste profiling purposes. This sample was placed in labeled,
pre -preserved, laboratory -supplied containers, and maintained on ice pending delivery to the analytical
laboratory. This sample was also shipped via overnight courier to SGS for laboratory analysis of GRO
and DRO.
A summary of the soil analytical data is presented in Table 1 in Appendix E. The complete laboratory
analytical data reports and chain -of -custody records for all samples are included as Appendix F.
During soil remediation activities, approximately 13 tons of petroleum -impacted soil were excavated and
transported to Environmental Soils, Inc. in Lattimore, North Carolina for proper disposal via land
application. Copies of the waste manifest documentation for the petroleum -impacted soil are included in
Appendix C. The excavated area was backfilled with clean base material, then compacted with the
backhoe bucket and treads.
G. Conclusions and Recommendations
The subject site is located at Exit 58 off 1-85 northbound, in Concord, North Carolina. Based on
information provided to HES personnel by BEST, on April 25, 2018 a tractor -trailer (owned and operated
by BEST) was travelling North on 1-85. As the vehicle neared exit 58, the vehicle left the roadway and
overturned. During the overturn, the saddle fuel tank of the vehicle was damaged resulting in the release
of an estimated 50 gallons of diesel fuel to an unpaved area.
Initially free product was recovered by use of sorbent materials. Soil excavation activities associated with
the removal of petroleum -impacted soil at the site were performed on June 13, 2018, with approximately
13 tons of petroleum -impacted soil being removed. All excavated soil was transported to Environmental
Soils, Inc. in Lattimore, NC for proper disposal via land application. Groundwater was not encountered
during soil excavation activities.
A total of four post -excavation soil samples were collected from the excavated area of the site for
confirmation analysis. All confirmation soil samples were submitted to SGS, a North Carolina -certified
laboratory for analysis of DRO and GRO. Laboratory analysis of the post -excavation confirmation
samples resulted in the no detection of DRO or GRO at concentrations greater than their respective
NCDEQ State Action Limits.
July 13, 2018
Initial Assessment Report —Fuel Release; Concord, Cabarrus County, NC Page 4
Based on the results of environmental assessment activities, HES concludes that soil excavation
activities successfully remediated soil impacted by the petroleum release at this site. We respectfully
request No further Action documentation to be forwarded to BEST Logistics Group regarding this incident.
Appendix A
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Incident Location
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The Home Depot
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Copperfield Center
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Cabarrus County
License Office
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Walnut Ave NW
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Carolinas Healthcare
Nw °System
North East
Brooke Pointe
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napoUs u r
apartments
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a
ats
0
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9�
N
0 P
zF
Approximate Scale
0 1000 2000
Feet N
Base diagram from Google Maps. Site Location Diagram
Drawing / Project Name
Best Logistics Group Diesel Fuel Release Incident
Highlands Concord NC
Client
Environmental BEST Logistics Group
Project # DB PM Fig.
Solutions, Inc. 429003 BF BF
Scale Date PG PE
As Shown July 2018 JB
!'._r,- • , •. -. . '�� l r t�•A _ \t rtx� 7.lIF'^"f i�• -,'. _ ti .• ,�' : ti!�, r _ 3��',I�',' � `�V I
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Incident Location
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Approximate Scale
0 875 1750
Feet N
Base diagram from USGS National Map Topographic Location Diagram
Drawing / Project Name
BEST Logistics Group, Diesel Fuel Release Incident
' Highlands Concord NC
_ Client
Environmental BEST Logistics Group
Project # DB PM Fig.
Solutions, Inc. 429003 BF BF
Scale Date PG PE 2
As Shown July 2018 JB
I Base diagram from Google Maps (112018 aerial image).
Highlands
Approximate Scale
0 100 200
Feet N
Area Diagram
Drawing / Project Name
BEST Logistics Group, Diesel Fuel Release Incident
Client
Environmental BEST Logistics Group
Project # DB PM Fig.
Solutions, Inc. 429003 BF BF
Scale Date PG PE 3
As Shown July 2018 JB
N
car
N�
Area of Excavation
Lat: 34.9445097
S-1 Long:-80.612187
/ S-4
Exit 58 S-3
Legend �' dB I
Drewirg Neme
Highlands
Site Diagram
Sample Location g
- �eNnar: ic�mNw,w
Excavated Area Approximate Scale _ Er1_iro nmental 42e003 BEST Logistics Group
0 10 20 S IIAtions, Inc. mow. Jo1y2018 I-85 North Bound @Exit 58
feet "ns shown Concord, North Carolina 4
Appendix B
Highlands
Environmental
Solutions, Inc.
Highlands Environmental Solutions, Inc.
HEALTH AND SAFETY PLAN
For Site Activities at:
1-85 Northbound at Exit 58; Concord, North Carolina
June 2018
Minimum Level of Protection at this site is Level D
Contaminants of Concern are Petroleum Hydrocarbons
Bill rederick
Project Manager
The information in this HASP is provided solely for the protection of the health and safety of Highlands
Environmental Solutions employees and subcontractors working under the direct supervision and control of
Highlands Environmental Solutions on this project. Highlands Environmental Solutions assumes no liability
for, or responsibility to, any other parties for the accuracy or completeness of the information contained herein
for any use or reliance upon this HASP by any other party.
Health and Safety Plan
Concord. NC
June 2018
SITE EMERGENCY FORM
Contaminants of Concern: Petroleum Hydrocarbons
Minimum Level of Protection: Level D
Do not endanger your life. Survey the situation before taking any action.
Highlands Environmental Solutions Office
(919) 848-3155
Telephone:
Site Location Address:
1-85 Northbound at Exit 58; Concord, North
Carolina
Telephone Located at:
HES Personnel (cellular phone)
EMERGENCY IN THE EVENT OF ANY EMERGENCY, CONTACT PROJECT MANAGER OR
PHONE NUMBERS HEALTH AND SAFETY REPRESENTATIVE
Ambulance:
911
Fire:
911
Police:
911
Hospital Name:
Carolinas HealthCare System Northeast
Hospital Phone:
704-403-3000
Project Manager:
Bill Frederick (919-602-1416)
Health and Safety Specialist:
Bill Frederick
Client Contact:
Ms. Stephanie Laughrun — BEST Logistics Group
Poison Control:
(800) 848-6946
State Agency:
NCDEQ — Mooresville (704-663-1699)
UTILITY MARKER EMERGENCY TELEPHONE NUMBERS
Utility
Color Code
Telephone Number
Water
Blue
(800) 632-4949
Gas
Yellow
(800) 632-4949
Electric
Red
(800) 632-4949
Telephone
Orange
(800) 632-4949
Cable
Orange
(800) 632-4949
Sewer
Green
800 632-4949
Dig Safe Telephone Number: (800) 632-4949
Health and Safety Plan
Concord, NC
iii
June 2018
HOSPITAL LOCATION MAP
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Copperfield Center
4
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85 & U.S- 29 �� 0 �10
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Walnut Ave NW
6 min
` 0.9 mile
Ile ?�
�'�h7S$:OLlS4k
°;"' V Davidson Apartments
Hospital Directions:
Head east toward Concord Pkwy N
Turn right onto Concord Pkwy N
Turn left after Chipotle Mexican Grill (on the
right)
Turn right onto Medical Park Dr NE
Slight right to stay on Medical Park Dr NE
Carolinas HealthCare System Northeast
920 Church St N, Concord, NC 28025
Carolinas Healthcare
System North East
n_
Vol
� �ro
v` _o
12
k-111
Hospital Information:
Name: Carolinas HealthCare System
Northeast
Address: 920 Church St N
City, State: Concord, NC 28025
Phone: 704-403-3000
Health and Safety Plan iv
Concord. NC June 2018
EMERGENCY FIRST AID
FIRST AID FOR PETROLEUM HYDROCARBON EMERGENCIES
Ingestion: DO NOT INDUCE VOMITING. Call Poison Control; follow instructions. Administer
cardiopulmonary resuscitation (CPR), if necessary. Seek medical attention.
Inhalation: Remove person from contaminated environment. DO NOT ENTER A CONFINED
SPACE TO RESCUE SOMEONE WHO HAS BEEN OVERCOME UNLESS
PROPERLY EQUIPPED AND A STANDBY PERSON IS PRESENT. Administer
CPR if necessary. Seek medical attention.
Skin Contact: Brush off dry material, remove wet or contaminated clothing. Flush skin thoroughly
with water. Seek medical attention if irritation persists.
Eye Contact: Flush eyes with water for 15 minutes. Seek medical attention.
Exposure Symptoms: Headache, dizziness, nausea, drowsiness, irritation of eyes, nose, throat, breathing
difficulties.
Contingency Plan: Report incident to Project Manager (PM) after emergency procedures have been
implemented.
RESPONDER MUST HAVE A CURRENT CERTIFICATE TO ADMINISTER FIRST AID OR CPR
1. Survey the situation. Do not endanger your own life. DO NOT ENTER A CONFINED SPACE TO
RESCUE SOMEONE WHO HAS BEEN OVERCOME UNLESS PROPERLY EQUIPPED AND A
STANDBY PERSON IS PRESENT.
2. Call 911 (if available) or the fire department IMMEDIATELY. Explain the physical injury, chemical
exposure, fire, or release.
3. Decontaminate the victim without delaying life-saving procedures.
4. If the victim's condition appears to be noncritical, but seems to be more severe than minor cuts,
he/she should be transported to the nearest hospital by trained Emergency Medical Services (EMS)
personnel: let the doctor assume the responsibility for determining the severity of the injury. If the
condition is obviously serious, EMS must transport the victim.
5. Notify the PM.
Health and Safety Plan
Concord, NC
June 2018
EMERGENCY FIRST AID PROCEDURES
To Stop Bleeding
CPR
1.
Give medical statement.
1.
Call for help.
2.
Assure airway, breathing, and
2.
Arousal: check for consciousness.
circulation.
3.
Open airway with chin -lift.
3.
Use DIRECT PRESSURE over the
4.
Look, listen, and feel for breathing.
wound with clean dressing or your
5.
If breathing is absent, give 2 slow, full
hand (use nonpermeable gloves).
rescue breaths.
Direct pressure will control most
6.
Check the pulse for 5 to 10 seconds.
bleeding.
7.
If pulse is present, continue rescue
4.
Bleeding from an artery or several
breathing: 1 breath every
injury sites may require DIRECT
5 seconds
PRESSURE on a PRESSURE
8.
If pulse is absent, start CPR:
POINT. Use pressure points for
15 compressions, 2 breaths (1 man)
30 - 60 seconds to help control
severe bleeding.
5.
Continue primary care and seek
medical aid as needed.
Health and Safety Plan vi
Concord, NC June 2018
TABLE OF CONTENTS
SiteEmergency Form.......................................................................................................................... ii
HospitalLocation Map......................................................................................................................... iii
EmergencyFirst Aid............................................................................................................................ iv
1.0 INTRODUCTION..........................................................................................................................
1
2.0 HAZARD IDENTIFICATION AND CONTROL.............................................................................
4
3.0 AIR MONITORING PLAN............................................................................................................
8
3.1 Air Monitoring..................................................................................................................
8
3.2 CSE Procedures.............................................................................................................
12
4.0 CHEMICAL HAZARD CONTROL...............................................................................................
13
4.1 Chemical Handling Procedures.......................................................................................
13
4.2 PPE.................................................................................................................................
14
4.3 Site Control: Work Zones...............................................................................................
15
4.4 Decontamination Procedures..........................................................................................
16
5.0 CONTINGENCY PLANS..............................................................................................................
17
TABLES
1. HEALTH AND SAFETY PROGRAMS
2. POTENTIAL HAZARDS AND CONTROL
3. AIR MONITORING ACTION LEVELS
4. AIR MONITORING SUMMARY
5. AIR MONITORING FREQUENCY GUIDELINES
6. CHEMICAL HANDLING PROCEDURES
7. PPE
8. SITE SECURITY AND WORK ZONE DEFINITION
9. DECONTAMINATION PROCEDURES
10. CONTINGENCY PLANS FOR SITE EMERGENCIES
Health and Safety Plan
Concord, NC
vii
June 2018
APPENDICES
APPENDIX A: Amendment Sheet
Agreement and Acknowledgement Sheet
Visitor/Trainee Guidelines
Trainee/Observer Agreement Form
APPENDIX B: MSDS Definitions
Contaminants Profile
MSDSs
Vapor Monitoring Form
APPENDIX C: Site -Specific Lockout/Tagout Procedures
Excavation/Trenching Safety Procedures
Soils Classification Checklist
Soils Analysis Checklist
Excavation/Trenching - Underground Utilities
Underground Utility Contact Prevention and Management Plan
Excavation/Trenching - USTs
UST Removals
APPENDIX D: CSE Hazard Analysis Form
Site -Specific Confined Spaces
CSE Permit
Confined Space Personnel Requirements
APPENDIX E: Hot Work Permit
Hot Work Permit JSA Form
APPENDIX F: Daily Safety Meeting Form
APPENDIX G: Site Maps
APPENDIX H Heat/Cold Stress Procedures
Health and Safety Plan 1
Concord, NC June 2018
1.0 INTRODUCTION
BEST Logistics Group retained Highlands Environmental Solutions, Inc. (HES) to provide environmental
services to remediate a petroleum release incident in Concord, NC. The scope of services for this project will
include environmental assessment activities (excavation, sampling, etc.), and site remediation services.
This Health and Safety Plan (HASP) is written to ensure the well being of all field personnel and the
community surrounding the site. Accordingly, project staff and approved HES subcontractors must follow the
policies and procedures established in the HASP. All personnel assigned to this project must sign the
Agreement and Acknowledgement Sheet (Appendix A) to confirm that they understand and agree to abide by
the provisions of this plan.
All work will comply with the Occupational Safety and Health Act (OSHA) standard, "Hazardous Waste
Operations and Emergency Response," (29 CFR 1910.120), and other federal, state and local procedures that
require the development and implementation of a HASP. Generation of this document certifies that the
workplace has been evaluated for the hazards as described. A hazard assessment has been performed and
the adequacy of the personal protective equipment (PPE) selected is hereby certified per 29 CFR 1910.132(d)
and is duly noted by the signature(s) and date appearing on the cover page of this document.
This plan addresses the safety issues associated with Petroleum release assessment and remediation
activities and typically involves the following site tasks:
- Field Survey/Walkover - Aquifer Pump Test
- Drilling/Boring/Soil Sampling - Tank Removal
- Well Installation - Excavation/Trenching
- Well Monitoring and Maintenance - Confined Space Entry (CSE)
- Soil Gas Survey - Groundwater Sampling
All activities of this project will be carried out under Level D, Modified Level D, or Level C PPE. This HASP
must be modified or amended when circumstances or conditions develop that are beyond the scope of routine
petroleum assessment and remediation activities. Such conditions include:
- Presence of Chlorinated Solvents - Troubleshooting Energized
- Presence of Pesticides Equipment
- Air Stripper Cleaning - Presence of Nonhydrocarbon
- Level B Work Materials
Health and Safety Plan
Concord, NC
2
June 2018
Any changes in project work scope and/or site conditions as described must be amended in writing by the PM
on the HASP Amendment Sheet (Appendix A).
Table 1 presents an overview of the HES health and safety programs in which all field personnel are required
to participate. These include the medical surveillance and comprehensive training programs in accordance
with OSHA Hazardous Waste Operations and Emergency Response regulation, 29 CFR 1910.120.
Health and Safety Plan
Concord. NC
June 2018
Table 1. Health and Safety Programs
Activity
Description
Action
Medical
- The program tracks the
- Medical examinations and
Surveillance
physical condition of the
consultations are completed for
Company's employees in
all employees prior to
compliance with Department of
assignment, annually, upon
Transportation (DOT) and
termination, and in the event of
OSHA regulations, and other
injury and/or illness resulting
customer requirements.
from exposure at the work site.
Training
- Training requirements and
- Field personnel must complete
programs comply with the
a minimum of 40 hours of
OSHA Hazardous Waste
hazardous waste activity
Operations and Emergency
instruction.
Response regulation, 29 CFR
1910.120.
- Field personnel must complete
a minimum of three days
supervised field instruction.
- Field personnel assigned to the
site will also receive 8 hours of
refresher training each year.
- On -site managers and
supervisors directly responsible
for employees engaged in
hazardous waste operations
receive an additional 8 hours of
supervisory training.
- Field personnel assigned to site
also receive first aid/CPR and
blood borne pathogen training.
Health and Safety Plan
Concord. NC
4
June 2018
2.0 HAZARD IDENTIFICATION AND CONTROL
Precautions must be taken to prevent injuries and exposures to the following potential hazards.
Table 2. Potential Hazards and Control
Potential Hazard II Control
Exposure to
1.
Stand up -wind of petroleum products whenever possible.
Petroleum
2.
Minimize contact and contact time with petroleum products.
Products
3.
Avoid walking through discolored areas, puddles, leaning on drums, or
contacting anything that is likely to be contaminated.
(See Appendices
4.
Do not eat, drink, smoke and/or apply cosmetics in the hot or warm zones.
B: MSDS
5.
Wear gloves when in contact with contaminated surfaces.
Definitions and
6.
Safety glasses must be worn at a minimum.
MSDSs)
7.
Splash goggles must be worn when working with liquids.
8.
>25 ppm organic vapors in breathing zone requires upgrade to Level C.
9.
>250 ppm organic vapors in breathing zone requires upgrade from
Level C to Level B.
10.
If unknown materials are encountered, call the HSS.
Vehicular
1.
Wear traffic safety vest when vehicle hazard exists.
Traffic
2.
Use cones, flags, barricades, and caution tape to define work area.
3.
Use vehicle to block work area.
4.
Engage police detail for high -traffic situations.
Vault Entry
1.
Follow CSE procedures.
2.
Obtain CSE permit. Post sign.
3.
Remove vault cover using proper lifting techniques.
4.
Promote natural ventilation by opening the space to fresh air.
5.
Conduct remote air monitoring prior to entry.
6.
Have standby attendant if necessary.
7.
Enter if safe; conduct continuous air monitoring.
Utility Lines 1. Contact Dig Safe to have utility lines marked priorto excavation/trenching.
Contact 2. Refer to site drawings or customer interviews if on private property for
utility locations.
3. Hand dig 3 to 5 feet down and 5 feet each side of utility marker to avoid
breaking utility lines.
4. Refer to Appendix C for Underground Utility Contact Prevention
Management Plan.
Inclement 1. Stop outdoor work during electrical storms and other extreme weather
Weather conditions such as extreme heat or cold temperatures.
2. Take cover indoors or in vehicle.
3. Listen to local forecasts for warnings about specific weather hazards such
as tornados, hurricanes, and flash floods.
Health and Safety Plan
Concord, NC
5
June 2018
Potential Hazard II Control
Noise 1. Wear hearing protection when equipment such as a drill rig, jackhammer,
cut saw, air compressor, blower or other heavy equipment is operating on
the site.
2. Wear hearing protection whenever you need to raise your voice above
normal conversational speech due to a loud noise source; this much noise
indicates the need for protection.
3. Conduct noise monitoring of suspected high noise operations at the
beginning of the workday or start up of new operations to verify noise
control/hearing protection requirements.
Electric
1.
Maintain appropriate distance from overhead utilities;
Shock
20-foot minimum clearance from power lines required;
10-foot minimum clearance from shielded power lines.
2.
Use ground -fault circuit interrupters as required.
3.
Perform lockout/tagout procedures (Appendix C).
4.
Use three -pronged plugs and extension cords.
5.
Contact your local underground utility -locating service.
6.
Follow code requirements for electrical installations in hazardous
locations.
Physical
1.
Wear hard hats and safety glasses when on -site.
Injury
2.
Maintain visual contact with the equipment operator and wear orange
safety vest when heavy equipment is used on -site.
3.
Avoid loose -fitting clothing (driller and driller's helper).
4.
Prevent slips, trips and falls; keep work area uncluttered.
5.
Keep your hands away from moving parts (i.e., augers).
6.
Test the emergency shutoff switch on the drill rig daily.
Back Injury
1.
Use a mechanical lifting device or a lifting aid where appropriate.
2.
If you must lift, plan the lift before doing it.
3.
Check your route for clearance.
4.
Bend at the knees and use leg muscles when lifting.
5.
Use the buddy system when lifting heavy or awkward objects.
6.
Do not twist your body while lifting.
Heat Stress
1.
Increase water intake while working.
2.
Increase number of rest breaks and/or rotate workers in shorter work
shifts.
3.
Watch for signs and symptoms of heat exhaustion and fatigue.
4.
Plan work for early morning or evening during hot months.
5.
Use ice vests when necessary.
6.
Rest in cool, dry areas.
7.
In the event of heat stroke, bring the victim to a cool environment and
initiate first aid procedures.
Cold Stress 1. Take breaks in heated shelters when working in extremely cold
temperatures .
2. Remove the outer layer of clothing and loosen other layers to promote
evaporation of perspiration, upon entering the shelter.
3. Drink warm liquids to reduce the susceotibility to cold stress.
Health and Safety Plan
Concord, NC
6
June 2018
Potential Hazard II Control
High Crime 1. Be aware of surroundings.
Areas 11 2. Use the buddy system.
3.Request police detail when appropriate
Insects 1. Tuck pants into socks.
2. Wear long sleeves.
3. Use insect repellent.
Poisonous Plants 1. Don't enter areas infested with poisonous plants.
(Such as Poison 2. Immediately wash any areas that come into contact with poisonous plants.
Ivy, Oak or
Sumac)
Ladders 1. Make sure ladder rungs are sturdy and free of cracks.
2. Use ladders with secure safety feet.
3. Pitch ladders at a 4:1 ratio.
4. Secure ladders at the top when possible.
5. Do not use ladders for access to air stripper towers.
6. Use non-conductive ladders near electrical wires.
Fire Control 1. Smoke only in designated areas.
2. Keep flammable liquids in closed containers.
3. Keep site clean; avoid accumulating combustible debris such as paper.
4. Follow Hot Work Safety Procedures when welding or performing other
activities requiring an open flame.
5. Isolate flammable and combustible materials from ignition sources.
6. Ensure fire safety integrity of equipment installations according to Hazard
Classification Diagram (Appendix G).
Static Electricity 1. Do not create static discharge in flammable atmospheres.
2. Electrically bond and ground pumps transfer vessels, tanks, drums,
bailers and probes, when moving liquids.
3. Electrically bond and ground vacuum trucks and the tanks they are
emptying.
4. Do not splash fill containers with flammable liquids.
Drilling/Boring 1. Driller and helper must be present during all active operations.
Operations 2. Driller helper and other site personnel must know location of emergency
shut off switch.
3. Unauthorized personnel must be kept clear of drilling rig.
4. Area of drilling operation must be cordoned off/barricaded.
5. When hazardous conditions are deemed present, operation must be shut
down.
Well Installation, 1. Wear appropriate PPE to avoid skin, eye, and inhalation contact with
Well contaminated groundwater and/or soil.
Development, 2. Stand upwind when conducting tasks and minimize possible inhalation
Well Gauging, exposure; especially when first opening monitoring wells.
Well Bailing, 3. Conduct air monitoring to determine level of respiratory protection.
Soil/Ground- 4. Utilize engineering controls such as portable venturi air movers to draw
water Samplinq away or blow awav chemical vapors.
Health and Safety Plan
Concord, NC
7
June 2018
Potential Hazard II Control
Welding, Cutting, 1. Conduct fire safety evaluation.
Brazing 2. Complete Hot Work Permit (Appendix E).
3. Follow job safety analysis (JSA) guidelines for hot work in Appendix E.
3. Ensure flammable materials are protected from hot work, sources of
ignition
4. Ensure fire watch/fire extinguisher is on standby by hot work location.
Cleaning 1. Wear appropriate PPE to avoid skin and eye contact with isopropyl
Equipment alcohol, alconox, or other cleaning materials.
2. Stand upwind to minimize any potential inhalation exposure.
3. Dispose of spent cleanina solutions and rinses accordinalv.
First aid kit, emergency eye wash station, fire extinguisher, and absorbent
pads will be located on -site in the vehicle or site remediation system.
Health and Safety Plan
Monroe. NC
8
January 2018
3.0 AIR MONITORING PLAN
3.1 Air Monitoring
Air monitoring must be performed on all sites in accordance with HES practices. Organic vapor
concentrations are monitored in the field with a flame ionization detector (FID) or photoionization detector
(PID) with a 10.2 eV lamp. All readings are taken in the worker's breathing zone to determine whether an
action level has been met and/or exceeded. Readings must be sustained for 5 minutes for upgrade in PPE.
Air monitoring results must be documented on the Vapor Monitoring Form (Appendix B).
Air monitoring action levels (Table 3) have been developed by HES to indicate the chemical concentrations in
the breathing zone that require an upgrade in level of PPE. All workers on -site have been properly fitted with
PPE (i.e., respirators) and have been trained in their use (i.e., donning and doffing). Air monitoring
measurements will be taken in the breathing zone of the worker most like to have the highest exposure.
Transient peaks will not automatically trigger action. Action will be taken when levels are consistently
exceeded in a 5-minute period. The action levels apply to all tasks performed on this site. Guidelines for
frequency of air monitoring are presented in Table 3. Job tasks that require air monitoring are listed in
Table 4.
Engineering controls such as the venturi air mover (supplied by compressed air) to exhaust or dilute solvent
vapors emanating from monitoring wells or when conducting intrusive activities can be utilized as a means to
downgrade PPE requirements (Level C to D).
Health and Safety Plan
Monroe. NC
January 2018
Table 3. Option 1, Air Monitoring Action Levels (Breathing Zone)
Instrument*
I Function
I Measurement
I Action
Photoionization Detector (PID) 10.2 eV Lamp
Flame Ionization Detector FID) Measures total organic vapors
Verify benzene
Background ® 10
Level D required.
concentration using
ppm
detector tubes when
10 ppm PID reading has
> 10 @ 25 ppm
Level D required, monitor for benzene with
been sustained for
detector tube to determine concentration.
> 25 ® 250 ppm
Upgrade to Level C. Full -face cartridge
5 minutes and, at a
minimum, during every
hour of sustained Level C
respirator is required.
work activities.
> 250 ® 1,200 ppm
Upgrade to Level B. Contact PM and HSS for
guidance and approval.
> 1,200 ppm
Stop work. Contact PM and HSS for guidance
and approval.
Benzene Detector Tubes
0 ® 0.5 ppm
Level D required.
> 0.5 ® 50 ppm
Upgrade to Level C.
> 50 ® 1,200 ppm
Upgrade to Level B. Contact PM and HSS for
guidance and approval.
> 1,200 ppm
Stop work. Evacuate area. Contact PM and
HSS for guidance.
Ox en/Combustimeter 02/LEL Measures oxygen level 02 and LEL
A decrease 02 reading of
02 = 20.9 %
Acceptable.
0.1 percent (e.g.,
20.9 percent to
02 > 19.5 ® 20.8 %
Verify reasons for 02 depletion with
20.8 percent) actually
appropriate air monitoring instrumentation
represents a change in the
before work continues. Utilize appropriate
total air envelope of
engineering controls/PPE once atmospheric
approximately 0.5 percent
contaminants have been verified.
a
02 /o > 20.9 ®22
Verify reasons for 02 enrichment before
or 5,000 ppm. This
represents little hazard if the
displacing gas is inert; if the
entering area. Utilize appropriate engineering
displacing gas is
controls/PPE to control 02 enrichment
toxic/flammable/reactive,
atmosphere.
such a concentration
02 > 22 %
Leave area immediately; this atmosphere is
represents a real hazard.
extremely flammable. Notify PM or HSS for
guidance.
Health and Safety Plan 10
Monroe, NC January 2018
02 < 19.5% Leave area immediately; this atmosphere
is oxygen deficient. Verify reasons for 02
depletion with appropriate air monitoring
instrumentation before work continues.
Utilize appropriate engineering controls/PPE
once atmospheric contaminants have been
verified.
L < 10 % I Acceptable conditions. Continue normal
LEL > 10% Leave area immediately. Contact PM or
HSS for guidance on venting and other
safety measures.
*Note: Instruments must be calibrated according to manufacturer's recommendations.
Health and Safety Plan
Monroe. NC
11
January 2018
I able :3. Uption 1, Air Monitoring Action Levels(breathing Lone
Instrument* 11 Function 11 Measurement Action
Photoionization Detector (PID) 10.2 eV Lamp
Flame Ionization Detector (FID) Measures total organic vapors
Background ® 10 Level D required.
ppm
> 10 ® 75 ppm Upgrade to Level C - Option to use half -mask
cartridge respirator.
> 75 ® 250 ppm Upgrade to Level C. Must use full -face
cartridge respirator.
> 250 ® 500 ppm Upgrade to Level B. Contact PM and HSS
for guidance and approval.
> 500 ppm Stop work. Contact PM and HSS for
guidance and approval.
Oxygen/Combustimeter (02/LEL) Measures oxygen level (02) and LEL
A decrease 02 reading of
02 = 20.9 %
Acceptable.
0.1 percent (e.g.,
20.9 percent to
02 > 19.5 ® 20.8
Verify reasons for 02 depletion with
20.8 percent) actually
%
appropriate air monitoring instrumentation
represents a change in the
before work continues. Utilize appropriate
total air envelope of
engineering controls/PPE once atmospheric
approximately 0.5 percent
contaminants have been verified.
or 5,000 ppm. This
represents little hazard if
02 > 20.9 ® 22 %
Verify reasons for 02 enrichment before
the displacing gas is inert;
entering area. Utilize appropriate engineering
if the displacing gas is
controls/PPE to control 02 enrichment
toxic/flammable/
atmosphere.
reactive, such a
02 > 22 %
Leave area immediately; this atmosphere is
concentration represents a
extremely flammable. Notify PM or HSS for
real hazard.
guidance.
02 < 19.5%
Leave area immediately; this atmosphere is
oxygen deficient. Verify reasons for 02
depletion with appropriate air monitoring
instrumentation before work continues.
Utilize appropriate engineering controls/PPE
once atmospheric contaminants have been
verified.
LEL < 10 %
Acceptable conditions. Continue normal
activity.
LEL > 10%
Leave area immediately. Contact PM or
HSS for guidance on venting and other safety
measures.
Health and Safety Plan
Monroe, NC
12
January 2018
*Note: Instruments must be calibrated according to manufacturer's recommendations.
Health and Safety Plan
Monroe. NC
13
January 2018
Table 4. Air Monitoring Summary
Job Task
Level PPE
Instrument
Frequent
Drilling/Boring/Soil
Level D or
PID' or FID2,
Start up of work, then 30 minutes
Sampling
Modified Level D
02/LEL3, or
to continuously.
DT4
Well Installation
Level D or
PID or FID,
Start up of work at each new task
Modified Level D
02/LEL, or
location.
DT
Well Monitoring and
Level D or
PID or FID,
Start up of work at each new task
Maintenance
Modified Level D
02/LEL, or
location.
DT
Soil Gas Survey
Level D or
PID or FID,
Start up of work at each new task
Modified Level D
02/LEL, or
location.
DT
Aquifer Pump Test
Level D or
PID or FID,
Start up of work at each new task
Modified Level D
02/LEL, or
location.
DT
Tank Removal
Level D or
PID or FID,
Start up of work at each new task
Modified Level D
02/LEL, or
location.
DT
Excavation/Trenching
Level D or
PID or FID,
Start up of work at each new task
Modified Level D
02/LEL, or
location.
DT
Groundwater Sampling
Level D or
PID or FID,
Start up of work at each new task
Modified Level D
02/LEL, or
location.
DT
PID, Photoionization Detector
2 FID, Flame Ionization Detector
3 02/LEL, Oxygen Level and Combustible Gas Meter
4 DT, Benzene Detector Tube
Note: "Start up of work at each new task location" means to monitor the air quality at each new
operation on the site. The breathing zone is the area inside a 1-foot radius around the head.
Health and Safety Plan
Monroe. NC
14
January 2018
1 QIJIG .J. r%I[ IVIul lllul 11 ly I I"U ul wy VUIumil IGJ
Conduct periodic monitoring when:
1. It is possible that an immediately dangerous to life or health (IDLH) condition or a flammable
atmosphere has developed, or
2. There is an indication that exposures may have risen over permissible exposure limits or published
exposure levels since the last monitoring. Look for a possible rise in exposures associated with these
situations:
- Change in site area - work begins on a different section of the site,
- Change in contaminants - handling contaminants other than those first identified,
Visible signs of particulate exposure from intrusive activities such as drilling/boring
and excavation,
- Perceptible chemical odors or symptoms of exposure,
Change in on -site activity - one operation ends and another begins,
- Handling leaking drums or containers, and
Working with obvious liquid contamination (e.g., a spill or lagoon).
Conduct air monitoring when the possibility of volatilization exists (such as with a new monitoring well or a well
containing known product).
Conduct air monitoring on a well at a site known to have little contamination (documented by experience or
laboratory data), only if an odor emanates from the well.
3.2 CSE Procedures
Site work may require personnel to enter confined spaces. No HES employee or subcontractor shall enter
an area identified as a confined space without using the CSE procedures described in Appendix D and
the site -specific entry procedures presented in Appendix D. The purpose of the CSE procedure is to
protect employees from potentially hazardous environments and to facilitate immediate rescue in an
emergency situation. A CSE Permit must be posted at the entrance to each confined space.
Health and Safety Plan
Monroe. NC
15
January 2018
4.0 CHEMICAL HAZARD CONTROL
4.1 Chemical Handling Procedures
Personnel must practice the chemical -specific handling procedures outlined below.
Table 6. Chemical Handling Procedures
Chemical
Description
Procedures
Acids and
Extremely corrosive
- Wear gloves and eye -splash protection while
Bases
materials with a
using acid dispensed from a small dropper bottle
variety of uses.
during water sampling.
Acids:
including
- Wear a full -face, air -purifying respirator equipped
hydrochloric,
with combination cartridges (organic vapor/acid
nitric, and
gas) as well as Tyvek® coveralls and nitrile and/or
sulfuric acids
NBR gloves for large volume applications.
Bases:
- Have an eye wash bottle or portable eye wash
including
station on -site.
sodium
hydroxide
- Cap all drums after dispensing chemicals.
- Do not add anything into a virgin chemical drum,
including unused product.
- Avoid mixing strong acids and bases. Consult
HSS for task -specific evaluation. If mixing is
absolutely necessary, do it slowly. Avoid vapors
or fumes that are generated.
- When diluting acids, add the acid to water in small
quantities and mix cautiously.
- When diluting bases, add water to the base in
small quantities and mix cautiously.
Activated
Granular adsorbent
- Use respiratory protection when activated carbon
Carbon
medium used to
creates a dusty environment.
remove residual
hydrocarbons from
- Contact PM for task -specific evaluation.
water and/or air.
Health and Safety Plan
Monroe. NC
16
January 2018
4.2 PPE
Based upon the hazards that may be encountered during site activities, PPE as follows was selected. Only
PPE that meets the following American National Standards Institute (ANSI) standards are to be worn.
Eye protection - ANSI Z87.1-1989,
Head protection - ANSI Z89.1-1986, and
Foot protection - ANSI Z41-1991.
Employees must maintain proficiency in the use and care of PPE that is to be worn. Typically this is covered
during formal and informal refresher training sessions presented by HES.
Level D is the minimum acceptable level for sites where petroleum hydrocarbons are the
contaminants of concern.
r091r�%1%101
Level
Requirements
Level D
- Work uniform
- Steel -toed boots
- Approved safety glasses or goggles
- Hard hat
- Fluorescent vest, when vehicular traffic is on or adjacent to the site
- Nitrile gloves for water sampling handling
Modified Level D
- PE -coated Tyvek® suit, NBR outer, and nitrile inner gloves if skin
contact with contaminants is possible.
- Chemical resistant booties.
- Hearing protection muffs and/or plugs).
Level C
- Level D and Modified Level D.
- NIOSH-approved full -face or half -face respirator with organic
vapor/acid gas HEPA cartridges
Level B
- Level D and Modified Level D
- NIOSH/MSHA approved full -face positive pressure demand supplied
air respirator, either airline or self contained.
Prior to use, all equipment must be inspected to ensure proper working condition.
Health and Safety Plan
Monroe. NC
17
January 2018
4.3 Site Control: Work Zones
Work zones will be established in order to: (1) delineate high -traffic locations, (2) identify hazardous locations,
and (3) contain contamination within the smallest area possible. Employees entering the work zone must
wear the proper PPE for that area. Work and support areas will be established based on ambient air data,
necessary security measures, and site -specific conditions. Listed in Table 8 are general guidelines for
developing site security and work zone definitions.
Table 8. Site Security and Work Zone Definition
WORKING IN STREET OR ROADWAY
- Wear traffic vest and hardhat when vehicle hazard exists.
- Use cones, flag -mounted cones, caution tape, and/or barricades.
- Use vehicle strobe light and block area with truck.
- Develop traffic patternization plan for high traffic situations:
use flag person,
use flashing arrow sign,
use "MEN WORKING" signs liberally,
obtain lane closing permits, and
enaaae police details.
WORKING AT EXCAVATION/TRENCHING SITES
- "Competent person" is required per OSHA 29 CFR 1926 Subpart P.
- Safetyguard open excavations by restricting unauthorized access.
- Highlight work area using prominent warning signs (cones, saw horses/barricades, and signage)
placed a minimum of 10 feet back from excavation opening.
- Maintain zone definition alona perimeter with continuous strina of vellow oranae caution tape.
EXCAVATIONS LEFT UNATTENDED OR OVERNIGHT
Use one of the following methods to address these situations:
Surround entire perimeter with plastic or cloth construction net fencing. Anchor fence to
ground using steel posts driven into ground. Space out posts no greater than 8 feet apart.
Fence height minimum 4 feet high. Fence material must be of a quality capable of
withstanding a pressure of 200 pounds. Place fence a minimum of 10 feet back from
excavation opening.
Place 8-feet long barricades affixed with flashing lights end to end with 4-foot high
construction net fence attached to barricades.
Utilize temporary curbing or concrete 'jersey" barriers affixed with flashing signal lights or
other effective warning signs.
Health and Safety Plan
Monroe. NC
18
January 2018
4.4 Decontamination Procedures
Operations conducted at this site have the potential to contaminate field equipment and PPE. To prevent the
transfer of contamination to vehicles, administrative offices and personnel, the procedures presented in
Table 9 must be followed.
Table 9. Decontamination Procedures
Item
Examples
Procedure
Field Equipment
Bailers, interface probes, hand
- Decontaminate with a solution
tools, drill augers, and
of detergent and water; rinse
miscellaneous sampling
with water prior to leaving the
equipment
site.
- Protect from exposure by
covering with disposable
covers such as plastic to
minimize required
decontamination activities.
Disposable PPE
Tyvek® suits, inner latex
- Dispose of according to the
gloves, respirator cartridges
requirements of the client and
state and federal agencies.
- Change out respirator
cartridges on a daily basis and
dispose accordingly.
Nondisposable PPE
Respirators
- Wipe out respirator with
disinfecting pad prior to
donning.
- Decontaminate on -site at the
close of each day with a
solution of an approved
sanitizing powder and water.
Boots and gloves
- Decontaminate outside with a
solution of detergent and
water; rinse with water prior to
leaving the site.
- Protect from exposure by
covering with disposable
covers such as plastic to
minimize required
decontamination activities.
Health and Safety Plan 19
Monroe, NC January 2018
5.0 CONTINGENCY PLANS
Table 10 (Sections 5.1 - 5.4) presents contingency plans for potential emergency situations.
r 111IlaU. WXAJ 1l41LIP .WJLLAIr r 11 SWENJW�_]lll-q I.Flla.7JIMIAA.
Situation
Action
5.1 Evacuation
1.
Immediately notify all on -site personnel of an emergency requiring
evacuation.
2.
Leave the dangerous area and report to a designated rally point.
3.
Notify EMS, as appropriate.
4.
Account for all personnel.
5.
Contact the PM as soon as possible.
6.
Maintain site security and control measures for community safety
until emergency responders arrive.
5.2 Medical
1.
Survey the situation:
Emergency
Do not enter an area that may jeopardize your safety.
- Establish the patient's level of consciousness.
- Call for help.
- Contact EMS and inform them of patient's condition.
2.
Primary Assessment (patient unconscious)
- Arousal
- Airway
- Breathing
- Circulation
Only trained personnel should perform CPR or First Aid.
3.
Secondary Assessment (patient conscious)
- Check for bleeding: control with direct pressure.
- Do not move patient (unless location is not secure).
- Monitor vital signs.
- Provide First Aid to the level of your training.
- Contact the PM as soon as possible.
5.3 Fire
1.
Evacuate the area.
Emergency
2.
Notify EMS.
3.
Extinguish small fires with an all-purpose extinguisher.
4.
Contact the PM and HSS.
5.
Document the incident using the PIR form.
Health and Safety Plan
Monroe. NC
20
January 2018
Situation
Action
5.4 Spill/Release Prevent problems by documenting the location of underground lines (e.g.,
product, sewer, telephone) before starting site work. If you drill through a line
or tank or another leak occurs, document the spill/release in writing. Include
dates, times, actions taken, agreements reached, and names of people
involved. In the event of a spill/release, follow this plan.
1. Wear appropriate PPE; stay upwind of the spill/release.
2. Turn off equipment and other sources of ignition.
3. Turn off pumps and shut valves to stop the flow/leak.
4. Plug the leak or collect drippings in a bucket, when possible.
5. Place sorbent pads to collect product, if possible.
6. Call Fire Department immediately if fire emergency develops.
7. Inform HES PM about the situation.
8. Determine if the client wants HES to repair the damage of if the client
will use an emergency repair contractor.
9. Based on agreements, contact emergency spill contractor for
containment of free product.
10. Advise the client of spill discharge notification requirements and
determine who will complete and submit forms. Do not submit or
report to agencies without the client's consent. Document each
interaction with the client and regulators and note, in writing; name,
title authorizations, refusals, decisions, and commitments to actions.
11. Do not transport or approve transportation of contaminated soils or
product until proper manifests have been completed and approve.
Be aware that soils/product may meet criteria for hazardous waste.
12. Do not Sian manifests as aenerator of wastes.
The PM must contact the client or generator. The generator is under obligation to report to the
proper government agencies. If the spill extends into waterways, the Coast Guard and the
National Response Center ([8001 424-8802) must be notified immediately by the client or with his
permission.
Health and Safety Plan
Monroe. NC
21
January 2018
Signature Sheet
All persons entering the work zone, or visiting the subject site for the purposes associated with the subject
investigation(s), or activities associated with the subject investigation(s) are required to notify the HES
representative on -site immediately upon arrival. All persons entering the work zone, or visiting the subject site
for the purposes associated with the subject investigation(s), or activities associated with the subject
investigation(s) are required to review appropriate health and safety procedures, and provide a signature
documenting they have been properly briefed on health and safety policies and procedures to be followed
while on -site. HES will not be responsible for personal injuries or death resulting from personal actions that
are considered negligent, or that result from personal activities that are contrary to this health and safety plan.
By my signature, I acknowledge that I have been briefed on site specific health and safety procedures,
that I am familiar with said health and safety procedures, and that I will follow all indicated health and
safety procedures while on -site.
Name
Signature
Appendix C
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Fadlity`s Phone:
W
17c. S!enature of alternate Facility (or Generator)
A4enth Day
Year
2
0
LU
% Designated Facia j O vner or Ope for efificat pn of rece p; of maWlals covared sy tso manifc-Stexcept as rile.: m ee n a"a
Printed/Type ame �
� 3ra i:,�
�� 31
'
�
�
-NHWC-4SO-1158
6I .?t Is.tea
Environmental Soils Inc.
PO Box 295 • Lattimore, NC 28089
Phone 704-434-0075• Fax 704-434-9533
Non -Hazardous Waste Manifest # 5 2 3 3 2
Date Load Number
(numbered sequentially as trucks are dispatched)
ENVIRONMENTAL CONSULTANT A', L k._ -' 0 / . /- `. d
Contact: i i r << Phone: �' `� - .} Fax:
7
GENERATOR:
Address: County:
Contact: Phone:
WASTE ORIGINATIONPOINT Complete Address:.
Class &Type of Contaminate in soil
SOURCE OF CONTAMINATION.• (ex. UST or other source)
J
GENERATORS CERTIFICATION OF WASTE CONSTITUENTS: In lieu of submitting analytical data (metbods
8240 and 8270) ver�ing that the waste in question does not contain organic constituents other than those wbicb would
normally appear in analysis of virgin petroleum product residue, I am submitting this Certificate of Waste
Constituents. I cert� that I am familiar with the source of contamination of the soil and furtber certry the source, to
the best of my knowledge, contains no contaminants other than that listed above.
Generators Signature:
TRANSPORTER:
Contact: Phone:
Date:
As the carrier, I certify that the materials described above being shipped under this non -hazardous materials
manifest are properly classified, packaged, labeled, secured, and are in proper condition for transport in commerce
under the applicable regulations governing transportation, and I hereby receive this material for delivery to the
facility designate.
Carrier Signature: Date:
r J
TRUCK #: i r `� T VOLUME:
TRUCK DRIVER SIGNATURE: DATE: / `!
DESTINATION.• Environmental Soils Inc. 910 Crowder Rd, Shelby, NC 28150 Dedicated Land Application
Site Permit #SR0300038
I certify that the carrier has delivered the materials described above to this facility, and I hereby accept this material
for treatment and/or disposal in a manner that has been authorized by the State of North Carolina.
Facility Signature: Date: / - r � /
Signature: Date:
Company Name 4 Title:
White/Facility Canary/Invoice Pink/Carrier Goldenrod/Generator
Appendix D
Highlands
Environmental
Solutians, Inc.
Photograph Number 1: Photo of incident looking southwest towards Exit 58 on Northbound 1-85.
Photograph Number 2: Photo of the incident looking West towards 1-85 Northbound.
Highlands
En,i"nmental
Salutions, Inc.
Photograph Number 3: Area of release commencing excavation of Impacted soils.
00
y i
_!}
rr s
�f.
,. '
V �k,..
" 3 yy s
'gyp[ L'• _ !. ; t.
-10
.�
�.*'.
�`
. cir
Jy
:t. It J�]t v.l•�•� -
��+ 1A :J
'hotograph Number 4: Completing excavation activities of impacted soils.
Highlands
Environmental
Solutions, Inc.
V 11U%,%J IQt.J11 1\U111{JGI J. UVIIIP1GlGU cnl.OVOLIUII Ok LIVIIIGJ U1 11111,JQl..IGU avua.
Photograph Number 6: Backfilled area and surfaces restored.
Appendix E
Table 1
BEST Logistics Group
1-85 North Bound @ Exit 58, Concord, North Carolina
HES Project #429003
Summary of Analytical Data
(Soil Samples)
Analytical Method (e.g., VOC by EPA 82%B)
Field
5035 / 8015
Constituent of Concern
rn
Sample ID
Number
Sample
a
rn
m rn
Collection Date
Depth (ft.
p
0 O
4) O
BGS)
a
DISP
1/23/18
Surface
ND
6,200
S-1
2/1/18
1.0
0.4
ND
4.03 J
S-2
2/1/18
1.0
0.2
ND
ND
S-3
2/1/18
1.0
0.0
ND
ND
S-4
2/1/18
1.0
0.0
ND
ND
NCDEQ State Action Limit (mg/kg)
50
100
Notes: "ND" denotes not detected. "J" denotes estimated value.
B denotes compound detected in laboratory blank sample. "cs" denotes compound specific.
Bold denotes concentration greater than State Action Limits or NCDEQ Soil -to -Water
Maximum Soil Contaminant Concentration.
Appendix F
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
Highlands Environmental Solutions, Inc
429003
SGS Job Number: FA53834
Sampling Date: 04/30/18
Report to:
Highlands Environmental Solutions, Inc
8410-D Falls of Neuse Rd
Raleigh, NC 27615
jbeaman@hesnc. com
ATTN: Joe Beaman
Total number of pages in report: 32
Ac 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: Jean Dent -Smith 407-425-6700
Certifications: FL(E83510), LA(03051), KS(E-10327), IL(200063), NC(573), N7(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: 407-425-6700 • fax: 407-425-0707
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 EHS.US.CustomerCare@sgs.com
1 of 32
FA53834
Sections:
Table of Contents
-1-
Section1: Sample Summary...................................................................................................
3
Section2: Summary of Hits....................................................................................................
4
Section3: Sample Results........................................................................................................
5
3.1: FA53834-1: WS-1.........................................................................................................
6
3.2: FA53834-IL: WS-1......................................................................................................
8
Section4: Misc. Forms............................................................................................................
9
4.1: Chain of Custody...........................................................................................................
10
Section 5: GC Volatiles - QC Data Summaries.....................................................................
1
5.1: Method Blank Summary................................................................................................
13
5.2: Blank Spike Summary...................................................................................................
14
5.3: Matrix Spike/Matrix Spike Duplicate Summary...........................................................
15
Section 6: GC/LC Semi-volatiles - QC Data Summaries.....................................................
16
6.1: Method Blank Summary................................................................................................
17
6.2: Blank Spike Summary...................................................................................................
18
6.3: Matrix Spike/Matrix Spike Duplicate Summary...........................................................
19
Section 7: Metals Analysis - QC Data Summaries................................................................
20
7.1: Prep QC MP33688: As,Ba,Cd,Cr,Pb,Se,Ag..................................................................
21
7.2: Prep QC MP33712: Hg..................................................................................................
27
W,
SGS North America Inc.
Sample Summary
Highlands Environmental Solutions, Inc
Job No: FA53834
429003
Sample Collected Matrix Client
Number Date Time By Received Code Type Sample ID
FA53834-1 04/30/18 14:15 JB 05/O1/18 SO Soil WS-1
FA53834-1L 04/30/18 14:15 JB 05/01/18 SO Soil WS-1
Soil samples reported on a dry weight basis unless otherwise indicated on result page.
6 3 of 32
FA53834
Summary of Hits
Job Number:
FA53834
Account:
Highlands Environmental Solutions, Inc
Project:
429003
Collected:
04/30/ 18
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA53834-1 WS-1
TPH (C10-C28) a 6200 510 250 mg/kg SW846 8015C
FA53834-IL WS-1
No hits reported in this sample.
(a) Petroleum hydrocarbon pattern extends beyond C28.
Page 1 of 1
6 4of32
FA53834
i
SG$f
Orlando, FL im
Section 3
Sample Results
Report of Analysis
6 5of32
FA53834
SGS North America Inc.
Report of Analysis
Page 1 of 1 j
Client Sample ID:
WS-1
Lab Sample ID:
FA53834-1 Date Sampled: 04/30/18
Matrix:
SO - Soil Date Received: 05/01/18
Method:
SW846 8015C Percent Solids: 97.7
Project:
429003
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 UV082429.D 1 05/03/18 04:29 EG n/a n/a GUV4344
Run #2
Initial Weight Final Volume Methanol Aliquot
Run # 1 9.16 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 MDL Units Q
ND
2.9 1.5 mg/kg
Run# 1
Run# 2 Limits
92%
56-149%
84%
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 32
FA53834
SGS North America Inc.
Report of Analysis
Page 1 of 1 j
Client Sample ID:
WS-1
Lab Sample ID:
FA53834-1 Date Sampled: 04/30/18
Matrix:
SO - Soil Date Received: 05/01/18
Method:
SW846 8015C SW846 3546 Percent Solids: 97.7
Project:
429003
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 JJ019260. D 100 05/04/ 18 19:47 SJL 05/02/ 18 08:50 OP69887 GJJ799
Run #2
Initial Weight Final Volume
Run # 1 20.1 g 1.0 ml
Run #2
CAS No. Compound
Result
TPH (C10-C28) a
6200
CAS No. Surrogate Recoveries
Run# 1
84-15-1 o-Terphenyl
0% b
(a) Petroleum hydrocarbon pattern extends
beyond C28.
(b) Outside control limits due to dilution.
RL MDL Units Q
510 250 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
6 7 of 32
FA53834
SGS North America Inc.
Report of Analysis
Client Sample ID: WS-1
Lab Sample ID: FA53834-lL Date Sampled: 04/30/18
Matrix: SO - Soil Date Received: 05/01/18
Percent Solids: 97.7
Project: 429003
Page 1 of 1 N
Metals Analysis, TCLP Leachate SW846 1311
Analyte Result HW#
MCL
RL
Units
DF
Prep
Analyzed
By
Method
Prep Method
Arsenic < 0.10 D004
5.0
0.10
mg/1
1
05/03/18
05/03/18
LM
SW846 6010D 1
SW846 3010A 3
Barium < 2.0 D005
100
2.0
mg/1
1
05/03/18
05/03/18
LM
SW846 6010D 1
SW846 3010A 3
Cadmium < 0.050 D006
1.0
0.050
mg/1
1
05/03/18
05/03/18
LM
SW846 6010D 1
SW846 3010A 3
Chromium < 0.10 D007
5.0
0.10
mg/1
1
05/03/18
05/03/18
LM
SW846 6010D 1
SW846 3010A 3
Lead < 0.050 D008
5.0
0.050
mg/1
1
05/03/18
05/03/18
LM
SW846 6010D 1
SW846 3010A 3
Mercury < 0.0050 D009
0.20
0.0050
mg/1
1
05/08/18
05/08/18
LM
SW846 7470A 2
SW846 7470A 4
Selenium < 0.10 D010
1.0
0.10
mg/1
1
05/03/18
05/03/18
LM
SW846 6010D 1
SW846 3010A 3
Silver < 0.10 D011
5.0
0.10
mg/1
1
05/03/18
05/03/18
LM
SW846 6010D 1
SW846 3010A 3
(1) Instrument QC Batch: MA14871
(2) Instrument QC Batch: MA14880
(3) Prep QC Batch: MP33688
(4) Prep QC Batch: MP33712
RL = Reporting Limit
MCL = Maximum Contamination Level (40 CFR 261 7/1/11)
6 8 of 32
FA53834
ffm
Orlando, FL
Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
Section 4
6 9 of 32
FA53834
Ql_Q A.....,+..o+ Qom.,. H.a+ f a —10-tiz X4
Chain of Custody SGS ACCUTESTJOB #: PAGE1 OF1
ACCUTEST4405 Vineland Road, Snit, C-150r1anda, PI 32911
TEL 407425-6700 rnx: 407-425-0707 SGS Accutest Quote # SKIFF #
Client! Reporting Information Pro ectlnformation
!Anal Analytical
Informations
Matrix Codes
Company Name:
Highlands Environmental Solutions, Inc.
Protect Name:
429003
w 0
2 0
— 0
0
yp
ai
U
- nn ing
uvv Water
Ground
GW veuntl
VVW
SW - Surface
sOaer
SL- Sludge
OI - Oil
LID -Other
Liquid
AIR -Air
Address: 8410-D Falls of Neuse
Street
City: Raleigh State:NC "P`27615
city a SC
Protect Contact: Email: jbeaman@hesnc.com
Project #429003
Phone #:
919-848-3155
Fax #
919-848-4265
Samplers) a Printed)
Sam ler 7:fthillier 2:
Client Purchase Order#
429003
SGS
Accutest
Sa #
Field ID/ Point of Collection
MAnou2
LAB USE ONLY
DATE
SAMPLED
BY:
MATRIX
TOTAL
OF
eO e
o
I
WS-1
4/30/18
JB
SO
5
x
x
x
JComments
Turnaround Tlme Business da
y
ata D
Delivtaable
Information
'
/Remarks
10 Day (Business) Approved By: IDate:
7 y
ay RUSH
2 Day RUSH
1 Day RUSH
Olher
Rush T/A Data Available VIA Email or Lablink
❑COMMERCIAL "A" (RESULTS ONLY)
QCOMMERCIAL "B" (RESULTS PLUS QC)
�REDT7 (EPA LEVEL 3)
E]FULLTI (EPA LEVEL 4)
L]EDD'S
This Is a waste Profile sample SO It will be hot.
Sam
le Custody must be
documented below each times am
leschan a ossesslon including
courier del ive
_
...
had by SamplerlAffillatlon
1
sued BylAftlllatlon {r'
FX
Relinqulshetl BylAttlll� pfont
3 �2.U-
Date Time:
Re 1 ed Byl diation
bi 01 `
eli ed bylAf8lietion
5
Date Time:
Received BylAHllletion
6
Relinquished By/Affiliation
7
Date Tlme:
ReceivedylAfttliatlon
S
Lab Use Only: Cooler Tem erature(a) Celsius: �-
FA53834: Chain of Custody
Page 1 of 2
P,
3
6 10 of 32
FA53834
SGS Sample Receipt Summary
Job Number: FA53834
Client: HIGHLANDS ENV.
Project: 429003
Date / Time Received: 5/1/2018 9:30:00 AM
Delivery Method: FED EX Airbill #'s: 1015906964510003281100898635394015
Therm ID: IR 1;
Therm CF: 0.4;
# of Coolers: 1
Cooler Temps (Raw Measured) °C: Cooler 1: (4.0);
Cooler Temps (Corrected) °C: Cooler 1: (4.4);
Cooler Information Y or
N
Sample Information
Y
or N
N/A
1. Custody Seals Present ❑J
❑
1. Sample labels present on bottles
W
❑
2. Custody Seals Intact ❑d
❑
2. Samples preserved properly
❑�
❑
3. Temp criteria achieved ❑d
❑
3. Sufficient volume/containers recvd for analysis:
❑�
❑
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 CDC match Sample Label
W
❑
Trio Blank Information Y or
N N/A
7. VOCs have headspace
❑
❑
❑d
1. Trip Blank present / cooler ❑
❑,i [
8. Bottles received for unspecified tests
❑
❑d
2. Trip Blank listed on COC ❑
❑d [
9. Compositing instructions clear
❑
❑
k
W or S N/A
10. Voa Soil Kits/Jars received past 48hrs?
❑
❑
❑,/
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: 1 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
shoot Technician: SHAYLAP Date: 5/1/2018 9:30:00 AM Reviewer: JC Date: 5/1/2018
Rev. Date 05/24/17
FA53834: Chain of Custody
Page 2 of 2
A
L
0
11 of 32
FA53834
i
SG$
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
AA6 12 of 32
\s''�¢ FA53834
Method Blank Summary
Job Number: FA53834
Account: HESNCR Highlands Environmental Solutions, Inc
Project: 429003
Page 1 of 1
Sample
File ID
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
GUV4344-MB
UV082411.13
1
05/02/18
EG
n/a
n/a
GUV4344
The QC reported here applies to the following samples:
FA53834-1
CAS No. Compound Result RL
TPH-GRO (C6-C 10) ND 5.0
Method: SW846 8015C
MDL Units Q
2.5 mg/kg
CAS No.
Surrogate Recoveries
Limits
460-00-4
4-Bromofluorobenzene
102% 56-149%
98-08-8
aaa-Trifluorotoluene
97% 66-132%
6 13 of 32
FA53834
Blank Spike Summary
Job Number: FA53834
Account: HESNCR Highlands Environmental Solutions, Inc
Project: 429003
Page 1 of 1
Sample
File ID
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
GUV4344-BS
UV082410.1)
1
05/02/18
EG
n/a
n/a
GUV4344
The QC reported here applies to the following samples: Method: SW846 8015C
FA53834-1
CAS No. Compound
TPH-GRO (C6-C 10)
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
19.6
98 74-128
BSP
Limits
99%
56-149%
93%
66-132%
6 14of32
FA53834
Matrix Spike/Matrix Spike Duplicate Summary Page 1 of 1
Job Number: FA53834
Account: HESNCR Highlands Environmental Solutions, Inc
Project: 429003
Sample
File ID
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
FA53723-6MS
UV082418.13
1
05/02/18
EG
n/a
n/a
GUV4344
FA53723-6MSD
UV082419.13
1
05/02/18
EG
n/a
n/a
GUV4344
FA53723-6
UV082414.13
1
05/02/18
EG
n/a
n/a
GUV4344
The QC reported here applies to the following samples: Method: SW846 8015C
FA53834-1
FA53723-6 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 23.9 24.7 103 23.9 23.4 98 5 74-128/17
CAS No.
Surrogate Recoveries
MS
MSD
FA53723-6
Limits
460-00-4
4-Bromofluorobenzene
101%
99%
94%
56-149%
98-08-8
aaa-Trifluorotoluene
99%
100%
87%
66-132%
* = Outside of Control Limits.
6 15 of 32
FA53834
i
Sri$ -
Orlando, FL
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 16 of 32
FA53834
Method Blank Summary
Job Number: FA53834
Account: HESNCR Highlands Environmental Solutions, Inc
Project: 429003
Page 1 of 1
Sample
File ID
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
OP69887-MB
JJ019217.1)
1
05/03/18
SJL
05/02/18
OP69887
GJJ799
The QC reported here applies to the following samples: Method: SW846 8015C
FA53834-1
CAS No. Compound Result RL MDL Units Q
TPH (C 10-C28) ND 0.40 0.20 mg/kg
CAS No. Surrogate Recoveries Limits
84-15-1 o-Terphenyl 89% 56-122%
6 17 of 32
FA53834
Blank Spike Summary
Job Number: FA53834
Account: HESNCR Highlands Environmental Solutions, Inc
Project: 429003
Page 1 of 1
Sample
File ID
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
OP69887-BS
JJ019216.1)
1
05/03/18
SJL
05/02/18
OP69887
GJJ799
The QC reported here applies to the following samples: Method: SW846 8015C
FA53834-1
CAS No. Compound
TPH (C 10-C28)
CAS No. Surrogate Recoveries
84-15-1 o-Terphenyl
* = Outside of Control Limits.
Spike BSP BSP
mg/kg mg/kg % Limits
4 3.70 93 62-116
BSP Limits
93% 56-122%
6 18 of 32
FA53834
Matrix Spike/Matrix Spike Duplicate Summary Page 1 of 1
Job Number: FA53834
Account: HESNCR Highlands Environmental Solutions, Inc
Project: 429003
Sample
File ID
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
OP69887-MS
JJ019261.1)
100
05/04/18
SJL
05/02/18
OP69887
GJJ799
OP69887-MSD
JJ019262.1)
100
05/04/18
SJL
05/02/18
OP69887
GJJ799
FA53834-1
JJ019260.1)
100
05/04/18
SJL
05/02/18
OP69887
GJJ799
The QC reported here applies to the following samples: Method: SW846 8015C
FA53834-1
FA53834-1 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 (C10-C28) 6200 50.7 8540 4618* a 50.7 8950 5427* a 5 62-116/35
CAS No. Surrogate Recoveries MS MSD FA53834-1 Limits
84-15-1 o-Terphenyl 0%* b 0%* b 0%* b 56-122%
(a) Outside control limits due to high level in sample relative to spike amount.
(b) Outside control limits due to dilution.
* = Outside of Control Limits.
6 19 of 32
FA53834
i
SG$
Orlando, FL -me"
Section 7
Metals Analysis
QC Data Summaries
Includes the following where applicable:
• Method Blank Summaries
• Matrix Spike and Duplicate Summaries
• Blank Spike and Lab Control Sample Summaries
• Serial Dilution Summaries
6 20 of 32
FA53834
BLANK RESULTS SUMMARY
Part 2 - Method Blanks
Login Number: FA53834
Account: HESNCR - Highlands Environmental Solutions, Inc
Project: 429003
QC Batch ID: MP33688 Methods: SW846 6010D
Matrix Type: LEACHATE Units: mg/l
Prep Date:
MB MB MB
Metal RL IDL MDL raw final raw final raw final
Aluminum
0.20
.014
.014
Antimony
0.0060
.001
.001
Arsenic
0.010
.0013
.0013
-0.0012
<0.010
-0.012
<0.10
-0.0090
<0.10
Barium
0.20
.001
.005
0.0
<0.20
-0.0030
<2.0
-0.0010
<2.0
Beryllium
0.0040
.0002
.0002
Cadmium
0.0050
.0002
.0002
-0.000070<0.0050
-0.0012
<0.050
-0.00090
<0.050
Calcium
1.0
.05
.05
Chromium
0.010
.001
.001
0.00020
<0.010
0.0020
<0.10
0.0050
<0.10
Cobalt
0.050
.0002
.0002
Copper
0.025
.001
.001
Iron
0.30
.017
.017
Lead
0.0050
.001
.0011
-0.00050
<0.0050
-0.0060
<0.050
-0.0050
<0.050
Magnesium
5.0
.035
.035
Manganese
0.015
.0005
.001
Molybdenum
0.050
.0003
.0003
Nickel
0.040
.0004
.0004
Potassium
10
.2
.2
Selenium
0.010
.0024
.0029
0.00040
<0.010
-0.0050
<0.10
0.012
<0.10
Silver
0.010
.0007
.0007
-0.00020
<0.010
-0.0010
<0.10
0.0
<0.10
Sodium
10
.5
.5
Strontium
0.010
.0005
.0005
Thallium
0.010
.0011
.0014
Tin
0.050
.0009
.001
Titanium
0.010
.0005
.001
Vanadium
0.050
.0005
.0006
Zinc
0.020
.003
.01
Associated samples
MP33688: FA53834-1L
Results < IDL
are shown
as zero
for calculation
purposes
(*) Outside of
QC limits
(anr) Analyte
not requested
V
N
Page 1
6 21 of 32
FA53834
MATRIX SPIKE AND DUPLICATE RESULTS SUMMARY
Login Number: FA53834
Account: HESNCR - Highlands Environmental Solutions, Inc
Project: 429003
QC Batch ID: MP33688 Methods: SW846 6010D
Matrix Type: LEACHATE Units: mg/l
Prep Date:
FA53614-1 QC FA53614-1 Spikelot QC
Metal Original DUP RPD Limits Original MS MPFLICP2 % Rec Limits
Aluminum
Antimony
Arsenic 0.0 0.0 NC
0-20
0.0
20.2
20.0
101.0
80-120
Barium 0.12 0.12 0.0
0-20
0.12
21.0
20.0
104.4
80-120
Beryllium
Cadmium 0.0034 0.0036 5.7
0-20
0.0034
0.52
0.50
103.3
80-120
Calcium
Chromium 0.0 0.0 NC 0-20 0.0 2.1
Cobalt
Copper
Iron
Lead 0.026 0.029 10.9 0-20 0.026 4.8
Magnesium
Manganese
Molybdenum
Nickel
Potassium
2.0 105.0 80-120
5.0 95.5 80-120
Selenium 0.026 0.0 200.0(a) 0-20 0.026 20.0 20.0 99.9 80-120
Silver 0.0 0.0 NC 0-20 0.0 0.50 0.50 100.0 80-120
Sodium
Strontium
Thallium
Tin
Titanium
Vanadium
Zinc
Associated samples MP33688: FA53834-1L
Results < IDL are shown as zero for calculation purposes
(*) Outside of QC limits
(N) Matrix Spike Rec. outside of QC limits
(anr) Analyte not requested
(a) RPD acceptable due to low duplicate and sample concentrations.
V
N
Page 1
6 22 of 32
FA53834
MATRIX SPIKE AND DUPLICATE RESULTS SUMMARY
Login Number: FA53834
Account: HESNCR - Highlands Environmental Solutions, Inc
Project: 429003
QC Batch ID: MP33688 Methods: SW846 6010D
Matrix Type: LEACHATE Units: mg/l
Prep Date:
FA53614-1 Spikelot MSD QC FA53614-1 QC
Metal Original MSD MPFLICP2 % Rec RPD Limit Original DUP RPD Limits
Aluminum
Antimony
Arsenic 0.0 20.3
20.0
101.5
0.5
20
Barium 0.12 20.8
20.0
103.4
1.0
20
Beryllium
Cadmium 0.0034 0.52
0.50
103.3
0.0
20
Calcium
Chromium 0.0 2.1
2.0
105.0
0.0
20
Cobalt
Copper
Iron
Lead 0.026 4.8
5.0
95.5
0.0
20
Magnesium
Manganese
Molybdenum
Nickel
Potassium
Selenium 0.026 20.0
20.0
99.9
0.0
20
Silver 0.0 0.50
0.50
100.0
0.0
20
Sodium
Strontium
Thallium
Tin
Titanium
Vanadium
Zinc
Associated samples MP33688: FA53834-1L
Results < IDL are shown as zero for calculation purposes
(*) Outside of QC limits
(N) Matrix Spike Rec. outside
of QC limits
(anr) Analyte not requested
(a) RPD acceptable due to low
duplicate
and sample
concentrations.
0.0 0.0 NC 0-20 V
0.12 0.12 0.0 0-20 IV
0.0034 0.0037 8.5 0-20
0.0 0.0 NC 0-20
0.026 0.024 8.0 0-20
0.026 0.0 200.0(a) 0-20
0.0 0.0 NC 0-20
Page 2
6 23 of 32
FA53834
SPIKE BLANK AND LAB CONTROL SAMPLE SUMMARY
Login Number: FA53834
Account: HESNCR - Highlands Environmental Solutions, Inc
Project: 429003
QC Batch ID: MP33688 Methods: SW846 6010D
Matrix Type: LEACHATE Units: mg/l
Prep Date:
BSP Spikelot QC BSP Spikelot QC
Metal Result MPFLICP2 % Rec Limits Result MPFLICP2 % Rec Limits
Aluminum
Antimony
Arsenic
2.0
2.0
100.0
80-120
20.2
Barium
2.1
2.0
105.0
80-120
20.7
Beryllium
Cadmium
0.052
0.050
104.0
80-120
0.51
Calcium
Chromium
0.21
0.20
105.0
80-120
2.1
Cobalt
Copper
Iron
Lead
0.48
0.50
96.0
80-120
4.8
Magnesium
Manganese
Molybdenum
Nickel
Potassium
Selenium
2.0
2.0
100.0
80-120
20.0
Silver
0.050
0.050
100.0
80-120
0.49
Sodium
Strontium
Thallium
Tin
Titanium
Vanadium
Zinc
Associated samples
MP33688: FA53834-1L
Results < IDL
are shown
as zero
for calculation
purposes
(*) Outside of
QC limits
(anr) Analyte
not requested
20.0 101.0 80-120 V
i
20.0 103.5 80-120 W
0.50 102.0 80-120
2.0 105.0 80-120
5.0 96.0 80-120
20.0 100.0 80-120
0.50 98.0 80-120
Page 1
6 24 of 32
FA53834
SPIKE BLANK AND LAB CONTROL SAMPLE SUMMARY
Login Number: FA53834
Account: HESNCR - Highlands Environmental Solutions, Inc
Project: 429003
QC Batch ID: MP33688 Methods: SW846 6010D
Matrix Type: LEACHATE Units: mg/l
Prep Date:
BSP Spikelot QC
letal Result MPFLICP2 % Rec Limits
Aluminum
Antimony
Arsenic
20.4
20.0
102.0
80-120
Barium
20.9
20.0
104.5
80-120
Beryllium
Cadmium
0.52
0.50
104.0
80-120
Calcium
Chromium
2.1
2.0
105.0
80-120
Cobalt
Copper
Iron
Lead
4.8
5.0
96.0
80-120
Magnesium
Manganese
Molybdenum
Nickel
Potassium
Selenium
20.3
20.0
101.5
80-120
Silver
0.50
0.50
100.0
80-120
Sodium
Strontium
Thallium
Tin
Titanium
Vanadium
Zinc
Associated samples
MP33688: FA53834-1L
Results < IDL
are shown
as zero
for calculation
purposes
(*) Outside of
QC limits
(anr) Analyte
not requested
V
i
W
Page 2
6 25 of 32
FA53834
SERIAL DILUTION RESULTS SUMMARY
Login Number: FA53834
Account: HESNCR - Highlands Environmental Solutions, Inc
Project: 429003
QC Batch ID: MP33688 Methods: SW846 6010D
Matrix Type: LEACHATE Units: ug/l
Prep Date:
FA53614-1 QC
letal Original SDL 1:5 %DIF Limits
Aluminum
Antimony
Arsenic 0.00 0.00 NC 0-10
Barium 11.5 11.7 1.7 0-10
Beryllium
Cadmium 0.340 0.00 100.0(a) 0-10
Calcium
Chromium 0.00 0.00 NC 0-10
Cobalt
Copper
Iron
Lead 2.60 0.00 100.0(a) 0-10
Magnesium
Manganese
Molybdenum
Nickel
Potassium
Selenium 2.60 0.00 100.0(a) 0-10
Silver 0.00 0.00 NC 0-10
Sodium
Strontium
Thallium
Tin
Titanium
Vanadium
Zinc
Associated samples MP33688: FA53834-1L
Results < IDL are shown as zero for calculation purposes
(*) Outside of QC limits
(anr) Analyte not requested
(a) Percent difference acceptable due to low initial sample concentration (< 50 times IDL).
V
i
Page 1
6 26 of 32
FA53834
BLANK RESULTS SUMMARY
Part 2 - Method Blanks
Login Number: FA53834
Account: HESNCR - Highlands Environmental Solutions, Inc
Project: 429003
QC Batch ID: MP33712 Methods: SW846 7470A
Matrix Type: LEACHATE Units: mg/l
Prep Date:
MB MB
Metal RL IDL MDL raw final raw final
Mercury 0.00050 .00003 .00005-0.0000028<0.00050 0.00049 <0.0050
Associated samples MP33712: FA53834-1L
Results < IDL are shown as zero for calculation purposes
(*) Outside of QC limits
(anr) Analyte not requested
V
IV
N
Page 1
6 27 of 32
FA53834
MATRIX SPIKE AND DUPLICATE RESULTS SUMMARY
Login Number: FA53834
Account: HESNCR - Highlands Environmental Solutions, Inc
Project: 429003
QC Batch ID: MP33712 Methods: SW846 7470A
Matrix Type: LEACHATE Units: mg/l
Prep Date:
FA53633-1OL QC FA53633-1OL Spikelot QC
Metal Original DUP RPD Limits Original MS HGFLWSI % Rec Limits
Mercury 0.0 0.0 NC 0-20 0.0
Associated samples MP33712: FA53834-1L
Results < IDL are shown as zero for calculation purposes
(*) Outside of QC limits
(N) Matrix Spike Rec. outside of QC limits
(anr) Analyte not requested
(a) Spike recovery indicates possible matrix interference.
0.021 0.030 70.ON(a) 80-120
V
N
N
Page 1
6 28 of 32
FA53834
MATRIX SPIKE AND DUPLICATE RESULTS SUMMARY
Login Number: FA53834
Account: HESNCR - Highlands Environmental Solutions, Inc
Project: 429003
QC Batch ID: MP33712 Methods: SW846 7470A
Matrix Type: LEACHATE Units: mg/l
Prep Date:
FA53633-1OL Spikelot MSD QC
letal Original MSD HGFLWSI % Rec RPD Limit
Mercury 0.0 0.022 0.030 73.3N(a) 4.7 20
Associated samples MP33712: FA53834-1L
Results < IDL are shown as zero for calculation purposes v
(*) Outside of QC limits
N
(N) Matrix Spike Rec. outside of QC limits IV
(anr) Analyte not requested
(a) Spike recovery indicates possible matrix interference.
Page 2
6 29 of 32
FA53834
SPIKE BLANK AND LAB CONTROL SAMPLE SUMMARY
Login Number: FA53834
Account: HESNCR - Highlands Environmental Solutions, Inc
Project: 429003
QC Batch ID: MP33712 Methods: SW846 7470A
Matrix Type: LEACHATE Units: mg/l
Prep Date:
BSP Spikelot QC BSP Spikelot QC
Metal Result HGFLWSI % Rec Limits Result HGFLWSI % Rec Limits
Mercury 0.0028 0.0030 93.3 80-120 0.027 0.030 90.0 80-120
Associated samples MP33712: FA53834-1L
Results < IDL are shown as zero for calculation purposes
(*) Outside of QC limits
(anr) Analyte not requested
V
N
W
Page 1
6 30 of 32
FA53834
SPIKE BLANK AND LAB CONTROL SAMPLE SUMMARY
Login Number: FA53834
Account: HESNCR - Highlands Environmental Solutions, Inc
Project: 429003
QC Batch ID: MP33712 Methods: SW846 7470A
Matrix Type: LEACHATE Units: mg/l
Prep Date:
BSP Spikelot QC
letal Result HGFLWSI % Rec Limits
Mercury 0.028 0.030 93.3 80-120
Associated samples MP33712: FA53834-1L
Results < IDL are shown as zero for calculation purposes
(*) Outside of QC limits
(anr) Analyte not requested
V
N
W
Page 2
6 31 of 32
FA53834
SERIAL DILUTION RESULTS SUMMARY
Login Number: FA53834
Account: HESNCR - Highlands Environmental Solutions, Inc
Project: 429003
QC Batch ID: MP33712 Methods: SW846 7470A
Matrix Type: LEACHATE Units: ug/l
Prep Date:
FA53633-1OL QC
letal Original SDL 1:5 oDIF Limits
Mercury 0.00 0.00 NC 0-10
Associated samples MP33712: FA53834-1L
Results < IDL are shown as zero for calculation purposes
(*) Outside of QC limits
(anr) Analyte not requested
V
N
Page 1
6 32 of 32
FA53834
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
Highlands Environmental Solutions, Inc
429003
SGS Job Number: FA55065
Sampling Date: 06/ 13/ 18
Report to:
Highlands Environmental Solutions, Inc
8410-D Falls of Neuse Rd
Raleigh, NC 27615
jbeaman@hesnc. com
ATTN: Joe Beaman
Total number of pages in report: 24
Ac F6
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: Jean Dent -Smith 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: 407-425-6700 • fax: 407-425-0707
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 EHS.US.CustomerCare@sgs.com
1 of 24
FA55065
Sections:
Table of Contents
1
Section1: Sample Summary...................................................................................................
3
Section2: Summary of Hits....................................................................................................
4
Section 3: Sample Results........................................................................................................
5
3.1: FA55065-1: S-1.............................................................................................................
6
3.2: FA55065-2: S-2.............................................................................................................
8
3.3: FA55065-3: S-3.............................................................................................................
10
3.4: FA55065-4: S-4.............................................................................................................
12
Section4: Misc. Forms............................................................................................................
14
4.1: Chain of Custody...........................................................................................................
15
Section 5: GC Volatiles - QC Data Summaries.....................................................................
17
5.1: Method Blank Summary................................................................................................
18
5.2: Blank Spike Summary...................................................................................................
19
5.3: Matrix Spike Summary..................................................................................................
20
Section 6: GC/LC Semi-volatiles - QC Data Summaries.....................................................
6.1: Method Blank Summary................................................................................................
22
6.2: Blank Spike Summary...................................................................................................
23
6.3: Matrix Spike/Matrix Spike Duplicate Summary...........................................................
24
W,
SGS North America Inc.
Sample Summary
Highlands Environmental Solutions, Inc
Job No: FA55065
429003
Sample Collected Matrix Client
Number Date Time By Received Code Type Sample I D
FA55065-1 06/13/18 10:30 BF 06/15/18 SO Soil S-1
FA55065-2 06/13/18 10:40 BF 06/15/18 SO Soil S-2
FA55065-3 06/13/18 10:50 BF 06/15/18 SO Soil S-3
FA55065-4 06/13/18 11:00 BF 06/15/18 SO Soil S-4
Soil samples reported on a dry weight basis unless otherwise indicated on result page.
6 3 of 24
FA55065
Summary of Hits
Job Number:
FA55065
Account:
Highlands Environmental Solutions, Inc
Project:
429003
Collected:
06/ 13/ 18
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA55065-1 S-1
TPH (C 10-C28)
FA55065-2 S-2
No hits reported in this sample.
FA55065-3 S-3
No hits reported in this sample.
FA55065-4 S-4
No hits reported in this sample.
4.03 J 6.7 3.3 mg/kg SW846 8015C
Page 1 of 1
6 4 of 24
FA55065
FM
Orlando, FL
Sample Results
Report of Analysis
i
==MAO Section 3
6 5 of 24
FA55065
SGS North America Inc.
Report of Analysis
Page 1 of 1 j
Client Sample ID:
S-1
Lab Sample ID:
FA55065-1 Date Sampled: 06/13/18
Matrix:
SO - Soil Date Received: 06/ 15/ 18
Method:
SW846 8015C Percent Solids: 73.8
Project:
429003
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 UV082841.D 1 06/18/18 19:00 JG n/a n/a GUV4359
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 6.32 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 MDL Units Q
ND
7.1 3.6 mg/kg
Run# 1
Run# 2 Limits
93%
56-149%
94%
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 24
FA55065
SGS North America Inc.
Report of Analysis
Page 1 of 1 j
Client Sample ID:
S-1
Lab Sample ID:
FA55065-1 Date Sampled: 06/13/18
Matrix:
SO - Soil Date Received: 06/ 15/ 18
Method:
SW846 8015C SW846 3546 Percent Solids: 73.8
Project:
429003
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 WW16500.D 1 06/20/18 19:27 SJL 06/19/18 09:50 OP70555 GWW670
Run #2
Initial Weight Final Volume
Run # 1 20.3 g 1.0 ml
Run #2
CAS No. Compound
Result
RL MDL Units Q
TPH (C10-C28)
4.03
6.7 3.3 mg/kg J
CAS No. Surrogate Recoveries
Run# 1
Run# 2 Limits
84-15-1 o-Terphenyl
87%
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 7 of 24
FA55065
SGS North America Inc.
Report of Analysis
Page 1 of 1 N
Client Sample ID:
S-2
Lab Sample ID:
FA55065-2 Date Sampled: 06/13/18
Matrix:
SO - Soil Date Received: 06/ 15/ 18
Method:
SW846 8015C Percent Solids: 74.6
Project:
429003
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 UV082842.D 1 06/18/18 19:29 JG n/a n/a GUV4359
Run #2
Initial Weight Final Volume Methanol Aliquot
Run # 1 6.19 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 MDL Units Q
ND
7.1 3.6 mg/kg
Run# 1
Run# 2 Limits
87%
56-149%
87%
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 8 of 24
FA55065
SGS North America Inc.
Report of Analysis
Page 1 of 1 N
Client Sample ID:
S-2
Lab Sample ID:
FA55065-2 Date Sampled: 06/13/18
Matrix:
SO - Soil Date Received: 06/ 15/ 18
Method:
SW846 8015C SW846 3546 Percent Solids: 74.6
Project:
429003
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 WW16501.D 1 06/20/18 19:55 SJL 06/19/18 09:50 OP70555 GWW670
Run #2
Initial Weight Final Volume
Run # 1 20.5 g 1.0 ml
Run #2
CAS No. Compound
Result
RL MDL Units Q
TPH (C10-C28)
ND
6.5 3.3 mg/kg
CAS No. Surrogate Recoveries
Run# 1
Run# 2 Limits
84-15-1 o-Terphenyl
88%
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 24
FA55065
SGS North America Inc.
Report of Analysis
Page 1 of 1 w
Client Sample ID:
S-3
Lab Sample ID:
FA55065-3 Date Sampled: 06/13/18
Matrix:
SO - Soil Date Received: 06/ 15/ 18
Method:
SW846 8015C Percent Solids: 71.2
Project:
429003
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 UV082843.D 1 06/18/18 19:59 JG n/a n/a GUV4359
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 6.70 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 MDL Units Q
ND
7.3 3.6 mg/kg
Run# 1
Run# 2 Limits
87%
56-149%
87%
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 10 of 24
FA55065
SGS North America Inc.
Report of Analysis
Page 1 of 1 w
Client Sample ID:
S-3
Lab Sample ID:
FA55065-3 Date Sampled: 06/13/18
Matrix:
SO - Soil Date Received: 06/ 15/ 18
Method:
SW846 8015C SW846 3546 Percent Solids: 71.2
Project:
429003
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 WW16502.D 1 06/20/18 20:24 SJL 06/19/18 09:50 OP70555 GWW670
Run #2
Initial Weight Final Volume
Run # 1 20.4 g 1.0 ml
Run #2
CAS No. Compound
Result
RL MDL Units Q
TPH (C10-C28)
ND
6.9 3.4 mg/kg
CAS No. Surrogate Recoveries
Run# 1
Run# 2 Limits
84-15-1 o-Terphenyl
86%
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 11 of 24
FA55065
SGS North America Inc.
Report of Analysis
Page 1 of 1 P
Client Sample ID:
S-4
Lab Sample ID:
FA55065-4 Date Sampled: 06/13/18
Matrix:
SO - Soil Date Received: 06/ 15/ 18
Method:
SW846 8015C Percent Solids: 74.8
Project:
429003
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 UV082844.D 1 06/18/18 20:28 JG n/a n/a GUV4359
Run #2
Initial Weight Final Volume Methanol Aliquot
Run # 1 6.94 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 MDL Units Q
ND
6.5 3.3 mg/kg
Run# 1
Run# 2 Limits
87%
56-149%
91%
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 12 of 24
FA55065
SGS North America Inc.
Report of Analysis
Page 1 of 1 P
Client Sample ID:
S-4
Lab Sample ID:
FA55065-4 Date Sampled: 06/13/18
Matrix:
SO - Soil Date Received: 06/ 15/ 18
Method:
SW846 8015C SW846 3546 Percent Solids: 74.8
Project:
429003
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 WW16503.D 1 06/20/18 20:53 SJL 06/19/18 09:50 OP70555 GWW670
Run #2
Initial Weight Final Volume
Run#1 19.7g 1.0ml
Run #2
CAS No. Compound
Result
RL MDL Units Q
TPH (C10-C28)
ND
6.8 3.4 mg/kg
CAS No. Surrogate Recoveries
Run# 1
Run# 2 Limits
84-15-1 o-Terphenyl
82%
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 13 of 24
FA55065
ffm
Orlando, FL
Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
Section 4
6 14 of 24
FA55065
SGS Accutest Southeast FAMO (0 1
Chain of Custody SGS ACCUTEST JOB # : PAGE�OF�
_ ACgCUTES j 4405 Vineland Rond, Snite GlS.,lead.. F132611
TEL.407-425-6700 FAX: 407425-0707 SGS Accutest Quote # SKIFF #
ccmestcom
'-
Client / Reporting Information .,$; i P r0j act Information S. 4'.., , n
Analytical Information =; Matrix Codes
"
Company Name: ..1 �(
Project Name:
z ,o t
`J
/
P
f�,
Water
- Ground
G Weer
W W- Water
SW -Surface
Water
SO -Soil
SL-Sludge
OI -Oil
LIQ-Other Liquid
AIR-AirCOLLECTION
-Other Solid
Address: ,r •C 1
J
Street
Cay: ..� < State. t' Zip:,.
V -
T Y state
Projec to t: I:
t # " r7 (j ,.l
'� ,1. L- L V'
Phone
Fax#
Sampler(.) Name(e)(Printed)
Sampler t: Sampler 2:
Client Purchase Order#
SGS
AccutestSAMPLEDaF
Sam le #
Field ID I Poin of Collodion
ER
INFORMATIONIL
LAB USE ONLY
DATE
TIME
at
MAIM
TOTAL.
DOT!—
¢
�
o $
w
a ; m
J
S
A 2.
r
I
'
Turnaround Time Business days
_
F❑COMMERCIAL"A"(RESULTS
DaInf.rmation
3. t.,;..K�
d
°
Comments
/
Remarks
;
10 Day(Business) Approved By:/Date:
7 Day
5 Day
3 Day RUSH
2 Day RUSH
1 Day RUSH
Ot r
R TIA D to Available VIA Email or Lablink
ONLY)
COMMERCIAL "B" (RESULTS PLUS QC)
E]REDT1 (EPA LEVEL 3)
�FULLTI (EPA LEVEL 4)
EDD'S
- ���� f�C3
"01G 'r
liervlco t`.OD�
z a
" "shv
Sample Custod must be
documented below each time temples
thane Possession. includingcourier
delivery.
R y le }anon
Date Time:
•�
Racal I iation
3
jDate Time:
Racal Ilatlon
e' ishe /Affiliation
5
Date Time:
Received ylAffiliation
6
Relinq fished ByIA filiation
7
Dat ime:
Recelved By/AHlllation
e
Lab Use Only: Cooler Temperature (a) Celsius (corrected): hao•I/vraw sas tom/en/teens-and-conditions
. Effective Date
SGS COC Florida new art 5 217.xis rev 042417 SI
FA55065: Chain of Custody
Page 1 of 2
6 15 of 24
FA55065
SGS Sample Receipt Summary
Job Number: FA55065 Client: HE
Date / Time Received: 6/15/2018 9:00:00 AM
[Therm ID: IR 1;ler Temps (Raw Measured) °C: Cooler 1: (0.8);
Cooler Temps (Corrected) °C: Cooler 1: (1.2);
Cooler Information
Y or N
1. Custody Seals Present
❑.I El2.
Custody Seals Intact
❑d ❑
3. Temp criteria achieved
❑d El4.
Cooler temp verification
IR Gun
5. Cooler media
Ice (Bag
S Project: 429003
livery Method: FED EX Airbill Ws: 772478416176
arm CF: 0.4; # of Coolers: 1
Sample Information
Y
or N N/A
1. Sample labels present on bottles
W
❑
2. Samples preserved properly
❑d
❑
3. Sufficient volume/containers recvd for analysis:
W
❑
4. Condition of sample
Intact
5. Sample recvd within HT
0
❑
6. Dates/Times/IDs on COC match Sample Label
0
❑
Trio Blank Information
Y or
N
N/A
7. VOCs have headspace
❑
❑
❑d
1. Trip Blank present / cooler
❑
❑
❑d
8. Bottles received for unspecified tests
❑
❑d
2. Trip Blank listed on COC
❑
❑
❑d
9. Compositing instructions clear
❑
❑
k
10. Voa Soil Kits/Jars received past 48hrs?
❑
❑
❑d
W or S
N/A
11. % Solids Jar received?
❑
❑
0
3. Type Of TB Received
❑
❑
W
12. Residual Chlorine Present?
❑
❑
❑,�
Misc. Information
Number of Encores: 25-Gram
5-Gram
Number of 5035 Field Kits: 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
SM001 Technician: HEATHERW Date: 6/15/2018 9:00:00 AM
Rev. Date 05/24/17
Reviewer: Date:
FA55065: Chain of Custody
Page 2 of 2
6 16 of 24
FA55065
ffm
Orlando, FL
GC 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 17 of 24
FA55065
Method Blank Summary
Job Number: FA55065
Account: HESNCR Highlands Environmental Solutions, Inc
Project: 429003
Page 1 of 1
Sample
File ID
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
GUV4359-MB
UV082837.13
1
06/18/18
JG
n/a
n/a
GUV4359
The QC reported here applies to the following samples:
FA55065-1, FA55065-2, FA55065-3, FA55065-4
CAS No. Compound Result RL
TPH-GRO (C6-C 10) ND 5.0
Method: SW846 8015C
MDL Units Q
2.5 mg/kg
CAS No.
Surrogate Recoveries
Limits
460-00-4
4-Bromofluorobenzene
85%
56-149%
98-08-8
aaa-Trifluorotoluene
86%
66-132%
6 18 of 24
FA55065
Blank Spike Summary
Job Number: FA55065
Account: HESNCR Highlands Environmental Solutions, Inc
Project: 429003
Page 1 of 1
Sample
File ID
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
GUV4359-BS a
UV082836.1)
1
06/18/18
JG
n/a
n/a
GUV4359
The QC reported here applies to the following samples:
FA55065-1, FA55065-2, FA55065-3, FA55065-4
Spike
BSP BSP
CAS No.
Compound
mg/kg
mg/kg %
TPH-GRO (C6-C 10)
20
18.2 91
CAS No.
Surrogate Recoveries
BSP
Limits
460-00-4
4-Bromofluorobenzene
84%
56-149%
98-08-8
aaa-Trifluorotoluene
93%
66-132%
(a) No MSD available for this run.
* = Outside of Control Limits.
Limits
74-128
Method: SW846 8015C
6 19 of 24
FA55065
Matrix Spike Summary
Job Number: FA55065
Account: HESNCR Highlands Environmental Solutions, Inc
Project: 429003
Page 1 of 1
Sample
File ID
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
FA55116-3MS
UV082855.1)
1
06/19/18
JG
n/a
n/a
GUV4359
FA55116-3
UV082853.1)
1
06/19/18
JG
n/a
n/a
GUV4359
The QC reported here applies to the following samples:
FA55065-1, FA55065-2, FA55065-3, FA55065-4
CAS No. Compound
TPH-GRO (C6-C 10)
CAS No.
Surrogate Recoveries
460-00-4
4-Bromofluorobenzene
98-08-8
aaa-Trifluorotoluene
* = Outside of Control Limits.
FA55116-3 Spike MS MS
mg/kg Q mg/kg mg/kg %
ND 17 13.3 78
MS FA55116-3 Limits
89% 84% 56-149%
85% 81% 66-132%
Method: SW846 8015C
Limits
74-128
6 20 of 24
FA55065
i
Sri$ -
Orlando, FL
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 21 of 24
FA55065
Method Blank Summary
Job Number: FA55065
Account: HESNCR Highlands Environmental Solutions, Inc
Project: 429003
Page 1 of 1
Sample
File ID
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
OP70555-MB
WW16491.13
1
06/20/18
SJL
06/19/18
OP70555
GWW670
The QC reported here applies to the following samples: Method: SW846 8015C
FA55065-1, FA55065-2, FA55065-3, FA55065-4
CAS No. Compound Result RL MDL Units Q
TPH (C 10-C28) ND 5.0 2.5 mg/kg
CAS No. Surrogate Recoveries Limits
84-15-1 o-Terphenyl 79% 56-122%
6 22 of 24
FA55065
Blank Spike Summary
Job Number: FA55065
Account: HESNCR Highlands Environmental Solutions, Inc
Project: 429003
Page 1 of 1
Sample
File ID
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
OP70555-BS
WW16490.1)
1
06/20/18
SJL
06/19/18
OP70555
GWW670
The QC reported here applies to the following samples: Method: SW846 8015C
FA55065-1, FA55065-2, FA55065-3, FA55065-4
CAS No. Compound
TPH (C 10-C28)
CAS No. Surrogate Recoveries
84-15-1 o-Terphenyl
* = Outside of Control Limits.
Spike
BSP
BSP
mg/kg
mg/kg
% Limits
50
38.4
77 62-116
BSP Limits
78% 56-122%
6 23 of 24
FA55065
Matrix Spike/Matrix Spike Duplicate Summary Page 1 of 1
Job Number: FA55065
Account: HESNCR Highlands Environmental Solutions, Inc
Project: 429003
Sample
File ID
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
OP70555-MS
WW16493.13
1
06/20/18
SJL
06/19/18
OP70555
GWW670
OP70555-MSD
WW16494.D
1
06/20/18
SJL
06/19/18
OP70555
GWW670
FA55005-1
WW16492.D
1
06/20/18
SJL
06/19/18
OP70555
GWW670
The QC reported here applies to the following samples: Method: SW846 8015C
FA55065-1, FA55065-2, FA55065-3, FA55065-4
FA55005-1 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 (C10-C28) 10.6 57.6 51.7 71 56.7 51.6 72 0 62-116/35
CAS No. Surrogate Recoveries MS MSD FA55005-1 Limits
84-15-1 o-Terphenyl 81% 81% 99% 56-122%
* = Outside of Control Limits.
6 24 of 24
FA55065
Beverly, Trudy
From: Andrew Francis <afrancis@hesnc.com>
Sent: Thursday, January 16, 2020 1:55 PM
To: Beverly, Trudy
Subject: [External] Initial Assessment Report for Best- 185 N Exit 58 Incident - Highlands
Environmental Solutions, Inc.
Attachments: 429003 Initial Assessment Report.pdf; 429003 subletter.pdf
• External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
chment to report.spam@nc.gov
Hi Trudy,
Here is the report and sub letter for the incident we discussed. Let me know if you require any additional
information.
Thanks,
Andrew
Andrew Francis, G.I.T.
Staff Geologist
Highlands Environmental Solutions, Inc.
8410-D Falls of Neuse Road
Raleigh, NC 27615
Office: 919-848-3155
Cell: 919-559-5280
Fax: 919-848-4265
Email: afranciskhesnc.com
Website: www.hesnc.com
P\Highlands
Z A Environmental
Solutions, Inc.
24-Hour Emergency Response: 1-855-HES-FAST (855-437-3278)
1